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Glens Falls Hospital

Glens Falls Hospital and every other hospital has published a list of starting prices for all medical procedures, in compliance with a new transparency law.

GLENS FALLS — The prices are here!

Or maybe they’re not.

Glens Falls Hospital, and every other hospital in the country, on Jan. 1 published a list of prices for every medical procedure offered. They were required to by law.

But the so-called “chargemaster” list does not show real prices. Instead, it shows the starting price that each hospital begins with before negotiating with health insurance companies.

In other words, the prices are the worst possible scenario: most procedures should cost less in reality.

How do you get the real price?

You can’t just ask your health insurance company for those negotiated rates, although United Health Care offers some prices online on a “price calculator” for members only.

United Health Care refused to give out a price over the phone for even one medical code this week.

“You could ask the provider for an estimate, but the only way you’ll really know is at the end when they bill you,” said an employee at United Health Care, who asked to be anonymous because she was not authorized to speak to the press.

That can be a serious problem for patients who have large deductibles. If a patient’s deductible is $2,000, one could argue it doesn’t matter how much more the procedure costs: the patient is only going to pay $2,000.

But for those who have much higher deductibles — $10,000 is not unheard of — the cost can matter a great deal.

Patients with medical problems that are not emergencies may want to compare prices to select the cheapest provider, but it’s not easy. Glens Falls Hospital listed its procedures by narrative and by medical code, making it fairly easy to search. But Saratoga Hospital used completely different codes and published its list in a non-searchable document, making it much harder to compare procedures.

And even if a patient wants to go to the cheapest location, there are other factors to consider, ranging from where their doctor can practice to the safety ratings of the facility.

But that’s not to say the list of costs is useless. With some work, and Google, it’s possible to use the chargemaster list to get an idea of the ceiling for the bill. For some items, the chargemaster is double the actual price. For others, it’s pretty close to the final bill.

The key to decoding Glens Falls Hospital’s chargemaster is to Google the CPL codes for each item that appears to be the procedure in question. That can be tedious: there are 158 codes for an MRI, differentiated only by CPL code. Googling those codes, one by one, can lead the patient to the cost of an MRI exam that he or she needs. The codes refer to which part of the body is scanned, whether dye is used, and other details.

The hospital’s starting price ranges from $624 to $2,696, but most of the exams are $1,056 to $1,655.

But it can be worth it to find out the exact cost, because many clinics and other non-hospital locations offer MRIs now.

For example, at Adirondack Radiology Associates, United Health Care says the negotiated cost of an MRI scan of the spine without dye would be $322.

At Glens Falls Hospital, the same scan would be $488 with United Health Care, although the chargemaster lists it at $1,078.

The final cost can be vastly different with other health insurance companies, and even within a company, rates can vary depending on the patient’s insurance plan.

Another common procedure is a knee arthroscopy with meniscus removal. It’s a surgical procedure that Glens Falls Hospital offers.

On the hospital’s chargemaster, the price for that is coded as “Knee Arthroscopy/Surgery (with meniscus repair) (right) 29883.”

That translates to knee surgery to remove parts of the meniscus, with the medical code of 29883.

It’s listed at a price of $6,447.

However, United Health Care says it has a negotiated price for that surgery of $5,891.

That’s not much less than the hospital’s “starting” price for that procedure.

Glens Falls Hospital Chargemaster list

Hospitals are required by law to make available information about standard charges for services they provide.These charges represent only the standard charges provided by a hospital. It does not provide a quote or guarantee of actual charges, e.g., how much it will cost for a specific patient’s care. It does not account for any variables in a patient’s medical condition, complications, length of stay, use of laboratory tests, pharmaceuticals, etc. It also does not account for whether a patient has health insurance or the availability of other discounts. Patients should always contact the hospital’s financial services staff for specific information.

LONG_DESCRIPTION ACTIVITY_TYPE Facility Fee Professional Fee Global Fee
ACA: 78451 - MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS ADK Cardiology Charges 2405 685 3090
ACA: 78452 - MYOCARDIAL SPECT MULTIPLE STUDIES ADK Cardiology Charges 2405 953 3358
ACA: 78454 - MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES ADK Cardiology Charges 2405 878 3283
ACA: 78472 - GATED HEART, PLANAR SINGLE ADK Cardiology Charges 699 460 1159
ACA: 78496 - HT-1ST PASS/add-on ADK Cardiology Charges 48 48 96
ACA: 93000 - EKG ADK Cardiology Charges 100 100
ACA: 93010 - Electrocardiogram Read and Int. ADK Cardiology Charges 35 35
ACA: 93016 - CV STRS TST XERS&/OR RX CONT ECG W/O I&R ADK Cardiology Charges 44 44
ACA: 93018 - CARDIAC STRESS TST,INTERP/REPT ONLY ADK Cardiology Charges 30 30
ACA: 93225 - EXT ECG RECORD CONTIN 48 HR, RECORD ADK Cardiology Charges 200
ACA: 93226-Holter Monitor San Analysis with Report ADK Cardiology Charges 200
ACA: 93227 - XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS ADK Cardiology Charges 54 54
ACA: 93270 - Ext Pt-Activate Event Recorder, <=30 days, Recording 93270 ADK Cardiology Charges 75 18 93
ACA: 93272 - External patient-activated Event Recorder, up to 30 days, Review and I&R 93272 ADK Cardiology Charges 51 51
ACA: 93279 - Program Device Eval (In Person), 1-Lead Pacer (GLOBAL) ADK Cardiology Charges 75 97 172
ACA: 93280 - Program Device Eval (In Person), Dual-Lead Pacemaker (GLOBAL) ADK Cardiology Charges 75 115 190
ACA: 93281 - Program Device Eval (In Person), Multi-Lead Pacemaker (GLOBAL) ADK Cardiology Charges 75 124 199
ACA: 93282 - Program Device Eval (In Person), Single-Lead ICD (GLOBAL) ADK Cardiology Charges 75 120 195
ACA: 93283 - Progrm Eval Implantable in Prsn Dual l Card/Dfb ADK Cardiology Charges 75 154 229
ACA: 93284 - Program Device Eval (In Person), Multi-Lead ICD (GLOBAL) ADK Cardiology Charges 70 126 196
ACA: 93285 - Program Device Eval (In Person), Implant Loop Recorder (ILR) (GLOBAL) ADK Cardiology Charges 75 84 159
ACA: 93288 - Interrogation Eval in Person 1/Dual/Mlt Lead Pm ADK Cardiology Charges 75 75 150
ACA: 93289 - Interrogation of ICD (In Person) (GLOBAL) ADK Cardiology Charges 75 107 182
ACA: 93290 - Interrogation of Implant Cardio Monitor (ICM) (In Person) (GLOBAL) ADK Cardiology Charges 75 72 147
ACA: 93293 - Transtelephonic Rhythm Strip Pacemaker Eval ADK Cardiology Charges 75 104 179
ACA: 93294 - Remote Interrogation (30-90 days) for Pacemaker, analysis and I&R ADK Cardiology Charges 67 67
ACA: 93295 - Remote Interrogation (30-90 days) for ICD, analysis and I&R ADK Cardiology Charges 133 133
ACA: 93296 - Remote Interrogation (30-90 days) for Pacemaker or ICD, technical review ADK Cardiology Charges 75 51 126
ACA: 93297 - Remote Interrogation (up to 30 days) for ICM, analysis and I&R ADK Cardiology Charges 52 52
ACA: 93298 - Remote Interrogation (up to 30 days) for ILR, analysis and I&R ADK Cardiology Charges 52 52
ACA: 93303 - ECHO XTHORACIC,CONG ABNOM,COMPLETE ADK Cardiology Charges 973 471 1444
ACA: 93304 - ECHO XTHORACIC,CONG ABNOM,LIMITED ADK Cardiology Charges 973 314 1287
ACA: 93306 (Prof Only) Echo Professional Interpretation ADK Cardiology Charges 410 410
ACA: 93306 - Transthoracic Echocardiogram (2D, Doppler & Color) ADK Cardiology Charges 973 410 1383
ACA: 93307 - ECHO HEART XTHORACIC,COMPLETE, W/O DOPPLER ADK Cardiology Charges 973 279 1252
ACA: 93308 - ECHO HEART XTHORACIC,LIMITED ADK Cardiology Charges 465 206 671
ACA: 93320 - DOPPLER ECHO HEART,COMPLETE ADK Cardiology Charges 37 37 74
ACA: 93325 - DOPPLER COLOR FLOW VELOCITY MAP ADK Cardiology Charges 7 7 14
ACA: 93351 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG ADK Cardiology Charges 973 458 1431
ACA: 93568 - INJECT PULM ART HRT CATH ADK Cardiology Charges 162
ACA: 93660- Tilt Table EKG report ADK Cardiology Charges 315 315
ACA: 93880 - Bilateral duplex scan of extracranial arteries ADK Cardiology Charges 465 398 863
ACA: 93882 - DUPLEX SCAN EXTRACRANIAL,LIMITED ADK Cardiology Charges 229 254 483
ACA: 93922 - Limited bilateral noninvasive physiologic studies of lower extremity arteries ADK Cardiology Charges 182 147 329
ACA: 93922 - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL ADK Cardiology Charges 200 25 225
ACA: 93923 - Complete bilateral noninvasive physiologic studies of lower extremity arteries ADK Cardiology Charges 273 266 539
ACA: 93924 - Bilateral noninvasive physiologic studies of lower extremity arteries, at rest ADK Cardiology Charges 273 331 604
ACA: 93925 - Bilateral duplex scan of lower extremity arterial bypass grafts ADK Cardiology Charges 465 510 975
ACA: 93930 - Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study ADK Cardiology Charges 465 409 874
ACA: 93931 - Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study ADK Cardiology Charges 307 201 508
ACA: 93975 - DUPLEX ABD/PEL VASC STUDY,COMPLETE ADK Cardiology Charges 465 554 1019
ACA: 93976 - DUPLEX ABD/PEL VASC STUDY,LIMITD ADK Cardiology Charges 229 323 552
ACA: 93979 - VASCULAR STUDY ADK Cardiology Charges 229 237 466
ACA: 99201 - OFFICE OUTPATIENT NEW 10 MINUTES ADK Cardiology Charges 216 75 291
ACA: 99202 - OFFICE OUTPATIENT NEW 20 MINUTES ADK Cardiology Charges 216 145 361
ACA: 99203 - OFFICE OUTPATIENT NEW 30 MINUTES ADK Cardiology Charges 216 209 425
ACA: 99204 - OFFICE OUTPATIENT NEW 45 MINUTES ADK Cardiology Charges 321 321 642
ACA: 99205 - OFFICE OUTPATIENT NEW 60 MINUTES ADK Cardiology Charges 404 404 808
ACA: 99211 - OFFICE OUTPATIENT VISIT 5 MINUTES ADK Cardiology Charges 216 42 258
ACA: 99212 - OFFICE OUTPATIENT VISIT 10 MINUTES ADK Cardiology Charges 216 84 300
ACA: 99213 - OFFICE OUTPATIENT VISIT 15 MINUTES ADK Cardiology Charges 216 142 358
ACA: 99214 - OFFICE OUTPATIENT VISIT 25 MINUTES ADK Cardiology Charges 216 209 425
ACA: 99215 - OFFICE OUTPATIENT VISIT 40 MINUTES ADK Cardiology Charges 284 284 568
ACA: 99241 - OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN ADK Cardiology Charges 216 75 291
ACA: 99242 - OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN ADK Cardiology Charges 216 130 346
ACA: 99243 - OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN ADK Cardiology Charges 216 175 391
ACA: 99244 - OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN ADK Cardiology Charges 216 260 476
ACA: 99245 - OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN ADK Cardiology Charges 216 320 516
ACA: 99406 - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES ADK Cardiology Charges 54 28 82
ACA: 99407 - TOBACCO USE CESSATION INTENSIVE >10 MINUTES ADK Cardiology Charges 54 54 108
ACA: C8924 - 2D TTE W OR W/O FOL with Contrast ADK Cardiology Charges 913 206 1119
ACA: C8929 - ECHO HEART XTHORACIC,COMPLETE W DOPPLER with contrast ADK Cardiology Charges 1364 410 1774
ACA: C8930 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG with contrast ADK Cardiology Charges 1364 460 1824
ACA: DUPLEX EXTREM VENOUS,BILAT ADK Cardiology Charges 465 384 849
ACA: DUPLEX EXTREM VENOUS,UNI OR LTD ADK Cardiology Charges 307 189 496
ACA: DUPLEX LARGE VESSEL(S),COMPLETE ADK Cardiology Charges 465 375 840
ACA: DUPLEX LO EXTREM ART UNILAT/LTD ADK Cardiology Charges 307 248 555
ACA: Hosp Interp 78452 - MYOCARDIAL SPECT MULTIPLE STUDIES ADK Cardiology Charges 953 953
ACA: Hosp Interp 93016 - CV STRS TST XERS&/OR RX CONT ECG W/O I&R ADK Cardiology Charges 44 44
ACA: Hosp Interp 93018 - CARDIAC STRESS TST,INTERP/REPT ONLY ADK Cardiology Charges 30 30
ACA: Hosp Interp 93306 - Transthoracic Echocardiogram (2D, Doppler & Col ADK Cardiology Charges 410 410
ACA: Hosp Interp 93308 - ECHO HEART XTHORACIC,LIMITED ADK Cardiology Charges 206 206
ACA: Hosp Interp 93351 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT EC ADK Cardiology Charges 458 458
ACA: Hosp Interp 93226 - Holter Monitor Scan Analysis with Report ADK Cardiology Charges 200
ACA: Hosp Interp78451 - MYOCARDIAL SPECT SINGLE ADK Cardiology Charges 685 685
ACA: Hosp interp 93227 - XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS ADK Cardiology Charges 54 54
ACA: ILR DEVICE INTERROGATE ADK Cardiology Charges 62 43 105
ACA: INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB ADK Cardiology Charges 75 117 192
ACA: PERI-PX DEVICE EVAL & PRGR ADK Cardiology Charges 46 46
ACA: PERI-PX PACEMAKER DEVICE EVL ADK Cardiology Charges 30 30
ACA: WCD DEVICE INTERROGATE ADK Cardiology Charges 68 42 110
ACA: XTRNL PT ACTIV ECG TRANSMIS W/R&I ADK Cardiology Charges 400 400
ACA: 78452 - Myocardial perfusion imaging, tomographic (SPECT) multiple studies ADK Cardiology Charges (T) 2770
ACA: 93005-Electrocardiogram ADK Cardiology Charges (T) 106
ACA: 93005-Electrocardiogram Pediatric ADK Cardiology Charges (T) 106
ACA: 93017 - CARDIAC STRESS TST,TRACING ONLY ADK Cardiology Charges (T) 498 66 564
ACA: 93225-Holter Monitor Record With Hookup ADK Cardiology Charges (T) 162
ACA: 93226-Holter Monitor Scan Analysis with Report Pediatric ADK Cardiology Charges (T) 200
ACA: 93299 - Remote Interrogation (up to 30 days) for ICM or ILR, technical review ADK Cardiology Charges (T) 75
ACA: 93351 - STRESS TTE COMPLETE ADK Cardiology Charges (T) 1040
ACA: 93351 Stress TTE Complete ADK Cardiology Charges (T) 1040
ACA: 93660-Tilt Table EKG ADK Cardiology Charges (T) 889
ACA: 93975 - Vascular Study ADK Cardiology Charges (T) 465
ACA: Prothrombin and INR POC ADK Cardiology Charges (T) 11
Application of On-Body Injector Ambulatory Charges 70
Bone Marrow Aspiration Ambulatory Charges 2696 331 3027
Bone Marrow Biopsy Ambulatory Charges 2696 301 2997
Bone Marrow Tray Ambulatory Charges 178
Bone marrow Biopsy and Aspiration Ambulatory Charges 2696 334 3030
Facility Level 1 99211 Ambulatory Charges 111
INF AquaCel Ag 2x2 Ambulatory Charges 30
INF AquaCel Ag 4x4 Ambulatory Charges 53
INF AquaCel Ag 6x6 Ambulatory Charges 120
INF Bio Patch Ambulatory Charges 40
INF Blood Administration Set Ambulatory Charges 7
INF Blood Warmer Bag Ambulatory Charges 15
INF Bone marrow tray Ambulatory Charges 140
INF Butterfly INF Butterfly Ambulatory Charges 2
INF Butterfly 2/Stylet Ambulatory Charges 8
INF Chemo Install Arterial Pump > 8 hours Ambulatory Charges 498
INF Chemo admin SQ/IM Non-Hormonal Ambulatory Charges 106
INF Chemo admin SQ/IM Hormonal Ambulatory Charges 101
INF Dressing Level 1 Ambulatory Charges 18
INF Dressing Level 2 Ambulatory Charges 42
INF Dressing Level 3 Ambulatory Charges 64
INF Finger Stick without other draw Ambulatory Charges 46
INF Foley Catheter Tray Ambulatory Charges 5
INF Foley Catheter Ambulatory Charges 96
INF Huber Needle Ambulatory Charges 24
INF IV Push Add'l Seq (Same Drug) Ambulatory Charges 67
INF IV Set (non-pump) Ambulatory Charges 24
INF IV Solution Ambulatory Charges 33
INF Infusion Ea Seq agent <61 minutes Ambulatory Charges 106
INF Initiation of CADD Ambulatory Charges 559
INF Intraperitoneal Chemo Ambulatory Charges 560
INF Intrathecal Pump Analysis w/o Programming Ambulatory Charges 505
INF Intrathecal Pump Analysis w/ Programming Ambulatory Charges 505
INF Pleurix Drainage Kit Ambulatory Charges 106
INF Pt Arrived - Refuses Treatment -> Yes Ambulatory Charges STAT
INF Pt Arrived - Services Not Provided -> Yes Ambulatory Charges STAT
INF Refill Kit Intrathecal Ambulatory Charges 25
INF Refill Kit for Implanted Pump Ambulatory Charges 25
INF Refill of CADD Ambulatory Charges 551
INF Refill/Maint of Implanted Pump Ambulatory Charges 538 71
INF SQ/IM Ambulatory Charges 84
INF Transparent Dressing Ambulatory Charges 32
INF/S CVC Insertion Tray Ea Add Ambulatory Charges 25
INF/S Cath Double Lumen Ambulatory Charges 397
INF/S Cath Single Lumen Ambulatory Charges 397
INF/S Cath Special Ambulatory Charges 397
INF/S Cath Triple Lumen Ambulatory Charges 397
INF/S Introducer Kit Ambulatory Charges 468
IV Pump System Ambulatory Charges 64
Lumbar Puncture Tray Ambulatory Charges 57.68
Gastric Occult Blood POC Ambulatory POC 10 0 10
Glucose Monitoring Device POC Ambulatory POC 10
Hemoglobin A1c POC Ambulatory POC 30
POC Glucose Ambulatory POC 10
POC Hearing Screen Ambulatory POC 22
POC Hemoglobin Ambulatory POC 7
POC Influenza Ambulatory POC 31
POC Occult Blood x 3 Ambulatory POC 10
POC Peak Flow Ambulatory POC 273 70 343
POC Pregnancy Test Ambulatory POC 17 17
POC Prothrombin and INR Ambulatory POC 11
POC Rapid Strep Ambulatory POC 41
POC Stool for Occult Blood Ambulatory POC 10 10
POC Urine Microscopy Ambulatory POC 10 0 10
POC Vision Testing Ambulatory POC 27 27 54
Pulmonary Function Test POC Ambulatory POC 260 70 330
Spirometry POC Ambulatory POC 273
Stool FIT Test x 2 Ambulatory POC 40
Urinalysis Dipstick POC Ambulatory POC 15
Urine Dipstick And Microscopy POC Ambulatory POC 10
Urine Microscopy POC Ambulatory POC 10
Urine Pregnancy POC Ambulatory POC 17 17
Vaginal PH POC Ambulatory POC 10 0 10
Vaginal Wet Mount POC Ambulatory POC 12 0 12
Acne Surgery 10040 Ambulatory Procedures 236 197 433
Acoustic Reflex Test Threshold 92568 Ambulatory Procedures 61 31 92
Acupuncture, 1 or More Needles w/Elec Stim, 1st 15 Min 97813 Ambulatory Procedures 70 70
Acupuncture, 1 or More Needles w/o Elec Stim, 1st 15 Min 97810 Ambulatory Procedures 65 65
Acupuncture, 1+ Ndl w/Elec Stim, Ea Adtl 15 Min w/Re-Insert 97814 Ambulatory Procedures 55 55
Acupuncture, 1+ Ndl w/o Elec Stim, Ea Adtl 15 Min w/ Re-Insert 97811 Ambulatory Procedures 50 50
After Hours Services Provided AP 99050 Ambulatory Procedures 38 38
Airway Inhalation Treatment 94640 Ambulatory Procedures 353.92
Allergen immunotherapy, prep., 15 Qty 95165 Ambulatory Procedures 0 0
Allergen immunotherapy, prep., 30 Qty 95165 Ambulatory Procedures 0 0
Allergy tests, intracutaneous, immed reaction, # of tests 95024 Ambulatory Procedures 112 15 127
Allergy tests, percutaneous, immediate reaction, # of tests Ambulatory Procedures 60 15 75
Ant interbody Spine fusion/decomp combo, cerv below C2, 1st intrsp 22551 Ambulatory Procedures 21076 3373 24449
Antrotomy by transmastoid approach (bilat) 69501 Ambulatory Procedures 11868 2180 14048
Antrotomy by transmastoid approach (left) 69501 Ambulatory Procedures 7912 1453 9365
Antrotomy by transmastoid approach (right) 69501 Ambulatory Procedures 7912 1453 9365
Applic Long Leg Cast,Amb Type (bilat) 29355 Ambulatory Procedures 624 413 1037
Applic Long Leg Cast,Amb Type (left) 29355 Ambulatory Procedures 416 275 691
Applic Long Leg Cast,Amb Type (right) 29355 Ambulatory Procedures 416 275 691
Application Finger Splnt,Static (left Th) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (left 2D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (left 3D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (left 4D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (left 5D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (right Th) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (right 2D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (right 3D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (right 4D) 29130 Ambulatory Procedures 112 80 192
Application Finger Splnt,Static (right 5D) 29130 Ambulatory Procedures 112 80 192
Application Long Arm Splint (bilat) 29105 Ambulatory Procedures 357 258 615
Application Long Arm Splint (left) 29105 Ambulatory Procedures 238 172 410
Application Long Arm Splint (right) 29105 Ambulatory Procedures 238 172 410
Application Lower Leg Splint (bilat) 29515 Ambulatory Procedures 357 210 567
Application Lower Leg Splint (left) 29515 Ambulatory Procedures 238 140 378
Application Lower Leg Splint (right) 29515 Ambulatory Procedures 238 140 378
Application Of Cylinder Cast (bilat) 29365 Ambulatory Procedures 624 359 983
Application Of Cylinder Cast (left) 29365 Ambulatory Procedures 416 239 655
Application Of Cylinder Cast (right) 29365 Ambulatory Procedures 416 239 655
Application Of Leg Cast (bilat) 29450 Ambulatory Procedures 357 425 782
Application Of Leg Cast (left) 29450 Ambulatory Procedures 238 283 521
Application Of Leg Cast (right) 29450 Ambulatory Procedures 238 283 521
Application Of Long Leg Cast (bilat) 29345 Ambulatory Procedures 624 399 1023
Application Of Long Leg Cast (left) 29345 Ambulatory Procedures 416 266 682
Application Of Long Leg Cast (right) 29345 Ambulatory Procedures 416 266 682
Application Short Arm Splint,Static (bilat) 29125 Ambulatory Procedures 273 189 462
Application Short Arm Splint,Static (left) 29125 Ambulatory Procedures 182 126 308
Application Short Arm Splint,Static (right) 29125 Ambulatory Procedures 182 126 308
Application Short Leg Cast (bilat) 29405 Ambulatory Procedures 624 240 864
Application Short Leg Cast (left) 29405 Ambulatory Procedures 416 160 576
Application Short Leg Cast (right) 29405 Ambulatory Procedures 416 160 576
Application of cast of finger 29086 Ambulatory Procedures 238 153 391
Application of dynamic type finger splint (left Th) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (left 2D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (left 3D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (left 4D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (left 5D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (right Th) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (right 2D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (right 3D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (right 4D) 29131 Ambulatory Procedures 112 99 211
Application of dynamic type finger splint (right 5D) 29131 Ambulatory Procedures 112 99 211
Application of long leg cast brace (bilat) 29358 Ambulatory Procedures 624 470 1094
Application of long leg cast brace (left) 29358 Ambulatory Procedures 416 313 729
Application of long leg cast brace (right) 29358 Ambulatory Procedures 416 313 729
Application of nerve stimulator electrodes to skin surface 64550 Ambulatory Procedures 123 35 158
Application of patellar tendon bearing cast (bilat) 29435 Ambulatory Procedures 624 341 965
Application of patellar tendon bearing cast (left) 29435 Ambulatory Procedures 416 227 643
Application of patellar tendon bearing cast (right) 29435 Ambulatory Procedures 416 227 643
Application, Long Leg Splint (bilat) 29505 Ambulatory Procedures 357 243 600
Application, Long Leg Splint (left) 29505 Ambulatory Procedures 238 162 400
Application, Long Leg Splint (right) 29505 Ambulatory Procedures 238 162 400
Apply Forearm Splint,Dynamic (bilat) 29126 Ambulatory Procedures 168 225 393
Apply Forearm Splint,Dynamic (left) 29126 Ambulatory Procedures 182 150 332
Apply Forearm Splint,Dynamic (right) 29126 Ambulatory Procedures 182 150 332
Apply Short Leg Cast,Ambul Type (bilat) 29425 Ambulatory Procedures 624 231 855
Apply Short Leg Cast,Ambul Type (left) 29425 Ambulatory Procedures 416 154 570
Apply Short Leg Cast,Ambul Type (right) 29425 Ambulatory Procedures 416 154 570
Arterial Blood Draw, Therapeutic (ie,Transfusion), Percutaneous 36620 Ambulatory Procedures 103 103
Arthrodesis,Great Toe (bilat) 28750 Ambulatory Procedures 14909 2411 17320
Arthrodesis,Great Toe (left) 28750 Ambulatory Procedures 9939 1607 11546
Arthrodesis,Great Toe (right) 28750 Ambulatory Procedures 9939 1607 11546
Arthroscop Rotator Cuff Repr (bilat) 29827 Ambulatory Procedures 14909 3128 18037
Arthroscop Rotator Cuff Repr (left) 29827 Ambulatory Procedures 9939 2085 12024
Arthroscop Rotator Cuff Repr (right) 29827 Ambulatory Procedures 9939 2085 12024
Arthroscopy Biceps Tenodesis (bilat) 29828 Ambulatory Procedures 14909 2696 17605
Arthroscopy Biceps Tenodesis (left) 29828 Ambulatory Procedures 9939 1797 11736
Arthroscopy Biceps Tenodesis (right) 29828 Ambulatory Procedures 9939 1797 11736
Arthroscopy shoulder, debridement, limited (bilat) 29822 Ambulatory Procedures 7187 1674 8861
Arthroscopy shoulder, debridement, limited (left) 29822 Ambulatory Procedures 4791 1116 5907
Arthroscopy shoulder, debridement, limited (right) 29822 Ambulatory Procedures 4791 1116 5907
Arthroscopy,Hip,Surg;W/Debride (bilat) 29862 Ambulatory Procedures 14909 2385 17294
Arthroscopy,Hip,Surg;W/Debride (left) 29862 Ambulatory Procedures 9939 1590 11529
Arthroscopy,Hip,Surg;W/Debride (right) 29862 Ambulatory Procedures 9939 1590 11529
Arthrotomy of glenohumeral joint with joint exploration (bilat) 23107 Ambulatory Procedures 7187 1938 9125
Arthrotomy of glenohumeral joint with joint exploration (left) 23107 Ambulatory Procedures 4791 1292 6083
Arthrotomy of glenohumeral joint with joint exploration (right) 23107 Ambulatory Procedures 4791 1292 6083
Aspirate Pleura W/ Imaging (bilat) 32555 Ambulatory Procedures 1449 848 2297
Aspirate Pleura W/ Imaging (left) 32555 Ambulatory Procedures 966 565 1531
Aspirate Pleura W/ Imaging (right) 32555 Ambulatory Procedures 966 565 1531
Aspirate Pleura W/O Imaging (bilat) 32554 Ambulatory Procedures 1449 587 2036
Aspirate Pleura W/O Imaging (left) 32554 Ambulatory Procedures 966 391 1357
Aspirate Pleura W/O Imaging (right) 32554 Ambulatory Procedures 966 391 1357
Aspiration of bladder with insertion of suprapubic catheter 51102 Ambulatory Procedures 3013 444 3457
Aspiration+/Injection Ganglion Cyst Any Location 20612 Ambulatory Procedures 448 118 566
Assessment Phasia w/Interp + Report per Hour 96105 Ambulatory Procedures 211 211
Atherectomy, Initial Major Coronary Artery/Branch 92924 Ambulatory Procedures 21021 1286 22307
Avulsion Of Nail Plate, Single 11730 Ambulatory Procedures 236 193 429
Benign Lesion Destruction (not skin tag), up to 14 lesions 17110 Ambulatory Procedures 236 213 449
Benign Lesion Destruction (not skin tag), 15 or more lesions 17111 Ambulatory Procedures 236 253 489
Bilateral Carpal Tunnel Surgery (bilat) 64721 Ambulatory Procedures 4178 1260 5438
Bilateral Carpal Tunnel Surgery (left) 64721 Ambulatory Procedures 2785 839 3624
Bilateral Carpal Tunnel Surgery (right) 64721 Ambulatory Procedures 2785 839 3624
Bilateral Inj,Plantar Common Digital Nerve (bilat) 64455 Ambulatory Procedures 672 141 813
Bilateral Inj,Plantar Common Digital Nerve (left) 64455 Ambulatory Procedures 448 94 542
Bilateral Inj,Plantar Common Digital Nerve (right) 64455 Ambulatory Procedures 448 94 542
Bilateral Laminotomy, Addl Lumbar (bilat) 63044 Ambulatory Procedures 722 722
Bilateral Laminotomy, Addl Lumbar (left) 63044 Ambulatory Procedures 481 481
Bilateral Laminotomy, Addl Lumbar (right) 63044 Ambulatory Procedures 481 481
Bilateral N Block Inj, Trigeminal (bilat) 64400 Ambulatory Procedures 672 371 1043
Bilateral N Block Inj, Trigeminal (left) 64400 Ambulatory Procedures 448 247 695
Bilateral N Block Inj, Trigeminal (right) 64400 Ambulatory Procedures 448 247 695
Bilateral N Block, Other Peripheral (bilat) 64450 Ambulatory Procedures 672 234 906
Bilateral N Block, Other Peripheral (left) 64450 Ambulatory Procedures 448 156 604
Bilateral N Block, Other Peripheral (right) 64450 Ambulatory Procedures 448 156 604
Bilateral Revise Ulnar Nerve At Elbow (bilat) 64718 Ambulatory Procedures 4178 1737 5915
Bilateral Revise Ulnar Nerve At Elbow (left) 64718 Ambulatory Procedures 2785 1158 3943
Bilateral Revise Ulnar Nerve At Elbow (right) 64718 Ambulatory Procedures 2785 1158 3943
Bilateral duplex scan of extracranial arteries 93880 Ambulatory Procedures 307 312 619
Bilateral duplex scan of lower extremity arterial bypass grafts 93925 Ambulatory Procedures 307 425 732
Bilateral noninvasive physiologic studies of lower extremity arteries, at rest 93924 Ambulatory Procedures 260 286 546
Binocular Microscopy Separate Dx Procedure 92504 Ambulatory Procedures 58 58
Biopsy Of Skin Lesion 11100 Ambulatory Procedures 451 199 650
Biopsy Of Thyroid 60100 Ambulatory Procedures 961 222 1183
Biopsy, soft tissue of neck or thorax 21550 Ambulatory Procedures 1884 513 2397
Biopsy,Skin Add-On 11101 Ambulatory Procedures 64 64
Biopsy/Excise Lymph Nodes-Open-Superficial (bilat) 38500 Ambulatory Procedures 6564 971 7535
Biopsy/Excise Lymph Nodes-Open-Superficial (left) 38500 Ambulatory Procedures 4376 647 5023
Biopsy/Excise Lymph Nodes-Open-Superficial (right) 38500 Ambulatory Procedures 4376 647 5023
Biopsy/Excision Lymph Nodes, Open, Deep, Axillary (bilat) 38525 Ambulatory Procedures 6564 1289 7853
Biopsy/Excision Lymph Nodes, Open, Deep, Axillary (left) 38525 Ambulatory Procedures 4376 859 5235
Biopsy/Excision Lymph Nodes, Open, Deep, Axillary (right) 38525 Ambulatory Procedures 4376 859 5235
Biopsy/Excision Lymph Nodes-Open-Deep-Cervical (bilat) 38510 Ambulatory Procedures 6564 1532 8096
Biopsy/Excision Lymph Nodes-Open-Deep-Cervical (right) 38510 Ambulatory Procedures 4376 1021 5397
Bladder instillation 51700 Ambulatory Procedures 413 162 575
Bladder instillation of anticarcinogenic agent 51720 Ambulatory Procedures 413
Blepharoplasty of upper eyelid (bilat) 15823 Ambulatory Procedures 4233 1775 6008
Blepharoplasty of upper eyelid (left) 15823 Ambulatory Procedures 2822 1183 4005
Blepharoplasty of upper eyelid (right) 15823 Ambulatory Procedures 2822 1183 4005
Bx breast needle core w/o imaging guidance spx (right) 19100 Ambulatory Procedures 2473.24 136.58 2609.82
Bx breast needle core w/o imaging guidance spx (left) 19100 Ambulatory Procedures 2473.24 136.58 2609.82
Bx breast needle core w/o imaging guidance spx (bilat) 19100 Ambulatory Procedures 3709.86 204.87 3914.73
CV Stress Test, Proctoring Only, w/o I&R 93016 Ambulatory Procedures 44 44
Caloric vestibular test 92537 Ambulatory Procedures 441 16 457
Caloric vestibular test 92538 Ambulatory Procedures 441 9 450
Canalith Repositioning Procedure 95992 Ambulatory Procedures 85 85
Cardiopulmonary resuscitation Ambulatory Procedures 372 372
Cath Place Main Renal Artery, Unilat, w/Renal Angio 36252 Ambulatory Procedures 5438 2989 8427
Cervical Or Vaginal Cancer Screening G0101 Ambulatory Procedures 109 74 183
Change Cystostomy Tube; Complex 51710 Ambulatory Procedures 1131.2 250 1381.2
Change of externally accessible ureteral stent via ileal conduit 50688 Ambulatory Procedures 3391.36 159 3550.36
Chemical cauterization granulation tissue 17250 Ambulatory Procedures 306.24 72.64 378.88
Chemodenervation each additional extremity; 1-4 muscles Ambulatory Procedures 142 142 284
Chemodenervation each additional extremity; 5 or more muscles Ambulatory Procedures 163 163 326
Chemodenervation of muscles;facial, trigeminal, cerv spinal, and accessory nerves, bil Ambulatory Procedures 462 241 703
Chemodenervation of muscles; neck, excluding larynx, unilateral Ambulatory Procedures 462 212 674
Chemodenervation of one extremity; 1-4 muscles Ambulatory Procedures 1014 213 1227
Chemodenervation of one extremity; 5 or more muscles Ambulatory Procedures 1014 233 1247
Chemodenervation of eccrine glands; both axillae Ambulatory Procedures 462 83 545
Chemodenervation of extraocular muscle RT Ambulatory Procedures 537 426 963
Chemodenervation of extraocular muscle LT Ambulatory Procedures 537 426 963
Chemodenervation of extraocular muscle Bilat Ambulatory Procedures 805.5 639 1444.5
Chemodenervation of parotid and submandibular salivary glands, bilateral Ambulatory Procedures 465 225 690
Chemosurgery of actinic keratoses, 15 or more 17004 Ambulatory Procedures 451 290 741
Chemosurgery of vaginal lesion 57061 Ambulatory Procedures 3722 221 3943
Chiro Manipulative Tx Spinal 1-2 Regions 98940 Ambulatory Procedures 46 56 102
Circumcise-Surgical Excision-Nonneonate 54161 Ambulatory Procedures 3013 390 3403
Closed reduction of Colles type fracture of distal radius (bilat) 25600 Ambulatory Procedures 713 953 1666
Closed reduction of Colles type fracture of distal radius (left) 25600 Ambulatory Procedures 475 635 1110
Closed reduction of Colles type fracture of distal radius (right) 25600 Ambulatory Procedures 475 635 1110
Closed reduction of fracture of coronoid process of ulna with internal fixation (bilat) 24685 Ambulatory Procedures 14909 1922 16831
Closed reduction of fracture of coronoid process of ulna with internal fixation (left) 24685 Ambulatory Procedures 9939 1281 11220
Closed reduction of fracture of coronoid process of ulna with internal fixation (right) 24685 Ambulatory Procedures 9939 1281 11220
Closed reduction of fracture of mandible with interdental fixation 21453 Ambulatory Procedures 7912 1801 9713
Closed reduction of fracture of metatarsal bone with manipulation 28475 Ambulatory Procedures 345 506 851
Closed treatment of radial head subluxation w/manip (bilat) 24640 Ambulatory Procedures 712 391 1103
Closed treatment of radial head subluxation w/manip (left) 24640 Ambulatory Procedures 475 261 736
Closed treatment of radial head subluxation w/manip (right) 24640 Ambulatory Procedures 475 261 736
Closed treatment of tibia shaft fracture w/o manip (bilat) 27750 Ambulatory Procedures 712 1009 1721
Closed treatment of tibia shaft fracture w/o manip (left) 27750 Ambulatory Procedures 475 673 1148
Closed treatment of tibia shaft fracture w/o manip (right) 27750 Ambulatory Procedures 475 673 1148
Closed treatment of ulnar fracture w/o manip (left) 24670 Ambulatory Procedures 345 564 909
Closed treatment ofulnar fracture w/o manip (right) 24670 Ambulatory Procedures 345 564 909
Cmplx Rpr, eyelid/nose/ears/lips 1.1-2.5cm 13151 Ambulatory Procedures 857 818 1675
Cmplx Rpr, eyelids/nose/ears/lips 2.6-7.5cm 13152 Ambulatory Procedures 857 983 1840
Cmplx Rpr, forehead/cheeks/chin/mouth/neck/axillae/genitalia/hands/feet, 2.6-7.5cm 13133 Ambulatory Procedures 348 348
Cmplx rpr f/c/c/m/n/ax/g/h/f 1.1-2.5 Cm 13131 Ambulatory Procedures 857 746 1603
Cmplx rpr f/c/c/m/n/ax/g/h/f 2.6-7.5 Cm 13132 Ambulatory Procedures 857 923 1780
Cmplx rpr s/a/l 2.6-7.5 Cm 13121 Ambulatory Procedures 857 826 1683
Cmplx rpr s/a/l addl 5 Cm or more 13122 Ambulatory Procedures 258 258
Collection Venous Blood Venipuncture 36415 Ambulatory Procedures 6 6
Color vision examination 92283 Ambulatory Procedures 182 88 270
Colpopexy, vag intraperitoneal approach uterosacral levator myorrhaphy 57282 Ambulatory Procedures 11398 980 12378
Combined anteroposterior colporrhaphy 57260 Ambulatory Procedures 7320 1632 8952
Complete electrosurgical resection of prostate by transurethral approach 52601 Ambulatory Procedures 6787 1683 8470
Complete excision of inferior turbinate (bilat) 30130 Ambulatory Procedures 4851 1118 5969
Complete excision of inferior turbinate (right) 30130 Ambulatory Procedures 3234 745 3979
Complete laser vaporization of prostate 52648 Ambulatory Procedures 6787 3537 10324
Complete mastoidectomy (bilat) 69502 Ambulatory Procedures 11868 2889 14757
Complete mastoidectomy (left) 69502 Ambulatory Procedures 7912 1926 9838
Complete mastoidectomy (right) 69502 Ambulatory Procedures 7912 1926 9838
Complete replacement of central venous catheter 36582 Ambulatory Procedures 4495 2134 6629
Complete resection of obstructive prostate tissue by transurethral approach 52630 Ambulatory Procedures 6787 793 7580
Complete submucous resection of inferior turbinate (bilat) 30140 Ambulatory Procedures 4851 1292 6143
Complete submucous resection of inferior turbinate (right) 30140 Ambulatory Procedures 3234 861 4095
Complete thyroidectomy with dissection of neck 60252 Ambulatory Procedures 7912 2618 10530
Complex Repair eyelid/nose/ear/lip, each addtl 5cm or less 13153 Ambulatory Procedures 377 377
Complicated drainage of abscess of finger 26011 Ambulatory Procedures 1884 751 2635
Complicated insertion of temporary indwelling bladder catheter 51703 Ambulatory Procedures 260 253 513
Control Nasal Hemorrhage, anterior, simple (left) 30901 Ambulatory Procedures 182 186 368
Control Nasal Hemorrhage, anterior, simple (right) 30901 Ambulatory Procedures 182 186 368
Control Nasal Hemorrhage, posterior (left) 30905 Ambulatory Procedures 259 528 787
Control Nasal Hemorrhage, posterior (right) 30905 Ambulatory Procedures 259 528 787
Cricopharyngeal myotomy 43030 Ambulatory Procedures 7912 1036 8948
Cryosurgical ablation of prostate using ultrasonic guidance 55873 Ambulatory Procedures 15193 13938 29131
Csf Shunt Reprogram 62252 Ambulatory Procedures 482 74 556
Cysteourethroscopy; with removal of ureteral calculus (bilat) 52320 Ambulatory Procedures 6731 740 7471
Cysteourethroscopy; with removal of ureteral calculus (left) 52320 Ambulatory Procedures 4487 493 4980
Cysteourethroscopy; with removal of ureteral calculus (right) 52320 Ambulatory Procedures 4487 493 4980
Cystometrogram 51725 Ambulatory Procedures 413 210 623
Cystometrogram using calibrated electronic equipment 51729 Ambulatory Procedures 1049 404 1453
Cystometrogram using calibrated electronic equipment, with urethral pressure profile study 51727 Ambulatory Procedures 1049 388 1437
Cystometrogram using calibrated electronic equipment, with voiding pressure study 51728 Ambulatory Procedures 1049 398 1447
Cystoscopy And Treatment (with fulguration) 52240 Ambulatory Procedures 4487 783 5270
Cystourethroscopy 52000 Ambulatory Procedures 1049 398 1447
Cystourethroscopy and ureteroscopy with balloon dilation of ureteral stricture (bilat) 52344 Ambulatory Procedures 6731 1109 7840
Cystourethroscopy and ureteroscopy with balloon dilation of ureteral stricture (left) 52344 Ambulatory Procedures 4487 739 5226
Cystourethroscopy and ureteroscopy with balloon dilation of ureteral stricture (right) 52344 Ambulatory Procedures 4487 739 5226
Cystourethroscopy with balloon dilation of ureteral stricture (bilat) 52341 Ambulatory Procedures 6731 851 7582
Cystourethroscopy with balloon dilation of ureteral stricture (right) 52341 Ambulatory Procedures 4487 567 5054
Cystourethroscopy with bilateral ureteral meatotomy 52290 Ambulatory Procedures 3013 487 3500
Cystourethroscopy with biopsy 52204 Ambulatory Procedures 3013 712 3725
Cystourethroscopy with catheterization and brush biopsy of renal pelvis (bilat) 52007 Ambulatory Procedures 6731 1284 8015
Cystourethroscopy with catheterization and brush biopsy of renal pelvis (right) 52007 Ambulatory Procedures 4487 856 5343
Cystourethroscopy with catheterization and instillation of ureter 52005 Ambulatory Procedures 3013 515 3528
Cystourethroscopy with cryosurgery and resection of bladder tumor 52224 Ambulatory Procedures 3013 1330 4343
Cystourethroscopy with cryosurgery and resection of bladder tumor 52234 Ambulatory Procedures 4487 491 4978
Cystourethroscopy with cryosurgery and resection of bladder tumor 52235 Ambulatory Procedures 4487 576 5063
Cystourethroscopy with cryosurgery of bladder neck 52214 Ambulatory Procedures 3013 1270 4283
Cystourethroscopy with injection for chemodenervation of bladder 52287 Ambulatory Procedures 3013 605 3618
Cystourethroscopy with insertion of Gibbons ureteral stent (bilat) 52332 Ambulatory Procedures 6731 1412 8143
Cystourethroscopy with insertion of Gibbons ureteral stent (left) 52332 Ambulatory Procedures 6731 1412 8143
Cystourethroscopy with insertion of Gibbons ureteral stent (right) 52332 Ambulatory Procedures 6731 1412 8143
Cystourethroscopy with insertion of permanent urethral stent 52282 Ambulatory Procedures 4487 672 5159
Cystourethroscopy with irrigation and evacuation of clot 52001 Ambulatory Procedures 3013 730 3743
Cystourethroscopy with manipulation of ureteral calculus (bilat) 52330 Ambulatory Procedures 6731 1439 8170
Cystourethroscopy with manipulation of ureteral calculus (right) 52330 Ambulatory Procedures 4487 959 5446
Cystourethroscopy with pyeloscopy and fulguration of renal pelvic lesion (bilat) 52354 Ambulatory Procedures 6731 1250 7981
Cystourethroscopy with pyeloscopy and fulguration of renal pelvic lesion (left) 52354 Ambulatory Procedures 4487 833 5320
Cystourethroscopy with pyeloscopy and fulguration of renal pelvic lesion (right) 52354 Ambulatory Procedures 4487 833 5320
Cystourethroscopy with pyeloscopy and lithotripsy (bilat) 52353 Ambulatory Procedures 10181 1175 11356
Cystourethroscopy with pyeloscopy and lithotripsy (left) 52353 Ambulatory Procedures 6787 783 7570
Cystourethroscopy with pyeloscopy and lithotripsy (right) 52353 Ambulatory Procedures 6787 783 7570
Cystourethroscopy with pyeloscopy and lithotripsy with insertion of Gibbons stent (bilat) 52356 Ambulatory Procedures 10181 1247 11428
Cystourethroscopy with pyeloscopy and lithotripsy with insertion of Gibbons stent (left) 52356 Ambulatory Procedures 6787 831 7618
Cystourethroscopy with pyeloscopy and lithotripsy with insertion of Gibbons stent (right) 52356 Ambulatory Procedures 6787 831 7618
Cystourethroscopy with pyeloscopy and manipulation of calculus (bilat) 52352 Ambulatory Procedures 6731 1062 7793
Cystourethroscopy with pyeloscopy and manipulation of calculus (left) 52352 Ambulatory Procedures 4487 708 5195
Cystourethroscopy with pyeloscopy and manipulation of calculus (right) 52352 Ambulatory Procedures 4487 708 5195
Cystourethroscopy with removal of calculus from bladder 52315 Ambulatory Procedures 3013 807 3820
Cystourethroscopy with ureteroscopy and balloon dilation of ureteropelvic stricture (bilat) 52345 Ambulatory Procedures 6731 1184 7915
Cystourethroscopy with ureteroscopy and balloon dilation of ureteropelvic stricture (left) 52345 Ambulatory Procedures 4487 789 5276
Cystourethroscopy with ureteroscopy and balloon dilation of ureteropelvic stricture (right) 52345 Ambulatory Procedures 4487 789 5276
Cystourethroscopy w/Bladder Dilation for IC-General/Spinal Anesthesia 52260 Ambulatory Procedures 3013 420 3433
Cystourethroscopy w/calibrate &/or dilation of urethral stenosis 52281 Ambulatory Procedures 3013 529 3542
Cystourethroscopy w/Foreign Body Removal-Simple 52310 Ambulatory Procedures 3013 474 3487
Debride Nail,1-5 11720 Ambulatory Procedures 182 63 245
Debridement Mastoidectomy Cavity, simple (bilat) 69220 Ambulatory Procedures 354 324 678
Debridement Mastoidectomy Cavity, simple (right) 69220 Ambulatory Procedures 236 216 452
Debridement of bone muscle - 11044 Ambulatory Procedures 1884 614 2498
Debridement of mastoidectomy cavity (bilat) 69222 Ambulatory Procedures 2069 644 2713
Debridement of mastoidectomy cavity (right) 69222 Ambulatory Procedures 1379 429 1808
Debridement open wound each additional 20 sq cm 97598 Ambulatory Procedures 21.8 21.8 43.6
Debridement subcutaneous tissue 20 sq cm/< 11042 Ambulatory Procedures 585.24 121.88 707.12
Debridement subcutaneous tissue ea addl 20 sq cm 11045 Ambulatory Procedures 51.54 51.54 103.08
Debridement, eczematous/infected skin, up to 10% body area 11000 Ambulatory Procedures 857 106 963
Declotting of implanted vascular access catheter using thrombolytic agent 36593 Ambulatory Procedures 400 59 459
Demonstrate Use Home Inr Mon G0248 Ambulatory Procedures 204 212 416
Destroy Premlg Lesns;1St Lesn 17000 Ambulatory Procedures 236 129 365
Destroy Vulva Lesion, Simple 56501 Ambulatory Procedures 2822 254 3076
Destroy nerve face muscle LT 64612 Ambulatory Procedures 464 228 692
Destroy nerve face muscle RT 64612 Ambulatory Procedures 464 228 692
Destroy nerve face muscle Bilat 64612 Ambulatory Procedures 928 456 1384
Destruct Penis Lesion/S;Chem 54050 Ambulatory Procedures 236 257 493
Destruct b9 lesion 1-14 17110 Ambulatory Procedures 236 213 449
Destruction 2-14 Lesions 17003 Ambulatory Procedures 11 11 22
Destruction of lingual tonsil 42870 Ambulatory Procedures 3234 1203 4437
Destruction of prostate tissue using microwave thermotherapy by transurethral approach 53850 Ambulatory Procedures 3013 3987 7000
Diagnostic anoscopy spx 46600 Ambulatory Procedures 182 171 353
Diagnostic cystourethroscopy with pyeloscopy 52351 Ambulatory Procedures 4487 605 5092
Diagnostic flexible bronchoscopy 31622 Ambulatory Procedures 2075 594 2669
Diagnostic laryngoscopy, indirect 31505 Ambulatory Procedures 283 162 445
Diagnostic thoracoscopy of lung 32601 Ambulatory Procedures 6306 612 6918
Diagnostic thoracoscopy of mediastinal space with biopsy 32606 Ambulatory Procedures 6306 918 7224
Diagnosticmammographydigital G0204 Ambulatory Procedures 228 228
Diagnosticmammographydigital G0206 Ambulatory Procedures 178 178
Dialysis proc other than hemodialysis, w/single physician eval 90945 Ambulatory Procedures 961 169 1130
Dilation of stricture of urethra by passage of sound 53600 Ambulatory Procedures 413 163 576
Dilation of stricture of urethra by passage of sound 53601 Ambulatory Procedures 182 158 340
Dilation of urethra 53660 Ambulatory Procedures 260 137 397
Dilation of urethra 53661 Ambulatory Procedures 182 134 316
Direct operative laryngoscopy (bilat) 31545 Ambulatory Procedures 5976 1089 7065
Direct operative laryngoscopy (left) 31545 Ambulatory Procedures 3984 726 4710
Direct operative laryngoscopy (right) 31545 Ambulatory Procedures 3984 726 4710
Direct operative laryngoscopy with foreign body removal 31530 Ambulatory Procedures 2075 396 2471
Direct therapeutic laryngoscopy with injection into vocal cord 31571 Ambulatory Procedures 3984 501 4485
Dissection of deep jugular lymph node (bilat) 38542 Ambulatory Procedures 12003 1542 13545
Dissection of deep jugular lymph node (right) 38542 Ambulatory Procedures 8002 1028 9030
Doppler Echo, Limited or F/U (GLOBAL) 93321 Ambulatory Procedures 38 38
Drain Cerebro Spinal Fluid 62272 Ambulatory Procedures 1170 391 1561
Drain Skin Abscess,Cmplic/Multi 10061 Ambulatory Procedures 457 402 859
Drain blood from under nail 11740 Ambulatory Procedures 112 96 208
Drainage External Aud Canal Abscess (bilat) 69020 Ambulatory Procedures 686 681 1367
Drainage External Aud Canal Abscess (right) 69020 Ambulatory Procedures 457 454 911
Drainage External Ear, complex (bilat) 69005 Ambulatory Procedures 4244 632 4876
Drainage External Ear, complex (right) 69005 Ambulatory Procedures 2829 421 3250
Drainage Of Arm Bursa (bilat) 23931 Ambulatory Procedures 4244 834 5078
Drainage Of Arm Bursa (left) 23931 Ambulatory Procedures 2829 556 3385
Drainage Of Arm Bursa (right) 23931 Ambulatory Procedures 2829 556 3385
Drainage of parotid abscess 42300 Ambulatory Procedures 1379 417 1796
Drainage of sublingual abscess by intraoral approach 42310 Ambulatory Procedures 626 320 946
Dress/Debride Small Burn, No Anesthesia 16020 Ambulatory Procedures 236 158 394
Dup-Scan Artl Flo Abdl/Pel/Scrot+/Rpr Orgn Lmtd 93976 Ambulatory Procedures 307 237 544
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study 93930 Ambulatory Procedures 307 325 632
EKG - Interp Only 93010 Ambulatory Procedures 35 35
EKG in Office Ambulatory Procedures 106
EMB w/wo endocervical biopsy w/o cervical dilation, any method 58100 Ambulatory Procedures 281 213 494
EPS w/transseptal AF ablation w/pulm vein isolation Ambulatory Procedures 837 837
ESRD related services Monthly 12-19 yr old w/ 1 face-face visit 90959 Ambulatory Procedures 584 584
ESRD related services Monthly 12-19 yr old w/ 2-3 face-face visits 90958 Ambulatory Procedures 860 860
ESRD related services Monthly 12-19 yr old w/ 4+ face-face visits 90957 Ambulatory Procedures 1272 1272
ESRD related services Monthly 20+ yr old w/ 1 face-face visit 90962 Ambulatory Procedures 362 362
ESRD related services Monthly 20+ yr old w/ 2-3 face-face visits 90961 Ambulatory Procedures 470 470
ESRD related services Monthly 20+ yr old w/ 4+ face-face visits 90960 Ambulatory Procedures 559 559
Ear Canal Biopsy (bilat) 69105 Ambulatory Procedures 4851 411 5262
Ear Canal Biopsy (right) 69105 Ambulatory Procedures 3234 274 3508
Ecg Routine Ecg w/Least 12 Lds w/I+R 93010 Ambulatory Procedures 35 35
Echo Transthorac R-T 2d w/Wo M-Mode Rec Comp 93307 Ambulatory Procedures 834 162 996
Ekg Interpret & Report Preve G0405 Ambulatory Procedures 17 17
Ekg Tracing For Initial Prev G0404 Ambulatory Procedures 25 16 41
Elec Alys Nstim Pls Gen Cplx Sc/Perph 1st Hr 95972 Ambulatory Procedures 213 114 327
Elec Analys Infus Pump W/Reprog 62368 Ambulatory Procedures 482 111 593
Electroencephalogram Rec Coma/Sleep Only 95822 Ambulatory Procedures 441 603 1044
Electroencephalogram w/Rec Awake+Asleep 95819 Ambulatory Procedures 441 681 1122
Electroencephalogram w/Rec Awake+Drowsy 95816 Ambulatory Procedures 441 582 1023
Electromyography study of anal sphincter 51784 Ambulatory Procedures 260 219 479
Electrophysiologic evaluation single/dual transvenous cardioverter-defibrillator 93642 Ambulatory Procedures 1690 290 1980
Emg-Anal Sphincter 95867 Ambulatory Procedures 260 100 360
Endoscopic injection of implant material into submucosal tissue of bladder neck 51715 Ambulatory Procedures 4487 569 5056
Esophagoscopy flex/transoral/guide wire insert 43226 Ambulatory Procedures 2176 737 2913
Esophagoscopy, Flexible transoral, w/ removal of foreign body 43215 Ambulatory Procedures 2176 811 2987
Esrd Related Svc less than Full Month 20+Greater than yr Old 90970 Ambulatory Procedures 15 15
Esrd Svc Home Dialysis Full Month 20 yr Old 90966 Ambulatory Procedures 468 468
Exc Back Les Sbq <3 cm 21930 Ambulatory Procedures 2829 921 3750
Exc Face-Mm B9+Marg 0.5 < Cm 11440 Ambulatory Procedures 961 260 1221
Exc Face-Mm B9+Marg 0.6-1 Cm 11441 Ambulatory Procedures 961 324 1285
Exc Face-Mm Malig+Marg 0.6-1 11641 Ambulatory Procedures 961 460 1421
Exc Face-Mm Malig+Marg 1.1-2 11642 Ambulatory Procedures 961 526 1487
Exc Face-Mm Malig+Marg 2.1-3 11643 Ambulatory Procedures 1884 621 2505
Exc H-F-Nk-Sp B9+Marg 0.5 < 11420 Ambulatory Procedures 1884 237 2121
Exc H-F-Nk-Sp B9+Marg 0.6-1 11421 Ambulatory Procedures 1884 303 2187
Exc H-F-Nk-Sp B9+Marg 1.1-2 11422 Ambulatory Procedures 1884 339 2223
Exc H-F-Nk-Sp B9+Marg 2.1-3 11423 Ambulatory Procedures 1884 391 2275
Exc H-F-Nk-Sp B9+Marg 3.1-4 11424 Ambulatory Procedures 2829 452 3281
Exc H-F-Nk-Sp Mlg+Marg 0.6-1.0 Cm 11621 Ambulatory Procedures 1884 444 2328
Exc H-F-Nk-Sp Mlg+Marg 1.1-2 Cm 11622 Ambulatory Procedures 1884 496 2380
Exc H-F-Nk-Sp Mlg+Marg 2.1-3 Cm 11623 Ambulatory Procedures 1884 583 2467
Exc Tr-Ext B9+Marg 0.5 < Cm 11400 Ambulatory Procedures 961 239 1200
Exc Tr-Ext B9+Marg 0.6-1 Cm 11401 Ambulatory Procedures 961 287 1248
Exc Tr-Ext B9+Marg 1.1-2 Cm 11402 Ambulatory Procedures 961 319 1280
Exc Tr-Ext B9+Marg 2.1-3 Cm 11403 Ambulatory Procedures 1884 370 2254
Exc Tr-Ext B9+Marg 3.1-4 Cm 11404 Ambulatory Procedures 1884 421 2305
Exc Tr-Ext B9+Marg 4.0+ Cm 11406 Ambulatory Procedures 2829 607 3436
Exc Tr-Ext Mlg+Marg > 4.0 Cm 11606 Ambulatory Procedures 2829 874 3703
Exc Tr-Ext Mlg+Marg 1.1-2 Cm 11602 Ambulatory Procedures 961 479 1440
Exc Tr-Ext Mlg+Marg 2.1-3 Cm 11603 Ambulatory Procedures 1884 549 2433
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g > 4.0cm 11426 Ambulatory Procedures 4414.84 649.7 5064.54
Exc b9 lesion mrgn xcp sk tg f/e/e/n/l/m > 4.0cm 11446 Ambulatory Procedures 4297.82 639.9 4937.72
Excise Parotid Tumor/Gland w/Face Nerve Disect/Preserv (bilat) 42420 Ambulatory Procedures 11868 3557 15425
Excise Parotid Tumor/Gland w/Face Nerve Disect/Preserv (right) 42420 Ambulatory Procedures 7912 2371 10283
Excise malignant lesion, face/ear/eyelid/nose/lip/muc membr, > 4cm 11646 Ambulatory Procedures 2829 1002 3831
Excision Nasal Polyp(s), Simple (bilat) 30110 Ambulatory Procedures 2069 675 2744
Excision Nasal Polyp(s), Simple (right) 30110 Ambulatory Procedures 1379 450 1829
Excision Of Uvula 42140 Ambulatory Procedures 3234 503 3737
Excision Parotid Gland/Tumor, lateral lobe W/ Facial Nerve (bilat) 42415 Ambulatory Procedures 11868 1862 13730
Excision Parotid Gland/Tumor, lateral lobe W/ Facial Nerve (right) 42415 Ambulatory Procedures 11868 1862 13730
Excision Parotid Tumor / Gland, lateral lobe W/O Nerve (bilat) 42410 Ambulatory Procedures 11868 1862 13730
Excision Parotid Tumor / Gland, lateral lobe W/O Nerve (left) 42410 Ambulatory Procedures 7912 1241 9153
Excision Parotid Tumor / Gland, lateral lobe W/O Nerve (right) 42410 Ambulatory Procedures 7912 1241 9153
Excision benign lesion face/ears/eyelids/nose/lips/mucous memb 3.1-4cm 11444 Ambulatory Procedures 1884 546 2430
Excision malignant lesion, scalp, neck, hands, feet, genitalia >4cm 11626 Ambulatory Procedures 2829 792 3621
Excision malignant lesion f/e/e/n/l 0.5 cm/< 11640 Ambulatory Procedures 1078.22 245.66 1323.88
Excision of Hydrocele Unilateral 55040 Ambulatory Procedures 5225 670 5895
Excision of Spermatocele (bilat) 54840 Ambulatory Procedures 6731 956 7687
Excision of Spermatocele (left) 54840 Ambulatory Procedures 4487 637 5124
Excision of Spermatocele (right) 54840 Ambulatory Procedures 4487 637 5124
Excision of aural polyp (bilat) 69540 Ambulatory Procedures 4851 614 5465
Excision of aural polyp (right) 69540 Ambulatory Procedures 3234 409 3643
Excision of branchial cleft cyst (bilat) 42810 Ambulatory Procedures 4851 1154 6005
Excision of branchial cleft cyst (bilat) 42815 Ambulatory Procedures 10968 1674 12642
Excision of branchial cleft cyst (left) 42810 Ambulatory Procedures 3234 769 4003
Excision of branchial cleft cyst (right) 42810 Ambulatory Procedures 3234 769 4003
Excision of branchial cleft cyst (right) 42815 Ambulatory Procedures 7912 1116 9028
Excision of chest wall tumor 19260 Ambulatory Procedures 2829 2363 5192
Excision of cystic hygroma of axilla 38550 Ambulatory Procedures 4376 996 5372
Excision of deep cervical lymph node with excision of scalene fat pad (bilat) 38520 Ambulatory Procedures 6564 1374 7938
Excision of deep cervical lymph node with excision of scalene fat pad (right) 38520 Ambulatory Procedures 4376 916 5292
Excision of exostosis of external auditory canal (bilat) 69140 Ambulatory Procedures 11868 2594 14462
Excision of exostosis of external auditory canal (left) 69140 Ambulatory Procedures 7912 1729 9641
Excision of exostosis of external auditory canal (right) 69140 Ambulatory Procedures 7912 1729 9641
Excision of hydrocele of spermatic cord (bilat) 55500 Ambulatory Procedures 6731 1176 7907
Excision of hydrocele of spermatic cord (right) 55500 Ambulatory Procedures 4487 784 5271
Excision of lesion of dentoalveolar structure 41825 Ambulatory Procedures 3234 421 3655
Excision of nail fold toe 11765 Ambulatory Procedures 236 324 560
Excision of polyp of distal urethra 53260 Ambulatory Procedures 3013 397 3410
Excision of sublingual salivary cyst 42408 Ambulatory Procedures 3234 899 4133
Excision of thrombosed external hemorrhoid 46320 Ambulatory Procedures 3323 357 3680
Excision of thyroid adenoma 60200 Ambulatory Procedures 8002 1305 9307
Excision of urethral caruncle 53265 Ambulatory Procedures 3013 429 3442
Excision of varicocele with hernia repair (bilat) 55540 Ambulatory Procedures 7838 1601 9439
Excision of varicocele with hernia repair (left) 55540 Ambulatory Procedures 5225 1067 6292
Excision of varicocele with hernia repair (right) 55540 Ambulatory Procedures 5225 1067 6292
Excision submaxillary gland (bilat) 42440 Ambulatory Procedures 11868 1235 13103
Excision submaxillary gland (left) 42440 Ambulatory Procedures 7912 823 8735
Excision submaxillary gland (right) 42440 Ambulatory Procedures 7912 823 8735
Excision tumor soft tis back/flank subq 3 cm/> 21931 Ambulatory Procedures 2473.24 917.26 3390.5
Excision tumor soft tissue shoulder subq 3 cm/> (right) 23071 Ambulatory Procedures 2473.24 818.26 3291.5
Excision tumor soft tissue shoulder subq 3 cm/> (left) 23071 Ambulatory Procedures 2473.24 818.26 3291.5
Excision tumor soft tissue shoulder subq 3 cm/> (bilat) 23071 Ambulatory Procedures 3709.86 1227.39 4937.25
Excision, malignant lesion, scalp, neck, hands, feet, genitalia <.5cm 11620 Ambulatory Procedures 1884 375 2259
Excision, malignant lesion, trunk/arms/legs <0.5cm 11600 Ambulatory Procedures 1884 372 2256
Excision, malignant lesion, trunk/arms/legs 0.6-1.0cm 11601 Ambulatory Procedures 961 442 1403
Excision, malignant lesion, trunk/arms/legs 3.1-4.0cm 11604 Ambulatory Procedures 1884 610 2494
Excision, olecranon bursa (bilat) 24105 Ambulatory Procedures 4367 1026 5393
Excision, olecranon bursa (left) 24105 Ambulatory Procedures 2911 684 3595
Excision, olecranon bursa (right) 24105 Ambulatory Procedures 2911 684 3595
Excision, tumor, soft tissue neck/ant. thorax, subcutaneous; ? 3 cm 21552 Ambulatory Procedures 2829 878 3707
Excision, tumor, soft tissue neck/ant. thorax, subcutaneous; < 3 cm 21555 Ambulatory Procedures 2829 809 3638
Excision, tumor, soft tissue thigh/knee,SQ less than 3cm LT-27337 Ambulatory Procedures 4298 815 5113
Excision, tumor, soft tissue thigh/knee,SQ less than 3cm RT-27337 Ambulatory Procedures 4298 815 5113
Excision, tumor, soft tissue thigh/knee,SQ less than 3cm Bilat-27337 Ambulatory Procedures 6447 1222.5 7669.5
Excision, tumor, soft tissue abd wall,SQ less than 3cm-22902 Ambulatory Procedures 2473 644 3117
Excision, tumor, soft tissue abd wall,SQ greater than 3cm- 22903 Ambulatory Procedures 4298 856 5154
Excision, tumor, soft tissue up arm/elbow,SQ less than 3 cm RT-24075 Ambulatory Procedures 2473 644 3117
Excision, tumor, soft tissue up arm/elbow,SQ less than 3cm LT- 24075 Ambulatory Procedures 2473 644 3117
Excision, tumor, soft tissue up arm/elbow,SQ less than 3cm Bilat - 24075 Ambulatory Procedures 3709.5 966 4675.5
Exploration Of Knee Joint (bilat) 27310 Ambulatory Procedures 7187 2153 9340
Exploration Of Knee Joint (left) 27310 Ambulatory Procedures 4791 1435 6226
Exploration Of Knee Joint (right) 27310 Ambulatory Procedures 4791 1435 6226
External ECG Recorder (ie, Holter), up to 48 hrs, Scanning Analysis & Rpt 93226 Ambulatory Procedures 200
External electrocardiographic recording up to 48 hours 93225 Ambulatory Procedures 182 182
External patient-activated Event Recorder, up to 30 days, Transmit & Analysis 93271 Ambulatory Procedures 213 325 538
Fascia lata graft by stripper 20920 Ambulatory Procedures 2822 778 3600
Fat Grafting 20926 Ambulatory Procedures 4275 846 5121
Fetal Nonstress Test 59025 Ambulatory Procedures 281 35 316
Fine needle aspiration (FNA) w/o image 10021 Ambulatory Procedures 511 238 749
Fixation Of Knee Joint (bilat) 27570 Ambulatory Procedures 3290 444 3734
Fixation Of Knee Joint (left) 27570 Ambulatory Procedures 2193 296 2489
Fixation Of Knee Joint (right) 27570 Ambulatory Procedures 2193 296 2489
Fixation of Contralateral Testis (bilat) 54620 Ambulatory Procedures 4520 899 5419
Fixation of Contralateral Testis (right) 54620 Ambulatory Procedures 3013 599 3612
Flexible bronchoscopy using fluoroscopic guidance 31652 Ambulatory Procedures 3984 1753 5737
Flexible bronchoscopy using fluoroscopic guidance 31653 Ambulatory Procedures 3984 1864 5848
Flexible bronchoscopy with biopsy of lung 31628 Ambulatory Procedures 3984 815 4799
Flexible bronchoscopy with brushing 31623 Ambulatory Procedures 2075 646 2721
Flexible bronchoscopy with destruction of tumor 31641 Ambulatory Procedures 3984 517 4501
Flexible bronchoscopy with excision of tumor 31640 Ambulatory Procedures 3984 509 4493
Flexible bronchoscopy with placement of bronchial stent 31636 Ambulatory Procedures 6133 443 6576
Flexible bronchoscopy with placement of tracheal stent 31631 Ambulatory Procedures 6133 459 6592
Flexible bronchoscopy with removal of foreign body 31635 Ambulatory Procedures 2075 682 2757
Flexible bronchoscopy with therapeutic aspiration of tracheobronchial tree 31645 Ambulatory Procedures 2075 633 2708
Flexible bronchoscopy with transbronchial needle aspiration biopsy of lobar bronchus 31629 Ambulatory Procedures 3984 970 4954
Flexible bronchoscopy with transbronchial needle aspiration biopsy of lung 31632 Ambulatory Procedures 147 147
Flexible bronchoscopy with transbronchial needle aspiration biopsy of lung 31633 Ambulatory Procedures 182 182
Floor of Mouth Biopsy 41108 Ambulatory Procedures 1884 294 2178
Fna W/Image 10022 Ambulatory Procedures 961 274 1235
Frac closed tx artclr fx invg mtcrphlngl/iphal jt w/o manip Ambulatory Procedures 400 419 819
Frac closed tx bimalleolar ankle fracture w/o manip (right) 27808 Ambulatory Procedures 400 583 982
Frac closed tx bimalleolar ankle fracture w/o manip (left) 27808 Ambulatory Procedures 400 583 982
Frac closed tx bimalleolar ankle fracture w/o manip (bilat) 27808 Ambulatory Procedures 599 874 1473
Frac closed tx calcaneal fracture w/o manip (right) 28400 Ambulatory Procedures 400 443 843
Frac closed tx calcaneal fracture w/o manip (left) 28400 Ambulatory Procedures 400 443 843
Frac closed tx calcaneal fracture w/o manip (bilat) 28400 Ambulatory Procedures 599 665 1265
Frac closed tx carpal scaphoid fracture w/o manip (right) 25622 Ambulatory Procedures 400 539 938
Frac closed tx carpal scaphoid fracture w/o manip (left) 25622 Ambulatory Procedures 400 539 938
Frac closed tx carpal scaphoid fracture w/o manip (bilat) 25622 Ambulatory Procedures 599 808 1407
Frac closed tx carpal bone fx w/o manip each bone (right) 25630 Ambulatory Procedures 400 545 944
Frac closed tx carpal bone fx w/o manip each bone (left) 25630 Ambulatory Procedures 400 545 944
Frac closed tx carpal bone fx w/o manip each bone (bilat) 25630 Ambulatory Procedures 599 817 1417
Frac closed tx distal femoral epiphysl separation w/o manip (right) 27516 Ambulatory Procedures 400 924 1324
Frac closed tx distal femoral epiphysl separation w/o manip (left) 27516 Ambulatory Procedures 400 924 1324
Frac closed tx distal femoral epiphysl separation w/o manip (bilat) 27516 Ambulatory Procedures 599 1387 1986
Frac closed tx dstl radial fx/epiphysl sep w/o manip (right) 25600 Ambulatory Procedures 400 601 1001
Frac closed tx dstl radial fx/epiphysl sep w/o manip (left) 25600 Ambulatory Procedures 400 601 1001
Frac closed tx dstl radial fx/epiphysl sep w/o manip (bilat) 25600 Ambulatory Procedures 599 901 1501
Frac closed tx dstl phlngl fx fngr/thmb w/o manip ea Ambulatory Procedures 400 357 757
Frac closed tx fx phlx/phlg oth/thn grt toe w/o manip Ambulatory Procedures 400 236 636
Frac closed tx fx w8 brg artclr prtn dstl tibia w/o manip (right) 27824 Ambulatory Procedures 400 842 1241
Frac closed tx fx w8 brg artclr prtn dstl tibia w/o manip (left) 27824 Ambulatory Procedures 400 592 992
Frac closed tx fx w8 brg artclr prtn dstl tibia w/o manip (bilat) 27824 Ambulatory Procedures 599 592 1192
Frac closed tx greater humeral tuberosity fx w/o mani (right) 23620 Ambulatory Procedures 400 496 896
Frac closed tx greater humeral tuberosity fx w/o mani (left) 23620 Ambulatory Procedures 400 496 896
Frac closed tx greater humeral tuberosity fx w/o mani (bilat) 23620 Ambulatory Procedures 599 745 1344
Frac closed tx greater trochanteric fx w/o manip (right) 27246 Ambulatory Procedures 400 753 1153
Frac closed tx greater trochanteric fx w/o manip (left) 27246 Ambulatory Procedures 400 753 1153
Frac closed tx greater trochanteric fx w/o manip (bilat) 27246 Ambulatory Procedures 599 1130 1729
Frac closed tx humeral epicondylar fx medial/lat w/o manip (right) 24560 Ambulatory Procedures 400 558 958
Frac closed tx humeral epicondylar fx medial/lat w/o manip (left) 24560 Ambulatory Procedures 400 558 958
Frac closed tx humeral epicondylar fx medial/lat w/o manip (bilat) 24560 Ambulatory Procedures 599 837 1436
Frac closed tx inter/peri/subtrochanteric fem fx w/o manip (right) 27238 Ambulatory Procedures 2435 897 3332
Frac closed tx inter/peri/subtrochanteric fem fx w/o manip (left) 27238 Ambulatory Procedures 2435 897 3332
Frac closed tx inter/peri/subtrochanteric fem fx w/o manip (bilat) 27238 Ambulatory Procedures 3652 1346 4998
Frac closed tx intercondylar spi&/tubrst fx kne w/wo man (right) 27538 Ambulatory Procedures 400 867 1266
Frac closed tx intercondylar spi&/tubrst fx kne w/wo man (left) 27538 Ambulatory Procedures 400 867 1266
Frac closed tx intercondylar spi&/tubrst fx kne w/wo man (bilat) 27538 Ambulatory Procedures 599 1300 1899
Frac closed tx medial malleolus fx w/o manip (right) 27760 Ambulatory Procedures 400 590 990
Frac closed tx medial malleolus fx w/o manip (left) 27760 Ambulatory Procedures 400 590 990
Frac closed tx medial malleolus fx w/o manip (bilat) 27760 Ambulatory Procedures 599 885 1485
Frac closed tx metatarsal fracture w/o manip Ambulatory Procedures 400 399 799
Frac closed tx prox fibula/shft fx w/o manip (right) 27780 Ambulatory Procedures 400 541 941
Frac closed tx prox fibula/shft fx w/o manip (left) 27780 Ambulatory Procedures 400 541 941
Frac closed tx prox fibula/shft fx w/o manip (bilat) 27780 Ambulatory Procedures 599 812 1411
Frac closed tx radial shaft fracture w/o manip (right) 25500 Ambulatory Procedures 400 487 887
Frac closed tx radial shaft fracture w/o manip (left) 25500 Ambulatory Procedures 400 487 887
Frac closed tx radial shaft fracture w/o manip (bilat) 25500 Ambulatory Procedures 599 731 1330
Frac closed tx scapular fracture w/o manip (right) 23570 Ambulatory Procedures 400 464 863
Frac closed tx scapular fracture w/o manip (left) 23570 Ambulatory Procedures 400 464 863
Frac closed tx scapular fracture w/o manip (bilat) 23570 Ambulatory Procedures 599 695 1295
Frac closed tx sprcndylr/trnscndylr fem fx w/o manip (right) 27501 Ambulatory Procedures 400 973 1372
Frac closed tx sprcndylr/trnscndylr fem fx w/o manip (left) 27501 Ambulatory Procedures 400 973 1372
Frac closed tx sprcndylr/trnscndylr fem fx w/o manip (bilat) 27501 Ambulatory Procedures 599 146 745
Frac closed tx sternoclavicular dislc w/o manip (right) 23520 Ambulatory Procedures 2435 450 2884
Frac closed tx sternoclavicular dislc w/o manip (left) 23520 Ambulatory Procedures 2435 450 2884
Frac closed tx sternoclavicular dislc w/o manip (bilat) 23520 Ambulatory Procedures 3652 674 4327
Frac closed tx talus fracture w/o manip (bilat) 28430 Ambulatory Procedures 599 615 1214
Frac closed tx talus fracture w/o manip (left) 28430 Ambulatory Procedures 400 410 810
Frac closed tx talus fracture w/o manip (right) 28430 Ambulatory Procedures 400 410 810
Frac closed tx tibial fx proximal w/wo manip w/skel tracj (right) 27532 Ambulatory Procedures 4877 1125 6001
Frac closed tx tibial fx proximal w/wo manip w/skel tracj (left) 27532 Ambulatory Procedures 4877 1125 6001
Frac closed tx tibial fx proximal w/wo manip w/skel tracj (bilat) 27532 Ambulatory Procedures 7315 1687 9002
Frac closed tx tibial shaft fx w/o manip (right) 27750 Ambulatory Procedures 400 617 1017
Frac closed tx tibial shaft fx w/o manip (left) 27750 Ambulatory Procedures 400 617 1017
Frac closed tx tibial shaft fx w/o manip (bilat) 27750 Ambulatory Procedures 599 925 1525
Frac closed tx trimalleolar ankle fx w/o manip (right) 27816 Ambulatory Procedures 400 561 961
Frac closed tx trimalleolar ankle fx w/o manip (left) 27816 Ambulatory Procedures 400 561 961
Frac closed tx trimalleolar ankle fx w/o manip (bilat) 27816 Ambulatory Procedures 599 561 1161
Frac closed tx ulnar fracture proximal end w/o mani (right) 24670 Ambulatory Procedures 400 509 909
Frac closed tx ulnar fracture proximal end w/o mani (left) 24670 Ambulatory Procedures 400 509 909
Frac closed tx ulnar fracture proximal end w/o mani (bilat) 24670 Ambulatory Procedures 599 764 1363
Frac closed txpst malleolus fracture w/o manip (right) 27767 Ambulatory Procedures 400 547 947
Frac closed txpst malleolus fracture w/o manip (left) 27767 Ambulatory Procedures 400 547 947
Frac closed txpst malleolus fracture w/o manip (bilat) 27767 Ambulatory Procedures 599 821 1420
Fusion Of Foot Bones (bilat) 28725 Ambulatory Procedures 21192 2304 23496
Fusion Of Foot Bones (left) 28725 Ambulatory Procedures 20246 1536 21782
Fusion Of Foot Bones (right) 28725 Ambulatory Procedures 20246 1536 21782
Guide nerve destruction electric stimulation 95873 Ambulatory Procedures 142 142 284
Health and Behavior Assessment 96150 Ambulatory Procedures 139 43 182
Health and Behavior Intervention each 15 Min Face to Face Individual 96152 Ambulatory Procedures 139 39 178
Health and Behavior Re-Assessment 96151 Ambulatory Procedures 139 41 180
Health and behavior intervention 96153 Ambulatory Procedures 54 9 63
Health and behavior intervention 96154 Ambulatory Procedures 139 39 178
Hemodialysis proc, w single eval by physician 90935 Ambulatory Procedures 1093 144 1237
Hemorrhoidectomy internal rubber band ligations 46221 Ambulatory Procedures 1335.34 374.52 1709.86
Hip Arthro Acetabuloplasty (bilat) 29915 Ambulatory Procedures 21192 2997 24189
Hip Arthro Acetabuloplasty (left) 29915 Ambulatory Procedures 14128 1998 16126
Hip Arthro Acetabuloplasty (right) 29915 Ambulatory Procedures 14128 1998 16126
Hip Arthro W/Femoroplasty (bilat) 29914 Ambulatory Procedures 14908 2945 17853
Hip Arthro W/Femoroplasty (left) 29914 Ambulatory Procedures 9939 1963 11902
Hip Arthro W/Femoroplasty (right) 29914 Ambulatory Procedures 9939 1963 11902
Hlth+Behavior Ivntj Ea 15 Min Fam w/o Pt 96155 Ambulatory Procedures 40 40
Hyperbaric oxygen therapy 99183 Ambulatory Procedures 230 217 447
I & D/abscess - simple or single 10060 Ambulatory Procedures 208 228 436
I & D/pilonideal cyst-simple 10080 Ambulatory Procedures 457 346 803
I&D hematoma seroma/fluid collection 10140 Ambulatory Procedures 2473.24 232.02 2705.26
I&D ischiorectal&/perirectal abscess spx 46040 Ambulatory Procedures 1755.2 810.8 2566
I&D of Epididymis, Testis, &/or Scrotum (bilat) 54700 Ambulatory Procedures 4520 638 5158
I&D of Epididymis, Testis, &/or Scrotum (left) 54700 Ambulatory Procedures 3013 425 3438
I&D of Epididymis, Testis, &/or Scrotum (right) 54700 Ambulatory Procedures 3013 425 3438
I&D perianal abscess superficial 46050 Ambulatory Procedures 1348.22 190.78 1539
Iliac Art Angio,Cardiac Cath G0278 Ambulatory Procedures 27 27
Immunotherapy, 1 Injection 95115 Ambulatory Procedures 79
Immunotherapy, 2+ Injections 95117 Ambulatory Procedures 82
Implant Neuroelectordes 64581 Ambulatory Procedures 10489 1318 11807
Implant Neuroelectrodes 63650 Ambulatory Procedures 10489 2583 13072
Implant Spine Infusion Pump 62362 Ambulatory Procedures 32882 765 31465
Implantation of mesh for closure of debridement of infected tissue 49568 Ambulatory Procedures 530 530
Implantation of subcutaneous reservoir for epidural drug infusion 62360 Ambulatory Procedures 30700 616 31316
Implnt Spinl Canal Catheter 62350 Ambulatory Procedures 6794 795 7589
Incise Shoulder Tendon (Tenotomy); Single tendon 23405 Ambulatory Procedures 4791 1226 6017
Incision & drainage pilonidal cyst complicated 10081 Ambulatory Procedures 1078.22 332.56 1410.78
Incision & drainage complex po wound infection 10180 Ambulatory Procedures 4297.82 347.28 4645.1
Incision and Drainage Procedure on the skin - 10160 Ambulatory Procedures 590 250 840
Incision and drainage of infected thyroglossal duct cyst 60000 Ambulatory Procedures 1379 336 1715
Incision and drainage of lingual abscess by intraoral approach 41000 Ambulatory Procedures 1379 323 1702
Incision and drainage of masticator space abscess by intraoral approach 41009 Ambulatory Procedures 626 802 1428
Incision and drainage of sublingual abscess by intraoral approach 41005 Ambulatory Procedures 626 451 1077
Incision and drainage of sublingual abscess by intraoral approach 41006 Ambulatory Procedures 1379 714 2093
Incision and drainage of submandibular abscess by extraoral approach 41017 Ambulatory Procedures 3234 889 4123
Incision and drainage of submandibular space abscess by intraoral approach 41008 Ambulatory Procedures 3234 756 3990
Incision and removal of foreign body subq simple 10120 Ambulatory Procedures 451 294 745
Incision for implantation of cranial nerve neurostimulator (bilat) 64568 Ambulatory Procedures 80186 1935 82121
Incision for implantation of cranial nerve neurostimulator (left) 64568 Ambulatory Procedures 55784 1290 57074
Incision for implantation of cranial nerve neurostimulator (right) 64568 Ambulatory Procedures 55784 1290 57074
Incision for implantation of neuromuscular neurostimulator electrode array 64580 Ambulatory Procedures 36738 593 37331
Incision for implantation of peripheral nerve neurostimulator electrode array 64575 Ambulatory Procedures 10489 628 11117
Incision of prostate by transurethral approach 52450 Ambulatory Procedures 4487 933 5420
Incision of thrombosed external hemorrhoid 46083 Ambulatory Procedures 413 342 755
Incisional biopsy of prostate 55705 Ambulatory Procedures 4487 529 5016
Incisional biopsy of testis (bilat) 54505 Ambulatory Procedures 6731 626 7357
Incisional biopsy of testis (right) 54505 Ambulatory Procedures 4487 417 4904
Initial Preventive Exam G0402 Ambulatory Procedures 204 324 528
Injection 1 Tendon Sheath/Ligament Aponeurosis 20551 Ambulatory Procedures 448 118 566
Injection For Myelogram 62284 Ambulatory Procedures 356 356
Injection Single/Mlt Trigger Point 3/Greater than Muscles 20553 Ambulatory Procedures 448 124 572
Injection anes ilioinguinal iliohypogastric nrvs 64425 Ambulatory Procedures 1335.34 374.52 1709.86
Injection for Extremity Venography (bilat) 36005 Ambulatory Procedures 939 939
Injection for Extremity Venography (left) 36005 Ambulatory Procedures 626 626
Injection for Extremity Venography (right) 36005 Ambulatory Procedures 626 626
Injection procedure for chemonucleolysis of lumbar intervertebral disc 62292 Ambulatory Procedures 2785 1161 3946
Injection(s); Single Tendon Sheath, Or Ligament Aponeurosis (bilat) 20550 Ambulatory Procedures 672 172 844
Injection(s); Single Tendon Sheath, Or Ligament Aponeurosis (left) 20550 Ambulatory Procedures 448 115 563
Injection(s); Single Tendon Sheath, Or Ligament Aponeurosis (right) 20550 Ambulatory Procedures 448 115 563
Insert Drug Implant Device 11981 Ambulatory Procedures 182 272 454
Insert Flow Direct Cath for Monitoring (ie, Swan-Ganz) 93503 Ambulatory Procedures 1725 259 1984
Insert ICD Generator Only, Single Lead System 33240 Ambulatory Procedures 44221 747 44968
Insert Pacemaker pulse generator only w/existing Dual leads 33213 Ambulatory Procedures 19496 653.6 20149.6
Insert Pacemaker pulse generator only w/existing Single lead 33212 Ambulatory Procedures 13394 659 14053
Insert Pleural Cath 32550 Ambulatory Procedures 4354 1514 5868
Insert Single Lead, Pacemaker or ICD 33216 Ambulatory Procedures 13394 756 14150
Insert Tunneled Central Venous Cath (CVC) w/o SubQ Port/Pump >=5 yrs old (bilat) 36558 Ambulatory Procedures 6743 2282 9025
Insert Tunneled Central Venous Cath (CVC) w/o SubQ Port/Pump >=5 yrs old (left) 36558 Ambulatory Procedures 4495 1521 6016
Insert Tunneled Central Venous Cath (CVC) w/o SubQ Port/Pump >=5 yrs old (right) 36558 Ambulatory Procedures 4495 1521 6016
Insert Tunneled Central Venous Cath (CVC) w/SubQ Port >=5 yrs old (bilat) 36561 Ambulatory Procedures 6743 3419 10162
Insert Tunneled Central Venous Cath (CVC) w/SubQ Port >=5 yrs old (left) 36561 Ambulatory Procedures 4495 2279 6774
Insert Tunneled Central Venous Cath (CVC) w/SubQ Port >=5 yrs old (right) 36561 Ambulatory Procedures 4495 2279 6774
Insert mesh/oth prosthesis pelvic flr defect, ea site, vag appr Add-on 57267 Ambulatory Procedures 505 505
Insertion of central venous catheter (bilat) 36570 Ambulatory Procedures 6743 3369 10112
Insertion of central venous catheter (left) 36570 Ambulatory Procedures 4495 2246 6741
Insertion of central venous catheter (right) 36570 Ambulatory Procedures 4495 2246 6741
Insertion of cranial neurostimulator pulse generator with direct coupling (bilat) 61885 Ambulatory Procedures 52078 1520 53598
Insertion of cranial neurostimulator pulse generator with direct coupling (left) 61885 Ambulatory Procedures 36738 1013 37751
Insertion of cranial neurostimulator pulse generator with direct coupling (right) 61885 Ambulatory Procedures 36738 1013 37751
Insertion of non-indwelling bladder catheter 51701 Ambulatory Procedures 182 106 288
Insertion of temporary indwelling bladder catheter, simple 51702 Ambulatory Procedures 182 136 318
Insrt/Repl Periph Neurostm Gen 64590 Ambulatory Procedures 36738 522.1 37260.1
Insrt/Repl Sp Neurostim Gen/Recv 63685 Ambulatory Procedures 55784 725 56509
Intermediate Repair, wound of face, ears, eyelids, nose 12051 Ambulatory Procedures 451 499 950
Intermediate w/ Ultrasound Guidance (bilat) 20606 Ambulatory Procedures 672 234 906
Intermediate w/ Ultrasound Guidance (left) 20606 Ambulatory Procedures 448 156 604
Intermediate w/ Ultrasound Guidance (right) 20606 Ambulatory Procedures 448 156 604
Interpretation and report of routine ECG with at least 12 leads 93010 Ambulatory Procedures 35 35
Interstitial Device Place in Prostate for radiation therapy guidance 55876 Ambulatory Procedures 2054 266 2320
Intmd rpr face/mm 2.6-5.0 Cm 12052 Ambulatory Procedures 451 569 1020
Intmd rpr n-hf/genit 2.6-7.5 Cm 12042 Ambulatory Procedures 451 559 1010
Intmd rpr s/a/t/ext 2.6-7.5 Cm 12032 Ambulatory Procedures 451 585 1036
Intmd rpr s/a/t/ext 7.6-12.5 Cm 12034 Ambulatory Procedures 451 602 1053
Intra-abdominal voiding pressure study 51797 Ambulatory Procedures 136 136
Intranasal dermatoplasty 30620 Ambulatory Procedures 7912 1221 9133
Intravascular Ultrasound (IVUS), Coronary, Ea Addtl Vessel 92979 Ambulatory Procedures 182 182
Intravascular Ultrasound (IVUS), Coronary, Initial Vessel 92978 Ambulatory Procedures 356 356
Irrigation of lumbosubarachnoid shunt 63744 Ambulatory Procedures 6794 1322 8116
Knee Arthroscopy-Synovectomy, Major, 2 compartments (bilat) 29876 Ambulatory Procedures 7187 1940 9127
Knee Arthroscopy-Synovectomy, Major, 2 compartments (right) 29876 Ambulatory Procedures 4791 1293 6084
Knee Arthroscopy-Synovectomy, Major, 2+ compartments (left) 29876 Ambulatory Procedures 4791 1293 6084
Knee Arthroscopy/Surgery (bilat) 29873 Ambulatory Procedures 7187 1544 8731
Knee Arthroscopy/Surgery (bilat) 29874 Ambulatory Procedures 7187 1584 8771
Knee Arthroscopy/Surgery (bilat) 29875 Ambulatory Procedures 7187 1460 8647
Knee Arthroscopy/Surgery (bilat) 29877 Ambulatory Procedures 7187 1940 9127
Knee Arthroscopy/Surgery (bilat) 29879 Ambulatory Procedures 4791 1302 6093
Knee Arthroscopy/Surgery (bilat) 29880 Ambulatory Procedures 7187 1658 8845
Knee Arthroscopy/Surgery (bilat) 29881 Ambulatory Procedures 7187 1596 8783
Knee Arthroscopy/Surgery (bilat) 29888 Ambulatory Procedures 21192 2913 24105
Knee Arthroscopy/Surgery (bilat) 29889 Ambulatory Procedures 31614 3608 35222
Knee Arthroscopy/Surgery (intact osteochondritis) (bilat) 29887 Ambulatory Procedures 7187 2202 9389
Knee Arthroscopy/Surgery (intact osteochondritis) (left) 29887 Ambulatory Procedures 4791 1468 6259
Knee Arthroscopy/Surgery (intact osteochondritis) (right) 29887 Ambulatory Procedures 4791 1468 6259
Knee Arthroscopy/Surgery (left) 29873 Ambulatory Procedures 4791 1029 5820
Knee Arthroscopy/Surgery (left) 29874 Ambulatory Procedures 4791 1056 5847
Knee Arthroscopy/Surgery (left) 29875 Ambulatory Procedures 4791 973 5764
Knee Arthroscopy/Surgery (left) 29877 Ambulatory Procedures 4791 1223 6014
Knee Arthroscopy/Surgery (left) 29879 Ambulatory Procedures 4791 1302 6093
Knee Arthroscopy/Surgery (left) 29880 Ambulatory Procedures 4791 1105 5896
Knee Arthroscopy/Surgery (left) 29881 Ambulatory Procedures 4791 1064 5855
Knee Arthroscopy/Surgery (left) 29888 Ambulatory Procedures 14128 1942 16070
Knee Arthroscopy/Surgery (left) 29889 Ambulatory Procedures 21076 2405 23481
Knee Arthroscopy/Surgery (right) 29873 Ambulatory Procedures 4791 1029 5820
Knee Arthroscopy/Surgery (right) 29874 Ambulatory Procedures 4791 1056 5847
Knee Arthroscopy/Surgery (right) 29875 Ambulatory Procedures 4791 973 5764
Knee Arthroscopy/Surgery (right) 29877 Ambulatory Procedures 4791 1223 6014
Knee Arthroscopy/Surgery (right) 29879 Ambulatory Procedures 4791 1302 6093
Knee Arthroscopy/Surgery (right) 29880 Ambulatory Procedures 4791 1105 5896
Knee Arthroscopy/Surgery (right) 29881 Ambulatory Procedures 4791 1064 5855
Knee Arthroscopy/Surgery (right) 29888 Ambulatory Procedures 14128 1942 16070
Knee Arthroscopy/Surgery (right) 29889 Ambulatory Procedures 21076 2405 23481
Knee Arthroscopy/Surgery (with meniscus repair) (bilat) 29883 Ambulatory Procedures 7187 2484 9671
Knee Arthroscopy/Surgery (with meniscus repair) (left) 29883 Ambulatory Procedures 4791 1656 6447
Knee Arthroscopy/Surgery (with meniscus repair) (right) 29883 Ambulatory Procedures 4791 1656 6447
Labrinthotomy, w/perfusion of vestibuloactive drug(s), transcanal (bilat) 69801 Ambulatory Procedures 2069 578 2647
Labrinthotomy, w/perfusion of vestibuloactive drug(s), transcanal (right) 69801 Ambulatory Procedures 1379 385 1764
Laminectomy for Neurostim Elec Plate/Paddle, Epidural 63655 Ambulatory Procedures 36738 1592.9 38330.9
Laminotomy (Hemi) w/Decompress, Reexploration, Cervical, Ea Addtl space (bilat) 63043 Ambulatory Procedures 764 764
Laminotomy (Hemi) w/Decompress, Reexploration, Cervical, Ea Addtl space (left) 63043 Ambulatory Procedures 509 509
Laminotomy (Hemi) w/Decompress, Reexploration, Cervical, Ea Addtl space (right) 63043 Ambulatory Procedures 509 509
Laminotomy,Single Lumbar (bilat) 63042 Ambulatory Procedures 14908 3831 18739
Laminotomy,Single Lumbar (left) 63042 Ambulatory Procedures 9939 2554 12493
Laminotomy,Single Lumbar (right) 63042 Ambulatory Procedures 9939 2554 12493
Lap Inc Hernia Repair Recurr (bilat) 49656 Ambulatory Procedures 20583 2721 23304
Lap Inc Hernia Repair Recurr (left) 49656 Ambulatory Procedures 15191 1814 17005
Lap Inc Hernia Repair Recurr (right) 49656 Ambulatory Procedures 15191 1814 17005
Laparascopic Cholecystectomy 47562 Ambulatory Procedures 8002 1298 9300
Laparascopic Cholecystectomy w/Cholangiography 47563 Ambulatory Procedures 8002 1410 9412
Laparoscopic esophagogastric fundoplasty (eg, Nissen, toupet) 43280 Ambulatory Procedures 15191 2139 17330
Laparoscopic repair paraesophageal hernia, w/o mesh, fundoplasty incld 43281 Ambulatory Procedures 15191 3058 18249
Laparoscopy,Lysis 58660 Ambulatory Procedures 8002 1319 9321
Laparoscopy,Remove Adnexa (bilat) 58661 Ambulatory Procedures 12003 1910 13913
Laparoscopy,Remove Adnexa (left) 58661 Ambulatory Procedures 8002 1273 9275
Laparoscopy,Remove Adnexa (right) 58661 Ambulatory Procedures 8002 1273 9275
Laryngoscopy W/Injection into vocal chord(s) therapeutic 31513 Ambulatory Procedures 2075 263 2338
Lavage of maxillary sinus using cannula (bilat) 31000 Ambulatory Procedures 939 537 1476
Lavage of maxillary sinus using cannula (right) 31000 Ambulatory Procedures 626 358 984
Left Heart Cath (LHC) Only 93452 Ambulatory Procedures 5098 1200 6298
Ligation/Biopsy of Temporal Artery (bilat) 37609 Ambulatory Procedures 2829 607 3436
Ligation/Biopsy of Temporal Artery (left) 37609 Ambulatory Procedures 2829 607 3436
Ligation/Biopsy of Temporal Artery (right) 37609 Ambulatory Procedures 2829 607 3436
Litholapaxy of calculus in bladder and removal of fragments 52317 Ambulatory Procedures 4487 1555 6042
Litholapaxy of calculus in bladder and removal of fragments 52318 Ambulatory Procedures 6787 947 7734
Low back disk surgery (bilat) 63030 Ambulatory Procedures 14908 2858 17766
Low back disk surgery (left) 63030 Ambulatory Procedures 9939 1905 11844
Low back disk surgery (right) 63030 Ambulatory Procedures 9939 1905 11844
Lumbar Puncture 62270 Ambulatory Procedures 1170 154 1324
Lumpectomy of breast (bilat) 19301 Ambulatory Procedures 6564 1922 8486
Lumpectomy of breast (left) 19301 Ambulatory Procedures 4376 1281 5657
Lumpectomy of breast (right) 19301 Ambulatory Procedures 4376 1281 5657
Maxillary sinusotomy by intranasal approach (bilat) 31020 Ambulatory Procedures 4851 1418 6269
Maxillary sinusotomy by intranasal approach (right) 31020 Ambulatory Procedures 3234 945 4179
Mechanical Thrombectomy, Coronary 92973 Ambulatory Procedures 351 351
Mediastinoscopy with biopsy of lymph node 39402 Ambulatory Procedures 6306 806 7112
Mediastinoscopy with biopsy of mediastinal mass 39401 Ambulatory Procedures 6306 617 6923
Medical Nutrition Assmt Indiv Each 15 Min 97802 Ambulatory Procedures 68 68
Medical Nutrition Re-Assmt Indiv Ea 15 Min 97803 Ambulatory Procedures 28 28
Medical services 10pm-8am at 24-hr facility 99053 Ambulatory Procedures 30 30
Medical services eve/wkend/holiday 99051 Ambulatory Procedures 30 30
Metatarsal Fracture; Closed w/ manipulation; each 28470 Ambulatory Procedures 345 429 774
Microsurgical tehniques, require use of operating microscope (add-on)69990 Ambulatory Procedures 432 432
Middle ear exploration through ear canal incision (bilat) 69440 Ambulatory Procedures 11868 2046 13914
Middle ear exploration through ear canal incision (left) 69440 Ambulatory Procedures 7912 1364 9276
Middle ear exploration through ear canal incision (right) 69440 Ambulatory Procedures 7912 1364 9276
Mlt Sleep Latency/Maint of Wakefulness Tstg 95805 Ambulatory Procedures 1713 704 2417
Motor +/Sens 11-12 Nrv Cndj Preconf Eltrode Limb 95912 Ambulatory Procedures 793 191 984
Motor +/Sens 5-6 Nrv Cndj Preconf Eltrode Limb 95909 Ambulatory Procedures 441 122 563
Motor +/Sens 7-8 Nrv Cndj Preconf Eltrode Limb 95910 Ambulatory Procedures 441 162 603
Myringotomy including aspiration and/or eustachian tube inflation (bilat) 69420 Ambulatory Procedures 939 563 1502
Myringotomy including aspiration and/or eustachian tube inflation (right) 69420 Ambulatory Procedures 626 375 1001
Myringotomy with aspiration and eustachian tube inflation under general anesthesia (bilat) 69421 Ambulatory Procedures 4851 443 5294
Myringotomy with aspiration and eustachian tube inflation under general anesthesia (right) 69421 Ambulatory Procedures 3234 295 3529
Nasal Endoscopy, w/ Dilat Maxillary Sinus Ostium (bilat) 31295 Ambulatory Procedures 9199 5932 15131
Nasogastric tube placement using fluoroscopic guidance 43752 Ambulatory Procedures 384 82 466
Nasopharyngoscopy w/Endoscope 92511 Ambulatory Procedures 283 217 500
Neck Spine Disk Surgery (bilat) 63020 Ambulatory Procedures 14908.5 3426 18334.5
Neck Spine Disk Surgery (left) 63020 Ambulatory Procedures 9939 2284 12223
Neck Spine Disk Surgery (right) 63020 Ambulatory Procedures 9939 2284 12223
Neck Spine Disk Surgery 63075 Ambulatory Procedures 9939 2671 12610
Neck Spine Disk Surgery 63076 Ambulatory Procedures 489 489
Needle Emg Ea Extremty w/Paraspinl Area Complete 95886 Ambulatory Procedures 85 85
Needle biopsy of bone 20220 Ambulatory Procedures 1884 328 2212
Needle electromyography for guidance w/chemodenervation Ambulatory Procedures 40 40 80
Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, w/interp and report Ambulatory Procedures 109 93 202
Nerve block injection facial Bilat 64402 Ambulatory Procedures 1056 314 1370
Nerve block injection facial RT 64402 Ambulatory Procedures 528 157 685
Nerve block injection facial LT 64402 Ambulatory Procedures 528 157 685
Nerve block injection occipital RT 64405 Ambulatory Procedures 462 123 585
Nerve block injection occipital LT 64405 Ambulatory Procedures 462 123 585
Nerve block injection occipital Bilat 64405 Ambulatory Procedures 924 246 1170
Neurobehavioral Status Exam Per Hour 96116 Ambulatory Procedures 441 183 624
Neuropsych test admin w/comp Ambulatory Procedures 245 52 306
Neuropsychological Testing, per hour 96118 Ambulatory Procedures 441 193 634
Noninvasive therapeutic electrical stimulation for bone healing 20974 Ambulatory Procedures 148 148
Nutrition Counseling, Diet S9470 Ambulatory Procedures STAT STAT STAT
Open Tx Of Clavicle fx (bilat) 23515 Ambulatory Procedures 14909 2120 17029
Open Tx Of Clavicle fx (left) 23515 Ambulatory Procedures 9939 1413 11352
Open Tx Of Clavicle fx (right) 23515 Ambulatory Procedures 9939 1413 11352
Open Tx Proximal Humerus Fx (bilat) 23615 Ambulatory Procedures 21192 2606 23798
Open Tx Proximal Humerus Fx (left) 23615 Ambulatory Procedures 20246 1737 21983
Open Tx Proximal Humerus Fx (right) 23615 Ambulatory Procedures 20246 1737 21983
Open Tx acromioclavicular dislocation, W/ fasc graft (bilat) 23552 Ambulatory Procedures 21192 1926 23118
Open Tx acromioclavicular dislocation, W/ fasc graft (left) 23552 Ambulatory Procedures 14128 1284 15412
Open Tx acromioclavicular dislocation, W/ fasc graft (right) 23552 Ambulatory Procedures 14128 1284 15412
Open Tx acromioclavicular dislocation; W/O fasc graft (bilat) 23550 Ambulatory Procedures 14909 1659 16568
Open Tx acromioclavicular dislocation; W/O fasc graft (left) 23550 Ambulatory Procedures 9939 1106 11045
Open Tx acromioclavicular dislocation; W/O fasc graft (right) 23550 Ambulatory Procedures 9939 1106 11045
Open biopsy of bone 20240 Ambulatory Procedures 2829 306 3135
Open excision of aberrant tissue of breast (bilat) 19120 Ambulatory Procedures 6564 1440 8004
Open excision of aberrant tissue of breast (left) 19120 Ambulatory Procedures 4376 960 5336
Open excision of aberrant tissue of breast (right) 19120 Ambulatory Procedures 4376 960 5336
Open neuroplasty of axillary nerve 64708 Ambulatory Procedures 2785 975 3760
Open reduction of comminuted fracture of zygomatic arch with internal fixation (bilat) 21365 Ambulatory Procedures 11868 3306 15174
Open reduction of comminuted fracture of zygomatic arch with internal fixation (left) 21365 Ambulatory Procedures 7912 2204 10116
Open reduction of comminuted fracture of zygomatic arch with internal fixation (right) 21365 Ambulatory Procedures 7912 2204 10116
Open reduction of epiphyseal separation of distal radius with internal fixation (bilat) 25607 Ambulatory Procedures 14909 2157 17066
Open reduction of epiphyseal separation of distal radius with internal fixation (bilat) 25609 Ambulatory Procedures 14909 3081 17990
Open reduction of epiphyseal separation of distal radius with internal fixation (left) 25607 Ambulatory Procedures 9939 1439 11378
Open reduction of epiphyseal separation of distal radius with internal fixation (left) 25609 Ambulatory Procedures 9939 2054 11993
Open reduction of epiphyseal separation of distal radius with internal fixation (right) 25607 Ambulatory Procedures 9939 1439 11378
Open reduction of epiphyseal separation of distal radius with internal fixation (right) 25609 Ambulatory Procedures 9939 2054 11993
Open reduction of fracture of mandible with interdental fixation 21462 Ambulatory Procedures 7912 4459 12371
Open tx of nasal fx; uncomplicated 21325 Ambulatory Procedures 3234 929 4163
Open tx orbital floor blowout fracture; w/ implant (bilat) 21390 Ambulatory Procedures 11868 2357 14225
Open tx orbital floor blowout fracture; w/ implant (left) 21390 Ambulatory Procedures 7912 1571 9483
Open tx orbital floor blowout fracture; w/ implant (right) 21390 Ambulatory Procedures 7912 1571 9483
Optokinetic nystagmus Bidirectional, Foveal/Periph Stim w/Rec 92544 Ambulatory Procedures 260 5 265
Orchiopexy-Inguinal Approach (bilat) 54640 Ambulatory Procedures 7838 1425 9263
Orchiopexy-Inguinal Approach (right) 54640 Ambulatory Procedures 5225 950 6175
Oscillating Tracking Test With Recording 92545 Ambulatory Procedures 260 4 264
Osteopathic Manipulative Tx 1-2 Body Regions 98925 Ambulatory Procedures 100 48 148
Osteopathic Manipulative Tx 3-4 Body Regions 98926 Ambulatory Procedures 100 72 172
Osteopathic Manipulative Tx 5-6 Body Regions 98927 Ambulatory Procedures 100 96 196
Osteopathic Manipulative Tx 7-8 Body Regions 98928 Ambulatory Procedures 100 120 220
Osteopathic Manipulative Tx 9-10 Body Regions 98929 Ambulatory Procedures 100 144 244
Otolaryngologic Exam Under General Anesthesia 92502 Ambulatory Procedures 626 192 818
PCI of occlusion during Acute MI, single coronary vessel 92941 Ambulatory Procedures 19085 1347 20432
PVR/Bladder Capacity Measurement-Ultrasound 51798 Ambulatory Procedures 182
Partial Removal Of Rib 21600 Ambulatory Procedures 4791 1097 5888
Partial Removal Of Thyroid 60220 Ambulatory Procedures 8002 1401 9403
Partial claviculectomy (bilat) 23120 Ambulatory Procedures 7187 1716 8903
Partial claviculectomy (left) 23120 Ambulatory Procedures 4791 1144 5935
Partial claviculectomy (right) 23120 Ambulatory Procedures 4791 1144 5935
Partial excision of facet of lumbar vertebra 22102 Ambulatory Procedures 4791 1556 6347
Partial rhinectomy 30150 Ambulatory Procedures 7912 1511 9423
Penile Injection 54235 Ambulatory Procedures 413 177 590
Perc Spinal Neurostimulator Lead Removal 63661 Ambulatory Procedures 2785 1132 3917
Percutaneous creation of lumbar subarachnoid-peritoneal shunt 63741 Ambulatory Procedures 6794 1331 8125
Percutaneous nephrostolithotomy (bilat) 50080 Ambulatory Procedures 22285.5 2595 24880.5
Percutaneous nephrostolithotomy (right) 50080 Ambulatory Procedures 15193 1736 16929
Percutaneous removal and replacement of internally dwelling ureteral stent (bilat) 50382 Ambulatory Procedures 4520 3455 7975
Percutaneous removal and replacement of internally dwelling ureteral stent (right) 50382 Ambulatory Procedures 3013 2303 5316
Pharmacological Agent Administration (eg, inhaled nitric oxide) 93463 Ambulatory Procedures 196 196
Phlebotomy Therapeutic 99195 Ambulatory Procedures 182 190 372
Phys Srv Req For Pwr Mob Device G0372 Ambulatory Procedures 17 17
Pilot Physical with EKG 99499F Ambulatory Procedures 160 160
Pilot Physical without EKG 99499G Ambulatory Procedures 110 110
Place Cath Subclav Art (bilat) 36225 Ambulatory Procedures 8157 4364 12521
Place Cath Subclav Art (left) 36225 Ambulatory Procedures 5438 2909 8347
Place Cath Subclav Art (right) 36225 Ambulatory Procedures 5438 2909 8347
Placement of catheter and injection of diagnostic substance 62318 Ambulatory Procedures 1644 450 2094
Placement of catheter and injection of diagnostic substance 62319 Ambulatory Procedures 1644 329 1973
Polysm Sleep Staging 4/Greater than Addl Param w/Cpap Tx 95811 Ambulatory Procedures 1713 1009 2722
Polysomnography Sleep Staging 4/Greater than Addl Param 95810 Ambulatory Procedures 1713 958 2671
Positional Nystagmus Test, >=4 Positions, w/ Recording 92542 Ambulatory Procedures 182 5 187
Posterior colporrhaphy, repair of rectocele w/wo perineorrhaphy 57250 Ambulatory Procedures 7320 1324 8644
Ppps, Initial Visit G0438 Ambulatory Procedures 334 334
Ppps, Subseq Visit G0439 Ambulatory Procedures 226 226
Prostate Biopsy, Needle/Punch-1 or more 55700 Ambulatory Procedures 3391.36 425 3816.36
Psychiatric Diagnostic Eval w/Medical Services 90792 Ambulatory Procedures 250 288 538
Psychiatric Diagnostic Evaluation 90791 Ambulatory Procedures 250 261 511
Psychological testing 96101 Ambulatory Procedures 441 159 600
Psychotherapy Patient +/ Family 30 minutes 90832 Ambulatory Procedures 139 126 265
Psychotherapy Patient +/ Family 60 minutes 90837 Ambulatory Procedures 250 253 503
Psychotherapy Pt+/Family w/E+M Srvcs 30 min 90833 Ambulatory Procedures 130 130
Psychotherapy Pt+/Family w/E+M Srvcs 45 min 90836 Ambulatory Procedures 165 165
Psychotherapy Pt+/Family w/E+M Srvcs 60 min 90838 Ambulatory Procedures 218 218
Puncture aspiration of hydrocele of tunica vaginalis (bilat) 55000 Ambulatory Procedures 1442 344 1786
Puncture aspiration of hydrocele of tunica vaginalis (left) 55000 Ambulatory Procedures 961 229 1190
Puncture aspiration of hydrocele of tunica vaginalis (right) 55000 Ambulatory Procedures 961 229 1190
Puncture of Shunt Tubing for Inj/Asp Proc 61070 Ambulatory Procedures 966 114 1080
Pure Tone Screening - Air Only 92551 Ambulatory Procedures 22 22
Radical maxillary sinusotomy (bilat) 31030 Ambulatory Procedures 11868 2030 13898
Radical maxillary sinusotomy (right) 31030 Ambulatory Procedures 7912 1353 9265
Radical maxillary sinusotomy with removal of antrochoanal polyp (bilat) 31032 Ambulatory Procedures 11868 1692 13560
Radical maxillary sinusotomy with removal of antrochoanal polyp (right) 31032 Ambulatory Procedures 7912 1128 9040
Radical resection of retromolar trigone 42842 Ambulatory Procedures 7912 2045 9957
Radical resection tumor, soft tissue neck/ant. thorax; < 5 cm 21557 Ambulatory Procedures 2829 1892 4721
Reconstruction, Knee (bilat) 27427 Ambulatory Procedures 14909 2096 17005
Reconstruction, Knee (left) 27427 Ambulatory Procedures 9939 1397 11336
Reconstruction, Knee (right) 27427 Ambulatory Procedures 9939 1397 11336
Refilling and maintenance of portable pump 96521 Ambulatory Procedures 346 346
Reinsertion biceps/triceps tendon, distal (bilat) 24342 Ambulatory Procedures 7187 2285 9472
Reinsertion biceps/triceps tendon, distal (left) 24342 Ambulatory Procedures 4791 1523 6314
Reinsertion biceps/triceps tendon, distal (right) 24342 Ambulatory Procedures 4791 1523 6314
Remote Interrogation (up to 30 days) for ICM or ILR, technical review 93299 Ambulatory Procedures 67 67
Removal Of Foot Foreign Body (bilat) 28192 Ambulatory Procedures 4244 1401 5645
Removal Of Foot Foreign Body (left) 28192 Ambulatory Procedures 2829 934 3763
Removal Of Foot Foreign Body (right) 28192 Ambulatory Procedures 2829 934 3763
Removal Of Kidney Stone (bilat) 50081 Ambulatory Procedures 22286 3812 26098
Removal Of Kidney Stone (right) 50081 Ambulatory Procedures 15193 2550 17743
Removal Of Skin Tags 11200 Ambulatory Procedures 321 174 495
Removal Of Sperm Duct(S) 55250 Ambulatory Procedures 3013 747 3760
Removal Of Spinal Lamina (cervical) 63045 Ambulatory Procedures 9939 2536 12475
Removal Of Spinal Lamina 63047 Ambulatory Procedures 9939 2172 12111
Removal Of Thyroid 60240 Ambulatory Procedures 8002 1821 9823
Removal Of Tunneled Central Venous Catheter W/O Subcutan Port/Pump 36589 Ambulatory Procedures 966 325 1291
Removal and replacement of externally accessible transnephric external ureteral stent (bilat) 50387 Ambulatory Procedures 3624 1583 5207
Removal and replacement of externally accessible transnephric external ureteral stent (right) 50387 Ambulatory Procedures 2415 1055 3470
Removal of cranial neurostimulator pulse generator (bilat) 61888 Ambulatory Procedures 15733 1169 16902
Removal of cranial neurostimulator pulse generator (left) 61888 Ambulatory Procedures 10489 779 11268
Removal of cranial neurostimulator pulse generator (right) 61888 Ambulatory Procedures 10489 779 11268
Removal of embedded foreign body from vestibule of mouth 40804 Ambulatory Procedures 182 378 560
Removal of entire lumbosubarachnoid shunt system 63746 Ambulatory Procedures 2785 1182 3967
Removal of foreign body, external eye; conjunctival superficial (bilat) 65205 Ambulatory Procedures 273 163 436
Removal of foreign body, external eye; conjunctival superficial (left) 65205 Ambulatory Procedures 182 109 291
Removal of foreign body, external eye; conjunctival superficial (right) 65205 Ambulatory Procedures 182 109 291
Removal of foreign body, external eye; corneal, without slit lamp (left) 65220 Ambulatory Procedures 182 113 295
Removal of foreign body, external eye; corneal, without slit lamp (right) 65220 Ambulatory Procedures 182 113 295
Removal of gastric neurostimulator pulse generator 64595 Ambulatory Procedures 4377 476 4853
Removal of transvenous atrial pacemaker electrode 33234 Ambulatory Procedures 4979 981 5960
Removal/revision of cast 29700 Ambulatory Procedures 415 122 537
Remove & Replace Multi Lead Pacemaker Generator only 33229 Ambulatory Procedures 35171 730.1 35901.1
Remove Ear Canal Lesion(s) (bilat) 69145 Ambulatory Procedures 4244 1166 5410
Remove Ear Canal Lesion(s) (left) 69145 Ambulatory Procedures 2829 777 3606
Remove Ear Canal Lesion(s) (right) 69145 Ambulatory Procedures 2829 777 3606
Remove FB Fr Ext Auditory Canal (bilat) 69200 Ambulatory Procedures 273 289 562
Remove FB Fr Ext Auditory Canal (left) 69200 Ambulatory Procedures 182 193 375
Remove FB Fr Ext Auditory Canal (right) 69200 Ambulatory Procedures 182 193 375
Remove FB from external auditory canal, w general anesth (bilat) 69205 Ambulatory Procedures 2826 301 3127
Remove FB from external auditory canal, w general anesth (right) 69205 Ambulatory Procedures 1884 201 2085
Remove Impacted Ear Wax (bilat) 69210 Ambulatory Procedures 168 144 312
Remove Impacted Ear Wax (left) 69210 Ambulatory Procedures 112 96 208
Remove Impacted Ear Wax (right) 69210 Ambulatory Procedures 112 96 208
Remove Intrathecal or Epidural Catheter 62355 Ambulatory Procedures 2785 532 3317
Remove Intrauterine Device 58301 Ambulatory Procedures 502 184 686
Remove Lung Catheter 32552 Ambulatory Procedures 966 365 1331
Remove Skin Tags Add-On 11201 Ambulatory Procedures 15 37 52
Remove Spinal Lamina Add-On 63048 Ambulatory Procedures 419 419
Remove Spine Eltrd Plate 63662 Ambulatory Procedures 4377 1638 6015
Remove Tunneled Central Venous Access Device W/Subcutan Port/Pump 36590 Ambulatory Procedures 1725 574 2299
Remove Ventilating Tube w/general anesthesia (bilat) 69424 Ambulatory Procedures 4851 374 5225
Remove Ventilating Tube w/general anesthesia (right) 69424 Ambulatory Procedures 3234 249 3483
Remove/Insert Drug Implant 11983 Ambulatory Procedures 182 434 616
Rep Superfic Wound 2.5Cm Less 12001 Ambulatory Procedures 236 172 408
Rep Superific Wound 7.6-12.5 cm 12004 Ambulatory Procedures 321 248 569
Repair Nasal Stenosis 30465 Ambulatory Procedures 7912 1924 9836
Repair Of Eardrum (bilat) 69620 Ambulatory Procedures 4851 2046 6897
Repair Of Eardrum (right) 69620 Ambulatory Procedures 3234 1364 4598
Repair Of Thigh Muscle (bilat) 27385 Ambulatory Procedures 7187 1686 8873
Repair Of Thigh Muscle (left) 27385 Ambulatory Procedures 4791 1124 5915
Repair Of Thigh Muscle (right) 27385 Ambulatory Procedures 4791 1124 5915
Repair Rotator Cuff,Chronic (bilat) 23412 Ambulatory Procedures 14909 2511 17420
Repair Rotator Cuff,Chronic (left) 23412 Ambulatory Procedures 9939 1674 11613
Repair Rotator Cuff,Chronic (right) 23412 Ambulatory Procedures 9939 1674 11613
Repair intermediate s/a/t/e 2.6-7.5 cm 12032 Ambulatory Procedures 585.24 384.46 969.7
Repair of incarcerated incisional hernia (bilat) 49561 Ambulatory Procedures 7838 2754 10592
Repair of incarcerated incisional hernia (left) 49561 Ambulatory Procedures 5225 1836 7061
Repair of incarcerated incisional hernia (right) 49561 Ambulatory Procedures 5225 1836 7061
Repair of incarcerated inguinal hernia (bilat) 49507 Ambulatory Procedures 7838 1731 9569
Repair of incarcerated inguinal hernia (left) 49507 Ambulatory Procedures 5225 1154 6379
Repair of incarcerated inguinal hernia (right) 49507 Ambulatory Procedures 5225 1154 6379
Repair of incarcerated recurrent incisional hernia (bilat) 49566 Ambulatory Procedures 7838 2781 10619
Repair of incarcerated recurrent incisional hernia (left) 49566 Ambulatory Procedures 5225 1854 7079
Repair of incarcerated recurrent incisional hernia (right) 49566 Ambulatory Procedures 5225 1854 7079
Repair of incarcerated umbilical hernia 49587 Ambulatory Procedures 5225 937 6162
Repair of laceration of palate 42182 Ambulatory Procedures 3234 638 3872
Repair of reducible inguinal hernia (bilat) 49505 Ambulatory Procedures 7838 1539 9377
Repair of reducible inguinal hernia (left) 49505 Ambulatory Procedures 5225 1026 6251
Repair of reducible inguinal hernia (right) 49505 Ambulatory Procedures 5225 1026 6251
Repair of reducible recurrent incisional hernia (bilat) 49565 Ambulatory Procedures 7838 2274 10112
Repair of reducible recurrent incisional hernia (left) 49565 Ambulatory Procedures 5225 1516 6741
Repair of reducible recurrent incisional hernia (right) 49565 Ambulatory Procedures 5225 1516 6741
Repair of reducible umbilical hernia 49585 Ambulatory Procedures 5225 876 6101
Replacement of cerebrospinal fluid shunt 62230 Ambulatory Procedures 6794 1658 8452
Replacement of cranial nerve neurostimulator electrode array (bilat) 64569 Ambulatory Procedures 15733 2310 18043
Replacement of cranial nerve neurostimulator electrode array (left) 64569 Ambulatory Procedures 10489 1540 12029
Replacement of cranial nerve neurostimulator electrode array (right) 64569 Ambulatory Procedures 10489 1540 12029
Resection of bladder neck by transurethral approach 52500 Ambulatory Procedures 4487 969 5456
Resection of postoperative bladder neck contracture by transurethral approach 52640 Ambulatory Procedures 4487 624 5111
Retrograde cystourethroscopy (bilat) 52334 Ambulatory Procedures 6731 768 7499
Retrograde cystourethroscopy (left) 52334 Ambulatory Procedures 4487 512 4999
Retrograde cystourethroscopy (right) 52334 Ambulatory Procedures 4487 512 4999
Revise Spine Eltrd Plate 63664 Ambulatory Procedures 10489 1689 12178
Revise/Remove Neuroelectrode 64585 Ambulatory Procedures 4377 476 4853
Revise/Remove Neuroreceiver 63688 Ambulatory Procedures 4377 731 5108
Revision Of Knee Joint (bilat) 27446 Ambulatory Procedures 31614 3429 35043
Revision Of Knee Joint (left) 27446 Ambulatory Procedures 21076 2286 23362
Revision Of Knee Joint (right) 27446 Ambulatory Procedures 21076 2286 23362
Revision Of Lower Leg Tendon (bilat) 27685 Ambulatory Procedures 7187 1956 9143
Revision Of Lower Leg Tendon (left) 27685 Ambulatory Procedures 4791 1304 6095
Revision Of Lower Leg Tendon (right) 27685 Ambulatory Procedures 4791 1304 6095
Revision Spinal Neurostimulator Lead Perc Array 63663 Ambulatory Procedures 10489 1550 12039
Revision of tracheostoma 31613 Ambulatory Procedures 3234 893 4127
Revision of tracheostomy scar 31830 Ambulatory Procedures 3234 871 4105
Rigid bronchoscopy with computer-assisted, image-guided navigation 31627 Ambulatory Procedures 2725 2725
Rmvl devital tiss n-slctv dbrdmt w/o anes 1 sess 97602 Ambulatory Procedures 306.24 0 306.24
Rpr f/e/e/n/l/m 2.5 Cm or less 12011 Ambulatory Procedures 321 211 532
Scan Proc Cranial Intra 61781 Ambulatory Procedures 466 466
Scr C/V Cyto,Thinlayer,Rescr G0145 Ambulatory Procedures 68 68
Screen Cerv/Vag Thin Layer G0123 Ambulatory Procedures 54 54
Screening Pap Smear,Specimen Prep Q0091 Ambulatory Procedures 25 87 112
Screening Test Visual Acuity Quantitative Bilat 99173 Ambulatory Procedures 27 27 54
Screeningmammographydigital G0202 Ambulatory Procedures 188 188
Secondary adenoidectomy 42836 Ambulatory Procedures 3234 481 3715
Secondary closure surgical wound or dehiscence, extensive/complicated 13160 Ambulatory Procedures 4275 1587 5862
Selective Cath Placement; 1st Ord Thoracic or Brachiceph Art Branch 36215 Ambulatory Procedures 2178 2178
Selective Cath Placement; 2nd Ord Thoracic or Brachiceph Art Branch 36216 Ambulatory Procedures 2307 2307
Selective Coronary (SCA) & Byp Angio w/Right Heart Cath (RHC) {Pro Fee} 93457 Ambulatory Procedures 5098 1715 6813
Shave Skin Lesion, .5Cm Or Less 11305 Ambulatory Procedures 236 192 428
Shave Skin Lesion,0.6-1.0Cm 11301 Ambulatory Procedures 236 231 467
Shaving, epidermal/dermal lesion, scalp/neck/hand/feet, 0.6 to 1.0 cm 11306 Ambulatory Procedures 236 235 471
Shaving, epidermal/dermal lesion, scalp/neck/hand/feet,1.1 to 2.0 cm 11307 Ambulatory Procedures 451 277 728
Shaving, epidermal/dermal lesion, trunk/arms/legs, 0.5 or less 11300 Ambulatory Procedures 236 187 423
Shaving, epidermal/dermal lesion, trunk/arms/legs, 1.1 to 2.0 cm 11302 Ambulatory Procedures 236 271 507
Shoulder Arthroscopy/Surgery (bilat) 29806 Ambulatory Procedures 14909 3134 18043
Shoulder Arthroscopy/Surgery (bilat) 29823 Ambulatory Procedures 7187 1827 9014
Shoulder Arthroscopy/Surgery (bilat) 29824 Ambulatory Procedures 7187 1970 9157
Shoulder Arthroscopy/Surgery (bilat) 29826 Ambulatory Procedures 522 522
Shoulder Arthroscopy/Surgery (left) 29806 Ambulatory Procedures 9939 2089 12028
Shoulder Arthroscopy/Surgery (left) 29823 Ambulatory Procedures 4791 1218 6009
Shoulder Arthroscopy/Surgery (left) 29824 Ambulatory Procedures 4791 1313 6104
Shoulder Arthroscopy/Surgery (left) 29826 Ambulatory Procedures 348 348
Shoulder Arthroscopy/Surgery (right) 29806 Ambulatory Procedures 9939 2089 12028
Shoulder Arthroscopy/Surgery (right) 29823 Ambulatory Procedures 4791 1218 6009
Shoulder Arthroscopy/Surgery (right) 29824 Ambulatory Procedures 4791 1313 6104
Shoulder Arthroscopy/Surgery (right) 29826 Ambulatory Procedures 348 348
Shoulder Arthroscopy/Surgery. (bilat) 29807 Ambulatory Procedures 14909 3057 17966
Shoulder Arthroscopy/Surgery. (left) 29807 Ambulatory Procedures 9939 2038 11977
Shoulder Arthroscopy/Surgery. (right) 29807 Ambulatory Procedures 9939 2038 11977
Sigmoidoscopy flx dx w/collj spec br/wa if pfrmd 45330 Ambulatory Procedures 1335.34 112.4 1447.74
Simple Orchiectomy, scrotal or inguinal approach (bilat) 54520 Ambulatory Procedures 6731 969 7700
Simple Orchiectomy, scrotal or inguinal approach (left) 54520 Ambulatory Procedures 4487 646 5133
Simple Orchiectomy, scrotal or inguinal approach (right) 54520 Ambulatory Procedures 4487 646 5133
Simple Repair, scalp/neck/axillae/trunk/genital/extrem, 2.5 - 7.5 cm 12002 Ambulatory Procedures 321 210 531
Simple repair, face/ears/nose/lips/eyelids/muc membr, 2.6-5.0cm 12013 Ambulatory Procedures 236 221 457
Sinusoidal Vertical Axis Rotational Testing 92546 Ambulatory Procedures 259 168 427
Skin Full Graft 20Sq Cm/Less 15240 Ambulatory Procedures 2822 1816 4638
Skin Split Graft,1St 100Sq Cm 15120 Ambulatory Procedures 4275 1658 5933
Skin Tissue Trnfr 10.1-30Sq Cm 14021 Ambulatory Procedures 2822 1693 4515
Sling operation stress incontinence (eg, fascia/synthetic) 57288 Ambulatory Procedures 7320 1406 8726
Special casting material (e.g. fiberglass) A4590 Ambulatory Procedures 5 0 5
Spinal Bone Allograft,Structural 20931 Ambulatory Procedures 222 222
Spinal Bone Autograft,Local 20936 Ambulatory Procedures 235 235
Spinal Disk Surgery Add-On (bilat) 63035 Ambulatory Procedures 570 570
Spinal Disk Surgery Add-On (left) 63035 Ambulatory Procedures 380 380
Spinal Disk Surgery Add-On (right) 63035 Ambulatory Procedures 380 380
Spirometry 94010 Ambulatory Procedures 259
Split thickness autograft of digit 15121 Ambulatory Procedures 404 404
Spontaneous Emg 2 Extremities 95861 Ambulatory Procedures 182 168 350
Spontaneous Nystagmus Test, w/ Recording 92541 Ambulatory Procedures 182 6 188
Stent, Initial Major Coronary Artery/Branch 92928 Ambulatory Procedures 21021 1202 22223
Stress Test Interp and Report 93018 Ambulatory Procedures 30 30
Subarachnoid chemotherapy injection via subcutaneous reservoir 96542 Ambulatory Procedures 346 234 580
Subcu Reservoir/Pump Removal 62365 Ambulatory Procedures 6794 586 7380
Subcutaneous foreign body removal, foot (bilat) 28190 Ambulatory Procedures 2826 759 3585
Subcutaneous foreign body removal, foot (left) 28190 Ambulatory Procedures 1884 506 2390
Subcutaneous foreign body removal, foot (right) 28190 Ambulatory Procedures 1884 506 2390
Suprahyoid Lymphadenectomy (bilat) 38700 Ambulatory Procedures 10941 2406 13347
Suprahyoid Lymphadenectomy (left) 38700 Ambulatory Procedures 7294 1604 8898
Suprahyoid Lymphadenectomy (right) 38700 Ambulatory Procedures 7294 1604 8898
Surgical arthroscopy of knee with drilling and bone graft (bilat) 29885 Ambulatory Procedures 14908 2216 17124
Surgical arthroscopy of knee with drilling and bone graft (left) 29885 Ambulatory Procedures 9939 1477 11416
Surgical arthroscopy of knee with drilling and bone graft (right) 29885 Ambulatory Procedures 9939 1477 11416
Surgical arthroscopy of knee with drilling of intact osteochondritis dissecans lesion (bilat) 29886 Ambulatory Procedures 7187 2288 9475
Surgical arthroscopy of knee with drilling of intact osteochondritis dissecans lesion (left) 29886 Ambulatory Procedures 4791 1252 6043
Surgical arthroscopy of knee with drilling of intact osteochondritis dissecans lesion (right) 29886 Ambulatory Procedures 4791 1252 6043
Surgical arthroscopy of knee with lysis of adhesions (bilat) 29884 Ambulatory Procedures 7187 1815 9002
Surgical arthroscopy of knee with lysis of adhesions (left) 29884 Ambulatory Procedures 4791 1210 6001
Surgical arthroscopy of knee with lysis of adhesions (right) 29884 Ambulatory Procedures 4791 1210 6001
Surgical closure of tracheal fistula with plastic repair 31825 Ambulatory Procedures 3234 1181 4415
Surgical endoscopy of nose and sinus with biopsy (bilat) 31237 Ambulatory Procedures 3113 761 3874
Surgical endoscopy of nose and sinus with biopsy (right) 31237 Ambulatory Procedures 2075 507 2582
Surgical endoscopy of nose and sinus with exploration of frontal sinus (bilat) 31276 Ambulatory Procedures 9200 1506 10706
Surgical endoscopy of nose and sinus with exploration of frontal sinus (right) 31276 Ambulatory Procedures 6133 1004 7137
Surgical endoscopy of nose and sinus with maxillary antrostomy (bilat) 31267 Ambulatory Procedures 9200 948 10148
Surgical endoscopy of nose and sinus with maxillary antrostomy (right) 31267 Ambulatory Procedures 6133 632 6765
Surgical endoscopy of nose and sinus with partial ethmoidectomy (bilat) 31254 Ambulatory Procedures 9200 815 10015
Surgical endoscopy of nose and sinus with partial ethmoidectomy (right) 31254 Ambulatory Procedures 6133 543 6676
Surgical endoscopy of nose and sinus with sphenoidotomy (bilat) 31287 Ambulatory Procedures 9200 692 9892
Surgical endoscopy of nose and sinus with sphenoidotomy (bilat) 31288 Ambulatory Procedures 9200 801 10001
Surgical endoscopy of nose and sinus with sphenoidotomy (right) 31287 Ambulatory Procedures 6133 461 6594
Surgical endoscopy of nose and sinus with sphenoidotomy (right) 31288 Ambulatory Procedures 6133 534 6667
Surgical endoscopy of nose with concha bullosa resection (bilat) 31240 Ambulatory Procedures 3113 480 3593
Surgical endoscopy of nose with concha bullosa resection (right) 31240 Ambulatory Procedures 2075 320 2395
Surgical endoscopy of nose with control of nasal hemorrhage (bilat) 31238 Ambulatory Procedures 3113 759 3872
Surgical endoscopy of nose with control of nasal hemorrhage (right) 31238 Ambulatory Procedures 2075 506 2581
Surgical endoscopy of sinus with inferior orbital wall decompression (bilat) 31292 Ambulatory Procedures 9200 2975 12175
Surgical endoscopy of sinus with inferior orbital wall decompression (left) 31292 Ambulatory Procedures 6133 1983 8116
Surgical endoscopy of sinus with inferior orbital wall decompression (right) 31292 Ambulatory Procedures 6133 1983 8116
Surgical hysteroscopy with complete hysterectomy and removal of fallopian tube 58571 Ambulatory Procedures 15191 1756 16947
Surgical hysteroscopy with complete hysterectomy and removal of fallopian tube 58573 Ambulatory Procedures 15191 2379 17570
Surgical laparoscopy with ablation of renal mass (bilat) 50542 Ambulatory Procedures 20583 3485 24068
Surgical laparoscopy with ablation of renal mass (left) 50542 Ambulatory Procedures 15191 2328 17519
Surgical laparoscopy with ablation of renal mass (right) 50542 Ambulatory Procedures 15191 2328 17519
Surgical laparoscopy with appendectomy 44970 Ambulatory Procedures 8002 1186 9188
Surgical laparoscopy with biopsy 49321 Ambulatory Procedures 8002 682 8684
Surgical laparoscopy with insertion of tunneled intraperitoneal catheter 49324 Ambulatory Procedures 8002 771 8773
Surgical laparoscopy with jejunostomy 44186 Ambulatory Procedures 8002 1288 9290
Surgical laparoscopy with partial nephrectomy (bilat) 50543 Ambulatory Procedures 20583 4442 25025
Surgical laparoscopy with partial nephrectomy (left) 50543 Ambulatory Procedures 15191 2971 18162
Surgical laparoscopy with partial nephrectomy (right) 50543 Ambulatory Procedures 15191 2971 18162
Surgical laparoscopy with repair of incarcerated epigastric hernia (bilat) 49653 Ambulatory Procedures 12003 2748 14751
Surgical laparoscopy with repair of incarcerated epigastric hernia (left) 49653 Ambulatory Procedures 8002 1832 9834
Surgical laparoscopy with repair of incarcerated epigastric hernia (right) 49653 Ambulatory Procedures 8002 1832 9834
Surgical laparoscopy with repair of incarcerated incisional hernia (bilat) 49655 Ambulatory Procedures 20583 3057 23640
Surgical laparoscopy with repair of incarcerated incisional hernia (left) 49655 Ambulatory Procedures 13722 2038 15760
Surgical laparoscopy with repair of incarcerated incisional hernia (right) 49655 Ambulatory Procedures 13722 2038 15760
Surgical laparoscopy with repair of inguinal hernia (bilat) 49650 Ambulatory Procedures 12003 1266 13269
Surgical laparoscopy with repair of inguinal hernia (left) 49650 Ambulatory Procedures 8002 844 8846
Surgical laparoscopy with repair of inguinal hernia (right) 49650 Ambulatory Procedures 8002 844 8846
Surgical laparoscopy with repair of recurrent inguinal hernia (bilat) 49651 Ambulatory Procedures 12003 1644 13647
Surgical laparoscopy with repair of recurrent inguinal hernia (left) 49651 Ambulatory Procedures 8002 1096 9098
Surgical laparoscopy with repair of recurrent inguinal hernia (right) 49651 Ambulatory Procedures 8002 1096 9098
Surgical laparoscopy with repair of reducible incisional hernia (bilat) 49654 Ambulatory Procedures 20583 2504 23087
Surgical laparoscopy with repair of reducible incisional hernia (left) 49654 Ambulatory Procedures 13722 1669 15391
Surgical laparoscopy with repair of reducible incisional hernia (right) 49654 Ambulatory Procedures 13722 1669 15391
Surgical laparoscopy with repair of reducible spigelian hernia (bilat) 49652 Ambulatory Procedures 12003 2204 14207
Surgical laparoscopy with repair of reducible spigelian hernia (left) 49652 Ambulatory Procedures 8002 1469 9471
Surgical laparoscopy with repair of reducible spigelian hernia (right) 49652 Ambulatory Procedures 8002 1469 9471
Tendodesis of long tendon of Biceps (bilat) 23430 Ambulatory Procedures 14909 2196 17105
Tendodesis of long tendon of Biceps (left) 23430 Ambulatory Procedures 9939 1464 11403
Tendodesis of long tendon of Biceps (right) 23430 Ambulatory Procedures 9939 1464 11403
Tenotomy Elbow W/Debride, soft tiss/bone, Open (bilat) 24358 Ambulatory Procedures 7187 1533 8720
Tenotomy Elbow W/Debride, soft tiss/bone, Open (left) 24358 Ambulatory Procedures 4791 1022 5813
Tenotomy Elbow W/Debride, soft tiss/bone, Open (right) 24358 Ambulatory Procedures 4791 1022 5813
Therapeutic fracture of inferior turbinate (bilat) 30930 Ambulatory Procedures 4851 363 5214
Therapeutic fracture of inferior turbinate (right) 30930 Ambulatory Procedures 3234 242 3476
Thoracoscopy W Bx Infiltrate 32607 Ambulatory Procedures 6306 613 6919
Thoracoscopy W Bx Nodule 32608 Ambulatory Procedures 6306 751 7057
Thoracoscopy W Bx Pleura 32609 Ambulatory Procedures 6306 514 6820
Thyroidectomy (bilat) 60260 Ambulatory Procedures 11868 3252 15120
Thyroidectomy (left) 60260 Ambulatory Procedures 7912 2168 10080
Thyroidectomy (right) 60260 Ambulatory Procedures 7912 2168 10080
Thyroidectomy by cervical approach 60271 Ambulatory Procedures 7912 2097 10009
Tongue base suspension using permanent suture 41512 Ambulatory Procedures 7912 1331 9243
Transesophageal Echo (TEE) 2D, Probe Plcmt Only 93313 Ambulatory Procedures 1397 45 1442
Transthoracic Echo (TTE), Congenital, Complete (GLOBAL) 93303 Ambulatory Procedures 1397 333 1730
Transthoracic Echo (TTE), Congenital, F/U or Limited (GLOBAL) 93304 Ambulatory Procedures 834 227 1061
Transthoracic Echocardiogram (2D, Doppler & Color) 93306 Ambulatory Procedures 899 127 1147
Treat Lower Leg Joint (bilat) 27829 Ambulatory Procedures 7187 2013 9200
Treat Lower Leg Joint (left) 27829 Ambulatory Procedures 4791 1342 6133
Treat Lower Leg Joint (right) 27829 Ambulatory Procedures 4791 1342 6133
Treat Lunk Lining Chemically 32560 Ambulatory Procedures 966 474 1440
Treat Metatarsal Fracture 28476 Ambulatory Procedures 4791 691 5482
Treat Metatarsal Fracture 28485 Ambulatory Procedures 4791 1039 5830
Treat Thigh Fracture (bilat) 27235 Ambulatory Procedures 14909 2682 17591
Treat Thigh Fracture (left) 27235 Ambulatory Procedures 9939 1788 11727
Treat Thigh Fracture (right) 27235 Ambulatory Procedures 9939 1788 11727
Treatment Of Ankle Fracture (bilat) 27760 Ambulatory Procedures 518 972 1490
Treatment Of Ankle Fracture (bilat) 27792 Ambulatory Procedures 14909 1923 16832
Treatment Of Ankle Fracture (left) 27760 Ambulatory Procedures 345 648 993
Treatment Of Ankle Fracture (left) 27792 Ambulatory Procedures 9939 1282 11221
Treatment Of Ankle Fracture (right) 27760 Ambulatory Procedures 345 648 993
Treatment Of Ankle Fracture (right) 27792 Ambulatory Procedures 9939 1282 11221
Treatment Of Tibia Fracture (bilat) 27759 Ambulatory Procedures 21192 2948 24140
Treatment Of Tibia Fracture (left) 27759 Ambulatory Procedures 20246 1965 22211
Treatment Of Tibia Fracture (right) 27759 Ambulatory Procedures 20246 1965 22211
Trigger Point Injection - 20552 Ambulatory Procedures 464.68 108 572.68
Trim Nail(S) G0127 Ambulatory Procedures 112 45 157
Trim Skin Lesion 11055 Ambulatory Procedures 236 92 328
Trim Skin Lesions, Over 4 11057 Ambulatory Procedures 85 35 120
Trtment Of Ankle Fracture (bilat) 27814 Ambulatory Procedures 14909 2276 17185
Trtment Of Ankle Fracture (bilat) 27822 Ambulatory Procedures 14909 2478 17387
Trtment Of Ankle Fracture (left) 27814 Ambulatory Procedures 9939 1517 11456
Trtment Of Ankle Fracture (left) 27822 Ambulatory Procedures 9939 1652 11591
Trtment Of Ankle Fracture (right) 27814 Ambulatory Procedures 9939 1517 11456
Trtment Of Ankle Fracture (right) 27822 Ambulatory Procedures 9939 1652 11591
Tympanic membrane repair (bilat) 69610 Ambulatory Procedures 4851 1136 5987
Tympanic membrane repair (right) 69610 Ambulatory Procedures 3234 757 3991
Tympanometry & Reflex Threshold 92550 Ambulatory Procedures 260 42 302
Tympanometry (Impedance Testing) 92567 Ambulatory Procedures 61 28 89
Tympanoplasty w/ mastoidectomy, w/o ossic chain recon (bilat) 69641 Ambulatory Procedures 11868 3095 14963
Tympanoplasty w/ mastoidectomy, w/o ossic chain recon (left) 69641 Ambulatory Procedures 7912 2063 9975
Tympanoplasty w/ mastoidectomy, w/o ossic chain recon (right) 69641 Ambulatory Procedures 7912 2063 9975
Tympanoplasty w/o mast, w/ ossic chain recon and synthetic prosthesis (bilat) 69633 Ambulatory Procedures 11868 3102 14970
Tympanoplasty w/o mast, w/ ossic chain recon and synthetic prosthesis (left) 69633 Ambulatory Procedures 7912 2068 9980
Tympanoplasty w/o mast, w/ ossic chain recon and synthetic prosthesis (right) 69633 Ambulatory Procedures 7912 2068 9980
Tympanoplasty w/o mastoidectomy, w/ ossicular chain recon (bilat) 69632 Ambulatory Procedures 11868 3197 15065
Tympanoplasty w/o mastoidectomy, w/ ossicular chain recon (left) 69632 Ambulatory Procedures 7912 2131 10043
Tympanoplasty w/o mastoidectomy, w/ ossicular chain recon (right) 69632 Ambulatory Procedures 7912 2131 10043
Tympanoplasty w/o mastoidectomy, w/o ossicular chain recon (bilat) 69631 Ambulatory Procedures 11868 2624 14492
Tympanoplasty w/o mastoidectomy, w/o ossicular chain recon (right) 69631 Ambulatory Procedures 7912 1749 9661
Tympanoplasty with antrotomy (bilat) 69635 Ambulatory Procedures 11868 3666 15534
Tympanoplasty with antrotomy (left) 69635 Ambulatory Procedures 7912 2444 10356
Tympanoplasty with antrotomy (right) 69635 Ambulatory Procedures 7912 2444 10356
Tympanostomy w vent tube, general anesthesia (bilat) 69436 Ambulatory Procedures 4851 476 5327
Tympanostomy w vent tube, general anesthesia (right) 69436 Ambulatory Procedures 3234 317 3551
Tympanostomy, w vent tube, local/topical anesthesia (bilat) 69433 Ambulatory Procedures 939 594 1533
Tympanostomy, w vent tube, local/topical anesthesia (right) 69433 Ambulatory Procedures 626 396 1022
U/S Guidance for Needle Placement 76942 Ambulatory Procedures 450 66 516
URO Bladder Scan Ambulatory Procedures 182
URO PVR/Bladder Capacity Measurement - US Ambulatory Procedures 182
URO: 51700 - Bladder Instillation Ambulatory Procedures 413 162 575
URO: 55250 - Removal Of Sperm Duct(S) Ambulatory Procedures 3013 747 3760
Unilateral complete thyroid lobectomy w/ contralateral subtotal lobectomy 60225 Ambulatory Procedures 8002 1844 9846
Unilateral partial thyroid lobectomy 60210 Ambulatory Procedures 8002 1399 9401
Unilateral removal of impacted cerumen by irrigation (bilat) 69209 Ambulatory Procedures 168 36 204
Unilateral removal of impacted cerumen by irrigation (left) 69209 Ambulatory Procedures 112 24 136
Unilateral removal of impacted cerumen by irrigation (right) 69209 Ambulatory Procedures 112 24 136
Unlisted Procedure,Arthroscopy (bilat) 29999 Ambulatory Procedures 4367 4367
Unlisted Procedure,Arthroscopy (left) 29999 Ambulatory Procedures 4367 4367
Unlisted Procedure,Arthroscopy (right) 29999 Ambulatory Procedures 4367 4367
Unlisted Vascular Surgery Procedure 37799 Ambulatory Procedures 1725 1725
Upgrade Pacemaker from single lead to dual lead system 33214 Ambulatory Procedures 19496 968 20464
Ureteral endoscopy through est ureterostomy (bilat) 50961 Ambulatory Procedures 4520 1146 5666
Ureteral endoscopy through est ureterostomy (right) 50961 Ambulatory Procedures 3013 764 3777
Uroflowmetry 51741 Ambulatory Procedures 260 31 291
VNS Evaluation 95970 Ambulatory Procedures 182 131 313
VNS Programming 1st hour 95974 Ambulatory Procedures 213 407 620
Varicocele Excision or Spermatic Vein Ligation for Varicocele (bilat) 55530 Ambulatory Procedures 6731 1176 7907
Varicocele Excision or Spermatic Vein Ligation for Varicocele (right) 55530 Ambulatory Procedures 4487 697 5184
Vas Deferens Repair (Reverse Vasectomy) (bilat) 55400 Ambulatory Procedures 6731 1515 8246
Vas Deferens Repair (Reverse Vasectomy) (left) 55400 Ambulatory Procedures 4487 1010 5497
Vas Deferens Repair (Reverse Vasectomy) (right) 55400 Ambulatory Procedures 4487 1010 5497
Venipuncture of scalp vein 36405 Ambulatory Procedures 52 52
Ventricular puncture through fontanelle 61020 Ambulatory Procedures 1170 199 1369
Vestibular Evaluation Complete 4 92540 Ambulatory Procedures 441 42 483
Wound Closure W/Adhesive G0168 Ambulatory Procedures 197 197
Wound Exploration Trauma (penetrating gunshot, stab wound) Ambulatory Procedures 825.25 1189 2014.25
Wrist hand orthosis, cock-up, non molded, prefab, off-the-shelf L3908 Ambulatory Procedures 140 0 140
XXX: 51798 - PVR/Bladder Capacity Measurement - US Ambulatory Procedures 182
XXX: 51798 - URO Bladder Scan Ambulatory Procedures 182
Xtrnl Ecg Less than 48 Hr Record Scan Stor w/Phy R+I 93224 Ambulatory Procedures 175 175
tx tarsal bone fx xcp talus&calcn w/o manip Ambulatory Procedures 400 376 776
ASO Ankle Brace L1902 Ambulatory Supplies 189
Achiles Boot L4386 Ambulatory Supplies 301
Aerosol mask, used with dme nebulizer A7015 Ambulatory Supplies 0
Ankle Aircast L4350 Ambulatory Supplies 163
Ankle Stabilizer Brace L4350 Ambulatory Supplies 163
Arm Sling A4565 Ambulatory Supplies 0
CMC Thumbsaver L3923 Ambulatory Supplies 154
Cam Walker L4361 Ambulatory Supplies 521
Cane E0100 Ambulatory Supplies 0
Cannula, nasal A4615 Ambulatory Supplies 0
Cast Boot L3265 Ambulatory Supplies 25
Cervical Collar L0120 Ambulatory Supplies 48
Clavical Strap L3650 Ambulatory Supplies 120
Crutches E0112 Ambulatory Supplies 0
Crutches, underarm, pair E0114 Ambulatory Supplies 0 0 0
Dorsal Night Splint L4396 Ambulatory Supplies 317
Elbow orthosis, w/o joints, custom fabricated L3702 Ambulatory Supplies 497.88
Elbow/Heel Protector E0191 Ambulatory Supplies 0
Eye Patch A6412 Ambulatory Supplies 5 0 5
Finger Splint Aluminum/plastic Staxx A4570 Ambulatory Supplies 0
Fo Nontorsion Joint Prefab L3931 Ambulatory Supplies 339.16
Heel Cup L3485 Ambulatory Supplies 24
Heel Lift, Adjustable L3332 Ambulatory Supplies 139
Heel Pad L3485 Ambulatory Supplies 24
Heel Pad Tuli Rubber L3170 Ambulatory Supplies 96
Iodine I-123 Sod Iodide Mic A9516 Ambulatory Supplies 182 0 182
Knee Brace - Hinged L1820 Ambulatory Supplies 267
Knee Immobilizer L1830 Ambulatory Supplies 188
Knee Reaction Brace L1812 Ambulatory Supplies 195
Knee orthosis, immobilizer, canvas longitudinal, prefab, off-the-shelf Ambulatory Supplies 188.24
Lumbar Support L0631 Ambulatory Supplies 1944
Plas Shoe Insert W Ank Joint L2180 Ambulatory Supplies 212.56
Plaster Cast Supplies A4580 Ambulatory Supplies 10 0 10
Post Op / Cast Shoe L3260 Ambulatory Supplies 36
Pr Absorpt Drg <=16 Sq In W/Bdr A6254 Ambulatory Supplies 5 0 5
Pr Cath W/Drainage 2-Way Latex A4314 Ambulatory Supplies 25 0 25
Pr Cath W/Drainage 2-Way Silcne A4315 Ambulatory Supplies 25 0 25
Pr Catheter W/O Bag 2-Way Latex A4311 Ambulatory Supplies 25 0 25
Pr Disposable Canister For Pump A7000 Ambulatory Supplies 0 0 0
Pr Disposable Corrugated Tubing A7010 Ambulatory Supplies 0 0 0
Pr Foam Drg >16<=48 Sq In W/O B A6210 Ambulatory Supplies 6 0 6
Pr Gauze <=16 In No W/Sal W/O B A6222 Ambulatory Supplies 5 0 5
Pr Hand-Held Pefr Meter A4614 Ambulatory Supplies 0
Pr Hydrocolld Drg <=16 W/O Bdr A6234 Ambulatory Supplies 9 0 9
Pr Self-Adher Band W>=3 <5/Yd A6454 Ambulatory Supplies 5 0 5
Pr Skin Seal Protect Moisturizr A6250 Ambulatory Supplies 5 0 5
Pr Spacer Bag/Reservoir A4627 Ambulatory Supplies 7 0 7
Pr Sterile Gauze>16 <= 48 Sq In A6403 Ambulatory Supplies 5 0 5
Pr Tc99M Labeled Rbc A9560 Ambulatory Supplies 150
Pr Tc99M Medronate A9503 Ambulatory Supplies 31 0 31
Pr Tc99M Mertiatide A9562 Ambulatory Supplies 604 0 604
Pr Tc99M Pertechnetate A9512 Ambulatory Supplies 25 0 25
Pr Tc99M Pyrophosphate A9538 Ambulatory Supplies 84 0 84
Pr Tc99M Sestamibi A9500 Ambulatory Supplies 108
Pr Tl201 Thallium A9505 Ambulatory Supplies 0 202 202
Pr Transparent Film > 48 Sq In A6259 Ambulatory Supplies 10 0 10
Pr Transparent Film >16<=48 In A6258 Ambulatory Supplies 5 0 5
Pr Urinary Leg Or Abdomen Bag A4358 Ambulatory Supplies 10 0 10
Pump, Insulin Infusion Needle A4231 Ambulatory Supplies 0 0 0
Pump, Insulin Infusion Non-Needle A4230 Ambulatory Supplies 0 0 0
Rezum sterile tray Ambulatory Supplies 4880
SYNTHETIC IMPLANT URINARY L8606 Ambulatory Supplies 415.88
Shoulder orthosis, figure eight design, canvas/ webbing L3660 Ambulatory Supplies 186.82
Special Casting Material A4590 Ambulatory Supplies 0
TKO Knuckle Orthosis L3807 Ambulatory Supplies 431
Tennis Elbow Brace L3702 Ambulatory Supplies 497
Thor Rib Belt Custom Fabrica L0220 Ambulatory Supplies 280.16
Thumb Spica Splint L3809 Ambulatory Supplies 431
Tte W Or W/O Contr, Cont Ecg C8930 Ambulatory Supplies 1342 1342
Tte W Or Wo Fol Wcon,Doppler C8929 Ambulatory Supplies 1342 1342
Tubular Dressing A6457 Ambulatory Supplies 5 0 5
Ultra Sling Shoulder L3670 Ambulatory Supplies 238
Vista Collar L0174 Ambulatory Supplies 498
Wrist Splint - Cock up/forearm L3908 Ambulatory Supplies 141
XROM Elbow Left L3760 Ambulatory Supplies 862
XROM Elbow Right L3760 Ambulatory Supplies 862
XROM Knee L1832 Ambulatory Supplies 1471
88108 Cyto-Respiratory Anatomic Pathology 129
88112 Bronchial Washing Anatomic Pathology 135
88112 Cyto-Fluids Anatomic Pathology 112
88142 AP Bill Gyn Cytology Liquid Prep Anatomic Pathology 50
88160 Miscellaneous Smear Anatomic Pathology 75
88175 AP Bill Gyn Cytology Liquid Pap Image guided Anatomic Pathology 84
88300 Gross Level I Anatomic Pathology 54
88302 Gross Level II Anatomic Pathology 75
88304 Gross Level III Anatomic Pathology 112
88305 Gross Level IV Anatomic Pathology 172
88307 Gross Level V Anatomic Pathology 286
88309 Gross Level VI Anatomic Pathology 463
88311 Decalcification Anatomic Pathology 51
88312 Special Stain I Micro Anatomic Pathology 70
88313 Special Stain II PAS Group Anatomic Pathology 70
88331 Path Exam Frozen Anatomic Pathology 112
88332 Frozen Section Add'l Anatomic Pathology 45
88341 Special Stain VI Immuno Anatomic Pathology 119
88342 Special Stain V Immuno Anatomic Pathology 119
88344 Special Stain VII Immuno Anatomic Pathology 574
88346 Special Stain IV Silver Anatomic Pathology 148
AFIP 1 Anatomic Pathology 199
AFIP 2 Anatomic Pathology 81
AFIP 3 Anatomic Pathology STAT
Blanks Anatomic Pathology 28
Calculi Send Out Anatomic Pathology 200
Consult - Slides Anatomic Pathology 290
Consult - Slides & Blocks Anatomic Pathology 579
Consult - Slides, Blocks, & Special Stains Anatomic Pathology 1159
Coposcopy A Anatomic Pathology 112
Coposcopy B Anatomic Pathology 70
Cyto-GYN Conventional PAP Anatomic Pathology 38
Cyto-Hormonal Evaluation Anatomic Pathology 24
Cyto-Urine Anatomic Pathology 112
ERA Test Anatomic Pathology 165
Fine Needle Biopsy Anatomic Pathology 157
Gastric Washing Anatomic Pathology 135
HMW 34BE Test Anatomic Pathology 408
Herceptin Test Anatomic Pathology 172
KI67 Test Anatomic Pathology 165
PRA Test Anatomic Pathology 165
Recut H&E Anatomic Pathology 112
Diabetic Teaching Book Asmt/Tx/Monitoring STAT
Diabetic Teaching Book Asmt/Tx/Monitoring STAT
ED C-Spine Collar Asmt/Tx/Monitoring 313
ED Clavicle Strap Application Asmt/Tx/Monitoring 28
ED Knee Immobilizer Application Asmt/Tx/Monitoring 73
ED Knee Immobilizer Application Asmt/Tx/Monitoring 73
ED Splint Application Asmt/Tx/Monitoring 49
ED Splint Application Asmt/Tx/Monitoring 49
ED Splint Application Asmt/Tx/Monitoring 35
ED Splint Application Asmt/Tx/Monitoring 35
ED Splint Application Asmt/Tx/Monitoring 48
POC Urine Dipstick Asmt/Tx/Monitoring 15
Alerting device access Audiology Tx/Procedures 40
Alerting system Audiology Tx/Procedures 150
Base charger Audiology Tx/Procedures 75
L8692 Auditory Osseointegrated Device Audiology Tx/Procedures 230
Rechargable batteries Audiology Tx/Procedures 25
Rechargable battery door Audiology Tx/Procedures 40
V5014 Hearing Aid Repair 1 Audiology Tx/Procedures 175
V5014 Hearing Aid Repair 2 Audiology Tx/Procedures 250
V5014 Hearing Aid Repair 3 Audiology Tx/Procedures 325
V5014 Hearing Aid Repair 4 Audiology Tx/Procedures 125
V5014 Hearing Aid Replace Part Audiology Tx/Procedures 9
V5014 Hearing Aid Shipping Audiology Tx/Procedures 20
V5264 Earmold Each Audiology Tx/Procedures 75
V5266 Hearing Aid Batteries Audiology Tx/Procedures 7
V5274 Assistive Listening Device Audiology Tx/Procedures 195
V5299 Earplugs/Protection Mon Audiology Tx/Procedures 230
A1+ Blood Bank 215
A1- Blood Bank 215
Antibody Screen Blood Bank 98
Antibody Screen DTT Blood Bank 98
Antibody Screen LISS Blood Bank 98
Antigen Type Blood Bank 35
Autologous Collection Fee Blood Bank 146
BBThawing Fee Blood Bank 92
C+ Blood Bank 215
C- Blood Bank 215
Computer Crossmatch Interp Blood Bank 390
Cord DAT Blood Bank 33
Cw+ Blood Bank 215
Cw- Blood Bank 215
D+ Blood Bank 215
D- Blood Bank 215
DAT IgG -> 0 Blood Bank 33
DAT IgG -> 1+ Blood Bank 33
DAT IgG -> 2+ Blood Bank 33
DAT IgG -> 3+ Blood Bank 33
DAT IgG -> 4+ Blood Bank 33
DAT IgG -> H Blood Bank 33
DAT IgG -> R Blood Bank 33
DAT IgG -> mf Blood Bank 33
DAT IgG -> w+ Blood Bank 33
DAT Poly -> 0 Blood Bank 60
DAT Poly -> 1+ Blood Bank 60
DAT Poly -> 2+ Blood Bank 60
DAT Poly -> 3+ Blood Bank 60
DAT Poly -> 4+ Blood Bank 60
DAT Poly -> H Blood Bank 60
DAT Poly -> R Blood Bank 60
DAT Poly -> mf Blood Bank 60
DAT Poly -> w+ Blood Bank 60
E+ Blood Bank 215
E- Blood Bank 215
Eluate Blood Bank 81
Fetal Cell Stain Blood Bank 108
Fetal Screen Blood Bank 80
FyA+ Blood Bank 215
FyA- Blood Bank 215
FyB+ Blood Bank 215
FyB- Blood Bank 215
JkA+ Blood Bank 215
JkA- Blood Bank 215
JkB+ Blood Bank 215
JkB- Blood Bank 215
K+ Blood Bank 215
K- Blood Bank 215
LeA+ Blood Bank 215
LeA- Blood Bank 215
LeB+ Blood Bank 215
LeB- Blood Bank 215
M+ Blood Bank 215
M- Blood Bank 215
N+ Blood Bank 215
N- Blood Bank 215
Number of Panels -> 1 Blood Bank 261
Number of Panels -> 2 Blood Bank 261
Number of Panels -> 3 Blood Bank 261
Number of Panels -> 4 Blood Bank 261
Number of Panels -> 5 Blood Bank 261
P1+ Blood Bank 215
P1- Blood Bank 215
Reference Lab Antigen Charges Blood Bank 448
S+ Blood Bank 215
S- Blood Bank 215
SC1 Blood Bank 63.6
SC2 Blood Bank 63.6
SC3 Blood Bank 63.6
XM AHG Interp Blood Bank 58
XM AHG Interp Blood Bank 58
XM Gel Interp Blood Bank 58
XM Gel Interp Blood Bank 245
XM IS Interp Blood Bank 86
XM IS Interp Blood Bank 86
c+ Blood Bank 215
c- Blood Bank 215
e+ Blood Bank 215
e- Blood Bank 215
k+ Blood Bank 215
k- Blood Bank 215
s+ Blood Bank 215
s- Blood Bank 215
Auto RBC AS1 Blood Bank Product 445
Auto RBC AS1_0291 Blood Bank Product 445
Auto RBC AS1_0316 Blood Bank Product 445
Auto RBC AS1_0463 Blood Bank Product 445
Auto RBC AS1_4156 Blood Bank Product 445
Auto RBC AS3 Blood Bank Product 445
Auto RBC AS3_0341 Blood Bank Product 445
Auto RBC AS3_0366 Blood Bank Product 445
Auto RBC AS3_0465 Blood Bank Product 445
Auto RBC AS3_0605 Blood Bank Product 445
Auto RBC AS3_4157 Blood Bank Product 445
Auto RBC AS5 Blood Bank Product 445
Auto RBC AS5_0385 Blood Bank Product 445
Auto RBC AS5_0404 Blood Bank Product 445
Auto RBC AS5_0467 Blood Bank Product 445
Auto RBC AS5_4158 Blood Bank Product 445
Auto RBC CP2D Blood Bank Product 445
Auto RBC CP2D_0245 Blood Bank Product 445
Auto RBC CP2D_0262 Blood Bank Product 445
Auto RBC CPD Blood Bank Product 445
Auto RBC CPDA1 Blood Bank Product 445
Auto RBC CPDA1_0195 Blood Bank Product 445
Auto RBC CPDA1_0212