Skip to Content

Rule

Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals; Correction

Document Details

Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble Start Printed Page 9860

AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Correction of final rule with comment period.

SUMMARY:

This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register (FR) on November 27, 2007, entitled “Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals.”

DATES:

Effective Date: January 1, 2008 except that the correction to §485.610(e) is effective February 22, 2008.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Alberta Dwivedi, (410) 786-0378.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 07-5507 of November 27, 2007 (72 FR 66579), we have identified a number of technical and typographical errors that we describe in the “Summary of Errors” section and correct in the “Correction of Errors” section below. The provisions in this correction notice are effective as if they had been included in the document published on November 27, 2007. Accordingly, the corrections are effective January 1, 2008.

II. Summary of Errors

On November 27, 2007, we published a final rule with comment period entitled, “Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals,” (hereinafter referred to as the OPPS/ASC final rule with comment period). Included in that document were technical and typographical errors.

We incorrectly stated that the application deadline for submitting applications for a new class of new technology intraocular lenses in the “Dates” section under Application Deadline—New Class of New Technology Intraocular Lens was April 1, 2008. In the preamble to the OPPS/ASC final rule with comment period (72 FR 66855), we stated the correct application deadline date as March 14, 2008. We are changing the application deadline in the “Dates” section to reflect the correct date of March 14, 2008. We also stated that approximately 131 million final action claims were used for hospital outpatient department services furnished on or after January 1, 2006 and before January 1, 2007 for the purpose of recalibrating the OPPS relative weights for CY 2008. The actual number of final action claims used was 141 million. In addition, we stated that we would provide further instructions about reporting echocardiography procedures with and without contrast in the January 2007 OPPS update. The correct reference should have been to the January 2008 OPPS update and we are correcting the statement. Furthermore, we are correcting the typographical errors that mistakenly reversed the listings for the composite APC procedure codes for APC 8001 and APC 8000.

We also inadvertently failed to address in the OPPS/ASC final rule with comment period two timely public comments. This document includes summaries of those public comments and our responses.

The OPPS/ASC final rule with comment period included several addenda. We are adding three HCPCS codes (CPT codes 90650, 90681, and 90696) to Addendum B because they are new active CPT codes for CY 2008 that we omitted from the CY 2008 OPPS/ASC final rule with comment period. In publishing Addenda A and B, we inadvertently published incorrect minimum unadjusted copayment rates for several pass-through drugs and biologicals. Additionally, for several HCPCS codes where payment is based on mean costs from hospital claims, we inadvertently published CY 2007 payment rates instead of CY 2008 payment rates. In addition, in Addendum B, we inadvertently assigned status indicator “L” to new CPT codes 90661, 90662, and 90663 that indicated these codes would be paid in CY 2008. These three CPT codes actually describe vaccines where there are currently no FDA-approved products and, therefore, these codes are noncovered by Medicare as of January 2008. We are changing the status indicator to “E”, to reflect the correct status. Furthermore, we inadvertently assigned a payable status indicator to HCPCS code G0377. We note that this is a noncovered service under Medicare Part B in accordance with the statute as of January 1, 2008. Also, in Addendum B, we incorrectly assigned status indicator “M”, indicating services not billable to the fiscal intermediary, to new CY 2008 HCPCS code G9140, when this service may be paid off another fee schedule by fiscal intermediaries.

In addition, we are republishing Addenda AA and BB to take into account updated Medicare Physician Fee Schedule (MPFS) CY 2008 information. As required at 42 CFR § 416.171(d), the revised ASC payment system limits payment for office-based procedures and covered ancillary radiology services to the lesser of the ASC rate or the amount calculated by multiplying the nonfacility practice expense (PE) relative value units (RVUs) for the service by the conversion factor under the MPFS. However, the PE RVUs listed for many CPT codes in Addendum B of the CY 2008 MPFS final rule (72 FR 66222) were incorrect due to a methodological error and consequently, have been corrected in a correction notice to that final rule (73 FR 2568). Since the ASC payment amounts for office-based procedures and covered ancillary services are determined using the amounts in the MPFS final rule, we must correct the CY 2008 payment amounts for ASC procedures and services using the Start Printed Page 9861corrected MPFS amounts. The corrected payment amounts are reflected in Addenda AA and BB to this correction notice. Lastly, we inadvertently labeled two Addendum as Addendum DD2 and are correcting “Addendum DD2-OPPS Comment Indicators” to read “Addendum D2-OPPS Comment Indicators.” In Addendum M, we inadvertently assigned incorrect APCs to HCPCS codes 90862, 96102, and M0064. The APC assignments of these individual services were correct in Addendum B to the CY 2008 OPPS/ASC final rule with comment period (72 FR 67096, 67103, and 67160) that identified OPPS payment by HCPCS code. Therefore, we are correcting their assignments in Addendum M that identified HCPCS codes that may be paid through composite APCs to reflect their correct OPPS treatment if they are paid through a single code APC.

III. Correction of Errors

In FR Doc. 07-5507 (72 FR 66579), we are making the following corrections:

1. On page 66580, in the second column, line 6 of the paragraph entitled, “Application Deadline—New Class of New Technology Intraocular Lens:” in the “Dates” section, the application deadline date “April 1, 2008” is corrected to read “March 14, 2008”.

2. On page 66589, in the first column, in line 15, the number “131 million” is corrected to read “141 million.”

3. On page 66644, in the third column, in lines 12 and 13, the date “January 2007” is corrected to read “January 2008.”

4. On page 66669, in the third column, fourth full paragraph, the paragraph is deleted and replaced in its entirety to read as follows:

We received one comment related to our proposal.

Comment: A commenter disagreed with the statement in the CY 2008 OPPS/ASC proposed rule that the circumstances in which total body hypothermia would be provided to a Medicare beneficiary would be extremely rare. The commenter stated that approximately 72 percent of all U.S. hospitals do not have cardiac catheterization or open heart surgery capabilities. The commenter also stated that it would be common for many post-cardiac arrest patients who are treated in these hospitals to be transferred to another facility that can provide the necessary services. The commenter also disagreed that low-cost methods to induce hypothermia, such as applying ice packs to the patient, are viable alternatives to technologically advanced methods of inducing hypothermia, specifically because the low-cost methods are ineffective and inconvenient. According to the commenter, the small number of claims (39 in CY 2006) and low median cost ($35) for CPT code 99816 (Hypothermia; total body) mean that a hospital receives no additional payment when providing hypothermia. The commenter recommended that CMS create a Level II HCPCS G-code for technologically advanced methods of inducing hypothermia, and that CMS pay separately for this new code.

Response: We proposed to package payment for CPT code 99816 for CY 2008. We continue to believe that when a patient presents to one hospital and then is cooled and transported to another hospital without admission to the first hospital, payment for the hypothermia service would be most appropriately packaged into payment for the many other separately payable services that it most likely accompanied and that would be paid to the first hospital under the OPPS. To the extent that technologically advanced methods to induce hypothermia may become an adopted standard of care by more hospitals over time based on the evolution of clinical practice, the median cost for CPT code 99186 may change to reflect contemporary utilization patterns. In general, if a service is described by an existing CPT code, we do not create an additional Level II HCPCS code for payment. Instead, the commenter may wish to discuss the hypothermia service with the AMA's CPT Editorial Panel in order to assess the need for any changes to CPT codes. Therefore, we are finalizing our proposal to maintain the packaged status of CPT code 99186 for CY 2008.

5. On page 66726, in the second column, first full paragraph, under the heading “b. Endovenous Ablation (APC 0092)”, the paragraph is deleted and replaced in its entirety to read as follows:

“For CY 2008, we proposed to pay approximately $1,684 for CPT codes 36476 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites) and 36478 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated) through their proposed assignment to APC 0092 (Level I Vascular Ligation). In CY 2007, CPT code 36476 is assigned to APC 0091 (Level II Vascular Ligation), which has a proposed CY 2008 payment rate of $2,781. The proposed APC assignment for CPT code 36478 is the same as its CY 2007 APC assignment.

6. On page 66726, in the second column, second full paragraph, under the heading “b. Endovenous Ablation (APC 0092)”, the paragraph is deleted and replaced in its entirety to read as follows:

``We received several public comments on the proposed CY 2008 payment for CPT codes 36476 and 36478. A summary of the public comments and our response follow.''

Comment: A commenter disagreed with our proposed reassignment of add-on CPT code 36476 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites) from APC 0091 (Level II Vascular Ligation), with a proposed CY 2008 payment of approximately $2,781, to APC 0092 (Level I Vascular Ligation), with a proposed CY 2008 payment of approximately $1,684. According to the commenter, CPT code 36476 should remain in APC 0091, the same APC to which its associated primary CPT code, 36475 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated), was proposed for assignment in CY 2008. The commenter asserted that the procedures described by CPT codes 36475 and 36476 are clinically similar and use comparable resources, and that the application of the multiple procedure reduction to lower-paying APC 0092 would result in inaccurate payment for the CPT code 36476 add-on procedure, which always must be performed in conjunction with the primary procedure.

Response: We proposed to reassign 36476 from APC 0091 to APC 0092 because proposed rule claims data indicated that the costs associated with CPT code 36476 are more similar to the costs of other procedures assigned to APC 0092, taking into account the multiple surgical procedure 50 percent payment reduction that would be applied in the typical cases where CPT code 36476 was reported in conjunction with CPT code 36475. Final rule claims data support this reassignment; the median cost for CPT code 36476 is approximately $971, while the CY 2008 payment rate for APC 0092 is approximately $1,646, and the payment rate for APC 0091 is approximately $2,714. The median cost for the first vessel CPT code 36475 is much higher than that of CPT code 36476, at approximately $2,396, which we believe Start Printed Page 9862to be a reflection of the significantly higher relative cost of furnishing the initial service described by CPT code 36475 compared to the additional service described by CPT code 36476, likely due in part to the radiofrequency catheter cost that is associated with the initial service. We disagree with the commenter that CPT codes 36475 and 36476 are similar in terms of resource utilization based on this cost data.

The application of the multiple procedure reduction of 50 percent to APC 0092 when CPT code 36476 is billed with another procedure with status indicator ``T,'' such as CPT code 36475, would result in a payment of approximately $823, a sum that is only slightly less than the approximate $971 median cost of CPT code 36476. In contrast, if CPT code 36476 were assigned to APC 0091, the payment with the multiple procedure reduction would be approximately $1,357, a substantial overpayment. Therefore, we disagree with the commenter that assignment of CPT code 36476 to APC 0092 would result in inaccurate payment, even with application of the multiple procedure reduction. While it is true that the procedure described by CPT code 36476 is clinically similar to the procedure described by CPT code 36475 which is assigned to APC 0091 as the commenter asserts, it also is clinically similar to other procedures in APC 0092, which includes a variety of surgical procedures involving veins.

In summary, we continue to believe that the procedure described by CPT code 36476 is similar both clinically and in terms of resource utilization to other procedures assigned to APC 0092, even with application of the multiple procedure reduction. Therefore, after review of the public comment received, we are finalizing our proposal, without modification, to reassign CPT code 36476 to APC 0092 for CY 2008.

7. On page 66726, in the third column, the third full paragraph, the paragraph is deleted and replaced in its entirety to read as follows:

``After consideration of the public comments received, we are finalizing our CY 2008 proposal, without modification, to assign CPT codes 36476 and 36478 to APC 0092, with a median cost of about $1,626''.

8. On page 66906, in the third column, in the first full paragraph—

A. In line 16, the APC code “8000” is corrected to read “8001.”

B. In line 24, the APC code, “8001” is corrected to read “8000.”

Correction to Regulations Text

Start Amendment Part

On page 66934, the introductory text of § 485.610(e) is revised to read as follows:

End Amendment Part
Conditions of participation: Status and location.
* * * * *

(e) Standard: Off-campus and co-location requirements for CAHs. A CAH may continue to meet the location requirements of paragraph (c) of this section only if the CAH meets the following:

* * * * *

Corrections to Addenda

Addendum A.—OPPS APCS for CY 2008

Start Amendment Part

1. On page 66939, for APC 0825, in line 74, in column 7, the minimum unadjusted copayment “$17.37” is corrected to read “$17.20.”

End Amendment Part Start Amendment Part

2. On page 66940, for APC 0911, in line 43—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$129.75” is corrected to read “$20.89.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “25.95” is corrected to read “$4.18.”

End Amendment Part Start Amendment Part

3. On page 66940, for APC 0951, in line 7 from the bottom of the page, in column 7, the minimum unadjusted copayment “$44.16” is corrected to read “$43.74.”

End Amendment Part Start Amendment Part

4. On page 66941, for APC 0998, in line 11—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$88.15” is corrected to read “$12.24.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$17.63” is corrected to read “$2.45.”

End Amendment Part Start Amendment Part

5. On page 66941, for APC 1041, in line 27—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$172.41” is corrected to read “$19.81.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$34.48” is corrected to read “$3.96.”

End Amendment Part Start Amendment Part

6. On page 66941, for APC 1141, in line 36—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$67.96” is corrected to read “$42.24.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$13.59” is corrected to read “$8.37.”

End Amendment Part Start Amendment Part

7. On page 66941, for APC 1168, in line 42, in column 7, the minimum unadjusted copayment “$9.68” is corrected to read “$9.59.”

End Amendment Part Start Amendment Part

8. On page 66941, for APC 1169, in line 43—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$482.56” is corrected to read “$407.56.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$96.51” is corrected to read “$80.74.”

End Amendment Part Start Amendment Part

9. On page 66942, for APC 1606, in line 52—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$2,693.80” is corrected to read “$1,706.04.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$538.76” is corrected to read “$341.21.”

End Amendment Part Start Amendment Part

10. On page 66943, for APC 2940, in line 37—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$168.90” is corrected to read “$42.69.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$33.78” is corrected to read “$8.54.”

End Amendment Part Start Amendment Part

11. On page 66944, for APC 9051, in line 5—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$74.16” is corrected to read “$23.23.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$14.83” is corrected to read “$4.65.”

End Amendment Part Start Amendment Part

12. On page 66944, for APC 9126, in line 17, in column 7, the minimum unadjusted copayment “$1.50” is corrected to read “$1.49.”

End Amendment Part Start Amendment Part

13. On page 66944, for APC 9140, in line 23—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$119.86” is corrected to read “$118.82.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$23.97” is corrected to read “$23.76.”

End Amendment Part Start Amendment Part

14. On page 66944, for APC 9141, in line 24—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$45.53” is corrected to read “$66.38.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$9.11” is corrected to read “$13.28.”

End Amendment Part Start Amendment Part

15. On page 66944, for APC 9167, in line 29—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$77.96” is corrected to read “$219.39.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$15.59” is corrected to read “$43.88.”

End Amendment Part Start Amendment Part

16. On page 66944—

End Amendment Part Start Amendment Part

A. For APC 9227, in line 43, in column 7, the minimum unadjusted copayment “$0.29” is corrected to read “$0.28.”

End Amendment Part Start Amendment Part

B. For APC 9229, in line 45, in column 7, the minimum unadjusted copayment “$27.79” is corrected to read “$27.53.”

End Amendment Part Start Amendment Part

C. For APC 9230, in line 46, in column 7, the minimum unadjusted copayment “$3.74” is corrected to read “$3.70.”

End Amendment Part Start Amendment Part

D. For APC 9232, in line 48, in column 7, the minimum unadjusted copayment “$91.01” is corrected to read “$90.15.”

End Amendment Part Start Amendment Part

E. For APC 9233, in line 49, in column 7, the minimum unadjusted copayment “$406.05” is corrected to read “$402.22.”

End Amendment Part Start Amendment Part

F. For APC 9235, in line 51, in column 7, the minimum unadjusted copayment “$16.63” is corrected to read “$16.47.”

End Amendment Part Start Amendment Part

G. For APC 9236, in line 52, in column 7, the minimum unadjusted copayment “$35.28” is corrected to read “$34.94.”

End Amendment Part Start Amendment Part

17. On page 66944, for APC 9350, in line 55—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$482.56” is corrected to read “$496.87.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$96.51” is corrected to read “$98.44.”

End Amendment Part Start Amendment Part

18. On page 66944, for APC 9351, in line 56—

End Amendment Part Start Amendment Part

A. In column 5, the payment rate “$67.96” is corrected to read “$95.32.”

End Amendment Part Start Amendment Part

B. In column 7, the minimum unadjusted copayment “$13.59” is corrected to read “$18.88.”

End Amendment Part

ADDENDUM AA.—ASC COVERED SURGICAL PROCEDURES FOR CY 2008

We are republishing Addendum AA in its entirety. See attached chart.

ADDENDUM B.—OPPS PAYMENT BY HCPCS CODE FOR CY 2008

Start Amendment Part

1. On page 67095, the chart for HCPCS codes starting with HCPCS code 90649 through HCPCS code 90708 should read as follows:

End Amendment Part
HCPCS codeShort descriptorCISIAPCRelative weightPayment rateNational unadjusted copaymentMinimum unadjusted copayment
90650Hpv typ bival 3 dose, imNIE
90655Flu vaccine no preserv 6-35mL
90656Flu vaccine no preserv 3 & >L
90657Flu vaccine, 3 yrs, imL
90658Flu vaccine, 3 yrs & >, imL
90660Flu vaccine, nasalL
90661Flu vacc cell cult prsv freeNIE
90662Flu vacc prsv free inc antigNIE
90663Flu vacc pandemicNIE
90665Lyme disease vaccine, imN
90669Pneumococcal vacc, ped <5CHL
90675Rabies vaccine, imK9139$150.80$30.16
90676Rabies vaccine, idK9140$118.82$23.76
90680Rotavirus vacc 3 dose, oralN
90681Rotavirus vacc 2 dose, oralNIE
90690Typhoid vaccine, oralN
90691Typhoid vaccine, imN
90692Typhoid vaccine, h-p, sc/idN
90693Typhoid vaccine, akd, scB
90696Dtap-ipv vacc 4-6 yr, imNIE
90698Dtap-hib-ip vaccine, imN
90700Dtap vaccine, < 7 yrs, imN
90701Dtp vaccine, imN
90702Dt vaccine < 7, imN
90703Tetanus vaccine, imN
90704Mumps vaccine, scN
90705Measles vaccine, scN
90706Rubella vaccine, scN
90707Mmr vaccine, scN
90708Measles-rubella vaccine, scK9141$66.38$13.28
Start Amendment Part

2. On page 67118, for HCPCS code C9239, in line 25, in column 9, the minimum unadjusted copayment “$9.68” is corrected to read “$9.59.”

End Amendment Part Start Amendment Part

3. On page 67118, for HCPCS code C9352, in line 28—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$482.56” is corrected to read “$496.87.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$96.51” is corrected to read “$98.44.”

End Amendment Part Start Amendment Part

4. On page 67118, for HCPCS code C9353, in line 29—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$482.56” is corrected to read “$407.56.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$96.51” is corrected to read “$80.74.”

End Amendment Part Start Amendment Part

5. On page 67134, for HCPCS code G0377, in line 47—

End Amendment Part Start Amendment Part

A. In column 4, the SI code “S” is corrected to read “E.”

End Amendment Part Start Amendment Part

B. In column 5, the APC code “0437” is removed.

End Amendment Part Start Amendment Part

C. In column 6, the relative weight number “0.3945” is removed.

End Amendment Part Start Amendment Part

D. In column 7, the payment rate “$25.13” is removed.

End Amendment Part Start Amendment Part

E. In column 9, the minimum unadjusted copayment “$5.03” is removed.

End Amendment Part Start Amendment Part

6. On page 67139, for HCPCS code G9140, in line 40, in column 4, the SI code “M” is corrected to read “A”.

End Amendment Part Start Amendment Part

7. On page 67139, for HCPCS code J0129, in line 43, in column 9, the minimum unadjusted copayment “$3.74” is corrected to read “$3.70.”

End Amendment Part Start Amendment Part

8. On page 67139, for HCPCS code J0190, in line 52—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$88.15” is corrected to read “$12.24.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$17.63” is corrected to read “$2.45.”

End Amendment Part Start Amendment Part

9. On page 67139, for HCPCS code J0350, in line 74—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$2,693.80” is corrected to read “$1,706.04.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$538.76” is corrected to read “$341.21.”

End Amendment Part Start Amendment Part

10. On page 67141, for HCPCS code J1300, in line 17, in column 9, the minimum unadjusted copayment “$35.28” is corrected to read “$34.94.”

End Amendment Part Start Amendment Part

11. On page 67142—

End Amendment Part Start Amendment Part

A. For HCPCS code J1740, in line 4, in column 9, the minimum unadjusted copayment “$27.79” is corrected to read “$27.53.”

End Amendment Part Start Amendment Part

B. For HCPCS code J1743, in line 6, in column 9, the minimum unadjusted copayment “$91.01” is corrected to read “$90.15.”

End Amendment Part Start Amendment Part

C. For HCPCS code J2248, in line 43, in column 9, the minimum unadjusted copayment “$0.29” is corrected to read “$0.28.”

End Amendment Part Start Amendment Part

D. For HCPCS code J2323, in line 57, in column 9, the minimum unadjusted

End Amendment Part Start Amendment Part

12. On page 67143 for HCPCS code J2778, in line 21, in column 9, the minimum unadjusted copayment “$406.05” is corrected to read “$402.22.”

End Amendment Part Start Amendment Part

13. On page 67143, for HCPCS code J2940, in line 39—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$168.90” is corrected to read “$42.69.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$33.78” is corrected to read “$8.54.”

End Amendment Part Start Amendment Part

14. On page 67143, for HCPCS code J2995, in line 43—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$129.75” is corrected to read “$20.89.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$25.95” is corrected to read “$4.18.”

End Amendment Part Start Amendment Part

15. On page 67143, for HCPCS code J3350, in line 72—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$74.16” is corrected to read “$23.23.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$14.83” is corrected to read “$4.65.”

End Amendment Part Start Amendment Part

16. On page 67144, for HCPCS code J3488, in line 15, in column 9, the minimum unadjusted copayment “$44.16” is corrected to read “$43.74.”

End Amendment Part Start Amendment Part

17. On page 67144, for HCPCS code J7348, in line 65—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$67.96” is corrected to read “$95.32,”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$13.59” is corrected to read “$18.88.”

End Amendment Part Start Amendment Part

18. On page 67144, for HCPCS code J7349, in line 66—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$67.96” is corrected to read “$42.24,”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$13.59” is corrected to read “$8.37.”

End Amendment Part Start Amendment Part

19. On page 67146, for HCPCS code J9261, in line 65, in column 9, the minimum unadjusted copayment “$17.37” is corrected to read “$17.20.”

End Amendment Part Start Amendment Part

20. On page 67146, for HCPCS code J9270, in line 71—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$172.41” is corrected to read “$19.81.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$34.48” is corrected to read “$3.96.”

End Amendment Part Start Amendment Part

21. On page 67146, for HCPCS code J9303, in line 77, in column 9, the minimum unadjusted copayment “$16.63” is corrected to read “$16.47.”

End Amendment Part Start Amendment Part

22. On page 67147, for HCPCS code J9357, in line 4—

End Amendment Part Start Amendment Part

A. In column 7, the payment rate “$77.96” is corrected to read “$219.39.”

End Amendment Part Start Amendment Part

B. In column 9, the minimum unadjusted copayment “$15.59” is corrected to read “$43.88.”

End Amendment Part

ADDENDUM BB.—ASC COVERED ANCILLARY SERVICES INTEGRAL TO COVERED SURGICAL PROCEDURES FOR CY 2008

We are republishing Addendum BB in its entirety, see attached chart.

ADDENDUM DD2.—OPPS COMMENT INDICATORS

Start Amendment Part

On page 67190, in line 1, the header “ADDENDUM DD2—OPPS COMMENT INDICATORS” is corrected to read “ADDENDUM D2—OPPS COMMENT INDICATORS.”

End Amendment Part

ADDENDUM M.—HCPCS CODES FOR ASSIGNMENT TO COMPOSITE APCS FOR CY 2008

Start Amendment Part

On page 67225—

End Amendment Part Start Amendment Part

A. For HCPCS code 90862, in line 19, in column 5, the single code APC assignment number “0605” is corrected to read “0606.”

End Amendment Part Start Amendment Part

B. For HCPCS code 96102, in line 24, in column 5, the single code APC assignment number “0373” is corrected to read “0382.”

End Amendment Part Start Amendment Part

C. For HCPCS code M0064, in line 37, in column 5, the single code APC assignment number “0605” is corrected to read “0606.”

End Amendment Part

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a notice such as this takes effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that it is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. The policies and payment methodology finalized in the CY 2008 OPPS/ASC final rule with comment period have previously been subjected to notice and comment procedures.

This correction notice merely provides technical corrections to the CY 2008 OPPS/ASC final rule with comment period that was promulgated through notice and comment rulemaking, and does not make substantive changes to the policies or payment methodologies that were finalized in the final rule with comment period. For example, in order to conform the document to the final policies of the CY 2008 OPPS/ASC final rule with comment period, this notice corrects typographical errors, makes clarifications to the preamble text, and revises inaccurate tabular data. Therefore, we find it unnecessary to undertake further notice and comment procedures with respect to this correction notice. For the reasons stated above, we find that both notice and comment and the 30-day delay in effective date for this correction notice are unnecessary. Therefore, we find there is good cause to waive notice and comment procedures and the 30-day delay in effective date for this correction notice.

(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Start Signature

Dated: February 5, 2008.

Ann Agnew,

Executive Secretary to the Department.

End Signature Start Printed Page 9865

Addendum AA.—ASC Covered Surgical Procedures for CY 2008

[Including Surgical Procedures for Which Payment Is Packaged]

HCPCS codeShort descriptorSubject to multiple procedure discountingComment indicatorPayment indicatorCY 2007 ASC payment rateCY 2008 fully implemented payment weightCY 2008 fully implemented paymentCY 2008 first transition year payment
0016TThermotx choroid vasc lesionYR24.1331$171.11$171.11
0017TPhotocoagulat macular drusenYR24.1331$171.11$171.11
0027TEndoscopic epidural lysisYG218.0518$747.36$747.36
0031TSpeculoscopyNN1
0032TSpeculoscopy w/direct sampleNN1
0046TCath lavage, mammary duct(s)YR216.1001$666.56$666.56
0047TCath lavage, mammary duct(s)YR216.1001$666.56$666.56
0062TRep intradisc annulus;1 levYG229.19$1,208.50$1,208.50
0063TRep intradisc annulus; >1 levYG229.19$1,208.50$1,208.50
0084TTemp prostate urethral stentYG22.0077$83.12$83.12
0088TRf tongue base vol reduxnYCHG216.3288$676.03$676.03
0099T *Implant corneal ringYR216.171$669.50$669.50
0100TProsth retina receive & genYG237.2078$1,540.44$1,540.44
0101TExtracorp shockwv tx,hi enrgYG229.19$1,208.50$1,208.50
0102TExtracorp shockwv tx,anesthYG229.19$1,208.50$1,208.50
0123TScleral fistulizationYG223.1758$959.50$959.50
0124T *Conjunctival drug placementYR25.1169$211.84$211.84
0137TProstate saturation samplingYCHG211.0338$456.81$456.81
0170TAnorectal fistula plug rprYCHG230.1606$1,248.68$1,248.68
0176TAqu canal dilat w/o retentYA2$1,339.0039.7101$1,644.04$1,415.26
0177TAqu canal dilat w retentYA2$1,339.0039.7101$1,644.04$1,415.26
0186TSuprachoroidal drug deliveryYNIG218.235$754.95$754.95
10021Fna w/o imageYP21.1097$45.94$45.94
10022Fna w/imageYG24.327$179.14$179.14
10040Acne surgeryYP20.793$32.83$32.83
10060Drainage of skin abscessYP31.1191$46.33$46.33
10061Drainage of skin abscessYP21.4066$58.23$58.23
10080Drainage of pilonidal cystYP21.4066$58.23$58.23
10081Drainage of pilonidal cystYP33.1106$128.78$128.78
10120Remove foreign bodyYP21.4066$58.23$58.23
10121Remove foreign bodyYA2$446.0016.1001$666.56$501.14
10140Drainage of hematoma/fluidYP31.6623$68.82$68.82
10160Puncture drainage of lesionYP21.4066$58.23$58.23
10180Complex drainage, woundYA2$446.0018.3197$758.45$524.11
11000Debride infected skinYP30.5348$22.14$22.14
11001Debride infected skin add-onYP30.1894$7.84$7.84
11010Debride skin, fxYA2$251.524.3039$178.19$233.19
11011Debride skin/muscle, fxYA2$251.524.3039$178.19$233.19
11012Debride skin/muscle/bone, fxYA2$251.524.3039$178.19$233.19
11040Debride skin, partialYP30.4937$20.44$20.44
11041Debride skin, fullYP30.5679$23.51$23.51
11042Debride skin/tissueYA2$164.422.6604$110.14$150.85
11043Debride tissue/muscleYA2$164.422.6604$110.14$150.85
11044Debride tissue/muscle/boneYA2$423.106.8816$284.91$388.55
11055Trim skin lesionYP30.5596$23.17$23.17
11056Trim skin lesions, 2 to 4YP30.6253$25.89$25.89
11057Trim skin lesions, over 4YP30.7077$29.30$29.30
11100Biopsy, skin lesionYP20.793$32.83$32.83
11101Biopsy, skin add-onYP30.3046$12.61$12.61
11200Removal of skin tagsYCHP20.793$32.83$32.83
11201Remove skin tags add-onYP30.1316$5.45$5.45
11300Shave skin lesionYP20.793$32.83$32.83
11301Shave skin lesionYP20.793$32.83$32.83
11302Shave skin lesionYP20.793$32.83$32.83
11303Shave skin lesionYP21.4595$60.42$60.42
11305Shave skin lesionYP30.7901$32.71$32.71
11306Shave skin lesionYCHP20.793$32.83$32.83
11307Shave skin lesionYP20.793$32.83$32.83
11308Shave skin lesionYP20.793$32.83$32.83
11310Shave skin lesionYCHP20.793$32.83$32.83
11311Shave skin lesionYP20.793$32.83$32.83
11312Shave skin lesionYP20.793$32.83$32.83
11313Shave skin lesionYCHP20.793$32.83$32.83
11400Exc tr-ext b9+marg 0.5 < cmYP31.5963$66.09$66.09
11401Exc tr-ext b9+marg 0.6-1 cmYP31.7444$72.22$72.22
11402Exc tr-ext b9+marg 1.1-2 cmYP31.9009$78.70$78.70
11403Exc tr-ext b9+marg 2.1-3 cmYP32.0408$84.49$84.49
11404Exc tr-ext b9+marg 3.1-4 cmYA2$333.0016.1001$666.56$416.39
11406Exc tr-ext b9+marg > 4.0 cmYA2$446.0016.1001$666.56$501.14
11420Exc h-f-nk-sp b9+marg 0.5 <YP31.4811$61.32$61.32
11421Exc h-f-nk-sp b9+marg 0.6-1YP31.7611$72.91$72.91
11422Exc h-f-nk-sp b9+marg 1.1-2YP31.9338$80.06$80.06
11423Exc h-f-nk-sp b9+marg 2.1-3YP32.1642$89.60$89.60
11424Exc h-f-nk-sp b9+marg 3.1-4YA2$446.0016.1001$666.56$501.14
11426Exc h-f-nk-sp b9+marg > 4 cmYA2$446.0021.1098$873.97$552.99
11440Exc face-mm b9+marg 0.5 < cmYP31.728$71.54$71.54
11441Exc face-mm b9+marg 0.6-1 cmYP31.942$80.40$80.40
Start Printed Page 9866
11442Exc face-mm b9+marg 1.1-2 cmYP32.1313$88.24$88.24
11443Exc face-mm b9+marg 2.1-3 cmYP32.3864$98.80$98.80
11444Exc face-mm b9+marg 3.1-4 cmYA2$333.008.685$359.57$339.64
11446Exc face-mm b9+marg > 4 cmYA2$446.0021.1098$873.97$552.99
11450Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11451Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11462Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11463Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11470Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11471Removal, sweat gland lesionYA2$446.0021.1098$873.97$552.99
11600Exc tr-ext mlg+marg 0.5 < cmYP32.2135$91.64$91.64
11601Exc tr-ext mlg+marg 0.6-1 cmYP32.5263$104.59$104.59
11602Exc tr-ext mlg+marg 1.1-2 cmYP32.7485$113.79$113.79
11603Exc tr-ext mlg+marg 2.1-3 cmYP32.9294$121.28$121.28
11604Exc tr-ext mlg+marg 3.1-4 cmYA2$418.498.685$359.57$403.76
11606Exc tr-ext mlg+marg > 4 cmYA2$446.0016.1001$666.56$501.14
11620Exc h-f-nk-sp mlg+marg 0.5 <YP32.2384$92.67$92.67
11621Exc h-f-nk-sp mlg+marg 0.6-1YP32.5509$105.61$105.61
11622Exc h-f-nk-sp mlg+marg 1.1-2YP32.8224$116.85$116.85
11623Exc h-f-nk-sp mlg+marg 2.1-3YP33.0692$127.07$127.07
11624Exc h-f-nk-sp mlg+marg 3.1-4YA2$446.0016.1001$666.56$501.14
11626Exc h-f-nk-sp mlg+mar > 4 cmYA2$446.0021.1098$873.97$552.99
11640Exc face-mm malig+marg 0.5 <YP32.3536$97.44$97.44
11641Exc face-mm malig+marg 0.6-1YP32.7403$113.45$113.45
11642Exc face-mm malig+marg 1.1-2YP33.061$126.73$126.73
11643Exc face-mm malig+marg 2.1-3YP33.3246$137.64$137.64
11644Exc face-mm malig+marg 3.1-4YA2$446.0016.1001$666.56$501.14
11646Exc face-mm mlg+marg > 4 cmYA2$446.0021.1098$873.97$552.99
11719Trim nail(s)YP30.2551$10.56$10.56
11720Debride nail, 1-5YP30.3292$13.63$13.63
11721Debride nail, 6 or moreYP30.4031$16.69$16.69
11730Removal of nail plateYCHP20.793$32.83$32.83
11732Remove nail plate, add-onYP30.4031$16.69$16.69
11740Drain blood from under nailYCHP20.2963$12.27$12.27
11750Removal of nail bedYP32.1065$87.21$87.21
11752Remove nail bed/finger tipYP32.9048$120.26$120.26
11755Biopsy, nail unitYP31.4811$61.32$61.32
11760Repair of nail bedYG22.1051$87.15$87.15
11762Reconstruction of nail bedYCHP32.7072$112.08$112.08
11765Excision of nail fold, toeYP21.4595$60.42$60.42
11770Removal of pilonidal lesionYA2$510.0021.1098$873.97$600.99
11771Removal of pilonidal lesionYA2$510.0021.1098$873.97$600.99
11772Removal of pilonidal lesionYA2$510.0021.1098$873.97$600.99
11900Injection into skin lesionsYP30.6418$26.57$26.57
11901Added skin lesions injectionYP30.6831$28.28$28.28
11920Correct skin color defectsYP22.1051$87.15$87.15
11921Correct skin color defectsYP22.1051$87.15$87.15
11922Correct skin color defectsYP30.8476$35.09$35.09
11950Therapy for contour defectsYP30.8311$34.41$34.41
11951Therapy for contour defectsYP30.9874$40.88$40.88
11952Therapy for contour defectsYCHP21.2792$52.96$52.96
11954Therapy for contour defectsYP21.2792$52.96$52.96
11960Insert tissue expander(s)YA2$446.0020.2069$836.59$543.65
11970Replace tissue expanderYA2$510.0042.985$1,779.62$827.41
11971Remove tissue expander(s)YA2$333.0021.1098$873.97$468.24
11976Removal of contraceptive capYP31.4154$58.60$58.60
11980Implant hormone pellet(s)NP20.631$26.12$26.12
11981Insert drug implant deviceNP20.631$26.12$26.12
11982Remove drug implant deviceNP20.631$26.12$26.12
11983Remove/insert drug implantNP20.631$26.12$26.12
12001Repair superficial wound(s)YP21.2792$52.96$52.96
12002Repair superficial wound(s)YP21.2792$52.96$52.96
12004Repair superficial wound(s)YP21.2792$52.96$52.96
12005Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12006Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12007Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12011Repair superficial wound(s)YP21.2792$52.96$52.96
12013Repair superficial wound(s)YP21.2792$52.96$52.96
12014Repair superficial wound(s)YP21.2792$52.96$52.96
12015Repair superficial wound(s)YG21.2792$52.96$52.96
12016Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12017Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12018Repair superficial wound(s)YA2$91.241.2792$52.96$81.67
12020Closure of split woundYA2$91.244.5263$187.39$115.28
12021Closure of split woundYA2$91.244.5263$187.39$115.28
12031Layer closure of wound(s)YP22.1051$87.15$87.15
12032Layer closure of wound(s)YP22.1051$87.15$87.15
Start Printed Page 9867
12034Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12035Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12036Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12037Layer closure of wound(s)YA2$323.282.1051$87.15$264.25
12041Layer closure of wound(s)YP22.1051$87.15$87.15
12042Layer closure of wound(s)YP22.1051$87.15$87.15
12044Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12045Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12046Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12047Layer closure of wound(s)YA2$323.282.1051$87.15$264.25
12051Layer closure of wound(s)YP22.1051$87.15$87.15
12052Layer closure of wound(s)YP22.1051$87.15$87.15
12053Layer closure of wound(s)YP22.1051$87.15$87.15
12054Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12055Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12056Layer closure of wound(s)YA2$91.242.1051$87.15$90.22
12057Layer closure of wound(s)YA2$323.282.1051$87.15$264.25
13100Repair of wound or lesionYA2$323.284.5263$187.39$289.31
13101Repair of wound or lesionYA2$323.284.5263$187.39$289.31
13102Repair wound/lesion add-onYA2$91.244.5263$187.39$115.28
13120Repair of wound or lesionYA2$91.242.1051$87.15$90.22
13121Repair of wound or lesionYA2$91.244.5263$187.39$115.28
13122Repair wound/lesion add-onYA2$91.242.1051$87.15$90.22
13131Repair of wound or lesionYA2$91.244.5263$187.39$115.28
13132Repair of wound or lesionYA2$91.244.5263$187.39$115.28
13133Repair wound/lesion add-onYA2$91.244.5263$187.39$115.28
13150Repair of wound or lesionYA2$323.284.5263$187.39$289.31
13151Repair of wound or lesionYA2$323.284.5263$187.39$289.31
13152Repair of wound or lesionYA2$323.284.5263$187.39$289.31
13153Repair wound/lesion add-onYA2$91.242.1051$87.15$90.22
13160Late closure of woundYA2$446.0020.2069$836.59$543.65
14000Skin tissue rearrangementYA2$446.0015.0458$622.91$490.23
14001Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14020Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14021Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14040Skin tissue rearrangementYA2$446.0015.0458$622.91$490.23
14041Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14060Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14061Skin tissue rearrangementYA2$510.0015.0458$622.91$538.23
14300Skin tissue rearrangementYA2$630.0020.2069$836.59$681.65
14350Skin tissue rearrangementYA2$510.0020.2069$836.59$591.65
15002Wnd prep, ch/inf, trk/arm/lgYA2$323.284.5263$187.39$289.31
15003Wnd prep, ch/inf addl 100 cmYA2$323.284.5263$187.39$289.31
15004Wnd prep ch/inf, f/n/hf/gYA2$323.284.5263$187.39$289.31
15005Wnd prep, f/n/hf/g, addl cmYA2$323.284.5263$187.39$289.31
15040Harvest cultured skin graftYA2$91.242.1051$87.15$90.22
15050Skin pinch graftYA2$323.284.5263$187.39$289.31
15100Skin splt grft, trnk/arm/legYA2$446.0020.2069$836.59$543.65
15101Skin splt grft t/a/l, add-onYA2$510.0020.2069$836.59$591.65
15110Epidrm autogrft trnk/arm/legYA2$446.004.5263$187.39$381.35
15111Epidrm autogrft t/a/l add-onYA2$333.004.5263$187.39$296.60
15115Epidrm a-grft face/nck/hf/gYA2$446.004.5263$187.39$381.35
15116Epidrm a-grft f/n/hf/g addlYA2$333.004.5263$187.39$296.60
15120Skn splt a-grft fac/nck/hf/gYA2$446.0020.2069$836.59$543.65
15121Skn splt a-grft f/n/hf/g addYA2$510.0020.2069$836.59$591.65
15130Derm autograft, trnk/arm/legYA2$446.0015.0458$622.91$490.23
15131Derm autograft t/a/l add-onYA2$333.0015.0458$622.91$405.48
15135Derm autograft face/nck/hf/gYA2$446.0015.0458$622.91$490.23
15136Derm autograft, f/n/hf/g addYA2$333.0015.0458$622.91$405.48
15150Cult epiderm grft t/arm/legYA2$446.004.5263$187.39$381.35
15151Cult epiderm grft t/a/l addlYA2$333.004.5263$187.39$296.60
15152Cult epiderm graft t/a/l +%YA2$333.004.5263$187.39$296.60
15155Cult epiderm graft, f/n/hf/gYA2$446.004.5263$187.39$381.35
15156Cult epidrm grft f/n/hfg addYA2$333.004.5263$187.39$296.60
15157Cult epiderm grft f/n/hfg +%YA2$333.004.5263$187.39$296.60
15200Skin full graft, trunkYA2$510.0015.0458$622.91$538.23
15201Skin full graft trunk add-onYA2$323.2815.0458$622.91$398.19
15220Skin full graft sclp/arm/legYA2$446.0015.0458$622.91$490.23
15221Skin full graft add-onYA2$323.284.5263$187.39$289.31
15240Skin full grft face/genit/hfYA2$510.0015.0458$622.91$538.23
15241Skin full graft add-onYA2$323.284.5263$187.39$289.31
15260Skin full graft een & lipsYA2$446.0015.0458$622.91$490.23
15261Skin full graft add-onYA2$323.2815.0458$622.91$398.19
15300Apply skinallogrft, t/arm/lgYA2$323.284.5263$187.39$289.31
15301Apply sknallogrft t/a/l addlYA2$323.284.5263$187.39$289.31
15320Apply skin allogrft f/n/hf/gYA2$323.284.5263$187.39$289.31
15321Aply sknallogrft f/n/hfg addYA2$323.284.5263$187.39$289.31
Start Printed Page 9868
15330Aply acell alogrft t/arm/legYA2$323.284.5263$187.39$289.31
15331Aply acell grft t/a/l add-onYA2$323.284.5263$187.39$289.31
15335Apply acell graft, f/n/hf/gYA2$323.284.5263$187.39$289.31
15336Aply acell grft f/n/hf/g addYA2$323.284.5263$187.39$289.31
15340Apply cult skin substituteYCHG22.1051$87.15$87.15
15341Apply cult skin sub add-onYG22.1051$87.15$87.15
15360Apply cult derm sub, t/a/lYG22.1051$87.15$87.15
15361Aply cult derm sub t/a/l addYG22.1051$87.15$87.15
15365Apply cult derm sub f/n/hf/gYG22.1051$87.15$87.15
15366Apply cult derm f/hf/g addYG22.1051$87.15$87.15
15400Apply skin xenograft, t/a/lYA2$323.284.5263$187.39$289.31
15401Apply skn xenogrft t/a/l addYA2$323.284.5263$187.39$289.31
15420Apply skin xgraft, f/n/hf/gYA2$323.284.5263$187.39$289.31
15421Apply skn xgrft f/n/hf/g addYA2$323.284.5263$187.39$289.31
15430Apply acellular xenograftYA2$323.284.5263$187.39$289.31
15431Apply acellular xgraft addYA2$323.284.5263$187.39$289.31
15570Form skin pedicle flapYA2$510.0020.2069$836.59$591.65
15572Form skin pedicle flapYA2$510.0020.2069$836.59$591.65
15574Form skin pedicle flapYA2$510.0020.2069$836.59$591.65
15576Form skin pedicle flapYA2$510.0020.2069$836.59$591.65
15600Skin graftYA2$510.0020.2069$836.59$591.65
15610Skin graftYA2$510.0020.2069$836.59$591.65
15620Skin graftYA2$630.0020.2069$836.59$681.65
15630Skin graftYA2$510.0020.2069$836.59$591.65
15650Transfer skin pedicle flapYA2$717.0020.2069$836.59$746.90
15731Forehead flap w/vasc pedicleYA2$510.0020.2069$836.59$591.65
15732Muscle-skin graft, head/neckYA2$510.0020.2069$836.59$591.65
15734Muscle-skin graft, trunkYA2$510.0020.2069$836.59$591.65
15736Muscle-skin graft, armYA2$510.0020.2069$836.59$591.65
15738Muscle-skin graft, legYA2$510.0020.2069$836.59$591.65
15740Island pedicle flap graftYA2$446.0015.0458$622.91$490.23
15750Neurovascular pedicle graftYA2$446.0020.2069$836.59$543.65
15760Composite skin graftYA2$446.0020.2069$836.59$543.65
15770Derma-fat-fascia graftYA2$510.0020.2069$836.59$591.65
15775Hair transplant punch graftsYA2$323.281.2792$52.96$255.70
15776Hair transplant punch graftsYA2$323.281.2792$52.96$255.70
15780Abrasion treatment of skinYP39.3645$387.70$387.70
15781Abrasion treatment of skinYP24.3039$178.19$178.19
15782Abrasion treatment of skinYP24.3039$178.19$178.19
15783Abrasion treatment of skinYP22.6604$110.14$110.14
15786Abrasion, lesion, singleYP20.793$32.83$32.83
15787Abrasion, lesions, add-onYP30.7901$32.71$32.71
15788Chemical peel, face, epidermYP20.793$32.83$32.83
15789Chemical peel, face, dermalYP21.4595$60.42$60.42
15792Chemical peel, nonfacialYP21.4595$60.42$60.42
15793Chemical peel, nonfacialYP20.793$32.83$32.83
15819Plastic surgery, neckYG22.1051$87.15$87.15
15820Revision of lower eyelidYA2$510.0020.2069$836.59$591.65
15821Revision of lower eyelidYA2$510.0020.2069$836.59$591.65
15822Revision of upper eyelidYA2$510.0020.2069$836.59$591.65
15823Revision of upper eyelidYA2$717.0020.2069$836.59$746.90
15824Removal of forehead wrinklesYA2$510.0020.2069$836.59$591.65
15825Removal of neck wrinklesYA2$510.0020.2069$836.59$591.65
15826Removal of brow wrinklesYA2$510.0020.2069$836.59$591.65
15828Removal of face wrinklesYA2$510.0020.2069$836.59$591.65
15829Removal of skin wrinklesYA2$717.0020.2069$836.59$746.90
15830Exc skin abdYA2$510.0021.1098$873.97$600.99
15832Excise excessive skin tissueYA2$510.0021.1098$873.97$600.99
15833Excise excessive skin tissueYA2$510.0021.1098$873.97$600.99
15834Excise excessive skin tissueYA2$510.0021.1098$873.97$600.99
15835Excise excessive skin tissueYA2$323.2821.1098$873.97$460.95
15836Excise excessive skin tissueYA2$510.0016.1001$666.56$549.14
15837Excise excessive skin tissueYG216.1001$666.56$666.56
15838Excise excessive skin tissueYG216.1001$666.56$666.56
15839Excise excessive skin tissueYA2$510.0016.1001$666.56$549.14
15840Graft for face nerve palsyYA2$630.0020.2069$836.59$681.65
15841Graft for face nerve palsyYA2$630.0020.2069$836.59$681.65
15842Flap for face nerve palsyYG220.2069$836.59$836.59
15845Skin and muscle repair, faceYA2$630.0020.2069$836.59$681.65
15847Exc skin abd add-onYA2$510.0021.1098$873.97$600.99
15850Removal of suturesYG22.6604$110.14$110.14
15851Removal of suturesYP31.2425$51.44$51.44
15852Dressing change not for burnNG20.631$26.12$26.12
15860Test for blood flow in graftNG20.631$26.12$26.12
15876Suction assisted lipectomyYA2$510.0020.2069$836.59$591.65
15877Suction assisted lipectomyYA2$510.0020.2069$836.59$591.65
15878Suction assisted lipectomyYA2$510.0020.2069$836.59$591.65
Start Printed Page 9869
15879Suction assisted lipectomyYA2$510.0020.2069$836.59$591.65
15920Removal of tail bone ulcerYA2$251.524.3039$178.19$233.19
15922Removal of tail bone ulcerYA2$630.0020.2069$836.59$681.65
15931Remove sacrum pressure soreYA2$510.0021.1098$873.97$600.99
15933Remove sacrum pressure soreYA2$510.0021.1098$873.97$600.99
15934Remove sacrum pressure soreYA2$510.0020.2069$836.59$591.65
15935Remove sacrum pressure soreYA2$630.0020.2069$836.59$681.65
15936Remove sacrum pressure soreYA2$630.0015.0458$622.91$628.23
15937Remove sacrum pressure soreYA2$630.0020.2069$836.59$681.65
15940Remove hip pressure soreYA2$510.0021.1098$873.97$600.99
15941Remove hip pressure soreYA2$510.0021.1098$873.97$600.99
15944Remove hip pressure soreYA2$510.0020.2069$836.59$591.65
15945Remove hip pressure soreYA2$630.0020.2069$836.59$681.65
15946Remove hip pressure soreYA2$630.0020.2069$836.59$681.65
15950Remove thigh pressure soreYA2$510.0021.1098$873.97$600.99
15951Remove thigh pressure soreYA2$630.0021.1098$873.97$690.99
15952Remove thigh pressure soreYA2$510.0015.0458$622.91$538.23
15953Remove thigh pressure soreYA2$630.0015.0458$622.91$628.23
15956Remove thigh pressure soreYA2$510.0015.0458$622.91$538.23
15958Remove thigh pressure soreYA2$630.0015.0458$622.91$628.23
16000Initial treatment of burn(s)YP30.65$26.91$26.91
16020Dress/debrid p-thick burn, sYP30.9874$40.88$40.88
16025Dress/debrid p-thick burn, mYA2$67.112.6604$110.14$77.87
16030Dress/debrid p-thick burn, lYA2$99.832.6604$110.14$102.41
16035Incision of burn scab, initiYG22.6604$110.14$110.14
17000Destruct premalg lesionYP20.793$32.83$32.83
17003Destruct premalg les, 2-14YP30.0906$3.75$3.75
17004Destroy premlg lesions 15+YP31.9502$80.74$80.74
17106Destruction of skin lesionsYP22.6604$110.14$110.14
17107Destruction of skin lesionsYP22.6604$110.14$110.14
17108Destruction of skin lesionsYP22.6604$110.14$110.14
17110Destruct b9 lesion, 1-14YP20.793$32.83$32.83
17111Destruct lesion, 15 or moreYP21.4595$60.42$60.42
17250Chemical cautery, tissueYP31.0451$43.27$43.27
17260Destruction of skin lesionsYP31.1026$45.65$45.65
17261Destruction of skin lesionsYP21.4595$60.42$60.42
17262Destruction of skin lesionsYP21.4595$60.42$60.42
17263Destruction of skin lesionsYP21.4595$60.42$60.42
17264Destruction of skin lesionsYP21.4595$60.42$60.42
17266Destruction of skin lesionsYP32.4685$102.20$102.20
17270Destruction of skin lesionsYP21.4595$60.42$60.42
17271Destruction of skin lesionsYP21.4595$60.42$60.42
17272Destruction of skin lesionsYP21.4595$60.42$60.42
17273Destruction of skin lesionsYCHP32.2299$92.32$92.32
17274Destruction of skin lesionsYP32.5427$105.27$105.27
17276Destruction of skin lesionsYP22.6604$110.14$110.14
17280Destruction of skin lesionsYCHP21.4595$60.42$60.42
17281Destruction of skin lesionsYCHP31.9091$79.04$79.04
17282Destruction of skin lesionsYCHP32.1806$90.28$90.28
17283Destruction of skin lesionsYCHP32.5098$103.91$103.91
17284Destruction of skin lesionsYP22.6604$110.14$110.14
17286Destruction of skin lesionsYP22.6604$110.14$110.14
17311Mohs, 1 stage, h/n/hf/gYP23.6321$150.37$150.37
17312Mohs addl stageYP23.6321$150.37$150.37
17313Mohs, 1 stage, t/a/lYP23.6321$150.37$150.37
17314Mohs, addl stage, t/a/lYP23.6321$150.37$150.37
17315Mohs surg, addl blockYP30.9381$38.84$38.84
17340Cryotherapy of skinYP30.2961$12.26$12.26
17360Skin peel therapyYP20.793$32.83$32.83
17380Hair removal by electrolysisYR20.793$32.83$32.83
19000Drainage of breast lesionYP31.6046$66.43$66.43
19001Drain breast lesion add-onYP30.2058$8.52$8.52
19020Incision of breast lesionYA2$446.0018.3197$758.45$524.11
19030Injection for breast x-rayNN1
19100Bx breast percut w/o imageYA2$240.004.327$179.14$224.79
19101Biopsy of breast, openYA2$446.0020.6417$854.59$548.15
19102Bx breast percut w/imageYA2$240.007.1147$294.56$253.64
19103Bx breast percut w/deviceYA2$395.7713.5764$562.08$437.35
19105Cryosurg ablate fa, eachYG231.7134$1,312.97$1,312.97
19110Nipple explorationYA2$446.0020.6417$854.59$548.15
19112Excise breast duct fistulaYA2$510.0020.6417$854.59$596.15
19120Removal of breast lesionYA2$510.0020.6417$854.59$596.15
19125Excision, breast lesionYA2$510.0020.6417$854.59$596.15
19126Excision, addl breast lesionYA2$510.0020.6417$854.59$596.15
19290Place needle wire, breastNN1
19291Place needle wire, breastNN1
19295Place breast clip, percutNCHN1
Start Printed Page 9870
19296Place po breast cath for radYA2$1,339.0056.5774$2,342.36$1,589.84
19297Place breast cath for radYA2$1,339.0056.5774$2,342.36$1,589.84
19298Place breast rad tube/cathsYA2$1,339.0056.5774$2,342.36$1,589.84
19300Removal of breast tissueYA2$630.0020.6417$854.59$686.15
19301Partical mastectomyYA2$510.0020.6417$854.59$596.15
19302P-mastectomy w/ln removalYA2$995.0039.8191$1,648.55$1,158.39
19303Mast, simple, completeYA2$630.0031.7134$1,312.97$800.74
19304Mast, subqYA2$630.0031.7134$1,312.97$800.74
19316Suspension of breastYA2$630.0031.7134$1,312.97$800.74
19318Reduction of large breastYA2$630.0039.8191$1,648.55$884.64
19324Enlarge breastYA2$630.0039.8191$1,648.55$884.64
19325Enlarge breast with implantYA2$1,339.0056.5774$2,342.36$1,589.84
19328Removal of breast implantYA2$333.0031.7134$1,312.97$577.99
19330Removal of implant materialYA2$333.0031.7134$1,312.97$577.99
19340Immediate breast prosthesisYA2$446.0039.8191$1,648.55$746.64
19342Delayed breast prosthesisYA2$510.0056.5774$2,342.36$968.09
19350Breast reconstructionYA2$630.0020.6417$854.59$686.15
19355Correct inverted nipple(s)YA2$630.0031.7134$1,312.97$800.74
19357Breast reconstructionYA2$717.0056.5774$2,342.36$1,123.34
19366Breast reconstructionYA2$717.0031.7134$1,312.97$865.99
19370Surgery of breast capsuleYA2$630.0031.7134$1,312.97$800.74
19371Removal of breast capsuleYA2$630.0031.7134$1,312.97$800.74
19380Revise breast reconstructionYA2$717.0039.8191$1,648.55$949.89
19396Design custom breast implantYG231.7134$1,312.97$1,312.97
20000Incision of abscessYP21.4066$58.23$58.23
20005Incision of deep abscessYA2$446.0021.2689$880.55$554.64
20103Explore wound, extremityYG29.6341$398.86$398.86
20150Excise epiphyseal barYG242.985$1,779.62$1,779.62
20200Muscle biopsyYA2$446.0016.1001$666.56$501.14
20205Deep muscle biopsyYA2$510.0016.1001$666.56$549.14
20206Needle biopsy, muscleYA2$240.007.1147$294.56$253.64
20220Bone biopsy, trocar/needleYA2$251.528.685$359.57$278.53
20225Bone biopsy, trocar/needleYA2$418.498.685$359.57$403.76
20240Bone biopsy, excisionalYA2$446.0021.1098$873.97$552.99
20245Bone biopsy, excisionalYA2$510.0021.1098$873.97$600.99
20250Open bone biopsyYA2$510.0021.2689$880.55$602.64
20251Open bone biopsyYA2$510.0021.2689$880.55$602.64
20500Injection of sinus tractYP31.4811$61.32$61.32
20501Inject sinus tract for x-rayNN1
20520Removal of foreign bodyYP32.2712$94.03$94.03
20525Removal of foreign bodyYA2$510.0021.1098$873.97$600.99
20526Ther injection, carp tunnelYP30.7323$30.32$30.32
20550Inj tendon sheath/ligamentYP30.5514$22.83$22.83
20551Inj tendon origin/insertionYP30.5432$22.49$22.49
20552Inj trigger point, 1/2 musclYP30.5348$22.14$22.14
20553Inject trigger points, =/> 3YP30.6007$24.87$24.87
20555Place ndl musc/tis for rtYNIG229.19$1,208.50$1,208.50
20600Drain/inject, joint/bursaYP30.5432$22.49$22.49
20605Drain/inject, joint/bursaYP30.6171$25.55$25.55
20610Drain/inject, joint/bursaYP30.8311$34.41$34.41
20612Aspirate/inj ganglion cystYP30.5761$23.85$23.85
20615Treatment of bone cystYCHP32.5591$105.95$105.95
20650Insert and remove bone pinYA2$510.0021.2689$880.55$602.64
20662Application of pelvis braceYR221.2689$880.55$880.55
20663Application of thigh braceYR221.2689$880.55$880.55
20665Removal of fixation deviceNG20.631$26.12$26.12
20670Removal of support implantYA2$333.0016.1001$666.56$416.39
20680Removal of support implantYA2$510.0021.1098$873.97$600.99
20690Apply bone fixation deviceYA2$446.0029.19$1,208.50$636.63
20692Apply bone fixation deviceYA2$510.0029.19$1,208.50$684.63
20693Adjust bone fixation deviceYA2$510.0021.2689$880.55$602.64
20694Remove bone fixation deviceYA2$333.0021.2689$880.55$469.89
20822Replantation digit, completeYG226.3105$1,089.28$1,089.28
20900Removal of bone for graftYA2$510.0029.19$1,208.50$684.63
20902Removal of bone for graftYA2$630.0029.19$1,208.50$774.63
20910Remove cartilage for graftYA2$510.0020.2069$836.59$591.65
20912Remove cartilage for graftYA2$510.0020.2069$836.59$591.65
20920Removal of fascia for graftYA2$630.0015.0458$622.91$628.23
20922Removal of fascia for graftYA2$510.0015.0458$622.91$538.23
20924Removal of tendon for graftYA2$630.0029.19$1,208.50$774.63
20926Removal of tissue for graftYA2$630.004.5263$187.39$519.35
20950Fluid pressure, muscleYG21.4066$58.23$58.23
20972Bone/skin graft, metatarsalYG244.2687$1,832.77$1,832.77
20973Bone/skin graft, great toeYR244.2687$1,832.77$1,832.77
20975Electrical bone stimulationNCHN1
20979Us bone stimulationNP30.5843$24.19$24.19
20982Ablate, bone tumor(s) perqYG242.985$1,779.62$1,779.62
Start Printed Page 9871
20985Cptr-asst dir ms pxNNIN1
20986Cptr-asst dir ms px io imgNNIN1
20987Cptr-asst dir ms px pre imgNNIN1
21010Incision of jaw jointYA2$446.0023.9765$992.65$582.66
21015Resection of facial tumorYA2$510.0016.3288$676.03$551.51
21025Excision of bone, lower jawYA2$446.0039.8776$1,650.97$747.24
21026Excision of facial bone(s)YA2$446.0039.8776$1,650.97$747.24
21029Contour of face bone lesionYA2$446.0039.8776$1,650.97$747.24
21030Excise max/zygoma b9 tumorYP35.5627$230.30$230.30
21031Remove exostosis, mandibleYP34.5588$188.74$188.74
21032Remove exostosis, maxillaYP34.6905$194.19$194.19
21034Excise max/zygoma mlg tumorYA2$510.0039.8776$1,650.97$795.24
21040Excise mandible lesionYA2$446.0023.9765$992.65$582.66
21044Removal of jaw bone lesionYA2$446.0039.8776$1,650.97$747.24
21046Remove mandible cyst complexYA2$446.0039.8776$1,650.97$747.24
21047Excise lwr jaw cyst w/repairYA2$446.0039.8776$1,650.97$747.24
21048Remove maxilla cyst complexYR239.8776$1,650.97$1,650.97
21050Removal of jaw jointYA2$510.0039.8776$1,650.97$795.24
21060Remove jaw joint cartilageYA2$446.0039.8776$1,650.97$747.24
21070Remove coronoid processYA2$510.0039.8776$1,650.97$795.24
21073 *Mnpj of tmj w/anesthYNIP34.526$187.38$187.38
21076Prepare face/oral prosthesisYP38.3851$347.15$347.15
21077Prepare face/oral prosthesisYP320.4816$847.96$847.96
21079Prepare face/oral prosthesisYP314.598$604.37$604.37
21080Prepare face/oral prosthesisYP316.7293$692.61$692.61
21081Prepare face/oral prosthesisYP315.3632$636.05$636.05
21082Prepare face/oral prosthesisYP314.096$583.59$583.59
21083Prepare face/oral prosthesisYP313.8738$574.39$574.39
21084Prepare face/oral prosthesisYP316.1697$669.44$669.44
21085Prepare face/oral prosthesisYP36.2622$259.26$259.26
21086Prepare face/oral prosthesisYP315.0917$624.81$624.81
21087Prepare face/oral prosthesisYP314.9518$619.02$619.02
21088Prepare face/oral prosthesisYR239.8776$1,650.97$1,650.97
21100Maxillofacial fixationYA2$446.0039.8776$1,650.97$747.24
21110Interdental fixationYP27.4474$308.33$308.33
21116Injection, jaw joint x-rayNN1
21120Reconstruction of chinYA2$995.0023.9765$992.65$994.41
21121Reconstruction of chinYA2$995.0023.9765$992.65$994.41
21122Reconstruction of chinYA2$995.0023.9765$992.65$994.41
21123Reconstruction of chinYA2$995.0023.9765$992.65$994.41
21125Augmentation, lower jaw boneYA2$995.0023.9765$992.65$994.41
21127Augmentation, lower jaw boneYA2$1,339.0039.8776$1,650.97$1,416.99
21137Reduction of foreheadYG223.9765$992.65$992.65
21138Reduction of foreheadYG239.8776$1,650.97$1,650.97
21139Reduction of foreheadYG239.8776$1,650.97$1,650.97
21150Reconstruct midface, lefortYG239.8776$1,650.97$1,650.97
21181Contour cranial bone lesionYA2$995.0023.9765$992.65$994.41
21198Reconstr lwr jaw segmentYG239.8776$1,650.97$1,650.97
21199Reconstr lwr jaw w/advanceYG239.8776$1,650.97$1,650.97
21206Reconstruct upper jaw boneYA2$717.0039.8776$1,650.97$950.49
21208Augmentation of facial bonesYA2$995.0039.8776$1,650.97$1,158.99
21209Reduction of facial bonesYA2$717.0039.8776$1,650.97$950.49
21210Face bone graftYA2$995.0039.8776$1,650.97$1,158.99
21215Lower jaw bone graftYA2$995.0039.8776$1,650.97$1,158.99
21230Rib cartilage graftYA2$995.0039.8776$1,650.97$1,158.99
21235Ear cartilage graftYA2$995.0023.9765$992.65$994.41
21240Reconstruction of jaw jointYA2$630.0039.8776$1,650.97$885.24
21242Reconstruction of jaw jointYA2$717.0039.8776$1,650.97$950.49
21243Reconstruction of jaw jointYA2$717.0039.8776$1,650.97$950.49
21244Reconstruction of lower jawYA2$995.0039.8776$1,650.97$1,158.99
21245Reconstruction of jawYA2$995.0039.8776$1,650.97$1,158.99
21246Reconstruction of jawYA2$995.0039.8776$1,650.97$1,158.99
21248Reconstruction of jawYA2$995.0039.8776$1,650.97$1,158.99
21249Reconstruction of jawYA2$995.0039.8776$1,650.97$1,158.99
21260Revise eye socketsYG239.8776$1,650.97$1,650.97
21267Revise eye socketsYA2$995.0039.8776$1,650.97$1,158.99
21270Augmentation, cheek boneYA2$717.0039.8776$1,650.97$950.49
21275Revision, orbitofacial bonesYA2$995.0039.8776$1,650.97$1,158.99
21280Revision of eyelidYA2$717.0039.8776$1,650.97$950.49
21282Revision of eyelidYA2$717.0016.3288$676.03$706.76
21295Revision of jaw muscle/boneYA2$333.007.4474$308.33$326.83
21296Revision of jaw muscle/boneYA2$333.0023.9765$992.65$497.91
21310Treatment of nose fractureYA2$150.722.5002$103.51$138.92
21315Treatment of nose fractureYA2$150.722.5002$103.51$138.92
21320Treatment of nose fractureYA2$446.0016.3288$676.03$503.51
21325Treatment of nose fractureYA2$630.0023.9765$992.65$720.66
21330Treatment of nose fractureYA2$717.0023.9765$992.65$785.91
Start Printed Page 9872
21335Treatment of nose fractureYA2$995.0023.9765$992.65$994.41
21336Treat nasal septal fractureYA2$630.0026.1592$1,083.02$743.26
21337Treat nasal septal fractureYA2$446.0016.3288$676.03$503.51
21338Treat nasoethmoid fractureYA2$630.0023.9765$992.65$720.66
21339Treat nasoethmoid fractureYA2$717.0023.9765$992.65$785.91
21340Treatment of nose fractureYA2$630.0039.8776$1,650.97$885.24
21345Treat nose/jaw fractureYA2$995.0023.9765$992.65$994.41
21355Treat cheek bone fractureYA2$510.0039.8776$1,650.97$795.24
21356Treat cheek bone fractureYA2$510.0023.9765$992.65$630.66
21360Treat cheek bone fractureYCHG223.9765$992.65$992.65
21390Treat eye socket fractureYG239.8776$1,650.97$1,650.97
21400Treat eye socket fractureYA2$446.007.4474$308.33$411.58
21401Treat eye socket fractureYA2$510.0016.3288$676.03$551.51
21406Treat eye socket fractureYG239.8776$1,650.97$1,650.97
21407Treat eye socket fractureYG239.8776$1,650.97$1,650.97
21421Treat mouth roof fractureYA2$630.0023.9765$992.65$720.66
21440Treat dental ridge fractureYP37.0687$292.65$292.65
21445Treat dental ridge fractureYA2$630.0023.9765$992.65$720.66
21450Treat lower jaw fractureYA2$150.722.5002$103.51$138.92
21451Treat lower jaw fractureYA2$464.157.4474$308.33$425.20
21452Treat lower jaw fractureYA2$446.0016.3288$676.03$503.51
21453Treat lower jaw fractureYA2$510.0039.8776$1,650.97$795.24
21454Treat lower jaw fractureYA2$717.0023.9765$992.65$785.91
21461Treat lower jaw fractureYA2$630.0039.8776$1,650.97$885.24
21462Treat lower jaw fractureYA2$717.0039.8776$1,650.97$950.49
21465Treat lower jaw fractureYA2$630.0039.8776$1,650.97$885.24
21480Reset dislocated jawYA2$150.722.5002$103.51$138.92
21485Reset dislocated jawYA2$446.0016.3288$676.03$503.51
21490Repair dislocated jawYA2$510.0039.8776$1,650.97$795.24
21495Treat hyoid bone fractureYG216.3288$676.03$676.03
21497Interdental wiringYA2$446.0016.3288$676.03$503.51
21501Drain neck/chest lesionYA2$446.0018.3197$758.45$524.11
21502Drain chest lesionYA2$446.0021.2689$880.55$554.64
21550Biopsy of neck/chestYG28.685$359.57$359.57
21555Remove lesion, neck/chestYA2$446.0021.1098$873.97$552.99
21556Remove lesion, neck/chestYA2$446.0021.1098$873.97$552.99
21557Remove tumor, neck/chestYG221.1098$873.97$873.97
21600Partial removal of ribYA2$446.0029.19$1,208.50$636.63
21610Partial removal of ribYA2$446.0029.19$1,208.50$636.63
21685Hyoid myotomy & suspensionYG27.4474$308.33$308.33
21700Revision of neck muscleYA2$446.0021.2689$880.55$554.64
21720Revision of neck muscleYA2$510.0021.2689$880.55$602.64
21725Revision of neck muscleYA2$88.461.4066$58.23$80.90
21800Treatment of rib fractureYA2$103.621.7682$73.21$96.02
21805Treatment of rib fractureYA2$446.0026.1592$1,083.02$605.26
21820Treat sternum fractureYA2$103.621.7682$73.21$96.02
21920Biopsy soft tissue of backYP33.1763$131.50$131.50
21925Biopsy soft tissue of backYA2$446.0021.1098$873.97$552.99
21930Remove lesion, back or flankYA2$446.0021.1098$873.97$552.99
21935Remove tumor, backYA2$510.0021.1098$873.97$600.99
22102Remove part, lumbar vertebraYG246.7724$1,936.42$1,936.42
22103Remove extra spine segmentYG246.7724$1,936.42$1,936.42
22305Treat spine process fractureYA2$103.621.7682$73.21$96.02
22310Treat spine fractureYA2$103.621.7682$73.21$96.02
22315Treat spine fractureYA2$103.621.7682$73.21$96.02
22505Manipulation of spineYA2$446.0014.7658$611.32$487.33
22520Percut vertebroplasty thorYA2$1,339.0029.19$1,208.50$1,306.38
22521Percut vertebroplasty lumbYA2$1,339.0029.19$1,208.50$1,306.38
22522Percut vertebroplasty add?lYA2$1,339.0029.19$1,208.50$1,306.38
22523Percut kyphoplasty, thorYG279.4244$3,288.25$3,288.25
22524Percut kyphoplasty, lumbarYG279.4244$3,288.25$3,288.25
22525Percut kyphoplasty, add-onYG279.4244$3,288.25$3,288.25
22526Idet, single levelYCHG229.19$1,208.50$1,208.50
22527Idet, 1 or more levelsYCHG229.19$1,208.50$1,208.50
22900Remove abdominal wall lesionYA2$630.0021.1098$873.97$690.99
23000Removal of calcium depositsYA2$446.0016.1001$666.56$501.14
23020Release shoulder jointYA2$446.0042.985$1,779.62$779.41
23030Drain shoulder lesionYA2$333.0018.3197$758.45$439.36
23031Drain shoulder bursaYA2$510.0018.3197$758.45$572.11
23035Drain shoulder bone lesionYA2$510.0021.2689$880.55$602.64
23040Exploratory shoulder surgeryYA2$510.0029.19$1,208.50$684.63
23044Exploratory shoulder surgeryYA2$630.0029.19$1,208.50$774.63
23065Biopsy shoulder tissuesYP32.2384$92.67$92.67
23066Biopsy shoulder tissuesYA2$446.0021.1098$873.97$552.99
23075Removal of shoulder lesionYA2$446.0016.1001$666.56$501.14
23076Removal of shoulder lesionYA2$446.0021.1098$873.97$552.99
23077Remove tumor of shoulderYA2$510.0021.1098$873.97$600.99
Start Printed Page 9873
23100Biopsy of shoulder jointYA2$446.0021.2689$880.55$554.64
23101Shoulder joint surgeryYA2$995.0029.19$1,208.50$1,048.38
23105Remove shoulder joint liningYA2$630.0029.19$1,208.50$774.63
23106Incision of collarbone jointYA2$630.0029.19$1,208.50$774.63
23107Explore treat shoulder jointYA2$630.0029.19$1,208.50$774.63
23120Partial removal, collar boneYA2$717.0029.19$1,208.50$839.88
23125Removal of collar boneYA2$717.0029.19$1,208.50$839.88
23130Remove shoulder bone, partYA2$717.0042.985$1,779.62$982.66
23140Removal of bone lesionYA2$630.0021.2689$880.55$692.64
23145Removal of bone lesionYA2$717.0029.19$1,208.50$839.88
23146Removal of bone lesionYA2$717.0029.19$1,208.50$839.88
23150Removal of humerus lesionYA2$630.0029.19$1,208.50$774.63
23155Removal of humerus lesionYA2$717.0029.19$1,208.50$839.88
23156Removal of humerus lesionYA2$717.0029.19$1,208.50$839.88
23170Remove collar bone lesionYA2$446.0029.19$1,208.50$636.63
23172Remove shoulder blade lesionYA2$446.0029.19$1,208.50$636.63
23174Remove humerus lesionYA2$446.0029.19$1,208.50$636.63
23180Remove collar bone lesionYA2$630.0029.19$1,208.50$774.63
23182Remove shoulder blade lesionYA2$630.0029.19$1,208.50$774.63
23184Remove humerus lesionYA2$630.0029.19$1,208.50$774.63
23190Partial removal of scapulaYA2$630.0029.19$1,208.50$774.63
23195Removal of head of humerusYA2$717.0029.19$1,208.50$839.88
23330Remove shoulder foreign bodyYA2$333.008.685$359.57$339.64
23331Remove shoulder foreign bodyYA2$333.0021.1098$873.97$468.24
23350Injection for shoulder x-rayNN1
23395Muscle transfer,shoulder/armYA2$717.0042.985$1,779.62$982.66
23397Muscle transfersYA2$995.0079.4244$3,288.25$1,568.31
23400Fixation of shoulder bladeYA2$995.0029.19$1,208.50$1,048.38
23405Incision of tendon & muscleYA2$446.0029.19$1,208.50$636.63
23406Incise tendon(s) & muscle(s)YA2$446.0029.19$1,208.50$636.63
23410Repair rotator cuff, acuteYA2$717.0042.985$1,779.62$982.66
23412Repair rotator cuff, chronicYA2$995.0042.985$1,779.62$1,191.16
23415Release of shoulder ligamentYA2$717.0042.985$1,779.62$982.66
23420Repair of shoulderYA2$995.0042.985$1,779.62$1,191.16
23430Repair biceps tendonYA2$630.0042.985$1,779.62$917.41
23440Remove/transplant tendonYA2$630.0042.985$1,779.62$917.41
23450Repair shoulder capsuleYA2$717.0079.4244$3,288.25$1,359.81
23455Repair shoulder capsuleYA2$995.0079.4244$3,288.25$1,568.31
23460Repair shoulder capsuleYA2$717.0079.4244$3,288.25$1,359.81
23462Repair shoulder capsuleYA2$995.0042.985$1,779.62$1,191.16
23465Repair shoulder capsuleYA2$717.0079.4244$3,288.25$1,359.81
23466Repair shoulder capsuleYA2$995.0042.985$1,779.62$1,191.16
23480Revision of collar boneYA2$630.0042.985$1,779.62$917.41
23485Revision of collar boneYA2$995.0079.4244$3,288.25$1,568.31
23490Reinforce clavicleYA2$510.0042.985$1,779.62$827.41
23491Reinforce shoulder bonesYA2$510.0079.4244$3,288.25$1,204.56
23500Treat clavicle fractureYA2$103.621.7682$73.21$96.02
23505Treat clavicle fractureYA2$103.621.7682$73.21$96.02
23515Treat clavicle fractureYA2$510.0059.2233$2,451.90$995.48
23520Treat clavicle dislocationYA2$103.621.7682$73.21$96.02
23525Treat clavicle dislocationYA2$103.621.7682$73.21$96.02
23530Treat clavicle dislocationYA2$510.0041.1091$1,701.96$807.99
23532Treat clavicle dislocationYA2$630.0026.1592$1,083.02$743.26
23540Treat clavicle dislocationYA2$103.621.7682$73.21$96.02
23545Treat clavicle dislocationYA2$103.621.7682$73.21$96.02
23550Treat clavicle dislocationYA2$510.0041.1091$1,701.96$807.99
23552Treat clavicle dislocationYA2$630.0041.1091$1,701.96$897.99
23570Treat shoulder blade fxYA2$103.621.7682$73.21$96.02
23575Treat shoulder blade fxYA2$103.621.7682$73.21$96.02
23585Treat scapula fractureYA2$510.0059.2233$2,451.90$995.48
23600Treat humerus fractureYP21.7682$73.21$73.21
23605Treat humerus fractureYA2$103.621.7682$73.21$96.02
23615Treat humerus fractureYA2$630.0059.2233$2,451.90$1,085.48
23616Treat humerus fractureYA2$630.0059.2233$2,451.90$1,085.48
23620Treat humerus fractureYP21.7682$73.21$73.21
23625Treat humerus fractureYA2$103.621.7682$73.21$96.02
23630Treat humerus fractureYA2$717.0059.2233$2,451.90$1,150.73
23650Treat shoulder dislocationYA2$103.621.7682$73.21$96.02
23655Treat shoulder dislocationYA2$333.0014.7658$611.32$402.58
23660Treat shoulder dislocationYA2$510.0041.1091$1,701.96$807.99
23665Treat dislocation/fractureYA2$103.621.7682$73.21$96.02
23670Treat dislocation/fractureYA2$510.0059.2233$2,451.90$995.48
23675Treat dislocation/fractureYA2$103.621.7682$73.21$96.02
23680Treat dislocation/fractureYA2$510.0041.1091$1,701.96$807.99
23700Fixation of shoulderYA2$333.0014.7658$611.32$402.58
23800Fusion of shoulder jointYA2$630.0079.4244$3,288.25$1,294.56
23802Fusion of shoulder jointYA2$995.0042.985$1,779.62$1,191.16
Start Printed Page 9874
23921Amputation follow-up surgeryYA2$323.2815.0458$622.91$398.19
23930Drainage of arm lesionYA2$333.0018.3197$758.45$439.36
23931Drainage of arm bursaYA2$446.0018.3197$758.45$524.11
23935Drain arm/elbow bone lesionYA2$446.0021.2689$880.55$554.64
24000Exploratory elbow surgeryYA2$630.0029.19$1,208.50$774.63
24006Release elbow jointYA2$630.0029.19$1,208.50$774.63
24065Biopsy arm/elbow soft tissueYP33.0282$125.37$125.37
24066Biopsy arm/elbow soft tissueYA2$446.0016.1001$666.56$501.14
24075Remove arm/elbow lesionYA2$446.0016.1001$666.56$501.14
24076Remove arm/elbow lesionYA2$446.0021.1098$873.97$552.99
24077Remove tumor of arm/elbowYA2$510.0021.1098$873.97$600.99
24100Biopsy elbow joint liningYA2$333.0021.2689$880.55$469.89
24101Explore/treat elbow jointYA2$630.0029.19$1,208.50$774.63
24102Remove elbow joint liningYA2$630.0029.19$1,208.50$774.63
24105Removal of elbow bursaYA2$510.0021.2689$880.55$602.64
24110Remove humerus lesionYA2$446.0021.2689$880.55$554.64
24115Remove/graft bone lesionYA2$510.0029.19$1,208.50$684.63
24116Remove/graft bone lesionYA2$510.0029.19$1,208.50$684.63
24120Remove elbow lesionYA2$510.0021.2689$880.55$602.64
24125Remove/graft bone lesionYA2$510.0029.19$1,208.50$684.63
24126Remove/graft bone lesionYA2$510.0029.19$1,208.50$684.63
24130Removal of head of radiusYA2$510.0029.19$1,208.50$684.63
24134Removal of arm bone lesionYA2$446.0029.19$1,208.50$636.63
24136Remove radius bone lesionYA2$446.0029.19$1,208.50$636.63
24138Remove elbow bone lesionYA2$446.0029.19$1,208.50$636.63
24140Partial removal of arm boneYA2$510.0029.19$1,208.50$684.63
24145Partial removal of radiusYA2$510.0029.19$1,208.50$684.63
24147Partial removal of elbowYA2$446.0029.19$1,208.50$636.63
24149Radical resection of elbowYG229.19$1,208.50$1,208.50
24152Extensive radius surgeryYG242.985$1,779.62$1,779.62
24153Extensive radius surgeryYG279.4244$3,288.25$3,288.25
24155Removal of elbow jointYA2$510.0042.985$1,779.62$827.41
24160Remove elbow joint implantYA2$446.0029.19$1,208.50$636.63
24164Remove radius head implantYA2$510.0029.19$1,208.50$684.63
24200Removal of arm foreign bodyYP32.5345$104.93$104.93
24201Removal of arm foreign bodyYA2$446.0016.1001$666.56$501.14
24220Injection for elbow x-rayNN1
24300Manipulate elbow w/anesthYG214.7658$611.32$611.32
24301Muscle/tendon transferYA2$630.0029.19$1,208.50$774.63
24305Arm tendon lengtheningYA2$630.0029.19$1,208.50$774.63
24310Revision of arm tendonYA2$510.0021.2689$880.55$602.64
24320Repair of arm tendonYA2$510.0042.985$1,779.62$827.41
24330Revision of arm musclesYA2$510.0079.4244$3,288.25$1,204.56
24331Revision of arm musclesYA2$510.0042.985$1,779.62$827.41
24332Tenolysis, tricepsYG221.2689$880.55$880.55
24340Repair of biceps tendonYA2$510.0042.985$1,779.62$827.41
24341Repair arm tendon/muscleYA2$510.0042.985$1,779.62$827.41
24342Repair of ruptured tendonYA2$510.0042.985$1,779.62$827.41
24343Repr elbow lat ligmnt w/tissYG229.19$1,208.50$1,208.50
24344Reconstruct elbow lat ligmntYG279.4244$3,288.25$3,288.25
24345Repr elbw med ligmnt w/tissuYA2$446.0029.19$1,208.50$636.63
24346Reconstruct elbow med ligmntYG242.985$1,779.62$1,779.62
24350Repair of tennis elbowNCHD5
24351Repair of tennis elbowNCHD5
24352Repair of tennis elbowNCHD5
24354Repair of tennis elbowNCHD5
24356Revision of tennis elbowNCHD5
24357Repair elbow, percYNIG229.19$1,208.50$1,208.50
24358Repair elbow w/deb, openYNIG229.19$1,208.50$1,208.50
24359Repair elbow deb/attch openYNIG229.19$1,208.50$1,208.50
24360Reconstruct elbow jointYA2$717.0035.904$1,486.46$909.37
24361Reconstruct elbow jointYA2$717.00122.2057$5,059.44$1,802.61
24362Reconstruct elbow jointYA2$717.0050.8876$2,106.80$1,064.45
24363Replace elbow jointYA2$995.00122.2057$5,059.44$2,011.11
24365Reconstruct head of radiusYA2$717.0035.904$1,486.46$909.37
24366Reconstruct head of radiusYA2$717.00122.2057$5,059.44$1,802.61
24400Revision of humerusYA2$630.0029.19$1,208.50$774.63
24410Revision of humerusYA2$630.0029.19$1,208.50$774.63
24420Revision of humerusYA2$510.0042.985$1,779.62$827.41
24430Repair of humerusYA2$510.0079.4244$3,288.25$1,204.56
24435Repair humerus with graftYA2$630.0079.4244$3,288.25$1,294.56
24470Revision of elbow jointYA2$510.0042.985$1,779.62$827.41
24495Decompression of forearmYA2$446.0029.19$1,208.50$636.63
24498Reinforce humerusYA2$510.0079.4244$3,288.25$1,204.56
24500Treat humerus fractureYA2$103.621.7682$73.21$96.02
24505Treat humerus fractureYA2$103.621.7682$73.21$96.02
24515Treat humerus fractureYA2$630.0059.2233$2,451.90$1,085.48
Start Printed Page 9875
24516Treat humerus fractureYA2$630.0059.2233$2,451.90$1,085.48
24530Treat humerus fractureYA2$103.621.7682$73.21$96.02
24535Treat humerus fractureYA2$103.621.7682$73.21$96.02
24538Treat humerus fractureYA2$446.0026.1592$1,083.02$605.26
24545Treat humerus fractureYA2$630.0059.2233$2,451.90$1,085.48
24546Treat humerus fractureYA2$717.0059.2233$2,451.90$1,150.73
24560Treat humerus fractureYA2$103.621.7682$73.21$96.02
24565Treat humerus fractureYA2$103.621.7682$73.21$96.02
24566Treat humerus fractureYA2$446.0026.1592$1,083.02$605.26
24575Treat humerus fractureYA2$510.0059.2233$2,451.90$995.48
24576Treat humerus fractureYA2$103.621.7682$73.21$96.02
24577Treat humerus fractureYA2$103.621.7682$73.21$96.02
24579Treat humerus fractureYA2$510.0059.2233$2,451.90$995.48
24582Treat humerus fractureYA2$446.0026.1592$1,083.02$605.26
24586Treat elbow fractureYA2$630.0059.2233$2,451.90$1,085.48
24587Treat elbow fractureYA2$717.0059.2233$2,451.90$1,150.73
24600Treat elbow dislocationYA2$103.621.7682$73.21$96.02
24605Treat elbow dislocationYA2$446.0014.7658$611.32$487.33
24615Treat elbow dislocationYA2$510.0059.2233$2,451.90$995.48
24620Treat elbow fractureYA2$103.621.7682$73.21$96.02
24635Treat elbow fractureYA2$510.0059.2233$2,451.90$995.48
24640Treat elbow dislocationYCHP31.3908$57.58$57.58
24650Treat radius fractureYP21.7682$73.21$73.21
24655Treat radius fractureYA2$103.621.7682$73.21$96.02
24665Treat radius fractureYA2$630.0041.1091$1,701.96$897.99
24666Treat radius fractureYA2$630.0059.2233$2,451.90$1,085.48
24670Treat ulnar fractureYA2$103.621.7682$73.21$96.02
24675Treat ulnar fractureYA2$103.621.7682$73.21$96.02
24685Treat ulnar fractureYA2$510.0041.1091$1,701.96$807.99
24800Fusion of elbow jointYA2$630.0042.985$1,779.62$917.41
24802Fusion/graft of elbow jointYA2$717.0042.985$1,779.62$982.66
24925Amputation follow-up surgeryYA2$510.0021.2689$880.55$602.64
25000Incision of tendon sheathYA2$510.0021.2689$880.55$602.64
25001Incise flexor carpi radialisYG221.2689$880.55$880.55
25020Decompress forearm 1 spaceYA2$510.0021.2689$880.55$602.64
25023Decompress forearm 1 spaceYA2$510.0029.19$1,208.50$684.63
25024Decompress forearm 2 spacesYA2$510.0029.19$1,208.50$684.63
25025Decompress forearm 2 spacesYA2$510.0029.19$1,208.50$684.63
25028Drainage of forearm lesionYA2$333.0021.2689$880.55$469.89
25031Drainage of forearm bursaYA2$446.0021.2689$880.55$554.64
25035Treat forearm bone lesionYA2$446.0021.2689$880.55$554.64
25040Explore/treat wrist jointYA2$717.0029.19$1,208.50$839.88
25065Biopsy forearm soft tissuesYP33.1106$128.78$128.78
25066Biopsy forearm soft tissuesYA2$446.0021.1098$873.97$552.99
25075Removal forearm lesion subcuYA2$446.0016.1001$666.56$501.14
25076Removal forearm lesion deepYA2$510.0021.1098$873.97$600.99
25077Remove tumor, forearm/wristYA2$510.0021.1098$873.97$600.99
25085Incision of wrist capsuleYA2$510.0021.2689$880.55$602.64
25100Biopsy of wrist jointYA2$446.0021.2689$880.55$554.64
25101Explore/treat wrist jointYA2$510.0029.19$1,208.50$684.63
25105Remove wrist joint liningYA2$630.0029.19$1,208.50$774.63
25107Remove wrist joint cartilageYA2$510.0029.19$1,208.50$684.63
25109Excise tendon forearm/wristYG221.2689$880.55$880.55
25110Remove wrist tendon lesionYA2$510.0021.2689$880.55$602.64
25111Remove wrist tendon lesionYA2$510.0016.4637$681.61$552.90
25112Reremove wrist tendon lesionYA2$630.0016.4637$681.61$642.90
25115Remove wrist/forearm lesionYA2$630.0021.2689$880.55$692.64
25116Remove wrist/forearm lesionYA2$630.0021.2689$880.55$692.64
25118Excise wrist tendon sheathYA2$446.0029.19$1,208.50$636.63
25119Partial removal of ulnaYA2$510.0029.19$1,208.50$684.63
25120Removal of forearm lesionYA2$510.0029.19$1,208.50$684.63
25125Remove/graft forearm lesionYA2$510.0029.19$1,208.50$684.63
25126Remove/graft forearm lesionYA2$510.0029.19$1,208.50$684.63
25130Removal of wrist lesionYA2$510.0029.19$1,208.50$684.63
25135Remove & graft wrist lesionYA2$510.0029.19$1,208.50$684.63
25136Remove & graft wrist lesionYA2$510.0029.19$1,208.50$684.63
25145Remove forearm bone lesionYA2$446.0029.19$1,208.50$636.63
25150Partial removal of ulnaYA2$446.0029.19$1,208.50$636.63
25151Partial removal of radiusYA2$446.0029.19$1,208.50$636.63
25210Removal of wrist boneYA2$510.0026.3105$1,089.28$654.82
25215Removal of wrist bonesYA2$630.0026.3105$1,089.28$744.82
25230Partial removal of radiusYA2$630.0029.19$1,208.50$774.63
25240Partial removal of ulnaYA2$630.0029.19$1,208.50$774.63
25246Injection for wrist x-rayNN1
25248Remove forearm foreign bodyYA2$446.0021.2689$880.55$554.64
25250Removal of wrist prosthesisYA2$333.0029.19$1,208.50$551.88
25251Removal of wrist prosthesisYA2$333.0029.19$1,208.50$551.88
Start Printed Page 9876
25259Manipulate wrist w/anesthesYG21.7682$73.21$73.21
25260Repair forearm tendon/muscleYA2$630.0029.19$1,208.50$774.63
25263Repair forearm tendon/muscleYA2$446.0029.19$1,208.50$636.63
25265Repair forearm tendon/muscleYA2$510.0029.19$1,208.50$684.63
25270Repair forearm tendon/muscleYA2$630.0029.19$1,208.50$774.63
25272Repair forearm tendon/muscleYA2$510.0029.19$1,208.50$684.63
25274Repair forearm tendon/muscleYA2$630.0029.19$1,208.50$774.63
25275Repair forearm tendon sheathYA2$630.0029.19$1,208.50$774.63
25280Revise wrist/forearm tendonYA2$630.0029.19$1,208.50$774.63
25290Incise wrist/forearm tendonYA2$510.0029.19$1,208.50$684.63
25295Release wrist/forearm tendonYA2$510.0021.2689$880.55$602.64
25300Fusion of tendons at wristYA2$510.0029.19$1,208.50$684.63
25301Fusion of tendons at wristYA2$510.0029.19$1,208.50$684.63
25310Transplant forearm tendonYA2$510.0042.985$1,779.62$827.41
25312Transplant forearm tendonYA2$630.0042.985$1,779.62$917.41
25315Revise palsy hand tendon(s)YA2$510.0042.985$1,779.62$827.41
25316Revise palsy hand tendon(s)YA2$510.0079.4244$3,288.25$1,204.56
25320Repair/revise wrist jointYA2$510.0042.985$1,779.62$827.41
25332Revise wrist jointYA2$717.0035.904$1,486.46$909.37
25335Realignment of handYA2$510.0042.985$1,779.62$827.41
25337Reconstruct ulna/radioulnarYA2$717.0042.985$1,779.62$982.66
25350Revision of radiusYA2$510.0079.4244$3,288.25$1,204.56
25355Revision of radiusYA2$510.0042.985$1,779.62$827.41
25360Revision of ulnaYA2$510.0029.19$1,208.50$684.63
25365Revise radius & ulnaYA2$510.0029.19$1,208.50$684.63
25370Revise radius or ulnaYA2$510.0042.985$1,779.62$827.41
25375Revise radius & ulnaYA2$630.0042.985$1,779.62$917.41
25390Shorten radius or ulnaYA2$510.0029.19$1,208.50$684.63
25391Lengthen radius or ulnaYA2$630.0042.985$1,779.62$917.41
25392Shorten radius & ulnaYA2$510.0029.19$1,208.50$684.63
25393Lengthen radius & ulnaYA2$630.0042.985$1,779.62$917.41
25394Repair carpal bone, shortenYG216.4637$681.61$681.61
25400Repair radius or ulnaYA2$510.0079.4244$3,288.25$1,204.56
25405Repair/graft radius or ulnaYA2$630.0079.4244$3,288.25$1,294.56
25415Repair radius & ulnaYA2$510.0079.4244$3,288.25$1,204.56
25420Repair/graft radius & ulnaYA2$630.0079.4244$3,288.25$1,294.56
25425Repair/graft radius or ulnaYA2$510.0042.985$1,779.62$827.41
25426Repair/graft radius & ulnaYA2$630.0042.985$1,779.62$917.41
25430Vasc graft into carpal boneYG226.3105$1,089.28$1,089.28
25431Repair nonunion carpal boneYG226.3105$1,089.28$1,089.28
25440Repair/graft wrist boneYA2$630.0079.4244$3,288.25$1,294.56
25441Reconstruct wrist jointYA2$717.00122.2057$5,059.44$1,802.61
25442Reconstruct wrist jointYA2$717.00122.2057$5,059.44$1,802.61
25443Reconstruct wrist jointYA2$717.0050.8876$2,106.80$1,064.45
25444Reconstruct wrist jointYA2$717.0050.8876$2,106.80$1,064.45
25445Reconstruct wrist jointYA2$717.0050.8876$2,106.80$1,064.45
25446Wrist replacementYA2$995.00122.2057$5,059.44$2,011.11
25447Repair wrist joint(s)YA2$717.0035.904$1,486.46$909.37
25449Remove wrist joint implantYA2$717.0035.904$1,486.46$909.37
25450Revision of wrist jointYA2$510.0042.985$1,779.62$827.41
25455Revision of wrist jointYA2$510.0042.985$1,779.62$827.41
25490Reinforce radiusYA2$510.0042.985$1,779.62$827.41
25491Reinforce ulnaYA2$510.0042.985$1,779.62$827.41
25492Reinforce radius and ulnaYA2$510.0042.985$1,779.62$827.41
25500Treat fracture of radiusYP21.7682$73.21$73.21
25505Treat fracture of radiusYA2$103.621.7682$73.21$96.02
25515Treat fracture of radiusYA2$510.0041.1091$1,701.96$807.99
25520Treat fracture of radiusYA2$103.621.7682$73.21$96.02
25525Treat fracture of radiusYA2$630.0041.1091$1,701.96$897.99
25526Treat fracture of radiusYA2$717.0041.1091$1,701.96$963.24
25530Treat fracture of ulnaYP21.7682$73.21$73.21
25535Treat fracture of ulnaYA2$103.621.7682$73.21$96.02
25545Treat fracture of ulnaYA2$510.0041.1091$1,701.96$807.99
25560Treat fracture radius & ulnaYP21.7682$73.21$73.21
25565Treat fracture radius & ulnaYA2$103.621.7682$73.21$96.02
25574Treat fracture radius & ulnaYA2$510.0059.2233$2,451.90$995.48
25575Treat fracture radius/ulnaYA2$510.0059.2233$2,451.90$995.48
25600Treat fracture radius/ulnaYP21.7682$73.21$73.21
25605Treat fracture radius/ulnaYA2$103.621.7682$73.21$96.02
25606Treat fx distal radialYA2$510.0026.1592$1,083.02$653.26
25607Treat fx rad extra-articulYA2$717.0059.2233$2,451.90$1,150.73
25608Treat fx rad intra-articulYA2$717.0059.2233$2,451.90$1,150.73
25609Treat fx radial 3+ fragYA2$717.0059.2233$2,451.90$1,150.73
25622Treat wrist bone fractureYP21.7682$73.21$73.21
25624Treat wrist bone fractureYA2$103.621.7682$73.21$96.02
25628Treat wrist bone fractureYA2$510.0041.1091$1,701.96$807.99
25630Treat wrist bone fractureYP21.7682$73.21$73.21
Start Printed Page 9877
25635Treat wrist bone fractureYA2$103.621.7682$73.21$96.02
25645Treat wrist bone fractureYA2$510.0041.1091$1,701.96$807.99
25650Treat wrist bone fractureYP21.7682$73.21$73.21
25651Pin ulnar styloid fractureYG226.1592$1,083.02$1,083.02
25652Treat fracture ulnar styloidYG241.1091$1,701.96$1,701.96
25660Treat wrist dislocationYA2$103.621.7682$73.21$96.02
25670Treat wrist dislocationYA2$510.0026.1592$1,083.02$653.26
25671Pin radioulnar dislocationYA2$333.0026.1592$1,083.02$520.51
25675Treat wrist dislocationYA2$103.621.7682$73.21$96.02
25676Treat wrist dislocationYA2$446.0026.1592$1,083.02$605.26
25680Treat wrist fractureYA2$103.621.7682$73.21$96.02
25685Treat wrist fractureYA2$510.0026.1592$1,083.02$653.26
25690Treat wrist dislocationYA2$103.621.7682$73.21$96.02
25695Treat wrist dislocationYA2$446.0026.1592$1,083.02$605.26
25800Fusion of wrist jointYA2$630.0079.4244$3,288.25$1,294.56
25805Fusion/graft of wrist jointYA2$717.0042.985$1,779.62$982.66
25810Fusion/graft of wrist jointYA2$717.0079.4244$3,288.25$1,359.81
25820Fusion of hand bonesYA2$630.0016.4637$681.61$642.90
25825Fuse hand bones with graftYA2$717.0079.4244$3,288.25$1,359.81
25830Fusion, radioulnar jnt/ulnaYA2$717.0079.4244$3,288.25$1,359.81
25907Amputation follow-up surgeryYA2$510.0021.2689$880.55$602.64
25922Amputate hand at wristYA2$510.0021.2689$880.55$602.64
25929Amputation follow-up surgeryYA2$510.0015.0458$622.91$538.23
25931Amputation follow-up surgeryYCHG221.2689$880.55$880.55
26010Drainage of finger abscessYP21.4066$58.23$58.23
26011Drainage of finger abscessYA2$333.0011.5594$478.57$369.39
26020Drain hand tendon sheathYA2$446.0016.4637$681.61$504.90
26025Drainage of palm bursaYA2$333.0016.4637$681.61$420.15
26030Drainage of palm bursa(s)YA2$446.0016.4637$681.61$504.90
26034Treat hand bone lesionYA2$446.0016.4637$681.61$504.90
26035Decompress fingers/handYG216.4637$681.61$681.61
26040Release palm contractureYA2$630.0026.3105$1,089.28$744.82
26045Release palm contractureYA2$510.0026.3105$1,089.28$654.82
26055Incise finger tendon sheathYA2$446.0016.4637$681.61$504.90
26060Incision of finger tendonYA2$446.0016.4637$681.61$504.90
26070Explore/treat hand jointYA2$446.0016.4637$681.61$504.90
26075Explore/treat finger jointYA2$630.0016.4637$681.61$642.90
26080Explore/treat finger jointYA2$630.0016.4637$681.61$642.90
26100Biopsy hand joint liningYA2$446.0016.4637$681.61$504.90
26105Biopsy finger joint liningYA2$333.0016.4637$681.61$420.15
26110Biopsy finger joint liningYA2$333.0016.4637$681.61$420.15
26115Removal hand lesion subcutYA2$446.0021.1098$873.97$552.99
26116Removal hand lesion, deepYA2$446.0021.1098$873.97$552.99
26117Remove tumor, hand/fingerYA2$510.0021.1098$873.97$600.99
26121Release palm contractureYA2$630.0026.3105$1,089.28$744.82
26123Release palm contractureYA2$630.0026.3105$1,089.28$744.82
26125Release palm contractureYA2$630.0016.4637$681.61$642.90
26130Remove wrist joint liningYA2$510.0016.4637$681.61$552.90
26135Revise finger joint, eachYA2$630.0026.3105$1,089.28$744.82
26140Revise finger joint, eachYA2$446.0016.4637$681.61$504.90
26145Tendon excision, palm/fingerYA2$510.0016.4637$681.61$552.90
26160Remove tendon sheath lesionYA2$510.0016.4637$681.61$552.90
26170Removal of palm tendon, eachYA2$510.0016.4637$681.61$552.90
26180Removal of finger tendonYA2$510.0016.4637$681.61$552.90
26185Remove finger boneYA2$630.0016.4637$681.61$642.90
26200Remove hand bone lesionYA2$446.0016.4637$681.61$504.90
26205Remove/graft bone lesionYA2$510.0026.3105$1,089.28$654.82
26210Removal of finger lesionYA2$446.0016.4637$681.61$504.90
26215Remove/graft finger lesionYA2$510.0016.4637$681.61$552.90
26230Partial removal of hand boneYA2$992.9516.4637$681.61$915.12
26235Partial removal, finger boneYA2$510.0016.4637$681.61$552.90
26236Partial removal, finger boneYA2$510.0016.4637$681.61$552.90
26250Extensive hand surgeryYA2$510.0016.4637$681.61$552.90
26255Extensive hand surgeryYA2$510.0026.3105$1,089.28$654.82
26260Extensive finger surgeryYA2$510.0016.4637$681.61$552.90
26261Extensive finger surgeryYA2$510.0016.4637$681.61$552.90
26262Partial removal of fingerYA2$446.0016.4637$681.61$504.90
26320Removal of implant from handYA2$446.0016.1001$666.56$501.14
26340Manipulate finger w/anesthYG21.7682$73.21$73.21
26350Repair finger/hand tendonYA2$333.0026.3105$1,089.28$522.07
26352Repair/graft hand tendonYA2$630.0026.3105$1,089.28$744.82
26356Repair finger/hand tendonYA2$630.0026.3105$1,089.28$744.82
26357Repair finger/hand tendonYA2$630.0026.3105$1,089.28$744.82
26358Repair/graft hand tendonYA2$630.0026.3105$1,089.28$744.82
26370Repair finger/hand tendonYA2$630.0026.3105$1,089.28$744.82
26372Repair/graft hand tendonYA2$630.0026.3105$1,089.28$744.82
26373Repair finger/hand tendonYA2$510.0026.3105$1,089.28$654.82
Start Printed Page 9878
26390Revise hand/finger tendonYA2$630.0026.3105$1,089.28$744.82
26392Repair/graft hand tendonYA2$510.0026.3105$1,089.28$654.82
26410Repair hand tendonYA2$510.0016.4637$681.61$552.90
26412Repair/graft hand tendonYA2$510.0026.3105$1,089.28$654.82
26415Excision, hand/finger tendonYA2$630.0026.3105$1,089.28$744.82
26416Graft hand or finger tendonYA2$510.0026.3105$1,089.28$654.82
26418Repair finger tendonYA2$630.0016.4637$681.61$642.90
26420Repair/graft finger tendonYA2$630.0026.3105$1,089.28$744.82
26426Repair finger/hand tendonYA2$510.0026.3105$1,089.28$654.82
26428Repair/graft finger tendonYA2$510.0026.3105$1,089.28$654.82
26432Repair finger tendonYA2$510.0016.4637$681.61$552.90
26433Repair finger tendonYA2$510.0016.4637$681.61$552.90
26434Repair/graft finger tendonYA2$510.0026.3105$1,089.28$654.82
26437Realignment of tendonsYA2$510.0016.4637$681.61$552.90
26440Release palm/finger tendonYA2$510.0016.4637$681.61$552.90
26442Release palm & finger tendonYA2$510.0026.3105$1,089.28$654.82
26445Release hand/finger tendonYA2$510.0016.4637$681.61$552.90
26449Release forearm/hand tendonYA2$510.0026.3105$1,089.28$654.82
26450Incision of palm tendonYA2$510.0016.4637$681.61$552.90
26455Incision of finger tendonYA2$510.0016.4637$681.61$552.90
26460Incise hand/finger tendonYA2$510.0016.4637$681.61$552.90
26471Fusion of finger tendonsYA2$446.0016.4637$681.61$504.90
26474Fusion of finger tendonsYA2$446.0016.4637$681.61$504.90
26476Tendon lengtheningYA2$333.0016.4637$681.61$420.15
26477Tendon shorteningYA2$333.0016.4637$681.61$420.15
26478Lengthening of hand tendonYA2$333.0016.4637$681.61$420.15
26479Shortening of hand tendonYA2$333.0016.4637$681.61$420.15
26480Transplant hand tendonYA2$510.0026.3105$1,089.28$654.82
26483Transplant/graft hand tendonYA2$510.0026.3105$1,089.28$654.82
26485Transplant palm tendonYA2$446.0026.3105$1,089.28$606.82
26489Transplant/graft palm tendonYA2$510.0026.3105$1,089.28$654.82
26490Revise thumb tendonYA2$510.0026.3105$1,089.28$654.82
26492Tendon transfer with graftYA2$510.0026.3105$1,089.28$654.82
26494Hand tendon/muscle transferYA2$510.0026.3105$1,089.28$654.82
26496Revise thumb tendonYA2$510.0026.3105$1,089.28$654.82
26497Finger tendon transferYA2$510.0026.3105$1,089.28$654.82
26498Finger tendon transferYA2$630.0026.3105$1,089.28$744.82
26499Revision of fingerYA2$510.0026.3105$1,089.28$654.82
26500Hand tendon reconstructionYA2$630.0016.4637$681.61$642.90
26502Hand tendon reconstructionYA2$630.0026.3105$1,089.28$744.82
26508Release thumb contractureYA2$510.0016.4637$681.61$552.90
26510Thumb tendon transferYA2$510.0026.3105$1,089.28$654.82
26516Fusion of knuckle jointYA2$333.0026.3105$1,089.28$522.07
26517Fusion of knuckle jointsYA2$510.0026.3105$1,089.28$654.82
26518Fusion of knuckle jointsYA2$510.0026.3105$1,089.28$654.82
26520Release knuckle contractureYA2$510.0016.4637$681.61$552.90
26525Release finger contractureYA2$510.0016.4637$681.61$552.90
26530Revise knuckle jointYA2$510.0035.904$1,486.46$754.12
26531Revise knuckle with implantYA2$995.0050.8876$2,106.80$1,272.95
26535Revise finger jointYA2$717.0035.904$1,486.46$909.37
26536Revise/implant finger jointYA2$717.0050.8876$2,106.80$1,064.45
26540Repair hand jointYA2$630.0016.4637$681.61$642.90
26541Repair hand joint with graftYA2$995.0026.3105$1,089.28$1,018.57
26542Repair hand joint with graftYA2$630.0016.4637$681.61$642.90
26545Reconstruct finger jointYA2$630.0026.3105$1,089.28$744.82
26546Repair nonunion handYA2$630.0026.3105$1,089.28$744.82
26548Reconstruct finger jointYA2$630.0026.3105$1,089.28$744.82
26550Construct thumb replacementYA2$446.0026.3105$1,089.28$606.82
26555Positional change of fingerYA2$510.0026.3105$1,089.28$654.82
26560Repair of web fingerYA2$446.0016.4637$681.61$504.90
26561Repair of web fingerYA2$510.0026.3105$1,089.28$654.82
26562Repair of web fingerYA2$630.0026.3105$1,089.28$744.82
26565Correct metacarpal flawYA2$717.0026.3105$1,089.28$810.07
26567Correct finger deformityYA2$717.0026.3105$1,089.28$810.07
26568Lengthen metacarpal/fingerYA2$510.0026.3105$1,089.28$654.82
26580Repair hand deformityYA2$717.0016.4637$681.61$708.15
26587Reconstruct extra fingerYA2$717.0016.4637$681.61$708.15
26590Repair finger deformityYA2$717.0016.4637$681.61$708.15
26591Repair muscles of handYA2$510.0026.3105$1,089.28$654.82
26593Release muscles of handYA2$510.0016.4637$681.61$552.90
26596Excision constricting tissueYA2$446.0016.4637$681.61$504.90
26600Treat metacarpal fractureYP21.7682$73.21$73.21
26605Treat metacarpal fractureYA2$103.621.7682$73.21$96.02
26607Treat metacarpal fractureYA2$103.621.7682$73.21$96.02
26608Treat metacarpal fractureYA2$630.0026.1592$1,083.02$743.26
26615Treat metacarpal fractureYA2$630.0041.1091$1,701.96$897.99
26641Treat thumb dislocationYCHP21.7682$73.21$73.21
Start Printed Page 9879
26645Treat thumb fractureYA2$103.621.7682$73.21$96.02
26650Treat thumb fractureYA2$446.0026.1592$1,083.02$605.26
26665Treat thumb fractureYA2$630.0041.1091$1,701.96$897.99
26670Treat hand dislocationYCHP21.7682$73.21$73.21
26675Treat hand dislocationYA2$103.621.7682$73.21$96.02
26676Pin hand dislocationYA2$446.0026.1592$1,083.02$605.26
26685Treat hand dislocationYA2$510.0026.1592$1,083.02$653.26
26686Treat hand dislocationYA2$510.0059.2233$2,451.90$995.48
26700Treat knuckle dislocationYCHP21.7682$73.21$73.21
26705Treat knuckle dislocationYA2$103.621.7682$73.21$96.02
26706Pin knuckle dislocationYA2$103.621.7682$73.21$96.02
26715Treat knuckle dislocationYA2$630.0026.1592$1,083.02$743.26
26720Treat finger fracture, eachYP21.7682$73.21$73.21
26725Treat finger fracture, eachYP21.7682$73.21$73.21
26727Treat finger fracture, eachYA2$995.0026.1592$1,083.02$1,017.01
26735Treat finger fracture, eachYA2$630.0026.1592$1,083.02$743.26
26740Treat finger fracture, eachYP21.7682$73.21$73.21
26742Treat finger fracture, eachYA2$103.621.7682$73.21$96.02
26746Treat finger fracture, eachYA2$717.0026.1592$1,083.02$808.51
26750Treat finger fracture, eachYP21.7682$73.21$73.21
26755Treat finger fracture, eachYG21.7682$73.21$73.21
26756Pin finger fracture, eachYA2$446.0026.1592$1,083.02$605.26
26765Treat finger fracture, eachYA2$630.0026.1592$1,083.02$743.26
26770Treat finger dislocationYG21.7682$73.21$73.21
26775Treat finger dislocationYCHP34.0402$167.27$167.27
26776Pin finger dislocationYA2$446.0026.1592$1,083.02$605.26
26785Treat finger dislocationYA2$446.0026.1592$1,083.02$605.26
26820Thumb fusion with graftYA2$717.0026.3105$1,089.28$810.07
26841Fusion of thumbYA2$630.0026.3105$1,089.28$744.82
26842Thumb fusion with graftYA2$630.0026.3105$1,089.28$744.82
26843Fusion of hand jointYA2$510.0026.3105$1,089.28$654.82
26844Fusion/graft of hand jointYA2$510.0026.3105$1,089.28$654.82
26850Fusion of knuckleYA2$630.0026.3105$1,089.28$744.82
26852Fusion of knuckle with graftYA2$630.0026.3105$1,089.28$744.82
26860Fusion of finger jointYA2$510.0026.3105$1,089.28$654.82
26861Fusion of finger jnt, add-onYA2$446.0026.3105$1,089.28$606.82
26862Fusion/graft of finger jointYA2$630.0026.3105$1,089.28$744.82
26863Fuse/graft added jointYA2$510.0026.3105$1,089.28$654.82
26910Amputate metacarpal boneYA2$510.0026.3105$1,089.28$654.82
26951Amputation of finger/thumbYA2$446.0016.4637$681.61$504.90
26952Amputation of finger/thumbYA2$630.0016.4637$681.61$642.90
26990Drainage of pelvis lesionYA2$333.0021.2689$880.55$469.89
26991Drainage of pelvis bursaYA2$333.0021.2689$880.55$469.89
27000Incision of hip tendonYA2$446.0021.2689$880.55$554.64
27001Incision of hip tendonYA2$510.0029.19$1,208.50$684.63
27003Incision of hip tendonYA2$510.0029.19$1,208.50$684.63
27033Exploration of hip jointYA2$510.0042.985$1,779.62$827.41
27035Denervation of hip jointYA2$630.0042.985$1,779.62$917.41
27040Biopsy of soft tissuesYA2$333.008.685$359.57$339.64
27041Biopsy of soft tissuesYA2$418.498.685$359.57$403.76
27047Remove hip/pelvis lesionYA2$446.0021.1098$873.97$552.99
27048Remove hip/pelvis lesionYA2$510.0021.1098$873.97$600.99
27049Remove tumor, hip/pelvisYA2$510.0021.1098$873.97$600.99
27050Biopsy of sacroiliac jointYA2$510.0021.2689$880.55$602.64
27052Biopsy of hip jointYA2$510.0021.2689$880.55$602.64
27060Removal of ischial bursaYA2$717.0021.2689$880.55$757.89
27062Remove femur lesion/bursaYA2$717.0021.2689$880.55$757.89
27065Removal of hip bone lesionYA2$717.0021.2689$880.55$757.89
27066Removal of hip bone lesionYA2$717.0029.19$1,208.50$839.88
27067Remove/graft hip bone lesionYA2$717.0029.19$1,208.50$839.88
27080Removal of tail boneYA2$446.0029.19$1,208.50$636.63
27086Remove hip foreign bodyYA2$333.008.685$359.57$339.64
27087Remove hip foreign bodyYA2$510.0021.2689$880.55$602.64
27093Injection for hip x-rayNN1
27095Injection for hip x-rayNN1
27097Revision of hip tendonYA2$510.0029.19$1,208.50$684.63
27098Transfer tendon to pelvisYA2$510.0029.19$1,208.50$684.63
27100Transfer of abdominal muscleYA2$630.0042.985$1,779.62$917.41
27105Transfer of spinal muscleYA2$630.0042.985$1,779.62$917.41
27110Transfer of iliopsoas muscleYA2$630.0042.985$1,779.62$917.41
27111Transfer of iliopsoas muscleYA2$630.0042.985$1,779.62$917.41
27193Treat pelvic ring fractureYA2$103.621.7682$73.21$96.02
27194Treat pelvic ring fractureYA2$446.0014.7658$611.32$487.33
27200Treat tail bone fractureYP21.7682$73.21$73.21
27202Treat tail bone fractureYA2$446.0041.1091$1,701.96$759.99
27220Treat hip socket fractureYG21.7682$73.21$73.21
27230Treat thigh fractureYA2$103.621.7682$73.21$96.02
Start Printed Page 9880
27238Treat thigh fractureYA2$103.621.7682$73.21$96.02
27246Treat thigh fractureYA2$103.621.7682$73.21$96.02
27250Treat hip dislocationYA2$103.621.7682$73.21$96.02
27252Treat hip dislocationYA2$446.0014.7658$611.32$487.33
27256Treat hip dislocationYG21.7682$73.21$73.21
27257Treat hip dislocationYA2$510.0014.7658$611.32$535.33
27265Treat hip dislocationYA2$103.621.7682$73.21$96.02
27266Treat hip dislocationYA2$446.0014.7658$611.32$487.33
27267Cltx thigh fxYNIG21.7682$73.21$73.21
27275Manipulation of hip jointYA2$446.0014.7658$611.32$487.33
27301Drain thigh/knee lesionYA2$510.0018.3197$758.45$572.11
27305Incise thigh tendon & fasciaYA2$446.0021.2689$880.55$554.64
27306Incision of thigh tendonYA2$510.0021.2689$880.55$602.64
27307Incision of thigh tendonsYA2$510.0021.2689$880.55$602.64
27310Exploration of knee jointYA2$630.0029.19$1,208.50$774.63
27323Biopsy, thigh soft tissuesYA2$333.008.685$359.57$339.64
27324Biopsy, thigh soft tissuesYA2$333.0021.1098$873.97$468.24
27325Neurectomy, hamstringYA2$446.0018.0518$747.36$521.34
27326Neurectomy, poplitealYA2$446.0018.0518$747.36$521.34
27327Removal of thigh lesionYA2$446.0021.1098$873.97$552.99
27328Removal of thigh lesionYA2$510.0021.1098$873.97$600.99
27329Remove tumor, thigh/kneeYA2$630.0021.1098$873.97$690.99
27330Biopsy, knee joint liningYA2$630.0029.19$1,208.50$774.63
27331Explore/treat knee jointYA2$630.0029.19$1,208.50$774.63
27332Removal of knee cartilageYA2$630.0029.19$1,208.50$774.63
27333Removal of knee cartilageYA2$630.0029.19$1,208.50$774.63
27334Remove knee joint liningYA2$630.0029.19$1,208.50$774.63
27335Remove knee joint liningYA2$630.0029.19$1,208.50$774.63
27340Removal of kneecap bursaYA2$510.0021.2689$880.55$602.64
27345Removal of knee cystYA2$630.0021.2689$880.55$692.64
27347Remove knee cystYA2$630.0021.2689$880.55$692.64
27350Removal of kneecapYA2$630.0029.19$1,208.50$774.63
27355Remove femur lesionYA2$510.0029.19$1,208.50$684.63
27356Remove femur lesion/graftYA2$630.0029.19$1,208.50$774.63
27357Remove femur lesion/graftYA2$717.0029.19$1,208.50$839.88
27358Remove femur lesion/fixationYA2$717.0029.19$1,208.50$839.88
27360Partial removal, leg bone(s)YA2$717.0029.19$1,208.50$839.88
27370Injection for knee x-rayNN1
27372Removal of foreign bodyYA2$995.0021.1098$873.97$964.74
27380Repair of kneecap tendonYA2$333.0021.2689$880.55$469.89
27381Repair/graft kneecap tendonYA2$510.0021.2689$880.55$602.64
27385Repair of thigh muscleYA2$510.0021.2689$880.55$602.64
27386Repair/graft of thigh muscleYA2$510.0021.2689$880.55$602.64
27390Incision of thigh tendonYA2$333.0021.2689$880.55$469.89
27391Incision of thigh tendonsYA2$446.0021.2689$880.55$554.64
27392Incision of thigh tendonsYA2$510.0021.2689$880.55$602.64
27393Lengthening of thigh tendonYA2$446.0029.19$1,208.50$636.63
27394Lengthening of thigh tendonsYA2$510.0029.19$1,208.50$684.63
27395Lengthening of thigh tendonsYA2$510.0042.985$1,779.62$827.41
27396Transplant of thigh tendonYA2$510.0029.19$1,208.50$684.63
27397Transplants of thigh tendonsYA2$510.0042.985$1,779.62$827.41
27400Revise thigh muscles/tendonsYA2$510.0042.985$1,779.62$827.41
27403Repair of knee cartilageYA2$630.0029.19$1,208.50$774.63
27405Repair of knee ligamentYA2$630.0042.985$1,779.62$917.41
27407Repair of knee ligamentYA2$630.0079.4244$3,288.25$1,294.56
27409Repair of knee ligamentsYA2$630.0042.985$1,779.62$917.41
27416Osteochondral knee autograftYNIG242.985$1,779.62$1,779.62
27418Repair degenerated kneecapYA2$510.0042.985$1,779.62$827.41
27420Revision of unstable kneecapYA2$510.0042.985$1,779.62$827.41
27422Revision of unstable kneecapYA2$995.0042.985$1,779.62$1,191.16
27424Revision/removal of kneecapYA2$510.0042.985$1,779.62$827.41
27425Lat retinacular release openYA2$995.0029.19$1,208.50$1,048.38
27427Reconstruction, kneeYA2$510.0042.985$1,779.62$827.41
27428Reconstruction, kneeYA2$630.0079.4244$3,288.25$1,294.56
27429Reconstruction, kneeYA2$630.0079.4244$3,288.25$1,294.56
27430Revision of thigh musclesYA2$630.0042.985$1,779.62$917.41
27435Incision of knee jointYA2$630.0042.985$1,779.62$917.41
27437Revise kneecapYA2$630.0035.904$1,486.46$844.12
27438Revise kneecap with implantYA2$717.0050.8876$2,106.80$1,064.45
27440Revision of knee jointYG235.904$1,486.46$1,486.46
27441Revision of knee jointYA2$717.0035.904$1,486.46$909.37
27442Revision of knee jointYA2$717.0035.904$1,486.46$909.37
27443Revision of knee jointYA2$717.0035.904$1,486.46$909.37
27446Revision of knee jointYG2274.6715$11,371.67$11,371.67
27496Decompression of thigh/kneeYA2$717.0021.2689$880.55$757.89
27497Decompression of thigh/kneeYA2$510.0021.2689$880.55$602.64
27498Decompression of thigh/kneeYA2$510.0021.2689$880.55$602.64
Start Printed Page 9881
27499Decompression of thigh/kneeYA2$510.0021.2689$880.55$602.64
27500Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27501Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27502Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27503Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27508Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27509Treatment of thigh fractureYA2$510.0026.1592$1,083.02$653.26
27510Treatment of thigh fractureYA2$103.621.7682$73.21$96.02
27516Treat thigh fx growth plateYA2$103.621.7682$73.21$96.02
27517Treat thigh fx growth plateYA2$103.621.7682$73.21$96.02
27520Treat kneecap fractureYA2$103.621.7682$73.21$96.02
27530Treat knee fractureYA2$103.621.7682$73.21$96.02
27532Treat knee fractureYA2$103.621.7682$73.21$96.02
27538Treat knee fracture(s)YA2$103.621.7682$73.21$96.02
27550Treat knee dislocationYA2$103.621.7682$73.21$96.02
27552Treat knee dislocationYA2$333.0014.7658$611.32$402.58
27560Treat kneecap dislocationYA2$103.621.7682$73.21$96.02
27562Treat kneecap dislocationYA2$333.0014.7658$611.32$402.58
27566Treat kneecap dislocationYA2$446.0041.1091$1,701.96$759.99
27570Fixation of knee jointYA2$333.0014.7658$611.32$402.58
27594Amputation follow-up surgeryYA2$510.0021.2689$880.55$602.64
27600Decompression of lower legYA2$510.0021.2689$880.55$602.64
27601Decompression of lower legYA2$510.0021.2689$880.55$602.64
27602Decompression of lower legYA2$510.0021.2689$880.55$602.64
27603Drain lower leg lesionYA2$446.0018.3197$758.45$524.11
27604Drain lower leg bursaYA2$446.0021.2689$880.55$554.64
27605Incision of achilles tendonYA2$333.0020.8284$862.32$465.33
27606Incision of achilles tendonYA2$333.0021.2689$880.55$469.89
27607Treat lower leg bone lesionYA2$446.0021.2689$880.55$554.64
27610Explore/treat ankle jointYA2$446.0029.19$1,208.50$636.63
27612Exploration of ankle jointYA2$510.0029.19$1,208.50$684.63
27613Biopsy lower leg soft tissueYP32.9376$121.62$121.62
27614Biopsy lower leg soft tissueYA2$446.0021.1098$873.97$552.99
27615Remove tumor, lower legYA2$510.0029.19$1,208.50$684.63
27618Remove lower leg lesionYA2$446.0016.1001$666.56$501.14
27619Remove lower leg lesionYA2$510.0021.1098$873.97$600.99
27620Explore/treat ankle jointYA2$630.0029.19$1,208.50$774.63
27625Remove ankle joint liningYA2$630.0029.19$1,208.50$774.63
27626Remove ankle joint liningYA2$630.0029.19$1,208.50$774.63
27630Removal of tendon lesionYA2$510.0021.2689$880.55$602.64
27635Remove lower leg bone lesionYA2$510.0029.19$1,208.50$684.63
27637Remove/graft leg bone lesionYA2$510.0029.19$1,208.50$684.63
27638Remove/graft leg bone lesionYA2$510.0029.19$1,208.50$684.63
27640Partial removal of tibiaYA2$446.0042.985$1,779.62$779.41
27641Partial removal of fibulaYA2$446.0029.19$1,208.50$636.63
27647Extensive ankle/heel surgeryYA2$510.0042.985$1,779.62$827.41
27648Injection for ankle x-rayNN1
27650Repair achilles tendonYA2$510.0042.985$1,779.62$827.41
27652Repair/graft achilles tendonYA2$510.0079.4244$3,288.25$1,204.56
27654Repair of achilles tendonYA2$510.0042.985$1,779.62$827.41
27656Repair leg fascia defectYA2$446.0021.2689$880.55$554.64
27658Repair of leg tendon, eachYA2$333.0021.2689$880.55$469.89
27659Repair of leg tendon, eachYA2$446.0021.2689$880.55$554.64
27664Repair of leg tendon, eachYA2$446.0021.2689$880.55$554.64
27665Repair of leg tendon, eachYA2$446.0029.19$1,208.50$636.63
27675Repair lower leg tendonsYA2$446.0021.2689$880.55$554.64
27676Repair lower leg tendonsYA2$510.0029.19$1,208.50$684.63
27680Release of lower leg tendonYA2$510.0029.19$1,208.50$684.63
27681Release of lower leg tendonsYA2$446.0029.19$1,208.50$636.63
27685Revision of lower leg tendonYA2$510.0029.19$1,208.50$684.63
27686Revise lower leg tendonsYA2$510.0029.19$1,208.50$684.63
27687Revision of calf tendonYA2$510.0029.19$1,208.50$684.63
27690Revise lower leg tendonYA2$630.0042.985$1,779.62$917.41
27691Revise lower leg tendonYA2$630.0042.985$1,779.62$917.41
27692Revise additional leg tendonYA2$510.0042.985$1,779.62$827.41
27695Repair of ankle ligamentYA2$446.0029.19$1,208.50$636.63
27696Repair of ankle ligamentsYA2$446.0029.19$1,208.50$636.63
27698Repair of ankle ligamentYA2$446.0029.19$1,208.50$636.63
27700Revision of ankle jointYA2$717.0035.904$1,486.46$909.37
27704Removal of ankle implantYA2$446.0021.2689$880.55$554.64
27705Incision of tibiaYA2$446.0042.985$1,779.62$779.41
27707Incision of fibulaYA2$446.0021.2689$880.55$554.64
27709Incision of tibia & fibulaYA2$446.0029.19$1,208.50$636.63
27726Repair fibula nonunionYNIG226.1592$1,083.02$1,083.02
27730Repair of tibia epiphysisYA2$446.0029.19$1,208.50$636.63
27732Repair of fibula epiphysisYA2$446.0029.19$1,208.50$636.63
27734Repair lower leg epiphysesYA2$446.0029.19$1,208.50$636.63
Start Printed Page 9882
27740Repair of leg epiphysesYA2$446.0029.19$1,208.50$636.63
27742Repair of leg epiphysesYA2$446.0042.985$1,779.62$779.41
27745Reinforce tibiaYA2$510.0079.4244$3,288.25$1,204.56
27750Treatment of tibia fractureYA2$103.621.7682$73.21$96.02
27752Treatment of tibia fractureYA2$103.621.7682$73.21$96.02
27756Treatment of tibia fractureYA2$510.0026.1592$1,083.02$653.26
27758Treatment of tibia fractureYA2$630.0041.1091$1,701.96$897.99
27759Treatment of tibia fractureYA2$630.0059.2233$2,451.90$1,085.48
27760Cltx medial ankle fxYA2$103.621.7682$73.21$96.02
27762Cltx med ankle fx w/mnpjYA2$103.621.7682$73.21$96.02
27766Optx medial ankle fxYA2$510.0041.1091$1,701.96$807.99
27767Cltx post ankle fxYNIG21.7682$73.21$73.21
27768Cltx post ankle fx w/mnpjYNIG21.7682$73.21$73.21
27769Optx post ankle fxYNIG241.1091$1,701.96$1,701.96
27780Treatment of fibula fractureYA2$103.621.7682$73.21$96.02
27781Treatment of fibula fractureYA2$103.621.7682$73.21$96.02
27784Treatment of fibula fractureYA2$510.0041.1091$1,701.96$807.99
27786Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27788Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27792Treatment of ankle fractureYA2$510.0041.1091$1,701.96$807.99
27808Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27810Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27814Treatment of ankle fractureYA2$510.0041.1091$1,701.96$807.99
27816Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27818Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
27822Treatment of ankle fractureYA2$510.0041.1091$1,701.96$807.99
27823Treatment of ankle fractureYA2$510.0059.2233$2,451.90$995.48
27824Treat lower leg fractureYA2$103.621.7682$73.21$96.02
27825Treat lower leg fractureYA2$103.621.7682$73.21$96.02
27826Treat lower leg fractureYA2$510.0041.1091$1,701.96$807.99
27827Treat lower leg fractureYA2$510.0059.2233$2,451.90$995.48
27828Treat lower leg fractureYA2$630.0059.2233$2,451.90$1,085.48
27829Treat lower leg jointYA2$446.0041.1091$1,701.96$759.99
27830Treat lower leg dislocationYA2$103.621.7682$73.21$96.02
27831Treat lower leg dislocationYA2$103.621.7682$73.21$96.02
27832Treat lower leg dislocationYA2$446.0041.1091$1,701.96$759.99
27840Treat ankle dislocationYA2$103.621.7682$73.21$96.02
27842Treat ankle dislocationYA2$333.0014.7658$611.32$402.58
27846Treat ankle dislocationYA2$510.0041.1091$1,701.96$807.99
27848Treat ankle dislocationYA2$510.0041.1091$1,701.96$807.99
27860Fixation of ankle jointYA2$333.0014.7658$611.32$402.58
27870Fusion of ankle joint, openYA2$630.0079.4244$3,288.25$1,294.56
27871Fusion of tibiofibular jointYA2$630.0079.4244$3,288.25$1,294.56
27884Amputation follow-up surgeryYA2$510.0021.2689$880.55$602.64
27889Amputation of foot at ankleYA2$510.0029.19$1,208.50$684.63
27892Decompression of legYA2$510.0021.2689$880.55$602.64
27893Decompression of legYA2$510.0021.2689$880.55$602.64
27894Decompression of legYA2$510.0021.2689$880.55$602.64
28001Drainage of bursa of footYP32.8719$118.90$118.90
28002Treatment of foot infectionYA2$510.0021.2689$880.55$602.64
28003Treatment of foot infectionYA2$510.0021.2689$880.55$602.64
28005Treat foot bone lesionYA2$510.0020.8284$862.32$598.08
28008Incision of foot fasciaYA2$510.0020.8284$862.32$598.08
28010Incision of toe tendonYP32.156$89.26$89.26
28011Incision of toe tendonsYA2$510.0020.8284$862.32$598.08
28020Exploration of foot jointYA2$446.0020.8284$862.32$550.08
28022Exploration of foot jointYA2$446.0020.8284$862.32$550.08
28024Exploration of toe jointYA2$446.0020.8284$862.32$550.08
28035Decompression of tibia nerveYA2$630.0018.0518$747.36$659.34
28043Excision of foot lesionYA2$446.0021.1098$873.97$552.99
28045Excision of foot lesionYA2$510.0020.8284$862.32$598.08
28046Resection of tumor, footYA2$510.0020.8284$862.32$598.08
28050Biopsy of foot joint liningYA2$446.0020.8284$862.32$550.08
28052Biopsy of foot joint liningYA2$446.0020.8284$862.32$550.08
28054Biopsy of toe joint liningYA2$446.0020.8284$862.32$550.08
28055Neurectomy, footYA2$630.0018.0518$747.36$659.34
28060Partial removal, foot fasciaYA2$446.0020.8284$862.32$550.08
28062Removal of foot fasciaYA2$510.0020.8284$862.32$598.08
28070Removal of foot joint liningYA2$510.0020.8284$862.32$598.08
28072Removal of foot joint liningYA2$510.0020.8284$862.32$598.08
28080Removal of foot lesionYA2$510.0020.8284$862.32$598.08
28086Excise foot tendon sheathYA2$446.0020.8284$862.32$550.08
28088Excise foot tendon sheathYA2$446.0020.8284$862.32$550.08
28090Removal of foot lesionYA2$510.0020.8284$862.32$598.08
28092Removal of toe lesionsYA2$510.0020.8284$862.32$598.08
28100Removal of ankle/heel lesionYA2$446.0020.8284$862.32$550.08
28102Remove/graft foot lesionYA2$510.0044.2687$1,832.77$840.69
Start Printed Page 9883
28103Remove/graft foot lesionYA2$510.0044.2687$1,832.77$840.69
28104Removal of foot lesionYA2$446.0020.8284$862.32$550.08
28106Remove/graft foot lesionYA2$510.0044.2687$1,832.77$840.69
28107Remove/graft foot lesionYA2$510.0044.2687$1,832.77$840.69
28108Removal of toe lesionsYA2$446.0020.8284$862.32$550.08
28110Part removal of metatarsalYA2$510.0020.8284$862.32$598.08
28111Part removal of metatarsalYA2$510.0020.8284$862.32$598.08
28112Part removal of metatarsalYA2$510.0020.8284$862.32$598.08
28113Part removal of metatarsalYA2$510.0020.8284$862.32$598.08
28114Removal of metatarsal headsYA2$510.0020.8284$862.32$598.08
28116Revision of footYA2$510.0020.8284$862.32$598.08
28118Removal of heel boneYA2$630.0020.8284$862.32$688.08
28119Removal of heel spurYA2$630.0020.8284$862.32$688.08
28120Part removal of ankle/heelYA2$995.0020.8284$862.32$961.83
28122Partial removal of foot boneYA2$510.0020.8284$862.32$598.08
28124Partial removal of toeYP34.8385$200.32$200.32
28126Partial removal of toeYA2$510.0020.8284$862.32$598.08
28130Removal of ankle boneYA2$510.0020.8284$862.32$598.08
28140Removal of metatarsalYA2$510.0020.8284$862.32$598.08
28150Removal of toeYA2$510.0020.8284$862.32$598.08
28153Partial removal of toeYA2$510.0020.8284$862.32$598.08
28160Partial removal of toeYA2$510.0020.8284$862.32$598.08
28171Extensive foot surgeryYA2$510.0020.8284$862.32$598.08
28173Extensive foot surgeryYA2$510.0020.8284$862.32$598.08
28175Extensive foot surgeryYA2$510.0020.8284$862.32$598.08
28190Removal of foot foreign bodyYP33.0446$126.05$126.05
28192Removal of foot foreign bodyYA2$446.0016.1001$666.56$501.14
28193Removal of foot foreign bodyYA2$418.498.685$359.57$403.76
28200Repair of foot tendonYA2$510.0020.8284$862.32$598.08
28202Repair/graft of foot tendonYA2$510.0020.8284$862.32$598.08
28208Repair of foot tendonYA2$510.0020.8284$862.32$598.08
28210Repair/graft of foot tendonYA2$510.0044.2687$1,832.77$840.69
28220Release of foot tendonYP34.5588$188.74$188.74
28222Release of foot tendonsYA2$333.0020.8284$862.32$465.33
28225Release of foot tendonYA2$333.0020.8284$862.32$465.33
28226Release of foot tendonsYA2$333.0020.8284$862.32$465.33
28230Incision of foot tendon(s)YP34.5011$186.35$186.35
28232Incision of toe tendonYP34.3038$178.18$178.18
28234Incision of foot tendonYA2$446.0020.8284$862.32$550.08
28238Revision of foot tendonYA2$510.0044.2687$1,832.77$840.69
28240Release of big toeYA2$446.0020.8284$862.32$550.08
28250Revision of foot fasciaYA2$510.0020.8284$862.32$598.08
28260Release of midfoot jointYA2$510.0020.8284$862.32$598.08
28261Revision of foot tendonYA2$510.0020.8284$862.32$598.08
28262Revision of foot and ankleYA2$630.0020.8284$862.32$688.08
28264Release of midfoot jointYA2$333.0044.2687$1,832.77$707.94
28270Release of foot contractureYA2$510.0020.8284$862.32$598.08
28272Release of toe joint, eachYP34.1226$170.68$170.68
28280Fusion of toesYA2$446.0020.8284$862.32$550.08
28285Repair of hammertoeYA2$510.0020.8284$862.32$598.08
28286Repair of hammertoeYA2$630.0020.8284$862.32$688.08
28288Partial removal of foot boneYA2$510.0020.8284$862.32$598.08
28289Repair hallux rigidusYA2$510.0020.8284$862.32$598.08
28290Correction of bunionYA2$446.0029.4167$1,217.88$638.97
28292Correction of bunionYA2$446.0029.4167$1,217.88$638.97
28293Correction of bunionYA2$510.0029.4167$1,217.88$686.97
28294Correction of bunionYA2$510.0029.4167$1,217.88$686.97
28296Correction of bunionYA2$510.0029.4167$1,217.88$686.97
28297Correction of bunionYA2$510.0029.4167$1,217.88$686.97
28298Correction of bunionYA2$510.0029.4167$1,217.88$686.97
28299Correction of bunionYA2$717.0029.4167$1,217.88$842.22
28300Incision of heel boneYA2$446.0044.2687$1,832.77$792.69
28302Incision of ankle boneYA2$446.0020.8284$862.32$550.08
28304Incision of midfoot bonesYA2$446.0044.2687$1,832.77$792.69
28305Incise/graft midfoot bonesYA2$510.0044.2687$1,832.77$840.69
28306Incision of metatarsalYA2$630.0020.8284$862.32$688.08
28307Incision of metatarsalYA2$630.0020.8284$862.32$688.08
28308Incision of metatarsalYA2$446.0020.8284$862.32$550.08
28309Incision of metatarsalsYA2$630.0044.2687$1,832.77$930.69
28310Revision of big toeYA2$510.0020.8284$862.32$598.08
28312Revision of toeYA2$510.0020.8284$862.32$598.08
28313Repair deformity of toeYA2$446.0020.8284$862.32$550.08
28315Removal of sesamoid boneYA2$630.0020.8284$862.32$688.08
28320Repair of foot bonesYA2$630.0044.2687$1,832.77$930.69
28322Repair of metatarsalsYA2$630.0044.2687$1,832.77$930.69
28340Resect enlarged toe tissueYA2$630.0020.8284$862.32$688.08
28341Resect enlarged toeYA2$630.0020.8284$862.32$688.08
Start Printed Page 9884
28344Repair extra toe(s)YA2$630.0020.8284$862.32$688.08
28345Repair webbed toe(s)YA2$630.0020.8284$862.32$688.08
28400Treatment of heel fractureYA2$103.621.7682$73.21$96.02
28405Treatment of heel fractureYA2$103.621.7682$73.21$96.02
28406Treatment of heel fractureYA2$446.0026.1592$1,083.02$605.26
28415Treat heel fractureYA2$510.0059.2233$2,451.90$995.48
28420Treat/graft heel fractureYA2$630.0041.1091$1,701.96$897.99
28430Treatment of ankle fractureYP21.7682$73.21$73.21
28435Treatment of ankle fractureYA2$103.621.7682$73.21$96.02
28436Treatment of ankle fractureYA2$446.0026.1592$1,083.02$605.26
28445Treat ankle fractureYA2$510.0041.1091$1,701.96$807.99
28446Osteochondral talus autogrftYNIG244.2687$1,832.77$1,832.77
28450Treat midfoot fracture, eachYP21.7682$73.21$73.21
28455Treat midfoot fracture, eachYP21.7682$73.21$73.21
28456Treat midfoot fractureYA2$446.0026.1592$1,083.02$605.26
28465Treat midfoot fracture, eachYA2$510.0041.1091$1,701.96$807.99
28470Treat metatarsal fractureYP21.7682$73.21$73.21
28475Treat metatarsal fractureYP21.7682$73.21$73.21
28476Treat metatarsal fractureYA2$446.0026.1592$1,083.02$605.26
28485Treat metatarsal fractureYA2$630.0041.1091$1,701.96$897.99
28490Treat big toe fractureYP31.6869$69.84$69.84
28495Treat big toe fractureYP21.7682$73.21$73.21
28496Treat big toe fractureYA2$446.0026.1592$1,083.02$605.26
28505Treat big toe fractureYA2$510.0026.1592$1,083.02$653.26
28510Treatment of toe fractureYP31.3248$54.85$54.85
28515Treatment of toe fractureYP31.6951$70.18$70.18
28525Treat toe fractureYA2$510.0026.1592$1,083.02$653.26
28530Treat sesamoid bone fractureYP31.2589$52.12$52.12
28531Treat sesamoid bone fractureYA2$510.0026.1592$1,083.02$653.26
28540Treat foot dislocationYP21.7682$73.21$73.21
28545Treat foot dislocationYA2$333.0026.1592$1,083.02$520.51
28546Treat foot dislocationYA2$446.0026.1592$1,083.02$605.26
28555Repair foot dislocationYA2$446.0041.1091$1,701.96$759.99
28570Treat foot dislocationYP21.7682$73.21$73.21
28575Treat foot dislocationYA2$103.621.7682$73.21$96.02
28576Treat foot dislocationYA2$510.0026.1592$1,083.02$653.26
28585Repair foot dislocationYA2$510.0026.1592$1,083.02$653.26
28600Treat foot dislocationYP21.7682$73.21$73.21
28605Treat foot dislocationYA2$103.621.7682$73.21$96.02
28606Treat foot dislocationYA2$446.0026.1592$1,083.02$605.26
28615Repair foot dislocationYA2$510.0041.1091$1,701.96$807.99
28630Treat toe dislocationYCHP31.4072$58.26$58.26
28635Treat toe dislocationYA2$333.0014.7658$611.32$402.58
28636Treat toe dislocationYA2$510.0026.1592$1,083.02$653.26
28645Repair toe dislocationYA2$510.0026.1592$1,083.02$653.26
28660Treat toe dislocationYCHP31.0534$43.61$43.61
28665Treat toe dislocationYA2$333.0014.7658$611.32$402.58
28666Treat toe dislocationYA2$510.0026.1592$1,083.02$653.26
28675Repair of toe dislocationYA2$510.0026.1592$1,083.02$653.26
28705Fusion of foot bonesYA2$630.0044.2687$1,832.77$930.69
28715Fusion of foot bonesYA2$630.0079.4244$3,288.25$1,294.56
28725Fusion of foot bonesYA2$630.0044.2687$1,832.77$930.69
28730Fusion of foot bonesYA2$630.0044.2687$1,832.77$930.69
28735Fusion of foot bonesYA2$630.0044.2687$1,832.77$930.69
28737Revision of foot bonesYA2$717.0044.2687$1,832.77$995.94
28740Fusion of foot bonesYA2$630.0044.2687$1,832.77$930.69
28750Fusion of big toe jointYA2$630.0044.2687$1,832.77$930.69
28755Fusion of big toe jointYA2$630.0020.8284$862.32$688.08
28760Fusion of big toe jointYA2$630.0044.2687$1,832.77$930.69
28810Amputation toe & metatarsalYA2$446.0020.8284$862.32$550.08
28820Amputation of toeYA2$446.0020.8284$862.32$550.08
28825Partial amputation of toeYA2$446.0020.8284$862.32$550.08
28890 *High energy eswt, plantar fYCHP34.2296$175.11$175.11
29000Application of body castNG21.0931$45.26$45.26
29010Application of body castNP22.291$94.85$94.85
29015Application of body castNP22.291$94.85$94.85
29020Application of body castNG21.0931$45.26$45.26
29025Application of body castNP21.0931$45.26$45.26
29035Application of body castNCHP22.291$94.85$94.85
29040Application of body castNG21.0931$45.26$45.26
29044Application of body castNP22.291$94.85$94.85
29046Application of body castNG22.291$94.85$94.85
29049Application of figure eightNP30.9956$41.22$41.22
29055Application of shoulder castNP22.291$94.85$94.85
29058Application of shoulder castNP21.0931$45.26$45.26
29065Application of long arm castNP31.0698$44.29$44.29
29075Application of forearm castNP31.0287$42.59$42.59
Start Printed Page 9885
29085Apply hand/wrist castNP31.0451$43.27$43.27
29086Apply finger castNP30.8394$34.75$34.75
29105Apply long arm splintNP30.9546$39.52$39.52
29125Apply forearm splintNP30.8147$33.73$33.73
29126Apply forearm splintNP30.9135$37.82$37.82
29130Application of finger splintNP30.3703$15.33$15.33
29131Application of finger splintNP30.5432$22.49$22.49
29200Strapping of chestNP30.5432$22.49$22.49
29220Strapping of low backNP30.5679$23.51$23.51
29240Strapping of shoulderNP30.6253$25.89$25.89
29260Strapping of elbow or wristNP30.5843$24.19$24.19
29280Strapping of hand or fingerNP30.6007$24.87$24.87
29305Application of hip castNCHP22.291$94.85$94.85
29325Application of hip castsNCHP22.291$94.85$94.85
29345Application of long leg castNP31.4154$58.60$58.60
29355Application of long leg castNP31.3659$56.55$56.55
29358Apply long leg cast braceNP31.6787$69.50$69.50
29365Application of long leg castNP31.3331$55.19$55.19
29405Apply short leg castNP30.9956$41.22$41.22
29425Apply short leg castNP31.0121$41.90$41.90
29435Apply short leg castNP31.2674$52.47$52.47
29440Addition of walker to castNP30.5514$22.83$22.83
29445Apply rigid leg castNP31.3823$57.23$57.23
29450Application of leg castNP21.0931$45.26$45.26
29505Application, long leg splintNCHP30.9299$38.50$38.50
29515Application lower leg splintNCHP30.7488$31.00$31.00
29520Strapping of hipNP30.6171$25.55$25.55
29530Strapping of kneeNP30.5925$24.53$24.53
29540Strapping of ankle and/or ftNP30.3949$16.35$16.35
29550Strapping of toesNP30.4031$16.69$16.69
29580Application of paste bootNP30.5596$23.17$23.17
29590Application of foot splintNP30.4526$18.74$18.74
29700Removal/revision of castNP30.757$31.34$31.34
29705Removal/revision of castNP30.65$26.91$26.91
29710Removal/revision of castNP31.1768$48.72$48.72
29715Removal/revision of castNP30.9792$40.54$40.54
29720Repair of body castNP30.9546$39.52$39.52
29730Windowing of castNP30.6336$26.23$26.23
29740Wedging of castNP30.8968$37.13$37.13
29750Wedging of clubfoot castNP30.8722$36.11$36.11
29800Jaw arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29804Jaw arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29805Shoulder arthroscopy, dxYA2$510.0028.7803$1,191.53$680.38
29806Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29807Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29819Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29820Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29821Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29822Shoulder arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29823Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29824Shoulder arthroscopy/surgeryYA2$717.0028.7803$1,191.53$835.63
29825Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29826Shoulder arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29827Arthroscop rotator cuff reprYA2$717.0045.7072$1,892.32$1,010.83
29828Arthroscopy biceps tenodesisYNIG245.7072$1,892.32$1,892.32
29830Elbow arthroscopyYA2$510.0028.7803$1,191.53$680.38
29834Elbow arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29835Elbow arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29836Elbow arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29837Elbow arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29838Elbow arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29840Wrist arthroscopyYA2$510.0028.7803$1,191.53$680.38
29843Wrist arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29844Wrist arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29845Wrist arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29846Wrist arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29847Wrist arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29848Wrist endoscopy/surgeryYA2$1,339.0028.7803$1,191.53$1,302.13
29850Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29851Knee arthroscopy/surgeryYA2$630.0045.7072$1,892.32$945.58
29855Tibial arthroscopy/surgeryYA2$630.0045.7072$1,892.32$945.58
29856Tibial arthroscopy/surgeryYA2$630.0045.7072$1,892.32$945.58
29860Hip arthroscopy, dxYA2$630.0045.7072$1,892.32$945.58
29861Hip arthroscopy/surgeryYA2$630.0045.7072$1,892.32$945.58
29862Hip arthroscopy/surgeryYA2$1,339.0045.7072$1,892.32$1,477.33
29863Hip arthroscopy/surgeryYA2$630.0045.7072$1,892.32$945.58
29866Autgrft implnt, knee w/scopeYCHG245.7072$1,892.32$1,892.32
Start Printed Page 9886
29870Knee arthroscopy, dxYA2$510.0028.7803$1,191.53$680.38
29871Knee arthroscopy/drainageYA2$510.0028.7803$1,191.53$680.38
29873Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29874Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29875Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29876Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29877Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29879Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29880Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29881Knee arthroscopy/surgeryYA2$630.0028.7803$1,191.53$770.38
29882Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29883Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29884Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29885Knee arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29886Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29887Knee arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29888Knee arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29889Knee arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29891Ankle arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29892Ankle arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29893Scope, plantar fasciotomyYA2$1,255.5620.8284$862.32$1,157.25
29894Ankle arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29895Ankle arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29897Ankle arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29898Ankle arthroscopy/surgeryYA2$510.0028.7803$1,191.53$680.38
29899Ankle arthroscopy/surgeryYA2$510.0045.7072$1,892.32$855.58
29900Mcp joint arthroscopy, dxYA2$510.0028.7803$1,191.53$680.38
29901Mcp joint arthroscopy, surgYA2$510.0028.7803$1,191.53$680.38
29902Mcp joint arthroscopy, surgYA2$510.0028.7803$1,191.53$680.38
29904Subtalar arthro w/fb rmvlYNIG228.7803$1,191.53$1,191.53
29905Subtalar arthro w/excYNIG228.7803$1,191.53$1,191.53
29906Subtalar arthro w/debYNIG228.7803$1,191.53$1,191.53
29907Subtalar arthro w/fusionYNIG245.7072$1,892.32$1,892.32
30000Drainage of nose lesionYP22.5002$103.51$103.51
30020Drainage of nose lesionYP22.5002$103.51$103.51
30100Intranasal biopsyYP31.8763$77.68$77.68
30110Removal of nose polyp(s)YP32.9376$121.62$121.62
30115Removal of nose polyp(s)YA2$446.0016.3288$676.03$503.51
30117Removal of intranasal lesionYA2$510.0016.3288$676.03$551.51
30118Removal of intranasal lesionYA2$510.0023.9765$992.65$630.66
30120Revision of noseYA2$333.00