[Federal Register: November 2, 1999 (Volume 64, Number 211)]
[Rules and Regulations]
[Page 59429-59478]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02no99-17]
[[pp. 59429-59478]] Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule for Calendar Year 2000
[[Continued from page 59428]]
[[Page 59429]]
service work based on a small-group panel comparison of codes within
clinical families. This method could be used to identify statistical
outliers that appear to be either misaligned or compressed in terms of
overall physician work effort employing a simpler approach than
magnitude estimation.
3. Clinical Profile. Use a physician-level-clinical profile
database that includes estimates of total available clinical time, as
well as estimates of total volume of services provided during that time
period at the CPT code level. This method would use objectively
collected volume of service estimates and current work RVU time
estimates to evaluate the reasonableness of total service time
estimates relative to estimates of available service time.
4. Alternative Data Sources. Four alternative objective data
sources could be used in the direct identification of services whose
intra-service times may be misvalued: Anesthesia time estimates from
Medicare claims data, operative times obtained from a data vendor,
operative times collected from a panel of hospitals, and intra-service
times collected through direct observation.
5. Claims Data: Focused Review. Use Medicare claims data to
identify services whose number of pre- and post-operative hospital
visits provided during the global surgical period may be misvalued
given current lengths of stay and proportion of same day surgery cases.
6. Claims Data: Over Time. Use Medicare claims data to identify
services with potentially misvalued work RVUs by analyzing changes over
time in site of service, frequency, and specialty mix.
7. Direct Comparison. Identify services with potentially misvalued
work RVUs through a direct comparison of work per unit of time (WPUT).
This method would use statistical analysis to identify those services
with a WPUT estimate that differs significantly from the typical value
for a group of services expected to have similar levels of WPUT.
In their report, HER also suggested that we: establish a set of
standard data collection methods and review procedures and review and
correct flaws in the annual review process.
(Note: The contents of this report can be accessed through our
homepage, as discussed earlier.)
We are incorporating some of the approaches identified by our
contractor, and are also considering other means of identifying
misvalued services.
We recently awarded a contract to HER to examine in more detail
secondary databases that will enable us to validate RUC and Harvard
physician time data. Three databases will be examined: D.J. Sullivan
intraoperative time data, outpatient and ambulatory care survey data
obtained by the National Center for Health Statistics, and MGMA group
practice data on total clinical time and services.
We are also attempting to identify other primary and secondary
databases that have the potential for identifying misvalued services.
We would welcome any comments on the existence and usefulness of such
databases, as well as comments on other methodologies that might assist
us in determining how to identify misvalued services.
V. Physician Fee Schedule Update and Conversion Factor for Calendar
Year 2000
The 2000 physician fee schedule conversion factor is $36.6137. The
2000 anesthesia conversion factor is $17.77.
The specific calculations to determine the conversion factor for
physicians' services for calendar year 2000 are explained below.
Detail on Calculation of the Calendar Year 2000 Physician Fee
Schedule Update and the 2000 Conversion Factor
Physician Fee Schedule Update and Conversion Factor
The conversion factor is affected by section 1848(c)(2)(B)(ii)(II)
of the Act, which requires that changes to the relative value units of
the Medicare physician fee schedule not cause expenditures to increase
or decrease by more than $20 million from the amount of expenditures
that would have been made if such adjustments had not been made. We
implement this requirement through a uniform budget-neutrality
adjustment to the conversion factor.
Taking this factor into account, as well as the percent change in
the MEI and Sustainable Growth Rate (SGR) adjustments described below,
the 2000 conversion factor is calculated as follows:
1999 Conversion Factor....................................... 34.7315
2000 Update.................................................. 1.05472
Volume and Intensity Adjustment.............................. 0.9988
Other Factors................................................ 1.0007
2000 Conversion Factor....................................... 36.6137
The 5.5 (1.05472) percent 2000 update is calculated as follows:
MEI.......................................................... 2.4%
SGR adjustment............................................... 3.0%
2000 Update.................................................. 5.5%
Under section 1848(d)(3) of the Act, the update is equal to the
product of the MEI and the performance adjustment factor (or SGR
adjustment). Thus, the MEI of 2.4 percent (or 1.024) and the SGR
adjustment of 3.0 percent (1.03) are multiplied together to produce the
2000 update of 5.5 percent (1.05472).
There is another adjustment of 1.0007 to the conversion factor to
reflect that Medicare will no longer provide separate payment for pulse
oximetry, temperature gradient studies and venous pressure
determinations. Payment for these codes is bundled into payment for
other services. Consistent with our proposed rule (64 FR 39638),
savings from this provision are recognized in the budget neutrality
calculation on the physician fee schedule conversion factor.
The MEI and the SGR adjustments are described below.
The Percentage Change in the Medicare Economic Index
The MEI measures the weighted-average annual price change for
various inputs needed to produce physicians' services. The MEI is a
fixed-weight input price index, with an adjustment for the change in
economy-wide labor productivity. This index, which has 1996 base
weights, is comprised of two broad categories: physician's own time and
physician's practice expense.
The physician's own time component represents the net income
portion of business receipts and primarily reflects the input of the
physician's own time into the production of physicians' services in
physicians' offices. This category consists of two subcomponents: wages
and salaries and fringe benefits. These components are adjusted by the
10-year moving average annual percent change in output per man-hour for
the nonfarm business sector to eliminate double counting for
productivity growth in physicians' offices and the general economy.
The physician's practice expense category represents the rate of
price growth in nonphysician inputs to the production of services in
physicians' offices. This category consists of wages and salaries and
fringe benefits for nonphysician staff and other nonlabor inputs. Like
physician's own time, the nonphysician staff categories are adjusted
for productivity using the 10-year moving average annual percent change
in output per man-hour for the nonfarm business sector. The physician's
practice expense component also includes the following categories of
nonlabor inputs: office expense, medical materials and supplies,
professional liability insurance, medical equipment, professional car,
and other expense. The table below presents a listing of the MEI
[[Page 59430]]
cost categories with associated weights and percent changes for price
proxies for the 2000 update. The calendar year 2000 MEI is 2.4 percent.
Increase in the Medicare Economic Index Update for Calendar Year 2000
\1\
------------------------------------------------------------------------
CY 2000
Cost Categories and Price Measures 1996 Percent
Weights \2\ Changes
------------------------------------------------------------------------
Medicare Economic Index Total................. 100.0 2.4
1. Physician's Own Time 3 4............... 54.5 2.3
a. Wages and Salaries: Average hourly 44.2 2.5
earnings private nonfarm, net of
productivity.........................
b. Fringe Benefits: Employment Cost 10.3 1.2
Index, benefits, private nonfarm, net
of productivity......................
2. Physician's Practice Expense \3\....... 45.5 2.5
a. Nonphysician Employee Compensation. 16.8 2.2
1. Wages and Salaries: Employment 12.4 2.5
Cost Index, wages and salaries,
weighted by occupation, net of
productivity.....................
2. Fringe Benefits: Employment 4.4 1.5
Cost Index, fringe benefits,
white collar, net of productivity
b. Office Expense: Consumer Price 11.6 2.3
Index for Urban Consumers (CPI-U),
housing..............................
c. Medical Materials and Supplies: 4.5 5.5
Producer Price Index (PPI), ethical
drugs/PPI, surgical appliances and
supplies/CPI-U, medical equipment and
supplies (equally weighted)..........
d. Professional Liability Insurance: 3.2 3.9
HCFA professional liability insurance
survey \5\...........................
e. Medical Equipment: PPI, medical 1.9 -0.5
instruments and equipment............
f. Other Professional Expense......... 7.6 1.7
1. Professional Car: CPI-U, 1.3 -1.1
private transportation...........
2. Other: CPI-U, all items less 6.3 2.3
food and energy..................
Addendum:
Productivity: 10-year moving average of n/a 1.2
output per man-hour, nonfarm business
sector...................................
Physician's Own Time, not productivity 54.5 3.5
adjusted.................................
Wages and salaries, not productivity 44.2 3.8
adjusted.............................
Fringe benefits, not productivity 10.3 2.4
adjusted.............................
Nonphysician Employee Compensation, not 16.8 3.5
productivity adjusted....................
Wages and salaries, not productivity 12.4 3.7
adjusted.............................
Fringe benefits, not productivity 4.4 2.7
adjusted.............................
------------------------------------------------------------------------
\1\ The rates of historical change are for the 12-month period ending
June 30, 1999, which is the period used for computing the calendar
year 2000 update. The price proxy values are based upon the latest
available Bureau of Labor Statistics data as of September 21, 1999.
\2\ The weights shown for the MEI components are the 1996 base-year
weights, which may not sum to subtotals or totals because of rounding.
The MEI is a fixed-weight, Laspeyres-type input price index whose
category weights indicate the distribution of expenditures among the
inputs to physicians' services for calendar year 1996. To determine
the MEI level for a given year, the price proxy level for each
component is multiplied by its 1996 weight. The sum of these products
(weights multiplied by the price index levels) over all cost
categories yields the composite MEI level for a given year. The annual
percent change in the MEI levels is an estimate of price change over
time for a fixed market basket of inputs to physicians' services.
\3\ The Physician's Own Time and Nonphysician Employee Compensation
category price measures include an adjustment for productivity. The
price measure for each category is divided by the 10-year moving
average of output per man-hour in the nonfarm business sector. For
example, the fringe benefit component of Physician's Own Time is
calculated by dividing the rate of growth in the employment cost index
for benefits of private nonfarm workers by the 10-year moving average
rate of growth of output per man-hour for the nonfarm business sector.
Dividing one plus the decimal form of the percent change in the
average hourly earnings (1+.024=1.024) by one plus the decimal form of
the percent change in the 10-year moving average of labor productivity
(1+.012=1.012) equals one plus the change in average hourly earnings
net of the change in output per man hour (1.024/1.012=1.012). All
Physician's Own Time and Nonphysician Employee Compensation categories
are adjusted in this way. Due to a higher level of precision the
computer calculated quotient may differ from the quotient calculated
from rounded individual percent changes.
\4\ The average hourly earnings proxy, the Employment Cost Index
proxies, as well as the CPI-U, housing and CPI-U, private
transportation are published in the Current Labor Statistics Section
of the Bureau of Labor Statistics' Monthly Labor Review. The remaining
CPIs and PPIs in the revised index can be obtained from the Bureau of
Labor Statistics' CPI Detailed Report or Producer Price Indexes.
\5\ Derived from a HCFA survey of several major insurers (the latest
available historical percent change data are for the period ending
second quarter of 1999).
n/a Productivity is factored into the MEI compensation categories as an
adjustment to the price variables; therefore, no explicit weight
exists for productivity in the MEI.
Medicare Performance Relative to the SGR
Medicare Sustainable Growth Rate
Section 1848(f) of the Act, as amended by section 4503 of the BBA,
replaces the volume performance standard with a sustainable growth rate
(SGR) standard. It specifies the formula for establishing yearly SGR
targets for physicians' services under Medicare. The use of SGR targets
is intended to control the actual growth in Medicare expenditures for
physicians' services.
The SGR targets are not limits on expenditures. Payments for
services are not withheld if the SGR target is exceeded. Rather, the
appropriate fee schedule update, as specified in section 1848(d)(3)(A)
of the Act, is adjusted to reflect the success or failure in meeting
the SGR target.
As provided in section 4502 of the BBA, the update to the
conversion factor is adjusted based on a comparison of actual
expenditure to the SGR. The law refers to this update as the update
adjustment factor. The amended section 1848(d)(3) of the Act now states
that ``the `update adjustment factor' for a year is equal (as estimated
by the Secretary) to--
(i) the difference between (I) the sum of the allowed expenditures
for physicians' services (as determined under subparagraph (C)) for the
period beginning April 1, 1997, and ending on March 31 of the year
involved, and (II) the amount of actual expenditures for physicians'
services furnished during the period beginning April 1, 1997, and
ending on March 31 of the preceding year; divided by
(ii) the actual expenditures for physicians' services for the 12-
month period ending on March 31 of the preceding year, increased by the
sustainable growth rate under
[[Page 59431]]
subsection (f) for the fiscal year which begins during such 12-month
period.''
The result is a 3.0 percent adjustment for 2000.
VI. Provisions of the Final Rule
The provisions of this final rule restate the provisions of the
July 22, 1999, proposed rule except as noted elsewhere in this
preamble. Following is a highlight of the changes made:
For our proposal relating to physician pathology services and
independent laboratories (Sec. 415.130(c)), we have decided to adopt
our proposal to pay only hospitals for the TC services furnished to its
inpatients, but delay implementation until January 1, 2001, to allow
independent laboratories and hospitals sufficient time to negotiate
arrangements.
For our proposal relating to optometrist services, we are revising
the regulations at Sec. 410.23 (Limitations on services of an
optometrist) to specify that Medicare Part B pays for services of a
doctor of optometry, acting within the scope of his or her license,
with respect to the provision of items or services described in section
1861(s) of the Act.
For our proposal relating to CPT modifier -25, we are making the
following changes:
We are proceeding to include procedures with a global
period indicator of ``XXX'' in the application of the global surgery
payment policy relating to the use of modifier -25.
We will not, however, require the routine use of modifier
-25 with all procedures having a global indicator of ``XXX''. Instead,
we will identify specific codes if an E/M service is furnished with a
specified code. To be billed for, it would need to be documented as
being significant and separately identifiable and be reported with
modifier -25.
We will seek review of these codes from physician
specialty societies, as well as those nonphysician practitioners who
are authorized to bill Medicare on their own.
Specific procedure codes for which the use of modifier -25
is required when a significant, separately identifiable E/M service is
furnished and reported by the same physician or nonphysician
practitioner will be included as edits in the Correct Coding Initiative
edits.
These edits will be implemented no earlier than October 1,
2000, and will continue to be added as appropriate on an ongoing basis.
In the meantime, however, since modifiers are an inherent
part of HCPCS, we urge all practitioners to familiarize themselves with
them and to make it a practice to use them when applicable.
For our proposal relating to coverage of prostate cancer screening
tests (Sec. 410.39) we are implementing the requirements as stated in
the proposed rule. However, we are revising Sec. 410.39(e)(1) to
provide that payment ``may not be made for a screening PSA blood test
performed for a man age 50 or younger''.
For our proposal to discontinue separate payment for pulse
oximetry, temperature gradient studies, venous pressure determinations,
and to list them in the physician fee schedule with a status code of
``B'' for ``payment always bundled into payment for other services,''
we will bundle payment for these services starting in 2000 with the
exception of 94762, which we will continue to pay separately when
continuous overnight monitoring is medically necessary as a separate
procedure.
VII. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.).
VIII. Response to Comments
Because of the large number of items of correspondence we normally
receive on Federal Register documents published for comment, we are not
able to acknowledge or respond to them individually. We will consider
all comments we receive by the date and time specified in the DATES
section of this preamble, and, if we proceed with a subsequent
document, we will respond to the comments in the preamble to that
document.
IX. Regulatory Impact Analysis
We have examined the impacts of this final rule as required by
Executive Order (EO) 12866, the Unfunded Mandates Reform Act (UMRA)
(Public Law 104-4), the Regulatory Flexibility Act (RFA) (Public Law
96-354), and the Federalism Executive Order (EO) 13132.
Executive Order 12866 directs agencies to assess costs and benefits
of available regulatory alternatives and, when regulation is necessary,
to select regulatory approaches that maximize net benefits (including
potential economic, environmental, public health and safety effects,
distributive impacts, and equity). A regulatory impact analysis (RIA)
must be prepared for major rules with economically significant effects
($100 million or more annually). The changes in the Medicare physician
fee schedule are, for the most part, budget neutral. This final rule
conforms the regulations to new statutory benefits that exceed $100
million in Medicare spending. (See the estimated costs tables in
sections IX. M. and IX. N.) Therefore, this final rule is considered to
be a major rule as defined in Title 5, United States Code, Section
804(2).
The UMRA also requires (in section 202) that agencies prepare an
assessment of anticipated costs and benefits before developing any rule
that may result in an expenditure by State, local, or tribal
governments, in the aggregate, or by the private sector, of $100
million or more in any given year. This final rule will have no
consequential effect on State, local, or tribal governments. We believe
the private sector cost of this rule falls below these thresholds as
well.
The RFA requires that we analyze regulatory options for small
businesses and other small entities. We prepare a Regulatory
Flexibility Analysis unless we certify that a rule would not have a
significant economic impact on a substantial number of small entities.
The analysis must include a justification of why action is being taken,
the kinds and number of small entities the rule affects, and an
explanation of any meaningful options that achieve the objectives and
lessen significant adverse economic impact on the small entities.
In addition, section 1102(b) of the Act requires us to prepare a
regulatory impact analysis if a rule may have a significant impact on
the operations of a substantial number of small rural hospitals. This
analysis must conform to the provisions of section 604 of the RFA. For
purposes of section 1102(b) of the Act, we define a small rural
hospital as a hospital that is located outside of a Metropolitan
Statistical Area and has fewer than 50 beds.
For purposes of the RFA, all physicians are considered to be small
entities. There are about 700,000 physicians and other practitioners
who receive Medicare payment under the physician fee schedule. We have
prepared the following analysis which, together with the rest of this
preamble, meets all four assessment requirements. It explains the
rationale for and purpose of the rule, details the costs and benefits
of the rule, analyzes alternatives, and presents the measures we
considered to minimize the burden on small entities.
[[Page 59432]]
A. Resource-Based Malpractice Relative Value Units
As explained earlier in this preamble, the resource-based
malpractice RVUs must be implemented in a budget-neutral manner. That
is, the total fee schedule malpractice RVUs must be the same under the
resource-based method as would have existed had the prior charge-based
malpractice RVUs been retained. This means that increases in RVUs for
some services will necessarily be offset by corresponding decreases in
values for other services. Table 3 shows, by specialty, the estimated
percentage changes in allowed charges for our proposed resource-based
malpractice RVUs.
As Table 3 shows, the effects on payments are very modest and, in
most cases, negligible. Of the 35 major payment specialties, 15 are
estimated to experience payment increases, 19 are estimated to
experience payment decreases, and 1 experiences no change. Only two
specialties are estimated to experience increases of more than 1
percent, emergency medicine (2.6 percent) and nephrology (1.1 percent),
with an estimated median payment increase of 0.3 percent among the
specialties that receive an increase. Only three specialties are
estimated to experience payment decreases of 1 percent or more cardiac
surgery (-1.2 percent), orthopedic surgery (-1.1 percent), and thoracic
surgery (-1.0 percent) with an estimated median payment decrease of -
0.5 percent among the specialties which receive a decrease. These
impacts are slightly different than those shown in the July 22 proposed
rule because they reflect different case mix using 1998 rather than
1997 service frequencies; incorporate RVU changes made as a result of
comments received on the NPRM; and reflect the final budget-neutrality
adjustment calculated by our actuaries.
The impact of the changes on the total revenue (Medicare and non-
Medicare) for a given specialty is less than the impact displayed in
Table 3 since physicians furnish services to both Medicare and non-
Medicare patients. The magnitude of the impact on Medicare payment for
a specialty depends generally on the mix of services a physician in the
specialty furnishes.
Table 3.--Impact on Total Allowed Charges by Specialty of the Resource
Based Malpractice Expense Relative Value Units
[Percent change]
------------------------------------------------------------------------
Allowed Impact by
Specialty charges (in specialty
billions) (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY.......................... 0.2 -0.6
CARDIAC SURGERY......................... 0.3 -1.2
CARDIOLOGY.............................. 3.7 -0.1
CLINICS................................. 1.4 0.2
DERMATOLOGY............................. 1.2 0.0
EMERGENCY MEDICINE...................... 0.8 2.6
FAMILY PRACTICE......................... 3.0 0.3
GASTROENTEROLOGY........................ 1.1 -0.4
GENERAL PRACTICE........................ 1.0 0.4
GENERAL SURGERY......................... 1.7 -0.2
HEMATOLOGY ONCOLOGY..................... 0.6 0.2
INTERNAL MEDICINE....................... 6.3 0.3
NEPHROLOGY.............................. 0.9 1.1
NEUROLOGY............................... 0.8 0.3
NEUROSURGERY............................ 0.3 0.5
OBSTETRICS/GYNECOLOGY................... 0.4 -0.6
OPHTHALMOLOGY........................... 3.5 -0.5
ORTHOPEDIC SURGERY...................... 2.0 -1.1
OTOLARYNGOLOGY.......................... 0.6 -0.3
PATHOLOGY............................... 0.5 -0.6
PLASTIC SURGERY......................... 0.2 -0.3
PSYCHIATRY.............................. 1.1 -0.2
PULMONARY............................... 1.0 0.2
RADIATION ONCOLOGY...................... 0.4 -0.5
RADIOLOGY............................... 2.7 -0.6
RHEUMATOLOGY............................ 0.3 0.3
THORACIC SURGERY........................ 0.5 -1.0
UROLOGY................................. 1.2 -0.1
VASCULAR SURGERY........................ 0.3 -0.5
ALL OTHER PHYSICIAN..................... 1.2 0.1
OTHERS:
CHIROPRACTOR........................ 0.4 0.6
NONPHYSICIAN PRACTITIONER........... 0.9 -0.4
OPTOMETRIST......................... 0.4 0.4
PODIATRY............................ 1.0 0.4
SUPPLIERS........................... 0.4 -0.4
------------------------------------------------------------------------
B. Resource-Based Practice Expense Relative Value Units
Revisions in resource-based practice expense RVUs for physicians'
services are calculated to be budget neutral, that is, the total
practice expense RVUs for calendar year 2000 are calculated to be the
same as the total practice expense RVUs that we estimate would have
occurred without the changes proposed in this regulation. This means
that increases in practice expense RVUs for
[[Page 59433]]
some services will necessarily be offset by corresponding decreases in
values for other services.
Table 4, ``Impact on Total Allowed Charges by Specialty of the
Final Rule Practice Expense Changes'' shows, by specialty, the
estimated percent changes in allowed charges resulting from the
practice expense proposals discussed earlier in this rule. This table
shows the impact of changes in the year 2000, as well as 3-year impact
from 2000 to 2002 on the fully implemented practice expense RVUs. In
the year 2000, the practice expense RVUs are a blend of 50 percent of
the charged-based RVU and 50 percent of the resource-based RVU. The
year 2000 impact column shows the impact of changes in this rule
relative to what payments would have been in 2000 had there been no
changes from this rule. The column labeled 2000-2002 impact compares
payments using the fully implemented RVUs published in the November 2,
1998 final rule (63 FR 58816) to the fully implemented RVUs reflecting
changes included in this rule.
Table 4.--Impact on Total Allowed Charges by Specialty of Final Rule Practice Expense Changes
[Percent change]
----------------------------------------------------------------------------------------------------------------
Allowed Year 2000 2000-2002
Specialty charges (in impact impact
billions) (percent) (percent)
----------------------------------------------------------------------------------------------------------------
ANESTHESIOLOGY.................................................. 1.6 -3 -9
CARDIAC SURGERY................................................. 0.3 -2 -6
CARDIOLOGY...................................................... 3.7 -1 -3
CLINICS......................................................... 1.4 0 -1
DERMATOLOGY..................................................... 1.2 0 0
EMERGENCY MEDICINE.............................................. 0.8 -1 -2
FAMILY PRACTICE................................................. 3.0 0 1
GASTROENTEROLOGY................................................ 1.1 -1 -4
GENERAL PRACTICE................................................ 1.0 0 1
GENERAL SURGERY................................................. 1.8 0 -1
HEMATOLOGY ONCOLOGY............................................. 0.6 0 0
INTERNAL MEDICINE............................................... 6.3 0 0
NEPHROLOGY...................................................... 0.9 0 1
NEUROLOGY....................................................... 0.8 0 0
NEUROSURGERY.................................................... 0.3 0 -1
OBSTETRICS/GYNECOLOGY........................................... 0.4 1 2
OPHTHALMOLOGY................................................... 3.5 1 2
ORTHOPEDIC SURGERY.............................................. 2.0 0 1
OTHER PHYSICIAN................................................. 1.2 -1 -2
OTOLARYNGOLOGY.................................................. 0.6 1 2
PATHOLOGY....................................................... 0.5 3 9
PLASTIC SURGERY................................................. 0.2 1 2
PSYCHIATRY...................................................... 1.1 0 -1
PULMONARY....................................................... 1.0 -1 -2
RADIATION ONCOLOGY.............................................. 0.6 0 0
RADIOLOGY....................................................... 2.8 -1 -2
RHEUMATOLOGY.................................................... 0.3 1 4
THORACIC SURGERY................................................ 0.5 -2 -5
UROLOGY......................................................... 1.2 0 1
VASCULAR SURGERY................................................ 0.3 0 -1
OTHERS: .............. 0 0
CHIROPRACTOR................................................ 0.4 0 0
NONPHYSICIAN PRACTITIONER................................... 0.9 0 0
OPTOMETRIST................................................. 0.4 2 5
PODIATRY.................................................... 1.0 1 2
SUPPLIERS................................................... 0.4 6 18
----------------------------------------------------------------------------------------------------------------
Table 5 shows the impacts we displayed in the proposed rule
published on July 22, 1999 for practice expense only and the
corresponding impacts which result from this final rule. This table
shows only the fully implemented fee schedule impact, not the year 2000
impact incorporating the transition. There are two factors that explain
the difference between the proposed rule and final rule impact
statements. In the proposed rule, we indicated that we were considering
removing some services from the zero physician work RVU pool. We did
not include the effect of that policy change in the proposed rule
impact statement. That change is now included in the ``Final Rule''
column. The zero work RVU change affects specialties which perform the
technical portion of diagnostic tests. We are also using a higher
practice expense per hour for thoracic and cardiac surgery in order to
establish the SMS specialty practice expense pools. This change affects
only these two specialties. Both of these changes are discussed in more
detail earlier in the preamble to this final rule.
[[Page 59434]]
Table 5.--Impact on Total Allowed Charges by Specialty of Practice Expense Changes Only 7/22/1999 Proposed Rule
and This Final Rule
----------------------------------------------------------------------------------------------------------------
Allowed Proposed rule Final rule
Specialty charges impact impact
(billions) (percent) (percent)
----------------------------------------------------------------------------------------------------------------
ANESTHESIOLOGY.................................................. 1.6 -8 -9
CARDIAC SURGERY................................................. 0.3 -8 -6
CARDIOLOGY...................................................... 3.7 -2 -3
CLINICS......................................................... 1.4 -1 -1
DERMATOLOGY..................................................... 1.2 2 0
EMERGENCY MEDICINE.............................................. 0.8 -1 -2
FAMILY PRACTICE................................................. 3.0 2 1
GASTROENTEROLOGY................................................ 1.1 -2 -4
GENERAL PRACTICE................................................ 1.0 2 1
GENERAL SURGERY................................................. 1.8 0 -1
HEMATOLOGY ONCOLOGY............................................. 0.6 1 0
INTERNAL MEDICINE............................................... 6.3 0 0
NEPHROLOGY...................................................... 0.9 0 1
NEUROLOGY....................................................... 0.8 1 0
NEUROSURGERY.................................................... 0.3 1 -1
OBSTETRICS/GYNECOLOGY........................................... 0.4 3 2
OPHTHALMOLOGY................................................... 3.5 1 2
ORTHOPEDIC SURGERY.............................................. 2.0 3 1
OTHER PHYSICIAN................................................. 1.2 0 -2
OTOLARYNGOLOGY.................................................. 0.6 2 2
PATHOLOGY....................................................... 0.5 2 9
PLASTIC SURGERY................................................. 0.2 1 2
PSYCHIATRY...................................................... 1.1 -1 -1
PULMONARY....................................................... 1.0 -2 -2
RADIATION ONCOLOGY.............................................. 0.6 0 0
RADIOLOGY....................................................... 2.8 0 -2
RHEUMATOLOGY.................................................... 0.3 5 4
THORACIC SURGERY................................................ 0.5 -6 -5
UROLOGY......................................................... 1.2 2 1
VASCULAR SURGERY................................................ 0.3 0 -1
OTHERS:
CHIROPRACTOR................................................ 0.4 0 0
NONPHYSICIAN PRACTITIONER................................... 0.9 2 0
OPTOMETRIST................................................. 0.4 2 5
PODIATRY.................................................... 1.0 2 2
SUPPLIERS................................................... 0.4 1 18
----------------------------------------------------------------------------------------------------------------
Table 6 shows the percentage change in total payment (in 2000
physician fee schedule dollars) for selected high-volume procedures
that result from the change in payment related to the changes in
practice expense and malpractice RVUs contained in this final rule.
These tables reflect the impact of this final rule only on the fully
implemented fee schedule amount. The payments in these columns are
determined using a conversion factor of $36.6137. The RVUs used for
calculating payments in the ``old'' columns are from the Federal
Register published on November 2, 1998. The RVUs used in calculating
payments in the ``new'' columns are from this final rule. By using the
conversion factor of $36.6137 to calculate payments in both the ``old''
and ``new'' columns, the impact of changes in practice expense and
malpractice expense RVU are illustrated. These tables do not show the
actual impact on payment from 1999 to 2000 because they do not
incorporate the effect of the transition or physician fee schedule
update. In general, payments for services in the facility setting,
including evaluation and management services, are declining due to our
policy to exclude costs associated with bringing clinical staff to the
facility setting. Payment for a tissue exam by a pathologist (CPT
88305) is increasing due to our proposal to remove the service from the
zero work pool. The increase in value for the technical portion of the
services causes a corresponding increase in the global service.
Table 6.--Total Payment For Selected Procedures
----------------------------------------------------------------------------------------------------------------
Old non- New non- Percent Old New Percent
Code Mod Description facility facility change facility facility change
----------------------------------------------------------------------------------------------------------------
11721.... ...... Debride nail, 6 $ 39.18 $ 39.18 0% 34.43 $ 28.56 -17
or more.
17000.... ...... Destroy benign/ 49.43 60.41 22 32.24 32.95 2
premal lesion.
27130.... ...... Total hip NA NA NA 1,435.23 1,395.71 -3
replacement.
27236.... ...... Treat thigh NA NA NA 1,118.73 1,065.82 -5
fracture.
27244.... ...... Treat thigh NA NA NA 1,133.38 1,085.96 -4
fracture.
27447.... ...... Total knee NA NA NA 1,500.43 1,460.52 -3
replacement.
33533.... ...... CABG, arterial, NA NA NA 1,940.01 1,829.59 -6
single.
35301.... ...... Rechanneling of NA NA NA 1,124.23 1,133.93 1
artery.
43239.... ...... Upper GI 272.41 247.14 -9 147.63 139.13 -6
endoscopy,
biopsy.
45385.... ...... Lesion removal 413.00 462.80 12 292.69 275.70 -6
colonoscopy.
[[Page 59435]]
66821.... ...... After cataract 201.74 196.98 -2 191.58 170.99 -11
laser surgery.
66984.... ...... Remove cataract/ NA NA NA 700.03 654.65 -6
insert lens.
67210.... ...... Treatment of 593.87 602.66 1 545.08 550.67 1
retinal lesion.
71010.... 26.... Chest x-ray.... 8.79 8.79 0 8.79 8.79 0
71020.... ...... Chest x-ray.... 35.15 34.42 -2 35.17 34.42 -2
71020.... 26.... Chest x-ray.... 10.62 10.62 0 10.62 10.62 0
77430.... ...... Weekly 180.14 187.83 4 180.23 187.83 4
radiation
therapy.
78465.... ...... Heart image 542.25 527.24 -3 542.52 527.24 -3
(3d), multiple.
88305.... ...... Tissue exam by 61.51 82.01 33 61.54 82.01 33
pathologist.
88305.... 26.... Tissue exam by 40.28 40.64 1 40.29 40.64 1
pathologist.
90801.... ...... Psy dx 143.53 146.09 2 142.86 138.77 -3
interview.
90806.... ...... Psytx, off, 45- 97.76 97.76 0 95.98 93.73 -2
50 min.
90807.... ...... Psytx, off, 45- 101.79 103.62 2 102.94 99.22 -4
50 min w/e&m.
90862.... ...... Medication 49.79 50.89 2 49.09 46.50 -5
management.
90921.... ...... ESRD related 245.31 263.25 7 245.43 237.26 -3
services,
month.
90935.... ...... Hemodialysis, NA NA NA 69.97 61.51 -12
one evaluation.
92004.... ...... Eye exam, new 120.83 124.49 3 86.82 88.61 2
patient.
92012.... ...... Eye exam 75.79 63.71 -16 36.27 36.61 1
established
pat.
92014.... ...... Eye exam & 87.87 91.53 4 58.98 59.68 1
treatment.
92980.... ...... Insert NA NA NA 949.13 851.63 -10
intracoronary
stent.
92982.... ...... Coronary artery NA NA NA 716.15 630.12 -12
dilation.
93000.... ...... Electrocardiogr 26.36 26.36 0 26.37 26.36 0
am, complete.
93010.... ...... Electrocardiogr 8.79 8.79 0 8.79 8.79 0
am report.
93015.... ...... Cardiovascular 106.55 104.35 -2 106.60 104.35 -2
stress test.
93307.... ...... Echo exam of 204.30 198.08 -3 204.40 198.08 -3
heart.
93307.... 26.... Echo exam of 49.79 48.70 -2 49.82 48.70 -2
heart.
93510.... 26.... Left heart 231.03 247.87 7 231.15 247.87 7
catheterizatio
n.
98941.... ...... Chiropractic 34.78 35.15 1 30.40 30.76 1
manipulation.
99202.... ...... Office/ 68.47 72.50 6 53.48 45.40 -15
outpatient
visit, new.
99203.... ...... Office/ 97.03 102.52 6 78.03 69.57 -11
outpatient
visit, new.
99204.... ...... Office/ 136.94 145.36 6 112.09 102.88 -8
outpatient
visit, new.
99205.... ...... Office/ 169.89 179.41 6 145.43 135.84 -7
outpatient
visit, new.
99211.... ...... Office/ 23.07 25.63 11 14.29 8.79 -38
outpatient
visit, est.
99212.... ...... Office/ 36.61 39.18 7 28.21 23.07 -18
outpatient
visit, est.
99213.... ...... Office/ 48.33 51.63 7 38.46 33.68 -12
outpatient
visit, est.
99214.... ...... Office/ 76.16 80.92 6 62.27 56.02 -10
outpatient
visit, est.
99215.... ...... Office/ 110.94 116.07 5 96.71 90.44 -6
outpatient
visit, est.
99221.... ...... Initial NA NA NA 72.53 65.17 -10
hospital care.
99222.... ...... Initial NA NA NA 115.02 108.38 -6
hospital care.
99223.... ...... Initial NA NA NA 157.52 151.21 -4
hospital care.
99231.... ...... Subsequent NA NA NA 34.07 32.59 -4
hospital care.
99232.... ...... Subsequent NA NA NA 54.95 53.82 -2
hospital care.
99233.... ...... Subsequent NA NA NA 78.39 76.16 -3
hospital care.
99236.... ...... Observ/hosp NA NA NA 220.52 215.29 -2
same date.
99238.... ...... Hospital NA NA NA 68.87 64.44 -6
discharge day.
99239.... ...... Hospital NA NA NA 91.58 88.24 -4
discharge day.
99241.... ...... Office 57.12 61.14 7 40.66 32.95 -19
consultation.
99242.... ...... Office 95.93 101.79 6 74.36 67.37 -9
consultation.
99243.... ...... Office 121.92 128.51 5 98.54 89.70 -9
consultation.
99244.... ...... Office 168.06 176.48 5 142.13 132.54 -7
consultation.
99245.... ...... Office 213.09 222.25 4 186.09 176.11 -5
consultation.
99251.... ...... Initial NA NA NA 42.13 36.61 -13
inpatient
consult.
99252.... ...... Initial NA NA NA 77.29 71.76 -7
inpatient
consult.
99253.... ...... Initial NA NA NA 104.40 97.39 -7
inpatient
consult.
99254.... ...... Initial NA NA NA 146.16 138.77 -5
inpatient
consult.
99255.... ...... Initial NA NA NA 198.18 191.12 -4
inpatient
consult.
99261.... ...... Follow-up NA NA NA 28.21 23.80 -16
inpatient
consult.
99262.... ...... Follow-up NA NA NA 50.92 45.77 -10
inpatient
consult.
99263.... ...... Follow-up NA NA NA 72.16 67.37 -7
inpatient
consult.
99282.... ...... Emergency dept NA NA NA 27.84 26.73 -4
visit.
99283.... ...... Emergency dept NA NA NA 59.34 60.05 1
visit.
99284.... ...... Emergency dept NA NA NA 92.31 94.10 2
visit.
99285.... ...... Emergency dept NA NA NA 142.50 146.09 3
visit.
99291.... ...... Critical care, 187.10 187.83 0 185.72 179.41 -3
first hour.
99292.... ...... Critical care, 94.46 96.66 2 93.41 89.70 -4
addl 30 min.
99301.... ...... Nursing NA NA NA 65.57 60.41 -8
facility care.
99302.... ...... Nursing NA NA NA 86.82 80.92 -7
facility care.
99303.... ...... Nursing NA NA NA 107.70 100.32 -7
facility care.
99311.... ...... Nursing fac NA NA NA 33.70 30.02 -11
care, subseq.
99312.... ...... Nursing fac NA NA NA 53.12 49.79 -6
care, subseq.
99313.... ...... Nursing fac NA NA NA 74.73 71.03 -5
care, subseq.
99348.... ...... Home visit, est 70.30 72.50 3 70.70 66.64 -6
patient.
99350.... ...... Home visit, est 158.17 164.40 4 154.95 154.88 0
patient.
----------------------------------------------------------------------------------------------------------------
Table 7 shows the combined impact of the proposed changes in the
malpractice RVUs and the fully implemented practice expense RVUs.
Comment: One commenter indicated that specialty level impacts
displayed in the proposed rule were misleading and
[[Page 59436]]
caused a great deal of confusion in the physician community. Although
the commenter indicated that it is appropriate for us to display
specialty level impacts that result from the new rule relative to prior
policy, the commenter also requested that we show the total impact of
adopting resource-based methodologies.
Response: In general, we show the impact of changes that result
from a new rule, not the cumulative impact of changes in policy
contained in prior rules as well as the new one. However, we
acknowledge that it can be difficult to understand changes that result
from adoption of the resource-based practice expense methodology
because those changes may result from policy changes contained in the
final rule published on November 2, 1998 (63 FR 58814), from changes
due to this final rule, and because all of these changes are occurring
over the 4-year transition period. Impacts of the final rule published
on November 2, 1998 are shown on page 58895 of the physician fee
schedule final rule published on November 2, 1998. The percentage
increase for a particular specialty can be combined with the impacts
shown in table 7 (which shows the impacts in addition to those
presented in the November 2, 1998 final rule) to determine the impact
of moving to resource based methodologies for practice expense and
malpractice expense.
The impact of the changes on the total revenue (Medicare and non-
Medicare) for a given specialty is less than the impact displayed in
these tables since physicians furnish services to both Medicare and
non-Medicare patients. The magnitude of the impact that Medicare
payment has on a specialty depends generally on the mix of services a
physician in the specialty provides and the sites in which the services
are performed. As we indicated in the proposed rule, each year since
the fee schedule has been implemented, our actuaries have determined
any adjustments needed to meet the requirements of budget neutrality. A
key component of the actuarial determination of budget neutrality
involves estimating any impact of changes in the volume and intensity
of physicians' services furnished to Medicare beneficiaries as a result
of the proposed changes.
In estimating the impacts of proposed changes under the physician
fee schedule on the volume and intensity of services, the actuaries
have historically used a model that assumes that 50 percent of the
change in net revenue for a procedure would be recouped. This does not
mean that the payments are reduced by 50 percent. In fact, payments
have typically been reduced only by a few percent or less. In 1999, the
actuary revised the assumption about response to payment changes and
will use a model that assumes a 30 percent volume-and-intensity
response to price reductions. The actuary is continuing to assume no
reduction in volume and intensity response to a price increase. Our
actuary's analysis of the volume-and-intensity response is available on
our homepage (www.hcfa.gov).
Comment: We again received comments in response to our assumption
that physicians respond to payment reductions so as to offset revenue
reductions. One commenter indicated that a 30 percent volume-and-
intensity response seems extreme.
Response: We provide a response to this and similar comments in the
final rule published November 2, 1998 (63 FR 588894). We reiterate that
our assumption that physicians respond to payment reductions so as to
offset 30 percent of revenue reduction in physician fees. Most
physicians, even those in specialties with a negative payment impact
shown in table 7, will experience an increase in physician fees in
2000. This is largely due to an update of 5.4 percent. Since there are
few specialties that will actually experience a decline in payment in
2000, the adjustment to the conversion factor for behavioral responses
to fee reductions will be only 0.12 percent (or approximately $0.04).
To the extent that the volume-and-intensity response does not occur,
the SGR system enacted as part of the BBA will return the volume-and-
intensity adjustment in the form of higher future updates to the
Medicare physician fee schedule CF. The volume-and-intensity adjustment
should not affect aggregate payments because our actuaries assume an
offsetting increase in the volume and intensity of services provided in
2000.
Table 7.--Impact on Total Allowed Charges by Specialty of Fully
Implemented Practice Expense and Malpractice Expense Relative Value
Units
------------------------------------------------------------------------
Changes
Allowed Resulting from
Specialty Charges (in this Final
billions) Rule (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY.......................... 1.6 -9
CARDIAC SURGERY......................... 0.3 -8
CARDIOLOGY.............................. 3.7 -3
CLINICS................................. 1.4 -1
DERMATOLOGY............................. 1.2 0
EMERGENCY MEDICINE...................... 0.8 1
FAMILY PRACTICE......................... 3.0 1
GASTROENTEROLOGY........................ 1.1 -4
GENERAL PRACTICE........................ 1.0 2
GENERAL SURGERY......................... 1.8 -1
HEMATOLOGY ONCOLOGY..................... 0.6 0
INTERNAL MEDICINE....................... 6.3 0
NEPHROLOGY.............................. 0.9 2
NEUROLOGY............................... 0.8 0
NEUROSURGERY............................ 0.3 -1
OBSTETRICS/GYNECOLOGY................... 0.4 1
OPHTHALMOLOGY........................... 3.5 2
ORTHOPEDIC SURGERY...................... 2.0 0
OTHER PHYSICIAN......................... 1.2 -2
OTOLARYNGOLOGY.......................... 0.6 1
PATHOLOGY............................... 0.5 8
PLASTIC SURGERY......................... 0.2 1
[[Page 59437]]
PSYCHIATRY.............................. 1.1 -1
PULMONARY............................... 1.0 -2
RADIATION ONCOLOGY...................... 0.6 0
RADIOLOGY............................... 2.8 -3
RHEUMATOLOGY............................ 0.3 4
THORACIC SURGERY........................ 0.5 -6
UROLOGY................................. 1.2 1
VASCULAR SURGERY........................ 0.3 -1
OTHERS:
CHIROPRACTOR........................ 0.4 1
NONPHYSICIAN PRACTITIONER........... 0.9 0
OPTOMETRIST......................... 0.4 5
PODIATRY............................ 1.0 2
SUPPLIERS........................... 0.4 17
------------------------------------------------------------------------
Comment: A few commenters indicated that HCFA has not fulfilled its
statutory obligation to provide impacts on the practice expense RVUs in
different geographical areas or compare Medicare payments under the new
practice expense RVUS with actual practice costs for physicians in each
specialty.
Response: Section 4505(d)(3) of the BBA required the Secretary to
provide the impacts suggested by this commenter as part of a notice of
proposed rule making in the Spring of 1998. We provided impacts of the
newly adopted resource-based practice expense by specialty and
geographic area in the proposed rule published June 5, 1998 (63 FR
58895). Unlike adoption of the physician fee schedule published on
January 1, 1992, the adoption of the practice expense methodology has a
negligible impact on payments by geographical area. For this reason we
are not continuing to display those impacts. With respect to comparing
the new practice expense RVUs to actual practice expenses for
physicians in each specialty, we do not believe that the data are
available to make reliable comparisons. Although we do have aggregate,
specialty level data on practice expense from the SMS, these data are
used to establish relative payment amounts for the more than 7,000
physician services paid for by Medicare and are intended to represent
the relative resources used by physicians in providing services to
Medicare patients. The SMS data do not allow us to directly compare
these practice expense relative values to ``actual'' practice expenses.
Table 7 shows the combined impact of the changes in the malpractice
RVUs and the fully implemented practice expense RVUs. The impact of the
changes on the total revenue (Medicare and non-Medicare) for a given
specialty is less than the impact displayed in these tables since
physicians furnish services to both Medicare and non-Medicare patients.
The magnitude of the impact that Medicare payment has on a specialty
depends generally on the mix of services a physician in the specialty
provides and the sites in which the services are performed.
C. Adjustment to the Practice Expense Relative Value Units for a
Physician's Interpretation of Abnormal Papanicolaou Smears
Currently, there are several codes for a physician's interpretation
of an abnormal pap smear (three HCPCS codes and one CPT code). We
evaluated the practice expense RVUs for each of these codes in a
slightly different manner, and the practice expense RVUs assigned to
HCPCS code G0141 were much lower than those for the other codes. We
believe it is more appropriate to have the RVUs for all of these codes
identical to those for CPT code 88141. The impact of this provision has
been incorporated into the physician fee schedule budget-neutrality
calculation.
D. Physician Pathology Services and Independent Laboratories
Independent laboratories usually bill for a combined service that
is the sum of the PC and TC services. These services can be furnished
to both hospital and nonhospital patients.
The claims processing instructions require the independent
laboratory to use the hospital as the place of service (POS) for TC
billing of hospital patients. However, our analysis of national claims
data indicates that independent laboratories are likely to use the
independent laboratory as the POS. Thus, we cannot directly calculate
the independent laboratory's billings for the combined service to
hospital inpatients.
Based on our knowledge of laboratory practice arrangements, we have
assumed that 20 percent of the allowed charges for independent
laboratories represent billings for hospital inpatients. We adjusted
this amount to remove PC billings because they are billable
notwithstanding the provisions of this final rule. We estimated the PC
amount by multiplying the total allowed charges for each code by the
ratio of the PC RVUs to total RVUs for that code. The remaining amount
represents the total allowed charges for TC services for hospital
inpatients.
We estimated that payment under the physician fee schedule for TC
billings by independent laboratories will decrease by $6 million.
However, we are delaying implementation for 1 year so hospitals can
make the necessary arrangements
The hospital is paid under the prospective payment system for the
TC of a physician pathology service to hospital inpatients. If the
independent laboratory furnishes the TC, it must enter into an
arrangement with a hospital to be paid appropriately for this service.
E. Discontinuous Anesthesia Time
This final rule clarifies that if an anesthesia practitioner has
not been billing for a block of time before an interruption in
services, he or she would be able to bill for that block of time and
receive payment. It is our understanding that, in most instances, a
block of time before an interruption is generally about 15 minutes, or
one time
[[Page 59438]]
unit. However, some anesthesia practitioners may have interpreted our
regulations as allowing them to bill for the block of time before an
interruption. If an anesthesia practitioner has billed in this manner,
then our revision to the regulations will not have any economic effect.
We estimate that overall there are no costs or savings to the Medicare
program.
F. Optometrist Services
The provisions of the OBRA 1986 expanded coverage of optometrist
services. While this statutory provision had been implemented through
manual provisions, we had not revised the regulations to reflect this
change. We proposed to revise the regulations at Sec. 410.23 to specify
that Medicare Part B pays for the services of a doctor of optometry,
acting within the scope of his or her license, if the services are
those described in section 1861(s) of the Act and 42 CFR 410.10.
We received comments from the American Optometric Association
supporting the proposed revision to the regulations. We are revising
the regulations at Sec. 410.23 to specify that Medicare Part B pays for
services of a doctor of optometry, acting within the scope of his or
her license, if the services are those described in section 1861(s) of
the Act and 42 CFR 410.10.
G. Assisted Suicide
This final rule conforms the regulations to a provision in the
Assisted Suicide Funding Act of 1997. This statute prohibits the use of
Federal funds to furnish or pay for any health care service or health
benefit coverage for the purpose of causing, or assisting to cause, the
death of any individual. We believe that this change will have no
program costs or savings given the exclusion from Medicare payment of
expenses for these services under section 1862(a)(1)(A) of the Act.
This section states that no payment may be made under Part A or Part B
for any expenses incurred for items or services that are not reasonable
or necessary for the diagnosis or treatment of illness or injury or to
improve the functioning of a malformed body member.
H. CPT Modifier -25
For selected procedures for which current global surgery rules do
not apply (for example, those for which the global indicator is ``XXX''
in the database), this rule provides that a practitioner may bill for
an E/M service only if it is a significant separately identifiable
service. This situation will be reported by appending modifier -25 to
the E/M service code. This policy will assist carriers in claims
adjudication and eliminate unnecessary denials when practitioners
append modifier -25 to the E/M service to signify that the E/M service
reported is appropriate because it was a significant and separately
identifiable service from the procedure performed. We expect the
savings to be minimal because the specific procedures to which this
policy is to be applied have still to be identified and edits for these
procedures will not begin to be implemented until October 2000 at the
earliest.
I. Nurse Practitioner Qualifications
The NP qualifications stated in this final rule provide a mechanism
that permits those individuals who have a Medicare NP billing number
before January 1, 2001, to continue to bill as NPs. Therefore, an
individual who may not have been nationally certified as an NP, or who
does not have a master's degree in nursing, is permitted to continue to
bill under the Medicare program. However, after January 1, 2003, to
obtain a Medicare NP billing number, a new applicant is required to
possess a master's degree in nursing, State authorization to practice
as an NP, and national certification as an NP. By this time, nursing
professionals will have had ample notification and time to acquire
these credentials. There are no Medicare program costs or savings
associated with this provision. Furthermore, these requirements are
consistent with our understanding of certification and training
requirements being implemented by NP professional groups.
J. Relative Value Units for Pediatric Services
This final rule corrects our use of the wrong data in establishing
the work RVUs for certain pediatric surgical services. Since pediatric
services are a small portion of services under Medicare, this change
has a negligible cost or saving impact on the Medicare program
K. Percutaneous Thrombectomy of an Arteriovenous Fistula
We have established payment for a new HCPCS code that more
accurately describes the activities regarding percutaneous thrombectomy
of a dialysis graft or fistula. Since this is basically a coding change
we do not anticipate any costs or savings to the Medicare program.
L. Pulse Oximetry, Temperature Gradient Studies, and Venous Pressure
Determinations
We discontinued separate payment for CPT codes 94760 (noninvasive
ear or pulse oximetry for oxygen saturation; single determination);
94761 (non-invasive ear or pulse oximetry for oxygen saturation;
multiple determinations); 93740 (temperature gradient studies); and
93770 (determination of venous pressure). Payment for these codes is
bundled into payment for other services. Any savings from this
provision are incorporated into the physician fee schedule budget-
neutrality calculation.
M. Removal of Requirement for X-ray Before Chiropractic Manipulation
This final rule conforms the regulations to section 4513(a) of the
BBA. We expect that removal of the requirement will encourage increased
billing for chiropractic manipulation. The impact of this BBA provision
is shown in the table below.
Estimated Costs
[$ millions]
------------------------------------------------------------------------
------------------------------------------------------------------------
FY 2000.......................................................... 20
FY 2001.......................................................... 40
FY 2002.......................................................... 50
FY 2003.......................................................... 70
FY 2004.......................................................... 80
------
Total.......................................................... 260
------------------------------------------------------------------------
N. Coverage of Prostate Cancer Screening Tests
Section 4103 of the BBA authorizes coverage of certain prostate
cancer screening tests, effective January 1, 2000, subject to certain
frequency and payment limitations. The new tests include: (1) screening
DREs and (2) screening prostate-specific antigen tests. Based on the
projected utilization of these screening services and related medically
necessary follow-up tests and treatment that may be required for the
beneficiaries screened, we estimate that this BBA provision will result
in an increase in Medicare payments as described in the table below for
FYs 2000 through 2002. These payments will be made to many urologists,
primary care physicians, and other practitioners (involved in screening
DREs), and to clinical laboratories (involved in screening prostate-
specific antigen tests) nationally.
[[Page 59439]]
Estimated Medicare Costs
[$ million]
------------------------------------------------------------------------
Part A Part B Total
------------------------------------------------------------------------
FY 2000...................................... 170 590 760
FY 2001...................................... 300 1,100 1,400
FY 2002...................................... 400 1,270 1,670
FY 2003...................................... 500 1,470 1,970
FY 2004...................................... 620 1,710 2,330
--------------------------
Total...................................... 1,990 6,140 8,130
------------------------------------------------------------------------
We believe that the effect of the rule will be positive. Prostate
cancer is the most commonly diagnosed cancer in men and the second
leading cause of cancer death for American men. The American Cancer
Society estimates that in 1999 about 179,000 new cases of prostate
cancer will be diagnosed in the United States, and about 37,000 people
will die directly from the disease. According to the American
Urological Association, the use of a screening prostate-specific
antigen blood test, in combination with a screening DRE, is the best
method for detecting prostate cancer when the disease is localized and
potentially curable. Although coverage of prostate cancer screening
should improve access to this service for Medicare beneficiaries, the
benefits of such screening, based on the available medical literature,
are not entirely clear. The literature on the benefits of cancer
detection, especially among men over 70, indicates that screening for
prostate cancer does not necessarily lead to the prolongation of life
or improvement in the quality of life. However, when prostate cancer is
found early, there is evidence that it can often be treated
successfully. Through early detection of prostate cancer made possible
under the new benefit and the use of appropriate treatment measures,
our expectation is that the harmful effects of this serious disease
among the Medicare population will be reduced in the future.
O. Diagnostic Tests
1. Supervision of Diagnostic Test
The requirements of the physician supervision policy in
Sec. 410.32(b) conform to the BBA provisions relating to PAs, NPs, and
CNSs. We clarified that the level of physician supervision for
diagnostic tests performed by PAs, when they are authorized by the
State to perform these tests, is general. This means that we will not
require that the supervising physician for the diagnostic test be on
the premises when the test is performed. No level of physician
supervision is required for diagnostic tests performed by NPs and CNSs
when they are authorized by the State to perform these tests. The scope
of services for which PAs, NPs, or CNSs can bill will not be affected;
therefore, we do not expect any significant costs or savings.
2. Independent Diagnostic Testing Facilities (IDTF)
The IDTF provision at Sec. 410.33 states that NPs and CNSs are
included among the entities that may bill carriers directly for
diagnostic tests. This final rule is a technical one and will not have
a significant effect on costs or savings.
P. Budget-Neutrality
Each year since the fee schedule has been implemented, our
actuaries have determined any adjustments needed to meet the budget-
neutrality requirement of the statute. A component of the actuarial
determination of budget-neutrality involves estimating the impact of
changes in the volume-and-intensity of physicians' services provided to
Medicare beneficiaries as a result of the proposed changes. Consistent
with the provision in the November 2, 1998 final rule, the actuaries
used a model that assumes a 30 percent volume-and-intensity response to
price reductions.
Q. Impact on Beneficiaries
Although changes in payments to physicians when the physician fee
schedule was implemented in 1992 were large, we detected no problems
with beneficiary access to care. Furthermore, because there is a 4-year
transition to the resource-based practice expense system, we expect
minimal impact on beneficiary access to care.
We are currently conducting substantial research to evaluate
beneficiary access to physicians. This research includes, but is not
limited to, augmenting the beneficiary survey questionnaire to further
clarify access problems, conducting a survey of Medicare physicians to
identify physician specialties and procedures by geographic areas, and
tracking claims data in ``vulnerable populations.''
In accordance with the provisions of Executive Order 12866, this
regulation was reviewed by the Office of Management and Budget.
Federalism
We have examined this rule in accordance with Executive Order 13132
and have determined that this final rule will not have any negative
impact on the rights, roles, or responsibilities of State, local, or
Tribal governments.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 411
Kidney diseases, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 415
Health facilities, Health professions, Medicare and Reporting and
recordkeeping requirements.
42 CFR Part 485
Grant programs--health, Health facilities, Medicaid, Medicare,
Reporting and recordkeeping requirements.
For the reasons set forth in the preamble, 42 CFR chapter IV is
amended as follows:
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
A. Part 410 is amended as set forth below:
1. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 410.22, paragraph (b)(1) is revised to read as follows:
Sec. 410.22. Limitations on services of a chiropractor.
* * * * *
(b) Limitations on services. (1) Medicare Part B pays only for a
chiropractor's manual manipulation of the spine to correct a
subluxation if the subluxation has resulted in a neuromusculoskeletal
condition for which manual manipulation is appropriate treatment.
* * * * *
3. Section 410.23 is revised to read as follows:
Sec. 410.23 Limitations on services of an optometrist.
Medicare Part B pays for the services of a doctor of optometry,
which he or she is legally authorized to perform in the State in which
he or she performs them, if the services are among those described in
section 1861(s) of the Act and Sec. 410.10 of this part.
[[Page 59440]]
4. In Sec. 410.32, the introductory text to paragraph (b)(2) is
republished for the convenience of the reader, paragraph (b)(2) is
amended by adding new paragraphs (b)(2)(v) and (b)(2)(vi), and the
introductory text to paragraph (b)(3) is revised to read as follows:
Sec. 410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and
other diagnostic tests: Conditions.
* * * * *
(b) Diagnostic x-ray and other diagnostic tests. * * *
(2) Exceptions. The following diagnostic tests payable under the
physician fee schedule are excluded from the basic rule set forth in
paragraph (b)(1) of this section:
* * * * *
(v) Diagnostic tests performed by a nurse practitioner or clinical
nurse specialist authorized to perform the tests under applicable State
laws.
(vi) Pathology and laboratory procedures listed in the 80000 series
of the Current Procedural Terminology published by the American Medical
Association.
(3) Levels of supervision. Except where otherwise indicated, all
diagnostic x-ray and other diagnostic tests subject to this provision
and payable under the physician fee schedule must be furnished under at
least a general level of physician supervision as defined in paragraph
(b)(3)(i) of this section. In addition, some of these tests also
require either direct or personal supervision as defined in paragraphs
(b)(3)(ii) or (b)(3)(iii) of this section, respectively. (However,
diagnostic tests performed by a physician assistant (PA) that the PA is
legally authorized to perform under State law require only a general
level of physician supervision.) When direct or personal supervision is
required, physician supervision at the specified level is required
throughout the performance of the test.
* * * * *
5. In Sec. 410.33, paragraph (a)(1) is revised to read as follows:
Sec. 410.33 Independent diagnostic testing facility.
(a) General rule. (1) Effective for diagnostic procedures performed
on or after March 15, 1999, carriers will pay for diagnostic procedures
under the physician fee schedule only when performed by a physician, a
group practice of physicians, an approved supplier of portable x-ray
services, a nurse practitioner, or a clinical nurse specialist when he
or she performs a test he or she is authorized by the State to perform,
or an independent diagnostic testing facility (IDTF). An IDTF may be a
fixed location, a mobile entity, or an individual nonphysician
practitioner. It is independent of a physician's office or hospital;
however, these rules apply when an IDTF furnishes diagnostic procedures
in a physician's office.
* * * * *
6. A new section 410.39 is added to read as follows:
Sec. 410.39 Prostate cancer screening tests: Conditions for and
limitations on coverage.
(a) Definitions. As used in this section, the following definitions
apply:
(1) Prostate cancer screening tests means any of the following
procedures furnished to an individual for the purpose of early
detection of prostate cancer:
(i) A screening digital rectal examination.
(ii) A screening prostate-specific antigen blood test.
(iii) For years beginning after 2002, other procedures HCFA finds
appropriate for the purpose of early detection of prostate cancer,
taking into account changes in technology and standards of medical
practice, availability, effectiveness, costs, and other factors HCFA
considers appropriate.
(2) A screening digital rectal examination means a clinical
examination of an individual's prostate for nodules or other
abnormalities of the prostate.
(3) A screening prostate-specific antigen blood test means a test
that measures the level of prostate-specific antigen in an individual's
blood.
(b) Condition for coverage of screening digital rectal
examinations. Medicare Part B pays for a screening digital rectal
examination if it is performed by the beneficiary's physician, or by
the beneficiary's physician assistant, nurse practitioner, clinical
nurse specialist, or certified nurse midwife who is authorized to
perform this service under State law.
(c) Limitation on coverage of screening digital rectal
examinations. (1) Payment may not be made for a screening digital
rectal examination performed for a man age 50 or younger.
(2) For an individual over 50 years of age, payment may be made for
a screening digital rectal examination only if the man has not had such
an examination paid for by Medicare during the preceding 11 months
following the month in which his last Medicare-covered screening
digital rectal examination was performed.
(d) Condition for coverage of screening prostate-specific antigen
blood tests. Medicare Part B pays for a screening prostate-specific
antigen blood test if it is ordered by the beneficiary's physician, or
by the beneficiary's physician assistant, nurse practitioner, clinical
nurse specialist, or certified nurse midwife who is authorized to order
this test under State law.
(e) Limitation on coverage of screening prostate-specific antigen
blood test. (1) Payment may not be made for a screening prostate-
specific antigen blood test performed for a man age 50 or younger.
(2) For an individual over 50 years of age, payment may be made for
a screening prostate-specific antigen blood test only if the man has
not had such an examination paid for by Medicare during the preceding
11 months following the month in which his last Medicare-covered
screening prostate-specific antigen blood test was performed.
7. In Sec. 410.75, paragraph (b) is revised to read as follows:
Sec. 410.75 Nurse practitioner's services.
* * * * *
(b) Qualifications. For Medicare Part B coverage of his or her
services, a nurse practitioner must--(1)(i) Be a registered
professional nurse who is authorized by the State in which the services
are furnished to practice as a nurse practitioner in accordance with
State law; and
(ii) Be certified as a nurse practitioner by a recognized national
certifying body that has established standards for nurse practitioners;
or
(2) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law and have been granted a
Medicare billing number as a nurse practitioner by December 31, 2000;
or
(3) Be a nurse practitioner who on or after January 1, 2001,
applies for a Medicare billing number for the first time and meets the
standards for nurse practitioners in paragraphs (b)(1)(i) and
(b)(1)(ii) of this section; or
(4) Be a nurse practitioner who on or after January 1, 2003,
applies for a Medicare billing number for the first time and possesses
a master's degree in nursing and meets the standards for nurse
practitioners in paragraphs (b)(1)(i) and (b)(1)(ii) of this section.
* * * * *
PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE
PAYMENT
B. Part 411 is amended as set forth below:
[[Page 59441]]
1. The authority citation for Part 411 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 411.15, the introductory text in the section is revised,
the introductory text to paragraph (a) is republished, paragraph (a)(1)
is revised, the introductory text to paragraph (k) is republished, and
new paragraphs (k)(9) and (q) are added to read as follows:
Sec. 411.15 Particular services excluded from coverage.
The following services are excluded from coverage:
(a) Routine physical checkups such as:
(1) Examinations performed for a purpose other than treatment or
diagnosis of a specific illness, symptoms, complaint, or injury, except
for screening mammography, colorectal cancer screening tests, screening
pelvic examinations, or prostate cancer screening tests that meet the
criteria specified in paragraphs (k)(6) through (k)(9) of this section.
* * * * *
(k) Any services that are not reasonable and necessary for one of
the following purposes:
* * * * *
(9) In the case of prostate cancer screening tests, for the purpose
of early detection of prostate cancer, subject to the conditions and
limitations specified in Sec. 410.39 of this chapter.
* * * * *
(q) Assisted suicide. Any health care service used for the purpose
of causing, or assisting to cause, the death of any individual. This
does not pertain to the withholding or withdrawing of medical treatment
or care, nutrition or hydration or to the provision of a service for
the purpose of alleviating pain or discomfort, even if the use may
increase the risk of death, so long as the service is not furnished for
the specific purpose of causing death.
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
C. Part 414 is amended as set forth below:
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1)).
2. In Sec. 414.22, the introductory text is republished, paragraph
(b)(5)(i) is revised, and a new paragraph (c)(3) is added to read as
follows:
Sec. 414.22 Relative value units (RVUs).
HCFA establishes RVUs for physicians' work, practice expense, and
malpractice insurance.
* * * * *
(b) Practice expense RVUs. * * *
(5) * * *
(i) Usually one of two levels of practice expense RVUs can be
applied to each code. The lower facility practice expense RVUs apply to
services furnished to patients in the hospital, skilled nursing
facility, or ambulatory surgical center when the physician performs
procedures on the ASC approved procedures list. The higher non-facility
practice expense RVUs apply to services performed in a physician's
office or in an ASC if the physician is performing a procedure not on
the ASC approved procedures list, services furnished to patients in a
nursing facility, in a facility or institution other than a hospital,
skilled nursing facility, or in the home. The facility practice expense
RVUs for a particular code may not be greater than the non-facility
RVUs for that code.
* * * * *
(c) Malpractice insurance RVUs. * * *
(3) For services furnished in the year 2000 and subsequent years,
the malpractice RVUs are based on the relative malpractice insurance
resources.
3. In Sec. 414.46, the introductory texts to paragraphs (a) and (b)
are republished, paragraphs (a)(1) and (a)(2) are revised, paragraph
(a)(3) is added, and paragraphs (b)(1) and (b)(2) are revised to read
as follows:
Sec. 414.46 Additional rules for payment of anesthesia services.
(a) Definitions. For purposes of this section, the following
definitions apply:
(1) Base unit means the value for each anesthesia code that
reflects all activities other than anesthesia time. These activities
include usual preoperative and postoperative visits, the administration
of fluids and blood incident to anesthesia care, and monitoring
services.
(2) Anesthesia practitioner, for the purpose of anesthesia time,
means a physician who performs the anesthesia service alone, a CRNA who
is not medically directed who performs the anesthesia service alone, or
a medically directed CRNA.
(3) Anesthesia time means the time during which an anesthesia
practitioner is present with the patient. It starts when the anesthesia
practitioner begins to prepare the patient for anesthesia services and
ends when the anesthesia practitioner is no longer furnishing
anesthesia services to the beneficiary, that is, when the beneficiary
may be placed safely under postoperative care. Anesthesia time is a
continuous time period from the start of anesthesia to the end of an
anesthesia service. In counting anesthesia time, the anesthesia
practitioner can add blocks of anesthesia time around an interruption
in anesthesia time as long as the anesthesia practitioner is furnishing
continuous anesthesia care within the time periods around the
interruption.
(b) Determinations of payment amount--Basic rule. For anesthesia
services performed, medically directed, or medically supervised by a
physician, the carrier pays the lesser of the actual charge or the
anesthesia fee schedule amount.
(1) The carrier bases the fee schedule amount for an anesthesia
service on the product of the sum of allowable base and time units and
an anesthesia-specific CF. The carrier calculates the time units from
the anesthesia time reported by the anesthesia practitioner for the
anesthesia procedure. The physician who fulfills the conditions for
medical direction in Sec. 415.110 (Conditions for payment:
Anesthesiology services) reports the same anesthesia time as the
medically-directed CRNA.
(2) HCFA furnishes the carrier with the base units for each
anesthesia procedure code. The base units are derived from the 1988
American Society of Anesthesiologists' Relative Value Guide except that
the number of base units recognized for anesthesia services furnished
during cataract or iridectomy surgery is four units.
* * * * *
4. In Sec. 414.60, the introductory text of paragraph (a) is
revised to read as follows:
Sec. 414.60 Payment for the services of CRNAs.
(a) Basis for payment. The allowance for the anesthesia service
furnished by a CRNA, medically directed or not medically directed, is
based on allowable base and time units as defined in Sec. 414.46(a).
Beginning with CY 1994--
* * * * *
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS,
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN
CERTAIN SETTINGS
D. Part 415 is amended as set forth below:
[[Page 59442]]
1. The authority citation for part 415 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. Section 415.130(c) is revised to read as follows:
Sec. 415.130 Conditions for payment; Physician pathology services.
* * * * *
(c) Physician pathology services furnished by an independent
laboratory. The technical component of physician pathology services
furnished by an independent laboratory to a hospital inpatient before
January 1, 2001, or to an outpatient are paid on a fee schedule basis
under this subpart. On or after January 1, 2001, payment is made only
to the hospital for the technical component of physician pathology
services furnished to a hospital inpatient.
PART 485--CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS
E. Part 485 is amended as set forth below:
1. The authority citation for part 485 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395(hh)
2. In Sec. 485.705, paragraph(c)(8) is revised to read as follows:
Sec. 485.705 Personnel qualifications.
* * * * *
(8) A nurse practitioner is a person who must:
(i) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law; and
(ii) Be certified as a nurse practitioner by a recognized national
certifying body that has established standards for nurse practitioners;
or
(iii) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law and have been granted a
Medicare billing number as a nurse practitioner by December 31, 2000;
or
(iv) Be a nurse practitioner who on or after January 1, 2001,
applies for a Medicare billing number for the first time and meets the
standards for nurse practitioners in paragraphs (c)(8)(i) and
(c)(8)(ii) of this section; or
(v) Be a nurse practitioner who on or after January 1, 2003,
applies for a Medicare billing number for the first time and possesses
a master's degree in nursing and meets the standards for nurse
practitioners in paragraphs (b)(1)(i) and (b)(1)(ii) of this section.
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: October 21, 1999.
Michael M. Hash,
Deputy Administrator, Health Care Financing Administration.
Dated: October 22, 1999.
Donna E. Shalala,
Secretary.
Note: These addenda will not appear in the Code of Federal
Regulations.
Addendum A--Explanation and Use of Addendum B
The addenda on the following pages provide various data pertaining
to the Medicare fee schedule for physicians' services furnished in
2000. Addendum B contains the RVUs for work, non-facility practice
expense, facility practice expense, and malpractice expense, and other
information for all services included in the physician fee schedule.
Addendum B--2000 Relative Value Units and Related Information Used
in Determining Medicare Payments for 2000
This addendum contains the following information for each CPT code
and alphanumeric HCPCS code, except for alphanumeric codes beginning
with B (enteral and parenteral therapy), E (durable medical equipment),
K (temporary codes for nonphysicians' services or items), or L
(orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for
the service. Alphanumeric HCPCS codes are included at the end of this
addendum.
2. Modifier. A modifier is shown if there is a technical component
(modifier TC) and a professional component (PC) (modifier -26) for the
service. If there is a PC and a TC for the service, Addendum B contains
three entries for the code: One for the global values (both
professional and technical); one for modifier -26 (PC); and one for
modifier TC. The global service is not designated by a modifier, and
physicians must bill using the code without a modifier if the physician
furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be
RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the physician fee schedule and whether it is separately
payable if the service is covered.
A = Active code. These codes are separately payable under the fee
schedule if covered. There will be RVUs for codes with this status. The
presence of an ``A'' indicator does not mean that Medicare has made a
national decision regarding the coverage of the service. Carriers
remain responsible for coverage decisions in the absence of a national
Medicare policy.
B = Bundled code. Payment for covered services is always bundled
into payment for other services not specified. If RVUs are shown, they
are not used for Medicare payment. If these services are covered,
payment for them is subsumed by the payment for the services to which
they are incident. (An example is a telephone call from a hospital
nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment
amounts for these services, generally on a case-by-case basis following
review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the
beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes
are for items or services that we chose to exclude from the physician
fee schedule payment by regulation. No RVUs are shown, and no payment
may be made under the physician fee schedule for these codes. Payment
for them, if they are covered, continues under reasonable charge or
other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not
recognize codes assigned this status. Medicare uses another code for
reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services.
Medicare payment may not be made for these codes. If RVUs are shown,
they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these services.
No separate payment should be made for them under the physician fee
schedule.
--If the item or service is covered as incident to a physician's
service and is furnished on the same day as a physician's service,
payment for it is bundled into the payment for the physician's service
to which it is incident (an example is an elastic bandage furnished by
a physician incident to a physician's service).
[[Page 59443]]
--If the item or service is covered as other than incident to a
physician's service, it is excluded from the physician fee schedule
(for example, colostomy supplies) and is paid under the other payment
provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If
the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are
only paid if there are no other services payable under the physician
fee schedule billed on the same date by the same provider. If any other
services payable under the physician fee schedule are billed on the
same date by the same provider, these services are bundled into the
service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that
is not within the definition of ``physicians' services'' for physician
fee schedule payment purposes. No RVUs are shown for these codes, and
no payment may be made under the physician fee schedule. (Examples are
ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the
narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work
for this service in 2000. Codes that are not used for Medicare payment
are identified with a ``+.''
6. Fully implemented non-facility practice expense RVUs. These are
the fully implemented resource-based practice expense RVUs for non-
facility settings.
7. Year 2000 Transition non-facility practice expense RVUs. Blended
non-facility practice expense RVUs for use in 2000.
8. Fully implemented facility practice expense RVUs. These are the
fully implemented resource-based practice expense RVUs for facility
settings.
9. Year 2000 transition facility practice expense RVUs. Blended
facility practice expense RVUs for use in 2000.
10. Malpractice expense RVUs. These are the RVUs for the
malpractice expense for the service for 2000.
11. Fully implemented non-facility total. This is the sum of the
work, fully implemented non-facility practice expense, and malpractice
expense RVUs.
12. Year 2000 transition non-facility total. This is the sum of the
work, transition non-facility practice expense, and malpractice expense
RVUs for use in 2000.
13. Fully implemented facility total. This is the sum of the work,
fully implemented facility practice expense, and malpractice expense
RVUs.
14. Year 2000 transition facility total. This is the sum of the
work, transition facility practice expense, and malpractice expense
RVUs for use in 2000.
15. Global period. This indicator shows the number of days in the
global period for the code (0, 10, or 90 days). An explanation of the
alpha codes follows:
MMM = The code describes a service furnished in uncomplicated
maternity cases including antepartum care, delivery, and postpartum
care. The usual global surgical concept does not apply. See the 1999
Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example,
unlisted surgery codes).
ZZZ = The code is part of another service and falls within the
global period for the other service.
\4\ PE RVUs = Practice Expense Relative Value
Units.
[[Page 59443]]
Addendum B.--Relative Value Units (RVUs) and Related Information Used in Determining Medicare Payments for 2000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Year Year
Fully 2000 Year Fully 2000 Year
Physician Implemented Transi- Fully 2000 Mal- Implemented Transi- Fully 2000
CPT \1\/ HCPCS MOD Status Description Work RVUs Non- tional Implemented Transi- Practice Non- tional Implemented Transi- Global
\2\ \3\ Facility PE Non- Facility PE tional RVUs Facility Non- Facility tional
RVUs Facility RVUs Facility Total Facility Total Facility
PE RVUs PE RVUs Total Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10040.......... ............. A Acne surgery of skin 1.18 1.57 0.96 0.52 0.35 0.05 2.80 2.19 1.75 1.58 010
abscess.
10060.......... ............. A Drainage of skin 1.17 1.26 0.87 0.62 0.43 0.08 2.51 2.12 1.87 1.68 010
abscess.
10061.......... ............. A Drainage of skin 2.40 1.95 1.32 1.12 0.74 0.15 4.50 3.87 3.67 3.29 010
abscess.
10080.......... ............. A Drainage of pilonidal 1.17 1.95 1.25 0.68 0.48 0.09 3.21 2.51 1.94 1.74 010
cyst.
10081.......... ............. A Drainage of pilonidal 2.45 2.71 1.96 1.57 1.09 0.20 5.36 4.61 4.22 3.74 010
cyst.
10120.......... ............. A Remove foreign body... 1.22 1.72 1.11 0.69 0.47 0.10 3.04 2.43 2.01 1.79 010
10121.......... ............. A Remove foreign body... 2.69 2.64 1.87 1.74 1.15 0.24 5.57 4.80 4.67 4.08 010
10140.......... ............. A Drainage of hematoma/ 1.53 1.32 0.92 0.82 0.54 0.11 2.96 2.56 2.46 2.18 010
fluid.
10160.......... ............. A Puncture drainage of 1.20 1.46 0.94 0.72 0.47 0.09 2.75 2.23 2.01 1.76 010
lesion.
10180.......... ............. A Complex drainage, 2.25 1.33 1.24 1.24 1.19 0.23 3.81 3.72 3.72 3.67 010
wound.
11000.......... ............. A Debride infected skin. 0.60 0.52 0.48 0.23 0.23 0.04 1.16 1.12 0.87 0.87 000
11001.......... ............. A Debride infected skin 0.30 0.29 0.29 0.12 0.13 0.02 0.61 0.61 0.44 0.45 ZZZ
add-on.
11010.......... ............. A Debride skin, fx...... 4.20 2.42 3.36 2.08 3.19 0.36 6.98 7.92 6.64 7.75 010
11011.......... ............. A Debride skin/muscle, 4.95 3.66 4.39 2.58 3.85 0.48 9.09 9.82 8.01 9.28 000
fx.
11012.......... ............. A Debride skin/muscle/ 6.88 4.83 5.98 4.06 5.59 0.71 12.42 13.57 11.65 13.18 000
bone, fx.
11040.......... ............. A Debride skin, partial. 0.50 0.45 0.44 0.19 0.21 0.03 0.98 0.97 0.72 0.74 000
11041.......... ............. A Debride skin, full.... 0.82 0.61 0.61 0.32 0.32 0.06 1.49 1.49 1.20 1.20 000
11042.......... ............. A Debride skin/tissue... 1.12 0.85 0.78 0.44 0.40 0.09 2.06 1.99 1.65 1.61 000
11043.......... ............. A Debride tissue/muscle. 2.38 2.40 2.18 1.37 1.67 0.22 5.00 4.78 3.97 4.27 010
11044.......... ............. A Debride tissue/muscle/ 3.06 3.10 3.08 1.79 2.43 0.30 6.46 6.44 5.15 5.79 010
bone.
11055.......... ............. R Trim skin lesion...... 0.27 0.34 0.31 0.11 0.13 0.02 0.63 0.60 0.40 0.42 000
11056.......... ............. R Trim skin lesions, 2 0.39 0.38 0.38 0.15 0.17 0.03 0.80 0.80 0.57 0.59 000
to 4.
11057.......... ............. R Trim skin lesions, 0.50 0.42 0.36 0.20 0.18 0.03 0.95 0.89 0.73 0.71 000
over 4.
11100.......... ............. A Biopsy of skin lesion. 0.81 1.53 1.04 0.37 0.33 0.04 2.38 1.89 1.22 1.18 000
11101.......... ............. A Biopsy, skin add-on... 0.41 0.68 0.50 0.19 0.18 0.02 1.11 0.93 0.62 0.61 ZZZ
11200.......... ............. A Removal of skin tags.. 0.77 1.05 0.76 0.31 0.28 0.04 1.86 1.57 1.12 1.09 010
11201.......... ............. A Remove skin tags add- 0.29 0.42 0.30 0.12 0.11 0.02 0.73 0.61 0.43 0.42 ZZZ
on.
11300.......... ............. A Shave skin lesion..... 0.51 1.00 0.79 0.22 0.26 0.03 1.54 1.33 0.76 0.80 000
11301.......... ............. A Shave skin lesion..... 0.85 1.10 0.92 0.40 0.39 0.04 1.99 1.81 1.29 1.28 000
11302.......... ............. A Shave skin lesion..... 1.05 1.20 1.09 0.48 0.49 0.05 2.30 2.19 1.58 1.59 000
11303.......... ............. A Shave skin lesion..... 1.24 1.31 1.40 0.56 0.65 0.06 2.61 2.70 1.86 1.95 000
11305.......... ............. A Shave skin lesion..... 0.67 0.79 0.68 0.28 0.28 0.04 1.50 1.39 0.99 0.99 000
11306.......... ............. A Shave skin lesion..... 0.99 1.05 0.91 0.43 0.41 0.05 2.09 1.95 1.47 1.45 000
[[Page 59444]]
11307.......... ............. A Shave skin lesion..... 1.14 1.15 1.09 0.51 0.51 0.05 2.34 2.28 1.70 1.70 000
11308.......... ............. A Shave skin lesion..... 1.41 1.22 1.37 0.61 0.69 0.07 2.70 2.85 2.09 2.17 000
11310.......... ............. A Shave skin lesion..... 0.73 1.10 0.93 0.34 0.36 0.04 1.87 1.70 1.11 1.13 000
11311.......... ............. A Shave skin lesion..... 1.05 1.21 1.07 0.51 0.49 0.05 2.31 2.17 1.61 1.59 000
11312.......... ............. A Shave skin lesion..... 1.20 1.28 1.25 0.58 0.60 0.05 2.53 2.50 1.83 1.85 000
11313.......... ............. A Shave skin lesion..... 1.62 1.52 1.57 0.76 0.79 0.08 3.22 3.27 2.46 2.49 000
11400.......... ............. A Removal of skin lesion 0.91 2.37 1.48 0.71 0.50 0.07 3.35 2.46 1.69 1.48 010
11401.......... ............. A Removal of skin lesion 1.32 2.39 1.56 0.86 0.62 0.10 3.81 2.98 2.28 2.04 010
11402.......... ............. A Removal of skin lesion 1.61 2.48 1.73 0.95 0.72 0.11 4.20 3.45 2.67 2.44 010
11403.......... ............. A Removal of skin lesion 1.92 2.69 1.98 1.08 0.86 0.15 4.76 4.05 3.15 2.93 010
11404.......... ............. A Removal of skin lesion 2.20 2.83 2.17 1.17 0.96 0.18 5.21 4.55 3.55 3.34 010
11406.......... ............. A Removal of skin lesion 2.76 3.13 2.59 1.40 1.72 0.25 6.14 5.60 4.41 4.73 010
11420.......... ............. A Removal of skin lesion 1.06 1.96 1.26 0.75 0.52 0.08 3.10 2.40 1.89 1.66 010
11421.......... ............. A Removal of skin lesion 1.53 2.28 1.53 0.96 0.68 0.11 3.92 3.17 2.60 2.32 010
11422.......... ............. A Removal of skin lesion 1.76 2.46 1.74 1.03 0.77 0.12 4.34 3.62 2.91 2.65 010
11423.......... ............. A Removal of skin lesion 2.17 2.75 2.09 1.22 0.97 0.17 5.09 4.43 3.56 3.31 010
11424.......... ............. A Removal of skin lesion 2.62 2.90 2.21 1.39 1.08 0.20 5.72 5.03 4.21 3.90 010
11426.......... ............. A Removal of skin lesion 3.78 3.56 2.78 1.86 1.93 0.32 7.66 6.88 5.96 6.03 010
11440.......... ............. A Removal of skin lesion 1.15 2.50 1.63 0.91 0.65 0.08 3.73 2.86 2.14 1.88 010
11441.......... ............. A Removal of skin lesion 1.61 2.62 1.77 1.12 0.79 0.11 4.34 3.49 2.84 2.51 010
11442.......... ............. A Removal of skin lesion 1.87 2.68 1.95 1.22 0.92 0.13 4.68 3.95 3.22 2.92 010
11443.......... ............. A Removal of skin lesion 2.49 3.14 2.36 1.53 1.16 0.18 5.81 5.03 4.20 3.83 010
11444.......... ............. A Removal of skin lesion 3.42 3.59 2.60 1.94 1.37 0.25 7.26 6.27 5.61 5.04 010
11446.......... ............. A Removal of skin lesion 4.49 4.07 3.00 2.47 1.72 0.32 8.88 7.81 7.28 6.53 010
11450.......... ............. A Removal, sweat gland 2.73 3.94 3.43 1.08 2.00 0.24 6.91 6.40 4.05 4.97 090
lesion.
11451.......... ............. A Removal, sweat gland 3.95 4.85 4.00 1.56 2.36 0.37 9.17 8.32 5.88 6.68 090
lesion.
11462.......... ............. A Removal, sweat gland 2.51 3.89 3.26 1.01 1.82 0.23 6.63 6.00 3.75 4.56 090
lesion.
11463.......... ............. A Removal, sweat gland 3.95 5.20 3.69 1.63 1.90 0.39 9.54 8.03 5.97 6.24 090
lesion.
11470.......... ............. A Removal, sweat gland 3.25 4.41 3.72 1.30 2.16 0.31 7.97 7.28 4.86 5.72 090
lesion.
11471.......... ............. A Removal, sweat gland 4.41 5.44 4.06 1.81 2.24 0.42 10.27 8.89 6.64 7.07 090
lesion.
11600.......... ............. A Removal of skin lesion 1.41 2.53 1.88 0.96 0.79 0.09 4.03 3.38 2.46 2.29 010
11601.......... ............. A Removal of skin lesion 1.93 2.61 2.06 1.08 0.92 0.11 4.65 4.10 3.12 2.96 010
11602.......... ............. A Removal of skin lesion 2.09 2.66 2.32 1.27 1.13 0.12 4.87 4.53 3.48 3.34 010
11603.......... ............. A Removal of skin lesion 2.35 2.82 2.63 1.35 1.29 0.15 5.32 5.13 3.85 3.79 010
11604.......... ............. A Removal of skin lesion 2.58 2.99 2.90 1.43 1.42 0.18 5.75 5.66 4.19 4.18 010
11606.......... ............. A Removal of skin lesion 3.43 3.51 3.45 1.74 2.56 0.28 7.22 7.16 5.45 6.27 010
11620.......... ............. A Removal of skin lesion 1.34 2.49 1.97 0.98 0.86 0.09 3.92 3.40 2.41 2.29 010
11621.......... ............. A Removal of skin lesion 1.97 2.63 2.27 1.22 1.09 0.11 4.71 4.35 3.30 3.17 010
11622.......... ............. A Removal of skin lesion 2.34 2.79 2.59 1.43 1.32 0.14 5.27 5.07 3.91 3.80 010
11623.......... ............. A Removal of skin lesion 2.93 2.71 2.76 1.67 1.54 0.20 5.84 5.89 4.80 4.67 010
11624.......... ............. A Removal of skin lesion 3.43 3.01 3.25 1.90 1.82 0.25 6.69 6.93 5.58 5.50 010
11626.......... ............. A Removal of skin lesion 4.30 3.96 3.83 2.29 3.00 0.34 8.60 8.47 6.93 7.64 010
11640.......... ............. A Removal of skin lesion 1.53 2.56 2.18 1.13 1.02 0.10 4.19 3.81 2.76 2.65 010
11641.......... ............. A Removal of skin lesion 2.44 2.90 2.59 1.58 1.36 0.14 5.48 5.17 4.16 3.94 010
11642.......... ............. A Removal of skin lesion 2.93 2.80 2.80 1.80 1.60 0.18 5.91 5.91 4.91 4.71 010
11643.......... ............. A Removal of skin lesion 3.50 3.12 3.20 2.09 1.87 0.24 6.86 6.94 5.83 5.61 010
11644.......... ............. A Removal of skin lesion 4.55 3.72 3.77 2.60 2.26 0.32 8.59 8.64 7.47 7.13 010
11646.......... ............. A Removal of skin lesion 5.95 4.92 4.81 3.32 4.01 0.46 11.33 11.22 9.73 10.42 010
11719.......... ............. R Trim nail(s).......... 0.11 0.47 0.37 0.04 0.09 0.01 0.59 0.49 0.16 0.21 000
11720.......... ............. A Debride nail, 1-5..... 0.32 0.40 0.38 0.13 0.16 0.02 0.74 0.72 0.47 0.50 000
11721.......... ............. A Debride nail, 6 or 0.54 0.50 0.55 0.21 0.26 0.04 1.08 1.13 0.79 0.84 000
more.
11730.......... ............. A Removal of nail plate. 1.13 0.71 0.60 0.44 0.35 0.07 1.91 1.80 1.64 1.55 000
11732.......... ............. A Remove nail plate, add- 0.57 0.28 0.28 0.23 0.19 0.04 0.89 0.89 0.84 0.80 ZZZ
on.
11740.......... ............. A Drain blood from under 0.37 0.64 0.53 0.14 0.18 0.03 1.04 0.93 0.54 0.58 000
nail.
11750.......... ............. A Removal of nail bed... 1.86 1.48 1.88 0.77 0.96 0.12 3.46 3.86 2.75 2.94 010
11752.......... ............. A Remove nail bed/finger 2.67 1.82 2.44 1.61 1.57 0.20 4.69 5.31 4.48 4.44 010
tip.
11755.......... ............. A Biopsy, nail unit..... 1.31 0.96 1.02 0.57 0.82 0.08 2.35 2.41 1.96 2.21 000
11760.......... ............. A Repair of nail bed.... 1.58 1.50 1.26 1.10 0.81 0.13 3.21 2.97 2.81 2.52 010
11762.......... ............. A Reconstruction of nail 2.89 1.93 2.36 1.70 1.55 0.20 5.02 5.45 4.79 4.64 010
bed.
11765.......... ............. A Excision of nail fold, 0.69 0.93 0.74 0.42 0.35 0.05 1.67 1.48 1.16 1.09 010
toe.
11770.......... ............. A Removal of pilonidal 2.61 2.89 2.90 1.28 2.09 0.24 5.74 5.75 4.13 4.94 010
lesion.
11771.......... ............. A Removal of pilonidal 5.74 5.06 4.99 4.01 4.46 0.55 11.35 11.28 10.30 10.75 090
lesion.
11772.......... ............. A Removal of pilonidal 6.98 6.01 5.62 4.49 4.86 0.70 13.69 13.30 12.17 12.54 090
lesion.
11900.......... ............. A Injection into skin 0.52 0.70 0.49 0.21 0.18 0.02 1.24 1.03 0.75 0.72 000
lesions.
11901.......... ............. A Added skin lesions 0.80 0.83 0.64 0.36 0.29 0.03 1.66 1.47 1.19 1.12 000
injection.
11920.......... ............. R Correct skin color 1.61 1.82 1.55 0.77 1.03 0.17 3.60 3.33 2.55 2.81 000
defects.
11921.......... ............. R Correct skin color 1.93 2.01 1.77 0.98 1.25 0.20 4.14 3.90 3.11 3.38 000
defects.
11922.......... ............. R Correct skin color 0.49 0.34 0.37 0.26 0.33 0.05 0.88 0.91 0.80 0.87 ZZZ
defects.
11950.......... ............. R Therapy for contour 0.84 1.02 1.16 0.36 0.83 0.06 1.92 2.06 1.26 1.73 000
defects.
11951.......... ............. R Therapy for contour 1.19 1.34 1.32 0.53 0.91 0.09 2.62 2.60 1.81 2.19 000
defects.
11952.......... ............. R Therapy for contour 1.69 2.17 1.73 0.79 1.04 0.11 3.97 3.53 2.59 2.84 000
defects.
11954.......... ............. R Therapy for contour 1.85 2.11 1.70 0.71 1.00 0.20 4.16 3.75 2.76 3.05 000
defects.
11960.......... ............. A Insert tissue 9.08 NA NA 9.32 8.86 0.89 NA NA 19.29 18.83 090
expander(s).
11970.......... ............. A Replace tissue 7.06 NA NA 4.67 6.55 0.75 NA NA 12.48 14.36 090
expander.
11971.......... ............. A Remove tissue 2.13 5.53 4.02 3.23 2.87 0.22 7.88 6.37 5.58 5.22 090
expander(s).
11975.......... ............. N Insert contraceptive +1.48 1.48 1.32 0.57 0.86 0.11 3.07 2.91 2.16 2.45 XXX
cap.
11976.......... ............. R Removal of 1.78 1.52 1.46 0.64 1.02 0.13 3.43 3.37 2.55 2.93 XXX
contraceptive cap.
11977.......... ............. N Removal/reinsert +3.30 2.19 2.38 1.28 1.92 0.25 5.74 5.93 4.83 5.47 XXX
contra cap.
11980.......... ............. A Implant hormone 1.48 1.48 1.48 0.57 0.57 0.11 3.07 3.07 2.16 2.16 000
pellet(s).
12001.......... ............. A Repair superficial 1.70 2.27 1.45 0.82 0.72 0.15 4.12 3.30 2.67 2.57 010
wound(s).
12002.......... ............. A Repair superficial 1.86 2.36 1.61 0.85 0.86 0.16 4.38 3.63 2.87 2.88 010
wound(s).
[[Page 59445]]
12004.......... ............. A Repair superficial 2.24 2.54 1.89 0.97 1.11 0.20 4.98 4.33 3.41 3.55 010
wound(s).
12005.......... ............. A Repair superficial 2.86 2.92 2.26 1.21 1.41 0.26 6.04 5.38 4.33 4.53 010
wound(s).
12006.......... ............. A Repair superficial 3.67 4.13 3.03 1.88 1.91 0.34 8.14 7.04 5.89 5.92 010
wound(s).
12007.......... ............. A Repair superficial 4.12 4.45 3.20 2.12 2.04 0.38 8.95 7.70 6.62 6.54 010
wound(s).
12011.......... ............. A Repair superficial 1.76 2.37 1.59 0.82 0.81 0.16 4.29 3.51 2.74 2.73 010
wound(s).
12013.......... ............. A Repair superficial 1.99 2.50 1.81 0.87 1.00 0.18 4.67 3.98 3.04 3.17 010
wound(s).
12014.......... ............. A Repair superficial 2.46 2.79 2.04 1.05 1.17 0.22 5.47 4.72 3.73 3.85 010
wound(s).
12015.......... ............. A Repair superficial 3.19 3.21 2.49 1.24 1.50 0.29 6.69 5.97 4.72 4.98 010
wound(s).
12016.......... ............. A Repair superficial 3.93 3.44 2.95 1.56 2.01 0.36 7.73 7.24 5.85 6.30 010
wound(s).
12017.......... ............. A Repair superficial 4.71 5.20 4.43 2.29 2.97 0.44 10.35 9.58 7.44 8.12 010
wound(s).
12018.......... ............. A Repair superficial 5.53 5.84 5.72 2.63 4.11 0.46 11.83 11.71 8.62 10.10 010
wound(s).
12020.......... ............. A Closure of split wound 2.62 2.61 1.95 1.52 1.41 0.23 5.46 4.80 4.37 4.26 010
12021.......... ............. A Closure of split wound 1.84 2.00 1.34 1.10 0.72 0.15 3.99 3.33 3.09 2.71 010
12031.......... ............. A Layer closure of 2.15 2.68 1.73 1.16 0.78 0.14 4.97 4.02 3.45 3.07 010
wound(s).
12032.......... ............. A Layer closure of 2.47 2.78 1.96 1.24 0.91 0.15 5.40 4.58 3.86 3.53 010
wound(s).
12034.......... ............. A Layer closure of 2.92 2.99 2.30 1.41 1.51 0.24 6.15 5.46 4.57 4.67 010
wound(s).
12035.......... ............. A Layer closure of 3.43 2.99 2.54 1.62 1.85 0.32 6.74 6.29 5.37 5.60 010
wound(s).
12036.......... ............. A Layer closure of 4.05 4.88 3.70 2.34 2.43 0.40 9.33 8.15 6.79 6.88 010
wound(s).
12037.......... ............. A Layer closure of 4.67 5.10 4.23 2.78 3.07 0.44 10.21 9.34 7.89 8.18 010
wound(s).
12041.......... ............. A Layer closure of 2.37 2.97 1.94 1.20 0.83 0.17 5.51 4.48 3.74 3.37 010
wound(s).
12042.......... ............. A Layer closure of 2.74 2.97 2.12 1.36 1.00 0.18 5.89 5.04 4.28 3.92 010
wound(s).
12044.......... ............. A Layer closure of 3.14 3.02 2.39 1.54 1.65 0.26 6.42 5.79 4.94 5.05 010
wound(s).
12045.......... ............. A Layer closure of 3.64 3.34 2.83 1.80 2.06 0.32 7.30 6.79 5.76 6.02 010
wound(s).
12046.......... ............. A Layer closure of 4.25 4.91 3.99 2.41 2.74 0.37 9.53 8.61 7.03 7.36 010
wound(s).
12047.......... ............. A Layer closure of 4.65 5.10 4.73 2.84 3.60 0.44 10.19 9.82 7.93 8.69 010
wound(s).
12051.......... ............. A Layer closure of 2.47 2.90 2.00 1.34 0.95 0.17 5.54 4.64 3.98 3.59 010
wound(s).
12052.......... ............. A Layer closure of 2.77 2.91 2.26 1.31 1.06 0.17 5.85 5.20 4.25 4.00 010
wound(s).
12053.......... ............. A Layer closure of 3.12 3.02 2.47 1.47 1.69 0.23 6.37 5.82 4.82 5.04 010
wound(s).
12054.......... ............. A Layer closure of 3.46 3.34 3.08 1.58 2.20 0.29 7.09 6.83 5.33 5.95 010
wound(s).
12055.......... ............. A Layer closure of 4.43 4.10 3.81 2.11 2.82 0.39 8.92 8.63 6.93 7.64 010
wound(s).
12056.......... ............. A Layer closure of 5.24 5.64 5.39 2.94 4.04 0.43 11.31 11.06 8.61 9.71 010
wound(s).
12057.......... ............. A Layer closure of 5.96 5.54 5.79 3.51 4.78 0.49 11.99 12.24 9.96 11.23 010
wound(s).
13100.......... ............. A Repair of wound or 3.12 3.19 2.22 1.78 1.20 0.22 6.53 5.56 5.12 4.54 010
lesion.
13101.......... ............. A Repair of wound or 3.92 3.52 2.89 2.23 1.68 0.23 7.67 7.04 6.38 5.83 010
lesion.
13102.......... ............. A Repair wound/lesion 1.24 0.71 0.71 0.57 0.57 0.08 2.03 2.03 1.89 1.89 ZZZ
add-on.
13120.......... ............. A Repair of wound or 3.30 3.32 2.40 1.79 1.27 0.25 6.87 5.95 5.34 4.82 010
lesion.
13121.......... ............. A Repair of wound or 4.33 3.75 3.32 2.29 1.87 0.27 8.35 7.92 6.89 6.47 010
lesion.
13122.......... ............. A Repair wound/lesion 1.44 0.83 0.83 0.66 0.66 0.09 2.36 2.36 2.19 2.19 ZZZ
add-on.
13131.......... ............. A Repair of wound or 3.79 3.59 2.87 2.13 1.61 0.26 7.64 6.92 6.18 5.66 010
lesion.
13132.......... ............. A Repair of wound or 5.95 4.48 4.72 3.14 2.81 0.34 10.77 11.01 9.43 9.10 010
lesion.
13133.......... ............. A Repair wound/lesion 2.19 1.18 1.18 1.01 1.01 0.12 3.49 3.49 3.32 3.32 ZZZ
add-on.
13150.......... ............. A Repair of wound or 3.81 4.79 3.35 2.48 2.20 0.29 8.89 7.45 6.58 6.30 010
lesion.
13151.......... ............. A Repair of wound or 4.45 4.88 3.77 2.88 2.11 0.30 9.63 8.52 7.63 6.86 010
lesion.
13152.......... ............. A Repair of wound or 6.33 5.61 5.59 3.80 3.30 0.40 12.34 12.32 10.53 10.03 010
lesion.
13153.......... ............. A Repair wound/lesion 2.38 1.31 1.31 1.09 1.09 0.15 3.84 3.84 3.62 3.62 ZZZ
add-on.
13160.......... ............. A Late closure of wound. 10.48 NA NA 6.22 4.92 1.08 NA NA 17.78 16.48 090
13300.......... ............. D Repair of wound or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 010
lesion.
14000.......... ............. A Skin tissue 5.89 6.86 5.28 4.35 3.10 0.46 13.21 11.63 10.70 9.45 090
rearrangement.
14001.......... ............. A Skin tissue 8.47 8.15 6.65 5.62 5.39 0.67 17.29 15.79 14.76 14.53 090
rearrangement.
14020.......... ............. A Skin tissue 6.59 7.27 6.30 4.90 5.11 0.51 14.37 13.40 12.00 12.21 090
rearrangement.
14021.......... ............. A Skin tissue 10.06 8.86 7.80 6.65 6.70 0.73 19.65 18.59 17.44 17.49 090
rearrangement.
14040.......... ............. A Skin tissue 7.87 7.72 7.54 5.62 4.65 0.53 16.12 15.94 14.02 13.05 090
rearrangement.
14041.......... ............. A Skin tissue 11.49 9.63 9.09 7.50 5.89 0.69 21.81 21.27 19.68 18.07 090
rearrangement.
14060.......... ............. A Skin tissue 8.50 8.21 8.31 6.41 7.41 0.60 17.31 17.41 15.51 16.51 090
rearrangement.
14061.......... ............. A Skin tissue 12.29 10.57 10.98 8.40 7.05 0.75 23.61 24.02 21.44 20.09 090
rearrangement.
14300.......... ............. A Skin tissue 11.76 9.64 10.96 7.84 10.06 0.92 22.32 23.64 20.52 22.74 090
rearrangement.
14350.......... ............. A Skin tissue 9.61 NA NA 5.76 6.18 0.90 NA NA 16.27 16.69 090
rearrangement.
15000.......... ............. A Skin graft............ 4.00 2.37 2.35 1.93 2.13 0.36 6.73 6.71 6.29 6.49 000
15001.......... ............. A Skin graft add-on..... 1.00 0.49 0.49 0.48 0.48 0.09 1.58 1.58 1.57 1.57 ZZZ
15050.......... ............. A Skin pinch graft...... 4.30 4.68 3.31 3.53 2.74 0.41 9.39 8.02 8.24 7.45 090
15100.......... ............. A Skin split graft...... 9.05 5.97 5.45 5.80 5.37 0.94 15.96 15.44 15.79 15.36 090
15101.......... ............. A Skin split graft add- 1.72 1.10 1.42 0.76 1.25 0.18 3.00 3.32 2.66 3.15 ZZZ
on.
15120.......... ............. A Skin split graft...... 9.83 7.96 7.27 6.56 6.57 0.80 18.59 17.90 17.19 17.20 090
15121.......... ............. A Skin split graft add- 2.67 1.63 2.40 1.30 2.23 0.26 4.56 5.33 4.23 5.16 ZZZ
on.
15200.......... ............. A Skin full graft....... 8.03 8.64 6.56 5.32 4.90 0.72 17.39 15.31 14.07 13.65 090
15201.......... ............. A Skin full graft add-on 1.32 1.02 1.42 0.65 1.11 0.13 2.47 2.87 2.10 2.56 ZZZ
15220.......... ............. A Skin full graft....... 7.87 8.87 7.06 5.70 5.48 0.68 17.42 15.61 14.25 14.03 090
15221.......... ............. A Skin full graft add-on 1.19 0.84 1.29 0.58 1.00 0.11 2.14 2.59 1.88 2.30 ZZZ
15240.......... ............. A Skin full graft....... 9.04 8.45 7.54 6.44 6.53 0.77 18.26 17.35 16.25 16.34 090
15241.......... ............. A Skin full graft add-on 1.86 1.36 1.97 0.95 1.59 0.17 3.39 4.00 2.98 3.62 ZZZ
15260.......... ............. A Skin full graft....... 10.06 8.69 8.40 7.17 7.64 0.65 19.40 19.11 17.88 18.35 090
15261.......... ............. A Skin full graft add-on 2.23 1.50 2.30 1.16 1.91 0.17 3.90 4.70 3.56 4.31 ZZZ
15350.......... ............. A Skin homograft........ 4.00 6.87 4.60 3.93 3.13 0.40 11.27 9.00 8.33 7.53 090
15351.......... ............. A Skin homograft add-on. 1.00 0.42 0.42 0.42 0.42 0.09 1.51 1.51 1.51 1.51 ZZZ
15400.......... ............. A Skin heterograft...... 4.00 4.18 2.67 4.18 2.67 0.34 8.52 7.01 8.52 7.01 090
15401.......... ............. A Skin heterograft add- 1.00 0.42 0.42 0.42 0.42 0.09 1.51 1.51 1.51 1.51 ZZZ
on.
15570.......... ............. A Form skin pedicle flap 9.21 7.93 6.95 5.72 5.85 0.91 18.05 17.07 15.84 15.97 090
15572.......... ............. A Form skin pedicle flap 9.27 7.34 6.59 5.04 5.44 0.87 17.48 16.73 15.18 15.58 090
15574.......... ............. A Form skin pedicle flap 9.88 7.87 6.87 6.32 6.09 0.86 18.61 17.61 17.06 16.83 090
15576.......... ............. A Form skin pedicle flap 8.69 8.17 5.78 6.04 4.72 0.71 17.57 15.18 15.44 14.12 090
15580.......... ............. D Attach skin pedicle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
graft.
[[Page 59446]]
15600.......... ............. A Skin graft............ 1.91 4.86 3.79 2.05 2.17 0.19 6.96 5.89 4.15 4.27 090
15610.......... ............. A Skin graft............ 2.42 2.56 2.81 2.25 2.57 0.25 5.23 5.48 4.92 5.24 090
15620.......... ............. A Skin graft............ 2.94 5.65 4.69 2.97 3.24 0.27 8.86 7.90 6.18 6.45 090
15625.......... ............. D Skin graft............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
15630.......... ............. A Skin graft............ 3.27 5.42 4.67 3.20 3.56 0.29 8.98 8.23 6.76 7.12 090
15650.......... ............. A Transfer skin pedicle 3.97 6.05 5.40 3.38 4.06 0.33 10.35 9.70 7.68 8.36 090
flap.
15732.......... ............. A Muscle-skin graft, 17.84 NA NA 11.16 13.98 1.47 NA NA 30.47 33.29 090
head/neck.
15734.......... ............. A Muscle-skin graft, 17.79 NA NA 10.78 15.71 1.88 NA NA 30.45 35.38 090
trunk.
15736.......... ............. A Muscle-skin graft, arm 16.27 NA NA 10.10 13.85 1.72 NA NA 28.09 31.84 090
15738.......... ............. A Muscle-skin graft, leg 17.92 NA NA 10.68 12.34 1.91 NA NA 30.51 32.17 090
15740.......... ............. A Island pedicle flap 10.25 8.43 9.86 6.70 8.99 0.64 19.32 20.75 17.59 19.88 090
graft.
15750.......... ............. A Neurovascular pedicle 11.41 NA NA 7.95 10.47 1.17 NA NA 20.53 23.05 090
graft.
15756.......... ............. A Free muscle flap, 35.23 NA NA 21.07 26.87 3.62 NA NA 59.92 65.72 090
microvasc.
15757.......... ............. A Free skin flap, 35.23 NA NA 21.60 27.13 3.37 NA NA 60.20 65.73 090
microvasc.
15758.......... ............. A Free fascial flap, 35.10 NA NA 21.42 27.04 3.40 NA NA 59.92 65.54 090
microvasc.
15760.......... ............. A Composite skin graft.. 8.74 8.00 7.96 5.98 6.95 0.72 17.46 17.42 15.44 16.41 090
15770.......... ............. A Derma-fat-fascia graft 7.52 NA NA 5.85 6.98 0.81 NA NA 14.18 15.31 090
15775.......... ............. R Hair transplant punch 3.96 2.96 3.05 1.53 2.33 0.42 7.34 7.43 5.91 6.71 000
grafts.
15776.......... ............. R Hair transplant punch 5.54 4.96 4.67 2.14 3.26 0.59 11.09 10.80 8.27 9.39 000
grafts.
15780.......... ............. A Abrasion treatment of 7.29 6.64 4.15 6.40 3.62 0.54 14.47 11.98 14.23 11.45 090
skin.
15781.......... ............. A Abrasion treatment of 4.85 4.70 4.40 4.32 3.19 0.29 9.84 9.54 9.46 8.33 090
skin.
15782.......... ............. A Abrasion treatment of 4.32 4.03 2.66 3.71 2.18 0.27 8.62 7.25 8.30 6.77 090
skin.
15783.......... ............. A Abrasion treatment of 4.29 4.35 3.18 3.11 2.06 0.26 8.90 7.73 7.66 6.61 090
skin.
15786.......... ............. A Abrasion, lesion, 2.03 1.68 1.18 1.24 0.79 0.11 3.82 3.32 3.38 2.93 010
single.
15787.......... ............. A Abrasion, lesions, add- 0.33 0.27 0.26 0.18 0.16 0.02 0.62 0.61 0.53 0.51 ZZZ
on.
15788.......... ............. R Chemical peel, face, 2.09 2.84 2.23 1.02 1.32 0.10 5.03 4.42 3.21 3.51 090
epiderm.
15789.......... ............. R Chemical peel, face, 4.92 5.54 3.58 3.41 2.51 0.30 10.76 8.80 8.63 7.73 090
dermal.
15792.......... ............. R Chemical peel, 1.86 2.70 1.62 1.64 1.09 0.11 4.67 3.59 3.61 3.06 090
nonfacial.
15793.......... ............. A Chemical peel, 3.74 NA NA 3.38 1.96 0.16 NA NA 7.28 5.86 090
nonfacial.
15810.......... ............. A Salabrasion........... 4.74 3.87 4.00 3.87 4.00 0.38 8.99 9.12 8.99 9.12 090
15811.......... ............. A Salabrasion........... 5.39 4.00 4.03 4.00 4.03 0.57 9.96 9.99 9.96 9.99 090
15819.......... ............. A Plastic surgery, neck. 9.38 NA NA 6.35 7.52 0.83 NA NA 16.56 17.73 090
15820.......... ............. A Revision of lower 5.15 8.21 7.18 5.88 6.02 0.30 13.66 12.63 11.33 11.47 090
eyelid.
15821.......... ............. A Revision of lower 5.72 8.71 7.77 6.29 6.56 0.30 14.73 13.79 12.31 12.58 090
eyelid.
15822.......... ............. A Revision of upper 4.45 7.97 6.65 5.57 5.45 0.23 12.65 11.33 10.25 10.13 090
eyelid.
15823.......... ............. A Revision of upper 7.05 9.49 8.93 6.90 7.64 0.33 16.87 16.31 14.28 15.02 090
eyelid.
15824.......... ............. R Removal of forehead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15825.......... ............. R Removal of neck 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15826.......... ............. R Removal of brow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15828.......... ............. R Removal of face 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15829.......... ............. R Removal of skin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15831.......... ............. A Excise excessive skin 12.40 NA NA 7.01 8.85 1.24 NA NA 20.65 22.49 090
tissue.
15832.......... ............. A Excise excessive skin 11.59 NA NA 7.52 8.26 1.20 NA NA 20.31 21.05 090
tissue.
15833.......... ............. A Excise excessive skin 10.64 NA NA 7.22 6.99 1.31 NA NA 19.17 18.94 090
tissue.
15834.......... ............. A Excise excessive skin 10.85 NA NA 6.10 6.95 1.23 NA NA 18.18 19.03 090
tissue.
15835.......... ............. A Excise excessive skin 11.67 NA NA 5.64 6.62 1.36 NA NA 18.67 19.65 090
tissue.
15836.......... ............. A Excise excessive skin 9.34 NA NA 5.90 6.10 0.95 NA NA 16.19 16.39 090
tissue.
15837.......... ............. A Excise excessive skin 8.43 6.63 6.56 6.27 6.38 0.82 15.88 15.81 15.52 15.63 090
tissue.
15838.......... ............. A Excise excessive skin 7.13 NA NA 5.56 5.97 0.53 NA NA 13.22 13.63 090
tissue.
15839.......... ............. A Excise excessive skin 9.38 6.20 4.43 5.61 4.13 0.80 16.38 14.61 15.79 14.31 090
tissue.
15840.......... ............. A Graft for face nerve 13.26 NA NA 9.49 12.66 1.06 NA NA 23.81 26.98 090
palsy.
15841.......... ............. A Graft for face nerve 23.26 NA NA 14.65 16.48 2.51 NA NA 40.42 42.25 090
palsy.
15842.......... ............. A Graft for face nerve 37.96 NA NA 22.41 26.94 5.53 NA NA 65.90 70.43 090
palsy.
15845.......... ............. A Skin and muscle 12.57 NA NA 8.84 11.93 0.87 NA NA 22.28 25.37 090
repair, face.
15850.......... ............. B Removal of sutures.... +0.78 1.38 0.89 0.30 0.35 0.05 2.21 1.72 1.13 1.18 XXX
15851.......... ............. A Removal of sutures.... 0.86 1.53 0.93 0.32 0.25 0.06 2.45 1.85 1.24 1.17 000
15852.......... ............. A Dressing change, not 0.86 1.65 1.07 0.33 0.29 0.07 2.58 2.00 1.26 1.22 000
for burn.
15860.......... ............. A Test for blood flow in 1.95 1.11 1.29 0.86 1.17 0.19 3.25 3.43 3.00 3.31 000
graft.
15876.......... ............. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15877.......... ............. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15878.......... ............. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15879.......... ............. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15920.......... ............. A Removal of tail bone 7.95 NA NA 5.34 4.27 0.75 NA NA 14.04 12.97 090
ulcer.
15922.......... ............. A Removal of tail bone 9.90 NA NA 6.70 6.60 1.03 NA NA 17.63 17.53 090
ulcer.
15931.......... ............. A Remove sacrum pressure 9.24 NA NA 5.46 4.32 0.95 NA NA 15.65 14.51 090
sore.
15933.......... ............. A Remove sacrum pressure 10.85 NA NA 7.62 7.57 1.13 NA NA 19.60 19.55 090
sore.
15934.......... ............. A Remove sacrum pressure 12.69 NA NA 7.92 8.01 1.34 NA NA 21.95 22.04 090
sore.
15935.......... ............. A Remove sacrum pressure 14.57 NA NA 9.44 10.82 1.53 NA NA 25.54 26.92 090
sore.
15936.......... ............. A Remove sacrum pressure 12.38 NA NA 8.39 9.77 1.30 NA NA 22.07 23.45 090
sore.
15937.......... ............. A Remove sacrum pressure 14.21 NA NA 9.56 12.09 1.49 NA NA 25.26 27.79 090
sore.
15940.......... ............. A Remove hip pressure 9.34 NA NA 5.68 4.77 0.96 NA NA 15.98 15.07 090
sore.
15941.......... ............. A Remove hip pressure 11.43 NA NA 8.85 8.25 1.20 NA NA 21.48 20.88 090
sore.
15944.......... ............. A Remove hip pressure 11.46 NA NA 8.01 9.03 1.19 NA NA 20.66 21.68 090
sore.
15945.......... ............. A Remove hip pressure 12.69 NA NA 8.88 10.49 1.33 NA NA 22.90 24.51 090
sore.
15946.......... ............. A Remove hip pressure 21.57 NA NA 13.49 15.76 2.15 NA NA 37.21 39.48 090
sore.
15950.......... ............. A Remove thigh pressure 7.54 NA NA 5.07 4.17 0.77 NA NA 13.38 12.48 090
sore.
15951.......... ............. A Remove thigh pressure 10.72 NA NA 7.65 7.98 1.11 NA NA 19.48 19.81 090
sore.
15952.......... ............. A Remove thigh pressure 11.39 NA NA 6.94 7.34 1.19 NA NA 19.52 19.92 090
sore.
15953.......... ............. A Remove thigh pressure 12.63 NA NA 8.32 9.09 1.31 NA NA 22.26 23.03 090
sore.
15956.......... ............. A Remove thigh pressure 15.52 NA NA 10.04 14.29 1.61 NA NA 27.17 31.42 090
sore.
15958.......... ............. A Remove thigh pressure 15.48 NA NA 10.05 14.27 1.59 NA NA 27.12 31.34 090
sore.
[[Page 59447]]
15999.......... ............. C Removal of pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
sore.
16000.......... ............. A Initial treatment of 0.89 0.94 0.66 0.24 0.22 0.07 1.90 1.62 1.20 1.18 000
burn(s).
16010.......... ............. A Treatment of burn(s).. 0.87 1.04 0.70 0.34 0.26 0.07 1.98 1.64 1.28 1.20 000
16015.......... ............. A Treatment of burn(s).. 2.35 1.64 1.93 0.98 1.60 0.21 4.20 4.49 3.54 4.16 000
16020.......... ............. A Treatment of burn(s).. 0.80 1.01 0.69 0.23 0.21 0.06 1.87 1.55 1.09 1.07 000
16025.......... ............. A Treatment of burn(s).. 1.85 1.59 1.04 0.66 0.46 0.16 3.60 3.05 2.67 2.47 000
16030.......... ............. A Treatment of burn(s).. 2.08 2.54 1.55 0.83 0.70 0.19 4.81 3.82 3.10 2.97 000
16035.......... ............. A Incision of burn scab. 4.82 2.85 2.45 2.09 2.07 0.48 8.15 7.75 7.39 7.37 090
17000.......... ............. A Destroy benign/premal 0.60 1.02 0.74 0.27 0.25 0.03 1.65 1.37 0.90 0.88 010
lesion.
17003.......... ............. A Destroy lesions, 2-14. 0.15 0.25 0.20 0.07 0.07 0.01 0.41 0.36 0.23 0.23 ZZZ
17004.......... ............. A Destroy lesions, 15 or 2.79 2.36 2.40 1.27 1.25 0.11 5.26 5.30 4.17 4.15 010
more.
17106.......... ............. A Destruction of skin 4.59 3.68 2.89 2.67 1.86 0.27 8.54 7.75 7.53 6.72 090
lesions.
17107.......... ............. A Destruction of skin 9.16 6.09 5.06 4.91 3.46 0.51 15.76 14.73 14.58 13.13 090
lesions.
17108.......... ............. A Destruction of skin 13.20 8.09 9.10 7.12 8.62 0.76 22.05 23.06 21.08 22.58 090
lesions.
17110.......... ............. A Destruct lesion, 1-14. 0.65 0.96 0.70 0.26 0.24 0.04 1.65 1.39 0.95 0.93 010
17111.......... ............. A Destruct lesion, 15 or 0.92 1.16 0.91 0.37 0.35 0.05 2.13 1.88 1.34 1.32 010
more.
17250.......... ............. A Chemical cautery, 0.50 0.64 0.51 0.19 0.19 0.04 1.18 1.05 0.73 0.73 000
tissue.
17260.......... ............. A Destruction of skin 0.91 1.24 1.24 0.41 0.52 0.04 2.19 2.19 1.36 1.47 010
lesions.
17261.......... ............. A Destruction of skin 1.17 1.36 1.44 0.54 0.65 0.05 2.58 2.66 1.76 1.87 010
lesions.
17262.......... ............. A Destruction of skin 1.58 1.56 1.77 0.74 0.87 0.06 3.20 3.41 2.38 2.51 010
lesions.
17263.......... ............. A Destruction of skin 1.79 1.66 2.05 0.83 1.03 0.07 3.52 3.91 2.69 2.89 010
lesions.
17264.......... ............. A Destruction of skin 1.94 1.74 2.28 0.89 1.15 0.08 3.76 4.30 2.91 3.17 010
lesions.
17266.......... ............. A Destruction of skin 2.34 1.93 2.66 0.99 1.34 0.11 4.38 5.11 3.44 3.79 010
lesions.
17270.......... ............. A Destruction of skin 1.32 1.44 1.45 0.60 0.67 0.06 2.82 2.83 1.98 2.05 010
lesions.
17271.......... ............. A Destruction of skin 1.49 1.51 1.71 0.71 0.83 0.06 3.06 3.26 2.26 2.38 010
lesions.
17272.......... ............. A Destruction of skin 1.77 1.65 2.02 0.84 1.02 0.07 3.49 3.86 2.68 2.86 010
lesions.
17273.......... ............. A Destruction of skin 2.05 1.79 2.30 0.97 1.19 0.08 3.92 4.43 3.10 3.32 010
lesions.
17274.......... ............. A Destruction of skin 2.59 2.04 2.76 1.24 1.49 0.11 4.74 5.46 3.94 4.19 010
lesions.
17276.......... ............. A Destruction of skin 3.20 2.35 3.03 1.61 1.73 0.15 5.70 6.38 4.96 5.08 010
lesions.
17280.......... ............. A Destruction of skin 1.17 1.36 1.58 0.54 0.72 0.05 2.58 2.80 1.76 1.94 010
lesions.
17281.......... ............. A Destruction of skin 1.72 1.63 1.95 0.82 0.98 0.07 3.42 3.74 2.61 2.77 010
lesions.
17282.......... ............. A Destruction of skin 2.04 1.79 2.29 0.97 1.19 0.08 3.91 4.41 3.09 3.31 010
lesions.
17283.......... ............. A Destruction of skin 2.64 2.08 2.68 1.25 1.45 0.11 4.83 5.43 4.00 4.20 010
lesions.
17284.......... ............. A Destruction of skin 3.21 2.35 3.08 1.52 1.72 0.13 5.69 6.42 4.86 5.06 010
lesions.
17286.......... ............. A Destruction of skin 4.44 2.96 3.83 2.52 2.44 0.21 7.61 8.48 7.17 7.09 010
lesions.
17304.......... ............. A Chemosurgery of skin 7.60 6.62 5.49 3.63 2.91 0.31 14.53 13.40 11.54 10.82 000
lesion.
17305.......... ............. A 2nd stage chemosurgery 2.85 2.87 2.66 1.37 1.30 0.11 5.83 5.62 4.33 4.26 000
17306.......... ............. A 3rd stage chemosurgery 2.85 2.88 2.20 1.38 1.07 0.11 5.84 5.16 4.34 4.03 000
17307.......... ............. A Followup skin lesion 2.85 3.02 2.31 1.39 1.10 0.11 5.98 5.27 4.35 4.06 000
therapy.
17310.......... ............. A Extensive skin 0.95 0.97 0.56 0.47 0.27 0.05 1.97 1.56 1.47 1.27 000
chemosurgery.
17340.......... ............. A Cryotherapy of skin... 0.76 1.35 0.83 0.26 0.21 0.05 2.16 1.64 1.07 1.02 010
17360.......... ............. A Skin peel therapy..... 1.43 1.50 0.90 0.78 0.47 0.06 2.99 2.39 2.27 1.96 010
17380.......... ............. R Hair removal by 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrolysis.
17999.......... ............. C Skin tissue procedure. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
19000.......... ............. A Drainage of breast 0.84 1.14 0.78 0.24 0.23 0.07 2.05 1.69 1.15 1.14 000
lesion.
19001.......... ............. A Drain breast lesion 0.42 0.77 0.52 0.12 0.13 0.03 1.22 0.97 0.57 0.58 ZZZ
add-on.
19020.......... ............. A Incision of breast 3.57 6.27 3.90 3.21 2.37 0.34 10.18 7.81 7.12 6.28 090
lesion.
19030.......... ............. A Injection for breast x- 1.53 9.38 4.96 0.42 0.48 0.06 10.97 6.55 2.01 2.07 000
ray.
19100.......... ............. A Biopsy of breast...... 1.27 3.03 1.86 0.39 0.37 0.09 4.39 3.22 1.75 1.73 000
19101.......... ............. A Biopsy of breast...... 3.18 8.46 5.50 2.52 2.53 0.23 11.87 8.91 5.93 5.94 010
19110.......... ............. A Nipple exploration.... 4.30 7.34 5.01 4.22 3.45 0.42 12.06 9.73 8.94 8.17 090
19112.......... ............. A Excise breast duct 3.67 6.68 4.61 2.89 2.72 0.35 10.70 8.63 6.91 6.74 090
fistula.
19120.......... ............. A Removal of breast 5.56 4.12 3.64 3.47 3.31 0.55 10.23 9.75 9.58 9.42 090
lesion.
19125.......... ............. A Excision, breast 6.06 4.80 3.98 3.66 3.41 0.60 11.46 10.64 10.32 10.07 090
lesion.
19126.......... ............. A Excision, addl breast 2.93 NA NA 1.11 1.34 0.30 NA NA 4.34 4.57 ZZZ
lesion.
19140.......... ............. A Removal of breast 5.14 8.59 6.63 3.55 4.11 0.52 14.25 12.29 9.21 9.77 090
tissue.
19160.......... ............. A Removal of breast 5.99 NA NA 4.40 4.44 0.59 NA NA 10.98 11.02 090
tissue.
19162.......... ............. A Remove breast tissue, 13.53 NA NA 8.00 9.09 1.33 NA NA 22.86 23.95 090
nodes.
19180.......... ............. A Removal of breast..... 8.80 NA NA 5.90 6.00 0.87 NA NA 15.57 15.67 090
19182.......... ............. A Removal of breast..... 7.73 NA NA 4.94 5.77 0.77 NA NA 13.44 14.27 090
19200.......... ............. A Removal of breast..... 15.49 NA NA 9.08 10.09 1.51 NA NA 26.08 27.09 090
19220.......... ............. A Removal of breast..... 15.72 NA NA 8.98 10.31 1.49 NA NA 26.19 27.52 090
19240.......... ............. A Removal of breast..... 16.00 NA NA 8.93 9.59 1.58 NA NA 26.51 27.17 090
19260.......... ............. A Removal of chest wall 15.44 NA NA 10.33 7.91 1.68 NA NA 27.45 25.03 090
lesion.
19271.......... ............. A Revision of chest wall 18.90 NA NA 13.73 14.44 2.13 NA NA 34.76 35.47 090
19272.......... ............. A Extensive chest wall 21.55 NA NA 14.28 13.98 2.52 NA NA 38.35 38.05 090
surgery.
19290.......... ............. A Place needle wire, 1.27 4.39 2.44 0.36 0.42 0.05 5.71 3.76 1.68 1.74 000
breast.
19291.......... ............. A Place needle wire, 0.63 1.50 0.89 0.17 0.22 0.03 2.16 1.55 0.83 0.88 ZZZ
breast.
19316.......... ............. A Suspension of breast.. 10.69 NA NA 6.98 9.87 1.13 NA NA 18.80 21.69 090
19318.......... ............. A Reduction of large 15.62 NA NA 9.72 12.56 1.65 NA NA 26.99 29.83 090
breast.
19324.......... ............. A Enlarge breast........ 5.85 NA NA 3.50 3.54 0.61 NA NA 9.96 10.00 090
19325.......... ............. A Enlarge breast with 8.45 NA NA 4.75 5.56 0.90 NA NA 14.10 14.91 090
implant.
19328.......... ............. A Removal of breast 5.68 NA NA 4.13 4.11 0.60 NA NA 10.41 10.39 090
implant.
19330.......... ............. A Removal of implant 7.59 NA NA 4.88 4.55 0.80 NA NA 13.27 12.94 090
material.
19340.......... ............. A Immediate breast 6.33 NA NA 3.23 5.39 0.67 NA NA 10.23 12.39 ZZZ
prosthesis.
19342.......... ............. A Delayed breast 11.20 NA NA 7.27 9.50 1.19 NA NA 19.66 21.89 090
prosthesis.
19350.......... ............. A Breast reconstruction. 8.92 11.33 9.51 6.22 6.95 0.95 21.20 19.38 16.09 16.82 090
19355.......... ............. A Correct inverted 7.57 12.40 8.88 4.47 4.91 0.75 20.72 17.20 12.79 13.23 090
nipple(s).
19357.......... ............. A Breast reconstruction. 18.16 NA NA 12.50 12.85 1.92 NA NA 32.58 32.93 090
19361.......... ............. A Breast reconstruction. 19.26 NA NA 11.31 16.58 2.04 NA NA 32.61 37.88 090
19364.......... ............. A Breast reconstruction. 41.00 NA NA 23.84 20.97 4.22 NA NA 69.06 66.19 090
[[Page 59448]]
19366.......... ............. A Breast reconstruction. 21.28 NA NA 11.53 14.67 2.15 NA NA 34.96 38.10 090
19367.......... ............. A Breast reconstruction. 25.73 NA NA 14.70 18.28 2.72 NA NA 43.15 46.73 090
19368.......... ............. A Breast reconstruction. 32.42 NA NA 17.49 19.67 3.46 NA NA 53.37 55.55 090
19369.......... ............. A Breast reconstruction. 29.82 NA NA 17.46 19.66 3.17 NA NA 50.45 52.65 090
19370.......... ............. A Surgery of breast 8.05 NA NA 5.55 6.13 0.86 NA NA 14.46 15.04 090
capsule.
19371.......... ............. A Removal of breast 9.35 NA NA 6.53 7.56 0.99 NA NA 16.87 17.90 090
capsule.
19380.......... ............. A Revise breast 9.14 NA NA 6.42 7.61 0.97 NA NA 16.53 17.72 090
reconstruction.
19396.......... ............. A Design custom breast 2.17 4.29 3.00 1.14 1.42 0.23 6.69 5.40 3.54 3.82 000
implant.
19499.......... ............. C Breast surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
20000.......... ............. A Incision of abscess... 2.12 1.93 1.43 1.11 0.79 0.15 4.20 3.70 3.38 3.06 010
20005.......... ............. A Incision of deep 3.42 2.69 2.34 2.10 2.05 0.31 6.42 6.07 5.83 5.78 010
abscess.
20100.......... ............. A Explore wound, neck... 10.08 5.63 5.51 4.82 5.11 0.94 16.65 16.53 15.84 16.13 010
20101.......... ............. A Explore wound, chest.. 3.22 3.14 2.42 1.88 1.79 0.30 6.66 5.94 5.40 5.31 010
20102.......... ............. A Explore wound, abdomen 3.94 3.51 2.80 1.91 2.00 0.39 7.84 7.13 6.24 6.33 010
20103.......... ............. A Explore wound, 5.30 3.95 3.38 2.95 2.88 0.53 9.78 9.21 8.78 8.71 010
extremity.
20150.......... ............. A Excise epiphyseal bar. 13.69 NA NA 8.96 11.21 1.03 NA NA 23.68 25.93 090
20200.......... ............. A Muscle biopsy......... 1.46 1.59 1.41 0.61 0.92 0.17 3.22 3.04 2.24 2.55 000
20205.......... ............. A Deep muscle biopsy.... 2.35 3.76 2.90 0.97 1.51 0.28 6.39 5.53 3.60 4.14 000
20206.......... ............. A Needle biopsy, muscle. 0.99 2.74 1.89 0.30 0.67 0.06 3.79 2.94 1.35 1.72 000
20220.......... ............. A Bone biopsy, trocar/ 1.27 3.56 2.49 1.89 1.66 0.06 4.89 3.82 3.22 2.99 000
needle.
20225.......... ............. A Bone biopsy, trocar/ 1.87 0.64 1.62 0.64 1.44 0.10 2.61 3.59 2.61 3.41 000
needle.
20240.......... ............. A Bone biopsy, 3.23 NA NA 3.66 2.85 0.27 NA NA 7.16 6.35 010
excisional.
20245.......... ............. A Bone biopsy, 3.95 NA NA 4.04 3.97 0.36 NA NA 8.35 8.28 010
excisional.
20250.......... ............. A Open bone biopsy...... 5.03 NA NA 3.82 4.66 0.46 NA NA 9.31 10.15 010
20251.......... ............. A Open bone biopsy...... 5.56 NA NA 4.41 5.38 0.67 NA NA 10.64 11.61 010
20500.......... ............. A Injection of sinus 1.23 4.74 2.57 3.06 1.63 0.09 6.06 3.89 4.38 2.95 010
tract.
20501.......... ............. A Inject sinus tract for 0.76 11.77 6.05 0.21 0.27 0.03 12.56 6.84 1.00 1.06 000
x-ray.
20520.......... ............. A Removal of foreign 1.85 4.50 2.64 2.87 1.63 0.15 6.50 4.64 4.87 3.63 010
body.
20525.......... ............. A Removal of foreign 3.50 5.30 3.86 3.68 3.05 0.34 9.14 7.70 7.52 6.89 010
body.
20550.......... ............. A Inject tendon/ligament/ 0.86 1.73 1.07 0.20 0.21 0.06 2.65 1.99 1.12 1.13 000
cyst.
20600.......... ............. A Drain/inject, joint/ 0.66 1.17 0.84 0.26 0.26 0.05 1.88 1.55 0.97 0.97 000
bursa.
20605.......... ............. A Drain/inject, joint/ 0.68 1.47 0.98 0.26 0.26 0.05 2.20 1.71 0.99 0.99 000
bursa.
20610.......... ............. A Drain/inject, joint/ 0.79 1.80 1.15 0.31 0.28 0.06 2.65 2.00 1.16 1.13 000
bursa.
20615.......... ............. A Treatment of bone cyst 2.28 3.73 2.13 2.28 1.28 0.16 6.17 4.57 4.72 3.72 010
20650.......... ............. A Insert and remove bone 2.23 3.69 2.43 2.63 1.90 0.17 6.09 4.83 5.03 4.30 010
pin.
20660.......... ............. A Apply,remove fixation 2.51 NA NA 1.31 1.50 0.45 NA NA 4.27 4.46 000
device.
20661.......... ............. A Application of head 4.89 NA NA 6.04 5.10 0.83 NA NA 11.76 10.82 090
brace.
20662.......... ............. A Application of pelvis 6.07 NA NA 4.88 5.99 0.64 NA NA 11.59 12.70 090
brace.
20663.......... ............. A Application of thigh 5.43 NA NA 4.12 4.58 0.55 NA NA 10.10 10.56 090
brace.
20664.......... ............. A Halo brace application 8.06 NA NA 7.72 5.94 1.38 NA NA 17.16 15.38 090
20665.......... ............. A Removal of fixation 1.31 2.10 1.32 1.12 0.83 0.17 3.58 2.80 2.60 2.31 010
device.
20670.......... ............. A Removal of support 1.74 4.77 2.79 3.10 1.75 0.17 6.68 4.70 5.01 3.66 010
implant.
20680.......... ............. A Removal of support 3.35 4.12 3.87 4.12 3.87 0.33 7.80 7.55 7.80 7.55 090
implant.
20690.......... ............. A Apply bone fixation 3.52 NA NA 1.89 2.93 0.33 NA NA 5.74 6.78 090
device.
20692.......... ............. A Apply bone fixation 6.41 NA NA 3.37 4.68 0.64 NA NA 10.42 11.73 090
device.
20693.......... ............. A Adjust bone fixation 5.86 NA NA 9.96 6.33 0.66 NA NA 16.48 12.85 090
device.
20694.......... ............. A Remove bone fixation 4.16 7.14 4.98 5.20 4.01 0.43 11.73 9.57 9.79 8.60 090
device.
20802.......... ............. A Replantation, arm, 41.15 NA NA 22.61 31.78 3.51 NA NA 67.27 76.44 090
complete.
20805.......... ............. A Replant, forearm, 50.00 NA NA 38.99 44.55 3.56 NA NA 92.55 98.11 090
complete.
20808.......... ............. A Replantation hand, 61.65 NA NA 45.51 53.90 5.46 NA NA 112.62 121.01 090
complete.
20816.......... ............. A Replantation digit, 30.94 NA NA 40.11 35.41 3.20 NA NA 74.25 69.55 090
complete.
20822.......... ............. A Replantation digit, 25.59 NA NA 32.28 28.83 2.64 NA NA 60.51 57.06 090
complete.
20824.......... ............. A Replantation thumb, 30.94 NA NA 38.46 34.59 3.26 NA NA 72.66 68.79 090
complete.
20827.......... ............. A Replantation thumb, 26.41 NA NA 35.68 30.89 2.72 NA NA 64.81 60.02 090
complete.
20838.......... ............. A Replantation foot, 41.41 NA NA 24.63 32.79 4.99 NA NA 71.03 79.19 090
complete.
20900.......... ............. A Removal of bone for 5.58 5.34 4.19 5.34 4.19 0.55 11.47 10.32 11.47 10.32 090
graft.
20902.......... ............. A Removal of bone for 7.55 NA NA 7.87 6.62 0.78 NA NA 16.20 14.95 090
graft.
20910.......... ............. A Remove cartilage for 5.34 6.69 3.78 5.81 3.34 0.43 12.46 9.55 11.58 9.11 090
graft.
20912.......... ............. A Remove cartilage for 6.35 NA NA 6.14 5.58 0.55 NA NA 13.04 12.48 090
graft.
20920.......... ............. A Removal of fascia for 5.31 NA NA 4.99 4.63 0.51 NA NA 10.81 10.45 090
graft.
20922.......... ............. A Removal of fascia for 6.61 9.16 6.96 5.82 5.29 0.84 16.61 14.41 13.27 12.74 090
graft.
20924.......... ............. A Removal of tendon for 6.48 NA NA 6.26 6.09 0.68 NA NA 13.42 13.25 090
graft.
20926.......... ............. A Removal of tissue for 5.53 NA NA 5.52 4.17 0.73 NA NA 11.78 10.43 090
graft.
20930.......... ............. B Spinal bone allograft. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20931.......... ............. A Spinal bone allograft. 1.81 NA NA 0.96 1.42 0.31 NA NA 3.08 3.54 ZZZ
20936.......... ............. B Spinal bone autograft. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20937.......... ............. A Spinal bone autograft. 2.79 NA NA 1.48 2.19 0.34 NA NA 4.61 5.32 ZZZ
20938.......... ............. A Spinal bone autograft. 3.02 NA NA 1.60 2.37 0.44 NA NA 5.06 5.83 ZZZ
20950.......... ............. A Fluid pressure, muscle 1.26 NA NA 1.63 1.41 0.13 NA NA 3.02 2.80 000
20955.......... ............. A Fibula bone graft, 39.21 NA NA 26.38 32.64 3.88 NA NA 69.47 75.73 090
microvasc.
20956.......... ............. A Iliac bone graft, 39.27 NA NA 26.86 28.03 4.68 NA NA 70.81 71.98 090
microvasc.
20957.......... ............. A Mt bone graft, 40.65 NA NA 18.49 24.37 4.84 NA NA 63.98 69.86 090
microvasc.
20962.......... ............. A Other bone graft, 39.27 NA NA 25.63 27.41 4.28 NA NA 69.18 70.96 090
microvasc.
20969.......... ............. A Bone/skin graft, 43.92 NA NA 29.27 36.41 4.12 NA NA 77.31 84.45 090
microvasc.
20970.......... ............. A Bone/skin graft, iliac 43.06 NA NA 28.16 35.41 4.49 NA NA 75.71 82.96 090
crest.
20972.......... ............. A Bone/skin graft, 42.99 NA NA 18.71 30.85 3.89 NA NA 65.59 77.73 090
metatarsal.
20973.......... ............. A Bone/skin graft, great 45.76 NA NA 26.86 36.36 4.73 NA NA 77.35 86.85 090
toe.
20974.......... ............. A Electrical bone 0.62 0.37 2.04 0.31 1.09 0.04 1.03 2.70 0.97 1.75 000
stimulation.
20975.......... ............. A Electrical bone 2.60 NA NA 1.38 2.24 0.31 NA NA 4.29 5.15 000
stimulation.
20979.......... ............. A Us bone stimulation... 0.17 0.25 0.25 0.07 0.07 0.01 0.43 0.43 0.25 0.25 000
20999.......... ............. C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
[[Page 59449]]
21010.......... ............. A Incision of jaw joint. 10.14 NA NA 6.45 8.78 0.50 NA NA 17.09 19.42 090
21015.......... ............. A Resection of facial 5.29 NA NA 5.70 6.01 0.52 NA NA 11.51 11.82 090
tumor.
21025.......... ............. A Excision of bone, 10.06 6.87 5.68 6.28 4.27 0.77 17.70 16.51 17.11 15.10 090
lower jaw.
21026.......... ............. A Excision of facial 4.85 4.88 4.15 4.41 3.06 0.38 10.11 9.38 9.64 8.29 090
bone(s).
21029.......... ............. A Contour of face bone 7.71 5.94 7.57 5.43 5.02 0.62 14.27 15.90 13.76 13.35 090
lesion.
21030.......... ............. A Removal of face bone 6.46 5.06 4.35 4.27 3.05 0.47 11.99 11.28 11.20 9.98 090
lesion.
21031.......... ............. A Remove exostosis, 3.24 3.14 3.57 2.00 2.00 0.24 6.62 7.05 5.48 5.48 090
mandible.
21032.......... ............. A Remove exostosis, 3.24 3.11 3.66 2.11 2.11 0.25 6.60 7.15 5.60 5.60 090
maxilla.
21034.......... ............. A Removal of face bone 16.17 9.28 8.43 9.28 8.43 1.32 26.77 25.92 26.77 25.92 090
lesion.
21040.......... ............. A Removal of jaw bone 2.11 2.79 2.90 1.63 1.57 0.16 5.06 5.17 3.90 3.84 090
lesion.
21041.......... ............. A Removal of jaw bone 6.71 5.25 5.75 4.12 3.63 0.49 12.45 12.95 11.32 10.83 090
lesion.
21044.......... ............. A Removal of jaw bone 11.86 NA NA 7.61 8.99 0.89 NA NA 20.36 21.74 090
lesion.
21045.......... ............. A Extensive jaw surgery. 16.17 NA NA 9.85 12.43 1.25 NA NA 27.27 29.85 090
21050.......... ............. A Removal of jaw joint.. 10.77 NA NA 10.76 11.81 0.74 NA NA 22.27 23.32 090
21060.......... ............. A Remove jaw joint 10.23 NA NA 9.97 11.09 0.77 NA NA 20.97 22.09 090
cartilage.
21070.......... ............. A Remove coronoid 8.20 NA NA 5.65 6.52 0.71 NA NA 14.56 15.43 090
process.
21076.......... ............. A Prepare face/oral 13.42 9.45 12.74 7.11 7.56 0.94 23.81 27.10 21.47 21.92 010
prosthesis.
21077.......... ............. A Prepare face/oral 33.75 23.77 32.04 17.89 19.02 2.44 59.96 68.23 54.08 55.21 090
prosthesis.
21079.......... ............. A Prepare face/oral 22.34 16.79 23.55 12.37 13.77 1.51 40.64 47.40 36.22 37.62 090
prosthesis.
21080.......... ............. A Prepare face/oral 25.10 18.87 26.47 13.90 15.47 1.74 45.71 53.31 40.74 42.31 090
prosthesis.
21081.......... ............. A Prepare face/oral 22.88 17.19 24.11 12.67 14.10 1.60 41.67 48.59 37.15 38.58 090
prosthesis.
21082.......... ............. A Prepare face/oral 20.87 14.70 19.81 11.06 11.76 1.47 37.04 42.15 33.40 34.10 090
prosthesis.
21083.......... ............. A Prepare face/oral 19.30 14.51 20.35 10.69 11.90 1.31 35.12 40.96 31.30 32.51 090
prosthesis.
21084.......... ............. A Prepare face/oral 22.51 16.92 23.73 12.47 13.87 1.61 41.04 47.85 36.59 37.99 090
prosthesis.
21085.......... ............. A Prepare face/oral 9.00 6.34 8.54 4.77 5.07 0.66 16.00 18.20 14.43 14.73 010
prosthesis.
21086.......... ............. A Prepare face/oral 24.92 18.73 26.27 13.80 15.36 1.84 45.49 53.03 40.56 42.12 090
prosthesis.
21087.......... ............. A Prepare face/oral 24.92 17.55 23.65 13.21 14.05 1.81 44.28 50.38 39.94 40.78 090
prosthesis.
21088.......... ............. C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21089.......... ............. C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21100.......... ............. A Maxillofacial fixation 4.22 4.56 2.86 3.82 2.49 0.24 9.02 7.32 8.28 6.95 090
21110.......... ............. A Interdental fixation.. 5.21 4.98 5.49 3.79 3.40 0.34 10.53 11.04 9.34 8.95 090
21116.......... ............. A Injection, jaw joint x- 0.81 6.89 3.84 0.26 0.53 0.05 7.75 4.70 1.12 1.39 000
ray.
21120.......... ............. A Reconstruction of chin 4.93 8.74 6.32 4.97 4.44 0.40 14.07 11.65 10.30 9.77 090
21121.......... ............. A Reconstruction of chin 7.64 6.96 6.55 5.61 5.87 0.60 15.20 14.79 13.85 14.11 090
21122.......... ............. A Reconstruction of chin 8.52 NA NA 6.57 6.67 0.72 NA NA 15.81 15.91 090
21123.......... ............. A Reconstruction of chin 11.16 NA NA 8.08 8.46 0.90 NA NA 20.14 20.52 090
21125.......... ............. A Augmentation, lower 10.62 7.74 6.43 7.28 6.20 0.81 19.17 17.86 18.71 17.63 090
jaw bone.
21127.......... ............. A Augmentation, lower 11.12 8.65 8.62 6.58 7.58 0.92 20.69 20.66 18.62 19.62 090
jaw bone.
21137.......... ............. A Reduction of forehead. 9.82 NA NA 7.09 7.41 0.88 NA NA 17.79 18.11 090
21138.......... ............. A Reduction of forehead. 12.19 NA NA 7.49 8.56 1.06 NA NA 20.74 21.81 090
21139.......... ............. A Reduction of forehead. 14.61 NA NA 9.79 10.67 1.27 NA NA 25.67 26.55 090
21141.......... ............. A Reconstruct midface, 18.10 NA NA 10.76 13.16 1.42 NA NA 30.28 32.68 090
lefort.
21142.......... ............. A Reconstruct midface, 18.81 NA NA 12.13 14.12 1.77 NA NA 32.71 34.70 090
lefort.
21143.......... ............. A Reconstruct midface, 19.58 NA NA 10.36 13.54 1.21 NA NA 31.15 34.33 090
lefort.
21145.......... ............. A Reconstruct midface, 19.94 NA NA 10.42 12.99 1.46 NA NA 31.82 34.39 090
lefort.
21146.......... ............. A Reconstruct midface, 20.71 NA NA 10.62 13.37 1.61 NA NA 32.94 35.69 090
lefort.
21147.......... ............. A Reconstruct midface, 21.77 NA NA 11.20 13.96 1.53 NA NA 34.50 37.26 090
lefort.
21150.......... ............. A Reconstruct midface, 25.24 NA NA 12.77 16.40 1.85 NA NA 39.86 43.49 090
lefort.
21151.......... ............. A Reconstruct midface, 28.30 NA NA 17.35 19.90 3.25 NA NA 48.90 51.45 090
lefort.
21154.......... ............. A Reconstruct midface, 30.52 NA NA 16.07 20.06 3.14 NA NA 49.73 53.72 090
lefort.
21155.......... ............. A Reconstruct midface, 34.45 NA NA 16.74 22.00 3.54 NA NA 54.73 59.99 090
lefort.
21159.......... ............. A Reconstruct midface, 42.38 NA NA 24.12 28.89 3.77 NA NA 70.27 75.04 090
lefort.
21160.......... ............. A Reconstruct midface, 46.44 NA NA 22.31 29.59 3.51 NA NA 72.26 79.54 090
lefort.
21172.......... ............. A Reconstruct orbit/ 27.80 NA NA 14.48 18.26 1.92 NA NA 44.20 47.98 090
forehead.
21175.......... ............. A Reconstruct orbit/ 33.17 NA NA 18.07 22.26 3.75 NA NA 54.99 59.18 090
forehead.
21179.......... ............. A Reconstruct entire 22.25 NA NA 15.84 16.73 2.52 NA NA 40.61 41.50 090
forehead.
21180.......... ............. A Reconstruct entire 25.19 NA NA 17.68 18.86 2.21 NA NA 45.08 46.26 090
forehead.
21181.......... ............. A Contour cranial bone 9.90 NA NA 7.35 7.54 1.04 NA NA 18.29 18.48 090
lesion.
21182.......... ............. A Reconstruct cranial 32.19 NA NA 21.26 23.45 2.77 NA NA 56.22 58.41 090
bone.
21183.......... ............. A Reconstruct cranial 35.31 NA NA 20.94 24.50 3.14 NA NA 59.39 62.95 090
bone.
21184.......... ............. A Reconstruct cranial 38.24 NA NA 23.21 26.83 6.52 NA NA 67.97 71.59 090
bone.
21188.......... ............. A Reconstruction of 22.46 NA NA 14.91 16.27 1.87 NA NA 39.24 40.60 090
midface.
21193.......... ............. A Reconstruct lower jaw 17.15 NA NA 9.99 11.68 1.42 NA NA 28.56 30.25 090
bone.
21194.......... ............. A Reconstruct lower jaw 19.84 NA NA 11.54 13.51 1.64 NA NA 33.02 34.99 090
bone.
21195.......... ............. A Reconstruct lower jaw 17.24 NA NA 11.29 12.34 1.34 NA NA 29.87 30.92 090
bone.
21196.......... ............. A Reconstruct lower jaw 18.91 NA NA 12.30 13.54 1.50 NA NA 32.71 33.95 090
bone.
21198.......... ............. A Reconstruct lower jaw 14.16 NA NA 11.18 13.63 1.03 NA NA 26.37 28.82 090
bone.
21206.......... ............. A Reconstruct upper jaw 14.10 NA NA 9.29 10.15 1.02 NA NA 24.41 25.27 090
bone.
21208.......... ............. A Augmentation of facial 10.23 8.77 10.49 7.56 9.89 0.79 19.79 21.51 18.58 20.91 090
bones.
21209.......... ............. A Reduction of facial 6.72 6.65 5.82 5.08 5.03 0.55 13.92 13.09 12.35 12.30 090
bones.
21210.......... ............. A Face bone graft....... 10.23 8.10 10.16 7.38 6.75 0.75 19.08 21.14 18.36 17.73 090
21215.......... ............. A Lower jaw bone graft.. 10.77 8.11 10.49 6.40 6.42 0.78 19.66 22.04 17.95 17.97 090
21230.......... ............. A Rib cartilage graft... 10.77 NA NA 8.72 9.99 0.96 NA NA 20.45 21.72 090
21235.......... ............. A Ear cartilage graft... 6.72 9.59 8.81 6.80 7.41 0.53 16.84 16.06 14.05 14.66 090
21240.......... ............. A Reconstruction of jaw 14.05 NA NA 11.16 13.97 1.09 NA NA 26.30 29.11 090
joint.
21242.......... ............. A Reconstruction of jaw 12.95 NA NA 11.32 13.39 1.09 NA NA 25.36 27.43 090
joint.
21243.......... ............. A Reconstruction of jaw 20.79 NA NA 13.54 14.59 1.53 NA NA 35.86 36.91 090
joint.
21244.......... ............. A Reconstruction of 11.86 NA NA 8.48 11.32 0.95 NA NA 21.29 24.13 090
lower jaw.
21245.......... ............. A Reconstruction of jaw. 11.86 9.18 10.82 9.18 10.82 0.91 21.95 23.59 21.95 23.59 090
21246.......... ............. A Reconstruction of jaw. 12.47 9.45 9.52 9.43 9.51 0.96 22.88 22.95 22.86 22.94 090
21247.......... ............. A Reconstruct lower jaw 22.63 NA NA 15.54 21.28 1.62 NA NA 39.79 45.53 090
bone.
[[Page 59450]]
21248.......... ............. A Reconstruction of jaw. 11.48 8.15 10.93 7.14 7.00 0.85 20.48 23.26 19.47 19.33 090
21249.......... ............. A Reconstruction of jaw. 17.52 10.73 15.82 9.73 10.10 1.33 29.58 34.67 28.58 28.95 090
21255.......... ............. A Reconstruct lower jaw 16.72 NA NA 9.58 14.77 1.66 NA NA 27.96 33.15 090
bone.
21256.......... ............. A Reconstruction of 16.19 NA NA 12.33 15.83 1.38 NA NA 29.90 33.40 090
orbit.
21260.......... ............. A Revise eye sockets.... 16.52 NA NA 8.27 14.00 0.67 NA NA 25.46 31.19 090
21261.......... ............. A Revise eye sockets.... 31.49 NA NA 19.66 19.48 2.38 NA NA 53.53 53.35 090
21263.......... ............. A Revise eye sockets.... 28.42 NA NA 14.31 24.12 1.12 NA NA 43.85 53.66 090
21267.......... ............. A Revise eye sockets.... 18.90 NA NA 14.04 14.95 1.12 NA NA 34.06 34.97 090
21268.......... ............. A Revise eye sockets.... 24.48 NA NA 15.03 15.85 3.89 NA NA 43.40 44.22 090
21270.......... ............. A Augmentation, cheek 10.23 7.80 9.11 7.80 9.11 0.89 18.92 20.23 18.92 20.23 090
bone.
21275.......... ............. A Revision, orbitofacial 11.24 NA NA 9.47 9.59 1.05 NA NA 21.76 21.88 090
bones.
21280.......... ............. A Revision of eyelid.... 6.03 NA NA 6.09 6.65 0.29 NA NA 12.41 12.97 090
21282.......... ............. A Revision of eyelid.... 3.49 NA NA 4.82 4.50 0.20 NA NA 8.51 8.19 090
21295.......... ............. A Revision of jaw muscle/ 1.53 NA NA 3.69 2.37 0.11 NA NA 5.33 4.01 090
bone.
21296.......... ............. A Revision of jaw muscle/ 4.25 NA NA 4.30 4.12 0.35 NA NA 8.90 8.72 090
bone.
21299.......... ............. C Cranio/maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21300.......... ............. A Treatment of skull 0.72 2.45 1.73 0.28 0.57 0.08 3.25 2.53 1.08 1.37 000
fracture.
21310.......... ............. A Treatment of nose 0.58 2.32 1.57 0.16 0.43 0.06 2.96 2.21 0.80 1.07 000
fracture.
21315.......... ............. A Treatment of nose 1.51 2.97 2.47 1.14 1.47 0.12 4.60 4.10 2.77 3.10 010
fracture.
21320.......... ............. A Treatment of nose 1.85 4.14 3.34 1.85 2.03 0.14 6.13 5.33 3.84 4.02 010
fracture.
21325.......... ............. A Treatment of nose 3.77 NA NA 3.24 3.84 0.31 NA NA 7.32 7.92 090
fracture.
21330.......... ............. A Treatment of nose 5.38 NA NA 4.79 5.61 0.47 NA NA 10.64 11.46 090
fracture.
21335.......... ............. A Treatment of nose 8.61 NA NA 6.68 8.48 0.65 NA NA 15.94 17.74 090
fracture.
21336.......... ............. A Treat nasal septal 5.72 NA NA 4.91 4.68 0.47 NA NA 11.10 10.87 090
fracture.
21337.......... ............. A Treat nasal septal 2.70 4.69 3.88 2.76 2.91 0.23 7.62 6.81 5.69 5.84 090
fracture.
21338.......... ............. A Treat nasoethmoid 6.46 NA NA 5.57 5.51 0.53 NA NA 12.56 12.50 090
fracture.
21339.......... ............. A Treat nasoethmoid 8.09 NA NA 6.17 6.93 0.65 NA NA 14.91 15.67 090
fracture.
21340.......... ............. A Treatment of nose 10.77 NA NA 8.62 9.15 0.69 NA NA 20.08 20.61 090
fracture.
21343.......... ............. A Treatment of sinus 12.95 NA NA 9.17 9.56 1.20 NA NA 23.32 23.71 090
fracture.
21344.......... ............. A Treatment of sinus 19.72 NA NA 12.94 11.45 1.78 NA NA 34.44 32.95 090
fracture.
21345.......... ............. A Treat nose/jaw 8.16 7.38 7.98 6.94 7.76 0.64 16.18 16.78 15.74 16.56 090
fracture.
21346.......... ............. A Treat nose/jaw 10.61 NA NA 8.58 9.39 0.83 NA NA 20.02 20.83 090
fracture.
21347.......... ............. A Treat nose/jaw 12.69 NA NA 8.84 10.04 1.08 NA NA 22.61 23.81 090
fracture.
21348.......... ............. A Treat nose/jaw 16.69 NA NA 9.89 11.10 1.44 NA NA 28.02 29.23 090
fracture.
21355.......... ............. A Treat cheek bone 3.77 3.55 2.62 2.02 1.86 0.32 7.64 6.71 6.11 5.95 010
fracture.
21356.......... ............. A Treat cheek bone 4.15 NA NA 2.96 3.96 0.34 NA NA 7.45 8.45 010
fracture.
21360.......... ............. A Treat cheek bone 6.46 NA NA 5.13 6.43 0.52 NA NA 12.11 13.41 090
fracture.
21365.......... ............. A Treat cheek bone 14.95 NA NA 10.44 11.92 1.28 NA NA 26.67 28.15 090
fracture.
21366.......... ............. A Treat cheek bone 17.77 NA NA 11.32 12.22 1.52 NA NA 30.61 31.51 090
fracture.
21385.......... ............. A Treat eye socket 9.16 NA NA 6.77 8.59 0.67 NA NA 16.60 18.42 090
fracture.
21386.......... ............. A Treat eye socket 9.16 NA NA 7.25 8.55 0.75 NA NA 17.16 18.46 090
fracture.
21387.......... ............. A Treat eye socket 9.70 NA NA 7.64 7.87 0.78 NA NA 18.12 18.35 090
fracture.
21390.......... ............. A Treat eye socket 10.13 NA NA 8.00 10.05 0.74 NA NA 18.87 20.92 090
fracture.
21395.......... ............. A Treat eye socket 12.68 NA NA 9.01 9.73 1.16 NA NA 22.85 23.57 090
fracture.
21400.......... ............. A Treat eye socket 1.40 2.89 2.35 0.95 1.31 0.12 4.41 3.87 2.47 2.83 090
fracture.
21401.......... ............. A Treat eye socket 3.26 4.39 3.60 2.75 2.78 0.25 7.90 7.11 6.26 6.29 090
fracture.
21406.......... ............. A Treat eye socket 7.01 NA NA 5.77 5.71 0.60 NA NA 13.38 13.32 090
fracture.
21407.......... ............. A Treat eye socket 8.61 NA NA 7.15 7.42 0.70 NA NA 16.46 16.73 090
fracture.
21408.......... ............. A Treat eye socket 12.38 NA NA 9.36 9.29 1.21 NA NA 22.95 22.88 090
fracture.
21421.......... ............. A Treat mouth roof 5.14 6.30 6.48 5.21 5.67 0.38 11.82 12.00 10.73 11.19 090
fracture.
21422.......... ............. A Treat mouth roof 8.32 NA NA 6.64 8.29 0.69 NA NA 15.65 17.30 090
fracture.
21423.......... ............. A Treat mouth roof 10.40 NA NA 7.35 9.00 0.82 NA NA 18.57 20.22 090
fracture.
21431.......... ............. A Treat craniofacial 7.05 NA NA 5.49 6.01 0.54 NA NA 13.08 13.60 090
fracture.
21432.......... ............. A Treat craniofacial 8.61 NA NA 7.38 7.36 0.94 NA NA 16.93 16.91 090
fracture.
21433.......... ............. A Treat craniofacial 25.35 NA NA 15.62 17.56 2.11 NA NA 43.08 45.02 090
fracture.
21435.......... ............. A Treat craniofacial 17.25 NA NA 12.21 13.30 1.36 NA NA 30.82 31.91 090
fracture.
21436.......... ............. A Treat craniofacial 28.04 NA NA 17.19 16.55 1.88 NA NA 47.11 46.47 090
fracture.
21440.......... ............. A Treat dental ridge 2.70 4.84 4.09 3.09 3.16 0.20 7.74 6.99 5.99 6.06 090
fracture.
21445.......... ............. A Treat dental ridge 5.38 6.00 6.32 4.56 5.49 0.42 11.80 12.12 10.36 11.29 090
fracture.
21450.......... ............. A Treat lower jaw 2.97 5.29 4.19 2.40 2.74 0.23 8.49 7.39 5.60 5.94 090
fracture.
21451.......... ............. A Treat lower jaw 4.87 5.83 6.08 4.82 5.32 0.37 11.07 11.32 10.06 10.56 090
fracture.
21452.......... ............. A Treat lower jaw 1.98 7.22 4.37 3.63 2.57 0.15 9.35 6.50 5.76 4.70 090
fracture.
21453.......... ............. A Treat lower jaw 5.54 6.45 6.83 5.38 6.00 0.44 12.43 12.81 11.36 11.98 090
fracture.
21454.......... ............. A Treat lower jaw 6.46 NA NA 4.91 6.32 0.48 NA NA 11.85 13.26 090
fracture.
21461.......... ............. A Treat lower jaw 8.09 7.82 8.74 6.98 8.32 0.65 16.56 17.48 15.72 17.06 090
fracture.
21462.......... ............. A Treat lower jaw 9.79 8.73 10.21 7.30 9.50 0.76 19.28 20.76 17.85 20.05 090
fracture.
21465.......... ............. A Treat lower jaw 11.91 NA NA 7.08 8.12 0.95 NA NA 19.94 20.98 090
fracture.
21470.......... ............. A Treat lower jaw 15.34 NA NA 9.08 13.70 1.21 NA NA 25.63 30.25 090
fracture.
21480.......... ............. A Reset dislocated jaw.. 0.61 1.54 1.20 0.18 0.46 0.05 2.20 1.86 0.84 1.12 000
21485.......... ............. A Reset dislocated jaw.. 3.99 3.53 2.96 3.01 2.10 0.27 7.79 7.22 7.27 6.36 090
21490.......... ............. A Repair dislocated jaw. 11.86 NA NA 7.08 6.97 0.84 NA NA 19.78 19.67 090
21493.......... ............. A Treat hyoid bone 1.27 0.49 1.07 0.49 1.01 0.10 1.86 2.44 1.86 2.38 090
fracture.
21494.......... ............. A Treat hyoid bone 6.28 2.43 5.30 2.43 5.30 0.45 9.16 12.03 9.16 12.03 090
fracture.
21495.......... ............. A Treat hyoid bone 5.69 NA NA 5.29 5.26 0.41 NA NA 11.39 11.36 090
fracture.
21497.......... ............. A Interdental wiring.... 3.86 4.29 4.30 3.43 3.87 0.30 8.45 8.46 7.59 8.03 090
21499.......... ............. C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
21501.......... ............. A Drain neck/chest 3.81 3.96 2.97 3.48 2.73 0.37 8.14 7.15 7.66 6.91 090
lesion.
21502.......... ............. A Drain chest lesion.... 7.12 NA NA 7.43 6.01 0.78 NA NA 15.33 13.91 090
21510.......... ............. A Drainage of bone 5.74 NA NA 7.47 5.81 0.63 NA NA 13.84 12.18 090
lesion.
21550.......... ............. A Biopsy of neck/chest.. 2.06 2.21 1.57 1.21 0.84 0.12 4.39 3.75 3.39 3.02 010
21555.......... ............. A Remove lesion, neck/ 4.35 4.12 2.93 2.52 2.13 0.39 8.86 7.67 7.26 6.87 090
chest.
[[Page 59451]]
21556.......... ............. A Remove lesion, neck/ 5.57 NA NA 3.29 3.71 0.52 NA NA 9.38 9.80 090
chest.
21557.......... ............. A Remove tumor, neck/ 8.88 NA NA 7.48 8.35 0.81 NA NA 17.17 18.04 090
chest.
21600.......... ............. A Partial removal of rib 6.89 NA NA 8.41 6.65 0.79 NA NA 16.09 14.33 090
21610.......... ............. A Partial removal of rib 14.61 NA NA 10.32 7.97 1.99 NA NA 26.92 24.57 090
21615.......... ............. A Removal of rib........ 9.87 NA NA 9.28 10.14 1.30 NA NA 20.45 21.31 090
21616.......... ............. A Removal of rib and 12.04 NA NA 12.51 10.20 1.45 NA NA 26.00 23.69 090
nerves.
21620.......... ............. A Partial removal of 6.79 NA NA 8.74 8.09 0.78 NA NA 16.31 15.66 090
sternum.
21627.......... ............. A Sternal debridement... 6.81 NA NA 15.24 10.35 0.84 NA NA 22.89 18.00 090
21630.......... ............. A Extensive sternum 17.38 NA NA 13.47 13.73 1.95 NA NA 32.80 33.06 090
surgery.
21632.......... ............. A Extensive sternum 18.14 NA NA 15.46 13.99 2.27 NA NA 35.87 34.40 090
surgery.
21700.......... ............. A Revision of neck 6.19 7.79 6.15 7.44 5.98 0.74 14.72 13.08 14.37 12.91 090
muscle.
21705.......... ............. A Revision of neck 9.60 NA NA 6.91 6.09 1.27 NA NA 17.78 16.96 090
muscle/rib.
21720.......... ............. A Revision of neck 5.68 6.61 5.39 6.28 5.23 0.82 13.11 11.89 12.78 11.73 090
muscle.
21725.......... ............. A Revision of neck 6.99 NA NA 6.15 5.70 0.68 NA NA 13.82 13.37 090
muscle.
21740.......... ............. A Reconstruction of 16.50 NA NA 15.80 12.78 1.95 NA NA 34.25 31.23 090
sternum.
21750.......... ............. A Repair of sternum 10.77 NA NA 13.66 10.81 1.35 NA NA 25.78 22.93 090
separation.
21800.......... ............. A Treatment of rib 0.96 1.85 1.35 0.92 0.88 0.09 2.90 2.40 1.97 1.93 090
fracture.
21805.......... ............. A Treatment of rib 2.75 NA NA 6.38 3.93 0.29 NA NA 9.42 6.97 090
fracture.
21810.......... ............. A Treatment of rib 6.86 NA NA 7.52 7.74 0.56 NA NA 14.94 15.16 090
fracture(s).
21820.......... ............. A Treat sternum fracture 1.28 2.23 1.86 1.29 1.39 0.12 3.63 3.26 2.69 2.79 090
21825.......... ............. A Treat sternum fracture 7.41 NA NA 12.61 10.05 0.95 NA NA 20.97 18.41 090
21899.......... ............. C Neck/chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21920.......... ............. A Biopsy soft tissue of 2.06 2.34 1.60 0.78 0.61 0.10 4.50 3.76 2.94 2.77 010
back.
21925.......... ............. A Biopsy soft tissue of 4.49 10.67 6.40 4.21 3.17 0.43 15.59 11.32 9.13 8.09 090
back.
21930.......... ............. A Remove lesion, back or 5.00 4.44 3.70 2.67 2.81 0.47 9.91 9.17 8.14 8.28 090
flank.
21935.......... ............. A Remove tumor, back.... 17.96 NA NA 11.50 9.33 1.79 NA NA 31.25 29.08 090
22100.......... ............. A Remove part of neck 9.73 NA NA 8.21 8.25 1.34 NA NA 19.28 19.32 090
vertebra.
22101.......... ............. A Remove part, thorax 9.81 NA NA 8.40 8.55 1.23 NA NA 19.44 19.59 090
vertebra.
22102.......... ............. A Remove part, lumbar 9.81 NA NA 8.27 6.58 1.37 NA NA 19.45 17.76 090
vertebra.
22103.......... ............. A Remove extra spine 2.34 NA NA 1.22 1.82 0.33 NA NA 3.89 4.49 ZZZ
segment.
22110.......... ............. A Remove part of neck 12.74 NA NA 10.38 10.47 1.88 NA NA 25.00 25.09 090
vertebra.
22112.......... ............. A Remove part, thorax 12.81 NA NA 10.04 10.39 1.57 NA NA 24.42 24.77 090
vertebra.
22114.......... ............. A Remove part, lumbar 12.81 NA NA 12.03 9.95 1.37 NA NA 26.21 24.13 090
vertebra.
22116.......... ............. A Remove extra spine 2.32 NA NA 1.19 1.80 0.32 NA NA 3.83 4.44 ZZZ
segment.
22210.......... ............. A Revision of neck spine 23.82 NA NA 16.42 15.72 3.46 NA NA 43.70 43.00 090
22212.......... ............. A Revision of thorax 19.42 NA NA 14.26 16.51 1.99 NA NA 35.67 37.92 090
spine.
22214.......... ............. A Revision of lumbar 19.45 NA NA 14.84 15.62 2.35 NA NA 36.64 37.42 090
spine.
22216.......... ............. A Revise, extra spine 6.04 NA NA 3.18 4.34 0.81 NA NA 10.03 11.19 ZZZ
segment.
22220.......... ............. A Revision of neck spine 21.37 NA NA 14.77 16.42 3.15 NA NA 39.29 40.94 090
22222.......... ............. A Revision of thorax 21.52 NA NA 13.09 13.93 1.01 NA NA 35.62 36.46 090
spine.
22224.......... ............. A Revision of lumbar 21.52 NA NA 14.83 15.38 2.43 NA NA 38.78 39.33 090
spine.
22226.......... ............. A Revise, extra spine 6.04 NA NA 3.16 4.33 0.73 NA NA 9.93 11.10 ZZZ
segment.
22305.......... ............. A Treat spine process 2.05 2.69 2.57 1.72 2.09 0.21 4.95 4.83 3.98 4.35 090
fracture.
22310.......... ............. A Treat spine fracture.. 2.61 3.88 3.31 2.97 2.85 0.27 6.76 6.19 5.85 5.73 090
22315.......... ............. A Treat spine fracture.. 8.84 NA NA 8.29 7.14 1.14 NA NA 18.27 17.12 090
22318.......... ............. A Treat odontoid fx w/o 21.50 NA NA 14.50 14.50 3.89 NA NA 39.89 39.89 090
graft.
22319.......... ............. A Treat odontoid fx w/ 24.00 NA NA 16.72 16.72 4.34 NA NA 45.06 45.06 090
graft.
22325.......... ............. A Treat spine fracture.. 18.30 NA NA 13.73 11.38 2.29 NA NA 34.32 31.97 090
22326.......... ............. A Treat neck spine 19.59 NA NA 14.88 16.09 3.18 NA NA 37.65 38.86 090
fracture.
22327.......... ............. A Treat thorax spine 19.20 NA NA 14.47 15.89 2.64 NA NA 36.31 37.73 090
fracture.
22328.......... ............. A Treat each add spine 4.61 NA NA 2.41 3.60 0.68 NA NA 7.70 8.89 ZZZ
fx.
22505.......... ............. A Manipulation of spine. 1.87 4.03 2.73 2.69 2.06 0.13 6.03 4.73 4.69 4.06 010
22548.......... ............. A Neck spine fusion..... 25.82 NA NA 17.59 21.14 4.66 NA NA 48.07 51.62 090
22554.......... ............. A Neck spine fusion..... 18.62 NA NA 13.50 17.50 3.14 NA NA 35.26 39.26 090
22556.......... ............. A Thorax spine fusion... 23.46 NA NA 16.52 20.03 3.20 NA NA 43.18 46.69 090
22558.......... ............. A Lumbar spine fusion... 22.28 NA NA 14.96 18.43 2.62 NA NA 39.86 43.33 090
22585.......... ............. A Additional spinal 5.53 NA NA 2.90 4.38 0.85 NA NA 9.28 10.76 ZZZ
fusion.
22590.......... ............. A Spine & skull spinal 20.51 NA NA 14.94 19.18 3.38 NA NA 38.83 43.07 090
fusion.
22595.......... ............. A Neck spinal fusion.... 19.39 NA NA 13.99 18.57 3.23 NA NA 36.61 41.19 090
22600.......... ............. A Neck spine fusion..... 16.14 NA NA 12.34 15.80 2.53 NA NA 31.01 34.47 090
22610.......... ............. A Thorax spine fusion... 16.02 NA NA 12.29 15.71 2.22 NA NA 30.53 33.95 090
22612.......... ............. A Lumbar spine fusion... 21.00 NA NA 15.00 18.68 2.62 NA NA 38.62 42.30 090
22614.......... ............. A Spine fusion, extra 6.44 NA NA 3.43 4.78 0.82 NA NA 10.69 12.04 ZZZ
segment.
22630.......... ............. A Lumbar spine fusion... 20.84 NA NA 15.55 17.78 3.05 NA NA 39.44 41.67 090
22632.......... ............. A Spine fusion, extra 5.23 NA NA 2.76 4.09 0.72 NA NA 8.71 10.04 ZZZ
segment.
22800.......... ............. A Fusion of spine....... 18.25 NA NA 13.08 17.44 2.09 NA NA 33.42 37.78 090
22802.......... ............. A Fusion of spine....... 30.88 NA NA 20.41 25.57 3.38 NA NA 54.67 59.83 090
22804.......... ............. A Fusion of spine....... 36.27 NA NA 23.20 26.97 3.82 NA NA 63.29 67.06 090
22808.......... ............. A Fusion of spine....... 26.27 NA NA 17.93 18.96 3.79 NA NA 47.99 49.02 090
22810.......... ............. A Fusion of spine....... 30.27 NA NA 19.54 19.76 3.51 NA NA 53.32 53.54 090
22812.......... ............. A Fusion of spine....... 32.70 NA NA 20.85 24.50 3.60 NA NA 57.15 60.80 090
22818.......... ............. A Kyphectomy, 1-2 31.83 NA NA 19.82 25.24 4.31 NA NA 55.96 61.38 090
segments.
22819.......... ............. A Kyphectomy, 3 or more. 36.44 NA NA 21.49 26.08 4.93 NA NA 62.86 67.45 090
22830.......... ............. A Exploration of spinal 10.85 NA NA 9.34 11.15 1.31 NA NA 21.50 23.31 090
fusion.
22840.......... ............. A Insert spine fixation 12.54 NA NA 8.07 7.28 1.61 NA NA 22.22 21.43 ZZZ
device.
22841.......... ............. B Insert spine fixation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
22842.......... ............. A Insert spine fixation 12.58 NA NA 6.67 7.06 1.63 NA NA 20.88 21.27 ZZZ
device.
22843.......... ............. A Insert spine fixation 13.46 NA NA 7.24 8.26 1.64 NA NA 22.34 23.36 ZZZ
device.
22844.......... ............. A Insert spine fixation 16.44 NA NA 10.32 10.83 1.76 NA NA 28.52 29.03 ZZZ
device.
22845.......... ............. A Insert spine fixation 11.96 NA NA 7.81 7.00 1.95 NA NA 21.72 20.91 ZZZ
device.
22846.......... ............. A Insert spine fixation 12.42 NA NA 8.08 8.33 2.00 NA NA 22.50 22.75 ZZZ
device.
[[Page 59452]]
22847.......... ............. A Insert spine fixation 13.80 NA NA 8.56 9.04 1.63 NA NA 23.99 24.47 ZZZ
device.
22848.......... ............. A Insert pelv fixation 6.00 NA NA 4.55 5.38 0.64 NA NA 11.19 12.02 ZZZ
device.
22849.......... ............. A Reinsert spinal 18.51 NA NA 13.27 13.02 2.25 NA NA 34.03 33.78 090
fixation.
22850.......... ............. A Remove spine fixation 9.52 NA NA 8.26 9.11 1.19 NA NA 18.97 19.82 090
device.
22851.......... ............. A Apply spine prosth 6.71 NA NA 5.02 5.99 0.93 NA NA 12.66 13.63 ZZZ
device.
22852.......... ............. A Remove spine fixation 9.01 NA NA 7.99 9.32 1.09 NA NA 18.09 19.42 090
device.
22855.......... ............. A Remove spine fixation 15.13 NA NA 11.16 9.63 2.35 NA NA 28.64 27.11 090
device.
22899.......... ............. C Spine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
22900.......... ............. A Remove abdominal wall 5.80 NA NA 4.25 3.77 0.57 NA NA 10.62 10.14 090
lesion.
22999.......... ............. C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000.......... ............. A Removal of calcium 4.36 7.26 5.39 6.86 5.19 0.40 12.02 10.15 11.62 9.95 090
deposits.
23020.......... ............. A Release shoulder joint 8.93 NA NA 9.07 8.48 0.93 NA NA 18.93 18.34 090
23030.......... ............. A Drain shoulder lesion. 3.43 5.09 3.72 3.75 3.05 0.33 8.85 7.48 7.51 6.81 010
23031.......... ............. A Drain shoulder bursa.. 2.74 5.07 2.81 3.46 1.87 0.26 8.07 5.81 6.46 4.87 010
23035.......... ............. A Drain shoulder bone 8.61 NA NA 13.99 10.37 0.88 NA NA 23.48 19.86 090
lesion.
23040.......... ............. A Exploratory shoulder 9.20 NA NA 10.47 10.27 0.95 NA NA 20.62 20.42 090
surgery.
23044.......... ............. A Exploratory shoulder 7.12 NA NA 8.98 8.24 0.74 NA NA 16.84 16.10 090
surgery.
23065.......... ............. A Biopsy shoulder 2.27 2.56 1.64 1.32 1.02 0.11 4.94 4.02 3.70 3.40 010
tissues.
23066.......... ............. A Biopsy shoulder 4.16 6.36 3.82 5.36 3.32 0.41 10.93 8.39 9.93 7.89 090
tissues.
23075.......... ............. A Removal of shoulder 2.39 4.44 3.13 2.76 2.29 0.23 7.06 5.75 5.38 4.91 010
lesion.
23076.......... ............. A Removal of shoulder 7.63 NA NA 7.22 5.53 0.78 NA NA 15.63 13.94 090
lesion.
23077.......... ............. A Remove tumor of 16.09 NA NA 12.44 10.23 1.58 NA NA 30.11 27.90 090
shoulder.
23100.......... ............. A Biopsy of shoulder 6.03 NA NA 7.52 7.36 0.60 NA NA 14.15 13.99 090
joint.
23101.......... ............. A Shoulder joint surgery 5.58 NA NA 7.51 7.09 0.57 NA NA 13.66 13.24 090
23105.......... ............. A Remove shoulder joint 8.23 NA NA 9.01 9.42 0.85 NA NA 18.09 18.50 090
lining.
23106.......... ............. A Incision of collarbone 5.96 NA NA 8.05 6.60 0.64 NA NA 14.65 13.20 090
joint.
23107.......... ............. A Explore treat shoulder 8.62 NA NA 9.41 9.85 0.88 NA NA 18.91 19.35 090
joint.
23120.......... ............. A Partial removal, 7.11 NA NA 8.65 6.83 0.73 NA NA 16.49 14.67 090
collar bone.
23125.......... ............. A Removal of collar bone 9.39 NA NA 9.39 9.30 0.97 NA NA 19.75 19.66 090
23130.......... ............. A Remove shoulder bone, 7.55 NA NA 8.53 8.09 0.77 NA NA 16.85 16.41 090
part.
23140.......... ............. A Removal of bone lesion 6.89 NA NA 7.46 5.99 0.68 NA NA 15.03 13.56 090
23145.......... ............. A Removal of bone lesion 9.09 NA NA 11.74 10.28 0.84 NA NA 21.67 20.21 090
23146.......... ............. A Removal of bone lesion 7.83 NA NA 9.01 7.35 0.82 NA NA 17.66 16.00 090
23150.......... ............. A Removal of humerus 8.48 NA NA 8.44 7.83 0.85 NA NA 17.77 17.16 090
lesion.
23155.......... ............. A Removal of humerus 10.35 NA NA 10.54 10.05 1.08 NA NA 21.97 21.48 090
lesion.
23156.......... ............. A Removal of humerus 8.68 NA NA 8.67 8.48 0.89 NA NA 18.24 18.05 090
lesion.
23170.......... ............. A Remove collar bone 6.86 NA NA 8.94 7.08 0.72 NA NA 16.52 14.66 090
lesion.
23172.......... ............. A Remove shoulder blade 6.90 NA NA 8.18 6.89 0.72 NA NA 15.80 14.51 090
lesion.
23174.......... ............. A Remove humerus lesion. 9.51 NA NA 9.90 9.59 0.94 NA NA 20.35 20.04 090
23180.......... ............. A Remove collar bone 8.53 NA NA 13.35 9.01 0.88 NA NA 22.76 18.42 090
lesion.
23182.......... ............. A Remove shoulder blade 8.15 NA NA 15.09 11.11 0.84 NA NA 24.08 20.10 090
lesion.
23184.......... ............. A Remove humerus lesion. 9.38 NA NA 13.49 11.54 0.95 NA NA 23.82 21.87 090
23190.......... ............. A Partial removal of 7.24 NA NA 7.28 6.94 0.74 NA NA 15.26 14.92 090
scapula.
23195.......... ............. A Removal of head of 9.81 NA NA 9.64 9.66 1.02 NA NA 20.47 20.49 090
humerus.
23200.......... ............. A Removal of collar bone 12.08 NA NA 13.22 11.59 1.22 NA NA 26.52 24.89 090
23210.......... ............. A Removal of shoulder 12.49 NA NA 12.52 11.15 1.25 NA NA 26.26 24.89 090
blade.
23220.......... ............. A Partial removal of 14.56 NA NA 14.26 13.67 1.47 NA NA 30.29 29.70 090
humerus.
23221.......... ............. A Partial removal of 17.74 NA NA 13.19 16.44 1.26 NA NA 32.19 35.44 090
humerus.
23222.......... ............. A Partial removal of 23.92 NA NA 18.33 17.32 2.43 NA NA 44.68 43.67 090
humerus.
23330.......... ............. A Remove shoulder 1.85 4.44 2.52 3.20 1.75 0.18 6.47 4.55 5.23 3.78 010
foreign body.
23331.......... ............. A Remove shoulder 7.38 NA NA 8.31 5.38 0.76 NA NA 16.45 13.52 090
foreign body.
23332.......... ............. A Remove shoulder 11.62 NA NA 10.61 10.58 1.19 NA NA 23.42 23.39 090
foreign body.
23350.......... ............. A Injection for shoulder 1.00 8.70 4.63 0.28 0.42 0.04 9.74 5.67 1.32 1.46 000
x-ray.
23395.......... ............. A Muscle transfer, 16.85 NA NA 12.83 12.46 1.74 NA NA 31.42 31.05 090
shoulder/arm.
23397.......... ............. A Muscle transfers...... 16.13 NA NA 12.97 14.07 1.68 NA NA 30.78 31.88 090
23400.......... ............. A Fixation of shoulder 13.54 NA NA 13.77 12.23 1.42 NA NA 28.73 27.19 090
blade.
23405.......... ............. A Incision of tendon & 8.37 NA NA 9.72 8.93 0.86 NA NA 18.95 18.16 090
muscle.
23406.......... ............. A Incise tendon(s) & 10.79 NA NA 10.34 10.28 1.13 NA NA 22.26 22.20 090
muscle(s).
23410.......... ............. A Repair of tendon(s)... 12.45 NA NA 11.54 11.71 1.27 NA NA 25.26 25.43 090
23412.......... ............. A Repair of tendon(s)... 13.31 NA NA 12.03 13.27 1.36 NA NA 26.70 27.94 090
23415.......... ............. A Release of shoulder 9.97 NA NA 9.05 7.34 1.02 NA NA 20.04 18.33 090
ligament.
23420.......... ............. A Repair of shoulder.... 13.30 NA NA 12.78 14.33 1.36 NA NA 27.44 28.99 090
23430.......... ............. A Repair biceps tendon.. 9.98 NA NA 10.23 9.10 1.02 NA NA 21.23 20.10 090
23440.......... ............. A Remove/transplant 10.48 NA NA 10.30 9.04 1.08 NA NA 21.86 20.60 090
tendon.
23450.......... ............. A Repair shoulder 13.40 NA NA 11.63 12.74 1.37 NA NA 26.40 27.51 090
capsule.
23455.......... ............. A Repair shoulder 14.37 NA NA 12.34 14.62 1.47 NA NA 28.18 30.46 090
capsule.
23460.......... ............. A Repair shoulder 15.37 NA NA 12.88 14.08 1.56 NA NA 29.81 31.01 090
capsule.
23462.......... ............. A Repair shoulder 15.30 NA NA 12.83 14.63 1.50 NA NA 29.63 31.43 090
capsule.
23465.......... ............. A Repair shoulder 15.85 NA NA 13.21 14.29 1.63 NA NA 30.69 31.77 090
capsule.
23466.......... ............. A Repair shoulder 14.22 NA NA 12.21 14.59 1.47 NA NA 27.90 30.28 090
capsule.
23470.......... ............. A Reconstruct shoulder 17.15 NA NA 13.98 16.09 1.76 NA NA 32.89 35.00 090
joint.
23472.......... ............. A Reconstruct shoulder 16.92 NA NA 13.86 17.03 1.74 NA NA 32.52 35.69 090
joint.
23480.......... ............. A Revision of collar 11.18 NA NA 10.27 8.71 1.16 NA NA 22.61 21.05 090
bone.
23485.......... ............. A Revision of collar 13.43 NA NA 11.78 12.05 1.37 NA NA 26.58 26.85 090
bone.
23490.......... ............. A Reinforce clavicle.... 11.86 NA NA 10.12 10.48 1.24 NA NA 23.22 23.58 090
23491.......... ............. A Reinforce shoulder 14.21 NA NA 11.72 12.75 1.48 NA NA 27.41 28.44 090
bones.
23500.......... ............. A Treat clavicle 2.08 3.16 2.48 2.16 1.98 0.21 5.45 4.77 4.45 4.27 090
fracture.
23505.......... ............. A Treat clavicle 3.69 4.84 3.82 3.43 3.11 0.37 8.90 7.88 7.49 7.17 090
fracture.
23515.......... ............. A Treat clavicle 7.41 NA NA 7.40 7.46 0.76 NA NA 15.57 15.63 090
fracture.
23520.......... ............. A Treat clavicle 2.16 3.26 2.38 2.20 1.85 0.21 5.63 4.75 4.57 4.22 090
dislocation.
23525.......... ............. A Treat clavicle 3.60 4.45 3.30 3.32 2.74 0.37 8.42 7.27 7.29 6.71 090
dislocation.
[[Page 59453]]
23530.......... ............. A Treat clavicle 7.31 NA NA 6.69 6.92 0.74 NA NA 14.74 14.97 090
dislocation.
23532.......... ............. A Treat clavicle 8.01 NA NA 6.86 7.36 0.84 NA NA 15.71 16.21 090
dislocation.
23540.......... ............. A Treat clavicle 2.23 3.60 2.64 2.20 1.94 0.21 6.04 5.08 4.64 4.38 090
dislocation.
23545.......... ............. A Treat clavicle 3.25 4.19 3.17 3.10 2.63 0.32 7.76 6.74 6.67 6.20 090
dislocation.
23550.......... ............. A Treat clavicle 7.24 NA NA 7.28 7.96 0.73 NA NA 15.25 15.93 090
dislocation.
23552.......... ............. A Treat clavicle 8.45 NA NA 7.74 7.83 0.84 NA NA 17.03 17.12 090
dislocation.
23570.......... ............. A Treat shoulder blade 2.23 3.17 2.51 2.28 2.06 0.23 5.63 4.97 4.74 4.52 090
fx.
23575.......... ............. A Treat shoulder blade 4.06 5.10 4.04 3.84 3.41 0.41 9.57 8.51 8.31 7.88 090
fx.
23585.......... ............. A Treat scapula fracture 8.96 NA NA 8.66 8.51 0.92 NA NA 18.54 18.39 090
23600.......... ............. A Treat humerus fracture 2.93 4.83 3.99 3.21 3.18 0.30 8.06 7.22 6.44 6.41 090
23605.......... ............. A Treat humerus fracture 4.87 7.30 6.24 5.81 5.49 0.51 12.68 11.62 11.19 10.87 090
23615.......... ............. A Treat humerus fracture 9.35 NA NA 9.10 10.14 0.96 NA NA 19.41 20.45 090
23616.......... ............. A Treat humerus fracture 21.27 NA NA 14.98 19.60 2.19 NA NA 38.44 43.06 090
23620.......... ............. A Treat humerus fracture 2.40 4.54 3.84 3.00 2.22 0.25 7.19 6.49 5.65 4.87 090
23625.......... ............. A Treat humerus fracture 3.93 6.35 5.25 4.82 4.49 0.41 10.69 9.59 9.16 8.83 090
23630.......... ............. A Treat humerus fracture 7.35 NA NA 7.37 8.08 0.75 NA NA 15.47 16.18 090
23650.......... ............. A Treat shoulder 3.39 4.54 3.41 3.05 2.67 0.32 8.25 7.12 6.76 6.38 090
dislocation.
23655.......... ............. A Treat shoulder 4.57 NA NA 3.73 3.46 0.46 NA NA 8.76 8.49 090
dislocation.
23660.......... ............. A Treat shoulder 7.49 NA NA 7.08 8.01 0.69 NA NA 15.26 16.19 090
dislocation.
23665.......... ............. A Treat dislocation/ 4.47 6.51 5.08 5.10 4.37 0.46 11.44 10.01 10.03 9.30 090
fracture.
23670.......... ............. A Treat dislocation/ 7.90 NA NA 7.63 8.53 0.81 NA NA 16.34 17.24 090
fracture.
23675.......... ............. A Treat dislocation/ 6.05 7.38 5.83 5.93 5.10 0.62 14.05 12.50 12.60 11.77 090
fracture.
23680.......... ............. A Treat dislocation/ 10.06 NA NA 8.74 10.38 1.03 NA NA 19.83 21.47 090
fracture.
23700.......... ............. A Fixation of shoulder.. 2.52 NA NA 2.93 2.60 0.26 NA NA 5.71 5.38 010
23800.......... ............. A Fusion of shoulder 14.16 NA NA 13.11 15.01 1.41 NA NA 28.68 30.58 090
joint.
23802.......... ............. A Fusion of shoulder 16.60 NA NA 10.33 12.80 1.70 NA NA 28.63 31.10 090
joint.
23900.......... ............. A Amputation of arm & 19.72 NA NA 14.14 13.89 1.86 NA NA 35.72 35.47 090
girdle.
23920.......... ............. A Amputation at shoulder 14.61 NA NA 11.81 13.42 1.52 NA NA 27.94 29.55 090
joint.
23921.......... ............. A Amputation follow-up 5.49 5.99 5.31 5.96 5.30 0.50 11.98 11.30 11.95 11.29 090
surgery.
23929.......... ............. C Shoulder surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23930.......... ............. A Drainage of arm lesion 2.94 4.96 3.36 3.46 2.61 0.29 8.19 6.59 6.69 5.84 010
23931.......... ............. A Drainage of arm bursa. 1.79 4.62 2.72 2.99 1.70 0.17 6.58 4.68 4.95 3.66 010
23935.......... ............. A Drain arm/elbow bone 6.09 NA NA 10.32 7.71 0.62 NA NA 17.03 14.42 090
lesion.
24000.......... ............. A Exploratory elbow 5.82 NA NA 5.23 6.09 0.58 NA NA 11.63 12.49 090
surgery.
24006.......... ............. A Release elbow joint... 9.31 NA NA 7.76 7.76 0.96 NA NA 18.03 18.03 090
24065.......... ............. A Biopsy arm/elbow soft 2.08 4.83 2.85 2.77 1.60 0.11 7.02 5.04 4.96 3.79 010
tissue.
24066.......... ............. A Biopsy arm/elbow soft 5.21 7.18 5.06 5.75 4.35 0.55 12.94 10.82 11.51 10.11 090
tissue.
24075.......... ............. A Remove arm/elbow 3.92 6.71 4.43 5.08 3.62 0.38 11.01 8.73 9.38 7.92 090
lesion.
24076.......... ............. A Remove arm/elbow 6.30 NA NA 6.16 5.08 0.64 NA NA 13.10 12.02 090
lesion.
24077.......... ............. A Remove tumor of arm/ 11.76 NA NA 11.59 11.11 1.17 NA NA 24.52 24.04 090
elbow.
24100.......... ............. A Biopsy elbow joint 4.93 NA NA 5.86 5.23 0.46 NA NA 11.25 10.62 090
lining.
24101.......... ............. A Explore/treat elbow 6.13 NA NA 6.05 6.68 0.63 NA NA 12.81 13.44 090
joint.
24102.......... ............. A Remove elbow joint 8.03 NA NA 7.02 8.30 0.83 NA NA 15.88 17.16 090
lining.
24105.......... ............. A Removal of elbow bursa 3.61 NA NA 4.30 4.20 0.37 NA NA 8.28 8.18 090
24110.......... ............. A Remove humerus lesion. 7.39 NA NA 8.21 8.28 0.78 NA NA 16.38 16.45 090
24115.......... ............. A Remove/graft bone 9.63 NA NA 11.53 9.93 0.85 NA NA 22.01 20.41 090
lesion.
24116.......... ............. A Remove/graft bone 11.81 NA NA 10.57 10.56 1.20 NA NA 23.58 23.57 090
lesion.
24120.......... ............. A Remove elbow lesion... 6.65 NA NA 5.85 6.19 0.68 NA NA 13.18 13.52 090
24125.......... ............. A Remove/graft bone 7.89 NA NA 6.55 6.42 0.76 NA NA 15.20 15.07 090
lesion.
24126.......... ............. A Remove/graft bone 8.31 NA NA 6.84 7.44 0.87 NA NA 16.02 16.62 090
lesion.
24130.......... ............. A Removal of head of 6.25 NA NA 5.97 6.63 0.65 NA NA 12.87 13.53 090
radius.
24134.......... ............. A Removal of arm bone 9.73 NA NA 13.12 11.28 0.94 NA NA 23.79 21.95 090
lesion.
24136.......... ............. A Remove radius bone 7.99 NA NA 5.60 7.57 0.80 NA NA 14.39 16.36 090
lesion.
24138.......... ............. A Remove elbow bone 8.05 NA NA 6.95 6.94 0.84 NA NA 15.84 15.83 090
lesion.
24140.......... ............. A Partial removal of arm 9.18 NA NA 13.98 11.75 0.95 NA NA 24.11 21.88 090
bone.
24145.......... ............. A Partial removal of 7.58 NA NA 9.58 8.25 0.77 NA NA 17.93 16.60 090
radius.
24147.......... ............. A Partial removal of 7.54 NA NA 9.24 8.21 0.80 NA NA 17.58 16.55 090
elbow.
24149.......... ............. A Radical resection of 14.20 NA NA 10.60 12.16 1.46 NA NA 26.26 27.82 090
elbow.
24150.......... ............. A Extensive humerus 13.27 NA NA 12.97 14.13 1.34 NA NA 27.58 28.74 090
surgery.
24151.......... ............. A Extensive humerus 15.58 NA NA 13.68 14.35 1.50 NA NA 30.76 31.43 090
surgery.
24152.......... ............. A Extensive radius 10.06 NA NA 8.25 7.82 0.95 NA NA 19.26 18.83 090
surgery.
24153.......... ............. A Extensive radius 11.54 NA NA 6.78 9.06 0.67 NA NA 18.99 21.27 090
surgery.
24155.......... ............. A Removal of elbow joint 11.73 NA NA 8.82 10.25 1.18 NA NA 21.73 23.16 090
24160.......... ............. A Remove elbow joint 7.83 NA NA 6.79 6.02 0.78 NA NA 15.40 14.63 090
implant.
24164.......... ............. A Remove radius head 6.23 NA NA 5.85 5.93 0.65 NA NA 12.73 12.81 090
implant.
24200.......... ............. A Removal of arm foreign 1.76 4.49 2.55 2.69 1.50 0.14 6.39 4.45 4.59 3.40 010
body.
24201.......... ............. A Removal of arm foreign 4.56 7.05 5.19 5.77 4.55 0.48 12.09 10.23 10.81 9.59 090
body.
24220.......... ............. A Injection for elbow x- 1.31 10.17 5.36 0.37 0.46 0.07 11.55 6.74 1.75 1.84 000
ray.
24301.......... ............. A Muscle/tendon transfer 10.20 NA NA 8.44 8.51 1.04 NA NA 19.68 19.75 090
24305.......... ............. A Arm tendon lengthening 7.45 NA NA 6.57 4.96 0.75 NA NA 14.77 13.16 090
24310.......... ............. A Revision of arm tendon 5.98 NA NA 6.79 5.00 0.63 NA NA 13.40 11.61 090
24320.......... ............. A Repair of arm tendon.. 10.56 NA NA 9.85 9.92 0.98 NA NA 21.39 21.46 090
24330.......... ............. A Revision of arm 9.60 NA NA 7.65 8.57 1.03 NA NA 18.28 19.20 090
muscles.
24331.......... ............. A Revision of arm 10.65 NA NA 8.18 9.31 1.11 NA NA 19.94 21.07 090
muscles.
24340.......... ............. A Repair of biceps 7.89 NA NA 6.70 7.15 0.81 NA NA 15.40 15.85 090
tendon.
24341.......... ............. A Repair arm tendon/ 7.90 NA NA 6.86 7.23 0.82 NA NA 15.58 15.95 090
muscle.
24342.......... ............. A Repair of ruptured 10.62 NA NA 8.46 9.86 1.10 NA NA 20.18 21.58 090
tendon.
24350.......... ............. A Repair of tennis elbow 5.25 NA NA 5.24 4.92 0.54 NA NA 11.03 10.71 090
24351.......... ............. A Repair of tennis elbow 5.91 NA NA 5.71 5.34 0.62 NA NA 12.24 11.87 090
24352.......... ............. A Repair of tennis elbow 6.43 NA NA 6.23 6.21 0.66 NA NA 13.32 13.30 090
24354.......... ............. A Repair of tennis elbow 6.48 NA NA 6.15 6.12 0.68 NA NA 13.31 13.28 090
[[Page 59454]]
24356.......... ............. A Revision of tennis 6.68 NA NA 6.14 7.02 0.70 NA NA 13.52 14.40 090
elbow.
24360.......... ............. A Reconstruct elbow 12.34 NA NA 9.17 11.95 1.27 NA NA 22.78 25.56 090
joint.
24361.......... ............. A Reconstruct elbow 14.08 NA NA 9.90 12.08 1.46 NA NA 25.44 27.62 090
joint.
24362.......... ............. A Reconstruct elbow 14.99 NA NA 10.74 8.94 1.34 NA NA 27.07 25.27 090
joint.
24363.......... ............. A Replace elbow joint... 18.49 NA NA 12.73 17.40 1.91 NA NA 33.13 37.80 090
24365.......... ............. A Reconstruct head of 8.39 NA NA 7.27 7.72 0.87 NA NA 16.53 16.98 090
radius.
24366.......... ............. A Reconstruct head of 9.13 NA NA 7.57 9.24 0.95 NA NA 17.65 19.32 090
radius.
24400.......... ............. A Revision of humerus... 11.06 NA NA 11.50 10.33 1.13 NA NA 23.69 22.52 090
24410.......... ............. A Revision of humerus... 14.82 NA NA 12.33 13.79 1.37 NA NA 28.52 29.98 090
24420.......... ............. A Revision of humerus... 13.44 NA NA 14.52 13.94 1.36 NA NA 29.32 28.74 090
24430.......... ............. A Repair of humerus..... 12.81 NA NA 11.38 13.34 1.32 NA NA 25.51 27.47 090
24435.......... ............. A Repair humerus with 13.17 NA NA 12.48 14.11 1.36 NA NA 27.01 28.64 090
graft.
24470.......... ............. A Revision of elbow 8.74 NA NA 7.28 7.94 0.92 NA NA 16.94 17.60 090
joint.
24495.......... ............. A Decompression of 8.12 NA NA 9.44 7.84 0.91 NA NA 18.47 16.87 090
forearm.
24498.......... ............. A Reinforce humerus..... 11.92 NA NA 11.35 11.30 1.23 NA NA 24.50 24.45 090
24500.......... ............. A Treat humerus fracture 3.21 6.75 4.76 2.97 2.87 0.32 10.28 8.29 6.50 6.40 090
24505.......... ............. A Treat humerus fracture 5.17 9.99 7.44 6.03 5.46 0.53 15.69 13.14 11.73 11.16 090
24515.......... ............. A Treat humerus fracture 11.65 NA NA 10.18 10.33 1.16 NA NA 22.99 23.14 090
24516.......... ............. A Treat humerus fracture 11.65 NA NA 10.61 10.54 1.20 NA NA 23.46 23.39 090
24530.......... ............. A Treat humerus fracture 3.50 7.70 5.33 4.28 3.62 0.35 11.55 9.18 8.13 7.47 090
24535.......... ............. A Treat humerus fracture 6.87 10.08 7.67 6.07 5.67 0.72 17.67 15.26 13.66 13.26 090
24538.......... ............. A Treat humerus fracture 9.43 NA NA 9.20 8.93 0.96 NA NA 19.59 19.32 090
24545.......... ............. A Treat humerus fracture 10.46 NA NA 9.08 9.95 1.08 NA NA 20.62 21.49 090
24546.......... ............. A Treat humerus fracture 15.69 NA NA 12.41 11.62 1.62 NA NA 29.72 28.93 090
24560.......... ............. A Treat humerus fracture 2.80 6.54 4.44 2.77 2.56 0.28 9.62 7.52 5.85 5.64 090
24565.......... ............. A Treat humerus fracture 5.56 9.08 6.41 5.22 4.48 0.57 15.21 12.54 11.35 10.61 090
24566.......... ............. A Treat humerus fracture 7.79 NA NA 8.31 7.45 0.78 NA NA 16.88 16.02 090
24575.......... ............. A Treat humerus fracture 10.66 NA NA 7.66 8.06 1.10 NA NA 19.42 19.82 090
24576.......... ............. A Treat humerus fracture 2.86 6.31 4.33 2.86 2.60 0.29 9.46 7.48 6.01 5.75 090
24577.......... ............. A Treat humerus fracture 5.79 9.38 6.86 5.48 4.91 0.60 15.77 13.25 11.87 11.30 090
24579.......... ............. A Treat humerus fracture 11.60 NA NA 9.13 9.11 1.19 NA NA 21.92 21.90 090
24582.......... ............. A Treat humerus fracture 8.55 NA NA 9.10 8.14 0.88 NA NA 18.53 17.57 090
24586.......... ............. A Treat elbow fracture.. 15.21 NA NA 10.20 13.09 1.56 NA NA 26.97 29.86 090
24587.......... ............. A Treat elbow fracture.. 15.16 NA NA 9.96 12.43 1.46 NA NA 26.58 29.05 090
24600.......... ............. A Treat elbow 4.23 8.26 5.19 4.52 3.32 0.42 12.91 9.84 9.17 7.97 090
dislocation.
24605.......... ............. A Treat elbow 5.42 NA NA 4.36 3.43 0.56 NA NA 10.34 9.41 090
dislocation.
24615.......... ............. A Treat elbow 9.42 NA NA 7.13 8.61 0.98 NA NA 17.53 19.01 090
dislocation.
24620.......... ............. A Treat elbow fracture.. 6.98 NA NA 5.98 5.04 0.70 NA NA 13.66 12.72 090
24635.......... ............. A Treat elbow fracture.. 13.19 NA NA 19.27 15.64 1.37 NA NA 33.83 30.20 090
24640.......... ............. A Treat elbow 1.20 5.18 3.14 1.61 1.36 0.11 6.49 4.45 2.92 2.67 010
dislocation.
24650.......... ............. A Treat radius fracture. 2.16 6.23 4.34 2.55 1.89 0.22 8.61 6.72 4.93 4.27 090
24655.......... ............. A Treat radius fracture. 4.40 8.62 5.95 4.66 3.97 0.45 13.47 10.80 9.51 8.82 090
24665.......... ............. A Treat radius fracture. 8.14 NA NA 8.36 8.05 0.84 NA NA 17.34 17.03 090
24666.......... ............. A Treat radius fracture. 9.49 NA NA 9.02 10.09 0.98 NA NA 19.49 20.56 090
24670.......... ............. A Treat ulnar fracture.. 2.54 6.15 4.14 2.73 2.43 0.26 8.95 6.94 5.53 5.23 090
24675.......... ............. A Treat ulnar fracture.. 4.72 8.77 6.29 4.91 4.36 0.49 13.98 11.50 10.12 9.57 090
24685.......... ............. A Treat ulnar fracture.. 8.80 NA NA 8.69 8.91 0.91 NA NA 18.40 18.62 090
24800.......... ............. A Fusion of elbow joint. 11.20 NA NA 8.56 10.03 1.13 NA NA 20.89 22.36 090
24802.......... ............. A Fusion/graft of elbow 13.69 NA NA 10.33 11.78 1.37 NA NA 25.39 26.84 090
joint.
24900.......... ............. A Amputation of upper 9.60 NA NA 9.49 8.91 1.00 NA NA 20.09 19.51 090
arm.
24920.......... ............. A Amputation of upper 9.54 NA NA 10.32 8.84 0.95 NA NA 20.81 19.33 090
arm.
24925.......... ............. A Amputation follow-up 7.07 NA NA 7.69 7.25 0.71 NA NA 15.47 15.03 090
surgery.
24930.......... ............. A Amputation follow-up 10.25 NA NA 10.82 9.84 0.99 NA NA 22.06 21.08 090
surgery.
24931.......... ............. A Amputate upper arm & 12.72 NA NA 8.15 10.14 1.29 NA NA 22.16 24.15 090
implant.
24935.......... ............. A Revision of amputation 15.56 NA NA 11.18 13.03 1.58 NA NA 28.32 30.17 090
24940.......... ............. C Revision of upper arm. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
24999.......... ............. C Upper arm/elbow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
25000.......... ............. A Incision of tendon 3.38 NA NA 5.80 4.92 0.35 NA NA 9.53 8.65 090
sheath.
25020.......... ............. A Decompression of 5.92 NA NA 9.13 6.93 0.66 NA NA 15.71 13.51 090
forearm.
25023.......... ............. A Decompression of 12.96 NA NA 14.45 10.18 1.34 NA NA 28.75 24.48 090
forearm.
25028.......... ............. A Drainage of forearm 5.25 NA NA 8.56 5.40 0.53 NA NA 14.34 11.18 090
lesion.
25031.......... ............. A Drainage of forearm 4.14 NA NA 8.30 4.51 0.36 NA NA 12.80 9.01 090
bursa.
25035.......... ............. A Treat forearm bone 7.36 NA NA 13.04 9.94 0.74 NA NA 21.14 18.04 090
lesion.
25040.......... ............. A Explore/treat wrist 7.18 NA NA 7.72 6.95 0.74 NA NA 15.64 14.87 090
joint.
25065.......... ............. A Biopsy forearm soft 1.99 2.44 1.63 2.44 1.43 0.10 4.53 3.72 4.53 3.52 010
tissues.
25066.......... ............. A Biopsy forearm soft 4.13 NA NA 6.57 4.12 0.42 NA NA 11.12 8.67 090
tissues.
25075.......... ............. A Removal of forearm 3.74 NA NA 6.22 4.30 0.36 NA NA 10.32 8.40 090
lesion.
25076.......... ............. A Removal of forearm 4.92 NA NA 10.22 7.16 0.51 NA NA 15.65 12.59 090
lesion.
25077.......... ............. A Remove tumor, forearm/ 9.76 NA NA 12.85 11.03 0.97 NA NA 23.58 21.76 090
wrist.
25085.......... ............. A Incision of wrist 5.50 NA NA 8.41 6.71 0.57 NA NA 14.48 12.78 090
capsule.
25100.......... ............. A Biopsy of wrist joint. 3.90 NA NA 5.81 5.24 0.41 NA NA 10.12 9.55 090
25101.......... ............. A Explore/treat wrist 4.69 NA NA 6.40 6.00 0.49 NA NA 11.58 11.18 090
joint.
25105.......... ............. A Remove wrist joint 5.85 NA NA 8.97 7.98 0.60 NA NA 15.42 14.43 090
lining.
25107.......... ............. A Remove wrist joint 6.43 NA NA 9.07 7.40 0.67 NA NA 16.17 14.50 090
cartilage.
25110.......... ............. A Remove wrist tendon 3.92 NA NA 6.81 4.93 0.39 NA NA 11.12 9.24 090
lesion.
25111.......... ............. A Remove wrist tendon 3.39 NA NA 5.23 4.36 0.34 NA NA 8.96 8.09 090
lesion.
25112.......... ............. A Reremove wrist tendon 4.53 NA NA 6.02 5.03 0.47 NA NA 11.02 10.03 090
lesion.
25115.......... ............. A Remove wrist/forearm 8.82 NA NA 13.51 10.63 0.92 NA NA 23.25 20.37 090
lesion.
25116.......... ............. A Remove wrist/forearm 7.11 NA NA 12.46 10.48 0.74 NA NA 20.31 18.33 090
lesion.
25118.......... ............. A Excise wrist tendon 4.37 NA NA 6.29 5.76 0.46 NA NA 11.12 10.59 090
sheath.
25119.......... ............. A Partial removal of 6.04 NA NA 9.12 8.17 0.62 NA NA 15.78 14.83 090
ulna.
[[Page 59455]]
25120.......... ............. A Removal of forearm 6.10 NA NA 11.79 9.44 0.64 NA NA 18.53 16.18 090
lesion.
25125.......... ............. A Remove/graft forearm 7.48 NA NA 12.59 10.01 0.77 NA NA 20.84 18.26 090
lesion.
25126.......... ............. A Remove/graft forearm 7.55 NA NA 11.49 9.44 0.77 NA NA 19.81 17.76 090
lesion.
25130.......... ............. A Removal of wrist 5.26 NA NA 6.62 5.60 0.54 NA NA 12.42 11.40 090
lesion.
25135.......... ............. A Remove & graft wrist 6.89 NA NA 7.48 6.71 0.73 NA NA 15.10 14.33 090
lesion.
25136.......... ............. A Remove & graft wrist 5.97 NA NA 6.48 5.81 0.62 NA NA 13.07 12.40 090
lesion.
25145.......... ............. A Remove forearm bone 6.37 NA NA 11.88 9.17 0.66 NA NA 18.91 16.20 090
lesion.
25150.......... ............. A Partial removal of 7.09 NA NA 9.85 8.55 0.72 NA NA 17.66 16.36 090
ulna.
25151.......... ............. A Partial removal of 7.39 NA NA 12.50 9.37 0.77 NA NA 20.66 17.53 090
radius.
25170.......... ............. A Extensive forearm 11.09 NA NA 14.22 12.42 1.16 NA NA 26.47 24.67 090
surgery.
25210.......... ............. A Removal of wrist bone. 5.95 NA NA 7.05 6.18 0.62 NA NA 13.62 12.75 090
25215.......... ............. A Removal of wrist bones 7.89 NA NA 10.32 9.87 0.81 NA NA 19.02 18.57 090
25230.......... ............. A Partial removal of 5.23 NA NA 6.56 6.30 0.53 NA NA 12.32 12.06 090
radius.
25240.......... ............. A Partial removal of 5.17 NA NA 8.60 7.18 0.53 NA NA 14.30 12.88 090
ulna.
25246.......... ............. A Injection for wrist x- 1.45 8.81 4.68 0.40 0.47 0.06 10.32 6.19 1.91 1.98 000
ray.
25248.......... ............. A Remove forearm foreign 5.14 NA NA 8.97 5.67 0.51 NA NA 14.62 11.32 090
body.
25250.......... ............. A Removal of wrist 6.60 NA NA 7.34 6.73 0.68 NA NA 14.62 14.01 090
prosthesis.
25251.......... ............. A Removal of wrist 9.57 NA NA 12.36 10.66 0.98 NA NA 22.91 21.21 090
prosthesis.
25260.......... ............. A Repair forearm tendon/ 7.80 NA NA 13.24 9.12 0.81 NA NA 21.85 17.73 090
muscle.
25263.......... ............. A Repair forearm tendon/ 7.82 NA NA 14.42 10.34 0.81 NA NA 23.05 18.97 090
muscle.
25265.......... ............. A Repair forearm tendon/ 9.88 NA NA 14.96 11.79 1.02 NA NA 25.86 22.69 090
muscle.
25270.......... ............. A Repair forearm tendon/ 6.00 NA NA 12.30 7.98 0.62 NA NA 18.92 14.60 090
muscle.
25272.......... ............. A Repair forearm tendon/ 7.04 NA NA 12.82 8.28 0.74 NA NA 20.60 16.06 090
muscle.
25274.......... ............. A Repair forearm tendon/ 8.75 NA NA 13.79 10.49 0.91 NA NA 23.45 20.15 090
muscle.
25280.......... ............. A Revise wrist/forearm 7.22 NA NA 12.43 8.51 0.74 NA NA 20.39 16.47 090
tendon.
25290.......... ............. A Incise wrist/forearm 5.29 NA NA 13.83 8.26 0.55 NA NA 19.67 14.10 090
tendon.
25295.......... ............. A Release wrist/forearm 6.55 NA NA 12.25 7.78 0.68 NA NA 19.48 15.01 090
tendon.
25300.......... ............. A Fusion of tendons at 8.80 NA NA 9.37 8.68 0.87 NA NA 19.04 18.35 090
wrist.
25301.......... ............. A Fusion of tendons at 8.40 NA NA 8.58 7.97 0.83 NA NA 17.81 17.20 090
wrist.
25310.......... ............. A Transplant forearm 8.14 NA NA 13.62 10.69 0.84 NA NA 22.60 19.67 090
tendon.
25312.......... ............. A Transplant forearm 9.57 NA NA 14.64 11.46 0.98 NA NA 25.19 22.01 090
tendon.
25315.......... ............. A Revise palsy hand 10.20 NA NA 14.29 11.52 1.10 NA NA 25.59 22.82 090
tendon(s).
25316.......... ............. A Revise palsy hand 12.33 NA NA 16.10 13.79 1.23 NA NA 29.66 27.35 090
tendon(s).
25320.......... ............. A Repair/revise wrist 10.77 NA NA 10.24 9.79 1.11 NA NA 22.12 21.67 090
joint.
25332.......... ............. A Revise wrist joint.... 11.41 NA NA 10.48 10.66 1.16 NA NA 23.05 23.23 090
25335.......... ............. A Realignment of hand... 12.88 NA NA 12.16 12.27 1.36 NA NA 26.40 26.51 090
25337.......... ............. A Reconstruct ulna/ 10.17 NA NA 11.18 10.26 1.06 NA NA 22.41 21.49 090
radioulnar.
25350.......... ............. A Revision of radius.... 8.78 NA NA 13.85 11.06 0.91 NA NA 23.54 20.75 090
25355.......... ............. A Revision of radius.... 10.17 NA NA 13.76 11.83 1.05 NA NA 24.98 23.05 090
25360.......... ............. A Revision of ulna...... 8.43 NA NA 13.95 10.46 0.90 NA NA 23.28 19.79 090
25365.......... ............. A Revise radius & ulna.. 12.40 NA NA 16.87 14.03 1.20 NA NA 30.47 27.63 090
25370.......... ............. A Revise radius or ulna. 13.36 NA NA 13.09 12.93 1.30 NA NA 27.75 27.59 090
25375.......... ............. A Revise radius & ulna.. 13.04 NA NA 15.05 14.79 1.27 NA NA 29.36 29.10 090
25390.......... ............. A Shorten radius or ulna 10.40 NA NA 14.88 12.23 1.07 NA NA 26.35 23.70 090
25391.......... ............. A Lengthen radius or 13.65 NA NA 18.97 15.59 1.42 NA NA 34.04 30.66 090
ulna.
25392.......... ............. A Shorten radius & ulna. 13.95 NA NA 14.47 13.99 1.46 NA NA 29.88 29.40 090
25393.......... ............. A Lengthen radius & ulna 15.87 NA NA 16.54 15.98 1.62 NA NA 34.03 33.47 090
25400.......... ............. A Repair radius or ulna. 10.92 NA NA 14.74 13.22 1.13 NA NA 26.79 25.27 090
25405.......... ............. A Repair/graft radius or 14.38 NA NA 17.88 15.68 1.48 NA NA 33.74 31.54 090
ulna.
25415.......... ............. A Repair radius & ulna.. 13.35 NA NA 19.16 15.78 1.39 NA NA 33.90 30.52 090
25420.......... ............. A Repair/graft radius & 16.33 NA NA 18.64 17.30 1.69 NA NA 36.66 35.32 090
ulna.
25425.......... ............. A Repair/graft radius or 13.21 NA NA 21.63 17.34 1.33 NA NA 36.17 31.88 090
ulna.
25426.......... ............. A Repair/graft radius & 15.82 NA NA 16.66 14.69 1.33 NA NA 33.81 31.84 090
ulna.
25440.......... ............. A Repair/graft wrist 10.44 NA NA 9.46 9.64 1.09 NA NA 20.99 21.17 090
bone.
25441.......... ............. A Reconstruct wrist 12.90 NA NA 11.28 11.81 1.35 NA NA 25.53 26.06 090
joint.
25442.......... ............. A Reconstruct wrist 10.85 NA NA 10.92 9.29 1.13 NA NA 22.90 21.27 090
joint.
25443.......... ............. A Reconstruct wrist 10.39 NA NA 10.94 10.56 1.09 NA NA 22.42 22.04 090
joint.
25444.......... ............. A Reconstruct wrist 11.15 NA NA 11.23 11.12 1.16 NA NA 23.54 23.43 090
joint.
25445.......... ............. A Reconstruct wrist 9.69 NA NA 10.96 11.10 1.00 NA NA 21.65 21.79 090
joint.
25446.......... ............. A Wrist replacement..... 16.55 NA NA 13.82 16.79 1.70 NA NA 32.07 35.04 090
25447.......... ............. A Repair wrist joint(s). 10.37 NA NA 9.91 10.19 1.07 NA NA 21.35 21.63 090
25449.......... ............. A Remove wrist joint 14.49 NA NA 13.47 10.99 1.50 NA NA 29.46 26.98 090
implant.
25450.......... ............. A Revision of wrist 7.87 NA NA 11.63 9.78 0.65 NA NA 20.15 18.30 090
joint.
25455.......... ............. A Revision of wrist 9.49 NA NA 10.99 10.22 0.72 NA NA 21.20 20.43 090
joint.
25490.......... ............. A Reinforce radius...... 9.54 NA NA 12.91 11.17 0.99 NA NA 23.44 21.70 090
25491.......... ............. A Reinforce ulna........ 9.96 NA NA 13.86 11.87 1.04 NA NA 24.86 22.87 090
25492.......... ............. A Reinforce radius and 12.33 NA NA 13.76 12.96 1.29 NA NA 27.38 26.58 090
ulna.
25500.......... ............. A Treat fracture of 2.45 5.89 4.21 2.56 1.92 0.23 8.57 6.89 5.24 4.60 090
radius.
25505.......... ............. A Treat fracture of 5.21 8.97 6.42 5.02 4.45 0.53 14.71 12.16 10.76 10.19 090
radius.
25515.......... ............. A Treat fracture of 9.18 NA NA 8.92 8.60 0.86 NA NA 18.96 18.64 090
radius.
25520.......... ............. A Treat fracture of 6.26 9.24 7.74 5.65 5.94 0.64 16.14 14.64 12.55 12.84 090
radius.
25525.......... ............. A Treat fracture of 12.24 NA NA 10.74 11.42 1.28 NA NA 24.26 24.94 090
radius.
25526.......... ............. A Treat fracture of 12.98 NA NA 17.25 15.06 1.34 NA NA 31.57 29.38 090
radius.
25530.......... ............. A Treat fracture of ulna 2.09 5.92 4.29 2.51 1.88 0.21 8.22 6.59 4.81 4.18 090
25535.......... ............. A Treat fracture of ulna 5.14 8.80 6.34 5.11 4.49 0.51 14.45 11.99 10.76 10.14 090
25545.......... ............. A Treat fracture of ulna 8.90 NA NA 8.64 8.44 0.92 NA NA 18.46 18.26 090
25560.......... ............. A Treat fracture radius 2.44 5.95 4.21 2.59 2.53 0.23 8.62 6.88 5.26 5.20 090
& ulna.
25565.......... ............. A Treat fracture radius 5.63 9.36 7.21 5.19 5.13 0.57 15.56 13.41 11.39 11.33 090
& ulna.
25574.......... ............. A Treat fracture radius 7.01 NA NA 7.62 8.00 0.73 NA NA 15.36 15.74 090
& ulna.
25575.......... ............. A Treat fracture radius/ 10.45 NA NA 9.59 10.60 1.08 NA NA 21.12 22.13 090
ulna.
25600.......... ............. A Treat fracture radius/ 2.63 6.22 4.65 2.74 2.14 0.27 9.12 7.55 5.64 5.04 090
ulna.
[[Page 59456]]
25605.......... ............. A Treat fracture radius/ 5.81 9.47 6.88 5.48 4.89 0.60 15.88 13.29 11.89 11.30 090
ulna.
25611.......... ............. A Treat fracture radius/ 7.77 NA NA 8.46 7.49 0.80 NA NA 17.03 16.06 090
ulna.
25620.......... ............. A Treat fracture radius/ 8.55 NA NA 8.34 8.04 0.88 NA NA 17.77 17.47 090
ulna.
25622.......... ............. A Treat wrist bone 2.61 6.19 4.33 2.72 1.98 0.27 9.07 7.21 5.60 4.86 090
fracture.
25624.......... ............. A Treat wrist bone 4.53 8.75 6.37 4.70 3.35 0.47 13.75 11.37 9.70 8.35 090
fracture.
25628.......... ............. A Treat wrist bone 8.43 NA NA 8.39 8.07 0.89 NA NA 17.71 17.39 090
fracture.
25630.......... ............. A Treat wrist bone 2.88 6.33 4.36 2.71 1.95 0.29 9.50 7.53 5.88 5.12 090
fracture.
25635.......... ............. A Treat wrist bone 4.39 8.59 6.12 4.51 3.17 0.45 13.43 10.96 9.35 8.01 090
fracture.
25645.......... ............. A Treat wrist bone 7.25 NA NA 7.71 7.48 0.75 NA NA 15.71 15.48 090
fracture.
25650.......... ............. A Treat wrist bone 3.05 6.35 4.62 2.94 2.20 0.31 9.71 7.98 6.30 5.56 090
fracture.
25660.......... ............. A Treat wrist 4.76 NA NA 4.74 3.36 0.48 NA NA 9.98 8.60 090
dislocation.
25670.......... ............. A Treat wrist 7.92 NA NA 8.07 7.88 0.82 NA NA 16.81 16.62 090
dislocation.
25675.......... ............. A Treat wrist 4.67 8.28 5.38 4.77 3.62 0.47 13.42 10.52 9.91 8.76 090
dislocation.
25676.......... ............. A Treat wrist 8.04 NA NA 8.06 8.00 0.81 NA NA 16.91 16.85 090
dislocation.
25680.......... ............. A Treat wrist fracture.. 5.99 NA NA 5.71 4.18 0.53 NA NA 12.23 10.70 090
25685.......... ............. A Treat wrist fracture.. 9.78 NA NA 9.27 9.41 0.98 NA NA 20.03 20.17 090
25690.......... ............. A Treat wrist 5.50 NA NA 6.10 5.71 0.56 NA NA 12.16 11.77 090
dislocation.
25695.......... ............. A Treat wrist 8.34 NA NA 8.37 8.01 0.87 NA NA 17.58 17.22 090
dislocation.
25800.......... ............. A Fusion of wrist joint. 9.76 NA NA 9.53 10.60 1.00 NA NA 20.29 21.36 090
25805.......... ............. A Fusion/graft of wrist 11.28 NA NA 10.60 12.04 1.17 NA NA 23.05 24.49 090
joint.
25810.......... ............. A Fusion/graft of wrist 10.57 NA NA 9.88 11.25 1.08 NA NA 21.53 22.90 090
joint.
25820.......... ............. A Fusion of hand bones.. 7.45 NA NA 8.22 8.56 0.74 NA NA 16.41 16.75 090
25825.......... ............. A Fuse hand bones with 9.27 NA NA 9.18 10.13 0.95 NA NA 19.40 20.35 090
graft.
25830.......... ............. A Fusion, radioulnar jnt/ 10.06 NA NA 13.53 11.43 1.03 NA NA 24.62 22.52 090
ulna.
25900.......... ............. A Amputation of forearm. 9.01 NA NA 11.99 9.84 0.95 NA NA 21.95 19.80 090
25905.......... ............. A Amputation of forearm. 9.12 NA NA 13.04 10.38 0.95 NA NA 23.11 20.45 090
25907.......... ............. A Amputation follow-up 7.80 NA NA 12.86 9.55 0.82 NA NA 21.48 18.17 090
surgery.
25909.......... ............. A Amputation follow-up 8.96 NA NA 12.73 9.38 0.96 NA NA 22.65 19.30 090
surgery.
25915.......... ............. A Amputation of forearm. 17.08 NA NA 14.24 15.71 1.83 NA NA 33.15 34.62 090
25920.......... ............. A Amputate hand at wrist 8.68 NA NA 8.24 7.92 0.92 NA NA 17.84 17.52 090
25922.......... ............. A Amputate hand at wrist 7.42 NA NA 8.04 7.03 0.77 NA NA 16.23 15.22 090
25924.......... ............. A Amputation follow-up 8.46 NA NA 8.61 8.38 0.61 NA NA 17.68 17.45 090
surgery.
25927.......... ............. A Amputation of hand.... 8.80 NA NA 11.44 9.14 0.93 NA NA 21.17 18.87 090
25929.......... ............. A Amputation follow-up 7.59 NA NA 7.50 6.32 0.76 NA NA 15.85 14.67 090
surgery.
25931.......... ............. A Amputation follow-up 7.81 NA NA 13.63 9.28 0.79 NA NA 22.23 17.88 090
surgery.
25999.......... ............. C Forearm or wrist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26010.......... ............. A Drainage of finger 1.54 4.36 2.44 3.16 1.71 0.12 6.02 4.10 4.82 3.37 010
abscess.
26011.......... ............. A Drainage of finger 2.19 5.79 3.73 4.88 3.28 0.22 8.20 6.14 7.29 5.69 010
abscess.
26020.......... ............. A Drain hand tendon 4.67 NA NA 9.73 6.89 0.49 NA NA 14.89 12.05 090
sheath.
26025.......... ............. A Drainage of palm bursa 4.82 NA NA 9.83 7.36 0.50 NA NA 15.15 12.68 090
26030.......... ............. A Drainage of palm 5.93 NA NA 10.46 8.34 0.62 NA NA 17.01 14.89 090
bursa(s).
26034.......... ............. A Treat hand bone lesion 6.23 NA NA 11.65 8.12 0.64 NA NA 18.52 14.99 090
26035.......... ............. A Decompress fingers/ 9.51 NA NA 13.52 9.57 0.97 NA NA 24.00 20.05 090
hand.
26037.......... ............. A Decompress fingers/ 7.25 NA NA 10.26 8.59 0.75 NA NA 18.26 16.59 090
hand.
26040.......... ............. A Release palm 3.33 NA NA 9.42 6.26 0.34 NA NA 13.09 9.93 090
contracture.
26045.......... ............. A Release palm 5.56 NA NA 10.72 7.98 0.57 NA NA 16.85 14.11 090
contracture.
26055.......... ............. A Incise finger tendon 2.69 6.10 4.83 5.85 4.71 0.28 9.07 7.80 8.82 7.68 090
sheath.
26060.......... ............. A Incision of finger 2.81 NA NA 6.07 3.65 0.30 NA NA 9.18 6.76 090
tendon.
26070.......... ............. A Explore/treat hand 3.69 NA NA 8.97 5.24 0.32 NA NA 12.98 9.25 090
joint.
26075.......... ............. A Explore/treat finger 3.79 NA NA 9.44 6.77 0.35 NA NA 13.58 10.91 090
joint.
26080.......... ............. A Explore/treat finger 4.24 NA NA 9.96 6.69 0.43 NA NA 14.63 11.36 090
joint.
26100.......... ............. A Biopsy hand joint 3.67 NA NA 6.79 5.02 0.36 NA NA 10.82 9.05 090
lining.
26105.......... ............. A Biopsy finger joint 3.71 NA NA 9.88 7.21 0.38 NA NA 13.97 11.30 090
lining.
26110.......... ............. A Biopsy finger joint 3.53 NA NA 9.29 6.24 0.36 NA NA 13.18 10.13 090
lining.
26115.......... ............. A Removal of hand lesion 3.86 6.17 4.18 6.17 4.18 0.39 10.42 8.43 10.42 8.43 090
26116.......... ............. A Removal of hand lesion 5.53 NA NA 10.62 7.33 0.57 NA NA 16.72 13.43 090
26117.......... ............. A Remove tumor, hand/ 8.55 NA NA 12.26 8.88 0.88 NA NA 21.69 18.31 090
finger.
26121.......... ............. A Release palm 7.54 NA NA 12.24 10.62 0.78 NA NA 20.56 18.94 090
contracture.
26123.......... ............. A Release palm 9.29 NA NA 13.19 11.54 0.97 NA NA 23.45 21.80 090
contracture.
26125.......... ............. A Release palm 4.61 NA NA 2.50 2.67 0.49 NA NA 7.60 7.77 ZZZ
contracture.
26130.......... ............. A Remove wrist joint 5.42 NA NA 11.89 8.67 0.56 NA NA 17.87 14.65 090
lining.
26135.......... ............. A Revise finger joint, 6.96 NA NA 13.28 9.28 0.73 NA NA 20.97 16.97 090
each.
26140.......... ............. A Revise finger joint, 6.17 NA NA 12.39 8.59 0.64 NA NA 19.20 15.40 090
each.
26145.......... ............. A Tendon excision, palm/ 6.32 NA NA 12.67 8.89 0.66 NA NA 19.65 15.87 090
finger.
26160.......... ............. A Remove tendon sheath 3.15 6.10 4.31 6.03 4.28 0.32 9.57 7.78 9.50 7.75 090
lesion.
26170.......... ............. A Removal of palm 4.77 NA NA 6.99 5.03 0.53 NA NA 12.29 10.33 090
tendon, each.
26180.......... ............. A Removal of finger 5.18 NA NA 7.27 5.81 0.55 NA NA 13.00 11.54 090
tendon.
26185.......... ............. A Remove finger bone.... 5.25 NA NA 7.06 5.83 0.54 NA NA 12.85 11.62 090
26200.......... ............. A Remove hand bone 5.51 NA NA 10.76 7.81 0.56 NA NA 16.83 13.88 090
lesion.
26205.......... ............. A Remove/graft bone 7.70 NA NA 11.85 9.40 0.81 NA NA 20.36 17.91 090
lesion.
26210.......... ............. A Removal of finger 5.15 NA NA 10.94 7.59 0.53 NA NA 16.62 13.27 090
lesion.
26215.......... ............. A Remove/graft finger 7.10 NA NA 11.70 8.86 0.66 NA NA 19.46 16.62 090
lesion.
26230.......... ............. A Partial removal of 6.33 NA NA 10.45 7.54 0.66 NA NA 17.44 14.53 090
hand bone.
26235.......... ............. A Partial removal, 6.19 NA NA 9.86 7.20 0.65 NA NA 16.70 14.04 090
finger bone.
26236.......... ............. A Partial removal, 5.32 NA NA 9.65 6.92 0.55 NA NA 15.52 12.79 090
finger bone.
26250.......... ............. A Extensive hand surgery 7.55 NA NA 13.89 10.20 0.75 NA NA 22.19 18.50 090
26255.......... ............. A Extensive hand surgery 12.43 NA NA 16.86 13.28 1.19 NA NA 30.48 26.90 090
26260.......... ............. A Extensive finger 7.03 NA NA 12.72 9.47 0.72 NA NA 20.47 17.22 090
surgery.
26261.......... ............. A Extensive finger 9.09 NA NA 15.25 11.81 0.66 NA NA 25.00 21.56 090
surgery.
26262.......... ............. A Partial removal of 5.67 NA NA 11.30 8.23 0.59 NA NA 17.56 14.49 090
finger.
26320.......... ............. A Removal of implant 3.98 NA NA 9.96 6.90 0.41 NA NA 14.35 11.29 090
from hand.
[[Page 59457]]
26350.......... ............. A Repair finger/hand 5.99 NA NA 15.17 10.70 0.62 NA NA 21.78 17.31 090
tendon.
26352.......... ............. A Repair/graft hand 7.68 NA NA 16.81 11.99 0.80 NA NA 25.29 20.47 090
tendon.
26356.......... ............. A Repair finger/hand 8.07 NA NA 16.30 12.06 0.85 NA NA 25.22 20.98 090
tendon.
26357.......... ............. A Repair finger/hand 8.58 NA NA 16.28 11.71 0.89 NA NA 25.75 21.18 090
tendon.
26358.......... ............. A Repair/graft hand 9.14 NA NA 16.29 12.16 0.95 NA NA 26.38 22.25 090
tendon.
26370.......... ............. A Repair finger/hand 7.11 NA NA 15.70 11.49 0.74 NA NA 23.55 19.34 090
tendon.
26372.......... ............. A Repair/graft hand 8.76 NA NA 16.71 11.82 0.90 NA NA 26.37 21.48 090
tendon.
26373.......... ............. A Repair finger/hand 8.16 NA NA 15.64 11.54 0.84 NA NA 24.64 20.54 090
tendon.
26390.......... ............. A Revise hand/finger 9.19 NA NA 13.18 10.91 0.95 NA NA 23.32 21.05 090
tendon.
26392.......... ............. A Repair/graft hand 10.26 NA NA 20.11 14.73 1.07 NA NA 31.44 26.06 090
tendon.
26410.......... ............. A Repair hand tendon.... 4.63 NA NA 12.14 7.86 0.48 NA NA 17.25 12.97 090
26412.......... ............. A Repair/graft hand 6.31 NA NA 13.47 10.00 0.66 NA NA 20.44 16.97 090
tendon.
26415.......... ............. A Excision, hand/finger 8.34 NA NA 12.95 10.14 0.74 NA NA 22.03 19.22 090
tendon.
26416.......... ............. A Graft hand or finger 9.37 NA NA 22.26 15.82 0.96 NA NA 32.59 26.15 090
tendon.
26418.......... ............. A Repair finger tendon.. 4.25 NA NA 12.21 8.05 0.44 NA NA 16.90 12.74 090
26420.......... ............. A Repair/graft finger 6.77 NA NA 15.68 10.92 0.70 NA NA 23.15 18.39 090
tendon.
26426.......... ............. A Repair finger/hand 6.15 NA NA 12.86 9.86 0.64 NA NA 19.65 16.65 090
tendon.
26428.......... ............. A Repair/graft finger 7.21 NA NA 14.86 10.42 0.74 NA NA 22.81 18.37 090
tendon.
26432.......... ............. A Repair finger tendon.. 4.02 NA NA 10.07 5.89 0.42 NA NA 14.51 10.33 090
26433.......... ............. A Repair finger tendon.. 4.56 NA NA 10.76 7.52 0.48 NA NA 15.80 12.56 090
26434.......... ............. A Repair/graft finger 6.09 NA NA 11.03 8.20 0.61 NA NA 17.73 14.90 090
tendon.
26437.......... ............. A Realignment of tendons 5.82 NA NA 10.95 7.68 0.61 NA NA 17.38 14.11 090
26440.......... ............. A Release palm/finger 5.02 NA NA 14.09 8.98 0.53 NA NA 19.64 14.53 090
tendon.
26442.......... ............. A Release palm & finger 8.16 NA NA 15.68 9.67 0.85 NA NA 24.69 18.68 090
tendon.
26445.......... ............. A Release hand/finger 4.31 NA NA 13.87 8.70 0.45 NA NA 18.63 13.46 090
tendon.
26449.......... ............. A Release forearm/hand 7.00 NA NA 14.65 10.35 0.74 NA NA 22.39 18.09 090
tendon.
26450.......... ............. A Incision of palm 3.67 NA NA 6.58 4.53 0.38 NA NA 10.63 8.58 090
tendon.
26455.......... ............. A Incision of finger 3.64 NA NA 6.47 4.26 0.38 NA NA 10.49 8.28 090
tendon.
26460.......... ............. A Incise hand/finger 3.46 NA NA 6.22 4.05 0.36 NA NA 10.04 7.87 090
tendon.
26471.......... ............. A Fusion of finger 5.73 NA NA 10.55 7.53 0.59 NA NA 16.87 13.85 090
tendons.
26474.......... ............. A Fusion of finger 5.32 NA NA 10.81 7.91 0.55 NA NA 16.68 13.78 090
tendons.
26476.......... ............. A Tendon lengthening.... 5.18 NA NA 10.62 6.88 0.52 NA NA 16.32 12.58 090
26477.......... ............. A Tendon shortening..... 5.15 NA NA 10.65 7.49 0.53 NA NA 16.33 13.17 090
26478.......... ............. A Lengthening of hand 5.80 NA NA 11.23 7.95 0.60 NA NA 17.63 14.35 090
tendon.
26479.......... ............. A Shortening of hand 5.74 NA NA 11.23 8.49 0.60 NA NA 17.57 14.83 090
tendon.
26480.......... ............. A Transplant hand tendon 6.69 NA NA 14.87 10.98 0.70 NA NA 22.26 18.37 090
26483.......... ............. A Transplant/graft hand 8.29 NA NA 17.30 13.26 0.86 NA NA 26.45 22.41 090
tendon.
26485.......... ............. A Transplant palm tendon 7.70 NA NA 16.49 11.77 0.79 NA NA 24.98 20.26 090
26489.......... ............. A Transplant/graft palm 9.55 NA NA 13.45 8.57 0.86 NA NA 23.86 18.98 090
tendon.
26490.......... ............. A Revise thumb tendon... 8.41 NA NA 12.40 10.44 0.88 NA NA 21.69 19.73 090
26492.......... ............. A Tendon transfer with 9.62 NA NA 13.48 11.49 0.95 NA NA 24.05 22.06 090
graft.
26494.......... ............. A Hand tendon/muscle 8.47 NA NA 16.33 12.12 0.90 NA NA 25.70 21.49 090
transfer.
26496.......... ............. A Revise thumb tendon... 9.59 NA NA 12.49 10.98 1.00 NA NA 23.08 21.57 090
26497.......... ............. A Finger tendon transfer 9.57 NA NA 13.21 10.96 0.96 NA NA 23.74 21.49 090
26498.......... ............. A Finger tendon transfer 14.00 NA NA 16.17 14.48 1.45 NA NA 31.62 29.93 090
26499.......... ............. A Revision of finger.... 8.98 NA NA 14.46 11.44 0.81 NA NA 24.25 21.23 090
26500.......... ............. A Hand tendon 5.96 NA NA 11.42 7.61 0.62 NA NA 18.00 14.19 090
reconstruction.
26502.......... ............. A Hand tendon 7.14 NA NA 11.07 8.40 0.71 NA NA 18.92 16.25 090
reconstruction.
26504.......... ............. A Hand tendon 7.47 NA NA 10.89 9.09 0.74 NA NA 19.10 17.30 090
reconstruction.
26508.......... ............. A Release thumb 6.01 NA NA 11.40 7.95 0.62 NA NA 18.03 14.58 090
contracture.
26510.......... ............. A Thumb tendon transfer. 5.43 NA NA 10.83 7.67 0.56 NA NA 16.82 13.66 090
26516.......... ............. A Fusion of knuckle 7.15 NA NA 11.57 8.04 0.74 NA NA 19.46 15.93 090
joint.
26517.......... ............. A Fusion of knuckle 8.83 NA NA 13.32 10.50 0.90 NA NA 23.05 20.23 090
joints.
26518.......... ............. A Fusion of knuckle 9.02 NA NA 12.86 9.97 0.94 NA NA 22.82 19.93 090
joints.
26520.......... ............. A Release knuckle 5.30 NA NA 14.10 9.48 0.55 NA NA 19.95 15.33 090
contracture.
26525.......... ............. A Release finger 5.33 NA NA 14.22 9.09 0.55 NA NA 20.10 14.97 090
contracture.
26530.......... ............. A Revise knuckle joint.. 6.69 NA NA 16.09 10.85 0.68 NA NA 23.46 18.22 090
26531.......... ............. A Revise knuckle with 7.91 NA NA 15.97 11.60 0.82 NA NA 24.70 20.33 090
implant.
26535.......... ............. A Revise finger joint... 5.24 NA NA 8.30 6.78 0.39 NA NA 13.93 12.41 090
26536.......... ............. A Revise/implant finger 6.37 NA NA 13.37 10.49 0.64 NA NA 20.38 17.50 090
joint.
26540.......... ............. A Repair hand joint..... 6.43 NA NA 11.58 9.40 0.67 NA NA 18.68 16.50 090
26541.......... ............. A Repair hand joint with 8.62 NA NA 13.40 11.55 0.88 NA NA 22.90 21.05 090
graft.
26542.......... ............. A Repair hand joint with 6.78 NA NA 11.42 8.79 0.71 NA NA 18.91 16.28 090
graft.
26545.......... ............. A Reconstruct finger 6.92 NA NA 11.82 8.77 0.73 NA NA 19.47 16.42 090
joint.
26546.......... ............. A Repair nonunion hand.. 8.92 NA NA 13.21 11.01 0.93 NA NA 23.06 20.86 090
26548.......... ............. A Reconstruct finger 8.03 NA NA 12.84 9.56 0.84 NA NA 21.71 18.43 090
joint.
26550.......... ............. A Construct thumb 21.24 NA NA 16.14 18.82 2.24 NA NA 39.62 42.30 090
replacement.
26551.......... ............. A Great toe-hand 46.58 NA NA 28.30 37.08 4.99 NA NA 79.87 88.65 090
transfer.
26553.......... ............. A Single transfer, toe- 46.27 NA NA 27.81 36.68 4.95 NA NA 79.03 87.90 090
hand.
26554.......... ............. A Double transfer, toe- 54.95 NA NA 31.16 42.75 5.74 NA NA 91.85 103.44 090
hand.
26555.......... ............. A Positional change of 16.63 NA NA 17.80 17.26 1.73 NA NA 36.16 35.62 090
finger.
26556.......... ............. A Toe joint transfer.... 47.26 NA NA 31.11 38.71 5.06 NA NA 83.43 91.03 090
26560.......... ............. A Repair of web finger.. 5.38 NA NA 9.32 7.19 0.53 NA NA 15.23 13.10 090
26561.......... ............. A Repair of web finger.. 10.92 NA NA 14.72 12.19 1.13 NA NA 26.77 24.24 090
26562.......... ............. A Repair of web finger.. 9.68 NA NA 13.27 12.42 1.02 NA NA 23.97 23.12 090
26565.......... ............. A Correct metacarpal 6.74 NA NA 12.00 9.16 0.70 NA NA 19.44 16.60 090
flaw.
26567.......... ............. A Correct finger 6.82 NA NA 11.38 8.01 0.71 NA NA 18.91 15.54 090
deformity.
26568.......... ............. A Lengthen metacarpal/ 9.08 NA NA 16.44 12.81 0.91 NA NA 26.43 22.80 090
finger.
26580.......... ............. A Repair hand deformity. 18.18 NA NA 14.34 16.34 1.51 NA NA 34.03 36.03 090
26585.......... ............. A Repair finger 14.05 NA NA 11.86 12.96 0.84 NA NA 26.75 27.85 090
deformity.
26587.......... ............. C Reconstruct extra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
finger.
[[Page 59458]]
26590.......... ............. A Repair finger 17.96 NA NA 15.57 16.81 1.79 NA NA 35.32 36.56 090
deformity.
26591.......... ............. A Repair muscles of hand 3.25 NA NA 9.92 6.21 0.34 NA NA 13.51 9.80 090
26593.......... ............. A Release muscles of 5.31 NA NA 10.46 7.47 0.55 NA NA 16.32 13.33 090
hand.
26596.......... ............. A Excision constricting 8.95 NA NA 8.17 8.56 0.87 NA NA 17.99 18.38 090
tissue.
26597.......... ............. A Release of scar 9.82 NA NA 13.61 11.16 1.03 NA NA 24.46 22.01 090
contracture.
26600.......... ............. A Treat metacarpal 1.96 5.84 3.76 2.48 1.66 0.20 8.00 5.92 4.64 3.82 090
fracture.
26605.......... ............. A Treat metacarpal 2.85 7.44 4.97 3.73 2.49 0.30 10.59 8.12 6.88 5.64 090
fracture.
26607.......... ............. A Treat metacarpal 5.36 NA NA 6.97 5.41 0.55 NA NA 12.88 11.32 090
fracture.
26608.......... ............. A Treat metacarpal 5.36 NA NA 6.90 5.38 0.56 NA NA 12.82 11.30 090
fracture.
26615.......... ............. A Treat metacarpal 5.33 NA NA 6.60 5.95 0.55 NA NA 12.48 11.83 090
fracture.
26641.......... ............. A Treat thumb 3.94 7.74 4.47 4.35 2.78 0.37 12.05 8.78 8.66 7.09 090
dislocation.
26645.......... ............. A Treat thumb fracture.. 4.41 8.57 5.48 4.60 3.50 0.42 13.40 10.31 9.43 8.33 090
26650.......... ............. A Treat thumb fracture.. 5.72 NA NA 7.24 5.80 0.59 NA NA 13.55 12.11 090
26665.......... ............. A Treat thumb fracture.. 7.60 NA NA 7.78 7.36 0.78 NA NA 16.16 15.74 090
26670.......... ............. A Treat hand dislocation 3.69 7.67 4.36 4.22 2.63 0.35 11.71 8.40 8.26 6.67 090
26675.......... ............. A Treat hand dislocation 4.64 7.84 6.28 3.77 4.24 0.47 12.95 11.39 8.88 9.35 090
26676.......... ............. A Pin hand dislocation.. 5.52 NA NA 7.52 6.40 0.57 NA NA 13.61 12.49 090
26685.......... ............. A Treat hand dislocation 6.98 NA NA 7.41 6.83 0.72 NA NA 15.11 14.53 090
26686.......... ............. A Treat hand dislocation 7.94 NA NA 7.91 7.38 0.81 NA NA 16.66 16.13 090
26700.......... ............. A Treat knuckle 3.69 4.20 2.58 2.56 1.76 0.35 8.24 6.62 6.60 5.80 090
dislocation.
26705.......... ............. A Treat knuckle 4.19 7.30 4.62 3.80 2.87 0.41 11.90 9.22 8.40 7.47 090
dislocation.
26706.......... ............. A Pin knuckle 5.12 NA NA 4.95 5.02 0.53 NA NA 10.60 10.67 090
dislocation.
26715.......... ............. A Treat knuckle 5.74 NA NA 6.73 5.61 0.60 NA NA 13.07 11.95 090
dislocation.
26720.......... ............. A Treat finger fracture, 1.66 2.50 1.85 1.44 1.02 0.16 4.32 3.67 3.26 2.84 090
each.
26725.......... ............. A Treat finger fracture, 3.33 4.31 2.99 2.80 1.82 0.34 7.98 6.66 6.47 5.49 090
each.
26727.......... ............. A Treat finger fracture, 5.23 NA NA 7.08 4.87 0.54 NA NA 12.85 10.64 090
each.
26735.......... ............. A Treat finger fracture, 5.98 NA NA 6.97 5.51 0.61 NA NA 13.56 12.10 090
each.
26740.......... ............. A Treat finger fracture, 1.94 3.06 2.16 2.15 1.39 0.19 5.19 4.29 4.28 3.52 090
each.
26742.......... ............. A Treat finger fracture, 3.85 8.25 5.20 4.44 3.30 0.39 12.49 9.44 8.68 7.54 090
each.
26746.......... ............. A Treat finger fracture, 5.81 NA NA 6.92 6.04 0.61 NA NA 13.34 12.46 090
each.
26750.......... ............. A Treat finger fracture, 1.70 2.92 1.91 2.01 1.46 0.16 4.78 3.77 3.87 3.32 090
each.
26755.......... ............. A Treat finger fracture, 3.10 4.12 2.65 2.58 1.88 0.31 7.53 6.06 5.99 5.29 090
each.
26756.......... ............. A Pin finger fracture, 4.39 NA NA 6.67 4.37 0.46 NA NA 11.52 9.22 090
each.
26765.......... ............. A Treat finger fracture, 4.17 NA NA 6.00 4.45 0.43 NA NA 10.60 9.05 090
each.
26770.......... ............. A Treat finger 3.02 4.03 2.43 2.35 1.59 0.29 7.34 5.74 5.66 4.90 090
dislocation.
26775.......... ............. A Treat finger 3.71 7.16 4.20 3.40 2.32 0.37 11.24 8.28 7.48 6.40 090
dislocation.
26776.......... ............. A Pin finger dislocation 4.80 NA NA 6.85 4.56 0.51 NA NA 12.16 9.87 090
26785.......... ............. A Treat finger 4.21 NA NA 6.03 4.63 0.44 NA NA 10.68 9.28 090
dislocation.
26820.......... ............. A Thumb fusion with 8.26 NA NA 13.37 10.30 0.86 NA NA 22.49 19.42 090
graft.
26841.......... ............. A Fusion of thumb....... 7.13 NA NA 11.93 9.32 0.74 NA NA 19.80 17.19 090
26842.......... ............. A Thumb fusion with 8.24 NA NA 13.45 11.38 0.85 NA NA 22.54 20.47 090
graft.
26843.......... ............. A Fusion of hand joint.. 7.61 NA NA 12.71 9.81 0.76 NA NA 21.08 18.18 090
26844.......... ............. A Fusion/graft of hand 8.73 NA NA 12.58 10.28 0.88 NA NA 22.19 19.89 090
joint.
26850.......... ............. A Fusion of knuckle..... 6.97 NA NA 11.57 8.30 0.73 NA NA 19.27 16.00 090
26852.......... ............. A Fusion of knuckle with 8.46 NA NA 12.81 9.51 0.88 NA NA 22.15 18.85 090
graft.
26860.......... ............. A Fusion of finger joint 4.69 NA NA 10.23 7.45 0.49 NA NA 15.41 12.63 090
26861.......... ............. A Fusion of finger jnt, 1.74 NA NA 0.94 1.51 0.18 NA NA 2.86 3.43 ZZZ
add-on.
26862.......... ............. A Fusion/graft of finger 7.37 NA NA 12.51 9.06 0.76 NA NA 20.64 17.19 090
joint.
26863.......... ............. A Fuse/graft added joint 3.90 NA NA 2.13 2.90 0.40 NA NA 6.43 7.20 ZZZ
26910.......... ............. A Amputate metacarpal 7.60 NA NA 11.56 8.58 0.79 NA NA 19.95 16.97 090
bone.
26951.......... ............. A Amputation of finger/ 4.59 NA NA 10.10 6.61 0.48 NA NA 15.17 11.68 090
thumb.
26952.......... ............. A Amputation of finger/ 6.31 NA NA 11.19 7.77 0.66 NA NA 18.16 14.74 090
thumb.
26989.......... ............. C Hand/finger surgery... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
26990.......... ............. A Drainage of pelvis 7.48 NA NA 12.99 8.18 0.73 NA NA 21.20 16.39 090
lesion.
26991.......... ............. A Drainage of pelvis 6.68 10.23 6.10 7.86 4.91 0.65 17.56 13.43 15.19 12.24 090
bursa.
26992.......... ............. A Drainage of bone 13.02 NA NA 16.40 11.66 1.36 NA NA 30.78 26.04 090
lesion.
27000.......... ............. A Incision of hip tendon 5.62 NA NA 6.41 4.21 0.58 NA NA 12.61 10.41 090
27001.......... ............. A Incision of hip tendon 6.94 NA NA 7.17 4.86 0.71 NA NA 14.82 12.51 090
27003.......... ............. A Incision of hip tendon 7.34 NA NA 8.16 7.76 0.76 NA NA 16.26 15.86 090
27005.......... ............. A Incision of hip tendon 9.66 NA NA 9.00 6.33 0.98 NA NA 19.64 16.97 090
27006.......... ............. A Incision of hip 9.68 NA NA 9.39 7.22 1.01 NA NA 20.08 17.91 090
tendons.
27025.......... ............. A Incision of hip/thigh 11.16 NA NA 9.43 8.04 1.17 NA NA 21.76 20.37 090
fascia.
27030.......... ............. A Drainage of hip joint. 13.01 NA NA 11.09 11.74 1.34 NA NA 25.44 26.09 090
27033.......... ............. A Exploration of hip 13.39 NA NA 11.32 11.91 1.37 NA NA 26.08 26.67 090
joint.
27035.......... ............. A Denervation of hip 16.69 NA NA 14.60 13.74 1.69 NA NA 32.98 32.12 090
joint.
27036.......... ............. A Excision of hip joint/ 12.88 NA NA 12.60 12.51 1.33 NA NA 26.81 26.72 090
muscle.
27040.......... ............. A Biopsy of soft tissues 2.87 4.90 2.84 3.25 2.02 0.17 7.94 5.88 6.29 5.06 010
27041.......... ............. A Biopsy of soft tissues 9.89 NA NA 7.41 5.16 0.84 NA NA 18.14 15.89 090
27047.......... ............. A Remove hip/pelvis 7.45 8.16 5.11 6.39 4.22 0.74 16.35 13.30 14.58 12.41 090
lesion.
27048.......... ............. A Remove hip/pelvis 6.25 NA NA 7.07 5.89 0.63 NA NA 13.95 12.77 090
lesion.
27049.......... ............. A Remove tumor, hip/ 13.66 NA NA 11.83 11.42 1.33 NA NA 26.82 26.41 090
pelvis.
27050.......... ............. A Biopsy of sacroiliac 4.36 NA NA 5.63 5.41 0.44 NA NA 10.43 10.21 090
joint.
27052.......... ............. A Biopsy of hip joint... 6.23 NA NA 7.19 7.31 0.64 NA NA 14.06 14.18 090
27054.......... ............. A Removal of hip joint 8.54 NA NA 9.32 9.76 0.87 NA NA 18.73 19.17 090
lining.
27060.......... ............. A Removal of ischial 5.43 NA NA 6.07 5.17 0.55 NA NA 12.05 11.15 090
bursa.
27062.......... ............. A Remove femur lesion/ 5.37 NA NA 6.23 5.41 0.55 NA NA 12.15 11.33 090
bursa.
27065.......... ............. A Removal of hip bone 5.90 NA NA 7.45 6.76 0.60 NA NA 13.95 13.26 090
lesion.
27066.......... ............. A Removal of hip bone 10.33 NA NA 11.03 9.80 1.04 NA NA 22.40 21.17 090
lesion.
27067.......... ............. A Remove/graft hip bone 13.83 NA NA 12.98 12.80 1.42 NA NA 28.23 28.05 090
lesion.
27070.......... ............. A Partial removal of hip 10.72 NA NA 15.60 11.82 1.10 NA NA 27.42 23.64 090
bone.
27071.......... ............. A Partial removal of hip 11.46 NA NA 16.05 12.64 1.17 NA NA 28.68 25.27 090
bone.
[[Page 59459]]
27075.......... ............. A Extensive hip surgery. 17.23 NA NA 14.84 14.77 1.76 NA NA 33.83 33.76 090
27076.......... ............. A Extensive hip surgery. 22.12 NA NA 18.03 17.90 2.24 NA NA 42.39 42.26 090
27077.......... ............. A Extensive hip surgery. 23.13 NA NA 18.09 19.35 2.42 NA NA 43.64 44.90 090
27078.......... ............. A Extensive hip surgery. 13.44 NA NA 13.26 11.62 1.39 NA NA 28.09 26.45 090
27079.......... ............. A Extensive hip surgery. 13.75 NA NA 13.49 11.44 1.40 NA NA 28.64 26.59 090
27080.......... ............. A Removal of tail bone.. 6.39 NA NA 6.51 5.85 0.67 NA NA 13.57 12.91 090
27086.......... ............. A Remove hip foreign 1.87 4.24 2.44 3.21 1.77 0.15 6.26 4.46 5.23 3.79 010
body.
27087.......... ............. A Remove hip foreign 8.54 NA NA 7.87 5.90 0.85 NA NA 17.26 15.29 090
body.
27090.......... ............. A Removal of hip 11.15 NA NA 10.12 9.99 1.15 NA NA 22.42 22.29 090
prosthesis.
27091.......... ............. A Removal of hip 22.14 NA NA 16.16 18.83 2.17 NA NA 40.47 43.14 090
prosthesis.
27093.......... ............. A Injection for hip x- 1.30 10.02 5.46 0.44 0.67 0.08 11.40 6.84 1.82 2.05 000
ray.
27095.......... ............. A Injection for hip x- 1.50 10.11 5.56 0.48 0.75 0.09 11.70 7.15 2.07 2.34 000
ray.
27096.......... ............. A Inject sacroiliac 1.10 9.96 9.96 0.36 0.36 0.09 11.15 11.15 1.55 1.55 000
joint.
27097.......... ............. A Revision of hip tendon 8.80 NA NA 8.33 8.35 0.92 NA NA 18.05 18.07 090
27098.......... ............. A Transfer tendon to 8.83 NA NA 8.42 8.40 0.92 NA NA 18.17 18.15 090
pelvis.
27100.......... ............. A Transfer of abdominal 11.08 NA NA 12.18 10.26 1.10 NA NA 24.36 22.44 090
muscle.
27105.......... ............. A Transfer of spinal 11.77 NA NA 10.63 8.51 1.23 NA NA 23.63 21.51 090
muscle.
27110.......... ............. A Transfer of iliopsoas 13.26 NA NA 12.97 12.24 1.18 NA NA 27.41 26.68 090
muscle.
27111.......... ............. A Transfer of iliopsoas 12.15 NA NA 10.50 11.56 1.27 NA NA 23.92 24.98 090
muscle.
27120.......... ............. A Reconstruction of hip 18.01 NA NA 13.53 16.59 1.84 NA NA 33.38 36.44 090
socket.
27122.......... ............. A Reconstruction of hip 14.98 NA NA 12.96 15.43 1.54 NA NA 29.48 31.95 090
socket.
27125.......... ............. A Partial hip 14.69 NA NA 12.42 14.98 1.50 NA NA 28.61 31.17 090
replacement.
27130.......... ............. A Total hip replacement. 20.12 NA NA 15.85 19.94 2.05 NA NA 38.02 42.11 090
27132.......... ............. A Total hip replacement. 23.30 NA NA 17.55 22.69 2.38 NA NA 43.23 48.37 090
27134.......... ............. A Revise hip joint 28.52 NA NA 20.16 27.10 2.92 NA NA 51.60 58.54 090
replacement.
27137.......... ............. A Revise hip joint 21.17 NA NA 16.47 20.88 2.17 NA NA 39.81 44.22 090
replacement.
27138.......... ............. A Revise hip joint 22.17 NA NA 16.86 21.58 2.28 NA NA 41.31 46.03 090
replacement.
27140.......... ............. A Transplant femur ridge 12.24 NA NA 10.64 11.32 1.26 NA NA 24.14 24.82 090
27146.......... ............. A Incision of hip bone.. 17.43 NA NA 14.80 13.31 1.80 NA NA 34.03 32.54 090
27147.......... ............. A Revision of hip bone.. 20.58 NA NA 15.53 16.98 2.08 NA NA 38.19 39.64 090
27151.......... ............. A Incision of hip bones. 22.51 NA NA 9.75 14.49 2.36 NA NA 34.62 39.36 090
27156.......... ............. A Revision of hip bones. 24.63 NA NA 17.40 18.64 2.57 NA NA 44.60 45.84 090
27158.......... ............. A Revision of pelvis.... 19.74 NA NA 12.92 14.29 2.06 NA NA 34.72 36.09 090
27161.......... ............. A Incision of neck of 16.71 NA NA 13.20 14.37 1.71 NA NA 31.62 32.79 090
femur.
27165.......... ............. A Incision/fixation of 17.91 NA NA 13.79 15.99 1.82 NA NA 33.52 35.72 090
femur.
27170.......... ............. A Repair/graft femur 16.07 NA NA 12.80 15.31 1.65 NA NA 30.52 33.03 090
head/neck.
27175.......... ............. A Treat slipped 8.46 NA NA 6.43 3.86 0.89 NA NA 15.78 13.21 090
epiphysis.
27176.......... ............. A Treat slipped 12.05 NA NA 8.79 10.04 1.19 NA NA 22.03 23.28 090
epiphysis.
27177.......... ............. A Treat slipped 15.08 NA NA 10.38 11.92 1.57 NA NA 27.03 28.57 090
epiphysis.
27178.......... ............. A Treat slipped 11.99 NA NA 8.96 10.16 1.03 NA NA 21.98 23.18 090
epiphysis.
27179.......... ............. A Revise head/neck of 12.98 NA NA 9.56 10.83 1.35 NA NA 23.89 25.16 090
femur.
27181.......... ............. A Treat slipped 14.68 NA NA 8.48 11.37 1.37 NA NA 24.53 27.42 090
epiphysis.
27185.......... ............. A Revision of femur 9.18 NA NA 7.75 5.38 0.80 NA NA 17.73 15.36 090
epiphysis.
27187.......... ............. A Reinforce hip bones... 13.54 NA NA 12.20 14.18 1.38 NA NA 27.12 29.10 090
27193.......... ............. A Treat pelvic ring 5.56 6.31 4.47 4.84 3.73 0.57 12.44 10.60 10.97 9.86 090
fracture.
27194.......... ............. A Treat pelvic ring 9.65 8.08 6.16 7.01 5.62 1.01 18.74 16.82 17.67 16.28 090
fracture.
27200.......... ............. A Treat tail bone 1.84 2.52 2.07 1.54 1.58 0.18 4.54 4.09 3.56 3.60 090
fracture.
27202.......... ............. A Treat tail bone 7.04 NA NA 13.51 10.09 0.89 NA NA 21.44 18.02 090
fracture.
27215.......... ............. A Treat pelvic 10.05 NA NA 9.28 10.64 1.00 NA NA 20.33 21.69 090
fracture(s).
27216.......... ............. A Treat pelvic ring 15.19 NA NA 11.12 7.90 1.56 NA NA 27.87 24.65 090
fracture.
27217.......... ............. A Treat pelvic ring 14.11 NA NA 11.51 13.65 1.44 NA NA 27.06 29.20 090
fracture.
27218.......... ............. A Treat pelvic ring 20.15 NA NA 11.37 13.58 1.96 NA NA 33.48 35.69 090
fracture.
27220.......... ............. A Treat hip socket 6.18 6.69 5.66 5.18 4.90 0.64 13.51 12.48 12.00 11.72 090
fracture.
27222.......... ............. A Treat hip socket 12.70 NA NA 9.27 8.09 1.32 NA NA 23.29 22.11 090
fracture.
27226.......... ............. A Treat hip wall 14.91 NA NA 12.19 14.66 1.11 NA NA 28.21 30.68 090
fracture.
27227.......... ............. A Treat hip fracture(s). 23.45 NA NA 16.06 18.72 2.53 NA NA 42.04 44.70 090
27228.......... ............. A Treat hip fracture(s). 27.16 NA NA 18.21 19.93 2.79 NA NA 48.16 49.88 090
27230.......... ............. A Treat thigh fracture.. 5.50 6.61 5.10 5.35 4.47 0.55 12.66 11.15 11.40 10.52 090
27232.......... ............. A Treat thigh fracture.. 10.68 NA NA 8.28 9.02 1.11 NA NA 20.07 20.81 090
27235.......... ............. A Treat thigh fracture.. 12.16 NA NA 9.92 12.22 1.25 NA NA 23.33 25.63 090
27236.......... ............. A Treat thigh fracture.. 15.60 NA NA 11.85 15.10 1.59 NA NA 29.04 32.29 090
27238.......... ............. A Treat thigh fracture.. 5.52 NA NA 5.40 5.37 0.56 NA NA 11.48 11.45 090
27240.......... ............. A Treat thigh fracture.. 12.50 NA NA 9.26 9.90 1.30 NA NA 23.06 23.70 090
27244.......... ............. A Treat thigh fracture.. 15.94 NA NA 12.01 14.85 1.63 NA NA 29.58 32.42 090
27245.......... ............. A Treat thigh fracture.. 20.31 NA NA 14.39 16.04 2.09 NA NA 36.79 38.44 090
27246.......... ............. A Treat thigh fracture.. 4.71 6.25 5.23 5.03 4.62 0.49 11.45 10.43 10.23 9.82 090
27248.......... ............. A Treat thigh fracture.. 10.45 NA NA 9.05 10.77 1.06 NA NA 20.56 22.28 090
27250.......... ............. A Treat hip dislocation. 6.95 NA NA 5.57 4.52 0.68 NA NA 13.20 12.15 090
27252.......... ............. A Treat hip dislocation. 10.39 NA NA 7.47 6.09 1.08 NA NA 18.94 17.56 090
27253.......... ............. A Treat hip dislocation. 12.92 NA NA 10.05 12.16 1.33 NA NA 24.30 26.41 090
27254.......... ............. A Treat hip dislocation. 18.26 NA NA 12.35 13.49 1.83 NA NA 32.44 33.58 090
27256.......... ............. A Treat hip dislocation. 4.12 NA NA 4.36 3.20 0.39 NA NA 8.87 7.71 010
27257.......... ............. A Treat hip dislocation. 5.22 NA NA 4.17 4.59 0.53 NA NA 9.92 10.34 010
27258.......... ............. A Treat hip dislocation. 15.43 NA NA 12.67 13.79 1.58 NA NA 29.68 30.80 090
27259.......... ............. A Treat hip dislocation. 21.55 NA NA 15.89 17.28 2.14 NA NA 39.58 40.97 090
27265.......... ............. A Treat hip dislocation. 5.05 NA NA 5.16 4.46 0.53 NA NA 10.74 10.04 090
27266.......... ............. A Treat hip dislocation. 7.49 NA NA 6.52 5.68 0.78 NA NA 14.79 13.95 090
27275.......... ............. A Manipulation of hip 2.27 NA NA 2.93 2.49 0.24 NA NA 5.44 5.00 010
joint.
27280.......... ............. A Fusion of sacroiliac 13.39 NA NA 13.14 12.03 1.38 NA NA 27.91 26.80 090
joint.
27282.......... ............. A Fusion of pubic bones. 11.34 NA NA 10.85 10.32 0.84 NA NA 23.03 22.50 090
27284.......... ............. A Fusion of hip joint... 16.76 NA NA 12.67 14.21 1.65 NA NA 31.08 32.62 090
[[Page 59460]]
27286.......... ............. A Fusion of hip joint... 16.79 NA NA 14.71 15.61 1.76 NA NA 33.26 34.16 090
27290.......... ............. A Amputation of leg at 23.28 NA NA 15.53 21.55 2.28 NA NA 41.09 47.11 090
hip.
27295.......... ............. A Amputation of leg at 18.65 NA NA 13.27 15.61 1.97 NA NA 33.89 36.23 090
hip.
27299.......... ............. C Pelvis/hip joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
27301.......... ............. A Drain thigh/knee 6.49 13.32 8.00 11.90 7.29 0.67 20.48 15.16 19.06 14.45 090
lesion.
27303.......... ............. A Drainage of bone 8.28 NA NA 12.65 9.51 0.85 NA NA 21.78 18.64 090
lesion.
27305.......... ............. A Incise thigh tendon & 5.92 NA NA 8.01 6.07 0.63 NA NA 14.56 12.62 090
fascia.
27306.......... ............. A Incision of thigh 4.62 NA NA 6.47 4.32 0.48 NA NA 11.57 9.42 090
tendon.
27307.......... ............. A Incision of thigh 5.80 NA NA 6.83 5.05 0.60 NA NA 13.23 11.45 090
tendons.
27310.......... ............. A Exploration of knee 9.27 NA NA 9.00 9.71 0.95 NA NA 19.22 19.93 090
joint.
27315.......... ............. A Partial removal, thigh 6.97 NA NA 4.69 5.27 0.72 NA NA 12.38 12.96 090
nerve.
27320.......... ............. A Partial removal, thigh 6.30 NA NA 4.28 4.95 0.62 NA NA 11.20 11.87 090
nerve.
27323.......... ............. A Biopsy, thigh soft 2.28 4.86 2.93 3.04 1.77 0.14 7.28 5.35 5.46 4.19 010
tissues.
27324.......... ............. A Biopsy, thigh soft 4.90 NA NA 5.98 4.42 0.53 NA NA 11.41 9.85 090
tissues.
27327.......... ............. A Removal of thigh 4.47 7.18 4.84 5.50 4.00 0.45 12.10 9.76 10.42 8.92 090
lesion.
27328.......... ............. A Removal of thigh 5.57 NA NA 6.17 5.30 0.56 NA NA 12.30 11.43 090
lesion.
27329.......... ............. A Remove tumor, thigh/ 14.14 NA NA 13.00 12.85 1.40 NA NA 28.54 28.39 090
knee.
27330.......... ............. A Biopsy, knee joint 4.97 NA NA 5.46 5.70 0.51 NA NA 10.94 11.18 090
lining.
27331.......... ............. A Explore/treat knee 5.88 NA NA 6.59 6.81 0.60 NA NA 13.07 13.29 090
joint.
27332.......... ............. A Removal of knee 8.27 NA NA 7.66 8.77 0.83 NA NA 16.76 17.87 090
cartilage.
27333.......... ............. A Removal of knee 7.30 NA NA 7.10 7.91 0.74 NA NA 15.14 15.95 090
cartilage.
27334.......... ............. A Remove knee joint 8.70 NA NA 8.61 9.50 0.90 NA NA 18.21 19.10 090
lining.
27335.......... ............. A Remove knee joint 10.00 NA NA 9.62 10.78 1.02 NA NA 20.64 21.80 090
lining.
27340.......... ............. A Removal of kneecap 4.18 NA NA 4.99 4.59 0.43 NA NA 9.60 9.20 090
bursa.
27345.......... ............. A Removal of knee cyst.. 5.92 NA NA 6.52 6.32 0.61 NA NA 13.05 12.85 090
27347.......... ............. A Remove knee cyst...... 5.78 2.58 2.58 2.58 2.58 0.59 8.95 8.95 8.95 8.95 090
27350.......... ............. A Removal of kneecap.... 8.17 NA NA 7.96 8.86 0.84 NA NA 16.97 17.87 090
27355.......... ............. A Remove femur lesion... 7.65 NA NA 9.59 8.91 0.78 NA NA 18.02 17.34 090
27356.......... ............. A Remove femur lesion/ 9.48 NA NA 10.28 9.59 0.97 NA NA 20.73 20.04 090
graft.
27357.......... ............. A Remove femur lesion/ 10.53 NA NA 10.41 9.98 1.08 NA NA 22.02 21.59 090
graft.
27358.......... ............. A Remove femur lesion/ 4.74 NA NA 2.50 3.72 0.49 NA NA 7.73 8.95 ZZZ
fixation.
27360.......... ............. A Partial removal, leg 10.50 NA NA 15.68 12.49 1.09 NA NA 27.27 24.08 090
bone(s).
27365.......... ............. A Extensive leg surgery. 16.27 NA NA 13.63 14.38 1.64 NA NA 31.54 32.29 090
27370.......... ............. A Injection for knee x- 0.96 10.37 5.51 0.27 0.46 0.04 11.37 6.51 1.27 1.46 000
ray.
27372.......... ............. A Removal of foreign 5.07 6.85 5.28 5.80 4.76 0.51 12.43 10.86 11.38 10.34 090
body.
27380.......... ............. A Repair of kneecap 7.16 NA NA 7.38 7.97 0.74 NA NA 15.28 15.87 090
tendon.
27381.......... ............. A Repair/graft kneecap 10.34 NA NA 9.17 10.70 1.07 NA NA 20.58 22.11 090
tendon.
27385.......... ............. A Repair of thigh muscle 7.76 NA NA 7.87 8.57 0.79 NA NA 16.42 17.12 090
27386.......... ............. A Repair/graft of thigh 10.56 NA NA 9.97 11.29 1.08 NA NA 21.61 22.93 090
muscle.
27390.......... ............. A Incision of thigh 5.33 NA NA 6.50 5.62 0.54 NA NA 12.37 11.49 090
tendon.
27391.......... ............. A Incision of thigh 7.20 NA NA 7.62 6.75 0.75 NA NA 15.57 14.70 090
tendons.
27392.......... ............. A Incision of thigh 9.20 NA NA 9.32 8.82 0.93 NA NA 19.45 18.95 090
tendons.
27393.......... ............. A Lengthening of thigh 6.39 NA NA 7.41 6.78 0.64 NA NA 14.44 13.81 090
tendon.
27394.......... ............. A Lengthening of thigh 8.50 NA NA 9.05 7.64 0.87 NA NA 18.42 17.01 090
tendons.
27395.......... ............. A Lengthening of thigh 11.73 NA NA 12.41 11.89 1.21 NA NA 25.35 24.83 090
tendons.
27396.......... ............. A Transplant of thigh 7.86 NA NA 8.75 8.21 0.80 NA NA 17.41 16.87 090
tendon.
27397.......... ............. A Transplants of thigh 11.28 NA NA 10.42 10.03 1.17 NA NA 22.87 22.48 090
tendons.
27400.......... ............. A Revise thigh muscles/ 9.02 NA NA 9.38 8.97 0.92 NA NA 19.32 18.91 090
tendons.
27403.......... ............. A Repair of knee 8.33 NA NA 8.07 8.81 0.86 NA NA 17.26 18.00 090
cartilage.
27405.......... ............. A Repair of knee 8.65 NA NA 8.85 9.59 0.89 NA NA 18.39 19.13 090
ligament.
27407.......... ............. A Repair of knee 10.28 NA NA 9.51 9.57 1.02 NA NA 20.81 20.87 090
ligament.
27409.......... ............. A Repair of knee 12.90 NA NA 11.22 13.31 1.34 NA NA 25.46 27.55 090
ligaments.
27418.......... ............. A Repair degenerated 10.85 NA NA 9.78 11.37 1.12 NA NA 21.75 23.34 090
kneecap.
27420.......... ............. A Revision of unstable 9.83 NA NA 8.75 10.24 0.99 NA NA 19.57 21.06 090
kneecap.
27422.......... ............. A Revision of unstable 9.78 NA NA 9.01 10.35 1.00 NA NA 19.79 21.13 090
kneecap.
27424.......... ............. A Revision/removal of 9.81 NA NA 8.77 10.24 1.02 NA NA 19.60 21.07 090
kneecap.
27425.......... ............. A Lateral retinacular 5.22 NA NA 6.23 6.23 0.53 NA NA 11.98 11.98 090
release.
27427.......... ............. A Reconstruction, knee.. 9.36 NA NA 8.73 9.96 0.94 NA NA 19.03 20.26 090
27428.......... ............. A Reconstruction, knee.. 14.00 NA NA 11.89 13.37 1.40 NA NA 27.29 28.77 090
27429.......... ............. A Reconstruction, knee.. 15.52 NA NA 11.48 11.86 1.56 NA NA 28.56 28.94 090
27430.......... ............. A Revision of thigh 9.67 NA NA 8.74 9.45 0.97 NA NA 19.38 20.09 090
muscles.
27435.......... ............. A Incision of knee joint 9.49 NA NA 8.58 8.11 0.98 NA NA 19.05 18.58 090
27437.......... ............. A Revise kneecap........ 8.46 NA NA 8.51 9.31 0.85 NA NA 17.82 18.62 090
27438.......... ............. A Revise kneecap with 11.23 NA NA 10.23 11.82 1.15 NA NA 22.61 24.20 090
implant.
27440.......... ............. A Revision of knee joint 10.43 NA NA 9.78 11.12 0.73 NA NA 20.94 22.28 090
27441.......... ............. A Revision of knee joint 10.82 NA NA 9.65 9.79 0.78 NA NA 21.25 21.39 090
27442.......... ............. A Revision of knee joint 11.89 NA NA 10.33 12.27 1.22 NA NA 23.44 25.38 090
27443.......... ............. A Revision of knee joint 10.93 NA NA 9.98 11.51 1.12 NA NA 22.03 23.56 090
27445.......... ............. A Revision of knee joint 17.68 NA NA 13.43 17.27 1.83 NA NA 32.94 36.78 090
27446.......... ............. A Revision of knee joint 15.84 NA NA 13.34 16.13 1.60 NA NA 30.78 33.57 090
27447.......... ............. A Total knee replacement 21.48 NA NA 16.12 20.88 2.19 NA NA 39.79 44.55 090
27448.......... ............. A Incision of thigh..... 11.06 NA NA 10.55 11.88 1.14 NA NA 22.75 24.08 090
27450.......... ............. A Incision of thigh..... 13.98 NA NA 12.66 14.39 1.43 NA NA 28.07 29.80 090
27454.......... ............. A Realignment of thigh 17.56 NA NA 13.57 15.31 1.76 NA NA 32.89 34.63 090
bone.
27455.......... ............. A Realignment of knee... 12.82 NA NA 11.39 12.21 1.27 NA NA 25.48 26.30 090
27457.......... ............. A Realignment of knee... 13.45 NA NA 10.87 12.65 1.37 NA NA 25.69 27.47 090
27465.......... ............. A Shortening of thigh 13.87 NA NA 13.06 13.17 1.43 NA NA 28.36 28.47 090
bone.
27466.......... ............. A Lengthening of thigh 16.33 NA NA 14.92 14.75 1.67 NA NA 32.92 32.75 090
bone.
27468.......... ............. A Shorten/lengthen 18.97 NA NA 13.23 15.76 1.94 NA NA 34.14 36.67 090
thighs.
27470.......... ............. A Repair of thigh....... 16.07 NA NA 14.73 16.41 1.64 NA NA 32.44 34.12 090
27472.......... ............. A Repair/graft of thigh. 17.72 NA NA 15.45 18.30 1.83 NA NA 35.00 37.85 090
[[Page 59461]]
27475.......... ............. A Surgery to stop leg 8.64 NA NA 8.15 8.28 0.86 NA NA 17.65 17.78 090
growth.
27477.......... ............. A Surgery to stop leg 9.85 NA NA 9.26 10.51 0.96 NA NA 20.07 21.32 090
growth.
27479.......... ............. A Surgery to stop leg 12.80 NA NA 10.12 11.37 1.35 NA NA 24.27 25.52 090
growth.
27485.......... ............. A Surgery to stop leg 8.84 NA NA 8.17 8.38 0.89 NA NA 17.90 18.11 090
growth.
27486.......... ............. A Revise/replace knee 19.27 NA NA 14.99 19.00 1.97 NA NA 36.23 40.24 090
joint.
27487.......... ............. A Revise/replace knee 25.27 NA NA 18.20 24.17 2.57 NA NA 46.04 52.01 090
joint.
27488.......... ............. A Removal of knee 15.74 NA NA 13.12 15.33 1.61 NA NA 30.47 32.68 090
prosthesis.
27495.......... ............. A Reinforce thigh....... 15.55 NA NA 14.29 16.43 1.59 NA NA 31.43 33.57 090
27496.......... ............. A Decompression of thigh/ 6.11 NA NA 7.14 6.03 0.66 NA NA 13.91 12.80 090
knee.
27497.......... ............. A Decompression of thigh/ 7.17 NA NA 7.77 6.90 0.75 NA NA 15.69 14.82 090
knee.
27498.......... ............. A Decompression of thigh/ 7.99 NA NA 7.28 7.07 0.87 NA NA 16.14 15.93 090
knee.
27499.......... ............. A Decompression of thigh/ 9.00 NA NA 7.78 7.84 0.93 NA NA 17.71 17.77 090
knee.
27500.......... ............. A Treatment of thigh 5.92 13.49 9.68 6.36 6.12 0.61 20.02 16.21 12.89 12.65 090
fracture.
27501.......... ............. A Treatment of thigh 5.92 14.23 10.05 7.23 6.55 0.62 20.77 16.59 13.77 13.09 090
fracture.
27502.......... ............. A Treatment of thigh 10.58 NA NA 9.64 8.98 1.10 NA NA 21.32 20.66 090
fracture.
27503.......... ............. A Treatment of thigh 10.58 NA NA 9.73 9.03 1.10 NA NA 21.41 20.71 090
fracture.
27506.......... ............. A Treatment of thigh 17.45 NA NA 13.28 15.34 1.79 NA NA 32.52 34.58 090
fracture.
27507.......... ............. A Treatment of thigh 13.99 NA NA 11.41 14.06 1.43 NA NA 26.83 29.48 090
fracture.
27508.......... ............. A Treatment of thigh 5.83 8.67 6.63 4.90 4.74 0.60 15.10 13.06 11.33 11.17 090
fracture.
27509.......... ............. A Treatment of thigh 7.71 NA NA 7.88 6.23 0.80 NA NA 16.39 14.74 090
fracture.
27510.......... ............. A Treatment of thigh 9.13 NA NA 6.73 7.07 0.95 NA NA 16.81 17.15 090
fracture.
27511.......... ............. A Treatment of thigh 13.64 NA NA 11.87 14.08 1.40 NA NA 26.91 29.12 090
fracture.
27513.......... ............. A Treatment of thigh 17.92 NA NA 14.12 15.76 1.83 NA NA 33.87 35.51 090
fracture.
27514.......... ............. A Treatment of thigh 17.30 NA NA 13.27 15.19 1.78 NA NA 32.35 34.27 090
fracture.
27516.......... ............. A Treat thigh fx growth 5.37 9.25 7.24 5.23 5.23 0.56 15.18 13.17 11.16 11.16 090
plate.
27517.......... ............. A Treat thigh fx growth 8.78 9.41 8.95 7.02 7.76 0.90 19.09 18.63 16.70 17.44 090
plate.
27519.......... ............. A Treat thigh fx growth 15.02 NA NA 12.76 13.26 1.51 NA NA 29.29 29.79 090
plate.
27520.......... ............. A Treat kneecap fracture 2.86 7.06 5.18 3.39 2.52 0.30 10.22 8.34 6.55 5.68 090
27524.......... ............. A Treat kneecap fracture 10.00 NA NA 8.08 9.65 1.03 NA NA 19.11 20.68 090
27530.......... ............. A Treat knee fracture... 3.78 7.55 5.62 3.86 3.78 0.39 11.72 9.79 8.03 7.95 090
27532.......... ............. A Treat knee fracture... 7.30 6.83 6.50 5.34 5.75 0.76 14.89 14.56 13.40 13.81 090
27535.......... ............. A Treat knee fracture... 11.50 NA NA 10.80 11.75 1.18 NA NA 23.48 24.43 090
27536.......... ............. A Treat knee fracture... 15.65 NA NA 11.05 11.87 1.61 NA NA 28.31 29.13 090
27538.......... ............. A Treat knee fracture(s) 4.87 8.86 6.26 4.92 4.29 0.51 14.24 11.64 10.30 9.67 090
27540.......... ............. A Treat knee fracture... 13.10 NA NA 9.51 10.70 1.33 NA NA 23.94 25.13 090
27550.......... ............. A Treat knee dislocation 5.76 8.76 5.78 5.20 4.00 0.57 15.09 12.11 11.53 10.33 090
27552.......... ............. A Treat knee dislocation 7.90 NA NA 6.95 5.34 0.82 NA NA 15.67 14.06 090
27556.......... ............. A Treat knee dislocation 14.41 NA NA 12.97 13.26 1.51 NA NA 28.89 29.18 090
27557.......... ............. A Treat knee dislocation 16.77 NA NA 14.42 15.13 1.72 NA NA 32.91 33.62 090
27558.......... ............. A Treat knee dislocation 17.72 NA NA 14.59 15.22 1.80 NA NA 34.11 34.74 090
27560.......... ............. A Treat kneecap 3.82 7.55 4.55 3.64 2.60 0.36 11.73 8.73 7.82 6.78 090
dislocation.
27562.......... ............. A Treat kneecap 5.79 NA NA 4.98 5.30 0.59 NA NA 11.36 11.68 090
dislocation.
27566.......... ............. A Treat kneecap 12.23 NA NA 9.14 10.31 1.26 NA NA 22.63 23.80 090
dislocation.
27570.......... ............. A Fixation of knee joint 1.74 NA NA 2.65 2.26 0.18 NA NA 4.57 4.18 010
27580.......... ............. A Fusion of knee........ 19.37 NA NA 15.00 16.02 1.98 NA NA 36.35 37.37 090
27590.......... ............. A Amputate leg at thigh. 12.03 NA NA 11.59 10.74 1.30 NA NA 24.92 24.07 090
27591.......... ............. A Amputate leg at thigh. 12.68 NA NA 12.90 12.84 1.34 NA NA 26.92 26.86 090
27592.......... ............. A Amputate leg at thigh. 10.02 NA NA 10.43 9.62 1.07 NA NA 21.52 20.71 090
27594.......... ............. A Amputation follow-up 6.92 NA NA 7.95 5.96 0.75 NA NA 15.62 13.63 090
surgery.
27596.......... ............. A Amputation follow-up 10.60 NA NA 10.81 9.41 1.15 NA NA 22.56 21.16 090
surgery.
27598.......... ............. A Amputate lower leg at 10.53 NA NA 10.20 10.55 1.10 NA NA 21.83 22.18 090
knee.
27599.......... ............. C Leg surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
27600.......... ............. A Decompression of lower 5.65 NA NA 7.35 5.52 0.65 NA NA 13.65 11.82 090
leg.
27601.......... ............. A Decompression of lower 5.64 NA NA 7.47 5.57 0.64 NA NA 13.75 11.85 090
leg.
27602.......... ............. A Decompression of lower 7.35 NA NA 7.41 5.91 0.86 NA NA 15.62 14.12 090
leg.
27603.......... ............. A Drain lower leg lesion 4.94 13.17 7.88 8.84 5.71 0.50 18.61 13.32 14.28 11.15 090
27604.......... ............. A Drain lower leg bursa. 4.47 8.77 4.94 7.10 3.83 0.37 13.61 9.78 11.94 8.67 090
27605.......... ............. A Incision of achilles 2.87 7.07 4.18 3.48 2.38 0.28 10.22 7.33 6.63 5.53 010
tendon.
27606.......... ............. A Incision of achilles 4.14 8.16 5.23 4.43 3.37 0.42 12.72 9.79 8.99 7.93 010
tendon.
27607.......... ............. A Treat lower leg bone 7.97 NA NA 12.52 9.52 0.80 NA NA 21.29 18.29 090
lesion.
27610.......... ............. A Explore/treat ankle 8.34 NA NA 8.90 8.48 0.84 NA NA 18.08 17.66 090
joint.
27612.......... ............. A Exploration of ankle 7.33 NA NA 7.19 7.92 0.68 NA NA 15.20 15.93 090
joint.
27613.......... ............. A Biopsy lower leg soft 2.17 5.38 3.06 2.63 1.50 0.13 7.68 5.36 4.93 3.80 010
tissue.
27614.......... ............. A Biopsy lower leg soft 5.66 9.15 5.80 6.20 4.33 0.55 15.36 12.01 12.41 10.54 090
tissue.
27615.......... ............. A Remove tumor, lower 12.56 NA NA 13.71 11.32 1.26 NA NA 27.53 25.14 090
leg.
27618.......... ............. A Remove lower leg 5.09 9.98 6.13 5.68 3.98 0.48 15.55 11.70 11.25 9.55 090
lesion.
27619.......... ............. A Remove lower leg 8.40 10.50 7.49 7.85 6.17 0.80 19.70 16.69 17.05 15.37 090
lesion.
27620.......... ............. A Explore/treat ankle 5.98 NA NA 7.02 6.78 0.58 NA NA 13.58 13.34 090
joint.
27625.......... ............. A Remove ankle joint 8.30 NA NA 8.55 9.00 0.78 NA NA 17.63 18.08 090
lining.
27626.......... ............. A Remove ankle joint 8.91 NA NA 9.00 9.82 0.88 NA NA 18.79 19.61 090
lining.
27630.......... ............. A Removal of tendon 4.80 9.81 6.59 5.84 4.60 0.45 15.06 11.84 11.09 9.85 090
lesion.
27635.......... ............. A Remove lower leg bone 7.78 NA NA 9.63 9.18 0.78 NA NA 18.19 17.74 090
lesion.
27637.......... ............. A Remove/graft leg bone 9.85 NA NA 10.94 10.07 1.01 NA NA 21.80 20.93 090
lesion.
27638.......... ............. A Remove/graft leg bone 10.57 NA NA 11.27 10.60 1.06 NA NA 22.90 22.23 090
lesion.
27640.......... ............. A Partial removal of 11.37 NA NA 15.30 12.98 1.14 NA NA 27.81 25.49 090
tibia.
27641.......... ............. A Partial removal of 9.24 NA NA 13.84 10.79 0.92 NA NA 24.00 20.95 090
fibula.
27645.......... ............. A Extensive lower leg 14.17 NA NA 15.28 13.96 1.46 NA NA 30.91 29.59 090
surgery.
27646.......... ............. A Extensive lower leg 12.66 NA NA 15.63 13.65 1.24 NA NA 29.53 27.55 090
surgery.
27647.......... ............. A Extensive ankle/heel 12.24 NA NA 10.11 10.46 1.02 NA NA 23.37 23.72 090
surgery.
27648.......... ............. A Injection for ankle x- 0.96 8.03 4.30 0.29 0.43 0.05 9.04 5.31 1.30 1.44 000
ray.
27650.......... ............. A Repair achilles tendon 9.69 NA NA 8.48 9.12 0.95 NA NA 19.12 19.76 090
[[Page 59462]]
27652.......... ............. A Repair/graft achilles 10.33 NA NA 8.56 9.93 0.98 NA NA 19.87 21.24 090
tendon.
27654.......... ............. A Repair of achilles 10.02 NA NA 8.89 10.38 0.90 NA NA 19.81 21.30 090
tendon.
27656.......... ............. A Repair leg fascia 4.57 11.57 7.51 6.19 4.82 0.44 16.58 12.52 11.20 9.83 090
defect.
27658.......... ............. A Repair of leg tendon, 4.98 11.28 7.82 7.64 6.00 0.46 16.72 13.26 13.08 11.44 090
each.
27659.......... ............. A Repair of leg tendon, 6.81 11.75 9.06 8.24 7.31 0.61 19.17 16.48 15.66 14.73 090
each.
27664.......... ............. A Repair of leg tendon, 4.59 9.13 6.42 7.53 5.62 0.45 14.17 11.46 12.57 10.66 090
each.
27665.......... ............. A Repair of leg tendon, 5.40 12.40 8.89 8.13 6.75 0.53 18.33 14.82 14.06 12.68 090
each.
27675.......... ............. A Repair lower leg 7.18 NA NA 7.12 7.04 0.69 NA NA 14.99 14.91 090
tendons.
27676.......... ............. A Repair lower leg 8.42 NA NA 8.11 8.16 0.74 NA NA 17.27 17.32 090
tendons.
27680.......... ............. A Release of lower leg 5.74 NA NA 6.74 5.61 0.54 NA NA 13.02 11.89 090
tendon.
27681.......... ............. A Release of lower leg 6.82 NA NA 7.32 6.90 0.68 NA NA 14.82 14.40 090
tendons.
27685.......... ............. A Revision of lower leg 6.50 7.41 5.79 7.41 5.79 0.56 14.47 12.85 14.47 12.85 090
tendon.
27686.......... ............. A Revise lower leg 7.46 8.56 7.84 8.31 7.72 0.74 16.76 16.04 16.51 15.92 090
tendons.
27687.......... ............. A Revision of calf 6.24 NA NA 7.25 6.58 0.56 NA NA 14.05 13.38 090
tendon.
27690.......... ............. A Revise lower leg 8.71 NA NA 8.14 7.73 0.76 NA NA 17.61 17.20 090
tendon.
27691.......... ............. A Revise lower leg 9.96 NA NA 10.02 9.29 0.95 NA NA 20.93 20.20 090
tendon.
27692.......... ............. A Revise additional leg 1.87 NA NA 0.90 1.55 0.19 NA NA 2.96 3.61 ZZZ
tendon.
27695.......... ............. A Repair of ankle 6.51 NA NA 7.87 7.82 0.63 NA NA 15.01 14.96 090
ligament.
27696.......... ............. A Repair of ankle 8.27 NA NA 8.71 8.19 0.76 NA NA 17.74 17.22 090
ligaments.
27698.......... ............. A Repair of ankle 9.36 NA NA 8.48 9.83 0.84 NA NA 18.68 20.03 090
ligament.
27700.......... ............. A Revision of ankle 9.29 NA NA 6.90 9.00 0.68 NA NA 16.87 18.97 090
joint.
27702.......... ............. A Reconstruct ankle 13.67 NA NA 11.60 13.96 1.41 NA NA 26.68 29.04 090
joint.
27703.......... ............. A Reconstruction, ankle 15.87 NA NA 11.39 13.20 1.32 NA NA 28.58 30.39 090
joint.
27704.......... ............. A Removal of ankle 7.62 NA NA 8.14 7.24 0.67 NA NA 16.43 15.53 090
implant.
27705.......... ............. A Incision of tibia..... 10.38 NA NA 10.22 10.94 1.06 NA NA 21.66 22.38 090
27707.......... ............. A Incision of fibula.... 4.37 NA NA 7.19 6.17 0.45 NA NA 12.01 10.99 090
27709.......... ............. A Incision of tibia & 9.95 NA NA 9.98 10.93 1.02 NA NA 20.95 21.90 090
fibula.
27712.......... ............. A Realignment of lower 14.25 NA NA 12.42 12.18 1.46 NA NA 28.13 27.89 090
leg.
27715.......... ............. A Revision of lower leg. 14.39 NA NA 13.00 13.35 1.47 NA NA 28.86 29.21 090
27720.......... ............. A Repair of tibia....... 11.79 NA NA 12.04 13.06 1.21 NA NA 25.04 26.06 090
27722.......... ............. A Repair/graft of tibia. 11.82 NA NA 11.45 11.43 1.21 NA NA 24.48 24.46 090
27724.......... ............. A Repair/graft of tibia. 14.99 NA NA 13.86 15.34 1.54 NA NA 30.39 31.87 090
27725.......... ............. A Repair of lower leg... 15.59 NA NA 13.98 12.65 1.58 NA NA 31.15 29.82 090
27727.......... ............. A Repair of lower leg... 14.01 NA NA 12.39 11.29 1.41 NA NA 27.81 26.71 090
27730.......... ............. A Repair of tibia 7.41 13.83 8.87 8.57 6.24 0.74 21.98 17.02 16.72 14.39 090
epiphysis.
27732.......... ............. A Repair of fibula 5.32 13.02 9.14 6.78 6.02 0.53 18.87 14.99 12.63 11.87 090
epiphysis.
27734.......... ............. A Repair lower leg 8.48 NA NA 8.16 8.17 0.76 NA NA 17.40 17.41 090
epiphyses.
27740.......... ............. A Repair of leg 9.30 17.83 13.45 8.59 8.83 0.97 28.10 23.72 18.86 19.10 090
epiphyses.
27742.......... ............. A Repair of leg 10.30 14.94 12.51 8.98 9.53 0.93 26.17 23.74 20.21 20.76 090
epiphyses.
27745.......... ............. A Reinforce tibia....... 10.07 NA NA 10.81 10.27 1.02 NA NA 21.90 21.36 090
27750.......... ............. A Treatment of tibia 3.19 7.22 5.48 3.53 3.64 0.32 10.73 8.99 7.04 7.15 090
fracture.
27752.......... ............. A Treatment of tibia 5.84 9.50 7.51 5.54 5.53 0.61 15.95 13.96 11.99 11.98 090
fracture.
27756.......... ............. A Treatment of tibia 6.78 NA NA 9.12 8.61 0.70 NA NA 16.60 16.09 090
fracture.
27758.......... ............. A Treatment of tibia 11.67 NA NA 11.03 12.48 1.19 NA NA 23.89 25.34 090
fracture.
27759.......... ............. A Treatment of tibia 13.76 NA NA 12.13 13.52 1.41 NA NA 27.30 28.69 090
fracture.
27760.......... ............. A Treatment of ankle 3.01 6.94 4.87 3.46 2.43 0.31 10.26 8.19 6.78 5.75 090
fracture.
27762.......... ............. A Treatment of ankle 5.25 8.95 6.30 5.12 4.39 0.53 14.73 12.08 10.90 10.17 090
fracture.
27766.......... ............. A Treatment of ankle 8.36 NA NA 7.52 8.03 0.86 NA NA 16.74 17.25 090
fracture.
27780.......... ............. A Treatment of fibula 2.65 4.70 3.42 3.23 2.15 0.26 7.61 6.33 6.14 5.06 090
fracture.
27781.......... ............. A Treatment of fibula 4.40 8.05 5.81 4.20 3.89 0.45 12.90 10.66 9.05 8.74 090
fracture.
27784.......... ............. A Treatment of fibula 7.11 NA NA 7.47 6.77 0.73 NA NA 15.31 14.61 090
fracture.
27786.......... ............. A Treatment of ankle 2.84 6.94 4.84 3.37 2.37 0.29 10.07 7.97 6.50 5.50 090
fracture.
27788.......... ............. A Treatment of ankle 4.45 7.97 5.76 4.16 2.97 0.46 12.88 10.67 9.07 7.88 090
fracture.
27792.......... ............. A Treatment of ankle 7.66 NA NA 7.21 7.61 0.78 NA NA 15.65 16.05 090
fracture.
27808.......... ............. A Treatment of ankle 2.83 7.80 5.42 3.94 3.49 0.29 10.92 8.54 7.06 6.61 090
fracture.
27810.......... ............. A Treatment of ankle 5.13 8.97 7.23 5.11 5.30 0.53 14.63 12.89 10.77 10.96 090
fracture.
27814.......... ............. A Treatment of ankle 10.68 NA NA 9.75 10.30 1.10 NA NA 21.53 22.08 090
fracture.
27816.......... ............. A Treatment of ankle 2.89 7.40 5.59 3.98 3.72 0.29 10.58 8.77 7.16 6.90 090
fracture.
27818.......... ............. A Treatment of ankle 5.50 9.18 7.88 5.29 5.93 0.56 15.24 13.94 11.35 11.99 090
fracture.
27822.......... ............. A Treatment of ankle 9.20 NA NA 34.89 22.94 0.95 NA NA 45.04 33.09 090
fracture.
27823.......... ............. A Treatment of ankle 11.80 NA NA 35.41 24.65 1.21 NA NA 48.42 37.66 090
fracture.
27824.......... ............. A Treat lower leg 2.89 7.79 5.78 3.90 3.68 0.29 10.97 8.96 7.08 6.86 090
fracture.
27825.......... ............. A Treat lower leg 6.19 9.70 8.39 5.71 6.39 0.64 16.53 15.22 12.54 13.22 090
fracture.
27826.......... ............. A Treat lower leg 8.54 NA NA 33.17 21.68 0.88 NA NA 42.59 31.10 090
fracture.
27827.......... ............. A Treat lower leg 14.06 NA NA 36.76 24.74 1.44 NA NA 52.26 40.24 090
fracture.
27828.......... ............. A Treat lower leg 16.23 NA NA 38.05 25.97 1.67 NA NA 55.95 43.87 090
fracture.
27829.......... ............. A Treat lower leg joint. 5.49 NA NA 25.16 15.86 0.56 NA NA 31.21 21.91 090
27830.......... ............. A Treat lower leg 3.79 7.44 5.49 3.48 3.51 0.38 11.61 9.66 7.65 7.68 090
dislocation.
27831.......... ............. A Treat lower leg 4.56 NA NA 4.50 4.41 0.46 NA NA 9.52 9.43 090
dislocation.
27832.......... ............. A Treat lower leg 6.49 NA NA 7.50 6.85 0.68 NA NA 14.67 14.02 090
dislocation.
27840.......... ............. A Treat ankle 4.58 NA NA 5.05 3.54 0.45 NA NA 10.08 8.57 090
dislocation.
27842.......... ............. A Treat ankle 6.21 NA NA 4.62 3.52 0.64 NA NA 11.47 10.37 090
dislocation.
27846.......... ............. A Treat ankle 9.79 NA NA 9.03 9.18 0.96 NA NA 19.78 19.93 090
dislocation.
27848.......... ............. A Treat ankle 11.20 NA NA 26.90 17.99 1.15 NA NA 39.25 30.34 090
dislocation.
27860.......... ............. A Fixation of ankle 2.34 NA NA 2.95 2.23 0.23 NA NA 5.52 4.80 010
joint.
27870.......... ............. A Fusion of ankle joint. 13.91 NA NA 12.58 13.53 1.40 NA NA 27.89 28.84 090
27871.......... ............. A Fusion of tibiofibular 9.17 NA NA 9.70 9.08 0.92 NA NA 19.79 19.17 090
joint.
27880.......... ............. A Amputation of lower 11.85 NA NA 10.82 9.95 1.27 NA NA 23.94 23.07 090
leg.
27881.......... ............. A Amputation of lower 12.34 NA NA 11.88 11.81 1.31 NA NA 25.53 25.46 090
leg.
27882.......... ............. A Amputation of lower 8.94 NA NA 10.97 9.48 0.98 NA NA 20.89 19.40 090
leg.
27884.......... ............. A Amputation follow-up 8.21 NA NA 9.47 6.57 0.89 NA NA 18.57 15.67 090
surgery.
[[Page 59463]]
27886.......... ............. A Amputation follow-up 9.32 NA NA 9.50 8.64 1.01 NA NA 19.83 18.97 090
surgery.
27888.......... ............. A Amputation of foot at 9.67 NA NA 9.74 10.02 1.01 NA NA 20.42 20.70 090
ankle.
27889.......... ............. A Amputation of foot at 9.98 NA NA 8.62 8.89 1.10 NA NA 19.70 19.97 090
ankle.
27892.......... ............. A Decompression of leg.. 7.39 NA NA 7.23 5.46 0.80 NA NA 15.42 13.65 090
27893.......... ............. A Decompression of leg.. 7.35 NA NA 6.59 5.13 0.69 NA NA 14.63 13.17 090
27894.......... ............. A Decompression of leg.. 10.49 NA NA 8.55 6.48 1.12 NA NA 20.16 18.09 090
27899.......... ............. C Leg/ankle surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
28001.......... ............. A Drainage of bursa of 2.73 4.29 2.43 2.72 1.50 0.18 7.20 5.34 5.63 4.41 010
foot.
28002.......... ............. A Treatment of foot 4.62 5.47 3.96 3.77 3.11 0.37 10.46 8.95 8.76 8.10 010
infection.
28003.......... ............. A Treatment of foot 8.41 8.65 6.23 8.65 5.28 0.66 17.72 15.30 17.72 14.35 090
infection.
28005.......... ............. A Treat foot bone lesion 8.68 NA NA 8.74 6.59 0.74 NA NA 18.16 16.01 090
28008.......... ............. A Incision of foot 4.45 6.03 4.47 5.13 4.02 0.31 10.79 9.23 9.89 8.78 090
fascia.
28010.......... ............. A Incision of toe tendon 2.84 5.56 4.75 3.93 2.95 0.19 8.59 7.78 6.96 5.98 090
28011.......... ............. A Incision of toe 4.14 6.81 4.37 5.68 3.32 0.33 11.28 8.84 10.15 7.79 090
tendons.
28020.......... ............. A Exploration of foot 5.01 7.49 6.14 5.44 5.11 0.41 12.91 11.56 10.86 10.53 090
joint.
28022.......... ............. A Exploration of foot 4.67 6.14 4.56 4.92 3.21 0.35 11.16 9.58 9.94 8.23 090
joint.
28024.......... ............. A Exploration of toe 4.38 6.24 4.42 4.94 3.12 0.32 10.94 9.12 9.64 7.82 090
joint.
28030.......... ............. A Removal of foot nerve. 6.15 NA NA 3.19 3.73 0.42 NA NA 9.76 10.30 090
28035.......... ............. A Decompression of tibia 5.09 6.42 6.57 4.67 5.38 0.42 11.93 12.08 10.18 10.89 090
nerve.
28043.......... ............. A Excision of foot 3.54 5.67 3.78 4.11 3.00 0.27 9.48 7.59 7.92 6.81 090
lesion.
28045.......... ............. A Excision of foot 4.72 6.25 5.29 4.71 4.52 0.36 11.33 10.37 9.79 9.60 090
lesion.
28046.......... ............. A Resection of tumor, 10.18 9.19 7.50 8.94 7.38 0.82 20.19 18.50 19.94 18.38 090
foot.
28050.......... ............. A Biopsy of foot joint 4.25 5.48 4.83 4.55 4.36 0.33 10.06 9.41 9.13 8.94 090
lining.
28052.......... ............. A Biopsy of foot joint 3.94 5.60 4.88 4.86 3.47 0.32 9.86 9.14 9.12 7.73 090
lining.
28054.......... ............. A Biopsy of toe joint 3.45 5.61 4.02 5.38 3.91 0.29 9.35 7.76 9.12 7.65 090
lining.
28060.......... ............. A Partial removal, foot 5.23 6.68 5.63 5.39 4.99 0.38 12.29 11.24 11.00 10.60 090
fascia.
28062.......... ............. A Removal of foot fascia 6.52 8.28 7.97 5.26 6.46 0.45 15.25 14.94 12.23 13.43 090
28070.......... ............. A Removal of foot joint 5.10 5.82 5.34 5.12 4.99 0.37 11.29 10.81 10.59 10.46 090
lining.
28072.......... ............. A Removal of foot joint 4.58 6.77 5.13 5.79 4.64 0.41 11.76 10.12 10.78 9.63 090
lining.
28080.......... ............. A Removal of foot lesion 3.58 5.74 5.08 4.36 4.39 0.26 9.58 8.92 8.20 8.23 090
28086.......... ............. A Excise foot tendon 4.78 8.36 5.88 6.81 5.10 0.47 13.61 11.13 12.06 10.35 090
sheath.
28088.......... ............. A Excise foot tendon 3.86 6.48 5.21 5.56 4.75 0.35 10.69 9.42 9.77 8.96 090
sheath.
28090.......... ............. A Removal of foot lesion 4.41 6.05 4.67 4.50 3.89 0.32 10.78 9.40 9.23 8.62 090
28092.......... ............. A Removal of toe lesions 3.64 6.70 4.45 4.84 3.52 0.28 10.62 8.37 8.76 7.44 090
28100.......... ............. A Removal of ankle/heel 5.66 8.69 6.83 6.40 5.69 0.49 14.84 12.98 12.55 11.84 090
lesion.
28102.......... ............. A Remove/graft foot 7.73 NA NA 7.47 7.45 0.72 NA NA 15.92 15.90 090
lesion.
28103.......... ............. A Remove/graft foot 6.50 13.37 9.73 5.53 5.81 0.52 20.39 16.75 12.55 12.83 090
lesion.
28104.......... ............. A Removal of foot lesion 5.12 6.59 5.65 5.78 5.24 0.38 12.09 11.15 11.28 10.74 090
28106.......... ............. A Remove/graft foot 7.16 NA NA 6.39 6.68 0.53 NA NA 14.08 14.37 090
lesion.
28107.......... ............. A Remove/graft foot 5.56 6.30 5.79 5.98 5.63 0.40 12.26 11.75 11.94 11.59 090
lesion.
28108.......... ............. A Removal of toe lesions 4.16 5.54 5.05 4.26 3.27 0.28 9.98 9.49 8.70 7.71 090
28110.......... ............. A Part removal of 4.08 6.57 5.18 5.63 4.71 0.31 10.96 9.57 10.02 9.10 090
metatarsal.
28111.......... ............. A Part removal of 5.01 8.06 6.77 6.19 5.83 0.42 13.49 12.20 11.62 11.26 090
metatarsal.
28112.......... ............. A Part removal of 4.49 6.79 5.55 5.98 5.14 0.35 11.63 10.39 10.82 9.98 090
metatarsal.
28113.......... ............. A Part removal of 4.79 6.76 5.79 5.69 5.26 0.36 11.91 10.94 10.84 10.41 090
metatarsal.
28114.......... ............. A Removal of metatarsal 9.79 9.29 9.62 9.29 9.62 0.82 19.90 20.23 19.90 20.23 090
heads.
28116.......... ............. A Revision of foot...... 7.75 6.87 6.41 5.72 5.84 0.56 15.18 14.72 14.03 14.15 090
28118.......... ............. A Removal of heel bone.. 5.96 6.71 6.46 5.92 6.06 0.48 13.15 12.90 12.36 12.50 090
28119.......... ............. A Removal of heel spur.. 5.39 6.38 6.14 4.99 5.45 0.37 12.14 11.90 10.75 11.21 090
28120.......... ............. A Part removal of ankle/ 5.40 10.25 7.86 7.60 6.54 0.47 16.12 13.73 13.47 12.41 090
heel.
28122.......... ............. A Partial removal of 7.29 8.45 6.66 7.79 6.33 0.56 16.30 14.51 15.64 14.18 090
foot bone.
28124.......... ............. A Partial removal of toe 4.81 7.08 5.77 6.06 4.15 0.32 12.21 10.90 11.19 9.28 090
28126.......... ............. A Partial removal of toe 3.52 6.03 5.18 5.45 3.81 0.24 9.79 8.94 9.21 7.57 090
28130.......... ............. A Removal of ankle bone. 8.11 NA NA 7.68 7.66 0.75 NA NA 16.54 16.52 090
28140.......... ............. A Removal of metatarsal. 6.91 7.40 6.38 6.50 5.93 0.59 14.90 13.88 14.00 13.43 090
28150.......... ............. A Removal of toe........ 4.09 6.52 5.05 5.65 4.61 0.32 10.93 9.46 10.06 9.02 090
28153.......... ............. A Partial removal of toe 3.66 6.07 5.20 4.36 3.27 0.24 9.97 9.10 8.26 7.17 090
28160.......... ............. A Partial removal of toe 3.74 6.22 5.35 5.69 3.97 0.27 10.23 9.36 9.70 7.98 090
28171.......... ............. A Extensive foot surgery 9.60 NA NA 6.75 7.71 0.62 NA NA 16.97 17.93 090
28173.......... ............. A Extensive foot surgery 8.80 8.71 7.47 7.49 6.86 0.71 18.22 16.98 17.00 16.37 090
28175.......... ............. A Extensive foot surgery 6.05 7.17 6.51 5.67 5.76 0.41 13.63 12.97 12.13 12.22 090
28190.......... ............. A Removal of foot 1.96 5.06 2.81 2.93 1.61 0.13 7.15 4.90 5.02 3.70 010
foreign body.
28192.......... ............. A Removal of foot 4.64 6.55 4.34 4.58 3.35 0.36 11.55 9.34 9.58 8.35 090
foreign body.
28193.......... ............. A Removal of foot 5.73 6.71 4.65 5.35 3.97 0.42 12.86 10.80 11.50 10.12 090
foreign body.
28200.......... ............. A Repair of foot tendon. 4.60 6.36 5.93 5.25 5.37 0.33 11.29 10.86 10.18 10.30 090
28202.......... ............. A Repair/graft of foot 6.84 6.81 6.57 5.74 6.03 0.53 14.18 13.94 13.11 13.40 090
tendon.
28208.......... ............. A Repair of foot tendon. 4.37 6.05 4.55 4.77 3.91 0.31 10.73 9.23 9.45 8.59 090
28210.......... ............. A Repair/graft of foot 6.35 7.96 7.02 5.72 5.90 0.46 14.77 13.83 12.53 12.71 090
tendon.
28220.......... ............. A Release of foot tendon 4.53 5.92 5.06 4.94 3.52 0.30 10.75 9.89 9.77 8.35 090
28222.......... ............. A Release of foot 5.62 6.33 6.64 5.86 4.67 0.36 12.31 12.62 11.84 10.65 090
tendons.
28225.......... ............. A Release of foot tendon 3.66 5.68 4.13 4.54 3.56 0.25 9.59 8.04 8.45 7.47 090
28226.......... ............. A Release of foot 4.53 5.90 4.79 5.11 4.39 0.33 10.76 9.65 9.97 9.25 090
tendons.
28230.......... ............. A Incision of foot 4.24 6.00 4.32 5.45 3.39 0.31 10.55 8.87 10.00 7.94 090
tendon(s).
28232.......... ............. A Incision of toe tendon 3.39 6.13 3.94 5.18 3.03 0.25 9.77 7.58 8.82 6.67 090
28234.......... ............. A Incision of foot 3.37 6.28 3.97 4.60 2.72 0.24 9.89 7.58 8.21 6.33 090
tendon.
28238.......... ............. A Revision of foot 7.73 7.16 7.51 6.43 7.14 0.56 15.45 15.80 14.72 15.43 090
tendon.
28240.......... ............. A Release of big toe.... 4.36 5.87 4.09 5.11 3.71 0.32 10.55 8.77 9.79 8.39 090
28250.......... ............. A Revision of foot 5.92 6.77 5.81 6.08 5.46 0.42 13.11 12.15 12.42 11.80 090
fascia.
28260.......... ............. A Release of midfoot 7.96 7.25 6.03 6.19 5.50 0.57 15.78 14.56 14.72 14.03 090
joint.
28261.......... ............. A Revision of foot 11.73 9.10 7.76 8.32 7.37 0.84 21.67 20.33 20.89 19.94 090
tendon.
28262.......... ............. A Revision of foot and 15.83 14.39 13.66 12.98 12.96 1.48 31.70 30.97 30.29 30.27 090
ankle.
[[Page 59464]]
28264.......... ............. A Release of midfoot 10.35 8.63 9.51 8.63 9.51 0.86 19.84 20.72 19.84 20.72 090
joint.
28270.......... ............. A Release of foot 4.76 6.49 4.67 5.77 3.60 0.32 11.57 9.75 10.85 8.68 090
contracture.
28272.......... ............. A Release of toe joint, 3.80 5.63 3.92 4.32 2.72 0.24 9.67 7.96 8.36 6.76 090
each.
28280.......... ............. A Fusion of toes........ 5.19 6.49 4.45 5.75 4.08 0.45 12.13 10.09 11.39 9.72 090
28285.......... ............. A Repair of hammertoe... 4.59 6.48 5.61 5.33 5.04 0.32 11.39 10.52 10.24 9.95 090
28286.......... ............. A Repair of hammertoe... 4.56 6.41 5.15 5.09 4.49 0.32 11.29 10.03 9.97 9.37 090
28288.......... ............. A Partial removal of 4.74 6.67 5.37 6.53 5.30 0.38 11.79 10.49 11.65 10.42 090
foot bone.
28289.......... ............. A Repair hallux rigidus. 7.04 2.82 2.82 2.82 2.82 0.55 10.41 10.41 10.41 10.41 090
28290.......... ............. A Correction of bunion.. 5.66 7.28 6.55 7.18 6.50 0.46 13.40 12.67 13.30 12.62 090
28292.......... ............. A Correction of bunion.. 7.04 7.53 7.59 6.30 6.98 0.50 15.07 15.13 13.84 14.52 090
28293.......... ............. A Correction of bunion.. 9.15 8.54 9.45 6.71 8.54 0.61 18.30 19.21 16.47 18.30 090
28294.......... ............. A Correction of bunion.. 8.56 8.06 9.00 6.55 8.25 0.55 17.17 18.11 15.66 17.36 090
28296.......... ............. A Correction of bunion.. 9.18 8.59 9.08 7.34 8.45 0.66 18.43 18.92 17.18 18.29 090
28297.......... ............. A Correction of bunion.. 9.18 8.47 9.13 8.47 9.13 0.74 18.39 19.05 18.39 19.05 090
28298.......... ............. A Correction of bunion.. 7.94 7.89 8.68 6.92 8.20 0.54 16.37 17.16 15.40 16.68 090
28299.......... ............. A Correction of bunion.. 8.88 8.11 9.36 6.93 8.77 0.61 17.60 18.85 16.42 18.26 090
28300.......... ............. A Incision of heel bone. 9.54 11.65 9.37 8.35 7.72 0.87 22.06 19.78 18.76 18.13 090
28302.......... ............. A Incision of ankle bone 9.55 11.95 10.80 8.50 9.08 0.78 22.28 21.13 18.83 19.41 090
28304.......... ............. A Incision of midfoot 9.16 8.59 7.79 6.97 6.98 0.68 18.43 17.63 16.81 16.82 090
bones.
28305.......... ............. A Incise/graft midfoot 10.50 13.89 12.29 9.66 10.18 0.61 25.00 23.40 20.77 21.29 090
bones.
28306.......... ............. A Incision of metatarsal 5.86 6.50 5.73 5.36 5.16 0.45 12.81 12.04 11.67 11.47 090
28307.......... ............. A Incision of metatarsal 6.33 7.85 7.11 7.44 6.91 0.51 14.69 13.95 14.28 13.75 090
28308.......... ............. A Incision of metatarsal 5.29 5.96 6.08 4.39 5.30 0.35 11.60 11.72 10.03 10.94 090
28309.......... ............. A Incision of 12.78 NA NA 9.28 8.37 0.99 NA NA 23.05 22.14 090
metatarsals.
28310.......... ............. A Revision of big toe... 5.43 6.83 5.68 5.50 5.02 0.37 12.63 11.48 11.30 10.82 090
28312.......... ............. A Revision of toe....... 4.55 6.59 5.77 6.01 5.48 0.33 11.47 10.65 10.89 10.36 090
28313.......... ............. A Repair deformity of 5.01 7.12 4.96 7.12 4.26 0.45 12.58 10.42 12.58 9.72 090
toe.
28315.......... ............. A Removal of sesamoid 4.86 6.02 5.31 4.58 4.59 0.33 11.21 10.50 9.77 9.78 090
bone.
28320.......... ............. A Repair of foot bones.. 9.18 NA NA 8.45 8.94 0.82 NA NA 18.45 18.94 090
28322.......... ............. A Repair of metatarsals. 8.34 7.10 6.09 7.10 6.09 0.74 16.18 15.17 16.18 15.17 090
28340.......... ............. A Resect enlarged toe 6.98 7.60 7.24 5.59 6.24 0.52 15.10 14.74 13.09 13.74 090
tissue.
28341.......... ............. A Resect enlarged toe... 8.41 8.00 8.16 6.02 7.17 0.55 16.96 17.12 14.98 16.13 090
28344.......... ............. A Repair extra toe(s)... 4.26 5.49 4.76 4.97 4.50 0.38 10.13 9.40 9.61 9.14 090
28345.......... ............. A Repair webbed toe(s).. 5.92 6.73 6.27 6.25 6.03 0.48 13.13 12.67 12.65 12.43 090
28360.......... ............. A Reconstruct cleft foot 13.34 NA NA 12.03 12.48 1.39 NA NA 26.76 27.21 090
28400.......... ............. A Treatment of heel 2.16 6.94 4.87 4.09 2.75 0.21 9.31 7.24 6.46 5.12 090
fracture.
28405.......... ............. A Treatment of heel 4.57 7.25 5.74 5.18 4.71 0.44 12.26 10.75 10.19 9.72 090
fracture.
28406.......... ............. A Treatment of heel 6.31 NA NA 7.48 7.05 0.65 NA NA 14.44 14.01 090
fracture.
28415.......... ............. A Treat heel fracture... 15.97 NA NA 35.81 22.80 1.58 NA NA 53.36 40.35 090
28420.......... ............. A Treat/graft heel 16.64 NA NA 35.95 23.89 1.67 NA NA 54.26 42.20 090
fracture.
28430.......... ............. A Treatment of ankle 2.09 6.58 4.62 3.68 2.51 0.20 8.87 6.91 5.97 4.80 090
fracture.
28435.......... ............. A Treatment of ankle 3.40 6.81 5.23 4.20 3.93 0.31 10.52 8.94 7.91 7.64 090
fracture.
28436.......... ............. A Treatment of ankle 4.71 NA NA 6.09 5.32 0.50 NA NA 11.30 10.53 090
fracture.
28445.......... ............. A Treat ankle fracture.. 9.33 NA NA 9.73 9.64 0.90 NA NA 19.96 19.87 090
28450.......... ............. A Treat midfoot 1.90 6.22 4.13 3.59 2.31 0.18 8.30 6.21 5.67 4.39 090
fracture, each.
28455.......... ............. A Treat midfoot 3.09 5.15 3.96 3.99 2.69 0.25 8.49 7.30 7.33 6.03 090
fracture, each.
28456.......... ............. A Treat midfoot fracture 2.68 NA NA 4.89 3.68 0.26 NA NA 7.83 6.62 090
28465.......... ............. A Treat midfoot 7.01 NA NA 20.63 13.32 0.65 NA NA 28.29 20.98 090
fracture, each.
28470.......... ............. A Treat metatarsal 1.99 5.81 3.88 3.02 2.00 0.19 7.99 6.06 5.20 4.18 090
fracture.
28475.......... ............. A Treat metatarsal 2.97 5.78 4.16 3.87 2.57 0.26 9.01 7.39 7.10 5.80 090
fracture.
28476.......... ............. A Treat metatarsal 3.38 NA NA 5.49 4.58 0.32 NA NA 9.19 8.28 090
fracture.
28485.......... ............. A Treat metatarsal 5.71 NA NA 20.72 12.90 0.48 NA NA 26.91 19.09 090
fracture.
28490.......... ............. A Treat big toe fracture 1.09 2.13 1.56 1.78 1.14 0.10 3.32 2.75 2.97 2.33 090
28495.......... ............. A Treat big toe fracture 1.58 2.17 1.70 1.89 1.25 0.12 3.87 3.40 3.59 2.95 090
28496.......... ............. A Treat big toe fracture 2.33 6.61 4.43 4.31 3.28 0.23 9.17 6.99 6.87 5.84 090
28505.......... ............. A Treat big toe fracture 3.81 17.83 10.54 17.83 10.54 0.34 21.98 14.69 21.98 14.69 090
28510.......... ............. A Treatment of toe 1.09 1.88 1.43 1.80 1.15 0.09 3.06 2.61 2.98 2.33 090
fracture.
28515.......... ............. A Treatment of toe 1.46 2.06 1.64 1.89 1.25 0.11 3.63 3.21 3.46 2.82 090
fracture.
28525.......... ............. A Treat toe fracture.... 3.32 16.35 9.30 16.35 9.30 0.30 19.97 12.92 19.97 12.92 090
28530.......... ............. A Treat sesamoid bone 1.06 3.90 2.50 2.22 1.39 0.08 5.04 3.64 3.36 2.53 090
fracture.
28531.......... ............. A Treat sesamoid bone 2.35 13.22 7.65 8.81 5.44 0.17 15.74 10.17 11.33 7.96 090
fracture.
28540.......... ............. A Treat foot dislocation 2.04 4.21 2.43 3.38 1.86 0.15 6.40 4.62 5.57 4.05 090
28545.......... ............. A Treat foot dislocation 2.45 3.60 2.51 3.60 2.51 0.22 6.27 5.18 6.27 5.18 090
28546.......... ............. A Treat foot dislocation 3.20 4.79 3.88 4.79 3.88 0.30 8.29 7.38 8.29 7.38 090
28555.......... ............. A Repair foot 6.30 9.83 7.95 9.83 7.95 0.59 16.72 14.84 16.72 14.84 090
dislocation.
28570.......... ............. A Treat foot dislocation 1.66 5.01 3.37 3.36 2.12 0.14 6.81 5.17 5.16 3.92 090
28575.......... ............. A Treat foot dislocation 3.31 3.72 3.37 3.72 3.37 0.32 7.35 7.00 7.35 7.00 090
28576.......... ............. A Treat foot dislocation 4.17 5.18 4.10 5.18 4.10 0.41 9.76 8.68 9.76 8.68 090
28585.......... ............. A Repair foot 7.99 13.84 9.61 13.84 9.61 0.71 22.54 18.31 22.54 18.31 090
dislocation.
28600.......... ............. A Treat foot dislocation 1.89 5.50 3.12 3.63 2.00 0.16 7.55 5.17 5.68 4.05 090
28605.......... ............. A Treat foot dislocation 2.71 6.00 4.23 3.85 3.15 0.26 8.97 7.20 6.82 6.12 090
28606.......... ............. A Treat foot dislocation 4.90 13.40 8.60 6.01 4.90 0.50 18.80 14.00 11.41 10.30 090
28615.......... ............. A Repair foot 7.77 NA NA 24.09 14.74 0.77 NA NA 32.63 23.28 090
dislocation.
28630.......... ............. A Treat toe dislocation. 1.70 1.78 1.45 1.78 1.17 0.14 3.62 3.29 3.62 3.01 010
28635.......... ............. A Treat toe dislocation. 1.91 2.88 2.23 2.24 1.52 0.15 4.94 4.29 4.30 3.58 010
28636.......... ............. A Treat toe dislocation. 2.77 5.61 4.20 2.65 2.72 0.26 8.64 7.23 5.68 5.75 010
28645.......... ............. A Repair toe dislocation 4.22 7.74 5.63 7.74 5.63 0.31 12.27 10.16 12.27 10.16 090
28660.......... ............. A Treat toe dislocation. 1.23 3.83 2.26 2.03 1.36 0.11 5.17 3.60 3.37 2.70 010
28665.......... ............. A Treat toe dislocation. 1.92 3.17 2.12 2.60 1.57 0.14 5.23 4.18 4.66 3.63 010
28666.......... ............. A Treat toe dislocation. 2.66 8.39 5.52 2.53 2.59 0.26 11.31 8.44 5.45 5.51 010
28675.......... ............. A Repair of toe 2.92 11.17 7.22 11.17 7.22 0.28 14.37 10.42 14.37 10.42 090
dislocation.
[[Page 59465]]
28705.......... ............. A Fusion of foot bones.. 15.21 NA NA 11.89 14.15 1.40 NA NA 28.50 30.76 090
28715.......... ............. A Fusion of foot bones.. 13.10 NA NA 11.44 12.41 1.28 NA NA 25.82 26.79 090
28725.......... ............. A Fusion of foot bones.. 11.61 NA NA 10.53 10.39 1.06 NA NA 23.20 23.06 090
28730.......... ............. A Fusion of foot bones.. 10.76 NA NA 9.64 9.71 1.00 NA NA 21.40 21.47 090
28735.......... ............. A Fusion of foot bones.. 10.85 NA NA 9.48 10.04 0.96 NA NA 21.29 21.85 090
28737.......... ............. A Revision of foot bones 9.64 NA NA 9.05 9.34 0.86 NA NA 19.55 19.84 090
28740.......... ............. A Fusion of foot bones.. 8.02 9.65 7.62 7.98 6.78 0.70 18.37 16.34 16.70 15.50 090
28750.......... ............. A Fusion of big toe 7.30 9.61 7.69 7.82 6.80 0.70 17.61 15.69 15.82 14.80 090
joint.
28755.......... ............. A Fusion of big toe 4.74 6.92 5.46 5.42 4.71 0.38 12.04 10.58 10.54 9.83 090
joint.
28760.......... ............. A Fusion of big toe 7.75 7.17 6.52 6.63 6.25 0.59 15.51 14.86 14.97 14.59 090
joint.
28800.......... ............. A Amputation of midfoot. 8.21 NA NA 7.96 7.59 0.82 NA NA 16.99 16.62 090
28805.......... ............. A Amputation thru 8.39 NA NA 7.82 7.34 0.89 NA NA 17.10 16.62 090
metatarsal.
28810.......... ............. A Amputation toe & 6.21 NA NA 6.70 5.47 0.65 NA NA 13.56 12.33 090
metatarsal.
28820.......... ............. A Amputation of toe..... 4.41 8.44 5.62 5.97 4.39 0.44 13.29 10.47 10.82 9.24 090
28825.......... ............. A Partial amputation of 3.59 7.81 5.21 5.58 4.09 0.35 11.75 9.15 9.52 8.03 090
toe.
28899.......... ............. C Foot/toes surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29000.......... ............. A Application of body 2.25 9.84 5.93 1.15 1.58 0.34 12.43 8.52 3.74 4.17 000
cast.
29010.......... ............. A Application of body 2.06 9.88 6.21 1.11 1.79 0.26 12.20 8.53 3.43 4.11 000
cast.
29015.......... ............. A Application of body 2.41 8.96 5.75 1.03 1.15 0.14 11.51 8.30 3.58 3.70 000
cast.
29020.......... ............. A Application of body 2.11 8.90 5.44 0.91 0.95 0.12 11.13 7.67 3.14 3.18 000
cast.
29025.......... ............. A Application of body 2.40 11.77 6.29 1.23 0.82 0.27 14.44 8.96 3.90 3.49 000
cast.
29035.......... ............. A Application of body 1.77 11.95 7.04 0.81 0.94 0.19 13.91 9.00 2.77 2.90 000
cast.
29040.......... ............. A Application of body 2.22 8.60 5.40 0.76 1.48 0.18 11.00 7.80 3.16 3.88 000
cast.
29044.......... ............. A Application of body 2.12 14.95 8.61 1.16 1.72 0.23 17.30 10.96 3.51 4.07 000
cast.
29046.......... ............. A Application of body 2.41 14.97 8.70 1.31 1.87 0.25 17.63 11.36 3.97 4.53 000
cast.
29049.......... ............. A Application of figure 0.89 5.90 3.18 0.24 0.24 0.09 6.88 4.16 1.22 1.22 000
eight.
29055.......... ............. A Application of 1.78 9.53 5.42 0.90 1.10 0.18 11.49 7.38 2.86 3.06 000
shoulder cast.
29058.......... ............. A Application of 1.31 6.44 3.58 0.53 0.62 0.12 7.87 5.01 1.96 2.05 000
shoulder cast.
29065.......... ............. A Application of long 0.87 4.32 2.60 0.44 0.44 0.09 5.28 3.56 1.40 1.40 000
arm cast.
29075.......... ............. A Application of forearm 0.77 3.87 2.27 0.37 0.35 0.08 4.72 3.12 1.22 1.20 000
cast.
29085.......... ............. A Apply hand/wrist cast. 0.87 3.80 2.17 0.38 0.33 0.09 4.76 3.13 1.34 1.29 000
29105.......... ............. A Apply long arm splint. 0.87 2.86 1.70 0.29 0.28 0.09 3.82 2.66 1.25 1.24 000
29125.......... ............. A Apply forearm splint.. 0.59 2.37 1.39 0.17 0.19 0.06 3.02 2.04 0.82 0.84 000
29126.......... ............. A Apply forearm splint.. 0.77 2.86 1.65 0.24 0.23 0.07 3.70 2.49 1.08 1.07 000
29130.......... ............. A Application of finger 0.50 0.77 0.48 0.14 0.12 0.05 1.32 1.03 0.69 0.67 000
splint.
29131.......... ............. A Application of finger 0.55 1.33 0.88 0.21 0.21 0.05 1.93 1.48 0.81 0.81 000
splint.
29200.......... ............. A Strapping of chest.... 0.65 1.33 0.81 0.17 0.16 0.06 2.04 1.52 0.88 0.87 000
29220.......... ............. A Strapping of low back. 0.64 1.09 0.75 0.26 0.24 0.05 1.78 1.44 0.95 0.93 000
29240.......... ............. A Strapping of shoulder. 0.71 1.30 0.80 0.19 0.24 0.07 2.08 1.58 0.97 1.02 000
29260.......... ............. A Strapping of elbow or 0.55 1.04 0.65 0.15 0.14 0.05 1.64 1.25 0.75 0.74 000
wrist.
29280.......... ............. A Strapping of hand or 0.51 1.07 0.65 0.14 0.13 0.05 1.63 1.21 0.70 0.69 000
finger.
29305.......... ............. A Application of hip 2.03 11.84 6.94 1.10 1.57 0.21 14.08 9.18 3.34 3.81 000
cast.
29325.......... ............. A Application of hip 2.32 9.18 5.65 1.19 1.65 0.24 11.74 8.21 3.75 4.21 000
casts.
29345.......... ............. A Application of long 1.40 5.41 3.26 0.71 0.64 0.14 6.95 4.80 2.25 2.18 000
leg cast.
29355.......... ............. A Application of long 1.53 5.67 3.43 0.77 0.69 0.15 7.35 5.11 2.45 2.37 000
leg cast.
29358.......... ............. A Apply long leg cast 1.43 6.31 4.01 0.76 0.81 0.14 7.88 5.58 2.33 2.38 000
brace.
29365.......... ............. A Application of long 1.18 4.61 2.77 0.61 0.54 0.12 5.91 4.07 1.91 1.84 000
leg cast.
29405.......... ............. A Apply short leg cast.. 0.86 3.92 2.39 0.41 0.42 0.09 4.87 3.34 1.36 1.37 000
29425.......... ............. A Apply short leg cast.. 1.01 3.69 2.37 0.48 0.51 0.10 4.80 3.48 1.59 1.62 000
29435.......... ............. A Apply short leg cast.. 1.18 6.16 3.72 0.62 0.63 0.11 7.45 5.01 1.91 1.92 000
29440.......... ............. A Addition of walker to 0.57 2.26 1.26 0.24 0.19 0.06 2.89 1.89 0.87 0.82 000
cast.
29445.......... ............. A Apply rigid leg cast.. 1.78 5.90 3.87 0.74 1.29 0.16 7.84 5.81 2.68 3.23 000
29450.......... ............. A Application of leg 1.02 2.85 1.64 0.44 0.33 0.08 3.95 2.74 1.54 1.43 000
cast.
29505.......... ............. A Application, long leg 0.69 3.18 1.90 0.21 0.42 0.07 3.94 2.66 0.97 1.18 000
splint.
29515.......... ............. A Application lower leg 0.73 2.45 1.48 0.22 0.24 0.06 3.24 2.27 1.01 1.03 000
splint.
29520.......... ............. A Strapping of hip...... 0.54 1.17 0.78 0.28 0.24 0.03 1.74 1.35 0.85 0.81 000
29530.......... ............. A Strapping of knee..... 0.57 1.12 0.75 0.16 0.27 0.05 1.74 1.37 0.78 0.89 000
29540.......... ............. A Strapping of ankle.... 0.51 0.50 0.42 0.17 0.17 0.03 1.04 0.96 0.71 0.71 000
29550.......... ............. A Strapping of toes..... 0.47 0.46 0.38 0.18 0.17 0.03 0.96 0.88 0.68 0.67 000
29580.......... ............. A Application of paste 0.57 0.97 0.92 0.22 0.21 0.05 1.59 1.54 0.84 0.83 000
boot.
29590.......... ............. A Application of foot 0.76 0.68 0.49 0.26 0.21 0.05 1.49 1.30 1.07 1.02 000
splint.
29700.......... ............. A Removal/revision of 0.57 0.72 0.54 0.21 0.20 0.06 1.35 1.17 0.84 0.83 000
cast.
29705.......... ............. A Removal/revision of 0.76 0.88 0.63 0.31 0.25 0.08 1.72 1.47 1.15 1.09 000
cast.
29710.......... ............. A Removal/revision of 1.34 1.47 0.98 0.63 0.44 0.12 2.93 2.44 2.09 1.90 000
cast.
29715.......... ............. A Removal/revision of 0.94 4.58 2.76 0.29 0.38 0.10 5.62 3.80 1.33 1.42 000
cast.
29720.......... ............. A Repair of body cast... 0.68 4.36 2.31 0.35 0.24 0.07 5.11 3.06 1.10 0.99 000
29730.......... ............. A Windowing of cast..... 0.75 0.85 0.57 0.29 0.22 0.08 1.68 1.40 1.12 1.05 000
29740.......... ............. A Wedging of cast....... 1.12 2.99 1.70 0.43 0.32 0.11 4.22 2.93 1.66 1.55 000
29750.......... ............. A Wedging of clubfoot 1.26 2.25 1.40 0.58 0.43 0.11 3.62 2.77 1.95 1.80 000
cast.
29799.......... ............. C Casting/strapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29800.......... ............. A Jaw arthroscopy/ 6.43 NA NA 7.25 5.80 0.59 NA NA 14.27 12.82 090
surgery.
29804.......... ............. A Jaw arthroscopy/ 8.14 NA NA 8.32 9.02 0.62 NA NA 17.08 17.78 090
surgery.
29815.......... ............. A Shoulder arthroscopy.. 5.89 NA NA 6.63 5.94 0.58 NA NA 13.10 12.41 090
29819.......... ............. A Shoulder arthroscopy/ 7.62 NA NA 8.46 8.78 0.78 NA NA 16.86 17.18 090
surgery.
29820.......... ............. A Shoulder arthroscopy/ 7.07 NA NA 8.58 8.51 0.73 NA NA 16.38 16.31 090
surgery.
29821.......... ............. A Shoulder arthroscopy/ 7.72 NA NA 8.42 8.82 0.78 NA NA 16.92 17.32 090
surgery.
29822.......... ............. A Shoulder arthroscopy/ 7.43 NA NA 8.79 8.83 0.76 NA NA 16.98 17.02 090
surgery.
29823.......... ............. A Shoulder arthroscopy/ 8.17 NA NA 9.01 9.39 0.83 NA NA 18.01 18.39 090
surgery.
29825.......... ............. A Shoulder arthroscopy/ 7.62 NA NA 8.55 8.82 0.78 NA NA 16.95 17.22 090
surgery.
29826.......... ............. A Shoulder arthroscopy/ 8.99 NA NA 9.52 10.13 0.93 NA NA 19.44 20.05 090
surgery.
29830.......... ............. A Elbow arthroscopy..... 5.76 NA NA 5.26 5.52 0.62 NA NA 11.64 11.90 090
[[Page 59466]]
29834.......... ............. A Elbow arthroscopy/ 6.28 NA NA 6.20 6.27 0.64 NA NA 13.12 13.19 090
surgery.
29835.......... ............. A Elbow arthroscopy/ 6.48 NA NA 6.44 6.49 0.66 NA NA 13.58 13.63 090
surgery.
29836.......... ............. A Elbow arthroscopy/ 7.55 NA NA 6.63 7.13 0.77 NA NA 14.95 15.45 090
surgery.
29837.......... ............. A Elbow arthroscopy/ 6.87 NA NA 6.38 6.67 0.71 NA NA 13.96 14.25 090
surgery.
29838.......... ............. A Elbow arthroscopy/ 7.71 NA NA 6.70 7.18 0.80 NA NA 15.21 15.69 090
surgery.
29840.......... ............. A Wrist arthroscopy..... 5.54 NA NA 6.82 5.20 0.57 NA NA 12.93 11.31 090
29843.......... ............. A Wrist arthroscopy/ 6.01 NA NA 6.96 6.52 0.66 NA NA 13.63 13.19 090
surgery.
29844.......... ............. A Wrist arthroscopy/ 6.37 NA NA 7.64 6.86 0.67 NA NA 14.68 13.90 090
surgery.
29845.......... ............. A Wrist arthroscopy/ 7.52 NA NA 7.46 7.53 0.77 NA NA 15.75 15.82 090
surgery.
29846.......... ............. A Wrist arthroscopy/ 6.75 NA NA 9.53 8.80 0.71 NA NA 16.99 16.26 090
surgery.
29847.......... ............. A Wrist arthroscopy/ 7.08 NA NA 10.52 8.94 0.74 NA NA 18.34 16.76 090
surgery.
29848.......... ............. A Wrist endoscopy/ 5.44 NA NA 6.81 5.50 0.58 NA NA 12.83 11.52 090
surgery.
29850.......... ............. A Knee arthroscopy/ 8.19 NA NA 6.57 5.73 0.71 NA NA 15.47 14.63 090
surgery.
29851.......... ............. A Knee arthroscopy/ 13.10 NA NA 10.84 11.36 1.37 NA NA 25.31 25.83 090
surgery.
29855.......... ............. A Tibial arthroscopy/ 10.62 NA NA 9.65 11.17 1.09 NA NA 21.36 22.88 090
surgery.
29856.......... ............. A Tibial arthroscopy/ 14.14 NA NA 12.03 12.36 1.47 NA NA 27.64 27.97 090
surgery.
29860.......... ............. A Hip arthroscopy, dx... 8.05 NA NA 7.01 6.13 0.77 NA NA 15.83 14.95 090
29861.......... ............. A Hip arthroscopy/ 9.15 NA NA 8.17 9.18 0.88 NA NA 18.20 19.21 090
surgery.
29862.......... ............. A Hip arthroscopy/ 9.90 NA NA 8.58 9.76 0.95 NA NA 19.43 20.61 090
surgery.
29863.......... ............. A Hip arthroscopy/ 9.90 NA NA 8.86 9.16 0.95 NA NA 19.71 20.01 090
surgery.
29870.......... ............. A Knee arthroscopy, dx.. 5.07 NA NA 5.36 4.86 0.52 NA NA 10.95 10.45 090
29871.......... ............. A Knee arthroscopy/ 6.55 NA NA 7.03 7.19 0.59 NA NA 14.17 14.33 090
drainage.
29874.......... ............. A Knee arthroscopy/ 7.05 NA NA 6.83 7.63 0.68 NA NA 14.56 15.36 090
surgery.
29875.......... ............. A Knee arthroscopy/ 6.31 NA NA 6.55 7.04 0.66 NA NA 13.52 14.01 090
surgery.
29876.......... ............. A Knee arthroscopy/ 7.92 NA NA 7.86 8.66 0.80 NA NA 16.58 17.38 090
surgery.
29877.......... ............. A Knee arthroscopy/ 7.35 NA NA 7.14 7.96 0.76 NA NA 15.25 16.07 090
surgery.
29879.......... ............. A Knee arthroscopy/ 8.04 NA NA 7.49 8.54 0.84 NA NA 16.37 17.42 090
surgery.
29880.......... ............. A Knee arthroscopy/ 8.50 NA NA 7.77 8.96 0.89 NA NA 17.16 18.35 090
surgery.
29881.......... ............. A Knee arthroscopy/ 7.76 NA NA 7.36 8.32 0.80 NA NA 15.92 16.88 090
surgery.
29882.......... ............. A Knee arthroscopy/ 8.65 NA NA 7.79 9.06 0.90 NA NA 17.34 18.61 090
surgery.
29883.......... ............. A Knee arthroscopy/ 9.46 NA NA 8.26 9.78 0.98 NA NA 18.70 20.22 090
surgery.
29884.......... ............. A Knee arthroscopy/ 7.33 NA NA 7.86 8.31 0.75 NA NA 15.94 16.39 090
surgery.
29885.......... ............. A Knee arthroscopy/ 9.09 NA NA 8.79 8.86 0.95 NA NA 18.83 18.90 090
surgery.
29886.......... ............. A Knee arthroscopy/ 7.54 NA NA 7.66 7.52 0.78 NA NA 15.98 15.84 090
surgery.
29887.......... ............. A Knee arthroscopy/ 9.04 NA NA 8.59 9.69 0.94 NA NA 18.57 19.67 090
surgery.
29888.......... ............. A Knee arthroscopy/ 13.90 NA NA 11.68 14.14 1.41 NA NA 26.99 29.45 090
surgery.
29889.......... ............. A Knee arthroscopy/ 15.13 NA NA 12.54 11.84 1.56 NA NA 29.23 28.53 090
surgery.
29891.......... ............. A Ankle arthroscopy/ 8.40 NA NA 8.12 8.87 0.81 NA NA 17.33 18.08 090
surgery.
29892.......... ............. A Ankle arthroscopy/ 9.00 NA NA 8.60 9.11 0.87 NA NA 18.47 18.98 090
surgery.
29893.......... ............. A Scope, plantar 5.22 NA NA 4.62 5.13 0.37 NA NA 10.21 10.72 090
fasciotomy.
29894.......... ............. A Ankle arthroscopy/ 7.21 NA NA 7.04 7.83 0.65 NA NA 14.90 15.69 090
surgery.
29895.......... ............. A Ankle arthroscopy/ 6.99 NA NA 7.22 7.79 0.65 NA NA 14.86 15.43 090
surgery.
29897.......... ............. A Ankle arthroscopy/ 7.18 NA NA 7.56 8.07 0.68 NA NA 15.42 15.93 090
surgery.
29898.......... ............. A Ankle arthroscopy/ 8.32 NA NA 7.55 8.74 0.74 NA NA 16.61 17.80 090
surgery.
29909.......... ............. C Arthroscopy of joint.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
30000.......... ............. A Drainage of nose 1.43 2.10 1.37 1.33 0.83 0.11 3.64 2.91 2.87 2.37 010
lesion.
30020.......... ............. A Drainage of nose 1.43 2.33 1.49 1.37 0.85 0.07 3.83 2.99 2.87 2.35 010
lesion.
30100.......... ............. A Intranasal biopsy..... 0.94 1.12 0.94 0.54 0.46 0.07 2.13 1.95 1.55 1.47 000
30110.......... ............. A Removal of nose 1.63 2.26 1.83 0.90 0.80 0.11 4.00 3.57 2.64 2.54 010
polyp(s).
30115.......... ............. A Removal of nose 4.35 NA NA 3.98 3.52 0.31 NA NA 8.64 8.18 090
polyp(s).
30117.......... ............. A Removal of intranasal 3.16 3.79 3.44 2.85 2.97 0.23 7.18 6.83 6.24 6.36 090
lesion.
30118.......... ............. A Removal of intranasal 9.69 NA NA 7.73 8.21 0.71 NA NA 18.13 18.61 090
lesion.
30120.......... ............. A Revision of nose...... 5.27 5.10 5.70 5.10 5.70 0.40 10.77 11.37 10.77 11.37 090
30124.......... ............. A Removal of nose lesion 3.10 NA NA 2.96 1.85 0.21 NA NA 6.27 5.16 090
30125.......... ............. A Removal of nose lesion 7.16 NA NA 5.91 5.97 0.48 NA NA 13.55 13.61 090
30130.......... ............. A Removal of turbinate 3.38 NA NA 3.48 2.65 0.23 NA NA 7.09 6.26 090
bones.
30140.......... ............. A Removal of turbinate 3.43 NA NA 3.88 3.59 0.25 NA NA 7.56 7.27 090
bones.
30150.......... ............. A Partial removal of 9.14 NA NA 7.47 8.04 0.77 NA NA 17.38 17.95 090
nose.
30160.......... ............. A Removal of nose....... 9.58 NA NA 7.67 9.56 0.75 NA NA 18.00 19.89 090
30200.......... ............. A Injection treatment of 0.78 1.02 0.71 0.45 0.33 0.06 1.86 1.55 1.29 1.17 000
nose.
30210.......... ............. A Nasal sinus therapy... 1.08 1.73 1.01 0.64 0.39 0.08 2.89 2.17 1.80 1.55 010
30220.......... ............. A Insert nasal septal 1.54 2.08 1.86 0.89 0.86 0.11 3.73 3.51 2.54 2.51 010
button.
30300.......... ............. A Remove nasal foreign 1.04 2.15 1.33 0.39 0.32 0.08 3.27 2.45 1.51 1.44 010
body.
30310.......... ............. A Remove nasal foreign 1.96 NA NA 1.75 1.76 0.14 NA NA 3.85 3.86 010
body.
30320.......... ............. A Remove nasal foreign 4.52 NA NA 4.70 4.68 0.33 NA NA 9.55 9.53 090
body.
30400.......... ............. R Reconstruction of nose 9.83 NA NA 7.91 9.37 0.84 NA NA 18.58 20.04 090
30410.......... ............. R Reconstruction of nose 12.98 NA NA 9.59 12.55 1.14 NA NA 23.71 26.67 090
30420.......... ............. R Reconstruction of nose 15.88 NA NA 11.49 15.23 1.25 NA NA 28.62 32.36 090
30430.......... ............. R Revision of nose...... 7.21 NA NA 6.17 6.39 0.62 NA NA 14.00 14.22 090
30435.......... ............. R Revision of nose...... 11.71 NA NA 9.14 10.09 1.03 NA NA 21.88 22.83 090
30450.......... ............. R Revision of nose...... 18.65 NA NA 12.87 12.54 1.65 NA NA 33.17 32.84 090
30460.......... ............. A Revision of nose...... 9.96 NA NA 7.96 8.64 0.87 NA NA 18.79 19.47 090
30462.......... ............. A Revision of nose...... 19.57 NA NA 12.66 15.64 1.90 NA NA 34.13 37.11 090
30520.......... ............. A Repair of nasal septum 5.70 NA NA 5.21 6.01 0.41 NA NA 11.32 12.12 090
30540.......... ............. A Repair nasal defect... 7.75 NA NA 5.43 6.32 0.54 NA NA 13.72 14.61 090
30545.......... ............. A Repair nasal defect... 11.38 NA NA 8.33 10.04 0.88 NA NA 20.59 22.30 090
30560.......... ............. A Release of nasal 1.26 1.93 1.27 1.31 0.81 0.09 3.28 2.62 2.66 2.16 010
adhesions.
30580.......... ............. A Repair upper jaw 6.69 4.60 5.69 4.60 4.00 0.49 11.78 12.87 11.78 11.18 090
fistula.
30600.......... ............. A Repair mouth/nose 6.02 4.10 4.10 4.10 4.10 0.47 10.59 10.59 10.59 10.59 090
fistula.
30620.......... ............. A Intranasal 5.97 NA NA 5.65 6.39 0.45 NA NA 12.07 12.81 090
reconstruction.
30630.......... ............. A Repair nasal septum 7.12 NA NA 6.31 6.54 0.53 NA NA 13.96 14.19 090
defect.
[[Page 59467]]
30801.......... ............. A Cauterization, inner 1.09 2.15 1.33 1.96 1.11 0.08 3.32 2.50 3.13 2.28 010
nose.
30802.......... ............. A Cauterization, inner 2.03 2.64 1.83 2.42 1.72 0.14 4.81 4.00 4.59 3.89 010
nose.
30901.......... ............. A Control of nosebleed.. 1.21 1.89 1.25 0.33 0.32 0.10 3.20 2.56 1.64 1.63 000
30903.......... ............. A Control of nosebleed.. 1.54 2.21 1.57 0.52 0.72 0.12 3.87 3.23 2.18 2.38 000
30905.......... ............. A Control of nosebleed.. 1.97 3.97 2.96 0.81 1.38 0.15 6.09 5.08 2.93 3.50 000
30906.......... ............. A Repeat control of 2.45 4.29 2.73 1.29 1.23 0.18 6.92 5.36 3.92 3.86 000
nosebleed.
30915.......... ............. A Ligation, nasal sinus 7.20 NA NA 6.26 5.82 0.52 NA NA 13.98 13.54 090
artery.
30920.......... ............. A Ligation, upper jaw 9.83 NA NA 7.78 9.07 0.70 NA NA 18.31 19.60 090
artery.
30930.......... ............. A Therapy, fracture of 1.26 NA NA 1.75 1.26 0.09 NA NA 3.10 2.61 010
nose.
30999.......... ............. C Nasal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31000.......... ............. A Irrigation, maxillary 1.15 1.98 1.23 0.66 0.45 0.08 3.21 2.46 1.89 1.68 010
sinus.
31002.......... ............. A Irrigation, sphenoid 1.91 NA NA 1.78 1.02 0.13 NA NA 3.82 3.06 010
sinus.
31020.......... ............. A Exploration, maxillary 2.94 3.57 3.23 3.17 3.03 0.21 6.72 6.38 6.32 6.18 090
sinus.
31030.......... ............. A Exploration, maxillary 5.92 4.36 5.72 4.36 5.72 0.43 10.71 12.07 10.71 12.07 090
sinus.
31032.......... ............. A Explore sinus, remove 6.57 NA NA 5.50 6.68 0.48 NA NA 12.55 13.73 090
polyps.
31040.......... ............. A Exploration behind 9.42 NA NA 6.22 7.44 0.69 NA NA 16.33 17.55 090
upper jaw.
31050.......... ............. A Exploration, sphenoid 5.28 NA NA 4.56 5.44 0.39 NA NA 10.23 11.11 090
sinus.
31051.......... ............. A Sphenoid sinus surgery 7.11 NA NA 5.93 7.21 0.55 NA NA 13.59 14.87 090
31070.......... ............. A Exploration of frontal 4.28 NA NA 4.34 4.72 0.31 NA NA 8.93 9.31 090
sinus.
31075.......... ............. A Exploration of frontal 9.16 NA NA 7.61 9.28 0.63 NA NA 17.40 19.07 090
sinus.
31080.......... ............. A Removal of frontal 11.42 NA NA 8.36 9.18 0.81 NA NA 20.59 21.41 090
sinus.
31081.......... ............. A Removal of frontal 12.75 NA NA 9.08 10.14 1.86 NA NA 23.69 24.75 090
sinus.
31084.......... ............. A Removal of frontal 13.51 NA NA 9.88 12.97 1.03 NA NA 24.42 27.51 090
sinus.
31085.......... ............. A Removal of frontal 14.20 NA NA 10.17 13.56 1.35 NA NA 25.72 29.11 090
sinus.
31086.......... ............. A Removal of frontal 12.86 NA NA 9.70 10.75 0.96 NA NA 23.52 24.57 090
sinus.
31087.......... ............. A Removal of frontal 13.10 NA NA 9.51 10.40 0.93 NA NA 23.54 24.43 090
sinus.
31090.......... ............. A Exploration of sinuses 9.53 NA NA 8.08 9.73 0.68 NA NA 18.29 19.94 090
31200.......... ............. A Removal of ethmoid 4.97 NA NA 5.52 5.27 0.28 NA NA 10.77 10.52 090
sinus.
31201.......... ............. A Removal of ethmoid 8.37 NA NA 7.01 7.31 0.59 NA NA 15.97 16.27 090
sinus.
31205.......... ............. A Removal of ethmoid 10.24 NA NA 8.29 8.50 0.61 NA NA 19.14 19.35 090
sinus.
31225.......... ............. A Removal of upper jaw.. 19.23 NA NA 14.11 17.61 1.41 NA NA 34.75 38.25 090
31230.......... ............. A Removal of upper jaw.. 21.94 NA NA 15.90 19.75 1.67 NA NA 39.51 43.36 090
31231.......... ............. A Nasal endoscopy, dx... 1.10 1.70 1.60 0.61 1.05 0.08 2.88 2.78 1.79 2.23 000
31233.......... ............. A Nasal/sinus endoscopy, 2.18 2.34 2.69 1.27 1.40 0.15 4.67 5.02 3.60 3.73 000
dx.
31235.......... ............. A Nasal/sinus endoscopy, 2.64 2.61 2.60 1.55 1.43 0.18 5.43 5.42 4.37 4.25 000
dx.
31237.......... ............. A Nasal/sinus endoscopy, 2.98 2.87 3.22 1.70 1.74 0.21 6.06 6.41 4.89 4.93 000
surg.
31238.......... ............. A Nasal/sinus endoscopy, 3.26 3.26 3.58 1.91 1.93 0.23 6.75 7.07 5.40 5.42 000
surg.
31239.......... ............. A Nasal/sinus endoscopy, 8.70 NA NA 6.54 8.47 0.44 NA NA 15.68 17.61 010
surg.
31240.......... ............. A Nasal/sinus endoscopy, 2.61 NA NA 1.48 2.30 0.18 NA NA 4.27 5.09 000
surg.
31254.......... ............. A Revision of ethmoid 4.65 NA NA 2.74 4.15 0.32 NA NA 7.71 9.12 000
sinus.
31255.......... ............. A Removal of ethmoid 6.96 NA NA 4.10 6.21 0.50 NA NA 11.56 13.67 000
sinus.
31256.......... ............. A Exploration maxillary 3.29 NA NA 1.94 2.94 0.23 NA NA 5.46 6.46 000
sinus.
31267.......... ............. A Endoscopy, maxillary 5.46 NA NA 3.22 4.45 0.39 NA NA 9.07 10.30 000
sinus.
31276.......... ............. A Sinus endoscopy, 8.85 NA NA 5.12 6.21 0.63 NA NA 14.60 15.69 000
surgical.
31287.......... ............. A Nasal/sinus endoscopy, 3.92 NA NA 2.31 3.50 0.28 NA NA 6.51 7.70 000
surg.
31288.......... ............. A Nasal/sinus endoscopy, 4.58 NA NA 2.70 4.09 0.32 NA NA 7.60 8.99 000
surg.
31290.......... ............. A Nasal/sinus endoscopy, 17.24 NA NA 11.53 14.70 1.28 NA NA 30.05 33.22 010
surg.
31291.......... ............. A Nasal/sinus endoscopy, 18.19 NA NA 11.87 15.33 1.73 NA NA 31.79 35.25 010
surg.
31292.......... ............. A Nasal/sinus endoscopy, 14.76 NA NA 10.02 12.27 1.03 NA NA 25.81 28.06 010
surg.
31293.......... ............. A Nasal/sinus endoscopy, 16.21 NA NA 10.66 13.28 1.09 NA NA 27.96 30.58 010
surg.
31294.......... ............. A Nasal/sinus endoscopy, 19.06 NA NA 12.43 15.29 1.71 NA NA 33.20 36.06 010
surg.
31299.......... ............. C Sinus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31300.......... ............. A Removal of larynx 14.29 NA NA 15.68 14.13 1.02 NA NA 30.99 29.44 090
lesion.
31320.......... ............. A Diagnostic incision, 5.26 NA NA 10.85 7.53 0.39 NA NA 16.50 13.18 090
larynx.
31360.......... ............. A Removal of larynx..... 17.08 NA NA 17.05 18.72 1.24 NA NA 35.37 37.04 090
31365.......... ............. A Removal of larynx..... 24.16 NA NA 21.02 24.94 1.77 NA NA 46.95 50.87 090
31367.......... ............. A Partial removal of 21.86 NA NA 21.37 20.03 1.59 NA NA 44.82 43.48 090
larynx.
31368.......... ............. A Partial removal of 27.09 NA NA 25.45 27.25 1.98 NA NA 54.52 56.32 090
larynx.
31370.......... ............. A Partial removal of 21.38 NA NA 21.33 19.99 1.60 NA NA 44.31 42.97 090
larynx.
31375.......... ............. A Partial removal of 20.21 NA NA 18.85 17.48 1.41 NA NA 40.47 39.10 090
larynx.
31380.......... ............. A Partial removal of 20.21 NA NA 18.98 18.86 1.44 NA NA 40.63 40.51 090
larynx.
31382.......... ............. A Partial removal of 20.52 NA NA 21.34 19.39 1.51 NA NA 43.37 41.42 090
larynx.
31390.......... ............. A Removal of larynx & 27.53 NA NA 25.78 27.59 1.99 NA NA 55.30 57.11 090
pharynx.
31395.......... ............. A Reconstruct larynx & 31.09 NA NA 30.43 33.41 2.25 NA NA 63.77 66.75 090
pharynx.
31400.......... ............. A Revision of larynx.... 10.31 NA NA 13.45 10.97 0.74 NA NA 24.50 22.02 090
31420.......... ............. A Removal of epiglottis. 10.22 NA NA 13.35 11.06 0.74 NA NA 24.31 22.02 090
31500.......... ............. A Insert emergency 2.33 NA NA 0.56 0.90 0.17 NA NA 3.06 3.40 000
airway.
31502.......... ............. A Change of windpipe 0.65 1.58 1.11 0.27 0.45 0.04 2.27 1.80 0.96 1.14 000
airway.
31505.......... ............. A Diagnostic 0.61 1.48 0.98 0.23 0.24 0.05 2.14 1.64 0.89 0.90 000
laryngoscopy.
31510.......... ............. A Laryngoscopy with 1.92 2.37 1.49 1.01 0.81 0.14 4.43 3.55 3.07 2.87 000
biopsy.
31511.......... ............. A Remove foreign body, 2.16 2.55 1.80 0.81 0.93 0.18 4.89 4.14 3.15 3.27 000
larynx.
31512.......... ............. A Removal of larynx 2.07 2.48 2.21 1.13 1.54 0.19 4.74 4.47 3.39 3.80 000
lesion.
31513.......... ............. A Injection into vocal 2.10 NA NA 1.25 1.88 0.15 NA NA 3.50 4.13 000
cord.
31515.......... ............. A Laryngoscopy for 1.80 2.21 1.72 0.77 1.00 0.12 4.13 3.64 2.69 2.92 000
aspiration.
31520.......... ............. A Diagnostic 2.56 NA NA 1.34 1.56 0.18 NA NA 4.08 4.30 000
laryngoscopy.
31525.......... ............. A Diagnostic 2.63 2.60 2.50 1.45 1.33 0.18 5.41 5.31 4.26 4.14 000
laryngoscopy.
31526.......... ............. A Diagnostic 2.57 NA NA 1.51 2.29 0.18 NA NA 4.26 5.04 000
laryngoscopy.
31527.......... ............. A Laryngoscopy for 3.27 NA NA 1.68 2.46 0.23 NA NA 5.18 5.96 000
treatment.
31528.......... ............. A Laryngoscopy and 2.37 NA NA 1.26 2.05 0.18 NA NA 3.81 4.60 000
dilatation.
31529.......... ............. A Laryngoscopy and 2.68 NA NA 1.46 2.07 0.19 NA NA 4.33 4.94 000
dilatation.
31530.......... ............. A Operative laryngoscopy 3.39 NA NA 1.73 2.84 0.23 NA NA 5.35 6.46 000
[[Page 59468]]
31531.......... ............. A Operative laryngoscopy 3.59 NA NA 2.13 3.21 0.26 NA NA 5.98 7.06 000
31535.......... ............. A Operative laryngoscopy 3.16 NA NA 1.82 2.80 0.23 NA NA 5.21 6.19 000
31536.......... ............. A Operative laryngoscopy 3.56 NA NA 2.09 3.17 0.26 NA NA 5.91 6.99 000
31540.......... ............. A Operative laryngoscopy 4.13 NA NA 2.42 3.68 0.30 NA NA 6.85 8.11 000
31541.......... ............. A Operative laryngoscopy 4.53 NA NA 2.65 3.80 0.32 NA NA 7.50 8.65 000
31560.......... ............. A Operative laryngoscopy 5.46 NA NA 3.13 4.28 0.39 NA NA 8.98 10.13 000
31561.......... ............. A Operative laryngoscopy 6.00 NA NA 3.47 5.14 0.43 NA NA 9.90 11.57 000
31570.......... ............. A Laryngoscopy with 3.87 3.83 4.23 2.21 2.26 0.29 7.99 8.39 6.37 6.42 000
injection.
31571.......... ............. A Laryngoscopy with 4.27 NA NA 2.47 3.68 0.31 NA NA 7.05 8.26 000
injection.
31575.......... ............. A Diagnostic 1.10 1.79 1.74 0.59 0.72 0.08 2.97 2.92 1.77 1.90 000
laryngoscopy.
31576.......... ............. A Laryngoscopy with 1.97 1.89 2.13 1.09 1.73 0.13 3.99 4.23 3.19 3.83 000
biopsy.
31577.......... ............. A Remove foreign body, 2.47 2.20 2.58 1.33 2.14 0.18 4.85 5.23 3.98 4.79 000
larynx.
31578.......... ............. A Removal of larynx 2.84 2.51 2.95 0.94 2.17 0.20 5.55 5.99 3.98 5.21 000
lesion.
31579.......... ............. A Diagnostic 2.26 2.56 2.55 1.26 1.27 0.16 4.98 4.97 3.68 3.69 000
laryngoscopy.
31580.......... ............. A Revision of larynx.... 12.38 NA NA 13.82 14.30 0.88 NA NA 27.08 27.56 090
31582.......... ............. A Revision of larynx.... 21.62 NA NA 19.80 19.60 1.54 NA NA 42.96 42.76 090
31584.......... ............. A Treat larynx fracture. 19.64 NA NA 17.28 15.54 1.54 NA NA 38.46 36.72 090
31585.......... ............. A Treat larynx fracture. 4.64 NA NA 7.52 5.81 0.32 NA NA 12.48 10.77 090
31586.......... ............. A Treat larynx fracture. 8.03 NA NA 11.05 9.08 0.57 NA NA 19.65 17.68 090
31587.......... ............. A Revision of larynx.... 11.99 NA NA 12.50 10.16 0.88 NA NA 25.37 23.03 090
31588.......... ............. A Revision of larynx.... 13.11 NA NA 15.12 13.37 0.94 NA NA 29.17 27.42 090
31590.......... ............. A Reinnervate larynx.... 6.97 NA NA 10.28 8.27 0.47 NA NA 17.72 15.71 090
31595.......... ............. A Larynx nerve surgery.. 8.34 NA NA 9.81 8.62 0.61 NA NA 18.76 17.57 090
31599.......... ............. C Larynx surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31600.......... ............. A Incision of windpipe.. 3.62 NA NA 1.66 2.99 0.34 NA NA 5.62 6.95 000
31601.......... ............. A Incision of windpipe.. 4.45 NA NA 2.28 3.80 0.36 NA NA 7.09 8.61 000
31603.......... ............. A Incision of windpipe.. 4.15 NA NA 1.93 3.26 0.38 NA NA 6.46 7.79 000
31605.......... ............. A Incision of windpipe.. 3.58 NA NA 1.33 2.81 0.36 NA NA 5.27 6.75 000
31610.......... ............. A Incision of windpipe.. 8.76 NA NA 9.92 8.58 0.70 NA NA 19.38 18.04 090
31611.......... ............. A Surgery/speech 5.64 NA NA 8.80 7.90 0.41 NA NA 14.85 13.95 090
prosthesis.
31612.......... ............. A Puncture/clear 0.91 1.26 1.27 0.36 0.73 0.06 2.23 2.24 1.33 1.70 000
windpipe.
31613.......... ............. A Repair windpipe 4.59 NA NA 8.15 5.28 0.37 NA NA 13.11 10.24 090
opening.
31614.......... ............. A Repair windpipe 7.12 NA NA 10.85 9.08 0.53 NA NA 18.50 16.73 090
opening.
31615.......... ............. A Visualization of 2.09 3.10 2.61 0.95 1.54 0.14 5.33 4.84 3.18 3.77 000
windpipe.
31622.......... ............. A Dx bronchoscope/wash.. 2.78 3.26 3.30 0.92 2.13 0.13 6.17 6.21 3.83 5.04 000
31623.......... ............. A Dx bronchoscope/brush. 2.88 3.30 3.32 0.95 2.15 0.15 6.33 6.35 3.98 5.18 000
31624.......... ............. A Dx bronchoscope/lavage 2.88 2.89 3.12 0.95 2.15 0.15 5.92 6.15 3.98 5.18 000
31625.......... ............. A Bronchoscopy with 3.37 2.88 3.46 1.07 2.55 0.16 6.41 6.99 4.60 6.08 000
biopsy.
31628.......... ............. A Bronchoscopy with 3.81 3.35 3.95 1.15 2.85 0.13 7.29 7.89 5.09 6.79 000
biopsy.
31629.......... ............. A Bronchoscopy with 3.37 NA NA 1.03 2.53 0.11 NA NA 4.51 6.01 000
biopsy.
31630.......... ............. A Bronchoscopy with 3.82 NA NA 1.62 2.83 0.34 NA NA 5.78 6.99 000
repair.
31631.......... ............. A Bronchoscopy with 4.37 NA NA 1.63 2.96 0.31 NA NA 6.31 7.64 000
dilation.
31635.......... ............. A Remove foreign body, 3.68 NA NA 1.33 2.87 0.23 NA NA 5.24 6.78 000
airway.
31640.......... ............. A Bronchoscopy & remove 4.94 NA NA 2.07 3.76 0.37 NA NA 7.38 9.07 000
lesion.
31641.......... ............. A Bronchoscopy, treat 5.03 NA NA 1.77 3.89 0.28 NA NA 7.08 9.20 000
blockage.
31643.......... ............. A Diag bronchoscope/ 3.50 1.83 2.59 1.27 2.31 0.20 5.53 6.29 4.97 6.01 000
catheter.
31645.......... ............. A Bronchoscopy, clear 3.16 NA NA 0.98 2.38 0.13 NA NA 4.27 5.67 000
airways.
31646.......... ............. A Bronchoscopy, reclear 2.72 NA NA 0.85 2.05 0.12 NA NA 3.69 4.89 000
airway.
31656.......... ............. A Bronchoscopy, inj for 2.17 NA NA 0.58 1.59 0.10 NA NA 2.85 3.86 000
xray.
31700.......... ............. A Insertion of airway 1.34 1.85 1.68 0.38 0.94 0.08 3.27 3.10 1.80 2.36 000
catheter.
31708.......... ............. A Instill airway 1.41 NA NA 0.41 0.63 0.06 NA NA 1.88 2.10 000
contrast dye.
31710.......... ............. A Insertion of airway 1.30 NA NA 0.39 0.69 0.05 NA NA 1.74 2.04 000
catheter.
31715.......... ............. A Injection for bronchus 1.11 NA NA 0.30 0.41 0.04 NA NA 1.45 1.56 000
x-ray.
31717.......... ............. A Bronchial brush biopsy 2.12 3.10 1.95 0.66 0.73 0.08 5.30 4.15 2.86 2.93 000
31720.......... ............. A Clearance of airways.. 1.06 1.82 1.31 0.33 0.57 0.06 2.94 2.43 1.45 1.69 000
31725.......... ............. A Clearance of airways.. 1.96 NA NA 0.64 1.09 0.08 NA NA 2.68 3.13 000
31730.......... ............. A Intro, windpipe wire/ 2.85 2.39 2.54 0.99 1.84 0.15 5.39 5.54 3.99 4.84 000
tube.
31750.......... ............. A Repair of windpipe.... 13.02 NA NA 14.34 11.99 1.00 NA NA 28.36 26.01 090
31755.......... ............. A Repair of windpipe.... 15.93 NA NA 17.11 15.77 1.20 NA NA 34.24 32.90 090
31760.......... ............. A Repair of windpipe.... 22.35 NA NA 14.17 13.01 2.09 NA NA 38.61 37.45 090
31766.......... ............. A Reconstruction of 30.43 NA NA 16.93 18.45 3.73 NA NA 51.09 52.61 090
windpipe.
31770.......... ............. A Repair/graft of 22.51 NA NA 17.03 16.69 2.06 NA NA 41.60 41.26 090
bronchus.
31775.......... ............. A Reconstruct bronchus.. 23.54 NA NA 19.25 18.51 2.80 NA NA 45.59 44.85 090
31780.......... ............. A Reconstruct windpipe.. 17.72 NA NA 14.00 16.41 1.70 NA NA 33.42 35.83 090
31781.......... ............. A Reconstruct windpipe.. 23.53 NA NA 16.97 17.64 2.83 NA NA 43.33 44.00 090
31785.......... ............. A Remove windpipe lesion 17.23 NA NA 13.17 11.43 1.35 NA NA 31.75 30.01 090
31786.......... ............. A Remove windpipe lesion 23.98 NA NA 18.42 16.43 1.99 NA NA 44.39 42.40 090
31800.......... ............. A Repair of windpipe 7.43 NA NA 6.89 6.11 0.74 NA NA 15.06 14.28 090
injury.
31805.......... ............. A Repair of windpipe 13.13 NA NA 13.03 11.85 1.72 NA NA 27.88 26.70 090
injury.
31820.......... ............. A Closure of windpipe 4.49 7.27 5.58 7.25 5.57 0.34 12.10 10.41 12.08 10.40 090
lesion.
31825.......... ............. A Repair of windpipe 6.81 9.86 7.65 9.86 7.65 0.52 17.19 14.98 17.19 14.98 090
defect.
31830.......... ............. A Revise windpipe scar.. 4.50 7.20 5.59 7.20 5.59 0.36 12.06 10.45 12.06 10.45 090
31899.......... ............. C Airways surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
32000.......... ............. A Drainage of chest..... 1.54 3.17 2.08 0.47 0.73 0.07 4.78 3.69 2.08 2.34 000
32001.......... ............. D Total lung lavage..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
32002.......... ............. A Treatment of collapsed 2.19 NA NA 0.67 1.06 0.11 NA NA 2.97 3.36 000
lung.
32005.......... ............. A Treat lung lining 2.19 NA NA 0.77 0.98 0.18 NA NA 3.14 3.35 000
chemically.
32020.......... ............. A Insertion of chest 3.98 NA NA 1.42 2.14 0.37 NA NA 5.77 6.49 000
tube.
32035.......... ............. A Exploration of chest.. 8.67 NA NA 10.53 8.94 1.05 NA NA 20.25 18.66 090
32036.......... ............. A Exploration of chest.. 9.68 NA NA 11.78 9.76 1.19 NA NA 22.65 20.63 090
32095.......... ............. A Biopsy through chest 8.36 NA NA 10.93 9.94 0.98 NA NA 20.27 19.28 090
wall.
[[Page 59469]]
32100.......... ............. A Exploration/biopsy of 11.84 NA NA 12.11 12.16 1.45 NA NA 25.40 25.45 090
chest.
32110.......... ............. A Explore/repair chest.. 13.62 NA NA 12.52 12.51 1.67 NA NA 27.81 27.80 090
32120.......... ............. A Re-exploration of 11.54 NA NA 12.71 11.49 1.45 NA NA 25.70 24.48 090
chest.
32124.......... ............. A Explore chest free 12.72 NA NA 11.54 11.71 1.57 NA NA 25.83 26.00 090
adhesions.
32140.......... ............. A Removal of lung 13.93 NA NA 13.74 13.58 1.68 NA NA 29.35 29.19 090
lesion(s).
32141.......... ............. A Remove/treat lung 14.00 NA NA 11.53 13.05 1.74 NA NA 27.27 28.79 090
lesions.
32150.......... ............. A Removal of lung 14.15 NA NA 12.78 12.00 1.71 NA NA 28.64 27.86 090
lesion(s).
32151.......... ............. A Remove lung foreign 14.21 NA NA 14.09 12.01 1.76 NA NA 30.06 27.98 090
body.
32160.......... ............. A Open chest heart 9.30 NA NA 7.61 8.76 1.07 NA NA 17.98 19.13 090
massage.
32200.......... ............. A Drain, open, lung 15.29 NA NA 10.89 9.19 1.25 NA NA 27.43 25.73 090
lesion.
32201.......... ............. A Drain, percut, lung 4.00 NA NA 5.64 4.47 0.32 NA NA 9.96 8.79 000
lesion.
32215.......... ............. A Treat chest lining.... 11.33 NA NA 12.89 10.58 1.37 NA NA 25.59 23.28 090
32220.......... ............. A Release of lung....... 19.27 NA NA 16.10 16.63 2.28 NA NA 37.65 38.18 090
32225.......... ............. A Partial release of 13.96 NA NA 13.36 13.11 1.74 NA NA 29.06 28.81 090
lung.
32310.......... ............. A Removal of chest 13.44 NA NA 12.66 12.65 1.65 NA NA 27.75 27.74 090
lining.
32320.......... ............. A Free/remove chest 20.54 NA NA 15.49 17.57 2.50 NA NA 38.53 40.61 090
lining.
32400.......... ............. A Needle biopsy chest 1.76 1.70 1.66 0.52 1.07 0.07 3.53 3.49 2.35 2.90 000
lining.
32402.......... ............. A Open biopsy chest 7.56 NA NA 11.02 9.63 0.94 NA NA 19.52 18.13 090
lining.
32405.......... ............. A Biopsy, lung or 1.93 2.25 2.28 0.53 1.42 0.08 4.26 4.29 2.54 3.43 000
mediastinum.
32420.......... ............. A Puncture/clear lung... 2.18 NA NA 0.64 1.14 0.10 NA NA 2.92 3.42 000
32440.......... ............. A Removal of lung....... 21.02 NA NA 16.12 18.13 2.60 NA NA 39.74 41.75 090
32442.......... ............. A Sleeve pneumonectomy.. 26.24 NA NA 16.60 18.04 3.28 NA NA 46.12 47.56 090
32445.......... ............. A Removal of lung....... 25.09 NA NA 16.55 19.38 3.09 NA NA 44.73 47.56 090
32480.......... ............. A Partial removal of 18.32 NA NA 13.97 16.29 2.25 NA NA 34.54 36.86 090
lung.
32482.......... ............. A Bilobectomy........... 19.71 NA NA 15.10 16.86 2.38 NA NA 37.19 38.95 090
32484.......... ............. A Segmentectomy......... 20.69 NA NA 15.42 17.02 2.54 NA NA 38.65 40.25 090
32486.......... ............. A Sleeve lobectomy...... 23.92 NA NA 17.84 17.90 3.04 NA NA 44.80 44.86 090
32488.......... ............. A Completion 25.71 NA NA 18.14 18.70 3.19 NA NA 47.04 47.60 090
pneumonectomy.
32491.......... ............. R Lung volume reduction. 21.25 NA NA 16.12 16.45 2.84 NA NA 40.21 40.54 090
32500.......... ............. A Partial removal of 14.30 NA NA 13.67 14.15 1.79 NA NA 29.76 30.24 090
lung.
32501.......... ............. A Repair bronchus add-on 4.69 NA NA 1.87 3.28 0.53 NA NA 7.09 8.50 ZZZ
32520.......... ............. A Remove lung & revise 21.68 NA NA 16.65 19.54 2.75 NA NA 41.08 43.97 090
chest.
32522.......... ............. A Remove lung & revise 24.20 NA NA 17.31 20.54 3.03 NA NA 44.54 47.77 090
chest.
32525.......... ............. A Remove lung & revise 26.50 NA NA 17.81 21.66 3.29 NA NA 47.60 51.45 090
chest.
32540.......... ............. A Removal of lung lesion 14.64 NA NA 13.89 13.28 1.81 NA NA 30.34 29.73 090
32601.......... ............. A Thoracoscopy, 5.46 NA NA 4.66 4.22 0.68 NA NA 10.80 10.36 000
diagnostic.
32602.......... ............. A Thoracoscopy, 5.96 NA NA 4.86 4.53 0.74 NA NA 11.56 11.23 000
diagnostic.
32603.......... ............. A Thoracoscopy, 7.81 NA NA 5.62 4.70 0.78 NA NA 14.21 13.29 000
diagnostic.
32604.......... ............. A Thoracoscopy, 8.78 NA NA 6.22 5.21 1.07 NA NA 16.07 15.06 000
diagnostic.
32605.......... ............. A Thoracoscopy, 6.93 NA NA 5.67 4.72 0.86 NA NA 13.46 12.51 000
diagnostic.
32606.......... ............. A Thoracoscopy, 8.40 NA NA 5.86 5.03 1.04 NA NA 15.30 14.47 000
diagnostic.
32650.......... ............. A Thoracoscopy, surgical 10.75 NA NA 11.21 9.74 1.26 NA NA 23.22 21.75 090
32651.......... ............. A Thoracoscopy, surgical 12.91 NA NA 11.23 12.04 1.55 NA NA 25.69 26.50 090
32652.......... ............. A Thoracoscopy, surgical 18.66 NA NA 14.31 15.74 2.30 NA NA 35.27 36.70 090
32653.......... ............. A Thoracoscopy, surgical 12.87 NA NA 11.96 11.59 1.55 NA NA 26.38 26.01 090
32654.......... ............. A Thoracoscopy, surgical 12.44 NA NA 9.46 10.98 1.48 NA NA 23.38 24.90 090
32655.......... ............. A Thoracoscopy, surgical 13.10 NA NA 11.28 12.92 1.54 NA NA 25.92 27.56 090
32656.......... ............. A Thoracoscopy, surgical 12.91 NA NA 12.02 13.26 1.61 NA NA 26.54 27.78 090
32657.......... ............. A Thoracoscopy, surgical 13.65 NA NA 12.09 13.36 1.65 NA NA 27.39 28.66 090
32658.......... ............. A Thoracoscopy, surgical 11.63 NA NA 11.87 12.88 1.45 NA NA 24.95 25.96 090
32659.......... ............. A Thoracoscopy, surgical 11.59 NA NA 11.94 12.89 1.46 NA NA 24.99 25.94 090
32660.......... ............. A Thoracoscopy, surgical 17.43 NA NA 16.64 18.72 2.29 NA NA 36.36 38.44 090
32661.......... ............. A Thoracoscopy, surgical 13.25 NA NA 13.12 11.58 1.65 NA NA 28.02 26.48 090
32662.......... ............. A Thoracoscopy, surgical 16.44 NA NA 13.61 14.70 2.03 NA NA 32.08 33.17 090
32663.......... ............. A Thoracoscopy, surgical 18.47 NA NA 14.31 16.46 2.25 NA NA 35.03 37.18 090
32664.......... ............. A Thoracoscopy, surgical 14.20 NA NA 11.27 11.36 1.64 NA NA 27.11 27.20 090
32665.......... ............. A Thoracoscopy, surgical 15.54 NA NA 11.56 13.56 1.80 NA NA 28.90 30.90 090
32800.......... ............. A Repair lung hernia.... 13.69 NA NA 13.79 11.39 1.41 NA NA 28.89 26.49 090
32810.......... ............. A Close chest after 13.05 NA NA 12.87 9.96 1.66 NA NA 27.58 24.67 090
drainage.
32815.......... ............. A Close bronchial 23.15 NA NA 18.44 17.48 2.94 NA NA 44.53 43.57 090
fistula.
32820.......... ............. A Reconstruct injured 21.48 NA NA 15.61 18.12 2.40 NA NA 39.49 42.00 090
chest.
32850.......... ............. X Donor pneumonectomy... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
32851.......... ............. A Lung transplant, 38.63 NA NA 25.49 26.61 5.21 NA NA 69.33 70.45 090
single.
32852.......... ............. A Lung transplant with 41.80 NA NA 26.49 28.28 5.81 NA NA 74.10 75.89 090
bypass.
32853.......... ............. A Lung transplant, 47.81 NA NA 29.00 31.83 6.43 NA NA 83.24 86.07 090
double.
32854.......... ............. A Lung transplant with 50.98 NA NA 31.09 34.05 6.75 NA NA 88.82 91.78 090
bypass.
32900.......... ............. A Removal of rib(s)..... 20.27 NA NA 15.10 12.15 2.40 NA NA 37.77 34.82 090
32905.......... ............. A Revise & repair chest 20.75 NA NA 15.06 14.45 2.55 NA NA 38.36 37.75 090
wall.
32906.......... ............. A Revise & repair chest 26.77 NA NA 18.49 17.61 3.34 NA NA 48.60 47.72 090
wall.
32940.......... ............. A Revision of lung...... 19.43 NA NA 14.72 13.53 2.37 NA NA 36.52 35.33 090
32960.......... ............. A Therapeutic 1.84 1.91 1.46 0.41 0.71 0.13 3.88 3.43 2.38 2.68 000
pneumothorax.
32997.......... ............. A Total lung lavage..... 6.00 2.28 2.28 2.28 2.28 0.58 8.86 8.86 8.86 8.86 000
32999.......... ............. C Chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
33010.......... ............. A Drainage of heart sac. 2.24 NA NA 0.84 1.26 0.27 NA NA 3.35 3.77 000
33011.......... ............. A Repeat drainage of 2.24 NA NA 0.86 0.73 0.26 NA NA 3.36 3.23 000
heart sac.
33015.......... ............. A Incision of heart sac. 6.80 NA NA 5.25 4.94 0.88 NA NA 12.93 12.62 090
33020.......... ............. A Incision of heart sac. 12.61 NA NA 10.68 12.54 1.63 NA NA 24.92 26.78 090
33025.......... ............. A Incision of heart sac. 12.09 NA NA 11.23 12.83 1.55 NA NA 24.87 26.47 090
33030.......... ............. A Partial removal of 18.71 NA NA 16.61 19.47 2.41 NA NA 37.73 40.59 090
heart sac.
33031.......... ............. A Partial removal of 21.79 NA NA 18.80 16.59 2.90 NA NA 43.49 41.28 090
heart sac.
33050.......... ............. A Removal of heart sac 14.36 NA NA 13.33 11.69 1.77 NA NA 29.46 27.82 090
lesion.
[[Page 59470]]
33120.......... ............. A Removal of heart 24.56 NA NA 22.33 25.83 3.19 NA NA 50.08 53.58 090
lesion.
33130.......... ............. A Removal of heart 21.39 NA NA 16.52 15.59 2.42 NA NA 40.33 39.40 090
lesion.
33140.......... ............. A Heart revascularize 20.00 NA NA 13.15 13.15 2.56 NA NA 35.71 35.71 090
(tmr).
33200.......... ............. A Insertion of heart 12.48 NA NA 11.99 12.66 1.45 NA NA 25.92 26.59 090
pacemaker.
33201.......... ............. A Insertion of heart 10.18 NA NA 12.63 12.39 1.34 NA NA 24.15 23.91 090
pacemaker.
33206.......... ............. A Insertion of heart 6.67 NA NA 6.17 7.07 0.84 NA NA 13.68 14.58 090
pacemaker.
33207.......... ............. A Insertion of heart 8.04 NA NA 6.50 8.05 1.03 NA NA 15.57 17.12 090
pacemaker.
33208.......... ............. A Insertion of heart 8.13 NA NA 6.64 8.17 1.07 NA NA 15.84 17.37 090
pacemaker.
33210.......... ............. A Insertion of heart 3.30 NA NA 1.34 2.46 0.42 NA NA 5.06 6.18 000
electrode.
33211.......... ............. A Insertion of heart 3.40 NA NA 1.44 2.51 0.44 NA NA 5.28 6.35 000
electrode.
33212.......... ............. A Insertion of pulse 5.52 NA NA 4.93 5.39 0.71 NA NA 11.16 11.62 090
generator.
33213.......... ............. A Insertion of pulse 6.37 NA NA 5.25 5.55 0.82 NA NA 12.44 12.74 090
generator.
33214.......... ............. A Upgrade of pacemaker 7.75 NA NA 6.29 6.08 0.99 NA NA 15.03 14.82 090
system.
33216.......... ............. A Revise eltrd pacing- 5.39 NA NA 5.43 5.44 0.70 NA NA 11.52 11.53 090
defib.
33217.......... ............. A Revise eltrd pacing- 5.75 NA NA 5.54 5.50 0.76 NA NA 12.05 12.01 090
defib.
33218.......... ............. A Revise eltrd pacing- 5.44 NA NA 4.93 4.96 0.70 NA NA 11.07 11.10 090
defib.
33220.......... ............. A Revise eltrd pacing- 5.52 NA NA 4.98 4.98 0.71 NA NA 11.21 11.21 090
defib.
33222.......... ............. A Revise pocket, 4.96 NA NA 4.31 5.12 0.62 NA NA 9.89 10.70 090
pacemaker.
33223.......... ............. A Revise pocket, pacing- 6.46 NA NA 5.70 5.95 0.88 NA NA 13.04 13.29 090
defib.
33233.......... ............. A Removal of pacemaker 3.29 NA NA 4.24 3.56 0.44 NA NA 7.97 7.29 090
system.
33234.......... ............. A Removal of pacemaker 7.82 NA NA 6.33 4.71 1.05 NA NA 15.20 13.58 090
system.
33235.......... ............. A Removal pacemaker 9.40 NA NA 6.96 5.19 1.26 NA NA 17.62 15.85 090
electrode.
33236.......... ............. A Remove electrode/ 12.60 NA NA 11.48 7.90 1.63 NA NA 25.71 22.13 090
thoracotomy.
33237.......... ............. A Remove electrode/ 13.71 NA NA 12.46 11.44 1.77 NA NA 27.94 26.92 090
thoracotomy.
33238.......... ............. A Remove electrode/ 15.22 NA NA 11.68 11.43 1.41 NA NA 28.31 28.06 090
thoracotomy.
33240.......... ............. A Insert pulse generator 7.60 NA NA 6.36 6.10 1.03 NA NA 14.99 14.73 090
33241.......... ............. A Remove pulse generator 3.24 NA NA 3.95 3.15 0.44 NA NA 7.63 6.83 090
33242.......... ............. D Repair pulse generator/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
leads.
33243.......... ............. A Remove eltrd/ 22.64 NA NA 13.87 11.83 3.03 NA NA 39.54 37.50 090
thoracotomy.
33244.......... ............. A Remove eltrd, transven 13.76 NA NA 9.22 9.51 1.83 NA NA 24.81 25.10 090
33245.......... ............. A Insert epic eltrd pace- 14.30 NA NA 14.30 15.69 1.83 NA NA 30.43 31.82 090
defib.
33246.......... ............. A Insert epic eltrd/ 20.71 NA NA 16.35 19.46 2.74 NA NA 39.80 42.91 090
generator.
33247.......... ............. D Insert/replace leads.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
33249.......... ............. A Eltrd/insert pace- 14.23 NA NA 9.87 12.87 1.79 NA NA 25.89 28.89 090
defib.
33250.......... ............. A Ablate heart dysrhythm 21.85 NA NA 14.51 13.53 2.97 NA NA 39.33 38.35 090
focus.
33251.......... ............. A Ablate heart dysrhythm 24.88 NA NA 20.04 18.93 3.26 NA NA 48.18 47.07 090
focus.
33253.......... ............. A Reconstruct atria..... 31.06 NA NA 22.48 23.08 4.12 NA NA 57.66 58.26 090
33261.......... ............. A Ablate heart dysrhythm 24.88 NA NA 19.80 17.48 2.94 NA NA 47.62 45.30 090
focus.
33282.......... ............. A Implant pat-active ht 4.17 NA NA 5.99 5.99 0.53 NA NA 10.69 10.69 090
record.
33284.......... ............. A Remove pat-active ht 2.50 NA NA 5.46 5.46 0.33 NA NA 8.29 8.29 090
record.
33300.......... ............. A Repair of heart wound. 17.92 NA NA 15.54 15.56 2.33 NA NA 35.79 35.81 090
33305.......... ............. A Repair of heart wound. 21.44 NA NA 18.48 18.68 2.81 NA NA 42.73 42.93 090
33310.......... ............. A Exploratory heart 18.51 NA NA 17.47 14.86 2.48 NA NA 38.46 35.85 090
surgery.
33315.......... ............. A Exploratory heart 22.37 NA NA 18.77 17.24 3.00 NA NA 44.14 42.61 090
surgery.
33320.......... ............. A Repair major blood 16.79 NA NA 14.26 14.81 2.14 NA NA 33.19 33.74 090
vessel(s).
33321.......... ............. A Repair major vessel... 20.20 NA NA 17.18 20.39 2.36 NA NA 39.74 42.95 090
33322.......... ............. A Repair major blood 20.62 NA NA 17.70 20.65 2.70 NA NA 41.02 43.97 090
vessel(s).
33330.......... ............. A Insert major vessel 21.43 NA NA 16.24 15.00 2.79 NA NA 40.46 39.22 090
graft.
33332.......... ............. A Insert major vessel 23.96 NA NA 16.19 16.27 3.29 NA NA 43.44 43.52 090
graft.
33335.......... ............. A Insert major vessel 30.01 NA NA 21.84 19.10 3.99 NA NA 55.84 53.10 090
graft.
33400.......... ............. A Repair of aortic valve 25.34 NA NA 23.32 25.88 3.34 NA NA 52.00 54.56 090
33401.......... ............. A Valvuloplasty, open... 23.91 NA NA 18.63 23.54 3.19 NA NA 45.73 50.64 090
33403.......... ............. A Valvuloplasty, w/cp 24.89 NA NA 22.49 25.47 3.47 NA NA 50.85 53.83 090
bypass.
33404.......... ............. A Prepare heart-aorta 28.54 NA NA 24.27 29.09 3.68 NA NA 56.49 61.31 090
conduit.
33405.......... ............. A Replacement of aortic 30.61 NA NA 22.51 27.80 3.97 NA NA 57.09 62.38 090
valve.
33406.......... ............. A Replacement of aortic 32.30 NA NA 23.12 30.84 4.18 NA NA 59.60 67.32 090
valve.
33410.......... ............. A Replacement of aortic 32.46 NA NA 23.27 23.27 4.21 NA NA 59.94 59.94 090
valve.
33411.......... ............. A Replacement of aortic 32.47 NA NA 23.37 31.07 4.21 NA NA 60.05 67.75 090
valve.
33412.......... ............. A Replacement of aortic 34.79 NA NA 26.56 34.05 4.18 NA NA 65.53 73.02 090
valve.
33413.......... ............. A Replacement of aortic 35.24 NA NA 27.44 34.75 4.59 NA NA 67.27 74.58 090
valve.
33414.......... ............. A Repair of aortic valve 30.35 NA NA 27.32 31.78 3.88 NA NA 61.55 66.01 090
33415.......... ............. A Revision, subvalvular 27.15 NA NA 24.07 28.25 2.84 NA NA 54.06 58.24 090
tissue.
33416.......... ............. A Revise ventricle 30.35 NA NA 22.76 26.65 4.00 NA NA 57.11 61.00 090
muscle.
33417.......... ............. A Repair of aortic valve 28.53 NA NA 26.71 30.39 3.72 NA NA 58.96 62.64 090
33420.......... ............. A Revision of mitral 22.70 NA NA 11.55 16.53 1.58 NA NA 35.83 40.81 090
valve.
33422.......... ............. A Revision of mitral 25.94 NA NA 21.00 25.98 3.34 NA NA 50.28 55.26 090
valve.
33425.......... ............. A Repair of mitral valve 27.00 NA NA 20.88 26.56 3.47 NA NA 51.35 57.03 090
33426.......... ............. A Repair of mitral valve 31.03 NA NA 22.76 28.72 4.03 NA NA 57.82 63.78 090
33427.......... ............. A Repair of mitral valve 33.72 NA NA 23.61 30.64 4.42 NA NA 61.75 68.78 090
33430.......... ............. A Replacement of mitral 31.43 NA NA 22.84 30.18 4.09 NA NA 58.36 65.70 090
valve.
33460.......... ............. A Revision of tricuspid 23.60 NA NA 19.32 23.75 3.00 NA NA 45.92 50.35 090
valve.
33463.......... ............. A Valvuloplasty, 25.62 NA NA 20.41 25.50 3.34 NA NA 49.37 54.46 090
tricuspid.
33464.......... ............. A Valvuloplasty, 27.33 NA NA 21.36 26.99 3.57 NA NA 52.26 57.89 090
tricuspid.
33465.......... ............. A Replace tricuspid 28.79 NA NA 21.88 28.13 3.65 NA NA 54.32 60.57 090
valve.
33468.......... ............. A Revision of tricuspid 30.12 NA NA 30.14 33.05 3.93 NA NA 64.19 67.10 090
valve.
33470.......... ............. A Revision of pulmonary 20.81 NA NA 11.39 16.45 2.50 NA NA 34.70 39.76 090
valve.
33471.......... ............. A Valvotomy, pulmonary 22.25 NA NA 13.10 19.84 1.75 NA NA 37.10 43.84 090
valve.
33472.......... ............. A Revision of pulmonary 22.25 NA NA 14.82 20.70 2.53 NA NA 39.60 45.48 090
valve.
33474.......... ............. A Revision of pulmonary 23.04 NA NA 19.95 23.73 2.62 NA NA 45.61 49.39 090
valve.
33475.......... ............. A Replacement, pulmonary 28.41 NA NA 23.01 28.46 3.73 NA NA 55.15 60.60 090
valve.
33476.......... ............. A Revision of heart 25.77 NA NA 16.31 23.43 2.38 NA NA 44.46 51.58 090
chamber.
[[Page 59471]]
33478.......... ............. A Revision of heart 26.74 NA NA 22.86 27.39 3.68 NA NA 53.28 57.81 090
chamber.
33496.......... ............. A Repair, prosth valve 27.25 NA NA 23.63 28.09 3.63 NA NA 54.51 58.97 090
clot.
33500.......... ............. A Repair heart vessel 25.55 NA NA 19.92 25.22 3.10 NA NA 48.57 53.87 090
fistula.
33501.......... ............. A Repair heart vessel 17.78 NA NA 15.19 15.27 2.09 NA NA 35.06 35.14 090
fistula.
33502.......... ............. A Coronary artery 21.04 NA NA 24.95 20.15 2.86 NA NA 48.85 44.05 090
correction.
33503.......... ............. A Coronary artery graft. 21.78 NA NA 15.16 20.58 2.70 NA NA 39.64 45.06 090
33504.......... ............. A Coronary artery graft. 24.66 NA NA 25.77 27.61 2.63 NA NA 53.06 54.90 090
33505.......... ............. A Repair artery w/tunnel 26.84 NA NA 18.09 25.07 3.16 NA NA 48.09 55.07 090
33506.......... ............. A Repair artery, 26.71 NA NA 20.10 25.99 2.94 NA NA 49.75 55.64 090
translocation.
33510.......... ............. A CABG, vein, single.... 25.12 NA NA 20.20 25.10 3.27 NA NA 48.59 53.49 090
33511.......... ............. A CABG, vein, two....... 27.40 NA NA 21.09 26.90 3.56 NA NA 52.05 57.86 090
33512.......... ............. A CABG, vein, three..... 29.67 NA NA 21.86 28.64 3.79 NA NA 55.32 62.10 090
33513.......... ............. A CABG, vein, four...... 31.95 NA NA 23.05 30.60 4.11 NA NA 59.11 66.66 090
33514.......... ............. A CABG, vein, five...... 35.00 NA NA 24.57 33.18 4.49 NA NA 64.06 72.67 090
33516.......... ............. A Cabg, vein, six or 37.40 NA NA 25.70 35.18 4.78 NA NA 67.88 77.36 090
more.
33517.......... ............. A CABG, artery-vein, 2.57 NA NA 1.08 2.08 0.33 NA NA 3.98 4.98 ZZZ
single.
33518.......... ............. A CABG, artery-vein, two 4.85 NA NA 2.04 3.92 0.63 NA NA 7.52 9.40 ZZZ
33519.......... ............. A CABG, artery-vein, 7.12 NA NA 2.99 5.75 0.92 NA NA 11.03 13.79 ZZZ
three.
33521.......... ............. A CABG, artery-vein, 9.40 NA NA 3.95 7.59 1.21 NA NA 14.56 18.20 ZZZ
four.
33522.......... ............. A CABG, artery-vein, 11.67 NA NA 4.92 9.43 1.49 NA NA 18.08 22.59 ZZZ
five.
33523.......... ............. A Cabg, art-vein, six or 13.95 NA NA 5.91 11.29 1.78 NA NA 21.64 27.02 ZZZ
more.
33530.......... ............. A Coronary artery, 5.86 NA NA 2.45 4.73 0.76 NA NA 9.07 11.35 ZZZ
bypass/reop.
33533.......... ............. A CABG, arterial, single 25.83 NA NA 20.61 25.72 3.33 NA NA 49.77 54.88 090
33534.......... ............. A CABG, arterial, two... 28.82 NA NA 21.24 27.82 3.68 NA NA 53.74 60.32 090
33535.......... ............. A CABG, arterial, three. 31.81 NA NA 22.27 30.12 3.96 NA NA 58.04 65.89 090
33536.......... ............. A Cabg, arterial, four 34.79 NA NA 22.99 32.26 4.39 NA NA 62.17 71.44 090
or more.
33542.......... ............. A Removal of heart 28.85 NA NA 23.85 28.60 3.76 NA NA 56.46 61.21 090
lesion.
33545.......... ............. A Repair of heart damage 36.78 NA NA 26.66 32.28 4.80 NA NA 68.24 73.86 090
33572.......... ............. A Open coronary 4.45 NA NA 1.86 2.69 0.58 NA NA 6.89 7.72 ZZZ
endarterectomy.
33600.......... ............. A Closure of valve...... 29.51 NA NA 20.75 27.99 2.58 NA NA 52.84 60.08 090
33602.......... ............. A Closure of valve...... 28.54 NA NA 20.34 26.71 2.84 NA NA 51.72 58.09 090
33606.......... ............. A Anastomosis/artery- 30.74 NA NA 22.57 29.63 3.97 NA NA 57.28 64.34 090
aorta.
33608.......... ............. A Repair anomaly w/ 31.09 NA NA 25.80 31.46 4.27 NA NA 61.16 66.82 090
conduit.
33610.......... ............. A Repair by enlargement. 30.61 NA NA 25.46 31.00 3.64 NA NA 59.71 65.25 090
33611.......... ............. A Repair double 32.30 NA NA 23.66 31.11 4.44 NA NA 60.40 67.85 090
ventricle.
33612.......... ............. A Repair double 33.26 NA NA 28.03 33.87 4.51 NA NA 65.80 71.64 090
ventricle.
33615.......... ............. A Repair, simple fontan. 32.06 NA NA 28.54 33.41 3.88 NA NA 64.48 69.35 090
33617.......... ............. A Repair, modified 34.03 NA NA 30.55 35.59 4.75 NA NA 69.33 74.37 090
fontan.
33619.......... ............. A Repair single 37.57 NA NA 37.15 41.00 5.03 NA NA 79.75 83.60 090
ventricle.
33641.......... ............. A Repair heart septum 21.39 NA NA 16.18 20.86 2.78 NA NA 40.35 45.03 090
defect.
33645.......... ............. A Revision of heart 24.82 NA NA 20.99 25.31 3.32 NA NA 49.13 53.45 090
veins.
33647.......... ............. A Repair heart septum 28.73 NA NA 24.78 29.54 3.81 NA NA 57.32 62.08 090
defects.
33660.......... ............. A Repair of heart 25.54 NA NA 23.25 26.87 3.13 NA NA 51.92 55.54 090
defects.
33665.......... ............. A Repair of heart 28.60 NA NA 23.59 28.77 4.00 NA NA 56.19 61.37 090
defects.
33670.......... ............. A Repair of heart 32.73 NA NA 16.95 28.01 3.35 NA NA 53.03 64.09 090
chambers.
33681.......... ............. A Repair heart septum 27.67 NA NA 25.17 29.11 3.60 NA NA 56.44 60.38 090
defect.
33684.......... ............. A Repair heart septum 29.65 NA NA 22.59 29.00 3.63 NA NA 55.87 62.28 090
defect.
33688.......... ............. A Repair heart septum 30.62 NA NA 13.00 24.78 3.74 NA NA 47.36 59.14 090
defect.
33690.......... ............. A Reinforce pulmonary 19.55 NA NA 18.43 20.89 2.38 NA NA 40.36 42.82 090
artery.
33692.......... ............. A Repair of heart 30.75 NA NA 21.37 29.04 4.22 NA NA 56.34 64.01 090
defects.
33694.......... ............. A Repair of heart 31.73 NA NA 21.76 29.82 3.36 NA NA 56.85 64.91 090
defects.
33697.......... ............. A Repair of heart 33.71 NA NA 22.55 31.40 4.52 NA NA 60.78 69.63 090
defects.
33702.......... ............. A Repair of heart 26.54 NA NA 23.99 27.84 3.55 NA NA 54.08 57.93 090
defects.
33710.......... ............. A Repair of heart 29.71 NA NA 20.95 28.21 4.15 NA NA 54.81 62.07 090
defects.
33720.......... ............. A Repair of heart defect 26.56 NA NA 22.02 26.87 3.56 NA NA 52.14 56.99 090
33722.......... ............. A Repair of heart defect 28.41 NA NA 25.06 29.07 3.97 NA NA 57.44 61.45 090
33730.......... ............. A Repair heart-vein 31.67 NA NA 16.96 27.39 4.24 NA NA 52.87 63.30 090
defect(s).
33732.......... ............. A Repair heart-vein 28.16 NA NA 21.40 27.51 3.93 NA NA 53.49 59.60 090
defect.
33735.......... ............. A Revision of heart 21.39 NA NA 17.48 22.68 2.21 NA NA 41.08 46.28 090
chamber.
33736.......... ............. A Revision of heart 23.52 NA NA 23.03 25.46 3.03 NA NA 49.58 52.01 090
chamber.
33737.......... ............. A Revision of heart 21.76 NA NA 18.63 22.31 0.86 NA NA 41.25 44.93 090
chamber.
33750.......... ............. A Major vessel shunt.... 21.41 NA NA 13.10 18.54 2.72 NA NA 37.23 42.67 090
33755.......... ............. A Major vessel shunt.... 21.79 NA NA 12.92 18.45 1.37 NA NA 36.08 41.61 090
33762.......... ............. A Major vessel shunt.... 21.79 NA NA 12.92 18.45 2.95 NA NA 37.66 43.19 090
33764.......... ............. A Major vessel shunt & 21.79 NA NA 14.44 19.21 2.07 NA NA 38.30 43.07 090
graft.
33766.......... ............. A Major vessel shunt.... 22.76 NA NA 20.65 22.32 3.08 NA NA 46.49 48.16 090
33767.......... ............. A Major vessel shunt.... 24.50 NA NA 14.91 21.40 3.49 NA NA 42.90 49.39 090
33770.......... ............. A Repair great vessels 33.29 NA NA 22.43 31.09 2.76 NA NA 58.48 67.14 090
defect.
33771.......... ............. A Repair great vessels 34.65 NA NA 16.50 28.94 2.87 NA NA 54.02 66.46 090
defect.
33774.......... ............. A Repair great vessels 30.98 NA NA 23.62 28.78 1.18 NA NA 55.78 60.94 090
defect.
33775.......... ............. A Repair great vessels 32.20 NA NA 16.95 25.45 2.67 NA NA 51.82 60.32 090
defect.
33776.......... ............. A Repair great vessels 34.04 NA NA 17.66 27.78 2.82 NA NA 54.52 64.64 090
defect.
33777.......... ............. A Repair great vessels 33.46 NA NA 17.44 25.69 2.77 NA NA 53.67 61.92 090
defect.
33778.......... ............. A Repair great vessels 35.82 NA NA 25.08 33.92 2.97 NA NA 63.87 72.71 090
defect.
33779.......... ............. A Repair great vessels 36.21 NA NA 16.77 30.00 4.72 NA NA 57.70 70.93 090
defect.
33780.......... ............. A Repair great vessels 36.94 NA NA 18.78 31.44 5.08 NA NA 60.80 73.46 090
defect.
33781.......... ............. A Repair great vessels 36.45 NA NA 16.47 30.00 3.02 NA NA 55.94 69.47 090
defect.
33786.......... ............. A Repair arterial trunk. 34.84 NA NA 17.97 29.78 2.88 NA NA 55.69 67.50 090
33788.......... ............. A Revision of pulmonary 26.62 NA NA 14.54 23.16 2.21 NA NA 43.37 51.99 090
artery.
33800.......... ............. A Aortic suspension..... 16.24 NA NA 18.55 16.95 1.95 NA NA 36.74 35.14 090
33802.......... ............. A Repair vessel defect.. 17.66 NA NA 18.40 19.75 2.40 NA NA 38.46 39.81 090
[[Page 59472]]
33803.......... ............. A Repair vessel defect.. 19.60 NA NA 12.08 17.74 2.35 NA NA 34.03 39.69 090
33813.......... ............. A Repair septal defect.. 20.65 NA NA 16.82 20.40 2.92 NA NA 40.39 43.97 090
33814.......... ............. A Repair septal defect.. 25.77 NA NA 22.73 26.75 3.47 NA NA 51.97 55.99 090
33820.......... ............. A Revise major vessel... 16.29 NA NA 17.44 18.45 2.05 NA NA 35.78 36.79 090
33822.......... ............. A Revise major vessel... 17.32 NA NA 11.19 15.93 2.19 NA NA 30.70 35.44 090
33824.......... ............. A Revise major vessel... 19.52 NA NA 18.40 20.85 2.45 NA NA 40.37 42.82 090
33840.......... ............. A Remove aorta 20.63 NA NA 20.55 22.59 2.89 NA NA 44.07 46.11 090
constriction.
33845.......... ............. A Remove aorta 22.12 NA NA 19.92 23.16 3.10 NA NA 45.14 48.38 090
constriction.
33851.......... ............. A Remove aorta 21.27 NA NA 23.00 24.20 2.92 NA NA 47.19 48.39 090
constriction.
33852.......... ............. A Repair septal defect.. 23.71 NA NA 23.20 25.75 3.07 NA NA 49.98 52.53 090
33853.......... ............. A Repair septal defect.. 31.72 NA NA 29.49 33.68 4.07 NA NA 65.28 69.47 090
33860.......... ............. A Ascending aortic graft 33.96 NA NA 23.85 30.76 4.46 NA NA 62.27 69.18 090
33861.......... ............. A Ascending aortic graft 34.52 NA NA 23.62 30.65 4.58 NA NA 62.72 69.75 090
33863.......... ............. A Ascending aortic graft 36.47 NA NA 24.53 31.10 4.77 NA NA 65.77 72.34 090
33870.......... ............. A Transverse aortic arch 40.31 NA NA 25.91 37.00 5.38 NA NA 71.60 82.69 090
graft.
33875.......... ............. A Thoracic aortic graft. 33.06 NA NA 22.17 28.04 4.27 NA NA 59.50 65.37 090
33877.......... ............. A Thoracoabdominal graft 42.60 NA NA 27.20 37.54 5.48 NA NA 75.28 85.62 090
33910.......... ............. A Remove lung artery 24.59 NA NA 19.00 17.45 3.12 NA NA 46.71 45.16 090
emboli.
33915.......... ............. A Remove lung artery 21.02 NA NA 12.58 12.81 2.26 NA NA 35.86 36.09 090
emboli.
33916.......... ............. A Surgery of great 25.83 NA NA 18.00 18.54 3.27 NA NA 47.10 47.64 090
vessel.
33917.......... ............. A Repair pulmonary 24.50 NA NA 21.74 25.50 3.30 NA NA 49.54 53.30 090
artery.
33918.......... ............. A Repair pulmonary 26.45 NA NA 14.73 23.16 3.77 NA NA 44.95 53.38 090
atresia.
33919.......... ............. A Repair pulmonary 32.67 NA NA 17.13 28.07 4.56 NA NA 54.36 65.30 090
atresia.
33920.......... ............. A Repair pulmonary 31.95 NA NA 24.52 31.34 4.47 NA NA 60.94 67.76 090
atresia.
33922.......... ............. A Transect pulmonary 23.52 NA NA 21.31 24.70 2.40 NA NA 47.23 50.62 090
artery.
33924.......... ............. A Remove pulmonary shunt 5.50 NA NA 2.24 3.29 0.77 NA NA 8.51 9.56 ZZZ
33930.......... ............. X Removal of donor heart/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung.
33935.......... ............. R Transplantation, heart/ 60.96 NA NA 35.30 54.04 8.06 NA NA 104.32 123.06 090
lung.
33940.......... ............. X Removal of donor heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
33945.......... ............. R Transplantation of 42.10 NA NA 27.65 38.96 5.60 NA NA 75.35 86.66 090
heart.
33960.......... ............. A External circulation 19.36 NA NA 5.96 6.79 1.59 NA NA 26.91 27.74 XXX
assist.
33961.......... ............. A External circulation 10.93 NA NA 4.18 5.90 1.35 NA NA 16.46 18.18 ZZZ
assist.
33968.......... ............. A Remove aortic assist 0.64 0.25 0.25 0.25 0.25 0.27 1.16 1.16 1.16 1.16 090
device.
33970.......... ............. A Aortic circulation 6.75 NA NA 2.81 5.44 0.91 NA NA 10.47 13.10 000
assist.
33971.......... ............. A Aortic circulation 9.69 NA NA 10.07 7.84 1.29 NA NA 21.05 18.82 090
assist.
33973.......... ............. A Insert balloon device. 9.76 NA NA 4.01 6.10 1.32 NA NA 15.09 17.18 000
33974.......... ............. A Remove intra-aortic 14.41 NA NA 13.03 9.53 1.94 NA NA 29.38 25.88 090
balloon.
33975.......... ............. A Implant ventricular 39.00 NA NA 22.02 18.71 2.86 NA NA 63.88 60.57 XXX
device.
33976.......... ............. A Implant ventricular 43.00 NA NA 23.99 22.49 3.91 NA NA 70.90 69.40 XXX
device.
33977.......... ............. A Remove ventricular 19.29 NA NA 13.77 13.62 2.56 NA NA 35.62 35.47 090
device.
33978.......... ............. A Remove ventricular 21.73 NA NA 15.09 15.25 2.89 NA NA 39.71 39.87 090
device.
33999.......... ............. C Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001.......... ............. A Removal of artery clot 12.91 NA NA 6.63 8.52 1.56 NA NA 21.10 22.99 090
34051.......... ............. A Removal of artery clot 15.21 NA NA 7.88 8.72 1.85 NA NA 24.94 25.78 090
34101.......... ............. A Removal of artery clot 9.97 NA NA 5.10 7.08 1.13 NA NA 16.20 18.18 090
34111.......... ............. A Removal of arm artery 8.07 NA NA 4.35 6.30 0.84 NA NA 13.26 15.21 090
clot.
34151.......... ............. A Removal of artery clot 16.86 NA NA 8.09 10.54 1.87 NA NA 26.82 29.27 090
34201.......... ............. A Removal of artery clot 9.13 NA NA 5.25 7.46 1.06 NA NA 15.44 17.65 090
34203.......... ............. A Removal of leg artery 12.21 NA NA 6.47 7.92 1.43 NA NA 20.11 21.56 090
clot.
34401.......... ............. A Removal of vein clot.. 12.86 NA NA 6.32 7.54 1.25 NA NA 20.43 21.65 090
34421.......... ............. A Removal of vein clot.. 9.93 NA NA 5.53 6.81 0.97 NA NA 16.43 17.71 090
34451.......... ............. A Removal of vein clot.. 14.44 NA NA 7.10 9.35 1.60 NA NA 23.14 25.39 090
34471.......... ............. A Removal of vein clot.. 10.18 NA NA 4.97 4.39 1.00 NA NA 16.15 15.57 090
34490.......... ............. A Removal of vein clot.. 7.60 NA NA 5.38 6.64 0.76 NA NA 13.74 15.00 090
34501.......... ............. A Repair valve, femoral 10.93 NA NA 8.66 8.32 1.43 NA NA 21.02 20.68 090
vein.
34502.......... ............. A Reconstruct vena cava. 26.95 NA NA 12.81 16.53 2.97 NA NA 42.73 46.45 090
34510.......... ............. A Transposition of vein 13.25 NA NA 10.92 10.29 1.64 NA NA 25.81 25.18 090
valve.
34520.......... ............. A Cross-over vein graft. 13.74 NA NA 8.07 9.10 1.64 NA NA 23.45 24.48 090
34530.......... ............. A Leg vein fusion....... 17.61 NA NA 9.56 11.48 2.00 NA NA 29.17 31.09 090
35001.......... ............. A Repair defect of 19.64 NA NA 9.54 13.40 2.51 NA NA 31.69 35.55 090
artery.
35002.......... ............. A Repair artery rupture, 21.00 NA NA 9.75 11.74 2.43 NA NA 33.18 35.17 090
neck.
35005.......... ............. A Repair defect of 18.12 NA NA 7.42 9.29 1.40 NA NA 26.94 28.81 090
artery.
35011.......... ............. A Repair defect of 11.65 NA NA 5.84 9.88 1.36 NA NA 18.85 22.89 090
artery.
35013.......... ............. A Repair artery rupture, 17.40 NA NA 7.80 11.88 2.00 NA NA 27.20 31.28 090
arm.
35021.......... ............. A Repair defect of 19.65 NA NA 10.50 15.09 2.42 NA NA 32.57 37.16 090
artery.
35022.......... ............. A Repair artery rupture, 23.18 NA NA 9.92 12.98 2.15 NA NA 35.25 38.31 090
chest.
35045.......... ............. A Repair defect of arm 11.26 NA NA 6.77 10.09 1.26 NA NA 19.29 22.61 090
artery.
35081.......... ............. A Repair defect of 28.01 NA NA 12.98 18.13 3.30 NA NA 44.29 49.44 090
artery.
35082.......... ............. A Repair artery rupture, 36.35 NA NA 15.12 19.99 4.14 NA NA 55.61 60.48 090
aorta.
35091.......... ............. A Repair defect of 35.40 NA NA 15.78 20.19 4.28 NA NA 55.46 59.87 090
artery.
35092.......... ............. A Repair artery rupture, 38.39 NA NA 16.31 22.41 4.48 NA NA 59.18 65.28 090
aorta.
35102.......... ............. A Repair defect of 30.76 NA NA 13.76 18.90 3.65 NA NA 48.17 53.31 090
artery.
35103.......... ............. A Repair artery rupture, 33.57 NA NA 14.39 21.39 3.84 NA NA 51.80 58.80 090
groin.
35111.......... ............. A Repair defect of 16.43 NA NA 7.93 13.52 1.82 NA NA 26.18 31.77 090
artery.
35112.......... ............. A Repair artery rupture, 18.69 NA NA 8.41 9.88 2.14 NA NA 29.24 30.71 090
spleen.
35121.......... ............. A Repair defect of 25.99 NA NA 11.98 16.37 3.10 NA NA 41.07 45.46 090
artery.
35122.......... ............. A Repair artery rupture, 33.45 NA NA 14.53 16.99 3.69 NA NA 51.67 54.13 090
belly.
35131.......... ............. A Repair defect of 18.55 NA NA 9.20 13.22 2.20 NA NA 29.95 33.97 090
artery.
35132.......... ............. A Repair artery rupture, 21.95 NA NA 10.05 15.16 2.47 NA NA 34.47 39.58 090
groin.
35141.......... ............. A Repair defect of 14.46 NA NA 7.61 11.78 1.73 NA NA 23.80 27.97 090
artery.
35142.......... ............. A Repair artery rupture, 15.86 NA NA 7.83 12.65 1.92 NA NA 25.61 30.43 090
thigh.
[[Page 59473]]
35151.......... ............. A Repair defect of 17.00 NA NA 8.50 12.59 2.01 NA NA 27.51 31.60 090
artery.
35152.......... ............. A Repair artery rupture, 16.70 NA NA 8.40 9.23 2.01 NA NA 27.11 27.94 090
knee.
35161.......... ............. A Repair defect of 18.76 NA NA 9.76 13.50 2.19 NA NA 30.71 34.45 090
artery.
35162.......... ............. A Repair artery rupture. 19.78 NA NA 9.89 15.08 2.26 NA NA 31.93 37.12 090
35180.......... ............. A Repair blood vessel 13.62 NA NA 7.04 7.52 1.53 NA NA 22.19 22.67 090
lesion.
35182.......... ............. A Repair blood vessel 17.74 NA NA 9.71 10.64 2.19 NA NA 29.64 30.57 090
lesion.
35184.......... ............. A Repair blood vessel 12.25 NA NA 6.40 8.48 1.45 NA NA 20.10 22.18 090
lesion.
35188.......... ............. A Repair blood vessel 14.28 NA NA 6.86 7.83 1.70 NA NA 22.84 23.81 090
lesion.
35189.......... ............. A Repair blood vessel 18.43 NA NA 9.24 10.77 2.17 NA NA 29.84 31.37 090
lesion.
35190.......... ............. A Repair blood vessel 12.75 NA NA 6.57 8.90 1.48 NA NA 20.80 23.13 090
lesion.
35201.......... ............. A Repair blood vessel 9.99 NA NA 5.36 8.15 1.23 NA NA 16.58 19.37 090
lesion.
35206.......... ............. A Repair blood vessel 9.25 NA NA 6.29 8.66 1.06 NA NA 16.60 18.97 090
lesion.
35207.......... ............. A Repair blood vessel 10.15 NA NA 8.37 10.05 1.06 NA NA 19.58 21.26 090
lesion.
35211.......... ............. A Repair blood vessel 22.12 NA NA 18.73 16.63 2.91 NA NA 43.76 41.66 090
lesion.
35216.......... ............. A Repair blood vessel 18.75 NA NA 14.34 12.97 2.24 NA NA 35.33 33.96 090
lesion.
35221.......... ............. A Repair blood vessel 16.42 NA NA 7.99 10.02 1.81 NA NA 26.22 28.25 090
lesion.
35226.......... ............. A Repair blood vessel 9.06 NA NA 6.97 8.90 1.15 NA NA 17.18 19.11 090
lesion.
35231.......... ............. A Repair blood vessel 12.00 NA NA 6.76 10.55 1.38 NA NA 20.14 23.93 090
lesion.
35236.......... ............. A Repair blood vessel 10.54 NA NA 6.94 9.76 1.23 NA NA 18.71 21.53 090
lesion.
35241.......... ............. A Repair blood vessel 23.12 NA NA 21.00 17.82 2.84 NA NA 46.96 43.78 090
lesion.
35246.......... ............. A Repair blood vessel 19.84 NA NA 14.39 16.40 2.42 NA NA 36.65 38.66 090
lesion.
35251.......... ............. A Repair blood vessel 17.49 NA NA 8.12 9.27 1.87 NA NA 27.48 28.63 090
lesion.
35256.......... ............. A Repair blood vessel 11.38 NA NA 7.25 10.36 1.37 NA NA 20.00 23.11 090
lesion.
35261.......... ............. A Repair blood vessel 11.63 NA NA 5.93 9.91 1.38 NA NA 18.94 22.92 090
lesion.
35266.......... ............. A Repair blood vessel 10.30 NA NA 6.47 9.39 1.24 NA NA 18.01 20.93 090
lesion.
35271.......... ............. A Repair blood vessel 22.12 NA NA 18.70 16.15 2.95 NA NA 43.77 41.22 090
lesion.
35276.......... ............. A Repair blood vessel 18.75 NA NA 15.75 13.77 2.50 NA NA 37.00 35.02 090
lesion.
35281.......... ............. A Repair blood vessel 16.48 NA NA 8.06 13.41 1.84 NA NA 26.38 31.73 090
lesion.
35286.......... ............. A Repair blood vessel 11.87 NA NA 7.84 10.28 1.39 NA NA 21.10 23.54 090
lesion.
35301.......... ............. A Rechanneling of artery 18.70 NA NA 9.86 12.78 2.29 NA NA 30.85 33.77 090
35311.......... ............. A Rechanneling of artery 23.85 NA NA 12.98 18.46 3.12 NA NA 39.95 45.43 090
35321.......... ............. A Rechanneling of artery 11.97 NA NA 6.06 10.06 1.40 NA NA 19.43 23.43 090
35331.......... ............. A Rechanneling of artery 23.52 NA NA 11.10 12.79 2.88 NA NA 37.50 39.19 090
35341.......... ............. A Rechanneling of artery 25.11 NA NA 11.52 15.19 3.07 NA NA 39.70 43.37 090
35351.......... ............. A Rechanneling of artery 20.11 NA NA 9.57 12.90 2.33 NA NA 32.01 35.34 090
35355.......... ............. A Rechanneling of artery 16.09 NA NA 8.08 12.41 1.86 NA NA 26.03 30.36 090
35361.......... ............. A Rechanneling of artery 23.59 NA NA 10.84 15.93 2.74 NA NA 37.17 42.26 090
35363.......... ............. A Rechanneling of artery 24.66 NA NA 11.54 18.13 2.81 NA NA 39.01 45.60 090
35371.......... ............. A Rechanneling of artery 11.64 NA NA 6.12 9.85 1.37 NA NA 19.13 22.86 090
35372.......... ............. A Rechanneling of artery 13.56 NA NA 6.85 9.50 1.59 NA NA 22.00 24.65 090
35381.......... ............. A Rechanneling of artery 15.81 NA NA 7.94 11.39 1.85 NA NA 25.60 29.05 090
35390.......... ............. A Reoperation, carotid 3.19 NA NA 1.24 1.53 0.40 NA NA 4.83 5.12 ZZZ
add-on.
35400.......... ............. A Angioscopy............ 3.00 NA NA 1.15 1.81 0.27 NA NA 4.42 5.08 ZZZ
35450.......... ............. A Repair arterial 10.07 NA NA 4.45 8.24 1.17 NA NA 15.69 19.48 000
blockage.
35452.......... ............. A Repair arterial 6.91 NA NA 3.34 4.03 0.83 NA NA 11.08 11.77 000
blockage.
35454.......... ............. A Repair arterial 6.04 NA NA 2.93 5.07 0.71 NA NA 9.68 11.82 000
blockage.
35456.......... ............. A Repair arterial 7.35 NA NA 3.48 6.13 0.87 NA NA 11.70 14.35 000
blockage.
35458.......... ............. A Repair arterial 9.49 NA NA 4.30 7.65 1.13 NA NA 14.92 18.27 000
blockage.
35459.......... ............. A Repair arterial 8.63 NA NA 3.90 7.10 0.99 NA NA 13.52 16.72 000
blockage.
35460.......... ............. A Repair venous blockage 6.04 NA NA 2.74 3.09 0.64 NA NA 9.42 9.77 000
35470.......... ............. A Repair arterial 8.63 NA NA 3.59 6.95 0.68 NA NA 12.90 16.26 000
blockage.
35471.......... ............. A Repair arterial 10.07 NA NA 4.15 8.09 0.82 NA NA 15.04 18.98 000
blockage.
35472.......... ............. A Repair arterial 6.91 NA NA 2.97 3.45 0.55 NA NA 10.43 10.91 000
blockage.
35473.......... ............. A Repair arterial 6.04 NA NA 2.60 4.91 0.41 NA NA 9.05 11.36 000
blockage.
35474.......... ............. A Repair arterial 7.36 NA NA 3.07 5.93 0.53 NA NA 10.96 13.82 000
blockage.
35475.......... ............. R Repair arterial 9.49 NA NA 3.48 7.24 0.51 NA NA 13.48 17.24 000
blockage.
35476.......... ............. A Repair venous blockage 6.04 NA NA 2.34 2.89 0.26 NA NA 8.64 9.19 000
35480.......... ............. A Atherectomy, open..... 11.08 NA NA 4.76 9.00 1.16 NA NA 17.00 21.24 000
35481.......... ............. A Atherectomy, open..... 7.61 NA NA 3.85 4.29 0.95 NA NA 12.41 12.85 000
35482.......... ............. A Atherectomy, open..... 6.65 NA NA 3.31 5.63 0.83 NA NA 10.79 13.11 000
35483.......... ............. A Atherectomy, open..... 8.10 NA NA 3.80 6.74 0.98 NA NA 12.88 15.82 000
35484.......... ............. A Atherectomy, open..... 10.44 NA NA 4.69 7.84 1.11 NA NA 16.24 19.39 000
35485.......... ............. A Atherectomy, open..... 9.49 NA NA 4.26 4.59 1.15 NA NA 14.90 15.23 000
35490.......... ............. A Atherectomy, 11.08 NA NA 4.42 8.83 1.03 NA NA 16.53 20.94 000
percutaneous.
35491.......... ............. A Atherectomy, 7.61 NA NA 3.09 3.91 0.77 NA NA 11.47 12.29 000
percutaneous.
35492.......... ............. A Atherectomy, 6.65 NA NA 2.97 5.46 0.71 NA NA 10.33 12.82 000
percutaneous.
35493.......... ............. A Atherectomy, 8.10 NA NA 3.98 6.83 0.91 NA NA 12.99 15.84 000
percutaneous.
35494.......... ............. A Atherectomy, 10.44 NA NA 3.77 7.38 0.50 NA NA 14.71 18.32 000
percutaneous.
35495.......... ............. A Atherectomy, 9.49 NA NA 4.64 4.78 1.09 NA NA 15.22 15.36 000
percutaneous.
35500.......... ............. C Harvest vein for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
bypass.
35501.......... ............. A Artery bypass graft... 19.19 NA NA 7.16 14.08 2.39 NA NA 28.74 35.66 090
35506.......... ............. A Artery bypass graft... 19.67 NA NA 9.61 15.21 2.41 NA NA 31.69 37.29 090
35507.......... ............. A Artery bypass graft... 19.67 NA NA 9.34 14.40 2.43 NA NA 31.44 36.50 090
35508.......... ............. A Artery bypass graft... 18.65 NA NA 9.30 14.48 2.42 NA NA 30.37 35.55 090
35509.......... ............. A Artery bypass graft... 18.07 NA NA 8.42 14.47 2.21 NA NA 28.70 34.75 090
35511.......... ............. A Artery bypass graft... 16.83 NA NA 8.12 9.71 2.00 NA NA 26.95 28.54 090
35515.......... ............. A Artery bypass graft... 18.65 NA NA 8.74 10.48 2.39 NA NA 29.78 31.52 090
35516.......... ............. A Artery bypass graft... 16.32 NA NA 7.73 13.29 2.00 NA NA 26.05 31.61 090
35518.......... ............. A Artery bypass graft... 15.42 NA NA 6.97 12.69 1.74 NA NA 24.13 29.85 090
35521.......... ............. A Artery bypass graft... 16.17 NA NA 8.17 13.60 1.88 NA NA 26.22 31.65 090
35526.......... ............. A Artery bypass graft... 20.00 NA NA 10.39 12.22 2.48 NA NA 32.87 34.70 090
[[Page 59474]]
35531.......... ............. A Artery bypass graft... 25.61 NA NA 11.64 16.81 3.04 NA NA 40.29 45.46 090
35533.......... ............. A Artery bypass graft... 20.52 NA NA 9.61 16.22 2.27 NA NA 32.40 39.01 090
35536.......... ............. A Artery bypass graft... 23.11 NA NA 10.58 16.89 2.90 NA NA 36.59 42.90 090
35541.......... ............. A Artery bypass graft... 25.80 NA NA 12.16 16.69 3.08 NA NA 41.04 45.57 090
35546.......... ............. A Artery bypass graft... 25.54 NA NA 11.80 17.51 2.91 NA NA 40.25 45.96 090
35548.......... ............. A Artery bypass graft... 21.57 NA NA 10.54 15.88 2.34 NA NA 34.45 39.79 090
35549.......... ............. A Artery bypass graft... 23.35 NA NA 11.16 17.19 2.69 NA NA 37.20 43.23 090
35551.......... ............. A Artery bypass graft... 26.67 NA NA 12.61 16.75 2.85 NA NA 42.13 46.27 090
35556.......... ............. A Artery bypass graft... 21.76 NA NA 10.32 15.32 2.57 NA NA 34.65 39.65 090
35558.......... ............. A Artery bypass graft... 14.04 NA NA 7.36 12.06 1.61 NA NA 23.01 27.71 090
35560.......... ............. A Artery bypass graft... 23.56 NA NA 11.55 16.75 2.84 NA NA 37.95 43.15 090
35563.......... ............. A Artery bypass graft... 15.14 NA NA 7.95 8.49 1.71 NA NA 24.80 25.34 090
35565.......... ............. A Artery bypass graft... 15.14 NA NA 7.71 12.89 1.78 NA NA 24.63 29.81 090
35566.......... ............. A Artery bypass graft... 26.92 NA NA 15.55 18.97 3.22 NA NA 45.69 49.11 090
35571.......... ............. A Artery bypass graft... 18.58 NA NA 10.67 15.84 2.22 NA NA 31.47 36.64 090
35582.......... ............. A Vein bypass graft..... 27.13 NA NA 12.13 18.95 3.14 NA NA 42.40 49.22 090
35583.......... ............. A Vein bypass graft..... 22.37 NA NA 11.58 16.88 2.63 NA NA 36.58 41.88 090
35585.......... ............. A Vein bypass graft..... 28.39 NA NA 15.14 20.03 3.33 NA NA 46.86 51.75 090
35587.......... ............. A Vein bypass graft..... 19.05 NA NA 11.88 17.32 2.23 NA NA 33.16 38.60 090
35601.......... ............. A Artery bypass graft... 17.50 NA NA 8.20 14.32 2.16 NA NA 27.86 33.98 090
35606.......... ............. A Artery bypass graft... 18.71 NA NA 8.94 14.00 2.27 NA NA 29.92 34.98 090
35612.......... ............. A Artery bypass graft... 15.76 NA NA 7.81 13.00 1.90 NA NA 25.47 30.66 090
35616.......... ............. A Artery bypass graft... 15.70 NA NA 7.67 12.95 1.93 NA NA 25.30 30.58 090
35621.......... ............. A Artery bypass graft... 14.54 NA NA 7.57 12.46 1.74 NA NA 23.85 28.74 090
35623.......... ............. A Bypass graft, not vein 16.62 NA NA 8.22 8.49 2.00 NA NA 26.84 27.11 090
35626.......... ............. A Artery bypass graft... 23.63 NA NA 11.85 17.06 2.98 NA NA 38.46 43.67 090
35631.......... ............. A Artery bypass graft... 24.60 NA NA 11.36 15.38 3.00 NA NA 38.96 42.98 090
35636.......... ............. A Artery bypass graft... 22.46 NA NA 10.28 12.47 2.70 NA NA 35.44 37.63 090
35641.......... ............. A Artery bypass graft... 24.57 NA NA 11.93 17.12 3.00 NA NA 39.50 44.69 090
35642.......... ............. A Artery bypass graft... 17.98 NA NA 7.51 9.36 2.16 NA NA 27.65 29.50 090
35645.......... ............. A Artery bypass graft... 17.47 NA NA 8.52 10.31 1.85 NA NA 27.84 29.63 090
35646.......... ............. A Artery bypass graft... 25.81 NA NA 12.08 18.95 3.08 NA NA 40.97 47.84 090
35650.......... ............. A Artery bypass graft... 14.36 NA NA 6.90 12.03 1.71 NA NA 22.97 28.10 090
35651.......... ............. A Artery bypass graft... 25.04 NA NA 11.56 18.85 2.81 NA NA 39.41 46.70 090
35654.......... ............. A Artery bypass graft... 18.61 NA NA 9.01 15.62 2.20 NA NA 29.82 36.43 090
35656.......... ............. A Artery bypass graft... 19.53 NA NA 9.37 14.31 2.27 NA NA 31.17 36.11 090
35661.......... ............. A Artery bypass graft... 13.18 NA NA 6.85 11.30 1.55 NA NA 21.58 26.03 090
35663.......... ............. A Artery bypass graft... 14.17 NA NA 7.54 12.23 1.72 NA NA 23.43 28.12 090
35665.......... ............. A Artery bypass graft... 15.40 NA NA 7.72 13.05 1.84 NA NA 24.96 30.29 090
35666.......... ............. A Artery bypass graft... 19.19 NA NA 11.92 16.85 2.28 NA NA 33.39 38.32 090
35671.......... ............. A Artery bypass graft... 14.80 NA NA 9.75 13.34 1.75 NA NA 26.30 29.89 090
35681.......... ............. A Composite bypass graft 1.60 NA NA 2.58 6.10 0.19 NA NA 4.37 7.89 ZZZ
35682.......... ............. A Composite bypass graft 7.20 2.77 6.20 2.71 6.17 0.85 10.82 14.25 10.76 14.22 ZZZ
35683.......... ............. A Composite bypass graft 8.50 3.27 6.45 3.20 6.41 1.01 12.78 15.96 12.71 15.92 ZZZ
35691.......... ............. A Arterial transposition 18.05 NA NA 8.33 14.81 2.27 NA NA 28.65 35.13 090
35693.......... ............. A Arterial transposition 15.36 NA NA 7.01 8.61 1.94 NA NA 24.31 25.91 090
35694.......... ............. A Arterial transposition 19.16 NA NA 8.39 9.26 2.33 NA NA 29.88 30.75 090
35695.......... ............. A Arterial transposition 19.16 NA NA 8.64 9.39 2.16 NA NA 29.96 30.71 090
35700.......... ............. A Reoperation, bypass 3.08 NA NA 3.34 2.55 0.38 NA NA 6.80 6.01 ZZZ
graft.
35701.......... ............. A Exploration, carotid 5.55 NA NA 3.74 5.03 0.64 NA NA 9.93 11.22 090
artery.
35721.......... ............. A Exploration, femoral 5.28 NA NA 4.90 5.47 0.62 NA NA 10.80 11.37 090
artery.
35741.......... ............. A Exploration popliteal 5.37 NA NA 4.47 5.35 0.62 NA NA 10.46 11.34 090
artery.
35761.......... ............. A Exploration of artery/ 5.37 NA NA 4.43 5.37 0.61 NA NA 10.41 11.35 090
vein.
35800.......... ............. A Explore neck vessels.. 7.02 NA NA 4.34 5.04 0.82 NA NA 12.18 12.88 090
35820.......... ............. A Explore chest vessels. 12.88 NA NA 5.45 7.03 1.70 NA NA 20.03 21.61 090
35840.......... ............. A Explore abdominal 9.77 NA NA 5.50 6.68 1.08 NA NA 16.35 17.53 090
vessels.
35860.......... ............. A Explore limb vessels.. 5.55 NA NA 3.85 5.08 0.65 NA NA 10.05 11.28 090
35870.......... ............. A Repair vessel graft 22.17 NA NA 10.81 11.18 2.63 NA NA 35.61 35.98 090
defect.
35875.......... ............. A Removal of clot in 10.13 NA NA 6.26 7.59 1.08 NA NA 17.47 18.80 090
graft.
35876.......... ............. A Removal of clot in 17.00 NA NA 9.24 9.08 1.92 NA NA 28.16 28.00 090
graft.
35879.......... ............. A Revise graft w/vein... 16.00 NA NA 8.46 8.46 1.97 NA NA 26.43 26.43 090
35881.......... ............. A Revise graft w/vein... 18.00 NA NA 8.77 8.77 2.21 NA NA 28.98 28.98 090
35901.......... ............. A Excision, graft, neck. 8.19 NA NA 6.10 6.95 0.97 NA NA 15.26 16.11 090
35903.......... ............. A Excision, graft, 9.39 NA NA 8.44 8.12 1.08 NA NA 18.91 18.59 090
extremity.
35905.......... ............. A Excision, graft, 18.19 NA NA 12.59 10.19 2.15 NA NA 32.93 30.53 090
thorax.
35907.......... ............. A Excision, graft, 19.24 NA NA 9.84 8.82 2.29 NA NA 31.37 30.35 090
abdomen.
36000.......... ............. A Place needle in vein.. 0.18 0.53 0.40 0.05 0.08 0.01 0.72 0.59 0.24 0.27 XXX
36005.......... ............. A Injection, venography. 0.95 15.15 7.83 0.27 0.39 0.05 16.15 8.83 1.27 1.39 000
36010.......... ............. A Place catheter in vein 2.43 NA NA 0.79 1.54 0.16 NA NA 3.38 4.13 XXX
36011.......... ............. A Place catheter in vein 3.14 NA NA 1.00 1.53 0.20 NA NA 4.34 4.87 XXX
36012.......... ............. A Place catheter in vein 3.52 NA NA 1.01 1.96 0.15 NA NA 4.68 5.63 XXX
36013.......... ............. A Place catheter in 2.52 NA NA 0.78 1.54 0.21 NA NA 3.51 4.27 XXX
artery.
36014.......... ............. A Place catheter in 3.02 NA NA 0.88 1.68 0.12 NA NA 4.02 4.82 XXX
artery.
36015.......... ............. A Place catheter in 3.52 NA NA 1.03 1.97 0.15 NA NA 4.70 5.64 XXX
artery.
36100.......... ............. A Establish access to 3.02 NA NA 1.17 1.99 0.32 NA NA 4.51 5.33 XXX
artery.
36120.......... ............. A Establish access to 2.01 NA NA 0.64 1.52 0.12 NA NA 2.77 3.65 XXX
artery.
36140.......... ............. A Establish access to 2.01 NA NA 0.63 1.08 0.13 NA NA 2.77 3.22 XXX
artery.
36145.......... ............. A Artery to vein shunt.. 2.01 NA NA 0.59 1.50 0.09 NA NA 2.69 3.60 XXX
36160.......... ............. A Establish access to 2.52 NA NA 0.89 1.71 0.23 NA NA 3.64 4.46 XXX
aorta.
36200.......... ............. A Place catheter in 3.02 NA NA 0.90 1.93 0.16 NA NA 4.08 5.11 XXX
aorta.
36215.......... ............. A Place catheter in 4.68 NA NA 1.42 2.22 0.28 NA NA 6.38 7.18 XXX
artery.
[[Page 59475]]
36216.......... ............. A Place catheter in 5.28 NA NA 1.54 2.56 0.25 NA NA 7.07 8.09 XXX
artery.
36217.......... ............. A Place catheter in 6.30 NA NA 1.93 3.09 0.36 NA NA 8.59 9.75 XXX
artery.
36218.......... ............. A Place catheter in 1.01 NA NA 0.34 0.51 0.06 NA NA 1.41 1.58 ZZZ
artery.
36245.......... ............. A Place catheter in 4.68 NA NA 1.60 2.51 0.35 NA NA 6.63 7.54 XXX
artery.
36246.......... ............. A Place catheter in 5.28 NA NA 1.66 2.62 0.33 NA NA 7.27 8.23 XXX
artery.
36247.......... ............. A Place catheter in 6.30 NA NA 1.91 3.08 0.35 NA NA 8.56 9.73 XXX
artery.
36248.......... ............. A Place catheter in 1.01 NA NA 0.36 0.52 0.07 NA NA 1.44 1.60 ZZZ
artery.
36260.......... ............. A Insertion of infusion 9.71 NA NA 5.47 6.39 0.93 NA NA 16.11 17.03 090
pump.
36261.......... ............. A Revision of infusion 5.45 NA NA 3.23 2.83 0.53 NA NA 9.21 8.81 090
pump.
36262.......... ............. A Removal of infusion 4.02 NA NA 2.52 2.31 0.41 NA NA 6.95 6.74 090
pump.
36299.......... ............. C Vessel injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
36400.......... ............. A Drawing blood......... 0.18 0.58 0.34 0.05 0.05 0.02 0.78 0.54 0.25 0.25 XXX
36405.......... ............. A Drawing blood......... 0.18 0.47 0.48 0.05 0.15 0.01 0.66 0.67 0.24 0.34 XXX
36406.......... ............. A Drawing blood......... 0.18 0.53 0.35 0.05 0.07 0.01 0.72 0.54 0.24 0.26 XXX
36410.......... ............. A Drawing blood......... 0.18 0.44 0.34 0.05 0.08 0.01 0.63 0.53 0.24 0.27 XXX
36415.......... ............. I Drawing blood......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36420.......... ............. A Establish access to 1.01 NA NA 0.33 0.44 0.10 NA NA 1.44 1.55 XXX
vein.
36425.......... ............. A Establish access to 0.76 2.62 1.36 0.18 0.14 0.06 3.44 2.18 1.00 0.96 XXX
vein.
36430.......... ............. A Blood transfusion 0.00 1.01 1.03 1.01 0.77 0.05 1.06 1.08 1.06 0.82 XXX
service.
36440.......... ............. A Blood transfusion 1.03 NA NA 0.27 0.65 0.10 NA NA 1.40 1.78 XXX
service.
36450.......... ............. A Exchange transfusion 2.23 NA NA 0.71 0.87 0.14 NA NA 3.08 3.24 XXX
service.
36455.......... ............. A Exchange transfusion 2.43 NA NA 0.93 1.70 0.14 NA NA 3.50 4.27 XXX
service.
36460.......... ............. A Transfusion service, 6.59 NA NA 2.30 3.71 0.60 NA NA 9.49 10.90 XXX
fetal.
36468.......... ............. R Injection(s), spider 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veins.
36469.......... ............. R Injection(s), spider 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veins.
36470.......... ............. A Injection therapy of 1.09 2.69 1.49 0.40 0.28 0.11 3.89 2.69 1.60 1.48 010
vein.
36471.......... ............. A Injection therapy of 1.57 3.13 1.78 0.58 0.40 0.14 4.84 3.49 2.29 2.11 010
veins.
36481.......... ............. A Insertion of catheter, 6.99 NA NA 2.12 3.94 0.40 NA NA 9.51 11.33 000
vein.
36488.......... ............. A Insertion of catheter, 1.35 NA NA 0.43 0.74 0.11 NA NA 1.89 2.20 000
vein.
36489.......... ............. A Insertion of catheter, 1.22 3.45 2.34 0.34 0.78 0.09 4.76 3.65 1.65 2.09 000
vein.
36490.......... ............. A Insertion of catheter, 1.67 NA NA 0.56 1.03 0.13 NA NA 2.36 2.83 000
vein.
36491.......... ............. A Insertion of catheter, 1.43 NA NA 0.47 1.09 0.13 NA NA 2.03 2.65 000
vein.
36493.......... ............. A Repositioning of cvc.. 1.21 NA NA 0.35 0.52 0.06 NA NA 1.62 1.79 000
36500.......... ............. A Insertion of catheter, 3.52 NA NA 1.14 0.62 0.17 NA NA 4.83 4.31 000
vein.
36510.......... ............. A Insertion of catheter, 1.09 NA NA 0.39 0.29 0.07 NA NA 1.55 1.45 000
vein.
36520.......... ............. A Plasma and/or cell 1.74 NA NA 0.65 1.36 0.10 NA NA 2.49 3.20 000
exchange.
36521.......... ............. A Apheresis w/ adsorp/ 1.74 NA NA 0.65 0.65 0.09 NA NA 2.48 2.48 000
reinfuse.
36522.......... ............. A Photopheresis......... 1.67 8.21 5.45 0.81 1.41 0.06 9.94 7.18 2.54 3.14 000
36530.......... ............. R Insertion of infusion 6.20 NA NA 3.51 4.37 0.63 NA NA 10.34 11.20 010
pump.
36531.......... ............. R Revision of infusion 4.87 NA NA 3.26 4.00 0.49 NA NA 8.62 9.36 010
pump.
36532.......... ............. R Removal of infusion 3.30 NA NA 1.59 1.76 0.33 NA NA 5.22 5.39 010
pump.
36533.......... ............. A Insertion of access 5.32 4.03 4.35 3.25 3.96 0.52 9.87 10.19 9.09 9.80 010
device.
36534.......... ............. A Revision of access 2.80 NA NA 1.32 2.33 0.22 NA NA 4.34 5.35 010
device.
36535.......... ............. A Removal of access 2.27 2.72 2.34 1.89 1.93 0.23 5.22 4.84 4.39 4.43 010
device.
36550.......... ............. A Declot vascular device 0.00 0.51 0.51 0.06 0.06 0.32 0.83 0.83 0.38 0.38 XXX
36600.......... ............. A Withdrawal of arterial 0.32 0.40 0.35 0.09 0.20 0.02 0.74 0.69 0.43 0.54 XXX
blood.
36620.......... ............. A Insertion catheter, 1.15 NA NA 0.23 0.48 0.08 NA NA 1.46 1.71 000
artery.
36625.......... ............. A Insertion catheter, 2.11 NA NA 0.53 0.73 0.17 NA NA 2.81 3.01 000
artery.
36640.......... ............. A Insertion catheter, 2.10 NA NA 0.76 1.64 0.19 NA NA 3.05 3.93 000
artery.
36660.......... ............. A Insertion catheter, 1.40 NA NA 0.45 0.49 0.07 NA NA 1.92 1.96 000
artery.
36680.......... ............. A Insert needle, bone 1.20 NA NA 0.40 0.88 0.11 NA NA 1.71 2.19 000
cavity.
36800.......... ............. A Insertion of cannula.. 2.43 NA NA 1.57 1.99 0.21 NA NA 4.21 4.63 000
36810.......... ............. A Insertion of cannula.. 3.97 NA NA 2.21 3.48 0.39 NA NA 6.57 7.84 000
36815.......... ............. A Insertion of cannula.. 2.62 NA NA 1.83 2.48 0.27 NA NA 4.72 5.37 000
36819.......... ............. A Av fusion by basilic 14.00 NA NA 6.65 6.65 1.55 NA NA 22.20 22.20 090
vein.
36821.......... ............. A Av fusion direct any 8.93 NA NA 5.08 6.47 0.99 NA NA 15.00 16.39 090
site.
36822.......... ............. A Insertion of 5.42 NA NA 10.32 8.20 0.70 NA NA 16.44 14.32 090
cannula(s).
36823.......... ............. C Insertion of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannula(s).
36825.......... ............. A Artery-vein graft..... 9.84 NA NA 5.80 8.77 1.10 NA NA 16.74 19.71 090
36830.......... ............. A Artery-vein graft..... 12.00 NA NA 6.41 8.61 1.36 NA NA 19.77 21.97 090
36831.......... ............. A Av fistula excision... 8.00 2.23 2.23 2.23 2.23 0.85 11.08 11.08 11.08 11.08 090
36832.......... ............. A Av fistula revision... 10.50 NA NA 5.77 6.74 1.16 NA NA 17.43 18.40 090
36833.......... ............. A Av fistula revision... 11.95 4.45 4.45 4.45 4.45 1.33 17.73 17.73 17.73 17.73 090
36834.......... ............. A Repair A-V aneurysm... 9.93 NA NA 3.98 6.23 1.13 NA NA 15.04 17.29 090
36835.......... ............. A Artery to vein shunt.. 7.15 NA NA 5.01 4.36 0.80 NA NA 12.96 12.31 090
36860.......... ............. A External cannula 2.01 1.95 2.37 1.43 1.92 0.13 4.09 4.51 3.57 4.06 000
declotting.
36861.......... ............. A Cannula declotting.... 2.52 NA NA 1.55 2.28 0.22 NA NA 4.29 5.02 000
37140.......... ............. A Revision of 23.60 NA NA 8.71 13.20 1.06 NA NA 33.37 37.86 090
circulation.
37145.......... ............. A Revision of 24.61 NA NA 9.42 14.01 0.95 NA NA 34.98 39.57 090
circulation.
37160.......... ............. A Revision of 21.60 NA NA 9.38 14.32 2.29 NA NA 33.27 38.21 090
circulation.
37180.......... ............. A Revision of 24.61 NA NA 10.89 13.15 2.45 NA NA 37.95 40.21 090
circulation.
37181.......... ............. A Splice spleen/kidney 26.68 NA NA 11.10 14.46 2.56 NA NA 40.34 43.70 090
veins.
37195.......... ............. A Thrombolytic therapy, 0.00 8.09 8.21 8.09 8.21 0.39 8.48 8.60 8.48 8.60 XXX
stroke.
37200.......... ............. A Transcatheter biopsy.. 4.56 NA NA 1.31 1.52 0.25 NA NA 6.12 6.33 000
37201.......... ............. A Transcatheter therapy 5.00 NA NA 2.09 4.03 0.25 NA NA 7.34 9.28 000
infuse.
37202.......... ............. A Transcatheter therapy 5.68 NA NA 3.03 3.85 0.74 NA NA 9.45 10.27 000
infuse.
37203.......... ............. A Transcatheter 5.03 NA NA 2.12 3.14 0.25 NA NA 7.40 8.42 000
retrieval.
37204.......... ............. A Transcatheter 18.14 NA NA 5.23 10.08 0.77 NA NA 24.14 28.99 000
occlusion.
37205.......... ............. A Transcatheter stent... 8.28 NA NA 3.40 4.50 0.61 NA NA 12.29 13.39 000
37206.......... ............. A Transcatheter stent 4.13 NA NA 1.40 2.10 0.32 NA NA 5.85 6.55 ZZZ
add-on.
37207.......... ............. A Transcatheter stent... 8.28 NA NA 3.75 4.68 0.97 NA NA 13.00 13.93 000
[[Page 59476]]
37208.......... ............. A Transcatheter stent 4.13 NA NA 1.56 2.18 0.49 NA NA 6.18 6.80 ZZZ
add-on.
37209.......... ............. A Exchange arterial 2.27 NA NA 0.68 1.11 0.11 NA NA 3.06 3.49 000
catheter.
37250.......... ............. A Iv us first vessel add- 2.10 NA NA 0.85 1.05 0.24 NA NA 3.19 3.39 ZZZ
on.
37251.......... ............. A Iv us each add vessel 1.60 NA NA 0.66 0.80 0.19 NA NA 2.45 2.59 ZZZ
add-on.
37565.......... ............. A Ligation of neck vein. 4.44 NA NA 2.67 3.39 0.44 NA NA 7.55 8.27 090
37600.......... ............. A Ligation of neck 4.57 NA NA 3.44 4.42 0.42 NA NA 8.43 9.41 090
artery.
37605.......... ............. A Ligation of neck 6.19 NA NA 3.79 4.91 0.75 NA NA 10.73 11.85 090
artery.
37606.......... ............. A Ligation of neck 6.28 NA NA 4.39 5.41 1.11 NA NA 11.78 12.80 090
artery.
37607.......... ............. A Ligation of a-v 6.16 NA NA 3.69 3.51 0.69 NA NA 10.54 10.36 090
fistula.
37609.......... ............. A Temporal artery 2.30 6.21 4.31 2.17 2.29 0.22 8.73 6.83 4.69 4.81 010
procedure.
37615.......... ............. A Ligation of neck 5.73 NA NA 3.80 4.95 0.58 NA NA 10.11 11.26 090
artery.
37616.......... ............. A Ligation of chest 16.49 NA NA 13.37 8.97 1.70 NA NA 31.56 27.16 090
artery.
37617.......... ............. A Ligation of abdomen 15.95 NA NA 7.63 8.16 1.61 NA NA 25.19 25.72 090
artery.
37618.......... ............. A Ligation of extremity 4.84 NA NA 3.52 4.46 0.54 NA NA 8.90 9.84 090
artery.
37620.......... ............. A Revision of major vein 10.56 NA NA 4.96 7.26 0.78 NA NA 16.30 18.60 090
37650.......... ............. A Revision of major vein 5.13 NA NA 3.74 4.05 0.60 NA NA 9.47 9.78 090
37660.......... ............. A Revision of major vein 10.61 NA NA 6.01 6.13 1.19 NA NA 17.81 17.93 090
37700.......... ............. A Revise leg vein....... 3.73 NA NA 3.03 3.49 0.41 NA NA 7.17 7.63 090
37720.......... ............. A Removal of leg vein... 5.66 NA NA 3.69 4.62 0.62 NA NA 9.97 10.90 090
37730.......... ............. A Removal of leg veins.. 7.33 NA NA 4.57 6.06 0.80 NA NA 12.70 14.19 090
37735.......... ............. A Removal of leg veins/ 10.53 NA NA 6.07 7.56 1.16 NA NA 17.76 19.25 090
lesion.
37760.......... ............. A Revision of leg veins. 10.47 NA NA 5.74 6.93 1.08 NA NA 17.29 18.48 090
37780.......... ............. A Revision of leg vein.. 3.84 NA NA 3.07 2.56 0.43 NA NA 7.34 6.83 090
37785.......... ............. A Revise secondary 3.88 6.73 3.90 2.86 1.96 0.40 11.01 8.18 7.14 6.24 090
varicosity.
37788.......... ............. A Revascularization, 22.01 NA NA 11.87 14.15 1.43 NA NA 35.31 37.59 090
penis.
37790.......... ............. A Penile venous 8.34 NA NA 7.42 6.81 0.53 NA NA 16.29 15.68 090
occlusion.
37799.......... ............. C Vascular surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
38100.......... ............. A Removal of spleen, 13.01 NA NA 6.35 7.82 1.30 NA NA 20.66 22.13 090
total.
38101.......... ............. A Removal of spleen, 13.74 NA NA 6.77 7.18 1.39 NA NA 21.90 22.31 090
partial.
38102.......... ............. A Removal of spleen, 4.80 NA NA 1.81 2.27 0.48 NA NA 7.09 7.55 ZZZ
total.
38115.......... ............. A Repair of ruptured 14.19 NA NA 6.82 7.56 1.43 NA NA 22.44 23.18 090
spleen.
38120.......... ............. C Laparoscopy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
splenectomy.
38129.......... ............. C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spleen.
38200.......... ............. A Injection for spleen x- 2.64 NA NA 0.82 1.34 0.12 NA NA 3.58 4.10 000
ray.
38230.......... ............. R Bone marrow collection 4.54 NA NA 2.36 2.69 0.23 NA NA 7.13 7.46 010
38231.......... ............. R Stem cell collection.. 1.50 NA NA 0.60 1.05 0.06 NA NA 2.16 2.61 000
38240.......... ............. R Bone marrow/stem 2.24 NA NA 0.82 1.54 0.11 NA NA 3.17 3.89 XXX
transplant.
38241.......... ............. R Bone marrow/stem 2.24 NA NA 0.87 1.54 0.10 NA NA 3.21 3.88 XXX
transplant.
38300.......... ............. A Drainage, lymph node 1.53 3.76 2.20 2.22 1.27 0.14 5.43 3.87 3.89 2.94 010
lesion.
38305.......... ............. A Drainage, lymph node 4.61 7.52 4.83 5.83 3.98 0.36 12.49 9.80 10.80 8.95 090
lesion.
38308.......... ............. A Incision of lymph 4.95 NA NA 4.92 4.29 0.43 NA NA 10.30 9.67 090
channels.
38380.......... ............. A Thoracic duct 7.46 NA NA 7.61 6.22 0.60 NA NA 15.67 14.28 090
procedure.
38381.......... ............. A Thoracic duct 12.88 NA NA 12.11 10.16 1.66 NA NA 26.65 24.70 090
procedure.
38382.......... ............. A Thoracic duct 10.08 NA NA 8.74 7.00 1.06 NA NA 19.88 18.14 090
procedure.
38500.......... ............. A Biopsy/removal, lymph 2.88 2.56 2.15 2.15 1.94 0.28 5.72 5.31 5.31 5.10 010
nodes.
38505.......... ............. A Needle biopsy, lymph 1.14 2.86 2.04 0.98 0.80 0.09 4.09 3.27 2.21 2.03 000
nodes.
38510.......... ............. A Biopsy/removal, lymph 4.14 NA NA 4.05 3.41 0.38 NA NA 8.57 7.93 090
nodes.
38520.......... ............. A Biopsy/removal, lymph 5.12 NA NA 5.06 4.15 0.53 NA NA 10.71 9.80 090
nodes.
38525.......... ............. A Biopsy/removal, lymph 4.66 NA NA 3.71 3.26 0.47 NA NA 8.84 8.39 090
nodes.
38530.......... ............. A Biopsy/removal, lymph 6.13 NA NA 6.45 4.95 0.66 NA NA 13.24 11.74 090
nodes.
38542.......... ............. A Explore deep node(s), 5.91 NA NA 5.61 5.12 0.50 NA NA 12.02 11.53 090
neck.
38550.......... ............. A Removal, neck/armpit 6.73 NA NA 5.24 4.38 0.50 NA NA 12.47 11.61 090
lesion.
38555.......... ............. A Removal, neck/armpit 14.27 NA NA 11.47 9.68 1.53 NA NA 27.27 25.48 090
lesion.
38562.......... ............. A Removal, pelvic lymph 10.49 NA NA 6.17 6.82 0.84 NA NA 17.50 18.15 090
nodes.
38564.......... ............. A Removal, abdomen lymph 10.83 NA NA 6.09 7.06 1.00 NA NA 17.92 18.89 090
nodes.
38570.......... ............. A Laparoscopy, lymph 9.25 NA NA 4.55 5.74 0.81 NA NA 14.61 15.80 010
node biop.
38571.......... ............. A Laparoscopy, 12.38 NA NA 5.36 7.33 0.78 NA NA 18.52 20.49 010
lymphadenectomy.
38572.......... ............. A Laparoscopy, 14.32 NA NA 6.12 8.49 1.04 NA NA 21.48 23.85 010
lymphadenectomy.
38589.......... ............. C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
lymphatic.
38700.......... ............. A Removal of lymph 8.24 NA NA 11.66 10.75 0.63 NA NA 20.53 19.62 090
nodes, neck.
38720.......... ............. A Removal of lymph 13.61 NA NA 14.83 15.54 1.03 NA NA 29.47 30.18 090
nodes, neck.
38724.......... ............. A Removal of lymph 14.54 NA NA 15.22 15.40 1.11 NA NA 30.87 31.05 090
nodes, neck.
38740.......... ............. A Remove armpit lymph 6.77 NA NA 4.52 4.82 0.67 NA NA 11.96 12.26 090
nodes.
38745.......... ............. A Remove armpit lymph 8.84 NA NA 6.60 7.80 0.86 NA NA 16.30 17.50 090
nodes.
38746.......... ............. A Remove thoracic lymph 4.39 NA NA 1.79 2.14 0.56 NA NA 6.74 7.09 ZZZ
nodes.
38747.......... ............. A Remove abdominal lymph 4.89 NA NA 1.83 2.31 0.45 NA NA 7.17 7.65 ZZZ
nodes.
38760.......... ............. A Remove groin lymph 8.74 NA NA 5.42 6.31 0.83 NA NA 14.99 15.88 090
nodes.
38765.......... ............. A Remove groin lymph 16.06 NA NA 9.74 11.75 1.34 NA NA 27.14 29.15 090
nodes.
38770.......... ............. A Remove pelvis lymph 13.23 NA NA 6.57 11.18 0.85 NA NA 20.65 25.26 090
nodes.
38780.......... ............. A Remove abdomen lymph 16.59 NA NA 8.57 13.00 1.26 NA NA 26.42 30.85 090
nodes.
38790.......... ............. A Inject for lymphatic x- 1.29 24.03 12.91 0.46 1.00 0.09 25.41 14.29 1.84 2.38 000
ray.
38792.......... ............. C Identify sentinel node 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
38794.......... ............. A Access thoracic lymph 4.45 NA NA 1.21 2.15 0.17 NA NA 5.83 6.77 090
duct.
38999.......... ............. C Blood/lymph system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
39000.......... ............. A Exploration of chest.. 6.10 NA NA 9.93 8.25 0.75 NA NA 16.78 15.10 090
39010.......... ............. A Exploration of chest.. 11.79 NA NA 13.11 12.78 1.52 NA NA 26.42 26.09 090
39200.......... ............. A Removal chest lesion.. 13.62 NA NA 13.66 13.12 1.65 NA NA 28.93 28.39 090
39220.......... ............. A Removal chest lesion.. 17.42 NA NA 14.71 15.46 2.16 NA NA 34.29 35.04 090
39400.......... ............. A Visualization of chest 5.61 NA NA 9.70 7.63 0.72 NA NA 16.03 13.96 010
39499.......... ............. C Chest procedure....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501.......... ............. A Repair diaphragm 13.19 NA NA 8.57 10.07 1.35 NA NA 23.11 24.61 090
laceration.
[[Page 59477]]
39502.......... ............. A Repair paraesophageal 16.33 NA NA 8.74 10.85 1.64 NA NA 26.71 28.82 090
hernia.
39503.......... ............. A Repair of diaphragm 34.85 NA NA 14.98 21.16 3.26 NA NA 53.09 59.27 090
hernia.
39520.......... ............. A Repair of diaphragm 16.10 NA NA 11.70 12.65 1.82 NA NA 29.62 30.57 090
hernia.
39530.......... ............. A Repair of diaphragm 15.41 NA NA 9.44 12.35 1.68 NA NA 26.53 29.44 090
hernia.
39531.......... ............. A Repair of diaphragm 16.42 NA NA 9.21 10.03 1.79 NA NA 27.42 28.24 090
hernia.
39540.......... ............. A Repair of diaphragm 13.32 NA NA 9.09 11.05 1.39 NA NA 23.80 25.76 090
hernia.
39541.......... ............. A Repair of diaphragm 14.41 NA NA 8.62 10.91 1.47 NA NA 24.50 26.79 090
hernia.
39545.......... ............. A Revision of diaphragm. 13.37 NA NA 11.61 10.09 1.59 NA NA 26.57 25.05 090
39560.......... ............. A Resect diaphragm, 12.00 NA NA 8.79 8.79 1.22 NA NA 22.01 22.01 090
simple.
39561.......... ............. A Resect diaphragm, 17.50 NA NA 6.43 6.43 1.79 NA NA 30.18 30.18 090
complex.
39599.......... ............. C Diaphragm surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40490.......... ............. A Biopsy of lip......... 1.22 1.56 1.18 0.62 0.51 0.06 2.84 2.46 1.90 1.79 000
40500.......... ............. A Partial excision of 4.28 4.91 5.01 4.69 4.90 0.31 9.50 9.60 9.28 9.49 090
lip.
40510.......... ............. A Partial excision of 4.70 5.58 5.60 5.37 5.49 0.37 10.65 10.67 10.44 10.56 090
lip.
40520.......... ............. A Partial excision of 4.67 6.19 5.54 5.47 5.18 0.41 11.27 10.62 10.55 10.26 090
lip.
40525.......... ............. A Reconstruct lip with 7.55 NA NA 6.95 7.99 0.69 NA NA 15.19 16.23 090
flap.
40527.......... ............. A Reconstruct lip with 9.13 NA NA 7.96 9.43 0.79 NA NA 17.88 19.35 090
flap.
40530.......... ............. A Partial removal of lip 5.40 5.55 5.54 5.20 5.37 0.45 11.40 11.39 11.05 11.22 090
40650.......... ............. A Repair lip............ 3.64 4.47 4.41 3.92 4.13 0.32 8.43 8.37 7.88 8.09 090
40652.......... ............. A Repair lip............ 4.26 5.55 5.32 5.23 5.16 0.40 10.21 9.98 9.89 9.82 090
40654.......... ............. A Repair lip............ 5.31 6.12 6.23 5.80 6.07 0.48 11.91 12.02 11.59 11.86 090
40700.......... ............. A Repair cleft lip/nasal 12.79 NA NA 9.15 9.17 0.98 NA NA 22.92 22.94 090
40701.......... ............. A Repair cleft lip/nasal 15.85 NA NA 10.54 15.76 1.38 NA NA 27.77 32.99 090
40702.......... ............. A Repair cleft lip/nasal 13.04 NA NA 8.68 9.43 0.95 NA NA 22.67 23.42 090
40720.......... ............. A Repair cleft lip/nasal 13.55 NA NA 10.18 10.30 1.31 NA NA 25.04 25.16 090
40761.......... ............. A Repair cleft lip/nasal 14.72 NA NA 10.79 11.28 1.31 NA NA 26.82 27.31 090
40799.......... ............. C Lip surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
40800.......... ............. A Drainage of mouth 1.17 1.65 1.23 0.48 0.44 0.09 2.91 2.49 1.74 1.70 010
lesion.
40801.......... ............. A Drainage of mouth 2.53 2.19 2.02 1.69 1.31 0.18 4.90 4.73 4.40 4.02 010
lesion.
40804.......... ............. A Removal, foreign body, 1.24 2.22 1.43 2.05 1.19 0.09 3.55 2.76 3.38 2.52 010
mouth.
40805.......... ............. A Removal, foreign body, 2.69 2.64 2.68 2.33 2.52 0.19 5.52 5.56 5.21 5.40 010
mouth.
40806.......... ............. A Incision of lip fold.. 0.31 0.67 0.53 0.44 0.42 0.03 1.01 0.87 0.78 0.76 000
40808.......... ............. A Biopsy of mouth lesion 0.96 1.73 1.28 1.71 1.06 0.07 2.76 2.31 2.74 2.09 010
40810.......... ............. A Excision of mouth 1.31 2.30 1.79 1.92 1.28 0.10 3.71 3.20 3.33 2.69 010
lesion.
40812.......... ............. A Excise/repair mouth 2.31 2.59 2.11 2.45 1.64 0.17 5.07 4.59 4.93 4.12 010
lesion.
40814.......... ............. A Excise/repair mouth 3.42 NA NA 3.85 3.68 0.25 NA NA 7.52 7.35 090
lesion.
40816.......... ............. A Excision of mouth 3.67 3.93 3.71 3.93 2.84 0.26 7.86 7.64 7.86 6.77 090
lesion.
40818.......... ............. A Excise oral mucosa for 2.41 3.77 3.11 3.77 3.11 0.14 6.32 5.66 6.32 5.66 090
graft.
40819.......... ............. A Excise lip or cheek 2.41 3.17 2.25 3.01 1.84 0.17 5.75 4.83 5.59 4.42 090
fold.
40820.......... ............. A Treatment of mouth 1.28 2.02 1.30 1.85 1.07 0.09 3.39 2.67 3.22 2.44 010
lesion.
40830.......... ............. A Repair mouth 1.76 2.12 1.43 2.12 1.43 0.15 4.03 3.34 4.03 3.34 010
laceration.
40831.......... ............. A Repair mouth 2.46 2.22 2.17 2.22 2.17 0.21 4.89 4.84 4.89 4.84 010
laceration.
40840.......... ............. R Reconstruction of 8.73 5.61 6.22 5.61 6.22 0.66 15.00 15.61 15.00 15.61 090
mouth.
40842.......... ............. R Reconstruction of 8.73 5.38 6.10 5.38 6.10 0.71 14.82 15.54 14.82 15.54 090
mouth.
40843.......... ............. R Reconstruction of 12.10 8.04 8.80 6.27 7.91 0.63 20.77 21.53 19.00 20.64 090
mouth.
40844.......... ............. R Reconstruction of 16.01 8.48 10.55 8.48 10.55 1.44 25.93 28.00 25.93 28.00 090
mouth.
40845.......... ............. R Reconstruction of 18.58 9.95 16.07 9.95 16.07 1.56 30.09 36.21 30.09 36.21 090
mouth.
40899.......... ............. C Mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
41000.......... ............. A Drainage of mouth 1.30 1.96 1.39 1.28 0.85 0.10 3.36 2.79 2.68 2.25 010
lesion.
41005.......... ............. A Drainage of mouth 1.26 1.80 1.24 1.28 0.98 0.10 3.16 2.60 2.64 2.34 010
lesion.
41006.......... ............. A Drainage of mouth 3.24 3.54 2.32 2.97 2.04 0.24 7.02 5.80 6.45 5.52 090
lesion.
41007.......... ............. A Drainage of mouth 3.10 3.19 3.17 2.82 2.99 0.16 6.45 6.43 6.08 6.25 090
lesion.
41008.......... ............. A Drainage of mouth 3.37 3.08 2.12 2.95 1.77 0.24 6.69 5.73 6.56 5.38 090
lesion.
41009.......... ............. A Drainage of mouth 3.59 3.21 3.40 2.77 3.18 0.27 7.07 7.26 6.63 7.04 090
lesion.
41010.......... ............. A Incision of tongue 1.06 2.70 1.55 2.70 1.55 0.06 3.82 2.67 3.82 2.67 010
fold.
41015.......... ............. A Drainage of mouth 3.96 3.70 2.32 2.95 1.95 0.29 7.95 6.57 7.20 6.20 090
lesion.
41016.......... ............. A Drainage of mouth 4.07 3.46 3.73 3.00 3.50 0.32 7.85 8.12 7.39 7.89 090
lesion.
41017.......... ............. A Drainage of mouth 4.07 3.68 2.60 3.03 2.28 0.32 8.07 6.99 7.42 6.67 090
lesion.
41018.......... ............. A Drainage of mouth 5.10 4.11 4.19 3.44 3.86 0.34 9.55 9.63 8.88 9.30 090
lesion.
41100.......... ............. A Biopsy of tongue...... 1.63 2.22 1.55 2.14 1.29 0.11 3.96 3.29 3.88 3.03 010
41105.......... ............. A Biopsy of tongue...... 1.42 2.00 1.56 2.00 1.28 0.11 3.53 3.09 3.53 2.81 010
41108.......... ............. A Biopsy of floor of 1.05 1.91 1.42 1.82 1.14 0.08 3.04 2.55 2.95 2.27 010
mouth.
41110.......... ............. A Excision of tongue 1.51 2.57 1.99 2.12 1.42 0.11 4.19 3.61 3.74 3.04 010
lesion.
41112.......... ............. A Excision of tongue 2.73 3.13 2.86 3.13 2.22 0.20 6.06 5.79 6.06 5.15 090
lesion.
41113.......... ............. A Excision of tongue 3.19 3.13 3.42 3.13 2.49 0.23 6.55 6.84 6.55 5.91 090
lesion.
41114.......... ............. A Excision of tongue 8.47 NA NA 5.87 6.40 0.62 NA NA 14.96 15.49 090
lesion.
41115.......... ............. A Excision of tongue 1.74 2.36 2.15 2.13 2.03 0.12 4.22 4.01 3.99 3.89 010
fold.
41116.......... ............. A Excision of mouth 2.44 3.03 2.87 2.98 2.84 0.18 5.65 5.49 5.60 5.46 090
lesion.
41120.......... ............. A Partial removal of 9.77 NA NA 8.03 7.97 0.73 NA NA 18.53 18.47 090
tongue.
41130.......... ............. A Partial removal of 11.15 NA NA 8.83 9.33 0.82 NA NA 20.80 21.30 090
tongue.
41135.......... ............. A Tongue and neck 23.09 NA NA 15.49 17.68 1.71 NA NA 40.29 42.48 090
surgery.
41140.......... ............. A Removal of tongue..... 25.50 NA NA 15.83 18.17 1.90 NA NA 43.23 45.57 090
41145.......... ............. A Tongue removal, neck 30.06 NA NA 20.11 22.42 2.20 NA NA 52.37 54.68 090
surgery.
41150.......... ............. A Tongue, mouth, jaw 23.04 NA NA 16.17 18.38 1.70 NA NA 40.91 43.12 090
surgery.
41153.......... ............. A Tongue, mouth, neck 23.77 NA NA 16.78 21.96 1.79 NA NA 42.34 47.52 090
surgery.
41155.......... ............. A Tongue, jaw, & neck 27.72 NA NA 19.27 25.89 2.03 NA NA 49.02 55.64 090
surgery.
41250.......... ............. A Repair tongue 1.91 2.33 1.75 1.52 1.34 0.16 4.40 3.82 3.59 3.41 010
laceration.
41251.......... ............. A Repair tongue 2.27 2.10 2.18 1.77 2.01 0.17 4.54 4.62 4.21 4.45 010
laceration.
41252.......... ............. A Repair tongue 2.97 2.89 2.72 2.14 2.35 0.24 6.10 5.93 5.35 5.56 010
laceration.
41500.......... ............. A Fixation of tongue.... 3.71 NA NA 3.68 3.63 0.25 NA NA 7.64 7.59 090
41510.......... ............. A Tongue to lip surgery. 3.42 NA NA 4.22 3.49 0.21 NA NA 7.85 7.12 090
[[Continued on page 59479]]