HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 2004 AMERICAN MEDICAL ASSOCIATION. ALL RIGHTS HDR RESERVED. APPLICABLE FARS/DFARS APPLY. HDR THE FOLLOWING STATEMENT APPLIES TO ALL DENTAL HDR CODES (HCPCS START WITH LETTER D): COPYRIGHT HDR 2002 AMERICAN DENTAL ASSOCIATION. ALL RIGHTS HDR RESERVED. A0021 Outside state ambulance serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0080 Noninterest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0090 Interest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0100 Nonemergency transport taxi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0110 Nonemergency transport bus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0120 Noner transport mini-bus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0130 Noner transport wheelch van I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0140 Nonemergency transport air I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0160 Noner transport case worker I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0170 Transport parking fees/tolls I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0180 Noner transport lodgng recip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0190 Noner transport meals recip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0200 Noner transport lodgng escrt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0210 Noner transport meals escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0225 Neonatal emergency transport I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0380 Basic life support mileage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0382 Basic support routine suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0384 Bls defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0390 Advanced life support mileag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0392 Als defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0394 Als IV drug therapy supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0396 Als esophageal intub suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0398 Als routine disposble suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0420 Ambulance waiting 1/2 hr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0422 Ambulance 02 life sustaining X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0424 Extra ambulance attendant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0425 Ground mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0426 Als 1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0427 ALS1-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0428 bls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0429 BLS-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0430 Fixed wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0431 Rotary wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0432 PI volunteer ambulance co X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0433 als 2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0434 Specialty care transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0435 Fixed wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0436 Rotary wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0800 Amb trans 7pm-7am X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0888 Noncovered ambulance mileage N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A0999 Unlisted ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4206 1 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4207 2 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4208 3 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4209 5+ CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4210 Nonneedle injection device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4211 Supp for self-adm injections P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4212 Non coring needle or stylet P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4213 20+ CC syringe only I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4215 Sterile needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4216 Sterile water/saline, 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4217 Sterile water/saline, 500 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4220 Infusion pump refill kit P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4221 Maint drug infus cath per wk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4222 Infusion supplies with pump X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4223 Infusion supplies w/o pump I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4230 Infus insulin pump non needl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4231 Infusion insulin pump needle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4232 Syringe w/needle insulin 3cc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4244 Alcohol or peroxide per pint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4245 Alcohol wipes per box I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4246 Betadine/phisohex solution I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4247 Betadine/iodine swabs/wipes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4248 Chlorhexidine antisept X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4250 Urine reagent strips/tablets N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4253 Blood glucose/reagent strips P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4254 Battery for glucose monitor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4255 Glucose monitor platforms X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4256 Calibrator solution/chips P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4257 Replace Lensshield Cartridge X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4258 Lancet device each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4259 Lancets per box P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4260 Levonorgestrel implant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4261 Cervical cap contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4262 Temporary tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4263 Permanent tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4266 Diaphragm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4267 Male condom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4268 Female condom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4269 Spermicide I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4270 Disposable endoscope sheath B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4280 Brst prsths adhsv attchmnt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4281 Replacement breastpump tube I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4282 Replacement breastpump adpt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4283 Replacement breastpump cap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4284 Replcmnt breast pump shield I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4285 Replcmnt breast pump bottle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4286 Replcmnt breastpump lok ring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4290 Sacral nerve stim test lead X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4300 Cath impl vasc access portal B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4301 Implantable access syst perc P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4305 Drug delivery system >=50 ML P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4306 Drug delivery system <=5 ML P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4310 Insert tray w/o bag/cath P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4311 Catheter w/o bag 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4312 Cath w/o bag 2-way silicone P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4313 Catheter w/bag 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4314 Cath w/drainage 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4315 Cath w/drainage 2-way silcne P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4316 Cath w/drainage 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4320 Irrigation tray P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4321 Cath therapeutic irrig agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4322 Irrigation syringe P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4326 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4327 Fem urinary collect dev cup P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4328 Fem urinary collect pouch P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4330 Stool collection pouch P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4331 Extension drainage tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4332 Lube sterile packet X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4333 Urinary cath anchor device X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4334 Urinary cath leg strap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4335 Incontinence supply P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4338 Indwelling catheter latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4340 Indwelling catheter special P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4344 Cath indw foley 2 way silicn P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4346 Cath indw foley 3 way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4348 Male ext cath extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4349 Disposable male external cat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4351 Straight tip urine catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4352 Coude tip urinary catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4353 Intermittent urinary cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4354 Cath insertion tray w/bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4355 Bladder irrigation tubing P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4356 Ext ureth clmp or compr dvc P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4357 Bedside drainage bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4358 Urinary leg or abdomen bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4359 Urinary suspensory w/o leg b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4361 Ostomy face plate P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4362 Solid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4364 Adhesive, liquid or equal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4365 Adhesive remover wipes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4366 Ostomy vent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4367 Ostomy belt P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4368 Ostomy filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4369 Skin barrier liquid per oz X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4371 Skin barrier powder per oz X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4372 Skin barrier solid 4x4 equiv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4373 Skin barrier with flange X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4375 Drainable plastic pch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4376 Drainable rubber pch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4377 Drainable plstic pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4378 Drainable rubber pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4379 Urinary plastic pouch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4380 Urinary rubber pouch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4381 Urinary plastic pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4382 Urinary hvy plstc pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4383 Urinary rubber pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4384 Ostomy faceplt/silicone ring X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4385 Ost skn barrier sld ext wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4387 Ost clsd pouch w att st barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4388 Drainable pch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4389 Drainable pch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4390 Drainable pch ex wear convex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4391 Urinary pouch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4392 Urinary pouch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4393 Urine pch w ex wear bar conv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4394 Ostomy pouch liq deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4395 Ostomy pouch solid deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4396 Peristomal hernia supprt blt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4397 Irrigation supply sleeve P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4398 Ostomy irrigation bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4399 Ostomy irrig cone/cath w brs P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4400 Ostomy irrigation set P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4402 Lubricant per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4404 Ostomy ring each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4405 Nonpectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4406 Pectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4407 Ext wear ost skn barr <=4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4408 Ext wear ost skn barr >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4409 Ost skn barr w flng <=4 sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4410 Ost skn barr w flng >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4413 2 pc drainable ost pouch X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4414 Ostomy sknbarr w flng <=4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4415 Ostomy skn barr w flng >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4416 Ost pch clsd w barrier/filtr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4417 Ost pch w bar/bltinconv/fltr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4418 Ost pch clsd w/o bar w filtr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4419 Ost pch for bar w flange/flt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4420 Ost pch clsd for bar w lk fl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4421 Ostomy supply misc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4422 Ost pouch absorbent material X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4423 Ost pch for bar w lk fl/fltr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4424 Ost pch drain w bar & filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4425 Ost pch drain for barrier fl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4426 Ost pch drain 2 piece system X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4427 Ost pch drain/barr lk flng/f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4428 Urine ost pouch w faucet/tap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4429 Urine ost pouch w bltinconv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4430 Ost urine pch w b/bltin conv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4431 Ost pch urine w barrier/tapv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4432 Os pch urine w bar/fange/tap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4433 Urine ost pch bar w lock fln X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4434 Ost pch urine w lock flng/ft X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4450 Non-waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4452 Waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4455 Adhesive remover per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4458 Reusable enema bag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4462 Abdmnl drssng holder/binder X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4465 Non-elastic extremity binder P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4470 Gravlee jet washer P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4480 Vabra aspirator P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4481 Tracheostoma filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4483 Moisture exchanger X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4490 Above knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4495 Thigh length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4500 Below knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4510 Full length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4520 Incontinence garment anytype N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4534 Youth size brief each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4550 Surgical trays B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4554 Disposable underpads I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4556 Electrodes, pair P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4557 Lead wires, pair P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4558 Conductive paste or gel P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4561 Pessary rubber, any type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4562 Pessary, non rubber,any type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4570 Splint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4575 Hyperbaric o2 chamber disps N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4580 Cast supplies (plaster) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4590 Special casting material I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4595 TENS suppl 2 lead per month X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4605 Trach suction cath close sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4606 Oxygen probe used w oximeter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4608 Transtracheal oxygen cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4611 Heavy duty battery X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4612 Battery cables X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4613 Battery charger X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4614 Hand-held PEFR meter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4615 Cannula nasal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4616 Tubing (oxygen) per foot X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4617 Mouth piece X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4618 Breathing circuits X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4619 Face tent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4620 Variable concentration mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4623 Tracheostomy inner cannula X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4624 Tracheal suction tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4625 Trach care kit for new trach X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4626 Tracheostomy cleaning brush X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4627 Spacer bag/reservoir N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4628 Oropharyngeal suction cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4629 Tracheostomy care kit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4630 Repl bat t.e.n.s. own by pt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4632 Infus pump rplcemnt battery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4633 Uvl replacement bulb X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4634 Replacement bulb th lightbox X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4635 Underarm crutch pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4636 Handgrip for cane etc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4637 Repl tip cane/crutch/walker X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4638 Repl batt pulse gen sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4639 Infrared ht sys replcmnt pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4640 Alternating pressure pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4641 Diagnostic imaging agent E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4642 Satumomab pendetide per dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4643 High dose contrast MRI I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4644 Contrast 100-199 MGs iodine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4645 Contrast 200-299 MGs iodine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4646 Contrast 300-399 MGs iodine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4647 Supp- paramagnetic contr mat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4649 Surgical supplies P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4651 Calibrated microcap tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4652 Microcapillary tube sealant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4653 PD catheter anchor belt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4656 Needle any size X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4657 Syringe w/wo needle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4660 Sphyg/bp app w cuff and stet X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4663 Dialysis blood pressure cuff X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4670 Automatic bp monitor, dial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4671 Disposable cycler set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4672 Drainage ext line, dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4673 Ext line w easy lock connect X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4674 Chem/antisept solution, 8oz X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4680 Activated carbon filter, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4690 Dialyzer, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4706 Bicarbonate conc sol per gal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4707 Bicarbonate conc pow per pac X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4708 Acetate conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4709 Acid conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4714 Treated water per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4719 "Y set" tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4720 Dialysat sol fld vol > 249cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4721 Dialysat sol fld vol > 999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4722 Dialys sol fld vol > 1999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4723 Dialys sol fld vol > 2999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4724 Dialys sol fld vol > 3999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4725 Dialys sol fld vol > 4999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4726 Dialys sol fld vol > 5999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4728 Dialysate solution, non-dex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4730 Fistula cannulation set, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4736 Topical anesthetic, per gram X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4737 Inj anesthetic per 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4740 Shunt accessory X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4750 Art or venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4755 Comb art/venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4760 Dialysate sol test kit, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4765 Dialysate conc pow per pack X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4766 Dialysate conc sol add 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4770 Blood collection tube/vacuum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4771 Serum clotting time tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4772 Blood glucose test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4773 Occult blood test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4774 Ammonia test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4802 Protamine sulfate per 50 mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4860 Disposable catheter tips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4870 Plumb/elec wk hm hemo equip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4890 Repair/maint cont hemo equip R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 A4911 Drain bag/bottle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4913 Misc dialysis supplies noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4918 Venous pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4927 Non-sterile gloves X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4928 Surgical mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4929 Tourniquet for dialysis, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4930 Sterile, gloves per pair X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4931 Reusable oral thermometer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A4932 Reusable rectal thermometer I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5051 Pouch clsd w barr attached P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5052 Clsd ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5053 Clsd ostomy pouch faceplate P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5054 Clsd ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5055 Stoma cap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5061 Pouch drainable w barrier at P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5062 Drnble ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5063 Drain ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5071 Urinary pouch w/barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5072 Urinary pouch w/o barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5073 Urinary pouch on barr w/flng P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5081 Continent stoma plug P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5082 Continent stoma catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5093 Ostomy accessory convex inse P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5102 Bedside drain btl w/wo tube P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5105 Urinary suspensory P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5112 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5113 Latex leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5114 Foam/fabric leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5119 Skin barrier wipes box pr 50 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5121 Solid skin barrier 6x6 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5122 Solid skin barrier 8x8 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5126 Disk/foam pad +or- adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5131 Appliance cleaner P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5200 Percutaneous catheter anchor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5500 Diab shoe for density insert X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5501 Diabetic custom molded shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5503 Diabetic shoe w/roller/rockr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5504 Diabetic shoe with wedge X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5505 Diab shoe w/metatarsal bar X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5506 Diabetic shoe w/off set heel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5507 Modification diabetic shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5508 Diabetic deluxe shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5509 Direct heat form shoe insert I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5510 Compression form shoe insert X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A5511 Custom fab molded shoe inser I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6000 Wound warming wound cover N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6010 Collagen based wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6011 Collagen gel/paste wound fil X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6021 Collagen dressing <=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6022 Collagen drsg>6<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6023 Collagen dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6024 Collagen dsg wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6025 Silicone gel sheet, each I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6154 Wound pouch each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6196 Alginate dressing <=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6197 Alginate drsg >16 <=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6198 alginate dressing > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6199 Alginate drsg wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6200 Compos drsg <=16 no border X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6201 Compos drsg >16<=48 no bdr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6202 Compos drsg >48 no border X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6203 Composite drsg <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6204 Composite drsg >16<=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6205 Composite drsg > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6206 Contact layer <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6207 Contact layer >16<= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6208 Contact layer > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6209 Foam drsg <=16 sq in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6210 Foam drg >16<=48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6211 Foam drg > 48 sq in w/o brdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6212 Foam drg <=16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6213 Foam drg >16<=48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6214 Foam drg > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6215 Foam dressing wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6216 Non-sterile gauze<=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6217 Non-sterile gauze>16<=48 sq P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6218 Non-sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6219 Gauze <= 16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6220 Gauze >16 <=48 sq in w/bordr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6221 Gauze > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6222 Gauze <=16 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6223 Gauze >16<=48 no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6224 Gauze > 48 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6228 Gauze <= 16 sq in water/sal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6229 Gauze >16<=48 sq in watr/sal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6230 Gauze > 48 sq in water/salne P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6231 Hydrogel dsg<=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6232 Hydrogel dsg>16<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6233 Hydrogel dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6234 Hydrocolld drg <=16 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6235 Hydrocolld drg >16<=48 w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6236 Hydrocolld drg > 48 in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6237 Hydrocolld drg <=16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6238 Hydrocolld drg >16<=48 w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6239 Hydrocolld drg > 48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6240 Hydrocolld drg filler paste P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6241 Hydrocolloid drg filler dry P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6242 Hydrogel drg <=16 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6243 Hydrogel drg >16<=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6244 Hydrogel drg >48 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6245 Hydrogel drg <= 16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6246 Hydrogel drg >16<=48 in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6247 Hydrogel drg > 48 sq in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6248 Hydrogel drsg gel filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6250 Skin seal protect moisturizr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6251 Absorpt drg <=16 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6252 Absorpt drg >16 <=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6253 Absorpt drg > 48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6254 Absorpt drg <=16 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6255 Absorpt drg >16<=48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6256 Absorpt drg > 48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6257 Transparent film <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6258 Transparent film >16<=48 in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6259 Transparent film > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6260 Wound cleanser any type/size P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6261 Wound filler gel/paste /oz P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6262 Wound filler dry form / gram P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6266 Impreg gauze no h20/sal/yard P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6402 Sterile gauze <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6403 Sterile gauze>16 <= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6404 Sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6407 Packing strips, non-impreg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6410 Sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6411 Non-sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6412 Occlusive eye patch I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6441 Pad band w>=3” <5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6442 Conform band n/s w<3”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6443 Conform band n/s w>=3”<5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6444 Conform band n/s w>=5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6445 Conform band s w <3”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6446 Conform band s w>=3” <5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6447 Conform band s w >=5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6448 Lt compres band <3”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6449 Lt compres band >=3” <5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6450 Lt compres band >=5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6451 Mod compres band w>=3”<5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6452 High compres band w>=3”<5”yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6453 Self-adher band w <3”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6454 Self-adher band w>=3” <5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6455 Self-adher band >=5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6456 Zinc paste band w >=3”<5”/yd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6501 Compres burngarment bodysuit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6502 Compres burngarment chinstrp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6503 Compres burngarment facehood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6504 Cmprsburngarment glove-wrist X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6505 Cmprsburngarment glove-elbow X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6506 Cmprsburngrmnt glove-axilla X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6507 Cmprs burngarment foot-knee X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6508 Cmprs burngarment foot-thigh X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6509 Compres burn garment jacket X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6510 Compres burn garment leotard X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6511 Compres burn garment panty X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6512 Compres burn garment, noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6550 Neg pres wound ther drsg set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A6551 Neg press wound ther canistr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7000 Disposable canister for pump X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7001 Nondisposable pump canister X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7002 Tubing used w suction pump X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7003 Nebulizer administration set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7004 Disposable nebulizer sml vol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7005 Nondisposable nebulizer set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7006 Filtered nebulizer admin set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7007 Lg vol nebulizer disposable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7008 Disposable nebulizer prefill X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7009 Nebulizer reservoir bottle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7010 Disposable corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7011 Nondispos corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7012 Nebulizer water collec devic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7013 Disposable compressor filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7014 Compressor nondispos filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7015 Aerosol mask used w nebulize X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7016 Nebulizer dome & mouthpiece X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7017 Nebulizer not used w oxygen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7018 Water distilled w/nebulizer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7025 Replace chest compress vest X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7026 Replace chst cmprss sys hose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7030 CPAP full face mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7031 Replacement facemask interfa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7032 Replacement nasal cushion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7033 Replacement nasal pillows X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7034 Nasal application device X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7035 Pos airway press headgear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7036 Pos airway press chinstrap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7037 Pos airway pressure tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7038 Pos airway pressure filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7039 Filter, non disposable w pap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7040 One way chest drain valve X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7041 Water seal drain container X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7042 Implanted pleural catheter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7043 Vacuum drainagebottle/tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7044 PAP oral interface X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7045 Repl exhalation port for PAP X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7046 Repl water chamber, PAP dev X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7501 Tracheostoma valve w diaphra X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7502 Replacement diaphragm/fplate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7503 HMES filter holder or cap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7504 Tracheostoma HMES filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7505 HMES or trach valve housing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7506 HMES/trachvalve adhesivedisk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7507 Integrated filter & holder X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7508 Housing & Integrated Adhesiv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7509 Heat & moisture exchange sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7520 Trach/laryn tube non-cuffed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7521 Trach/laryn tube cuffed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7522 Trach/laryn tube stainless X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7523 Tracheostomy shower protect X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7524 Tracheostoma stent/stud/bttn X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7525 Tracheostomy mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7526 Tracheostomy tube collar X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A7527 Trach/laryn tube plug/stop X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9150 Misc/exper non-prescript dru E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9152 Single vitamin nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9153 Multi-vitamin nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9180 Lice treatment, topical I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9270 Non-covered item or service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9280 Alert device, noc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9300 Exercise equipment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9500 Technetium TC 99m sestamibi E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9502 Technetium TC99M tetrofosmin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9503 Technetium TC 99m medronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9504 Technetium tc 99m apcitide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9505 Thallous chloride TL 201/mci E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9507 Indium/111 capromab pendetid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9508 Iobenguane sulfate I-131 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9510 Technetium TC99m Disofenin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9511 Technetium TC 99m depreotide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9512 Technetiumtc99mpertechnetate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9513 Technetium tc-99m mebrofenin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9514 Technetiumtc99mpyrophosphate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9515 Technetium tc-99m pentetate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9516 I-123 sodium iodide capsule X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9517 Th I131 so iodide cap millic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9519 Technetiumtc-99mmacroag albu X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9520 Technetiumtc-99m sulfur clld X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9521 Technetiumtc-99m exametazine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9522 Indium111ibritumomabtiuxetan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9523 Yttrium90ibritumomabtiuxetan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9524 Iodinated I-131 serumalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9525 Low/iso-osmolar contrast mat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9526 Ammonia N-13, per dose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9528 Dx I131 so iodide cap millic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9529 Dx I131 so iodide sol millic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9530 Th I131 so iodide sol millic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9531 Dx I131 so iodide microcurie X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9532 I-125 serum albumin micro X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9533 I-131 tositumomab diagnostic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9534 I-131 tositumomab therapeut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9600 Strontium-89 chloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9605 Samarium sm153 lexidronamm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9699 Noc therapeutic radiopharm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9700 Echocardiography Contrast E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9900 Supply/accessory/service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9901 Delivery/set up/dispensing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 A9999 DME supply or accessory, nos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0120 Periodic oral evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0140 Limit oral eval problm focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0150 Comprehensve oral evaluation R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0160 Extensv oral eval prob focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0170 Re-eval,est pt,problem focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0180 Comp periodontal evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0210 Intraor complete film series I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0220 Intraoral periapical first f I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0230 Intraoral periapical ea add I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0240 Intraoral occlusal film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0250 Extraoral first film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0260 Extraoral ea additional film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0270 Dental bitewing single film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0272 Dental bitewings two films R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0274 Dental bitewings four films R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0277 Vert bitewings-sev to eight R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0290 Dental film skull/facial bon I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0310 Dental saliography I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0320 Dental tmj arthrogram incl i I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0321 Dental other tmj films I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0322 Dental tomographic survey I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0330 Dental panoramic film I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0340 Dental cephalometric film I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0350 Oral/facial photo images I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0415 Collection of microorganisms N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0416 Viral culture R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0421 Gen tst suscept oral disease R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0425 Caries susceptibility test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0431 Diag tst detect mucos abnorm R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0460 Pulp vitality test R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0470 Diagnostic casts N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0472 Gross exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0473 Micro exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0474 Micro w exam of surg margins R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0475 Decalcification procedure R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0476 Spec stains for microorganis R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0477 Spec stains not for microorg R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0478 Immunohistochemical stains R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0479 Tissue in-situ hybridization R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0480 Cytopath smear prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0481 Electron microscopy diagnost R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0482 Direct immunofluorescence R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0483 Indirect immunofluorescence R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0484 Consult slides prep elsewher R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0485 Consult inc prep of slides R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D0502 Other oral pathology procedu R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D0999 Unspecified diagnostic proce R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D1110 Dental prophylaxis adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1120 Dental prophylaxis child N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1201 Topical fluor w prophy child N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1203 Topical fluor w/o prophy chi N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1204 Topical fluor w/o prophy adu N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1205 Topical fluoride w/ prophy a N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1310 Nutri counsel-control caries N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1320 Tobacco counseling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1330 Oral hygiene instruction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1351 Dental sealant per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D1510 Space maintainer fxd unilat R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D1515 Fixed bilat space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D1520 Remove unilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D1525 Remove bilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D1550 Recement space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D2140 Amalgam one surface permanen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2150 Amalgam two surfaces permane N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2160 Amalgam three surfaces perma N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2161 Amalgam 4 or > surfaces perm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2330 Resin one surface-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2331 Resin two surfaces-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2332 Resin three surfaces-anterio N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2335 Resin 4/> surf or w incis an N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2390 Ant resin-based cmpst crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2391 Post 1 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2392 Post 2 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2393 Post 3 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2394 Post >=4srfc resinbase cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2410 Dental gold foil one surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2420 Dental gold foil two surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2430 Dental gold foil three surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2510 Dental inlay metalic 1 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2520 Dental inlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2530 Dental inlay metl 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2542 Dental onlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2543 Dental onlay metallic 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2544 Dental onlay metl 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2610 Inlay porcelain/ceramic 1 su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2620 Inlay porcelain/ceramic 2 su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2630 Dental onlay porc 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2642 Dental onlay porcelin 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2643 Dental onlay porcelin 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2644 Dental onlay porc 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2650 Inlay composite/resin one su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2651 Inlay composite/resin two su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2652 Dental inlay resin 3/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2662 Dental onlay resin 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2663 Dental onlay resin 3 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2664 Dental onlay resin 4/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2710 Crown resin-based indirect N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2712 Crown 3/4 resin-based compos N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2720 Crown resin w/ high noble me N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2721 Crown resin w/ base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2722 Crown resin w/ noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2740 Crown porcelain/ceramic subs N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2750 Crown porcelain w/ h noble m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2751 Crown porcelain fused base m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2752 Crown porcelain w/ noble met N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2780 Crown 3/4 cast hi noble met N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2781 Crown 3/4 cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2790 Crown full cast high noble m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2791 Crown full cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2792 Crown full cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2794 Crown-titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2799 Provisional crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2910 Recement inlay onlay or part N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2915 Recement cast or prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2920 Dental recement crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2930 Prefab stnlss steel crwn pri N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2931 Prefab stnlss steel crown pe N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2932 Prefabricated resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2933 Prefab stainless steel crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2934 Prefab steel crown primary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2940 Dental sedative filling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2950 Core build-up incl any pins N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2951 Tooth pin retention N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2952 Post and core cast + crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2953 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2954 Prefab post/core + crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2955 Post removal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2957 Each addtnl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2960 Laminate labial veneer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2961 Lab labial veneer resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2962 Lab labial veneer porcelain N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2971 Add proc construct new crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2975 Coping N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2980 Crown repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D2999 Dental unspec restorative pr R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D3110 Pulp cap direct N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3120 Pulp cap indirect N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3220 Therapeutic pulpotomy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3221 Gross pulpal debridement N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3230 Pulpal therapy anterior prim N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3240 Pulpal therapy posterior pri N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3310 Anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3320 Root canal therapy 2 canals N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3330 Root canal therapy 3 canals N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3331 Non-surg tx root canal obs N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3332 Incomplete endodontic tx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3333 Internal root repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3346 Retreat root canal anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3347 Retreat root canal bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3348 Retreat root canal molar N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3351 Apexification/recalc initial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3352 Apexification/recalc interim N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3353 Apexification/recalc final N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3410 Apicoect/perirad surg anter N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3421 Root surgery bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3425 Root surgery molar N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3426 Root surgery ea add root N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3430 Retrograde filling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3450 Root amputation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3460 Endodontic endosseous implan R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D3470 Intentional replantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3910 Isolation- tooth w rubb dam N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3920 Tooth splitting N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3950 Canal prep/fitting of dowel N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D3999 Endodontic procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4210 Gingivectomy/plasty per quad I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4211 Gingivectomy/plasty per toot I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4240 Gingival flap proc w/ planin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4241 Gngvl flap w rootplan 1-3 th N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4245 Apically positioned flap N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4249 Crown lengthen hard tissue N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4260 Osseous surgery per quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4261 Osseous surgl-3teethperquad N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4263 Bone replce graft first site R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4264 Bone replce graft each add R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4265 Bio mtrls to aid soft/os reg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4266 Guided tiss regen resorble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4267 Guided tiss regen nonresorb N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4268 Surgical revision procedure R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4270 Pedicle soft tissue graft pr R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4271 Free soft tissue graft proc R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4273 Subepithelial tissue graft R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4274 Distal/proximal wedge proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4275 Soft tissue allograft N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4276 Con tissue w dble ped graft N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4320 Provision splnt intracoronal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4321 Provisional splint extracoro N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4341 Periodontal scaling & root N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4342 Periodontal scaling 1-3teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4355 Full mouth debridement R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4381 Localized delivery antimicro R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D4910 Periodontal maint procedures N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4920 Unscheduled dressing change N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D4999 Unspecified periodontal proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5110 Dentures complete maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5120 Dentures complete mandible N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5130 Dentures immediat maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5140 Dentures immediat mandible N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5211 Dentures maxill part resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5212 Dentures mand part resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5213 Dentures maxill part metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5214 Dentures mandibl part metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5225 Maxillary part denture flex N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5226 Mandibular part denture flex N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5281 Removable partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5410 Dentures adjust cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5411 Dentures adjust cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5421 Dentures adjust part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5422 Dentures adjust part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5510 Dentur repr broken compl bas N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5520 Replace denture teeth complt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5610 Dentures repair resin base N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5620 Rep part denture cast frame N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5630 Rep partial denture clasp N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5640 Replace part denture teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5650 Add tooth to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5660 Add clasp to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5670 Replc tth&acrlc on mtl frmwk N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5671 Replc tth&acrlc mandibular N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5710 Dentures rebase cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5711 Dentures rebase cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5720 Dentures rebase part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5721 Dentures rebase part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5730 Denture reln cmplt maxil ch N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5731 Denture reln cmplt mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5740 Denture reln part maxil chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5741 Denture reln part mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5750 Denture reln cmplt max lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5751 Denture reln cmplt mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5760 Denture reln part maxil lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5761 Denture reln part mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5810 Denture interm cmplt maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5811 Denture interm cmplt mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5820 Denture interm part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5821 Denture interm part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5850 Denture tiss conditn maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5851 Denture tiss condtin mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5860 Overdenture complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5861 Overdenture partial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5862 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5867 Replacement of precision att N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5875 Prosthesis modification N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5899 Removable prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5911 Facial moulage sectional R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5912 Facial moulage complete R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5913 Nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5914 Auricular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5915 Orbital prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5916 Ocular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5919 Facial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5922 Nasal septal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5923 Ocular prosthesis interim I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5924 Cranial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5925 Facial augmentation implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5926 Replacement nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5927 Auricular replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5928 Orbital replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5929 Facial replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5931 Surgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5932 Postsurgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5933 Refitting of obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5934 Mandibular flange prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5935 Mandibular denture prosth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5936 Temp obturator prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5937 Trismus appliance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5951 Feeding aid R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5952 Pediatric speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5953 Adult speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5954 Superimposed prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5955 Palatal lift prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5958 Intraoral con def inter plt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5959 Intraoral con def mod palat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5960 Modify speech aid prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5982 Surgical stent I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5983 Radiation applicator R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5984 Radiation shield R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5985 Radiation cone locator R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5986 Fluoride applicator N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5987 Commissure splint R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D5988 Surgical splint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D5999 Maxillofacial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6010 Odontics endosteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6040 Odontics eposteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6050 Odontics transosteal implnt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6053 Implnt/abtmnt spprt remv dnt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6054 Implnt/abtmnt spprt remvprtl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6055 Implant connecting bar I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6056 Prefabricated abutment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6057 Custom abutment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6058 Abutment supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6059 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6060 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6061 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6062 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6063 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6064 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6065 Implant supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6066 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6067 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6068 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6069 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6070 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6071 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6072 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6073 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6074 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6075 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6076 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6077 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6078 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6079 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6080 Implant maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6090 Repair implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6094 Abut support crown titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6095 Odontics repr abutment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6100 Removal of implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6190 Radio/surgical implant index N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6194 Abut support retainer titani N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6199 Implant procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6205 Pontic-indirect resin based N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6210 Prosthodont high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6211 Bridge base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6212 Bridge noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6214 Pontic titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6240 Bridge porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6241 Bridge porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6242 Bridge porcelain nobel metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6245 Bridge porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6250 Bridge resin w/high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6251 Bridge resin base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6252 Bridge resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6253 Provisional pontic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6545 Dental retainr cast metl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6548 Porcelain/ceramic retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6600 Porcelain/ceramic inlay 2srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6601 Porc/ceram inlay >= 3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6602 Cst hgh nble mtl inlay 2 srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6603 Cst hgh nble mtl inlay >=3sr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6604 Cst bse mtl inlay 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6605 Cst bse mtl inlay >= 3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6606 Cast noble metal inlay 2 sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6607 Cst noble mtl inlay >=3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6608 Onlay porc/crmc 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6609 Onlay porc/crmc >=3 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6610 Onlay cst hgh nbl mtl 2 srfc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6611 Onlay cst hgh nbl mtl >=3srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6612 Onlay cst base mtl 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6613 Onlay cst base mtl >=3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6614 Onlay cst nbl mtl 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6615 Onlay cst nbl mtl >=3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6624 Inlay titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6634 Onlay titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6710 Crown-indirect resin based N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6720 Retain crown resin w hi nble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6721 Crown resin w/base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6722 Crown resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6740 Crown porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6750 Crown porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6751 Crown porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6752 Crown porcelain noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6780 Crown 3/4 high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6781 Crown 3/4 cast based metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6790 Crown full high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6791 Crown full base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6792 Crown full noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6793 Provisional retainer crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6794 Crown titanium N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6920 Dental connector bar R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D6930 Dental recement bridge N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6940 Stress breaker N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6950 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6970 Post & core plus retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6971 Cast post bridge retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6972 Prefab post & core plus reta N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6973 Core build up for retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6975 Coping metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6976 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6977 Each addtl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6980 Bridge repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6985 Pediatric partial denture fx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D6999 Fixed prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7111 Extraction coronal remnants R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7140 Extraction erupted tooth/exr R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7210 Rem imp tooth w mucoper flp R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7220 Impact tooth remov soft tiss R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7230 Impact tooth remov part bony R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7240 Impact tooth remov comp bony R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7241 Impact tooth rem bony w/comp R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7250 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7260 Oral antral fistula closure R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7261 Primary closure sinus perf R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7270 Tooth reimplantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7272 Tooth transplantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7280 Exposure impact tooth orthod N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7282 Mobilize erupted/malpos toot N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7283 Place device impacted tooth R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7285 Biopsy of oral tissue hard I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7286 Biopsy of oral tissue soft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7287 Exfoliative cytolog collect I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7288 Brush biopsy R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7290 Repositioning of teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7291 Transseptal fiberotomy R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7310 Alveoplasty w/ extraction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7311 Alveoloplasty w/extract 1-3 N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7320 Alveoplasty w/o extraction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7321 Alveoloplasty not w/extracts R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7340 Vestibuloplasty ridge extens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7350 Vestibuloplasty exten graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7410 Rad exc lesion up to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7411 Excision benign lesion>1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7412 Excision benign lesion compl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7413 Excision malig lesion<=1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7414 Excision malig lesion>1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7415 Excision malig les complicat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7440 Malig tumor exc to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7441 Malig tumor > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7450 Rem odontogen cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7451 Rem odontogen cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7460 Rem nonodonto cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7461 Rem nonodonto cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7465 Lesion destruction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7471 Rem exostosis any site I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7472 Removal of torus palatinus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7473 Remove torus mandibularis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7485 Surg reduct osseoustuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7490 Maxilla or mandible resectio I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7510 I&d absc intraoral soft tiss I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7511 Incision/drain abscess intra R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7520 I&d abscess extraoral I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7521 Incision/drain abscess extra R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7530 Removal fb skin/areolar tiss I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7540 Removal of fb reaction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7550 Removal of sloughed off bone I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7560 Maxillary sinusotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7610 Maxilla open reduct simple I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7620 Clsd reduct simpl maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7630 Open red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7640 Clsd red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7650 Open red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7660 Clsd red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7670 Closd rductn splint alveolus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7671 Alveolus open reduction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7680 Reduct simple facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7710 Maxilla open reduct compound I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7720 Clsd reduct compd maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7730 Open reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7740 Clsd reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7750 Open red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7760 Clsd red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7770 Open reduc compd alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7771 Alveolus clsd reduc stblz te I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7780 Reduct compnd facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7810 Tmj open reduct-dislocation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7820 Closed tmp manipulation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7830 Tmj manipulation under anest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7840 Removal of tmj condyle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7850 Tmj meniscectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7852 Tmj repair of joint disc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7854 Tmj excisn of joint membrane I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7856 Tmj cutting of a muscle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7858 Tmj reconstruction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7860 Tmj cutting into joint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7865 Tmj reshaping components I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7870 Tmj aspiration joint fluid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7871 Lysis + lavage w catheters N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7872 Tmj diagnostic arthroscopy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7873 Tmj arthroscopy lysis adhesn I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7874 Tmj arthroscopy disc reposit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7875 Tmj arthroscopy synovectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7876 Tmj arthroscopy discectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7877 Tmj arthroscopy debridement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7880 Occlusal orthotic appliance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7899 Tmj unspecified therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7910 Dent sutur recent wnd to 5cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7911 Dental suture wound to 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7912 Suture complicate wnd > 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7920 Dental skin graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7940 Reshaping bone orthognathic R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D7941 Bone cutting ramus closed I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7943 Cutting ramus open w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7944 Bone cutting segmented I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7945 Bone cutting body mandible I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7946 Reconstruction maxilla total I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7947 Reconstruct maxilla segment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7948 Reconstruct midface no graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7949 Reconstruct midface w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7950 Mandible graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7953 Bone replacement graft N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7955 Repair maxillofacial defects I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7960 Frenulectomy/frenulotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7963 Frenuloplasty N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7970 Excision hyperplastic tissue I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7971 Excision pericoronal gingiva I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7972 Surg redct fibrous tuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7981 Excision of salivary gland I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7983 Closure of salivary fistula I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7990 Emergency tracheotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7991 Dental coronoidectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7995 Synthetic graft facial bones I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7996 Implant mandible for augment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7997 Appliance removal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D7999 Oral surgery procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8010 Limited dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8020 Limited dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8030 Limited dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8040 Limited dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8050 Intercep dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8060 Intercep dental tx transitn N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8070 Compre dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8080 Compre dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8090 Compre dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8210 Orthodontic rem appliance tx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8220 Fixed appliance therapy habt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8660 Preorthodontic tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8670 Periodic orthodontc tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8680 Orthodontic retention N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8690 Orthodontic treatment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8691 Repair ortho appliance N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8692 Replacement retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D8999 Orthodontic procedure N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9110 Tx dental pain minor proc R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9210 Dent anesthesia w/o surgery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9211 Regional block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9212 Trigeminal block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9215 Local anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9220 General anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9221 General anesthesia ea ad 15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9241 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9242 IV sedation ea ad 30 m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9248 Sedation (non-iv) R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9310 Dental consultation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9410 Dental house call I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9420 Hospital call I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9430 Office visit during hours I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9440 Office visit after hours I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9450 Case presentation tx plan I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9610 Dent therapeutic drug inject I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9630 Other drugs/medicaments R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9910 Dent appl desensitizing med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9911 Appl desensitizing resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9920 Behavior management N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9930 Treatment of complications R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9940 Dental occlusal guard R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9941 Fabrication athletic guard N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9942 Repair/reline occlusal guard N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9950 Occlusion analysis R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9951 Limited occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9952 Complete occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 37.8975 090 D9970 Enamel microabrasion N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9971 Odontoplasty 1-2 teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9972 Extrnl bleaching per arch N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9973 Extrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9974 Intrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 D9999 Adjunctive procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0008 Admin influenza virus vac X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0009 Admin pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0010 Admin hepatitis b vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0027 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0030 PET imaging prev PET single I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0030TCPET imaging prev PET single I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003026PET imaging prev PET single I+ 1.50 0.58 0.58 0.06 2.14 2.14 1XXX.00.00.0099999 37.8975 090 G0031 PET imaging prev PET multple I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0031TCPET imaging prev PET multple I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003126PET imaging prev PET multple I+ 1.87 0.72 0.72 0.07 2.66 2.66 1XXX.00.00.0099999 37.8975 090 G0032 PET follow SPECT 78464 singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0032TCPET follow SPECT 78464 singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003226PET follow SPECT 78464 singl I+ 1.50 0.54 0.54 0.06 2.10 2.10 1XXX.00.00.0099999 37.8975 090 G0033 PET follow SPECT 78464 mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0033TCPET follow SPECT 78464 mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003326PET follow SPECT 78464 mult I+ 1.87 0.74 0.74 0.07 2.68 2.68 1XXX.00.00.0099999 37.8975 090 G0034 PET follow SPECT 76865 singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0034TCPET follow SPECT 76865 singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003426PET follow SPECT 76865 singl I+ 1.50 0.57 0.57 0.05 2.12 2.12 1XXX.00.00.0099999 37.8975 090 G0035 PET follow SPECT 78465 mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0035TCPET follow SPECT 78465 mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003526PET follow SPECT 78465 mult I+ 1.87 0.73 0.73 0.06 2.66 2.66 1XXX.00.00.0099999 37.8975 090 G0036 PET follow cornry angio sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0036TCPET follow cornry angio sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003626PET follow cornry angio sing I+ 1.50 0.56 0.56 0.05 2.11 2.11 1XXX.00.00.0099999 37.8975 090 G0037 PET follow cornry angio mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0037TCPET follow cornry angio mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003726PET follow cornry angio mult I+ 1.87 0.71 0.71 0.06 2.64 2.64 1XXX.00.00.0099999 37.8975 090 G0038 PET follow myocard perf sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0038TCPET follow myocard perf sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003826PET follow myocard perf sing I+ 1.50 0.52 0.52 0.07 2.09 2.09 1XXX.00.00.0099999 37.8975 090 G0039 PET follow myocard perf mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0039TCPET follow myocard perf mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G003926PET follow myocard perf mult I+ 1.87 0.71 0.71 0.07 2.65 2.65 1XXX.00.00.0099999 37.8975 090 G0040 PET follow stress echo singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0040TCPET follow stress echo singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004026PET follow stress echo singl I+ 1.50 0.59 0.59 0.06 2.15 2.15 1XXX.00.00.0099999 37.8975 090 G0041 PET follow stress echo mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0041TCPET follow stress echo mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004126PET follow stress echo mult I+ 1.87 0.73 0.73 0.06 2.66 2.66 1XXX.00.00.0099999 37.8975 090 G0042 PET follow ventriculogm sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0042TCPET follow ventriculogm sing I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004226PET follow ventriculogm sing I+ 1.50 0.61 0.61 0.05 2.16 2.16 1XXX.00.00.0099999 37.8975 090 G0043 PET follow ventriculogm mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0043TCPET follow ventriculogm mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004326PET follow ventriculogm mult I+ 1.87 0.75 0.75 0.07 2.69 2.69 1XXX.00.00.0099999 37.8975 090 G0044 PET following rest ECG singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0044TCPET following rest ECG singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004426PET following rest ECG singl I+ 1.50 0.59 0.59 0.05 2.14 2.14 1XXX.00.00.0099999 37.8975 090 G0045 PET following rest ECG mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0045TCPET following rest ECG mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004526PET following rest ECG mult I+ 1.87 0.72 0.72 0.06 2.65 2.65 1XXX.00.00.0099999 37.8975 090 G0046 PET follow stress ECG singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0046TCPET follow stress ECG singl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004626PET follow stress ECG singl I+ 1.50 0.59 0.59 0.05 2.14 2.14 1XXX.00.00.0099999 37.8975 090 G0047 PET follow stress ECG mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0047TCPET follow stress ECG mult I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G004726PET follow stress ECG mult I+ 1.87 0.73 0.73 0.06 2.66 2.66 1XXX.00.00.0099999 37.8975 090 G0101 CA screen;pelvic/breast exam A 0.45 0.52 0.17 0.02 0.99 0.64 0XXX.00.00.0000000 37.8975 090 G0102 Prostate ca screening; dre A 0.17 0.39 0.06 0.01 0.57 0.24 0XXX.00.00.0099999 37.8975 090 G0103 Psa, total screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0104 CA screen;flexi sigmoidscope A 0.96 2.27 0.50 0.08 3.31 1.54 0000.00.00.0020100 37.8975 090 G0105 Colorectal scrn; hi risk ind A 3.69 6.14 1.47 0.30 10.13 5.46 0000.00.00.0020100 37.8975 090 G010553Colorectal scrn; hi risk ind A 0.96 2.27 0.50 0.08 3.31 1.54 0000.00.00.0020100 37.8975 090 G0106 Colon CA screen;barium enema A 0.99 2.55 2.55 NA 0.17 3.71 3.71 1XXX.00.00.0000000 37.8975 090 G0106TCColon CA screen;barium enema A 0.00 2.23 2.23 NA 0.13 2.36 2.36 1XXX.00.00.0000000 37.8975 030 G010626Colon CA screen;barium enema A 0.99 0.32 0.32 0.04 1.35 1.35 1XXX.00.00.0000000 37.8975 090 G0107 CA screen; fecal blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0108 Diab manage trn per indiv A 0.00 0.83 0.83 NA 0.01 0.84 0.84 0XXX.00.00.0000000 37.8975 090 G0109 Diab manage trn ind/group A 0.00 0.48 0.48 NA 0.01 0.49 0.49 0XXX.00.00.0000000 37.8975 090 G0110 Nett pulm-rehab educ; ind R 0.90 0.68 0.29 0.04 1.62 1.23 0XXX.00.00.0000000 37.8975 090 G0111 Nett pulm-rehab educ; group R 0.27 0.29 0.13 0.01 0.57 0.41 0XXX.00.00.0000000 37.8975 090 G0112 Nett;nutrition guid, initial R 1.72 1.21 0.65 0.05 2.98 2.42 0XXX.00.00.0000000 37.8975 090 G0113 Nett;nutrition guid,subseqnt R 1.29 0.81 0.41 0.05 2.15 1.75 0XXX.00.00.0000000 37.8975 090 G0114 Nett; psychosocial consult R 1.20 0.48 0.37 0.05 1.73 1.62 0XXX.00.00.0000000 37.8975 090 G0115 Nett; psychological testing R 1.20 0.82 0.37 0.03 2.05 1.60 0XXX.00.00.0000000 37.8975 090 G0116 Nett; psychosocial counsel R 1.11 0.95 0.33 0.05 2.11 1.49 0XXX.00.00.0000000 37.8975 090 G0117 Glaucoma scrn hgh risk direc T 0.45 0.72 0.19 0.01 1.18 0.65 0XXX.00.00.0000000 37.8975 090 G0118 Glaucoma scrn hgh risk direc T 0.17 0.53 0.06 0.01 0.71 0.24 0XXX.00.00.0000000 37.8975 090 G0120 Colon ca scrn; barium enema A 0.99 2.55 2.55 NA 0.17 3.71 3.71 1XXX.00.00.0000000 37.8975 090 G0120TCColon ca scrn; barium enema A 0.00 2.23 2.23 NA 0.13 2.36 2.36 1XXX.00.00.0000000 37.8975 090 G012026Colon ca scrn; barium enema A 0.99 0.32 0.32 0.04 1.35 1.35 1XXX.00.00.0000000 37.8975 090 G0121 Colon ca scrn not hi rsk ind A 3.69 6.14 1.47 0.30 10.13 5.46 0000.00.00.0020100 37.8975 090 G012153Colon ca scrn not hi rsk ind A 0.96 2.27 0.50 0.08 3.31 1.54 0000.00.00.0020100 37.8975 090 G0122 Colon ca scrn; barium enema N+ 0.99 2.57 2.57 0.18 3.74 3.74 1XXX.00.00.0099999 37.8975 090 G0122TCColon ca scrn; barium enema N+ 0.00 2.19 2.19 0.13 2.32 2.32 1XXX.00.00.0099999 37.8975 090 G012226Colon ca scrn; barium enema N+ 0.99 0.38 0.38 0.05 1.42 1.42 1XXX.00.00.0099999 37.8975 090 G0123 Screen cerv/vag thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0124 Screen c/v thin layer by MD A 0.42 0.15 0.15 0.02 0.59 0.59 0XXX.00.00.0000000 37.8975 090 G0125 PET image pulmonary nodule I 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0125TCPET image pulmonary nodule I 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G012526PET image pulmonary nodule I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0127 Trim nail(s) R 0.17 0.25 0.07 0.01 0.43 0.25 0000.00.00.0020100 37.8975 090 G0128 CORF skilled nursing service R 0.08 0.03 0.03 0.01 0.12 0.12 0XXX.00.00.0000000 37.8975 090 G0130 Single energy x-ray study A 0.22 0.87 0.87 NA 0.06 1.15 1.15 1XXX.00.00.0000000 37.8975 090 G0130TCSingle energy x-ray study A 0.00 0.80 0.80 NA 0.05 0.85 0.85 1XXX.00.00.0000000 37.8975 010 G013026Single energy x-ray study A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 G0141 Scr c/v cyto,autosys and md A 0.42 0.15 0.15 0.02 0.59 0.59 0XXX.00.00.0000000 37.8975 090 G0143 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0144 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0145 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0147 Scr c/v cyto, automated sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0148 Scr c/v cyto, autosys, rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0166 Extrnl counterpulse, per tx A 0.07 3.57 0.03 0.01 3.65 0.11 0XXX.00.00.0099999 37.8975 090 G0168 Wound closure by adhesive A 0.45 1.93 0.22 0.03 2.41 0.70 0000.00.00.0020100 37.8975 090 G0173 Linear acc stereo radsur com X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0175 OPPS Service,sched team conf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0176 OPPS/PHP;activity therapy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0177 OPPS/PHP; train & educ serv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0179 MD recertification HHA PT A 0.45 1.03 1.03 NA 0.02 1.50 1.50 0XXX.00.00.0000000 37.8975 090 G0180 MD certification HHA patient A 0.67 1.26 1.26 NA 0.03 1.96 1.96 0XXX.00.00.0000000 37.8975 090 G0181 Home health care supervision A 1.73 1.48 1.48 NA 0.07 3.28 3.28 0XXX.00.00.0000000 37.8975 090 G0182 Hospice care supervision A 1.73 1.66 1.66 NA 0.07 3.46 3.46 0XXX.00.00.0000000 37.8975 090 G0186 Dstry eye lesn,fdr vssl tech C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 G0202 Screeningmammographydigital A 0.70 2.77 2.77 NA 0.10 3.57 3.57 1XXX.00.00.0002000 37.8975 090 G0202TCScreeningmammographydigital A 0.00 2.54 2.54 NA 0.07 2.61 2.61 1XXX.00.00.0002000 37.8975 090 G020226Screeningmammographydigital A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0002000 37.8975 090 G0204 Diagnosticmammographydigital A 0.87 2.78 2.78 NA 0.11 3.76 3.76 1XXX.00.00.0002000 37.8975 090 G0204TCDiagnosticmammographydigital A 0.00 2.50 2.50 NA 0.07 2.57 2.57 1XXX.00.00.0002000 37.8975 090 G020426Diagnosticmammographydigital A 0.87 0.28 0.28 0.04 1.19 1.19 1XXX.00.00.0002000 37.8975 090 G0206 Diagnosticmammographydigital A 0.70 2.25 2.25 NA 0.09 3.04 3.04 1XXX.00.00.0000000 37.8975 090 G0206TCDiagnosticmammographydigital A 0.00 2.02 2.02 NA 0.06 2.08 2.08 1XXX.00.00.0000000 37.8975 090 G020626Diagnosticmammographydigital A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 G0210 PET img wholebody dxlung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0210TCPET img wholebody dxlung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021026PET img wholebody dxlung I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0211 PET img wholbody init lung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0211TCPET img wholbody init lung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021126PET img wholbody init lung I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0212 PET img wholebod restag lung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0212TCPET img wholebod restag lung I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021226PET img wholebod restag lung I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0213 PET img wholbody dx I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0213TCPET img wholbody dx I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021326PET img wholbody dx I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0214 PET img wholebod init I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0214TCPET img wholebod init I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021426PET img wholebod init I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0215 PETimg wholebod restag I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0215TCPETimg wholebod restag I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021526PETimg wholebod restag I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0216 PET img wholebod dx melanoma I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0216TCPET img wholebod dx melanoma I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021626PET img wholebod dx melanoma I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0217 PET img wholebod init melan I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0217TCPET img wholebod init melan I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021726PET img wholebod init melan I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0218 PET img wholebod restag mela I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0218TCPET img wholebod restag mela I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G021826PET img wholebod restag mela I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0219 PET img wholbod melano nonco N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0219TCPET img wholbod melano nonco N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 010 G021926PET img wholbod melano nonco N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0220 PET img wholebod dx lymphoma I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0220TCPET img wholebod dx lymphoma I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022026PET img wholebod dx lymphoma I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0221 PET imag wholbod init lympho I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0221TCPET imag wholbod init lympho I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022126PET imag wholbod init lympho I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0222 PET imag wholbod resta lymph I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0222TCPET imag wholbod resta lymph I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022226PET imag wholbod resta lymph I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0223 PET imag wholbod reg dx head I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0223TCPET imag wholbod reg dx head I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022326PET imag wholbod reg dx head I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0224 PET imag wholbod reg ini hea I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0224TCPET imag wholbod reg ini hea I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022426PET imag wholbod reg ini hea I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0225 PET whol restag headneckonly I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0225TCPET whol restag headneckonly I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022526PET whol restag headneckonly I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0226 PET img wholbody dx esophagl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0226TCPET img wholbody dx esophagl I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022626PET img wholbody dx esophagl I+ 1.50 0.53 0.53 0.06 2.09 2.09 1XXX.00.00.0099999 37.8975 090 G0227 PET img wholbod ini esophage I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0227TCPET img wholbod ini esophage I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022726PET img wholbod ini esophage I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0228 PET img wholbod restg esopha I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0228TCPET img wholbod restg esopha I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022826PET img wholbod restg esopha I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0229 PET img metaboloc brain pres I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0229TCPET img metaboloc brain pres I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G022926PET img metaboloc brain pres I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0230 PET myocard viability post I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0230TCPET myocard viability post I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G023026PET myocard viability post I+ 1.50 0.53 0.53 0.06 2.09 2.09 1XXX.00.00.0099999 37.8975 090 G0231 PET WhBD colorec; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0231TCPET WhBD colorec; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G023126PET WhBD colorec; gamma cam I+ 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0099999 37.8975 090 G0232 PET whbd lymphoma; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0232TCPET whbd lymphoma; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G023226PET whbd lymphoma; gamma cam I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0233 PET whbd melanoma; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0233TCPET whbd melanoma; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G023326PET whbd melanoma; gamma cam I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0234 PET WhBD pulm nod; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0234TCPET WhBD pulm nod; gamma cam I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G023426PET WhBD pulm nod; gamma cam I+ 1.50 0.52 0.52 0.06 2.08 2.08 1XXX.00.00.0099999 37.8975 090 G0235 PET not otherwise specified N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 0.0000 090 G0235TCPET not otherwise specified N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 0.0000 010 G023526PET not otherwise specified N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 0.0000 090 G0237 Therapeutic procd strg endur A 0.00 0.47 0.47 NA 0.02 0.49 0.49 0XXX.00.00.0000000 37.8975 090 G0238 Oth resp proc, indiv A 0.00 0.49 0.49 NA 0.02 0.51 0.51 5XXX.00.00.0000000 37.8975 090 G0239 Oth resp proc, group A 0.00 0.33 0.33 NA 0.02 0.35 0.35 5XXX.00.00.0000000 37.8975 090 G0242 Multisource photon ster plan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0243 Multisour photon stero treat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0244 Observ care by facility topt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0245 Initial foot exam pt lops R 0.88 0.79 0.31 0.04 1.71 1.23 0XXX.00.00.0000000 37.8975 090 G0246 Followup eval of foot pt lop R 0.45 0.54 0.16 0.02 1.01 0.63 0XXX.00.00.0000000 37.8975 090 G0247 Routine footcare pt w lops R 0.50 0.52 0.21 0.02 1.04 0.73 0ZZZ.00.00.0000000 37.8975 090 G0248 Demonstrate use home inr mon R 0.00 6.61 6.61 NA 0.01 6.62 6.62 3XXX.00.00.0000000 37.8975 010 G0249 Provide test material,equipm R 0.00 3.96 3.96 NA 0.01 3.97 3.97 3XXX.00.00.0000000 37.8975 010 G0250 MD review interpret of test R 0.18 0.06 0.06 0.01 0.25 0.25 2XXX.00.00.0000000 37.8975 090 G0251 Linear acc based stero radio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0252 PET imaging initial dx N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0252TCPET imaging initial dx N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G025226PET imaging initial dx N+ 1.50 0.60 0.60 0.04 2.14 2.14 1XXX.00.00.0099999 37.8975 090 G0253 PET image brst dection recur I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0253TCPET image brst dection recur I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G025326PET image brst dection recur I+ 1.87 0.63 0.63 0.08 2.58 2.58 1XXX.00.00.0099999 37.8975 090 G0254 PET image brst eval to tx I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0254TCPET image brst eval to tx I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G025426PET image brst eval to tx I+ 1.87 0.65 0.65 0.08 2.60 2.60 1XXX.00.00.0099999 37.8975 090 G0255 Current percep threshold tst N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0255TCCurrent percep threshold tst N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 010 G025526Current percep threshold tst N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0257 Unsched dialysis ESRD pt hos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0258 IV infusion during obs stay E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0259 Inject for sacroiliac joint E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0260 Inj for sacroiliac jt anesth E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0263 Adm with CHF, CP, asthma E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0264 Assmt otr CHF, CP, asthma E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0265 Cryopresevation Freeze+stora X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0266 Thawing + expansion froz cel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0267 Bone marrow or psc harvest X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0268 Removal of impacted wax md A 0.61 0.63 0.24 0.02 1.26 0.87 0000.00.00.0022100 37.8975 090 G0269 Occlusive device in vein art B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0270 MNT subs tx for change dx A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 37.8975 090 G0271 Group MNT 2 or more 30 mins A 0.00 0.18 0.18 NA 0.01 0.19 0.19 0XXX.00.00.0000000 37.8975 090 G0275 Renal angio, cardiac cath A 0.25 0.10NA 0.10 0.01 0.36 0.36 0ZZZ.00.00.0000000 37.8975 090 G0278 Iliac art angio,cardiac cath A 0.25 0.10NA 0.10 0.01 0.36 0.36 0ZZZ.00.00.0000000 37.8975 090 G0279 Excorp shock tx, elbow epi C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 G0280 Excorp shock tx other than C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 G0281 Elec stim unattend for press A 0.18 0.11 0.11 NA 0.01 0.30 0.30 7XXX.00.00.0000000 37.8975 090 G0282 Elect stim wound care not pd N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0283 Elec stim other than wound A 0.18 0.11 0.11 NA 0.01 0.30 0.30 7XXX.00.00.0000000 37.8975 090 G0288 Recon, CTA for surg plan A 0.00 10.61 10.61 NA 0.18 10.79 10.79 3XXX.00.00.0000000 37.8975 010 G0289 Arthro, loose body + chondro A 1.48 0.80NA 0.80 0.25 2.53 2.53 0ZZZ.00.00.0021000 37.8975 090 G0290 Drug-eluting stents, single E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0291 Drug-eluting stents,each add E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0293 Non-cov surg proc,clin trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0294 Non-cov proc, clinical trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0295 Electromagnetic therapy onc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0296 PET imge restag thyrod cance I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0296TCPET imge restag thyrod cance I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G029626PET imge restag thyrod cance I+ 1.87 0.71 0.71 0.08 2.66 2.66 1XXX.00.00.0099999 37.8975 090 G0297 Insert single chamber/cd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0298 Insert dual chamber/cd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0299 Inser/repos single icd+leads X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0300 Insert reposit lead dual+gen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0302 Pre-op service LVRS complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0303 Pre-op service LVRS 10-15dos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0304 Pre-op service LVRS 1-9 dos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0305 Post op service LVRS min 6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0306 CBC/diffwbc w/o platelet X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0307 CBC without platelet X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0308 ESRD related svc 4+mo < 2yrs A 12.74 8.54 8.54 0.42 21.70 21.70 0XXX.00.00.0000000 37.8975 090 G0309 ESRD related svc 2-3mo <2yrs A 10.61 7.10 7.10 0.36 18.07 18.07 0XXX.00.00.0000000 37.8975 090 G0310 ESRD related svc 1 vst <2yrs A 8.49 5.68 5.68 0.28 14.45 14.45 0XXX.00.00.0000000 37.8975 090 G0311 ESRD related svs 4+mo 2-11yr A 9.73 4.72 4.72 0.34 14.79 14.79 0XXX.00.00.0000000 37.8975 090 G0312 ESRD relate svs 2-3 mo 2-11y A 8.11 3.92 3.92 0.29 12.32 12.32 0XXX.00.00.0000000 37.8975 090 G0313 ESRD related svs 1 mon 2-11y A 6.49 3.14 3.14 0.22 9.85 9.85 0XXX.00.00.0000000 37.8975 090 G0314 ESRD related svs 4+ mo 12-19 A 8.28 4.42 4.42 0.27 12.97 12.97 0XXX.00.00.0000000 37.8975 090 G0315 ESRD related svs 2-3mo/12-19 A 6.90 3.67 3.67 0.23 10.80 10.80 0XXX.00.00.0000000 37.8975 090 G0316 ESRD related svs 1vis/12-19y A 5.52 2.94 2.94 0.17 8.63 8.63 0XXX.00.00.0000000 37.8975 090 G0317 ESRD related svs 4+mo 20+yrs A 5.09 2.86 2.86 0.17 8.12 8.12 0XXX.00.00.0000000 37.8975 090 G0318 ESRD related svs 2-3 mo 20+y A 4.24 2.38 2.38 0.14 6.76 6.76 0XXX.00.00.0000000 37.8975 090 G0319 ESRD related svs 1visit 20+y A 3.39 1.90 1.90 0.11 5.40 5.40 0XXX.00.00.0000000 37.8975 090 G0320 ESD related svs home undr 2 A 10.61 7.10 7.10 0.36 18.07 18.07 0XXX.00.00.0000000 37.8975 090 G0321 ESRDrelatedsvs home mo 2-11y A 8.11 3.92 3.92 0.29 12.32 12.32 0XXX.00.00.0000000 37.8975 090 G0322 ESRD related svs hom mo12-19 A 6.90 3.67 3.67 0.23 10.80 10.80 0XXX.00.00.0000000 37.8975 090 G0323 ESRD related svs home mo 20+ A 4.24 2.38 2.38 0.14 6.76 6.76 0XXX.00.00.0000000 37.8975 090 G0324 ESRD related serv/dy,2y A 0.35 0.24 0.24 0.01 0.60 0.60 0XXX.00.00.0000000 37.8975 090 G0325 ESRD relate serv/dy 2-11yr A 0.23 0.12 0.12 0.01 0.36 0.36 0XXX.00.00.0000000 37.8975 090 G0326 ESRD relate serv/dy 12-19y A 0.27 0.13 0.13 0.01 0.41 0.41 0XXX.00.00.0000000 37.8975 090 G0327 ESRD relate serv/dy 20+yrs A 0.14 0.08 0.08 0.01 0.23 0.23 0XXX.00.00.0000000 37.8975 090 G0328 Fecal blood scrn immunoassay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0329 Electromagntic tx for ulcers A 0.06 0.14 0.02 0.01 0.21 0.09 7XXX.00.00.0000000 37.8975 090 G0336 PET imaging brain alzheimers I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G0336TCPET imaging brain alzheimers I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 37.8975 090 G033626PET imaging brain alzheimers I+ 1.50 0.49 0.49 0.05 2.04 2.04 1XXX.00.00.0099999 37.8975 090 G0337 Hospice evaluation preelecti X+ 1.34 0.51 0.51 0.09 1.94 1.94 0XXX.00.00.0000000 37.8975 090 G0338 Linear accelerator stero pln X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0339 Robot lin-radsurg com, first X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0340 Robt lin-radsurg fractx 2-5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G0341 Percutaneous islet celltrans A 6.98 5.73 2.59 0.48 13.19 10.05 0000.00.00.0020010 37.8975 090 G0342 Laparoscopy islet cell trans A 11.92 5.29NA 5.29 1.46 18.67 18.67 0090.09.81.1020210 37.8975 090 G0343 Laparotomy islet cell transp A 19.85 8.75NA 8.75 2.05 30.65 30.65 0090.09.81.1020210 37.8975 090 G0344 Initial preventive exam A 1.34 1.13 0.48 0.10 2.57 1.92 0XXX.00.00.0000000 37.8975 090 G0345 IV infuse hydration, initial A 0.17 1.42 1.42 NA 0.07 1.66 1.66 5XXX.00.00.0000000 37.8975 091 G0346 Each additional infuse hour A 0.09 0.40 0.40 NA 0.04 0.53 0.53 5ZZZ.00.00.0000000 37.8975 091 G0347 IV infusion therapy/diagnost A 0.21 1.75 1.75 NA 0.07 2.03 2.03 5XXX.00.00.0000000 37.8975 091 G0348 Each additional hr up to 8hr A 0.18 0.46 0.46 NA 0.04 0.68 0.68 5ZZZ.00.00.0000000 37.8975 091 G0349 Additional sequential infuse A 0.19 0.89 0.89 NA 0.04 1.12 1.12 5ZZZ.00.00.0000000 37.8975 091 G0350 Concurrent infusion A 0.17 0.44 0.44 NA 0.04 0.65 0.65 5ZZZ.00.00.0000000 37.8975 091 G0351 Therapeutic/diagnostic injec A 0.17 0.31 0.31 NA 0.01 0.49 0.49 5XXX.00.00.0000000 37.8975 091 G0353 IV push,single orinitial dru A 0.18 1.29 1.29 NA 0.04 1.51 1.51 5XXX.00.00.0000000 37.8975 091 G0354 Each addition sequential IV A 0.10 0.57 0.57 NA 0.04 0.71 0.71 5ZZZ.00.00.0000000 37.8975 091 G0355 Chemo adminisrate subcut/IM A 0.21 1.14 1.14 NA 0.01 1.36 1.36 5XXX.00.00.0000000 37.8975 091 G0356 Hormonal anti-neoplastic A 0.19 0.74 0.74 NA 0.01 0.94 0.94 5XXX.00.00.0000000 37.8975 091 G0357 IV push single/initial subst A 0.24 2.92 2.92 NA 0.06 3.22 3.22 5XXX.00.00.0000000 37.8975 091 G0358 IV push each additional drug A 0.20 1.61 1.61 NA 0.06 1.87 1.87 5ZZZ.00.00.0000000 37.8975 091 G0359 Chemotherapy IV one hr initi A 0.28 4.19 4.19 NA 0.08 4.55 4.55 5XXX.00.00.0000000 37.8975 091 G0360 Each additional hr 1-8 hrs A 0.19 0.77 0.77 NA 0.07 1.03 1.03 5ZZZ.00.00.0000000 37.8975 091 G0361 Prolong chemo infuse>8hrs pu A 0.21 4.60 4.60 NA 0.08 4.89 4.89 5XXX.00.00.0000000 37.8975 091 G0362 Each add sequential infusion A 0.21 1.94 1.94 NA 0.07 2.22 2.22 5ZZZ.00.00.0000000 37.8975 091 G0363 Irrigate implanted venous de T 0.04 0.69 0.69 NA 0.01 0.74 0.74 5XXX.00.00.0000000 37.8975 091 G0364 Bone marrow aspirate &biopsy A 0.16 0.14 0.06 0.04 0.34 0.26 0ZZZ.00.00.0000000 37.8975 090 G0365 Vessel mapping hemo access A 0.25 3.99 3.99 NA 0.25 4.49 4.49 1XXX.00.00.0000000 37.8975 090 G0365TCVessel mapping hemo access A 0.00 3.90 3.90 NA 0.23 4.13 4.13 1XXX.00.00.0000000 37.8975 010 G036526Vessel mapping hemo access A 0.25 0.09 0.09 0.02 0.36 0.36 1XXX.00.00.0000000 37.8975 090 G0366 EKG for initial prevent exam A 0.17 0.51 0.51 NA 0.03 0.71 0.71 4XXX.00.00.0000000 37.8975 090 G0367 EKG tracing for initial prev A 0.00 0.45 0.45 NA 0.02 0.47 0.47 3XXX.00.00.0000000 37.8975 090 G0368 EKG interpret & report preve A 0.17 0.06 0.06 0.01 0.24 0.24 2XXX.00.00.0000000 37.8975 090 G0372 MD service required for PMD A 0.17 0.39 0.06 0.01 0.57 0.24 0XXX.00.00.0000000 37.8975 090 G0375 Smoke/Tobacco counseling3-10 A 0.24 0.09 0.09 0.01 0.34 0.34 0XXX.00.00.0000000 37.8975 090 G0376 Smoke/Tobacco counseling >10 A 0.48 0.18 0.17 0.01 0.67 0.66 0XXX.00.00.0000000 37.8975 090 G3001 Admin + supply, tositumomab X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9001 MCCD, initial rate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9002 MCCD,maintenance rate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9003 MCCD, risk adj hi, initial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9004 MCCD, risk adj lo, initial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9005 MCCD, risk adj, maintenance X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9006 MCCD, Home monitoring X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9007 MCCD, sch team conf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9008 Mccd,phys coor-care ovrsght X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9009 MCCD, risk adj, level 3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9010 MCCD, risk adj, level 4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9011 MCCD, risk adj, level 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9012 Other Specified Case Mgmt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9013 ESRD demo bundle level I N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9014 ESRD demo bundle-level II N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9016 Demo-smoking cessation coun N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9017 Amantadine HCL, oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9018 Zanamivir, inh pwdr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9019 Oseltamivir phosp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9020 Rimantadine HCL X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 G9021 Chemo assess nausea vomit L1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9022 Chemo assess nausea vomit L2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9023 Chemo assess nausea vomit L3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9024 Chemo assess nausea vomit L4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9025 Chemo assessment pain L1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9026 Chemo assessment pain L2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9027 Chemo assessment pain L3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9028 Chemo assessment pain L4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9029 Chemo assess for fatigue L1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9030 Chemo assess for fatigue L2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9031 Chemo assess for fatigue L3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9032 Chemo assess for fatigue L4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9033 Amantadine HCL oral brand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9034 Zanamivir, inh pwdr, brand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9035 Oseltamivir phosp, brand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 G9036 Rimantadine HCL, brand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 H0001 Alcohol and/or drug assess I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0002 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0003 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0004 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0005 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0006 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0007 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0008 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0009 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0010 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0011 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0012 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0013 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0014 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0015 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0016 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0017 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0018 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0019 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0020 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0021 Alcohol and/or drug training I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0022 Alcohol and/or drug interven I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0023 Alcohol and/or drug outreach I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0024 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0025 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0026 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0027 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0028 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0029 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0030 Alcohol and/or drug hotline I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0031 MH health assess by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0032 MH svc plan dev by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0033 Oral med adm direct observe I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0034 Med trng & support per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0035 MH partial hosp tx under 24h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0036 Comm psy face-face per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0037 Comm psy sup tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0038 Self-help/peer svc per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0039 Asser com tx face-face/15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0040 Assert comm tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0041 Fos c chld non-ther per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0042 Fos c chld non-ther per mon I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0043 Supported housing, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0044 Supported housing, per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0045 Respite not-in-home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0046 Mental health service, nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0047 Alcohol/drug abuse svc nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H0048 Spec coll non-blood:a/d test I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1000 Prenatal care atrisk assessm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1001 Antepartum management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1002 Carecoordination prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1003 Prenatal at risk education I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1004 Follow up home visit/prental I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1005 Prenatalcare enhanced srv pk I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1010 Nonmed family planning ed I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H1011 Family assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2000 Comp multidisipln evaluation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2001 Rehabilitation program 1/2 d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2010 Comprehensive med svc 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2011 Crisis interven svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2012 Behav hlth day treat, per hr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2013 Psych hlth fac svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2014 Skills train and dev, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2015 Comp comm supp svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2016 Comp comm supp svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2017 Psysoc rehab svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2018 Psysoc rehab svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2019 Ther behav svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2020 Ther behav svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2021 Com wrap-around sv, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2022 Com wrap-around sv, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2023 Supported employ, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2024 Supported employ, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2025 Supp maint employ, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2026 Supp maint employ, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2027 Psychoed svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2028 Sex offend tx svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2029 Sex offend tx svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2030 MH clubhouse svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2031 MH clubhouse svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2032 Activity therapy, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2033 Multisys ther/juvenile 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2034 A/D halfway house, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2035 A/D tx program, per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2036 A/D tx program, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 H2037 Dev delay prev dp ch, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0128 Abarelix injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0130 Abciximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0135 Adalimumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0150 Injection adenosine 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0152 Adenosine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0170 Adrenalin epinephrin inject E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0180 Agalsidase beta injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0190 Inj biperiden lactate/5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0200 Alatrofloxacin mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0205 Alglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0210 Methyldopate hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0215 Alefacept E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0256 Alpha 1 proteinase inhibitor E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0270 Alprostadil for injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0275 Alprostadil urethral suppos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0280 Aminophyllin 250 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0282 Amiodarone HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0285 Amphotericin B E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0287 Amphotericin b lipid complex E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0288 Ampho b cholesteryl sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0289 Amphotericin b liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0290 Ampicillin 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0295 Ampicillin sodium per 1.5 gm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0300 Amobarbital 125 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0330 Succinycholine chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0350 Injection anistreplase 30 u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0360 Hydralazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0380 Inj metaraminol bitartrate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0390 Chloroquine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0395 Arbutamine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0456 Azithromycin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0460 Atropine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0470 Dimecaprol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0475 Baclofen 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0476 Baclofen intrathecal trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0500 Dicyclomine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0515 Inj benztropine mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0520 Bethanechol chloride inject E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0530 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0540 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0550 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0560 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0570 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0580 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0583 Bivalirudin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0585 Botulinum toxin a per unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0587 Botulinum toxin type B E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0592 Buprenorphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0595 Butorphanol tartrate 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0600 Edetate calcium disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0610 Calcium gluconate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0620 Calcium glycer & lact/10 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0630 Calcitonin salmon injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0636 Inj calcitriol per 0.1 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0637 Caspofungin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0640 Leucovorin calcium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0670 Inj mepivacaine HCL/10 ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0690 Cefazolin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0692 Cefepime HCl for injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0694 Cefoxitin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0696 Ceftriaxone sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0697 Sterile cefuroxime injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0698 Cefotaxime sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0702 Betamethasone acet&sod phosp E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0704 Betamethasone sod phosp/4 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0706 Caffeine citrate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0710 Cephapirin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0713 Inj ceftazidime per 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0715 Ceftizoxime sodium / 500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0720 Chloramphenicol sodium injec E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0725 Chorionic gonadotropin/1000u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0735 Clonidine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0740 Cidofovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0743 Cilastatin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0744 Ciprofloxacin iv E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0745 Inj codeine phosphate /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0760 Colchicine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0770 Colistimethate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0780 Prochlorperazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0800 Corticotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0835 Inj cosyntropin per 0.25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0850 Cytomegalovirus imm IV /vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0878 Daptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0880 Darbepoetin alfa injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0895 Deferoxamine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0900 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0945 Brompheniramine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J0970 Estradiol valerate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1000 Depo-estradiol cypionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1020 Methylprednisolone 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1030 Methylprednisolone 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1040 Methylprednisolone 80 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1051 Medroxyprogesterone inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1055 Medrxyprogester acetate inj N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1056 MA/EC contraceptiveinjection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1060 Testosterone cypionate 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1070 Testosterone cypionat 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1080 Testosterone cypionat 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1094 Inj dexamethasone acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1100 Dexamethasone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1110 Inj dihydroergotamine mesylt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1120 Acetazolamid sodium injectio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1160 Digoxin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1165 Phenytoin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1170 Hydromorphone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1180 Dyphylline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1190 Dexrazoxane HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1200 Diphenhydramine hcl injectio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1205 Chlorothiazide sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1212 Dimethyl sulfoxide 50% 50 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1230 Methadone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1240 Dimenhydrinate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1245 Dipyridamole injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1250 Inj dobutamine HCL/250 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1260 Dolasetron mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1270 Injection, doxercalciferol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1320 Amitriptyline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1325 Epoprostenol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1327 Eptifibatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1330 Ergonovine maleate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1335 Ertapenem injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1364 Erythro lactobionate /500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1380 Estradiol valerate 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1390 Estradiol valerate 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1410 Inj estrogen conjugate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1435 Injection estrone per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1436 Etidronate disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1438 Etanercept injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1440 Filgrastim 300 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1441 Filgrastim 480 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1450 Fluconazole E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1452 Intraocular Fomivirsen na E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1455 Foscarnet sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1457 Gallium nitrate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1460 Gamma globulin 1 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1470 Gamma globulin 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1480 Gamma globulin 3 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1490 Gamma globulin 4 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1500 Gamma globulin 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1510 Gamma globulin 6 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1520 Gamma globulin 7 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1530 Gamma globulin 8 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1540 Gamma globulin 9 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1550 Gamma globulin 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1560 Gamma globulin > 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1563 IV immune globulin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1564 Immune globulin 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1565 RSV-ivig E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1570 Ganciclovir sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1580 Garamycin gentamicin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1590 Gatifloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1595 Injection glatiramer acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1600 Gold sodium thiomaleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1610 Glucagon hydrochloride/1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1620 Gonadorelin hydroch/ 100 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1626 Granisetron HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1630 Haloperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1631 Haloperidol decanoate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1642 Inj heparin sodium per 10 u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1644 Inj heparin sodium per 1000u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1645 Dalteparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1650 Inj enoxaparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1652 Fondaparinux sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1655 Tinzaparin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1670 Tetanus immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1700 Hydrocortisone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1710 Hydrocortisone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1720 Hydrocortisone sodium succ i E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1730 Diazoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1742 Ibutilide fumarate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1745 Infliximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1750 Iron dextran E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1756 Iron sucrose injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1785 Injection imiglucerase /unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1790 Droperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1800 Propranolol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1810 Droperidol/fentanyl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1815 Insulin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1817 Insulin for insulin pump use E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1825 Interferon beta-1a I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1830 Interferon beta-1b / .25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1835 Itraconazole injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1840 Kanamycin sulfate 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1850 Kanamycin sulfate 75 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1885 Ketorolac tromethamine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1890 Cephalothin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1931 Laronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1940 Furosemide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1950 Leuprolide acetate /3.75 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1955 Inj levocarnitine per 1 gm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1956 Levofloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1960 Levorphanol tartrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1980 Hyoscyamine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J1990 Chlordiazepoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2001 Lidocaine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2010 Lincomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2020 Linezolid injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2060 Lorazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2150 Mannitol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2175 Meperidine hydrochl /100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2180 Meperidine/promethazine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2185 Meropenem E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2210 Methylergonovin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2250 Inj midazolam hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2260 Inj milrinone lactate / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2270 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2271 Morphine so4 injection 100mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2275 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2280 Inj, moxifloxacin 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2300 Inj nalbuphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2310 Inj naloxone hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2320 Nandrolone decanoate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2321 Nandrolone decanoate 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2322 Nandrolone decanoate 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2324 Nesiritide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2353 Octreotide injection, depot E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2354 Octreotide inj, non-depot E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2355 Oprelvekin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2357 Omalizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2360 Orphenadrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2370 Phenylephrine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2400 Chloroprocaine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2405 Ondansetron hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2410 Oxymorphone hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2430 Pamidronate disodium /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2440 Papaverin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2460 Oxytetracycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2469 Palonosetron HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2501 Paricalcitol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2505 Injection, pegfilgrastim 6mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2510 Penicillin g procaine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2515 Pentobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2540 Penicillin g potassium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2543 Piperacillin/tazobactam E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2545 Pentamidine isethionte/300mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2550 Promethazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2560 Phenobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2590 Oxytocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2597 Inj desmopressin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2650 Prednisolone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2670 Totazoline hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2675 Inj progesterone per 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2680 Fluphenazine decanoate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2690 Procainamide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2700 Oxacillin sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2710 Neostigmine methylslfte inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2720 Inj protamine sulfate/10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2725 Inj protirelin per 250 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2730 Pralidoxime chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2760 Phentolaine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2765 Metoclopramide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2770 Quinupristin/dalfopristin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2780 Ranitidine hydrochloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2783 Rasburicase E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2788 Rho d immune globulin 50 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2790 Rho d immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2792 Rho(D) immune globulin h, sd E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2794 Risperidone, long acting E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2795 Ropivacaine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2800 Methocarbamol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2810 Inj theophylline per 40 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2820 Sargramostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2910 Aurothioglucose injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2912 Sodium chloride injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2916 Na ferric gluconate complex E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2920 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2930 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2940 Somatrem injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2941 Somatropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2950 Promazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2993 Reteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2995 Inj streptokinase /250000 IU E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J2997 Alteplase recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3000 Streptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3010 Fentanyl citrate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3030 Sumatriptan succinate / 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3070 Pentazocine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3100 Tenecteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3105 Terbutaline sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3110 Teriparatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3120 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3130 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3140 Testosterone suspension inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3150 Testosteron propionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3230 Chlorpromazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3240 Thyrotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3246 Tirofiban HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3250 Trimethobenzamide hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3260 Tobramycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3265 Injection torsemide 10 mg/ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3280 Thiethylperazine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3301 Triamcinolone acetonide inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3302 Triamcinolone diacetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3303 Triamcinolone hexacetonl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3305 Inj trimetrexate glucoronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3310 Perphenazine injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3315 Triptorelin pamoate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3320 Spectinomycn di-hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3350 Urea injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3360 Diazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3364 Urokinase 5000 IU injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3365 Urokinase 250,000 IU inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3370 Vancomycin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3396 Verteporfin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3400 Triflupromazine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3410 Hydroxyzine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3411 Thiamine hcl 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3415 Pyridoxine hcl 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3420 Vitamin b12 injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3430 Vitamin k phytonadione inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3465 Injection, voriconazole E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3470 Hyaluronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3475 Inj magnesium sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3480 Inj potassium chloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3485 Zidovudine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3486 Ziprasidone mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3487 Zoledronic acid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3490 Drugs unclassified injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3520 Edetate disodium per 150 mg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3530 Nasal vaccine inhalation E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3535 Metered dose inhaler drug N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3570 Laetrile amygdalin vit B17 N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J3590 Unclassified biologics E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7030 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7040 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7042 5% dextrose/normal saline E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7050 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7051 Sterile saline/water E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7060 5% dextrose/water E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7070 D5w infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7100 Dextran 40 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7110 Dextran 75 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7120 Ringers lactate infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7130 Hypertonic saline solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7190 Factor viii X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7191 Factor VIII (porcine) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7192 Factor viii recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7193 Factor IX non-recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7194 Factor ix complex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7195 Factor IX recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7197 Antithrombin iii injection X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7198 Anti-inhibitor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7199 Hemophilia clot factor noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7300 Intraut copper contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7302 Levonorgestrel iu contracept N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7303 Contraceptive vaginal ring N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7304 Contraceptive hormone patch N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7308 Aminolevulinic acid hcl top E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7310 Ganciclovir long act implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7317 Sodium hyaluronate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7320 Hylan G-F 20 injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7330 Cultured chondrocytes implnt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7340 Metabolic active D/E tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7342 Metabolically active tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7343 Nonmetabolic act d/e tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7344 Nonmetabolic active tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7350 Injectable human tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7500 Azathioprine oral 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7501 Azathioprine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7502 Cyclosporine oral 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7504 Lymphocyte immune globulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7505 Monoclonal antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7506 Prednisone oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7507 Tacrolimus oral per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7509 Methylprednisolone oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7510 Prednisolone oral per 5 mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7511 Antithymocyte globuln rabbit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7513 Daclizumab, parenteral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7515 Cyclosporine oral 25 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7516 Cyclosporin parenteral 250mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7517 Mycophenolate mofetil oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7518 Mycophenolic acid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7520 Sirolimus, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7525 Tacrolimus injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7599 Immunosuppressive drug noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7608 Acetylcysteine inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7611 Albuterol concentrated form E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7612 Levalbuterol concentrated E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7613 Albuterol unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7614 Levalbuterol unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7616 Albuterol compound solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7617 Levalbuterol compounded sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7622 Beclomethasone inhalatn sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7624 Betamethasone inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7626 Budesonide inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7628 Bitolterol mes inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7629 Bitolterol mes inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7631 Cromolyn sodium inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7633 Budesonide concentrated sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7635 Atropine inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7636 Atropine inhal sol unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7637 Dexamethasone inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7638 Dexamethasone inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7639 Dornase alpha inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7641 Flunisolide, inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7642 Glycopyrrolate inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7643 Glycopyrrolate inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7644 Ipratropium brom inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7648 Isoetharine hcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7649 Isoetharine hcl inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7658 Isoproterenolhcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7659 Isoproterenol hcl inh sol ud E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7668 Metaproterenol inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7669 Metaproterenol inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7674 Methacholine chloride, neb E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7680 Terbutaline so4 inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7681 Terbutaline so4 inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7682 Tobramycin inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7683 Triamcinolone inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7684 Triamcinolone inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7699 Inhalation solution for DME E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J7799 Non-inhalation drug for DME E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8499 Oral prescrip drug non chemo N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8501 Oral aprepitant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8510 Oral busulfan E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8520 Capecitabine, oral, 150 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8521 Capecitabine, oral, 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8530 Cyclophosphamide oral 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8560 Etoposide oral 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8565 Gefitinib oral I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8600 Melphalan oral 2 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8610 Methotrexate oral 2.5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8700 Temozolomide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J8999 Oral prescription drug chemo E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9000 Doxorubic hcl 10 MG vl chemo E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9001 Doxorubicin hcl liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9010 Alemtuzumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9015 Aldesleukin/single use vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9017 Arsenic trioxide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9020 Asparaginase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9031 Bcg live intravesical vac E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9035 Bevacizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9040 Bleomycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9041 Bortezomib injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9045 Carboplatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9050 Carmus bischl nitro inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9055 Cetuximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9060 Cisplatin 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9062 Cisplatin 50 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9065 Inj cladribine per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9070 Cyclophosphamide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9080 Cyclophosphamide 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9090 Cyclophosphamide 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9091 Cyclophosphamide 1.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9092 Cyclophosphamide 2.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9093 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9094 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9095 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9096 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9097 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9098 Cytarabine liposome E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9100 Cytarabine hcl 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9110 Cytarabine hcl 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9120 Dactinomycin actinomycin d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9130 Dacarbazine 100 mg inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9140 Dacarbazine 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9150 Daunorubicin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9151 Daunorubicin citrate liposom E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9160 Denileukin diftitox, 300 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9165 Diethylstilbestrol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9170 Docetaxel E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9178 Inj, epirubicin hcl, 2 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9181 Etoposide 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9182 Etoposide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9185 Fludarabine phosphate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9190 Fluorouracil injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9200 Floxuridine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9201 Gemcitabine HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9202 Goserelin acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9206 Irinotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9208 Ifosfomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9209 Mesna injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9211 Idarubicin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9212 Interferon alfacon-1 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9213 Interferon alfa-2a inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9214 Interferon alfa-2b inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9215 Interferon alfa-n3 inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9216 Interferon gamma 1-b inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9217 Leuprolide acetate suspnsion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9218 Leuprolide acetate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9219 Leuprolide acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9230 Mechlorethamine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9245 Inj melphalan hydrochl 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9250 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9260 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9263 Oxaliplatin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9265 Paclitaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9266 Pegaspargase/singl dose vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9268 Pentostatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9270 Plicamycin (mithramycin) inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9280 Mitomycin 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9290 Mitomycin 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9291 Mitomycin 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9293 Mitoxantrone hydrochl / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9300 Gemtuzumab ozogamicin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9305 Pemetrexed injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9310 Rituximab cancer treatment E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9320 Streptozocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9340 Thiotepa injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9350 Topotecan E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9355 Trastuzumab E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9357 Valrubicin, 200 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9360 Vinblastine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9370 Vincristine sulfate 1 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9375 Vincristine sulfate 2 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9380 Vincristine sulfate 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9390 Vinorelbine tartrate/10 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9395 Injection, Fulvestrant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9600 Porfimer sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 J9999 Chemotherapy drug E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 M0064 Visit for drug monitoring A 0.37 0.34 0.12 0.01 0.72 0.50 0XXX.00.00.0000000 37.8975 090 M0075 Cellular therapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 M0100 Intragastric hypothermia N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 M0301 Fabric wrapping of aneurysm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P2028 Cephalin floculation test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P2029 Congo red blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P2031 Hair analysis N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P2033 Blood thymol turbidity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P2038 Blood mucoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P3000 Screen pap by tech w md supv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P3001 Screening pap smear by phys A 0.42 0.15 0.15 0.02 0.59 0.59 0XXX.00.00.0000000 37.8975 090 P7001 Culture bacterial urine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9010 Whole blood for transfusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9011 Blood split unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9012 Cryoprecipitate each unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9016 RBC leukocytes reduced E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9017 Plasma 1 donor frz w/in 8 hr E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9019 Platelets, each unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9020 Plaelet rich plasma unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9021 Red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9022 Washed red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9023 Frozen plasma, pooled, sd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9031 Platelets leukocytes reduced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9032 Platelets, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9033 Platelets leukoreduced irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9034 Platelets, pheresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9035 Platelet pheres leukoreduced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9036 Platelet pheresis irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9037 Plate pheres leukoredu irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9038 RBC irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9039 RBC deglycerolized X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9040 RBC leukoreduced irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9041 Albumin (human),5%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9043 Plasma protein fract,5%,50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9044 Cryoprecipitatereducedplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9045 Albumin (human), 5%, 250 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9046 Albumin (human), 25%, 20 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9047 Albumin (human), 25%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9048 Plasmaprotein fract,5%,250ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9050 Granulocytes, pheresis unit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9051 Blood, l/r, cmv-neg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9052 Platelets, hla-m, l/r, unit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9053 Plt, pher, l/r cmv-neg, irr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9054 Blood, l/r, froz/degly/wash X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9055 Plt, aph/pher, l/r, cmv-neg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9056 Blood, l/r, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9057 RBC, frz/deg/wsh, l/r, irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9058 RBC, l/r, cmv-neg, irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9059 Plasma, frz between 8-24hour X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9060 Fr frz plasma donor retested X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9603 One-way allow prorated miles X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9604 One-way allow prorated trip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9612 Catheterize for urine spec X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 P9615 Urine specimen collect mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0035 Cardiokymography A 0.17 0.45 0.45 NA 0.03 0.65 0.65 1XXX.00.00.0000000 37.8975 090 Q0035TCCardiokymography A 0.00 0.39 0.39 NA 0.02 0.41 0.41 1XXX.00.00.0000000 37.8975 010 Q003526Cardiokymography A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 Q0091 Obtaining screen pap smear A 0.37 0.67 0.14 0.02 1.06 0.53 0XXX.00.00.0000000 37.8975 090 Q0092 Set up port xray equipment A 0.00 0.32 0.32 NA 0.01 0.33 0.33 3XXX.00.00.0000000 37.8975 090 Q0111 Wet mounts/ w preparations X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0112 Potassium hydroxide preps X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0113 Pinworm examinations X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0114 Fern test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0115 Post-coital mucous exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0136 Non esrd epoetin alpha inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0137 Darbepoetin alfa, non-esrd E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0144 Azithromycin dihydrate, oral N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0163 Diphenhydramine HCl 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0164 Prochlorperazine maleate 5mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0165 Prochlorperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0166 Granisetron HCl 1 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0167 Dronabinol 2.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0168 Dronabinol 5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0169 Promethazine HCl 12.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0170 Promethazine HCl 25 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0171 Chlorpromazine HCl 10mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0172 Chlorpromazine HCl 25mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0173 Trimethobenzamide HCl 250mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0174 Thiethylperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0175 Perphenazine 4mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0176 Perphenazine 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0177 Hydroxyzine pamoate 25mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0178 Hydroxyzine pamoate 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0179 Ondansetron HCl 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0180 Dolasetron mesylate oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0181 Unspecified oral anti-emetic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q0187 Factor viia recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q1001 Ntiol category 1 I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q1002 Ntiol category 2 I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q1003 Ntiol category 3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q1004 Ntiol category 4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q1005 Ntiol category 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2001 Oral cabergoline 0.5 mg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2002 Elliotts b solution per ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2003 Aprotinin, 10,000 kiu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2004 Bladder calculi irrig sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2005 Corticorelin ovine triflutat E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2006 Digoxin immune fab (ovine) E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2007 Ethanolamine oleate 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2008 Fomepizole, 15 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2009 Fosphenytoin, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2011 Hemin, per 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2012 Pegademase bovine, 25 iu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2013 Pentastarch 10% solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2014 Sermorelin acetate, 0.5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2017 Teniposide, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2018 Urofollitropin, 75 iu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2019 Basiliximab E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2020 Histrelin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2021 Lepirudin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q2022 VonWillebrandFactrCmplxperIU E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3000 Rubidium RB-82 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3001 Brachytherapy Radioelements C 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3002 Gallium ga 67 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3003 Technetium tc99m bicisate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3004 Xenon xe 133 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3005 Technetium tc99m mertiatide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3006 Technetium tc99m glucepatate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3007 Sodium phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3008 Indium 111-in pentetreotide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3009 Technetium tc99m oxidronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3010 Technetium tc99mlabeledrbcs E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3011 Chromic phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3012 Cyanocobalamin cobalt co57 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3014 Telehealth facility fee X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3019 ALS emer trans no ALS serv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3020 ALS nonemer trans no ALS ser X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3025 IM inj interferon beta 1-a E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3026 Subc inj interferon beta-1a I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q3031 Collagen skin test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4001 Cast sup body cast plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4002 Cast sup body cast fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4003 Cast sup shoulder cast plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4004 Cast sup shoulder cast fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4005 Cast sup long arm adult plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4006 Cast sup long arm adult fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4007 Cast sup long arm ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4008 Cast sup long arm ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4009 Cast sup sht arm adult plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4010 Cast sup sht arm adult fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4011 Cast sup sht arm ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4012 Cast sup sht arm ped fbrglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4013 Cast sup gauntlet plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4014 Cast sup gauntlet fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4015 Cast sup gauntlet ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4016 Cast sup gauntlet ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4017 Cast sup lng arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4018 Cast sup lng arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4019 Cast sup lng arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4020 Cast sup lng arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4021 Cast sup sht arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4022 Cast sup sht arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4023 Cast sup sht arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4024 Cast sup sht arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4025 Cast sup hip spica plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4026 Cast sup hip spica fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4027 Cast sup hip spica ped plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4028 Cast sup hip spica ped fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4029 Cast sup long leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4030 Cast sup long leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4031 Cast sup lng leg ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4032 Cast sup lng leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4033 Cast sup lng leg cylinder pl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4034 Cast sup lng leg cylinder fb X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4035 Cast sup lngleg cylndr ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4036 Cast sup lngleg cylndr ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4037 Cast sup shrt leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4038 Cast sup shrt leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4039 Cast sup shrt leg ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4040 Cast sup shrt leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4041 Cast sup lng leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4042 Cast sup lng leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4043 Cast sup lng leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4044 Cast sup lng leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4045 Cast sup sht leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4046 Cast sup sht leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4047 Cast sup sht leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4048 Cast sup sht leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4049 Finger splint, static X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4050 Cast supplies unlisted X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4051 Splint supplies misc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4054 Darbepoetin alfa, esrd use E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4055 Epoetin alfa, esrd use E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4075 Acyclovir, 5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4076 Dopamine hcl, 40 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4077 Treprostinil, 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 Q4080 Iloprost inhalation solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9941 IVIG lyophil 1G E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9942 IVIG lyophil 10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9943 IVIG non-lyophil 1G E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9944 IVIG non-lyophil 10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9945 LOCM<=149mg/ml iodine, 1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9946 LOCM 150-199mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9947 LOCM 200-249mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9948 LOCM 250-299mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9949 LOCM 300-349mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9950 LOCM 350-399mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9951 LOCM>=400 mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9952 Inj Gad-base MR contrast, ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9953 Inj Fe-based MR contrast, ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9954 Oral MR contrast, 100 ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9955 Inj perflexane lip micros,ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9956 Inj octafluoropropane mic,ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9957 Inj perflutren lip micros,ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9958 HOCM<=149mg/ml iodine, 1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9959 HOCM 150-199mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9960 HOCM 200-249mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9961 HOCM 250-299mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9962 HOCM 300-349mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9963 HOCM 350-399mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 Q9964 HOCM>=400mg/ml iodine,1ml B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 090 R0070 Transport portable x-ray C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 37.8975 090 R0075 Transport port x-ray multipl C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 37.8975 090 R0076 Transport portable EKG B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0012 Butorphanol tartrate, nasal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0014 Tacrine hydrochloride, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0016 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0017 Injection, aminocaproic acid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0020 Injection, bupivicaine hydro I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0021 Injection, cefoperazone sod I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0023 Injection, cimetidine hydroc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0028 Injection, famotidine, 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0030 Injection, metronidazole I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0032 Injection, nafcillin sodium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0034 Injection, ofloxacin, 400 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0039 Injection, sulfamethoxazole I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0040 Injection, ticarcillin disod I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0071 Injection, acyclovir sodium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0072 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0073 Injection, aztreonam, 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0074 Injection, cefotetan disodiu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0077 Injection, clindamycin phosp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0078 Injection, fosphenytoin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0080 Injection, pentamidine iseth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0081 Injection, piperacillin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0088 Imatinib 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0090 Sildenafil citrate, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0091 Granisetron 1mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0092 Hydromorphone 250 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0093 Morphine 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0104 Zidovudine, oral, 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0106 Bupropion HCL SR 60 tablets I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0107 Inj, omalizumab 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0108 Mercaptopurine 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0114 Inj treprostinil 0.5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0116 Bevacizumab 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0117 Tretinoin topical 5 g I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0122 Inj menotropins 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0126 Inj follitropin alfa 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0128 Inj follitropin beta 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0132 Inj ganirelix acetat 250 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0136 Clozapine, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0137 Didanosine, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0138 Finasteride, 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0139 Minoxidil, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0140 Saquinavir, 200 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0141 Zalcitabine, 0.375 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0155 Epoprostenol dilutant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0156 Exemestane, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0157 Becaplermin gel 1%, 0.5 gm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0158 Injection laronidase I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0159 Injection agalsidase I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0160 Dextroamphetamine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0161 Calcitrol I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0162 Injection efalizumab I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0164 Injection pantroprazole I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0170 Anastrozole 1 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0171 Bumetanide 0.5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0172 Chlorambucil 2 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0173 Dexamethasone 4 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0174 Dolasetron 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0175 Flutamide 125 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0176 Hydroxyurea 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0177 Levamisole 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0178 Lomustine 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0179 Megestrol 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0181 Ondansetron 4 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0182 Procarbazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0183 Prochlorperazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0187 Tamoxifen 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0189 Testosterone pellet 75 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0190 Mifepristone, oral, 200 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0191 Misoprostol, oral, 200 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0194 Vitamin suppl 100 caps I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0195 Pneumo vaccine 5-9 yrs I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0196 Poly-l-lactic acid 1ml face I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0199 Med abortion inc all ex drug I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0201 Partial hospitalization serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0207 Paramedicintercep nonhospals I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0208 Paramed intrcept nonvol I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0209 WC van mileage per mi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0215 Nonemerg transp mileage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0220 Medical conference by physic I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0221 Medical conference, 60 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0250 Comp geriatr assmt team I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0255 Hospice refer visit nonmd I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0257 End of life counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0260 H&P for surgery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0302 Completed EPSDT I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0310 Hospitalist visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0315 Disease management program I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0316 Follow-up/reassessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0317 Disease mgmt per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0320 RN telephone calls to DMP I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0340 Lifestyle mod 1st stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0341 Lifestyle mod 2 or 3 stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0342 Lifestyle mod 4th stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0390 Rout foot care per visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0395 Impression casting ft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0400 Global eswl kidney I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0500 Dispos cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0504 Singl prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0506 Bifoc prscp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0508 Trifoc prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0510 Non-prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0512 Daily cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0514 Color cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0516 Safety frames I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0518 Sunglass frames I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0580 Polycarb lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0581 Nonstnd lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0590 Misc integral lens serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0592 Comp cont lens eval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0601 Screening proctoscopy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0605 Digital rectal examination, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0610 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0612 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0618 Audiometry for hearing aid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0620 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0621 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0622 Phys exam for college I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0630 Removal of sutures I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0800 Laser in situ keratomileusis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0810 Photorefractive keratectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0812 Phototherap keratect I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S0820 Computerized corneal topogra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1001 Deluxe item I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1002 Custom item I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1015 IV tubing extension set I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1016 Non-pvc intravenous administ I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1025 Inhal nitric oxide neonate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1030 Gluc monitor purchase I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1031 Gluc monitor rental I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S1040 Cranial remolding orthosis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2053 Transplantation of small int I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2054 Transplantation of multivisc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2055 Harvesting of donor multivis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2060 Lobar lung transplantation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2061 Donor lobectomy (lung) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2065 Simult panc kidn trans I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2070 Cysto laser tx ureteral calc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2080 Laup I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2082 Lap adjustable gastric band I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2083 Adjustment gastric band I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2090 Open cryosurg renal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2091 Perc cryosurg renal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2095 Transcath emboliz microspher I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2102 Islet cell tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2103 Adrenal tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2107 Adoptive immunotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2112 Knee arthroscp harv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2115 Periacetabular osteotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2120 Low density lipoprotein(LDL) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2135 Neurolysis interspace foot I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2140 Cord blood harvesting I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2142 Cord blood-derived stem-cell I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2150 BMT harv/transpl 28d pkg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2152 Solid organ transpl pkg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2202 Echosclerotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2205 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2206 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2207 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2208 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2209 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2213 Implant gastric stim I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2225 Myringotomy laser-assist I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2230 Implant semi-imp hear I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2235 Implant auditory brain imp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2250 Uterine artery emboliz I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2260 Induced abortion 17-24 weeks I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2262 Abortion maternal indic>=25w I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2265 Abortion 25-28wks fetal indi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2266 Abortion 29-31wks fetal indi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2267 Abortion >=32wks fetal indic I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2300 Arthroscopy, shoulder, surgi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2340 Chemodenervation of abductor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2341 Chemodenerv adduct vocal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2342 Nasal endoscop po debrid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2348 Decompress disc RF lumbar I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2350 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2351 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2360 Vertebroplast cerv 1st I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2361 Vertebroplast cerv addl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2362 Kyphoplasty, first vertebra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2363 Kyphoplasty, each addl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2370 Intradiscal electrothermal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2371 Each additional interspace I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2400 Fetal surg congen hernia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2401 Fetal surg urin trac obstr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2402 Fetal surg cong cyst malf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2403 Fetal surg pulmon sequest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2404 Fetal surg myelomeningo I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2405 Fetal surg sacrococ teratoma I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2409 Fetal surg noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S2411 Fetoscop laser ther TTTS I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3000 Bilat dil retinal exam I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3600 Stat lab I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3601 Stat lab home/nf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3620 Newborn metabolic screening I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3625 Maternal triple screen test I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3630 Eosinophil blood count I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3645 HIV-1 antibody testing of or I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3650 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3652 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3655 Antisperm antibodies test I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3701 NMP-22 assay I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3708 Gastrointestinal fat absorpt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3818 BRCA1 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3819 BRCA2 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3820 Comp BRCA1/BRCA2 I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3822 Sing mutation brst/ovar I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3823 3 mutation brst/ovar I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3828 Comp MLH1 gene I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3829 Comp MLH2 gene I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3830 Gene test HNPCC comp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3831 Gene test HNPCC single I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3833 Comp APC sequence I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3834 Sing mutation APC I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3835 Gene test cystic fibrosis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3837 Gene test hemochromato I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3840 DNA analysis RET-oncogene I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3841 Gene test retinoblastoma I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3842 Gene test Hippel-Lindau I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3843 DNA analysis factor v I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3844 DNA analysis deafness I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3845 Gene test alpha-thalassemia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3846 Gene test beta-thalassemia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3847 Gene test Tay-Sachs I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3848 Gene test Gaucher I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3849 Gene test Niemann-Pick I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3850 Gene test sickle cell I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3851 Gene test canavan I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3852 DNA analysis APOE alzheimer I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3853 Gene test myo musclr dyst I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3890 Fecal DNA analysis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3900 Surface EMG I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3902 Ballistocardiogram I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S3904 Masters two step I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4005 Interim labor facility globa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4011 IVF package I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4013 Compl GIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4014 Compl ZIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4015 Complete IVF nos case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4016 Frozen IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4017 IVF canc a stim case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4018 F EMB trns canc case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4020 IVF canc a aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4021 IVF canc p aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4022 Asst oocyte fert case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4023 Incompl donor egg case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4025 Donor serv IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4026 Procure donor sperm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4027 Store prev froz embryos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4028 Microsurg epi sperm asp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4030 Sperm procure init visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4031 Sperm procure subs visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4035 Stimulated IUI case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4036 Intravag cult case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4037 Cryo embryo transf case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4040 Monit store cryo embryo 30 d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4042 Ovulation mgmt per cycle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4981 Insert levonorgestrel ius I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4989 Contracept IUD I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4990 Nicotine patch legend I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4991 Nicotine patch nonlegend I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4993 Contraceptive pills for bc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S4995 Smoking cessation gum I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5000 Prescription drug, generic I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5001 Prescription drug,brand name I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5010 5% dextrose and 0.45% saline I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5011 5% dextrose in lactated ring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5012 5% dextrose with potassium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5013 5%dextrose/0.45%saline1000ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5014 D5W/0.45NS w KCl and MGS04 I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5035 HIT routine device maint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5036 HIT device repair I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5100 Adult daycare services 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5101 Adult day care per half day I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5102 Adult day care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5105 Centerbased day care perdiem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5108 Homecare train pt 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5109 Homecare train pt session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5110 Family homecare training 15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5111 Family homecare train/sessio I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5115 Nonfamily homecare train/15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5116 Nonfamily HC train/session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5120 Chore services per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5121 Chore services per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5125 Attendant care service /15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5126 Attendant care service /diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5130 Homaker service nos per 15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5131 Homemaker service nos /diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5135 Adult companioncare per 15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5136 Adult companioncare per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5140 Adult foster care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5141 Adult foster care per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5145 Child fostercare th per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5146 Ther fostercare child /month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5150 Unskilled respite care /15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5151 Unskilled respitecare /diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5160 Emer response sys instal&tst I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5161 Emer rspns sys serv permonth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5162 Emer rspns system purchase I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5165 Home modifications per serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5170 Homedelivered prepared meal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5175 Laundry serv,ext,prof,/order I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5180 HH respiratory thrpy in eval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5181 HH respiratory thrpy nos/day I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5185 Med reminder serv per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5190 Wellness assessment by nonph I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5199 Personal care item nos each I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5497 HIT cath care noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5498 HIT simple cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5501 HIT complex cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5502 HIT interim cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5517 HIT declotting kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5518 HIT cath repair kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5520 HIT picc insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5521 HIT midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5522 HIT picc insert no supp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5523 HIP midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5550 Insulin rapid 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5551 Insulin most rapid 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5552 Insulin intermed 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5553 Insulin long acting 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5560 Insulin reuse pen 1.5 ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5561 Insulin reuse pen 3 ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5565 Insulin cartridge 150 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5566 Insulin cartridge 300 u I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5570 Insulin dispos pen 1.5 ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S5571 Insulin dispos pen 3 ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8004 Wholebody radiopharm trgcell I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8030 Tantalum ring application I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8035 Magnetic source imaging I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8037 mrcp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8040 Topographic brain mapping I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8042 MRI low field I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8049 Intraoperative radiation the I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8055 Us guidance fetal reduct I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8075 CAD of digital mammogr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8080 Scintimammography I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8085 Fluorine-18 fluorodeoxygluco I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8092 Electron beam computed tomog I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8095 Wig (for medically-induced h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8096 Portable peak flow meter I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8097 Asthma kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8100 Spacer without mask I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8101 Spacer with mask I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8110 Peak expiratory flow rate (p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8120 O2 contents gas cubic ft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8121 O2 contents liquid lb I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8185 Flutter device I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8186 Swivel adaptor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8189 Trach supply noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8190 Electronic spirometer I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8210 Mucus trap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8260 Oral orthotic for treatment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8262 Mandib ortho repos device I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8265 Haberman feeder I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8301 Infect control supplies NOS I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8415 Supplies for home delivery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8420 Custom gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8421 Ready gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8422 Custom grad sleeve med I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8423 Custom grad sleeve heavy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8424 Ready gradient sleeve I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8425 Custom grad glove med I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8426 Custom grad glove heavy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8427 Ready gradient glove I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8428 Ready gradient gauntlet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8429 Gradient pressure wrap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8430 Padding for comprssn bdg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8431 Compression bandage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8450 Splint digit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8451 Splint wrist or ankle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8452 Splint elbow I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8460 Camisole post-mast I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8490 100 insulin syringes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8948 Low-level laser trmt 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8950 Complex lymphedema therapy, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8990 Pt or manip for maint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S8999 Resuscitation bag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9001 Home uterine monitor with or I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9007 Ultrafiltration monitor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9015 Automated EEG monitoring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9022 Digital subtraction angiogra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9024 Paranasal sinus ultrasound I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9025 Omnicardiogram/cardiointegra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9034 ESWL for gallstones I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9055 Procuren or other growth fac I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9056 Coma stimulation per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9061 Medical supplies and equipme I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9075 Smoking cessation treatment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9083 Urgent care center global I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9088 Services provided in urgent I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9090 Vertebral axial decompressio I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9092 Canolith repositioning I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9098 Home phototherapy visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9109 CHF telemonitoring month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9117 Back school visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9122 Home health aide or certifie I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9123 Nursing care in home RN I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9124 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9125 Respite care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9126 Hospice care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9127 Social work visit, in the ho I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9128 Speech therapy, in the home, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9129 Occupational therapy, in the I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9131 PT in the home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9140 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9141 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9145 Insulin pump initiation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9150 Evaluation by ocularist I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9208 Home mgmt preterm labor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9209 Home mgmt PPROM I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9211 Home mgmt gest hypertension I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9212 Hm postpar hyper per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9213 Hm preeclamp per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9214 Hm gest dm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9325 HIT pain mgmt per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9326 HIT cont pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9327 HIT int pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9328 HIT pain imp pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9329 HIT chemo per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9330 HIT cont chem diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9331 HIT intermit chemo diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9335 HT hemodialysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9336 HIT cont anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9338 HIT immunotherapy diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9339 HIT periton dialysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9340 HIT enteral per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9341 HIT enteral grav diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9342 HIT enteral pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9343 HIT enteral bolus nurs I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9345 HIT anti-hemophil diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9346 HIT alpha-1-proteinas diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9347 HIT longterm infusion diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9348 HIT sympathomim diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9349 HIT tocolysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9351 HIT cont antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9353 HIT cont insulin diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9355 HIT chelation diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9357 HIT enzyme replace diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9359 HIT anti-tnf per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9361 HIT diuretic infus diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9363 HIT anti-spasmotic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9364 HIT tpn total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9365 HIT tpn 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9366 HIT tpn 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9367 HIT tpn 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9368 HIT tpn over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9370 HT inj antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9372 HT inj anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9373 HIT hydra total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9374 HIT hydra 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9375 HIT hydra 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9376 HIT hydra 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9377 HIT hydra over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9379 HIT noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9381 HIT high risk/escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9401 Anticoag clinic per session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9430 Pharmacy comp/disp serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9434 Mod solid food suppl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9435 Medical foods for inborn err I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9436 Lamaze class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9437 Childbirth refresher class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9438 Cesarean birth class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9439 VBAC class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9441 Asthma education I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9442 Birthing class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9443 Lactation class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9444 Parenting class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9445 PT education noc individ I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9446 PT education noc group I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9447 Infant safety class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9449 Weight mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9451 Exercise class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9452 Nutrition class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9453 Smoking cessation class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9454 Stress mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9455 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9460 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9465 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9470 Nutritional counseling, diet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9472 Cardiac rehabilitation progr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9473 Pulmonary rehabilitation pro I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9474 Enterostomal therapy by a re I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9475 Ambulatory setting substance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9476 Vestibular rehab per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9480 Intensive outpatient psychia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9482 Family stabilization 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9484 Crisis intervention per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9485 Crisis intervention mental h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9490 HIT corticosteroid/diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9494 HIT antibiotic total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9497 HIT antibiotic q3h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9500 HIT antibiotic q24h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9501 HIT antibiotic q12h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9502 HIT antibiotic q8h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9503 HIT antibiotic q6h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9504 HIT antibiotic q4h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9529 Venipuncture home/snf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9537 HT hem horm inj diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9538 HIT blood products diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9542 HT inj noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9558 HT inj growth horm diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9559 HIT inj interferon diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9560 HT inj hormone diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9562 HT inj palivizumab diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9590 HT irrigation diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9810 HT pharm per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9900 Christian Sci Pract visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9970 Health club membership yr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9975 Transplant related per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9976 Lodging per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9977 Meals per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9981 Med record copy admin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9982 Med record copy per page I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9986 Not medically necessary svc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9988 Serv part of phase I trial I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9989 Services outside US I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9990 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9991 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9992 Transportation costs to and I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9994 Lodging costs (e.g. hotel ch I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9996 Meals for clinical trial par I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 S9999 Sales tax I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1000 Private duty/independent nsg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1001 Nursing assessment/evaluatn I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1002 RN services up to 15 minutes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1003 LPN/LVN services up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1004 Nsg aide service up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1005 Respite care service 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1006 Family/Couple Counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1007 Treatment Plan Development I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1009 Child Sitting Services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1010 Meals when Receive Services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1012 Alcohol/Substance Abuse Skil I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1013 Sign Lang/Oral Interpreter I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1014 Telehealth transmit, per min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1015 Clinic service I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1016 Case management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1017 Targeted case management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1018 School-based IEP ser bundled I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1019 Personal care ser per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1020 Personal care ser per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1021 HH Aide or cn aide per visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1022 Contracted services per day I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1023 Program intake assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1024 Team evaluation & management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1025 Ped compr care pkg, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1026 Ped compr care pkg, per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1027 Family training & counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1028 Home environment assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1029 Dwelling lead investigation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1030 RN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1031 LPN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1502 Medication admin visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T1999 NOC retail items andsupplies I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2001 N-et; patient attend/escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2002 N-et; per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2003 N-et; encounter/trip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2004 N-et; commerc carrier pass I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2005 N-et; stretcher van I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2006 Amb response & trt, no trans I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2007 Non-emer transport wait time I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2010 PASRR Level I I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2011 PASRR Level II I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2012 Habil ed waiver, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2013 Habil ed waiver per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2014 Habil prevoc waiver, per d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2015 Habil prevoc waiver per hr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2016 Habil res waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2017 Habil res waiver 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2018 Habil sup empl waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2019 Habil sup empl waiver 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2020 Day habil waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2021 Day habil waiver per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2022 Case management, per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2023 Targeted case mgmt per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2024 Serv asmnt/care plan waiver I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2025 Waiver service, nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2026 Special childcare waiver/d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2027 Spec childcare waiver 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2028 Special supply, nos waiver I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2029 Special med equip, noswaiver I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2030 Assist living waiver/month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2031 Assist living waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2032 Res care, nos waiver/month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2033 Res, nos waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2034 Crisis interven waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2035 Utility services waiver I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2036 Camp overnite waiver/session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2037 Camp day waiver/session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2038 Comm trans waiver/service I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2039 Vehicle mod waiver/service I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2040 Financial mgt waiver/15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2041 Support broker waiver/15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2042 Hospice routine home care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2043 Hospice continuous home care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2044 Hospice respite care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2045 Hospice general care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2046 Hospice long term care, r&b I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2048 Bh ltc res r&b, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2049 N-ET; stretcher van, mileage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T2101 Breast milk proc/store/dist I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4521 Adult size brief/diaper sm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4522 Adult size brief/diaper med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4523 Adult size brief/diaper lg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4524 Adult size brief/diaper xl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4525 Adult size pull-on sm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4526 Adult size pull-on med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4527 Adult size pull-on lg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4528 Adult size pull-on xl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4529 Ped size brief/diaper sm/med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4530 Ped size brief/diaper lg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4531 Ped size pull-on sm/med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4532 Ped size pull-on lg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4533 Youth size brief/diaper N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4534 Youth size pull-on N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4535 Disposable liner/shield/pad N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4536 Reusable pull-on any size N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4537 Reusable underpad bed size N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4538 Diaper serv reusable diaper N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4539 Reuse diaper/brief any size N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4540 Reusable underpad chair size N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4541 Large disposable underpad I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T4542 Small disposable underpad I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T5001 Special position seat/vehicl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 T5999 Supply, nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2020 Vision svcs frames purchases X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2025 Eyeglasses delux frames N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2100 Lens spher single plano 4.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2101 Single visn sphere 4.12-7.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2102 Singl visn sphere 7.12-20.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2103 Spherocylindr 4.00d/12-2.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2104 Spherocylindr 4.00d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2105 Spherocylinder 4.00d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2106 Spherocylinder 4.00d/>6.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2107 Spherocylinder 4.25d/12-2d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2108 Spherocylinder 4.25d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2109 Spherocylinder 4.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2110 Spherocylinder 4.25d/over 6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2111 Spherocylindr 7.25d/.25-2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2112 Spherocylindr 7.25d/2.25-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2113 Spherocylindr 7.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2114 Spherocylinder over 12.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2115 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2118 Lens aniseikonic single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2121 Lenticular lens, single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2199 Lens single vision not oth c X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2200 Lens spher bifoc plano 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2201 Lens sphere bifocal 4.12-7.0 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2202 Lens sphere bifocal 7.12-20. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2203 Lens sphcyl bifocal 4.00d/.1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2204 Lens sphcy bifocal 4.00d/2.1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2205 Lens sphcy bifocal 4.00d/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2206 Lens sphcy bifocal 4.00d/ove X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2207 Lens sphcy bifocal 4.25-7d/. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2208 Lens sphcy bifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2209 Lens sphcy bifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2210 Lens sphcy bifocal 4.25-7/ov X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2211 Lens sphcy bifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2212 Lens sphcyl bifo 7.25-12/2.2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2213 Lens sphcyl bifo 7.25-12/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2214 Lens sphcyl bifocal over 12. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2215 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2218 Lens aniseikonic bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2219 Lens bifocal seg width over X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2220 Lens bifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2221 Lenticular lens, bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2299 Lens bifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2300 Lens sphere trifocal 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2301 Lens sphere trifocal 4.12-7. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2302 Lens sphere trifocal 7.12-20 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2303 Lens sphcy trifocal 4.0/.12- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2304 Lens sphcy trifocal 4.0/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2305 Lens sphcy trifocal 4.0/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2306 Lens sphcyl trifocal 4.00/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2307 Lens sphcy trifocal 4.25-7/. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2308 Lens sphc trifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2309 Lens sphc trifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2310 Lens sphc trifocal 4.25-7/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2311 Lens sphc trifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2312 Lens sphc trifo 7.25-12/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2313 Lens sphc trifo 7.25-12/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2314 Lens sphcyl trifocal over 12 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2315 Lens lenticular trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2318 Lens aniseikonic trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2319 Lens trifocal seg width > 28 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2320 Lens trifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2321 Lenticular lens, trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2399 Lens trifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2410 Lens variab asphericity sing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2430 Lens variable asphericity bi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2499 Variable asphericity lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2500 Contact lens pmma spherical X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2501 Cntct lens pmma-toric/prism X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2502 Contact lens pmma bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2503 Cntct lens pmma color vision X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2510 Cntct gas permeable sphericl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2511 Cntct toric prism ballast X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2512 Cntct lens gas permbl bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2513 Contact lens extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2520 Contact lens hydrophilic P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2521 Cntct lens hydrophilic toric X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2522 Cntct lens hydrophil bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2523 Cntct lens hydrophil extend X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2530 Contact lens gas impermeable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2531 Contact lens gas permeable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2599 Contact lens/es other type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2600 Hand held low vision aids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2610 Single lens spectacle mount X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2615 Telescop/othr compound lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2623 Plastic eye prosth custom X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2624 Polishing artifical eye X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2625 Enlargemnt of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2626 Reduction of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2627 Scleral cover shell X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2628 Fabrication & fitting X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2629 Prosthetic eye other type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2630 Anter chamber intraocul lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2631 Iris support intraoclr lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2632 Post chmbr intraocular lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2700 Balance lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2702 Deluxe lens feature N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2710 Glass/plastic slab off prism X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2715 Prism lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2718 Fresnell prism press-on lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2730 Special base curve X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2744 Tint photochromatic lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2745 Tint, any color/solid/grad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2750 Anti-reflective coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2755 UV lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2756 Eye glass case I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2760 Scratch resistant coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2761 Mirror coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2762 Polarization, any lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2770 Occluder lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2780 Oversize lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2781 Progressive lens per lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2782 Lens, 1.54-1.65 p/1.60-1.79g X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2783 Lens, >= 1.66 p/>=1.80 g X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2784 Lens polycarb or equal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2785 Corneal tissue processing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2786 Occupational multifocal lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2790 Amniotic membrane X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2797 Vis item/svc in other code X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V2799 Miscellaneous vision service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5008 Hearing screening N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5010 Assessment for hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5011 Hearing aid fitting/checking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5014 Hearing aid repair/modifying N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5020 Conformity evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5030 Body-worn hearing aid air N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5040 Body-worn hearing aid bone N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5050 Hearing aid monaural in ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5060 Behind ear hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5070 Glasses air conduction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5080 Glasses bone conduction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5090 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5095 Implant mid ear hearing pros N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5100 Body-worn bilat hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5110 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5120 Body-worn binaur hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5130 In ear binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5140 Behind ear binaur hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5150 Glasses binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5160 Dispensing fee binaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5170 Within ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5180 Behind ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5190 Glasses cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5200 Cros hearing aid dispens fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5210 In ear bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5220 Behind ear bicros hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5230 Glasses bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5240 Dispensing fee bicros N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5241 Dispensing fee, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5242 Hearing aid, monaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5243 Hearing aid, monaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5244 Hearing aid, prog, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5245 Hearing aid, prog, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5246 Hearing aid, prog, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5247 Hearing aid, prog, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5248 Hearing aid, binaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5249 Hearing aid, binaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5250 Hearing aid, prog, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5251 Hearing aid, prog, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5252 Hearing aid, prog, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5253 Hearing aid, prog, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5254 Hearing id, digit, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5255 Hearing aid, digit, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5256 Hearing aid, digit, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5257 Hearing aid, digit, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5258 Hearing aid, digit, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5259 Hearing aid, digit, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5260 Hearing aid, digit, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5261 Hearing aid, digit, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5262 Hearing aid, disp, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5263 Hearing aid, disp, binaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5264 Ear mold/insert N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5265 Ear mold/insert, disp N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5266 Battery for hearing device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5267 Hearing aid supply/accessory N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5268 ALD Telephone Amplifier N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5269 Alerting device, any type N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5270 ALD, TV amplifier, any type N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5271 ALD, TV caption decoder N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5272 Tdd N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5273 ALD for cochlear implant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5274 ALD unspecified N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5275 Ear impression N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5298 Hearing aid noc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5299 Hearing service R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 V5336 Repair communication device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 V5362 Speech screening N 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 010 V5363 Language screening N 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 010 V5364 Dysphagia screening N 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 010 0003T Cervicography C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0008T Upper gi endoscopy w/suture C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0010T Tb test, gamma interferon C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0016T Thermotx choroid vasc lesion C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000 37.8975 090 0017T Photocoagulat macular drusen C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000 37.8975 090 0018T Transcranial magnetic stimul C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0019T Extracorp shock wave tx, ms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 0020T Extracorp shock wave tx, ft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0021T Fetal oximetry, trnsvag/cerv C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0023T Phenotype drug test, hiv 1 C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0024T Transcath cardiac reduction C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0026T Measure remnant lipoproteins C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0027T Endoscopic epidural lysis C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0028T Dexa body composition study C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0029T Magnetic tx for incontinence C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0030T Antiprothrombin antibody C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0031T Speculoscopy C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0032T Speculoscopy w/direct sample C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0033T Endovasc taa repr incl subcl C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0034T Endovasc taa repr w/o subcl C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0035T Insert endovasc prosth, taa C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0036T Endovasc prosth, taa, add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0037T Artery transpose/endovas taa C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000 37.8975 090 0038T Rad endovasc taa rpr w/cover C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0039T Rad s/i, endovasc taa repair C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0040T Rad s/i, endovasc taa prosth C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0041T Detect ur infect agnt w/cpas C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0042T Ct perfusion w/contrast, cbf C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0043T Co expired gas analysis C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0044T Whole body photography C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0045T Whole body photography C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0046T Cath lavage, mammary duct(s C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0047T Cath lavage, mammary duct(s) C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0048T Implant ventricular device C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0049T External circulation assist C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0050T Removal circulation assist C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0051T Implant total heart system C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0052T Replace component heart syst C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0053T Replace component heart syst C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0054T Bone surgery using computer C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0055T Bone surgery using computer C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0056T Bone surgery using computer C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0058T Cryopreservation, ovary tiss C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0059T Cryopreservation, oocyte C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0060T Electrical impedance scan C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0061T Destruction of tumor, breast C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0062T Rep intradisc annulus;1 lev C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0063T Rep intradisc annulus;>1lev C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0064T Spectroscop eval expired gas C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0065T Ocular photoscreen bilat C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0066T Ct colonography;screen N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0066TTCCt colonography;screen N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0066T26Ct colonography;screen N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0067T Ct colonography;dx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0067TTCCt colonography;dx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0067T26Ct colonography;dx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0068T Interp/rept heart sound C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0069T Analysis only heart sound C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0070T Interp only heart sound C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0071T U/s leiomyomata ablate <200 C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0072T U/s leiomyomata ablate >200 C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0073T Delivery, comp imrt A 0.00 18.02 18.02 NA 0.13 18.15 18.15 3XXX.00.00.0000000 37.8975 090 0074T Online physician e/m N 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0075T Perq stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0075TTCPerq stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0075T26Perq stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0076T S&i stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0076TTCS&i stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0076T26S&i stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 0077T Cereb therm perfusion probe C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0078T Endovasc aort repr w/device C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0079T Endovasc visc extnsn repr C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0080T Endovasc aort repr rad s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0081T Endovasc visc extnsn s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0082T Stereotactic rad delivery C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0083T Stereotactic rad tx mngmt C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0084T Temp prostate urethral stent C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0085T Breath test heart reject C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0086T L ventricle fill pressure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0087T Sperm eval hyaluronan C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0088T Rf tongue base vol reduxn C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 0500F Initial prenatal care visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 0501F Prenatal flow sheet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 0502F Subsequent prenatal care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 0503F Postpartum care visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 1000F Tobacco use, smoking, assess I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 1001F Tobacco use, non-smoking I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 1002F Assess anginal symptom/level I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 10021 Fna w/o image A 1.27 2.15 0.54 0.10 3.52 1.91 0XXX.00.00.0000000 37.8975 090 10022 Fna w/image A 1.27 2.54 0.42 0.08 3.89 1.77 0XXX.00.00.0000000 37.8975 090 10040 Acne surgery A 1.18 1.01 0.79 0.06 2.25 2.03 0010.10.80.1020100 37.8975 090 10060 Drainage of skin abscess A 1.17 1.21 0.93 0.12 2.50 2.22 0010.10.80.1020100 37.8975 090 10061 Drainage of skin abscess A 2.40 1.82 1.50 0.26 4.48 4.16 0010.10.80.1020100 37.8975 090 10080 Drainage of pilonidal cyst A 1.17 3.10 1.11 0.11 4.38 2.39 0010.10.80.1020100 37.8975 090 10081 Drainage of pilonidal cyst A 2.45 4.07 1.50 0.25 6.77 4.20 0010.10.80.1020100 37.8975 090 10120 Remove foreign body A 1.22 2.17 0.97 0.12 3.51 2.31 0010.10.80.1020100 37.8975 090 10121 Remove foreign body A 2.69 3.51 1.78 0.32 6.52 4.79 0010.10.80.1020100 37.8975 090 10140 Drainage of hematoma/fluid A 1.53 1.77 1.29 0.19 3.49 3.01 0010.10.80.1020100 37.8975 090 10160 Puncture drainage of lesion A 1.20 1.60 1.08 0.14 2.94 2.42 0010.10.80.1020100 37.8975 090 10180 Complex drainage, wound A 2.25 2.98 1.98 0.33 5.56 4.56 0010.10.80.1020100 37.8975 090 11000 Debride infected skin A 0.60 0.58 0.22 0.07 1.25 0.89 0000.00.00.0020100 37.8975 090 11001 Debride infected skin add-on A 0.30 0.23 0.11 0.03 0.56 0.44 0ZZZ.00.00.0000100 37.8975 090 11004 Debride genitalia & perineum A 10.31 3.90NA 3.90 0.67 14.88 14.88 0000.00.00.0020100 37.8975 090 11005 Debride abdom wall A 13.75 5.56NA 5.56 0.96 20.27 20.27 0000.00.00.0000000 37.8975 090 11006 Debride genit/per/abdom wall A 12.61 4.85NA 4.85 1.28 18.74 18.74 0000.00.00.0020100 37.8975 090 11008 Remove mesh from abd wall A 5.00 2.02NA 2.02 0.61 7.63 7.63 0ZZZ.00.00.0000000 37.8975 090 11010 Debride skin, fx A 4.19 6.87 2.62 0.60 11.66 7.41 0010.10.80.1022100 37.8975 090 11011 Debride skin/muscle, fx A 4.94 8.16 2.34 0.70 13.80 7.98 0000.00.00.0022100 37.8975 090 11012 Debride skin/muscle/bone, fx A 6.87 12.10 3.84 1.12 20.09 11.83 0000.00.00.0022100 37.8975 090 11040 Debride skin, partial A 0.50 0.52 0.21 0.06 1.08 0.77 0000.00.00.0020100 37.8975 090 11041 Debride skin, full A 0.82 0.66 0.33 0.10 1.58 1.25 0000.00.00.0020100 37.8975 090 11042 Debride skin/tissue A 1.12 0.97 0.44 0.13 2.22 1.69 0000.00.00.0020100 37.8975 090 11043 Debride tissue/muscle A 2.38 3.38 2.59 0.29 6.05 5.26 0010.10.80.1020100 37.8975 090 11044 Debride tissue/muscle/bone A 3.06 4.45 3.75 0.40 7.91 7.21 0010.10.80.1020100 37.8975 090 11055 Trim skin lesion R 0.43 0.56 0.17 0.05 1.04 0.65 0000.00.00.0020100 37.8975 090 11056 Trim skin lesions, 2 to 4 R 0.61 0.64 0.23 0.07 1.32 0.91 0000.00.00.0020100 37.8975 090 11057 Trim skin lesions, over 4 R 0.79 0.74 0.30 0.10 1.63 1.19 0000.00.00.0020100 37.8975 090 11100 Biopsy, skin lesion A 0.81 1.25 0.37 0.04 2.10 1.22 0000.00.00.0020100 37.8975 090 11101 Biopsy, skin add-on A 0.41 0.33 0.19 0.02 0.76 0.62 0ZZZ.00.00.0000100 37.8975 090 11200 Removal of skin tags A 0.77 1.04 0.76 0.05 1.86 1.58 0010.10.80.1020100 37.8975 090 11201 Remove skin tags add-on A 0.29 0.16 0.12 0.02 0.47 0.43 0ZZZ.00.00.0000100 37.8975 090 11300 Shave skin lesion A 0.51 0.99 0.21 0.03 1.53 0.75 0000.00.00.0020000 37.8975 090 11301 Shave skin lesion A 0.85 1.11 0.38 0.05 2.01 1.28 0000.00.00.0020000 37.8975 090 11302 Shave skin lesion A 1.05 1.30 0.46 0.05 2.40 1.56 0000.00.00.0020000 37.8975 090 11303 Shave skin lesion A 1.24 1.58 0.52 0.07 2.89 1.83 0000.00.00.0020000 37.8975 090 11305 Shave skin lesion A 0.67 0.85 0.27 0.07 1.59 1.01 0000.00.00.0020000 37.8975 090 11306 Shave skin lesion A 0.99 1.10 0.42 0.08 2.17 1.49 0000.00.00.0020000 37.8975 090 11307 Shave skin lesion A 1.14 1.29 0.49 0.08 2.51 1.71 0000.00.00.0020000 37.8975 090 11308 Shave skin lesion A 1.41 1.45 0.59 0.13 2.99 2.13 0000.00.00.0020000 37.8975 090 11310 Shave skin lesion A 0.73 1.11 0.32 0.05 1.89 1.10 0000.00.00.0020000 37.8975 090 11311 Shave skin lesion A 1.05 1.23 0.49 0.06 2.34 1.60 0000.00.00.0020000 37.8975 090 11312 Shave skin lesion A 1.20 1.42 0.55 0.06 2.68 1.81 0000.00.00.0020000 37.8975 090 11313 Shave skin lesion A 1.62 1.80 0.72 0.10 3.52 2.44 0000.00.00.0020000 37.8975 090 11400 Exc tr-ext b9+marg 0.5 < cm A 0.85 1.99 0.88 0.07 2.91 1.80 0010.10.80.1020100 37.8975 090 11401 Exc tr-ext b9+marg 0.6-1 cm A 1.23 2.05 1.02 0.10 3.38 2.35 0010.10.80.1020100 37.8975 090 11402 Exc tr-ext b9+marg 1.1-2 cm A 1.51 2.22 1.08 0.13 3.86 2.72 0010.10.80.1020100 37.8975 090 11403 Exc tr-ext b9+marg 2.1-3 cm A 1.79 2.39 1.32 0.17 4.35 3.28 0010.10.80.1020100 37.8975 090 11404 Exc tr-ext b9+marg 3.1-4 cm A 2.06 2.70 1.40 0.21 4.97 3.67 0010.10.80.1020100 37.8975 090 11406 Exc tr-ext b9+marg > 4.0 cm A 2.76 3.06 1.65 0.32 6.14 4.73 0010.10.80.1020100 37.8975 090 11420 Exc h-f-nk-sp b9+marg 0.5 < A 0.98 1.76 0.93 0.10 2.84 2.01 0010.10.80.1020100 37.8975 090 11421 Exc h-f-nk-sp b9+marg 0.6-1 A 1.42 2.06 1.11 0.13 3.61 2.66 0010.10.80.1020100 37.8975 090 11422 Exc h-f-nk-sp b9+marg 1.1-2 A 1.63 2.25 1.33 0.15 4.03 3.11 0010.10.80.1020100 37.8975 090 11423 Exc h-f-nk-sp b9+marg 2.1-3 A 2.01 2.58 1.45 0.20 4.79 3.66 0010.10.80.1020100 37.8975 090 11424 Exc h-f-nk-sp b9+marg 3.1-4 A 2.43 2.80 1.60 0.25 5.48 4.28 0010.10.80.1020100 37.8975 090 11426 Exc h-f-nk-sp b9+marg > 4 cm A 3.77 3.48 2.10 0.42 7.67 6.29 0010.10.80.1020100 37.8975 090 11440 Exc face-mm b9+marg 0.5 < cm A 1.06 2.20 1.31 0.08 3.34 2.45 0010.10.80.1020100 37.8975 090 11441 Exc face-mm b9+marg 0.6-1 cm A 1.48 2.33 1.49 0.13 3.94 3.10 0010.10.80.1020100 37.8975 090 11442 Exc face-mm b9+marg 1.1-2 cm A 1.72 2.54 1.57 0.15 4.41 3.44 0010.10.80.1020100 37.8975 090 11443 Exc face-mm b9+marg 2.1-3 cm A 2.29 2.91 1.81 0.21 5.41 4.31 0010.10.80.1020100 37.8975 090 11444 Exc face-mm b9+marg 3.1-4 cm A 3.14 3.47 2.18 0.29 6.90 5.61 0010.10.80.1020100 37.8975 090 11446 Exc face-mm b9+marg > 4 cm A 4.48 4.04 2.77 0.42 8.94 7.67 0010.10.80.1020100 37.8975 090 11450 Removal, sweat gland lesion A 2.73 5.03 2.02 0.34 8.10 5.09 0090.10.71.1920100 37.8975 090 11451 Removal, sweat gland lesion A 3.94 6.60 2.54 0.51 11.05 6.99 0090.10.71.1920000 37.8975 090 11462 Removal, sweat gland lesion A 2.51 5.11 2.01 0.30 7.92 4.82 0090.10.71.1920000 37.8975 090 11463 Removal, sweat gland lesion A 3.94 6.82 2.68 0.51 11.27 7.13 0090.10.71.1920000 37.8975 090 11470 Removal, sweat gland lesion A 3.25 5.06 2.26 0.39 8.70 5.90 0090.10.71.1920100 37.8975 090 11471 Removal, sweat gland lesion A 4.40 6.70 2.76 0.55 11.65 7.71 0090.10.71.1920000 37.8975 090 11600 Exc tr-ext mlg+marg 0.5 < cm A 1.31 2.63 0.97 0.10 4.04 2.38 0010.10.80.1020100 37.8975 090 11601 Exc tr-ext mlg+marg 0.6-1 cm A 1.80 2.70 1.22 0.12 4.62 3.14 0010.10.80.1020100 37.8975 090 11602 Exc tr-ext mlg+marg 1.1-2 cm A 1.95 2.82 1.26 0.13 4.90 3.34 0010.10.80.1020100 37.8975 090 11603 Exc tr-ext mlg+marg 2.1-3 cm A 2.19 3.07 1.33 0.16 5.42 3.68 0010.10.80.1020100 37.8975 090 11604 Exc tr-ext mlg+marg 3.1-4 cm A 2.40 3.37 1.39 0.20 5.97 3.99 0010.10.80.1020100 37.8975 090 11606 Exc tr-ext mlg+marg > 4 cm A 3.42 4.06 1.73 0.36 7.84 5.51 0010.10.80.1020100 37.8975 090 11620 Exc h-f-nk-sp mlg+marg 0.5 < A 1.19 2.59 0.95 0.10 3.88 2.24 0010.10.80.1020100 37.8975 090 11621 Exc h-f-nk-sp mlg+marg 0.6-1 A 1.76 2.70 1.24 0.12 4.58 3.12 0010.10.80.1020100 37.8975 090 11622 Exc h-f-nk-sp mlg+marg 1.1-2 A 2.09 2.96 1.39 0.14 5.19 3.62 0010.10.80.1020100 37.8975 090 11623 Exc h-f-nk-sp mlg+marg 2.1-3 A 2.61 3.33 1.58 0.20 6.14 4.39 0010.10.80.1020100 37.8975 090 11624 Exc h-f-nk-sp mlg+marg 3.1-4 A 3.06 3.74 1.77 0.27 7.07 5.10 0010.10.80.1020100 37.8975 090 11626 Exc h-f-nk-sp mlg+mar > 4 cm A 4.29 4.63 2.39 0.44 9.36 7.12 0010.10.80.1020100 37.8975 090 11640 Exc face-mm malig+marg 0.5 < A 1.35 2.65 1.11 0.10 4.10 2.56 0010.10.80.1020100 37.8975 090 11641 Exc face-mm malig+marg 0.6-1 A 2.16 3.02 1.53 0.16 5.34 3.85 0010.10.80.1020100 37.8975 090 11642 Exc face-mm malig+marg 1.1-2 A 2.59 3.40 1.71 0.19 6.18 4.49 0010.10.80.1020100 37.8975 090 11643 Exc face-mm malig+marg 2.1-3 A 3.10 3.80 1.96 0.25 7.15 5.31 0010.10.80.1020100 37.8975 090 11644 Exc face-mm malig+marg 3.1-4 A 4.02 4.68 2.45 0.37 9.07 6.84 0010.10.80.1020100 37.8975 090 11646 Exc face-mm mlg+marg > 4 cm A 5.94 5.75 3.47 0.60 12.29 10.01 0010.10.80.1020100 37.8975 090 11719 Trim nail(s) R 0.17 0.25 0.07 0.02 0.44 0.26 0000.00.00.0020100 37.8975 090 11720 Debride nail, 1-5 A 0.32 0.34 0.12 0.04 0.70 0.48 0000.00.00.0000100 37.8975 090 11721 Debride nail, 6 or more A 0.54 0.44 0.21 0.07 1.05 0.82 0000.00.00.0000100 37.8975 090 11730 Removal of nail plate A 1.13 1.03 0.43 0.14 2.30 1.70 0000.00.00.0020100 37.8975 090 11732 Remove nail plate, add-on A 0.57 0.44 0.22 0.07 1.08 0.86 0ZZZ.00.00.0000100 37.8975 090 11740 Drain blood from under nail A 0.37 0.55 0.35 0.04 0.96 0.76 0000.00.00.0020100 37.8975 090 11750 Removal of nail bed A 1.86 2.16 1.75 0.22 4.24 3.83 0010.10.80.1020100 37.8975 090 11752 Remove nail bed/finger tip A 2.67 2.99 2.99 0.35 6.01 6.01 0010.10.80.1020100 37.8975 090 11755 Biopsy, nail unit A 1.31 1.57 0.77 0.15 3.03 2.23 0000.00.00.0020000 37.8975 090 11760 Repair of nail bed A 1.58 2.62 1.78 0.20 4.40 3.56 0010.10.80.1020100 37.8975 090 11762 Reconstruction of nail bed A 2.89 2.88 2.34 0.36 6.13 5.59 0010.10.80.1020100 37.8975 090 11765 Excision of nail fold, toe A 0.69 1.78 0.76 0.08 2.55 1.53 0010.10.80.1020100 37.8975 090 11770 Removal of pilonidal lesion A 2.61 3.48 1.50 0.31 6.40 4.42 0010.10.80.1020100 37.8975 090 11771 Removal of pilonidal lesion A 5.73 5.64 3.31 0.73 12.10 9.77 0090.10.71.1920100 37.8975 090 11772 Removal of pilonidal lesion A 6.97 7.50 5.07 0.88 15.35 12.92 0090.10.71.1920100 37.8975 090 11900 Injection into skin lesions A 0.52 0.65 0.21 0.03 1.20 0.76 0000.00.00.0020100 37.8975 090 11901 Added skin lesions injection A 0.80 0.66 0.35 0.03 1.49 1.18 0000.00.00.0020100 37.8975 090 11920 Correct skin color defects R 1.61 3.70 1.09 0.23 5.54 2.93 0000.00.00.0020000 37.8975 090 11921 Correct skin color defects R 1.93 3.96 1.27 0.28 6.17 3.48 0000.00.00.0020000 37.8975 090 11922 Correct skin color defects R 0.49 1.14 0.25 0.07 1.70 0.81 0ZZZ.00.00.0000000 37.8975 090 11950 Therapy for contour defects R 0.84 1.14 0.39 0.06 2.04 1.29 0000.00.00.0020000 37.8975 090 11951 Therapy for contour defects R 1.19 1.49 0.51 0.11 2.79 1.81 0000.00.00.0020000 37.8975 090 11952 Therapy for contour defects R 1.69 1.85 0.68 0.16 3.70 2.53 0000.00.00.0020000 37.8975 090 11954 Therapy for contour defects R 1.85 2.44 0.90 0.24 4.53 2.99 0000.00.00.0020000 37.8975 090 11960 Insert tissue expander(s) A 9.07 10.39NA 10.39 1.28 20.74 20.74 0090.10.71.1920100 37.8975 090 11970 Replace tissue expander A 7.05 6.13NA 6.13 1.03 14.21 14.21 0090.10.71.1920100 37.8975 090 11971 Remove tissue expander(s) A 2.13 9.11 3.79 0.30 11.54 6.22 0090.10.71.1920000 37.8975 090 11975 Insert contraceptive cap N+ 1.48 1.42 0.57 0.17 3.07 2.22 9XXX.00.00.0099999 37.8975 090 11976 Removal of contraceptive cap R 1.78 1.72 0.68 0.21 3.71 2.67 0000.00.00.0020000 37.8975 090 11977 Removal/reinsert contra cap N+ 3.30 2.27 1.26 0.37 5.94 4.93 9XXX.00.00.0099999 37.8975 090 11980 Implant hormone pellet(s) A 1.48 1.08 0.54 0.13 2.69 2.15 0000.00.00.0020100 37.8975 090 11981 Insert drug implant device A 1.48 1.70 0.68 0.12 3.30 2.28 0XXX.00.00.0020000 37.8975 090 11982 Remove drug implant device A 1.78 1.94 0.83 0.17 3.89 2.78 0XXX.00.00.0020000 37.8975 090 11983 Remove/insert drug implant A 3.30 2.28 1.47 0.24 5.82 5.01 0XXX.00.00.0020000 37.8975 090 12001 Repair superficial wound(s) A 1.70 1.98 0.77 0.16 3.84 2.63 0010.10.80.1020100 37.8975 090 12002 Repair superficial wound(s) A 1.86 2.04 0.90 0.18 4.08 2.94 0010.10.80.1020100 37.8975 090 12004 Repair superficial wound(s) A 2.24 2.32 1.01 0.22 4.78 3.47 0010.10.80.1020100 37.8975 090 12005 Repair superficial wound(s) A 2.86 2.82 1.20 0.28 5.96 4.34 0010.10.80.1020100 37.8975 090 12006 Repair superficial wound(s) A 3.66 3.39 1.51 0.38 7.43 5.55 0010.10.80.1020100 37.8975 090 12007 Repair superficial wound(s) A 4.11 3.82 1.81 0.44 8.37 6.36 0010.10.80.1020110 37.8975 090 12011 Repair superficial wound(s) A 1.76 2.13 0.78 0.17 4.06 2.71 0010.10.80.1020100 37.8975 090 12013 Repair superficial wound(s) A 1.99 2.27 0.93 0.19 4.45 3.11 0010.10.80.1020100 37.8975 090 12014 Repair superficial wound(s) A 2.46 2.57 1.06 0.23 5.26 3.75 0010.10.80.1020100 37.8975 090 12015 Repair superficial wound(s) A 3.19 3.13 1.25 0.30 6.62 4.74 0010.10.80.1020100 37.8975 090 12016 Repair superficial wound(s) A 3.92 3.55 1.52 0.38 7.85 5.82 0010.10.80.1020100 37.8975 090 12017 Repair superficial wound(s) A 4.70 1.89NA 1.89 0.49 7.08 7.08 0010.10.80.1020000 37.8975 090 12018 Repair superficial wound(s) A 5.52 2.25NA 2.25 0.61 8.38 8.38 0010.10.80.1020210 37.8975 090 12020 Closure of split wound A 2.62 3.82 1.92 0.30 6.74 4.84 0010.10.80.1020100 37.8975 090 12021 Closure of split wound A 1.84 1.82 1.41 0.23 3.89 3.48 0010.10.80.1020100 37.8975 090 12031 Layer closure of wound(s) A 2.15 2.28 0.96 0.18 4.61 3.29 0010.10.80.1020100 37.8975 090 12032 Layer closure of wound(s) A 2.47 3.84 1.79 0.17 6.48 4.43 0010.10.80.1020100 37.8975 090 12034 Layer closure of wound(s) A 2.92 3.19 1.45 0.26 6.37 4.63 0010.10.80.1020100 37.8975 090 12035 Layer closure of wound(s) A 3.42 5.19 2.15 0.38 8.99 5.95 0010.10.80.1020100 37.8975 090 12036 Layer closure of wound(s) A 4.04 5.55 2.54 0.52 10.11 7.10 0010.10.80.1020100 37.8975 090 12037 Layer closure of wound(s) A 4.66 6.09 2.96 0.62 11.37 8.24 0010.10.80.1020010 37.8975 090 12041 Layer closure of wound(s) A 2.37 2.54 1.13 0.20 5.11 3.70 0010.10.80.1020100 37.8975 090 12042 Layer closure of wound(s) A 2.74 3.26 1.46 0.19 6.19 4.39 0010.10.80.1020100 37.8975 090 12044 Layer closure of wound(s) A 3.14 3.21 1.60 0.29 6.64 5.03 0010.10.80.1020100 37.8975 090 12045 Layer closure of wound(s) A 3.63 5.26 2.28 0.40 9.29 6.31 0010.10.80.1020100 37.8975 090 12046 Layer closure of wound(s) A 4.24 6.50 2.75 0.51 11.25 7.50 0010.10.80.1020000 37.8975 090 12047 Layer closure of wound(s) A 4.64 6.34 3.08 0.56 11.54 8.28 0010.10.80.1020210 37.8975 090 12051 Layer closure of wound(s) A 2.47 3.27 1.45 0.20 5.94 4.12 0010.10.80.1020100 37.8975 090 12052 Layer closure of wound(s) A 2.77 3.22 1.43 0.19 6.18 4.39 0010.10.80.1020100 37.8975 090 12053 Layer closure of wound(s) A 3.12 3.24 1.53 0.24 6.60 4.89 0010.10.80.1020100 37.8975 090 12054 Layer closure of wound(s) A 3.45 3.56 1.63 0.30 7.31 5.38 0010.10.80.1020100 37.8975 090 12055 Layer closure of wound(s) A 4.42 4.48 2.12 0.45 9.35 6.99 0010.10.80.1020100 37.8975 090 12056 Layer closure of wound(s) A 5.23 6.75 3.05 0.57 12.55 8.85 0010.10.80.1020000 37.8975 090 12057 Layer closure of wound(s) A 5.95 6.13 3.75 0.54 12.62 10.24 0010.10.80.1020210 37.8975 090 13100 Repair of wound or lesion A 3.12 4.05 2.30 0.27 7.44 5.69 0010.10.80.1020100 37.8975 090 13101 Repair of wound or lesion A 3.91 4.66 2.68 0.28 8.85 6.87 0010.10.80.1020100 37.8975 090 13102 Repair wound/lesion add-on A 1.24 1.17 0.57 0.13 2.54 1.94 0ZZZ.00.00.0000100 37.8975 090 13120 Repair of wound or lesion A 3.30 4.14 2.34 0.28 7.72 5.92 0010.10.80.1020100 37.8975 090 13121 Repair of wound or lesion A 4.32 4.85 2.79 0.29 9.46 7.40 0010.10.80.1020100 37.8975 090 13122 Repair wound/lesion add-on A 1.44 1.51 0.63 0.15 3.10 2.22 0ZZZ.00.00.0000100 37.8975 090 13131 Repair of wound or lesion A 3.78 4.36 2.68 0.28 8.42 6.74 0010.10.80.1020100 37.8975 090 13132 Repair of wound or lesion A 5.94 5.90 4.16 0.35 12.19 10.45 0010.10.80.1020100 37.8975 090 13133 Repair wound/lesion add-on A 2.19 1.66 1.03 0.18 4.03 3.40 0ZZZ.00.00.0000100 37.8975 090 13150 Repair of wound or lesion A 3.80 4.87 2.76 0.34 9.01 6.90 0010.10.80.1020100 37.8975 090 13151 Repair of wound or lesion A 4.44 4.80 3.14 0.32 9.56 7.90 0010.10.80.1020100 37.8975 090 13152 Repair of wound or lesion A 6.32 6.03 4.04 0.42 12.77 10.78 0010.10.80.1020100 37.8975 090 13153 Repair wound/lesion add-on A 2.38 1.93 1.14 0.25 4.56 3.77 0ZZZ.00.00.0000100 37.8975 090 13160 Late closure of wound A 10.46 7.16NA 7.16 1.49 19.11 19.11 0090.10.71.1920100 37.8975 090 14000 Skin tissue rearrangement A 5.88 7.85 5.46 0.59 14.32 11.93 0090.10.71.1920100 37.8975 090 14001 Skin tissue rearrangement A 8.46 9.41 7.07 0.83 18.70 16.36 0090.10.71.1920100 37.8975 090 14020 Skin tissue rearrangement A 6.58 8.61 6.53 0.64 15.83 13.75 0090.10.71.1920100 37.8975 090 14021 Skin tissue rearrangement A 10.04 9.98 8.28 0.83 20.85 19.15 0090.10.71.1920100 37.8975 090 14040 Skin tissue rearrangement A 7.86 8.80 7.20 0.65 17.31 15.71 0090.10.71.1920100 37.8975 090 14041 Skin tissue rearrangement A 11.47 10.59 8.67 0.76 22.82 20.90 0090.10.71.1920100 37.8975 090 14060 Skin tissue rearrangement A 8.49 8.78 7.43 0.68 17.95 16.60 0090.10.71.1920100 37.8975 090 14061 Skin tissue rearrangement A 12.27 11.60 9.50 0.77 24.64 22.54 0090.10.71.1920100 37.8975 090 14300 Skin tissue rearrangement A 11.74 11.13 9.17 1.16 24.03 22.07 0090.10.71.1920100 37.8975 090 14350 Skin tissue rearrangement A 9.60 7.14NA 7.14 1.32 18.06 18.06 0090.10.71.1920000 37.8975 090 15000 Skin graft A 3.99 3.79 2.18 0.48 8.26 6.65 0000.00.00.0000100 37.8975 090 15001 Skin graft add-on A 1.00 1.35 0.41 0.14 2.49 1.55 0ZZZ.00.00.0000200 37.8975 090 15050 Skin pinch graft A 4.29 6.91 5.11 0.56 11.76 9.96 0090.10.71.1920100 37.8975 090 15100 Skin split graft A 9.04 12.58 7.82 1.25 22.87 18.11 0090.10.71.1920100 37.8975 090 15101 Skin split graft add-on A 1.72 3.73 1.17 0.24 5.69 3.13 0ZZZ.00.00.0000100 37.8975 090 15120 Skin split graft A 9.82 10.72 7.78 1.15 21.69 18.75 0090.10.71.1920100 37.8975 090 15121 Skin split graft add-on A 2.67 4.50 1.84 0.35 7.52 4.86 0ZZZ.00.00.0000110 37.8975 090 15200 Skin full graft A 8.02 9.40 6.20 0.97 18.39 15.19 0090.10.71.1920100 37.8975 090 15201 Skin full graft add-on A 1.32 2.56 0.62 0.18 4.06 2.12 0ZZZ.00.00.0000000 37.8975 090 15220 Skin full graft A 7.86 9.18 6.68 0.83 17.87 15.37 0090.10.71.1920100 37.8975 090 15221 Skin full graft add-on A 1.19 2.32 0.56 0.16 3.67 1.91 0ZZZ.00.00.0000100 37.8975 090 15240 Skin full graft A 9.03 10.20 7.95 0.94 20.17 17.92 0090.10.71.1920100 37.8975 090 15241 Skin full graft add-on A 1.86 2.44 0.91 0.22 4.52 2.99 0ZZZ.00.00.0000100 37.8975 090 15260 Skin full graft A 10.04 10.21 8.58 0.71 20.96 19.33 0090.10.71.1920100 37.8975 090 15261 Skin full graft add-on A 2.23 2.69 1.40 0.21 5.13 3.84 0ZZZ.00.00.0000100 37.8975 090 15342 Cultured skin graft, 25 cm A 1.00 1.85 0.55 0.11 2.96 1.66 0010.10.80.1020100 37.8975 090 15343 Culture skn graft addl 25 cm A 0.25 0.09 0.09 0.03 0.37 0.37 0ZZZ.00.00.0000100 37.8975 090 15350 Skin homograft A 3.99 6.46 3.84 0.49 10.94 8.32 0090.10.71.1920100 37.8975 090 15351 Skin homograft add-on A 1.00 0.36 0.36 0.14 1.50 1.50 0ZZZ.00.00.0000100 37.8975 090 15400 Skin heterograft A 3.99 4.01 4.01 0.46 8.46 8.46 0090.10.71.1920100 37.8975 090 15401 Skin heterograft add-on A 1.00 1.89 0.44 0.14 3.03 1.58 0ZZZ.00.00.0000100 37.8975 090 15570 Form skin pedicle flap A 9.20 11.30 6.76 1.27 21.77 17.23 0090.10.71.1920100 37.8975 090 15572 Form skin pedicle flap A 9.26 9.49 6.45 1.18 19.93 16.89 0090.10.71.1920100 37.8975 090 15574 Form skin pedicle flap A 9.87 10.68 7.79 1.18 21.73 18.84 0090.10.71.1920100 37.8975 090 15576 Form skin pedicle flap A 8.68 9.75 6.88 0.87 19.30 16.43 0090.10.71.1920100 37.8975 090 15600 Skin graft A 1.91 7.60 3.06 0.26 9.77 5.23 0090.10.71.1920000 37.8975 090 15610 Skin graft A 2.42 4.69 3.42 0.34 7.45 6.18 0090.10.71.1920000 37.8975 090 15620 Skin graft A 2.94 7.78 3.88 0.35 11.07 7.17 0090.10.71.1920100 37.8975 090 15630 Skin graft A 3.27 7.04 4.15 0.33 10.64 7.75 0090.10.71.1920100 37.8975 090 15650 Transfer skin pedicle flap A 3.96 7.14 4.21 0.42 11.52 8.59 0090.10.71.1920000 37.8975 090 15732 Muscle-skin graft, head/neck A 17.81 18.04 12.21 1.97 37.82 31.99 0090.10.71.1920210 37.8975 090 15734 Muscle-skin graft, trunk A 17.76 18.11 12.37 2.54 38.41 32.67 0090.10.71.1920210 37.8975 090 15736 Muscle-skin graft, arm A 16.25 18.23 11.22 2.38 36.86 29.85 0090.10.71.1920110 37.8975 090 15738 Muscle-skin graft, leg A 17.89 17.97 11.72 2.61 38.47 32.22 0090.10.71.1920210 37.8975 090 15740 Island pedicle flap graft A 10.23 10.13 8.26 0.68 21.04 19.17 0090.10.71.1920100 37.8975 090 15750 Neurovascular pedicle graft A 11.39 9.04NA 9.04 1.40 21.83 21.83 0090.10.71.1920200 37.8975 090 15756 Free myo/skin flap microvasc A 35.18 20.56NA 20.56 4.56 60.30 60.30 0090.10.71.1920220 37.8975 090 15757 Free skin flap, microvasc A 35.18 21.59NA 21.59 3.91 60.68 60.68 0090.10.71.1920220 37.8975 090 15758 Free fascial flap, microvasc A 35.05 21.57NA 21.57 4.22 60.84 60.84 0090.10.71.1920220 37.8975 090 15760 Composite skin graft A 8.73 10.02 7.26 0.85 19.60 16.84 0090.10.71.1920100 37.8975 090 15770 Derma-fat-fascia graft A 7.51 6.68NA 6.68 1.03 15.22 15.22 0090.10.71.1920210 37.8975 090 15775 Hair transplant punch grafts R 3.95 4.23 1.30 0.52 8.70 5.77 0000.00.00.0020000 37.8975 090 15776 Hair transplant punch grafts R 5.53 5.35 2.80 0.72 11.60 9.05 0000.00.00.0020000 37.8975 090 15780 Abrasion treatment of skin A 7.28 11.52 8.25 0.67 19.47 16.20 0090.10.71.1920000 37.8975 090 15781 Abrasion treatment of skin A 4.84 6.91 5.36 0.34 12.09 10.54 0090.10.71.1920100 37.8975 090 15782 Abrasion treatment of skin A 4.31 9.85 6.55 0.34 14.50 11.20 0090.10.71.1920000 37.8975 090 15783 Abrasion treatment of skin A 4.28 6.87 4.18 0.28 11.43 8.74 0090.10.71.1920000 37.8975 090 15786 Abrasion, lesion, single A 2.03 3.35 1.32 0.13 5.51 3.48 0010.10.80.1020100 37.8975 090 15787 Abrasion, lesions, add-on A 0.33 1.09 0.16 0.04 1.46 0.53 0ZZZ.00.00.0000100 37.8975 090 15788 Chemical peel, face, epiderm R 2.09 6.71 3.08 0.13 8.93 5.30 0090.10.71.1920100 37.8975 090 15789 Chemical peel, face, dermal R 4.91 8.09 4.80 0.21 13.21 9.92 0090.10.71.1920100 37.8975 090 15792 Chemical peel, nonfacial R 1.86 7.09 4.45 0.13 9.08 6.44 0090.10.71.1920000 37.8975 090 15793 Chemical peel, nonfacial A 3.73 6.28 4.38 0.21 10.22 8.32 0090.10.71.1920000 37.8975 090 15810 Salabrasion A 4.73 3.89NA 3.89 0.50 9.12 9.12 0090.10.71.1920000 37.8975 090 15811 Salabrasion A 5.38 5.49 4.77 0.80 11.67 10.95 0090.10.71.1920000 37.8975 090 15819 Plastic surgery, neck A 9.37 7.18NA 7.18 0.97 17.52 17.52 0090.10.71.1920000 37.8975 090 15820 Revision of lower eyelid A 5.14 6.97 5.56 0.41 12.52 11.11 0090.10.71.1921000 37.8975 090 15821 Revision of lower eyelid A 5.71 7.35 5.71 0.45 13.51 11.87 0090.10.71.1921000 37.8975 090 15822 Revision of upper eyelid A 4.44 5.83 4.49 0.36 10.63 9.29 0090.10.71.1921100 37.8975 090 15823 Revision of upper eyelid A 7.04 7.85 6.43 0.50 15.39 13.97 0090.10.71.1921100 37.8975 090 15824 Removal of forehead wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 37.8975 090 15825 Removal of neck wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 37.8975 090 15826 Removal of brow wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 37.8975 090 15828 Removal of face wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 37.8975 090 15829 Removal of skin wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 37.8975 090 15831 Excise excessive skin tissue A 12.38 8.16NA 8.16 1.71 22.25 22.25 0090.10.71.1920210 37.8975 090 15832 Excise excessive skin tissue A 11.57 8.34NA 8.34 1.64 21.55 21.55 0090.10.71.1920210 37.8975 090 15833 Excise excessive skin tissue A 10.62 8.21NA 8.21 1.42 20.25 20.25 0090.10.71.1920000 37.8975 090 15834 Excise excessive skin tissue A 10.83 7.69NA 7.69 1.60 20.12 20.12 0090.10.71.1920000 37.8975 090 15835 Excise excessive skin tissue A 11.65 7.54NA 7.54 1.59 20.78 20.78 0090.10.71.1920000 37.8975 090 15836 Excise excessive skin tissue A 9.33 6.78NA 6.78 1.32 17.43 17.43 0090.10.71.1920000 37.8975 090 15837 Excise excessive skin tissue A 8.42 8.55 7.37 1.18 18.15 16.97 0090.10.71.1920000 37.8975 090 15838 Excise excessive skin tissue A 7.12 6.06NA 6.06 0.60 13.78 13.78 0090.10.71.1920000 37.8975 090 15839 Excise excessive skin tissue A 9.37 8.82 6.39 1.18 19.37 16.94 0090.10.71.1920000 37.8975 090 15840 Graft for face nerve palsy A 13.24 9.97NA 9.97 1.33 24.54 24.54 0090.10.71.1920100 37.8975 090 15841 Graft for face nerve palsy A 23.23 14.99NA 14.99 2.56 40.78 40.78 0090.10.71.1920210 37.8975 090 15842 Flap for face nerve palsy A 37.90 22.91NA 22.91 4.89 65.70 65.70 0090.10.71.1920210 37.8975 090 15845 Skin and muscle repair, face A 12.55 9.30NA 9.30 0.80 22.65 22.65 0090.10.71.1920200 37.8975 090 15850 Removal of sutures B+ 0.78 1.56 0.30 0.05 2.39 1.13 9XXX.00.00.0099999 37.8975 090 15851 Removal of sutures A 0.86 1.68 0.31 0.06 2.60 1.23 0000.00.00.0020100 37.8975 090 15852 Dressing change not for burn A 0.86 1.84 0.33 0.09 2.79 1.28 0000.00.00.0020100 37.8975 090 15860 Test for blood flow in graft A 1.95 0.83 0.78 0.25 3.03 2.98 0000.00.00.0020000 37.8975 090 15876 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 15877 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 15878 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 15879 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 15920 Removal of tail bone ulcer A 7.94 5.55NA 5.55 1.03 14.52 14.52 0090.10.71.1920000 37.8975 090 15922 Removal of tail bone ulcer A 9.89 7.21NA 7.21 1.40 18.50 18.50 0090.10.71.1920210 37.8975 090 15931 Remove sacrum pressure sore A 9.23 5.68NA 5.68 1.23 16.14 16.14 0090.10.71.1920100 37.8975 090 15933 Remove sacrum pressure sore A 10.83 7.85NA 7.85 1.49 20.17 20.17 0090.10.71.1920000 37.8975 090 15934 Remove sacrum pressure sore A 12.67 8.04NA 8.04 1.76 22.47 22.47 0090.10.71.1920100 37.8975 090 15935 Remove sacrum pressure sore A 14.55 10.32NA 10.32 2.05 26.92 26.92 0090.10.71.1920210 37.8975 090 15936 Remove sacrum pressure sore A 12.36 8.22NA 8.22 1.73 22.31 22.31 0090.10.71.1920110 37.8975 090 15937 Remove sacrum pressure sore A 14.19 9.82NA 9.82 2.02 26.03 26.03 0090.10.71.1920210 37.8975 090 15940 Remove hip pressure sore A 9.33 6.17NA 6.17 1.29 16.79 16.79 0090.10.71.1920100 37.8975 090 15941 Remove hip pressure sore A 11.41 9.45NA 9.45 1.64 22.50 22.50 0090.10.71.1920000 37.8975 090 15944 Remove hip pressure sore A 11.44 8.60NA 8.60 1.63 21.67 21.67 0090.10.71.1920000 37.8975 090 15945 Remove hip pressure sore A 12.67 9.64NA 9.64 1.79 24.10 24.10 0090.10.71.1920000 37.8975 090 15946 Remove hip pressure sore A 21.54 14.37NA 14.37 3.10 39.01 39.01 0090.10.71.1920210 37.8975 090 15950 Remove thigh pressure sore A 7.53 5.41NA 5.41 1.01 13.95 13.95 0090.10.71.1920100 37.8975 090 15951 Remove thigh pressure sore A 10.70 7.86NA 7.86 1.45 20.01 20.01 0090.10.71.1920010 37.8975 090 15952 Remove thigh pressure sore A 11.37 7.75NA 7.75 1.59 20.71 20.71 0090.10.71.1920210 37.8975 090 15953 Remove thigh pressure sore A 12.61 8.99NA 8.99 1.78 23.38 23.38 0090.10.71.1920110 37.8975 090 15956 Remove thigh pressure sore A 15.50 10.77NA 10.77 2.16 28.43 28.43 0090.10.71.1920110 37.8975 090 15958 Remove thigh pressure sore A 15.46 11.04NA 11.04 2.21 28.71 28.71 0090.10.71.1920210 37.8975 090 15999 Removal of pressure sore C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 16000 Initial treatment of burn(s) A 0.89 0.86 0.26 0.08 1.83 1.23 0000.00.00.0020100 37.8975 090 16010 Treatment of burn(s) A 0.87 0.66 0.63 0.09 1.62 1.59 0000.00.00.0020100 37.8975 090 16015 Treatment of burn(s) A 2.35 1.15NA 1.15 0.31 3.81 3.81 0000.00.00.0020100 37.8975 090 16020 Treatment of burn(s) A 0.80 1.29 0.58 0.08 2.17 1.46 0000.00.00.0020100 37.8975 090 16025 Treatment of burn(s) A 1.85 1.76 0.96 0.19 3.80 3.00 0000.00.00.0020100 37.8975 090 16030 Treatment of burn(s) A 2.08 2.17 1.12 0.24 4.49 3.44 0000.00.00.0020100 37.8975 090 16035 Incision of burn scab, initi A 3.74 1.58NA 1.58 0.45 5.77 5.77 0090.10.71.1920100 37.8975 090 16036 Escharotomy; add’l incision A 1.50 0.60NA 0.60 0.20 2.30 2.30 0ZZZ.00.00.0000100 37.8975 090 17000 Destroy benign/premlg lesion A 0.60 0.97 0.54 0.03 1.60 1.17 0010.10.80.1020100 37.8975 090 17003 Destroy lesions, 2-14 A 0.15 0.11 0.07 0.01 0.27 0.23 0ZZZ.00.00.0000100 37.8975 090 17004 Destroy lesions, 15 or more A 2.79 2.30 1.59 0.13 5.22 4.51 0010.10.80.1000100 37.8975 090 17106 Destruction of skin lesions A 4.58 4.60 3.33 0.35 9.53 8.26 0090.10.71.1920100 37.8975 090 17107 Destruction of skin lesions A 9.15 7.20 5.45 0.66 17.01 15.26 0090.10.71.1920100 37.8975 090 17108 Destruction of skin lesions A 13.18 9.26 7.66 0.82 23.26 21.66 0090.10.71.1920000 37.8975 090 17110 Destruct lesion, 1-14 A 0.65 1.62 0.70 0.05 2.32 1.40 0010.10.80.1020100 37.8975 090 17111 Destruct lesion, 15 or more A 0.92 1.67 0.81 0.05 2.64 1.78 0010.10.80.1020100 37.8975 090 17250 Chemical cautery, tissue A 0.50 1.22 0.34 0.05 1.77 0.89 0000.00.00.0020100 37.8975 090 17260 Destruction of skin lesions A 0.91 1.28 0.67 0.04 2.23 1.62 0010.10.80.1020100 37.8975 090 17261 Destruction of skin lesions A 1.17 1.61 0.83 0.05 2.83 2.05 0010.10.80.1020100 37.8975 090 17262 Destruction of skin lesions A 1.58 1.88 1.02 0.07 3.53 2.67 0010.10.80.1020100 37.8975 090 17263 Destruction of skin lesions A 1.79 2.05 1.09 0.08 3.92 2.96 0010.10.80.1020100 37.8975 090 17264 Destruction of skin lesions A 1.94 2.22 1.12 0.08 4.24 3.14 0010.10.80.1020100 37.8975 090 17266 Destruction of skin lesions A 2.34 2.50 1.22 0.12 4.96 3.68 0010.10.80.1020100 37.8975 090 17270 Destruction of skin lesions A 1.32 1.70 0.87 0.06 3.08 2.25 0010.10.80.1020100 37.8975 090 17271 Destruction of skin lesions A 1.49 1.77 0.98 0.06 3.32 2.53 0010.10.80.1020100 37.8975 090 17272 Destruction of skin lesions A 1.77 1.99 1.11 0.08 3.84 2.96 0010.10.80.1020100 37.8975 090 17273 Destruction of skin lesions A 2.05 2.20 1.21 0.09 4.34 3.35 0010.10.80.1020100 37.8975 090 17274 Destruction of skin lesions A 2.59 2.56 1.44 0.12 5.27 4.15 0010.10.80.1020100 37.8975 090 17276 Destruction of skin lesions A 3.20 2.94 1.68 0.18 6.32 5.06 0010.10.80.1020100 37.8975 090 17280 Destruction of skin lesions A 1.17 1.61 0.81 0.05 2.83 2.03 0010.10.80.1020100 37.8975 090 17281 Destruction of skin lesions A 1.72 1.90 1.09 0.07 3.69 2.88 0010.10.80.1020100 37.8975 090 17282 Destruction of skin lesions A 2.04 2.15 1.24 0.09 4.28 3.37 0010.10.80.1020100 37.8975 090 17283 Destruction of skin lesions A 2.64 2.54 1.49 0.12 5.30 4.25 0010.10.80.1020100 37.8975 090 17284 Destruction of skin lesions A 3.21 2.92 1.75 0.15 6.28 5.11 0010.10.80.1020100 37.8975 090 17286 Destruction of skin lesions A 4.43 3.67 2.44 0.26 8.36 7.13 0010.10.80.1020100 37.8975 090 17304 1 stage mohs, up to 5 spec A 7.59 8.24 3.56 0.32 16.15 11.47 0000.00.00.0000100 37.8975 090 17305 2 stage mohs, up to 5 spec A 2.85 3.89 1.34 0.12 6.86 4.31 0000.00.00.0000100 37.8975 090 17306 3 stage mohs, up to 5 spec A 2.85 3.91 1.35 0.12 6.88 4.32 0000.00.00.0000100 37.8975 090 17307 Mohs addl stage up to 5 spec A 2.85 3.56 1.36 0.12 6.53 4.33 0000.00.00.0000100 37.8975 090 17310 Mohs any stage > 5 spec each A 0.95 1.62 0.46 0.03 2.60 1.44 0ZZZ.00.00.0000100 37.8975 090 17340 Cryotherapy of skin A 0.76 0.37 0.36 0.05 1.18 1.17 0010.10.80.1020100 37.8975 090 17360 Skin peel therapy A 1.43 1.44 0.87 0.06 2.93 2.36 0010.10.80.1020100 37.8975 090 17380 Hair removal by electrolysis R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 17999 Skin tissue procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 19000 Drainage of breast lesion A 0.84 1.98 0.31 0.08 2.90 1.23 0000.00.00.0020100 37.8975 090 19001 Drain breast lesion add-on A 0.42 0.25 0.14 0.04 0.71 0.60 0ZZZ.00.00.0000100 37.8975 090 19020 Incision of breast lesion A 3.56 6.33 2.67 0.44 10.33 6.67 0090.10.71.1921100 37.8975 090 19030 Injection for breast x-ray A 1.53 2.86 0.50 0.09 4.48 2.12 0000.00.00.0021100 37.8975 090 19100 Bx breast percut w/o image A 1.27 2.08 0.42 0.16 3.51 1.85 0000.00.00.0021100 37.8975 090 19101 Biopsy of breast, open A 3.18 4.50 1.91 0.38 8.06 5.47 0010.10.80.1021100 37.8975 090 19102 Bx breast percut w/image A 2.00 3.83 0.66 0.14 5.97 2.80 0000.00.00.0021100 37.8975 090 19103 Bx breast percut w/device A 3.69 11.49 1.23 0.30 15.48 5.22 0000.00.00.0021100 37.8975 090 19110 Nipple exploration A 4.29 5.79 2.86 0.56 10.64 7.71 0090.10.71.1921100 37.8975 090 19112 Excise breast duct fistula A 3.66 6.06 2.68 0.48 10.20 6.82 0090.10.71.1921000 37.8975 090 19120 Removal of breast lesion A 5.55 4.54 3.06 0.72 10.81 9.33 0090.10.71.1921100 37.8975 090 19125 Excision, breast lesion A 6.05 4.78 3.28 0.79 11.62 10.12 0090.10.71.1921110 37.8975 090 19126 Excision, addl breast lesion A 2.93 1.00NA 1.00 0.38 4.31 4.31 0ZZZ.00.00.0000110 37.8975 090 19140 Removal of breast tissue A 5.13 7.14 3.39 0.70 12.97 9.22 0090.10.71.1921100 37.8975 090 19160 Partial mastectomy A 5.98 3.42NA 3.42 0.79 10.19 10.19 0090.10.71.1921000 37.8975 090 19162 P-mastectomy w/ln removal A 13.51 6.33NA 6.33 1.77 21.61 21.61 0090.10.71.1921210 37.8975 090 19180 Removal of breast A 8.79 5.02NA 5.02 1.18 14.99 14.99 0090.10.71.1921210 37.8975 090 19182 Removal of breast A 7.72 4.75NA 4.75 1.04 13.51 13.51 0090.10.71.1921210 37.8975 090 19200 Removal of breast A 15.47 7.96NA 7.96 1.89 25.32 25.32 0090.10.71.1921210 37.8975 090 19220 Removal of breast A 15.70 8.23NA 8.23 2.02 25.95 25.95 0090.10.71.1921210 37.8975 090 19240 Removal of breast A 15.98 8.20NA 8.20 2.10 26.28 26.28 0090.10.71.1921210 37.8975 090 19260 Removal of chest wall lesion A 15.42 11.15NA 11.15 2.07 28.64 28.64 0090.10.71.1920210 37.8975 090 19271 Revision of chest wall A 18.87 17.95NA 17.95 2.59 39.41 39.41 0090.10.71.1920210 37.8975 090 19272 Extensive chest wall surgery A 21.52 18.93NA 18.93 2.97 43.42 43.42 0090.10.71.1920210 37.8975 090 19290 Place needle wire, breast A 1.27 2.85 0.42 0.08 4.20 1.77 0000.00.00.0021100 37.8975 090 19291 Place needle wire, breast A 0.63 1.21 0.21 0.04 1.88 0.88 0ZZZ.00.00.0000000 37.8975 090 19295 Place breast clip, percut A 0.00 2.69 2.69 NA 0.01 2.70 2.70 0ZZZ.00.00.0000000 37.8975 090 19296 Place po breast cath for rad A 3.63 125.39 1.53 0.36129.38 5.52 0000.00.00.0021000 37.8975 090 19297 Place breast cath for rad A 1.72 0.64NA 0.64 0.17 2.53 2.53 0ZZZ.00.00.0000000 37.8975 090 19298 Place breast rad tube/caths A 6.00 42.16 2.41 0.43 48.59 8.84 0000.00.00.0021000 37.8975 090 19316 Suspension of breast A 10.67 7.51NA 7.51 1.60 19.78 19.78 0090.10.71.1921210 37.8975 090 19318 Reduction of large breast A 15.60 11.17NA 11.17 2.86 29.63 29.63 0090.10.71.1921210 37.8975 090 19324 Enlarge breast A 5.84 4.89NA 4.89 0.84 11.57 11.57 0090.10.71.1921000 37.8975 090 19325 Enlarge breast with implant A 8.44 6.52NA 6.52 1.30 16.26 16.26 0090.10.71.1921000 37.8975 090 19328 Removal of breast implant A 5.67 5.02NA 5.02 0.90 11.59 11.59 0090.10.71.1921100 37.8975 090 19330 Removal of implant material A 7.58 6.03NA 6.03 1.21 14.82 14.82 0090.10.71.1921100 37.8975 090 19340 Immediate breast prosthesis A 6.32 3.11NA 3.11 1.04 10.47 10.47 0ZZZ.00.00.0021110 37.8975 090 19342 Delayed breast prosthesis A 11.18 8.92NA 8.92 1.79 21.89 21.89 0090.10.71.1921010 37.8975 090 19350 Breast reconstruction A 8.91 13.84 7.17 1.39 24.14 17.47 0090.10.71.1921100 37.8975 090 19355 Correct inverted nipple(s) A 7.56 10.25 4.70 0.92 18.73 13.18 0090.10.71.1921000 37.8975 090 19357 Breast reconstruction A 18.13 15.61NA 15.61 2.86 36.60 36.60 0090.10.71.1921210 37.8975 090 19361 Breast reconstruction A 19.23 12.43NA 12.43 2.86 34.52 34.52 0090.10.71.1921210 37.8975 090 19364 Breast reconstruction A 40.94 23.54NA 23.54 6.13 70.61 70.61 0090.10.71.1921210 37.8975 090 19366 Breast reconstruction A 21.25 11.58NA 11.58 3.20 36.03 36.03 0090.10.71.1921210 37.8975 090 19367 Breast reconstruction A 25.69 16.69NA 16.69 3.95 46.33 46.33 0090.10.71.1921210 37.8975 090 19368 Breast reconstruction A 32.37 18.92NA 18.92 5.48 56.77 56.77 0090.10.71.1921210 37.8975 090 19369 Breast reconstruction A 29.78 18.40NA 18.40 4.44 52.62 52.62 0090.10.71.1921210 37.8975 090 19370 Surgery of breast capsule A 8.04 6.90NA 6.90 1.27 16.21 16.21 0090.10.71.1921100 37.8975 090 19371 Removal of breast capsule A 9.34 7.82NA 7.82 1.59 18.75 18.75 0090.10.71.1921100 37.8975 090 19380 Revise breast reconstruction A 9.13 7.70NA 7.70 1.42 18.25 18.25 0090.10.71.1921100 37.8975 090 19396 Design custom breast implant A 2.17 1.08 0.99 0.30 3.55 3.46 0000.00.00.0021000 37.8975 090 19499 Breast surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 2000F Blood pressure, measured I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 20000 Incision of abscess A 2.12 2.69 1.73 0.24 5.05 4.09 0010.10.80.1020100 37.8975 090 20005 Incision of deep abscess A 3.41 3.49 2.25 0.44 7.34 6.10 0010.10.80.1020100 37.8975 090 20100 Explore wound, neck A 10.06 4.46NA 4.46 1.24 15.76 15.76 0010.10.80.1021200 37.8975 090 20101 Explore wound, chest A 3.22 5.92 1.62 0.42 9.56 5.26 0010.10.80.1020100 37.8975 090 20102 Explore wound, abdomen A 3.93 7.46 1.90 0.49 11.88 6.32 0010.10.80.1020200 37.8975 090 20103 Explore wound, extremity A 5.29 8.58 3.39 0.71 14.58 9.39 0010.10.80.1020000 37.8975 090 20150 Excise epiphyseal bar A 13.67 7.03NA 7.03 2.01 22.71 22.71 0090.10.69.2121210 37.8975 090 20200 Muscle biopsy A 1.46 3.03 0.75 0.21 4.70 2.42 0000.00.00.0020100 37.8975 090 20205 Deep muscle biopsy A 2.35 3.89 1.19 0.32 6.56 3.86 0000.00.00.0020100 37.8975 090 20206 Needle biopsy, muscle A 0.99 6.50 0.63 0.07 7.56 1.69 0000.00.00.0020100 37.8975 090 20220 Bone biopsy, trocar/needle A 1.27 4.56 0.79 0.09 5.92 2.15 0000.00.00.0020100 37.8975 090 20225 Bone biopsy, trocar/needle A 1.87 24.45 1.13 0.22 26.54 3.22 0000.00.00.0020100 37.8975 090 20240 Bone biopsy, excisional A 3.23 2.55NA 2.55 0.42 6.20 6.20 0010.10.80.1020100 37.8975 090 20245 Bone biopsy, excisional A 7.77 6.57NA 6.57 1.23 15.57 15.57 0010.10.80.1020100 37.8975 090 20250 Open bone biopsy A 5.02 3.50NA 3.50 0.98 9.50 9.50 0010.10.80.1020100 37.8975 090 20251 Open bone biopsy A 5.55 4.16NA 4.16 1.10 10.81 10.81 0010.10.80.1020200 37.8975 090 20500 Injection of sinus tract A 1.23 2.26 1.53 0.12 3.61 2.88 0010.10.80.1020100 37.8975 090 20501 Inject sinus tract for x-ray A 0.76 2.91 0.25 0.04 3.71 1.05 0000.00.00.0020100 37.8975 090 20520 Removal of foreign body A 1.85 2.91 1.76 0.21 4.97 3.82 0010.10.80.1020100 37.8975 090 20525 Removal of foreign body A 3.49 9.14 2.62 0.49 13.12 6.60 0010.10.80.1020100 37.8975 090 20526 Ther injection, carp tunnel A 0.94 0.97 0.52 0.12 2.03 1.58 0000.00.00.0021100 37.8975 090 20550 Inj tendon sheath/ligament A 0.75 0.71 0.23 0.08 1.54 1.06 0000.00.00.0020100 37.8975 090 20551 Inj tendon origin/insertion A 0.75 0.68 0.33 0.08 1.51 1.16 0000.00.00.0020100 37.8975 090 20552 Inj trigger point, 1/2 muscl A 0.66 0.72 0.20 0.05 1.43 0.91 0000.00.00.0020100 37.8975 090 20553 Inject trigger points, =/> 3 A 0.75 0.82 0.22 0.05 1.62 1.02 0000.00.00.0020100 37.8975 090 20600 Drain/inject, joint/bursa A 0.66 0.65 0.35 0.08 1.39 1.09 0000.00.00.0021100 37.8975 090 20605 Drain/inject, joint/bursa A 0.68 0.76 0.36 0.08 1.52 1.12 0000.00.00.0021100 37.8975 090 20610 Drain/inject, joint/bursa A 0.79 0.95 0.42 0.10 1.84 1.31 0000.00.00.0021100 37.8975 090 20612 Aspirate/inj ganglion cyst A 0.70 0.71 0.36 0.09 1.50 1.15 0000.00.00.0020100 37.8975 090 20615 Treatment of bone cyst A 2.28 3.51 1.84 0.20 5.99 4.32 0010.10.80.1020100 37.8975 090 20650 Insert and remove bone pin A 2.23 2.36 1.55 0.31 4.90 4.09 0010.10.80.1020110 37.8975 090 20660 Apply, rem fixation device A 2.51 3.05 1.61 0.55 6.11 4.67 0000.00.00.0000100 37.8975 090 20661 Application of head brace A 4.88 4.91NA 4.91 1.11 10.90 10.90 0090.10.69.2120100 37.8975 090 20662 Application of pelvis brace A 6.06 5.52NA 5.52 0.56 12.14 12.14 0090.10.69.2120000 37.8975 090 20663 Application of thigh brace A 5.42 4.83NA 4.83 0.93 11.18 11.18 0090.10.69.2120000 37.8975 090 20664 Halo brace application A 8.05 7.04NA 7.04 1.68 16.77 16.77 0090.10.69.2120100 37.8975 090 20665 Removal of fixation device A 1.31 2.15 1.35 0.18 3.64 2.84 0010.10.80.1020000 37.8975 090 20670 Removal of support implant A 1.74 11.54 2.10 0.27 13.55 4.11 0010.10.80.1020100 37.8975 090 20680 Removal of support implant A 3.34 8.78 3.72 0.54 12.66 7.60 0090.10.69.2120000 37.8975 090 20690 Apply bone fixation device A 3.51 2.51NA 2.51 0.58 6.60 6.60 0090.10.69.2121100 37.8975 090 20692 Apply bone fixation device A 6.40 3.77NA 3.77 1.03 11.20 11.20 0090.10.69.2120210 37.8975 090 20693 Adjust bone fixation device A 5.85 5.44NA 5.44 0.98 12.27 12.27 0090.10.69.2120100 37.8975 090 20694 Remove bone fixation device A 4.15 7.14 4.04 0.69 11.98 8.88 0090.10.69.2120100 37.8975 090 20802 Replantation, arm, complete A 41.09 20.95NA 20.95 3.78 65.82 65.82 0090.10.69.2121210 37.8975 090 20805 Replant forearm, complete A 49.93 34.31NA 34.31 4.80 89.04 89.04 0090.10.69.2121210 37.8975 090 20808 Replantation hand, complete A 61.56 42.22NA 42.22 6.81110.59 110.59 0090.10.69.2121210 37.8975 090 20816 Replantation digit, complete A 30.89 37.79NA 37.79 4.49 73.17 73.17 0090.10.69.2120210 37.8975 090 20822 Replantation digit, complete A 25.55 34.59NA 34.59 3.55 63.69 63.69 0090.10.69.2120210 37.8975 090 20824 Replantation thumb, complete A 30.89 36.54NA 36.54 4.57 72.00 72.00 0090.10.69.2121210 37.8975 090 20827 Replantation thumb, complete A 26.37 36.47NA 36.47 3.63 66.47 66.47 0090.10.69.2121210 37.8975 090 20838 Replantation foot, complete A 41.35 22.28NA 22.28 1.11 64.74 64.74 0090.10.69.2121210 37.8975 090 20900 Removal of bone for graft A 5.57 8.43 5.67 0.92 14.92 12.16 0090.10.69.2120210 37.8975 090 20902 Removal of bone for graft A 7.54 6.88NA 6.88 1.28 15.70 15.70 0090.10.69.2120210 37.8975 090 20910 Remove cartilage for graft A 5.33 5.18NA 5.18 0.63 11.14 11.14 0090.10.69.2120000 37.8975 090 20912 Remove cartilage for graft A 6.34 5.79NA 5.79 0.71 12.84 12.84 0090.10.69.2120000 37.8975 090 20920 Removal of fascia for graft A 5.30 4.22NA 4.22 0.63 10.15 10.15 0090.10.69.2120110 37.8975 090 20922 Removal of fascia for graft A 6.60 7.54 4.87 0.71 14.85 12.18 0090.10.69.2120210 37.8975 090 20924 Removal of tendon for graft A 6.47 5.88NA 5.88 1.02 13.37 13.37 0090.10.69.2120210 37.8975 090 20926 Removal of tissue for graft A 5.52 4.75NA 4.75 0.81 11.08 11.08 0090.10.69.2100100 37.8975 090 20930 Spinal bone allograft B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 20931 Spinal bone allograft A 1.81 0.93NA 0.93 0.42 3.16 3.16 0ZZZ.00.00.0020110 37.8975 090 20936 Spinal bone autograft B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 20937 Spinal bone autograft A 2.79 1.45NA 1.45 0.54 4.78 4.78 0ZZZ.00.00.0020210 37.8975 090 20938 Spinal bone autograft A 3.02 1.56NA 1.56 0.62 5.20 5.20 0ZZZ.00.00.0020210 37.8975 090 20950 Fluid pressure, muscle A 1.26 6.84 0.99 0.19 8.29 2.44 0000.00.00.0020000 37.8975 090 20955 Fibula bone graft, microvasc A 39.15 24.27NA 24.27 4.81 68.23 68.23 0090.10.69.2120210 37.8975 090 20956 Iliac bone graft, microvasc A 39.21 24.74NA 24.74 6.81 70.76 70.76 0090.10.69.2120210 37.8975 090 20957 Mt bone graft, microvasc A 40.59 18.94NA 18.94 7.00 66.53 66.53 0090.10.69.2120210 37.8975 090 20962 Other bone graft, microvasc A 39.21 26.52NA 26.52 6.16 71.89 71.89 0090.10.69.2120210 37.8975 090 20969 Bone/skin graft, microvasc A 43.85 26.63NA 26.63 4.86 75.34 75.34 0090.10.69.2120210 37.8975 090 20970 Bone/skin graft, iliac crest A 43.00 25.38NA 25.38 6.55 74.93 74.93 0090.10.69.2120210 37.8975 090 20972 Bone/skin graft, metatarsal A 42.93 20.58NA 20.58 5.31 68.82 68.82 0090.10.69.2120200 37.8975 090 20973 Bone/skin graft, great toe A 45.69 25.16NA 25.16 5.56 76.41 76.41 0090.10.69.2120210 37.8975 090 20974 Electrical bone stimulation A 0.62 0.69 0.54 0.10 1.41 1.26 0000.00.00.0000100 37.8975 090 20975 Electrical bone stimulation A 2.60 1.71NA 1.71 0.50 4.81 4.81 0000.00.00.0000210 37.8975 090 20979 Us bone stimulation A 0.62 0.80 0.34 0.09 1.51 1.05 0000.00.00.0000100 37.8975 090 20982 Ablate, bone tumor(s) perq A 7.27 109.54 2.97 0.69117.50 10.93 0000.00.00.0021200 37.8975 090 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 21010 Incision of jaw joint A 10.12 7.09NA 7.09 1.05 18.26 18.26 0090.10.69.2121000 37.8975 090 21015 Resection of facial tumor A 5.28 5.01NA 5.01 0.68 10.97 10.97 0090.10.69.2120100 37.8975 090 21025 Excision of bone, lower jaw A 10.04 12.24 9.35 1.31 23.59 20.70 0090.10.69.2120100 37.8975 090 21026 Excision of facial bone(s) A 4.84 7.86 6.32 0.60 13.30 11.76 0090.10.69.2120100 37.8975 090 21029 Contour of face bone lesion A 7.70 9.37 7.01 0.94 18.01 15.65 0090.10.69.2120000 37.8975 090 21030 Excise max/zygoma b9 tumor A 4.49 6.33 5.03 0.51 11.33 10.03 0090.10.69.2120100 37.8975 090 21031 Remove exostosis, mandible A 3.24 5.17 3.62 0.47 8.88 7.33 0090.10.69.2120100 37.8975 090 21032 Remove exostosis, maxilla A 3.24 5.34 3.51 0.46 9.04 7.21 0090.10.69.2120100 37.8975 090 21034 Excise max/zygoma mlg tumor A 16.15 15.92 12.66 1.69 33.76 30.50 0090.10.69.2120210 37.8975 090 21040 Excise mandible lesion A 4.49 6.39 4.72 0.53 11.41 9.74 0090.10.69.2120100 37.8975 090 21044 Removal of jaw bone lesion A 11.84 9.37NA 9.37 1.14 22.35 22.35 0090.10.69.2120210 37.8975 090 21045 Extensive jaw surgery A 16.15 12.35NA 12.35 1.53 30.03 30.03 0090.10.69.2120210 37.8975 090 21046 Remove mandible cyst complex A 12.98 11.90NA 11.90 1.83 26.71 26.71 0090.10.69.2120210 37.8975 090 21047 Excise lwr jaw cyst w/repair A 18.72 13.44NA 13.44 2.10 34.26 34.26 0090.10.69.2120210 37.8975 090 21048 Remove maxilla cyst complex A 13.48 12.13NA 12.13 1.75 27.36 27.36 0090.10.69.2120210 37.8975 090 21049 Excis uppr jaw cyst w/repair A 17.97 13.02NA 13.02 1.57 32.56 32.56 0090.10.69.2120210 37.8975 090 21050 Removal of jaw joint A 10.75 9.44NA 9.44 1.41 21.60 21.60 0090.10.69.2121000 37.8975 090 21060 Remove jaw joint cartilage A 10.21 8.61NA 8.61 1.38 20.20 20.20 0090.10.69.2121210 37.8975 090 21070 Remove coronoid process A 8.19 7.10NA 7.10 1.26 16.55 16.55 0090.10.69.2121000 37.8975 090 21076 Prepare face/oral prosthesis A 13.40 12.35 10.00 1.96 27.71 25.36 0010.10.80.1020000 37.8975 090 21077 Prepare face/oral prosthesis A 33.70 31.33 26.00 4.51 69.54 64.21 0090.10.69.2121000 37.8975 090 21079 Prepare face/oral prosthesis A 22.31 21.50 17.15 3.05 46.86 42.51 0090.10.69.2120100 37.8975 090 21080 Prepare face/oral prosthesis A 25.06 24.49 19.36 3.64 53.19 48.06 0090.10.69.2120100 37.8975 090 21081 Prepare face/oral prosthesis A 22.85 22.30 17.49 3.18 48.33 43.52 0090.10.69.2120000 37.8975 090 21082 Prepare face/oral prosthesis A 20.84 19.34 15.73 3.08 43.26 39.65 0090.10.69.2120000 37.8975 090 21083 Prepare face/oral prosthesis A 19.27 18.79 14.43 2.85 40.91 36.55 0090.10.69.2120000 37.8975 090 21084 Prepare face/oral prosthesis A 22.48 22.43 17.70 2.24 47.15 42.42 0090.10.69.2120000 37.8975 090 21085 Prepare face/oral prosthesis A 8.99 8.29 6.78 1.21 18.49 16.98 0010.10.80.1020000 37.8975 090 21086 Prepare face/oral prosthesis A 24.88 23.74 19.43 3.68 52.30 47.99 0090.10.69.2121000 37.8975 090 21087 Prepare face/oral prosthesis A 24.88 23.28 19.19 3.42 51.58 47.49 0090.10.69.2120000 37.8975 090 21088 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100000 37.8975 090 21089 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100100 37.8975 090 21100 Maxillofacial fixation A 4.21 11.53 4.74 0.35 16.09 9.30 0090.10.69.2120000 37.8975 090 21110 Interdental fixation A 5.20 9.56 8.36 0.65 15.41 14.21 0090.10.69.2120100 37.8975 090 21116 Injection, jaw joint x-ray A 0.81 4.33 0.33 0.06 5.20 1.20 0000.00.00.0020100 37.8975 090 21120 Reconstruction of chin A 4.92 10.58 7.49 0.60 16.10 13.01 0090.10.69.2120110 37.8975 090 21121 Reconstruction of chin A 7.63 9.73 7.82 0.90 18.26 16.35 0090.10.69.2120200 37.8975 090 21122 Reconstruction of chin A 8.51 8.62NA 8.62 1.07 18.20 18.20 0090.10.69.2120200 37.8975 090 21123 Reconstruction of chin A 11.14 10.80NA 10.80 1.40 23.34 23.34 0090.10.69.2120210 37.8975 090 21125 Augmentation, lower jaw bone A 10.60 55.22 8.32 0.77 66.59 19.69 0090.10.69.2120200 37.8975 090 21127 Augmentation, lower jaw bone A 11.10 42.80 9.45 1.52 55.42 22.07 0090.10.69.2120210 37.8975 090 21137 Reduction of forehead A 9.81 7.73NA 7.73 1.32 18.86 18.86 0090.10.69.2120200 37.8975 090 21138 Reduction of forehead A 12.17 9.53NA 9.53 1.72 23.42 23.42 0090.10.69.2120210 37.8975 090 21139 Reduction of forehead A 14.59 11.06NA 11.06 1.18 26.83 26.83 0090.10.69.2120210 37.8975 090 21141 Reconstruct midface, lefort A 18.07 13.65NA 13.65 2.33 34.05 34.05 0090.10.69.2120210 37.8975 090 21142 Reconstruct midface, lefort A 18.78 12.82NA 12.82 2.37 33.97 33.97 0090.10.69.2120210 37.8975 090 21143 Reconstruct midface, lefort A 19.55 14.31NA 14.31 1.65 35.51 35.51 0090.10.69.2120210 37.8975 090 21145 Reconstruct midface, lefort A 19.91 13.90NA 13.90 2.81 36.62 36.62 0090.10.69.2120200 37.8975 090 21146 Reconstruct midface, lefort A 20.68 15.33NA 15.33 3.06 39.07 39.07 0090.10.69.2120210 37.8975 090 21147 Reconstruct midface, lefort A 21.74 15.05NA 15.05 1.83 38.62 38.62 0090.10.69.2120200 37.8975 090 21150 Reconstruct midface, lefort A 25.20 16.76NA 16.76 2.53 44.49 44.49 0090.10.69.2120200 37.8975 090 21151 Reconstruct midface, lefort A 28.26 22.95NA 22.95 2.28 53.49 53.49 0090.10.69.2120200 37.8975 090 21154 Reconstruct midface, lefort A 30.47 23.12NA 23.12 2.46 56.05 56.05 0090.10.69.2120210 37.8975 090 21155 Reconstruct midface, lefort A 34.40 23.89NA 23.89 6.61 64.90 64.90 0090.10.69.2120200 37.8975 090 21159 Reconstruct midface, lefort A 42.32 29.08NA 29.08 8.13 79.53 79.53 0090.10.69.2120210 37.8975 090 21160 Reconstruct midface, lefort A 46.37 27.47NA 27.47 4.09 77.93 77.93 0090.10.69.2120200 37.8975 090 21172 Reconstruct orbit/forehead A 27.76 13.75NA 13.75 3.51 45.02 45.02 0090.10.69.2120210 37.8975 090 21175 Reconstruct orbit/forehead A 33.12 17.79NA 17.79 4.79 55.70 55.70 0090.10.69.2120200 37.8975 090 21179 Reconstruct entire forehead A 22.22 14.13NA 14.13 2.77 39.12 39.12 0090.10.69.2120200 37.8975 090 21180 Reconstruct entire forehead A 25.15 15.38NA 15.38 3.45 43.98 43.98 0090.10.69.2120210 37.8975 090 21181 Contour cranial bone lesion A 9.89 7.46NA 7.46 1.32 18.67 18.67 0090.10.69.2120000 37.8975 090 21182 Reconstruct cranial bone A 32.14 19.11NA 19.11 2.83 54.08 54.08 0090.10.69.2120210 37.8975 090 21183 Reconstruct cranial bone A 35.26 20.83NA 20.83 4.44 60.53 60.53 0090.10.69.2120210 37.8975 090 21184 Reconstruct cranial bone A 38.18 21.94NA 21.94 5.65 65.77 65.77 0090.10.69.2120200 37.8975 090 21188 Reconstruction of midface A 22.43 18.87NA 18.87 1.67 42.97 42.97 0090.10.69.2120200 37.8975 090 21193 Reconst lwr jaw w/o graft A 17.12 12.65NA 12.65 2.20 31.97 31.97 0090.10.69.2122210 37.8975 090 21194 Reconst lwr jaw w/graft A 19.81 13.75NA 13.75 2.00 35.56 35.56 0090.10.69.2122200 37.8975 090 21195 Reconst lwr jaw w/o fixation A 17.21 14.82NA 14.82 1.62 33.65 33.65 0090.10.69.2122200 37.8975 090 21196 Reconst lwr jaw w/fixation A 18.88 15.69NA 15.69 2.06 36.63 36.63 0090.10.69.2122210 37.8975 090 21198 Reconstr lwr jaw segment A 14.14 12.70NA 12.70 1.44 28.28 28.28 0090.10.69.2120210 37.8975 090 21199 Reconstr lwr jaw w/advance A 15.98 9.11NA 9.11 1.42 26.51 26.51 0090.10.69.2120210 37.8975 090 21206 Reconstruct upper jaw bone A 14.08 12.63NA 12.63 1.32 28.03 28.03 0090.10.69.2120210 37.8975 090 21208 Augmentation of facial bones A 10.21 22.33 9.58 1.09 33.63 20.88 0090.10.69.2120000 37.8975 090 21209 Reduction of facial bones A 6.71 10.80 8.07 0.88 18.39 15.66 0090.10.69.2120200 37.8975 090 21210 Face bone graft A 10.21 24.87 9.35 1.27 36.35 20.83 0090.10.69.2120100 37.8975 090 21215 Lower jaw bone graft A 10.75 41.88 9.36 1.52 54.15 21.63 0090.10.69.2120110 37.8975 090 21230 Rib cartilage graft A 10.75 8.04NA 8.04 1.28 20.07 20.07 0090.10.69.2120000 37.8975 090 21235 Ear cartilage graft A 6.71 9.84 6.41 0.61 17.16 13.73 0090.10.69.2120100 37.8975 090 21240 Reconstruction of jaw joint A 14.03 12.05NA 12.05 2.23 28.31 28.31 0090.10.69.2121210 37.8975 090 21242 Reconstruction of jaw joint A 12.93 11.51NA 11.51 1.77 26.21 26.21 0090.10.69.2121210 37.8975 090 21243 Reconstruction of jaw joint A 20.76 17.43NA 17.43 3.18 41.37 41.37 0090.10.69.2121210 37.8975 090 21244 Reconstruction of lower jaw A 11.84 12.09NA 12.09 1.27 25.20 25.20 0090.10.69.2120210 37.8975 090 21245 Reconstruction of jaw A 11.84 14.40 9.85 1.19 27.43 22.88 0090.10.69.2120200 37.8975 090 21246 Reconstruction of jaw A 12.45 9.04NA 9.04 1.34 22.83 22.83 0090.10.69.2120200 37.8975 090 21247 Reconstruct lower jaw bone A 22.60 17.35NA 17.35 2.80 42.75 42.75 0090.10.69.2120210 37.8975 090 21248 Reconstruction of jaw A 11.46 12.13 9.40 1.54 25.13 22.40 0090.10.69.2120100 37.8975 090 21249 Reconstruction of jaw A 17.49 16.72 12.69 2.46 36.67 32.64 0090.10.69.2120000 37.8975 090 21255 Reconstruct lower jaw bone A 16.69 16.13NA 16.13 2.37 35.19 35.19 0090.10.69.2120210 37.8975 090 21256 Reconstruction of orbit A 16.17 11.82NA 11.82 1.64 29.63 29.63 0090.10.69.2120210 37.8975 090 21260 Revise eye sockets A 16.50 12.76NA 12.76 0.97 30.23 30.23 0090.10.69.2120210 37.8975 090 21261 Revise eye sockets A 31.44 24.23NA 24.23 3.39 59.06 59.06 0090.10.69.2120210 37.8975 090 21263 Revise eye sockets A 28.38 19.07NA 19.07 2.61 50.06 50.06 0090.10.69.2120210 37.8975 090 21267 Revise eye sockets A 18.87 19.77NA 19.77 1.68 40.32 40.32 0090.10.69.2120210 37.8975 090 21268 Revise eye sockets A 24.44 20.21NA 20.21 3.62 48.27 48.27 0090.10.69.2120210 37.8975 090 21270 Augmentation, cheek bone A 10.21 11.65 7.25 0.72 22.58 18.18 0090.10.69.2120210 37.8975 090 21275 Revision, orbitofacial bones A 11.22 8.16NA 8.16 1.28 20.66 20.66 0090.10.69.2120210 37.8975 090 21280 Revision of eyelid A 6.02 5.92NA 5.92 0.42 12.36 12.36 0090.10.69.2121000 37.8975 090 21282 Revision of eyelid A 3.48 4.48NA 4.48 0.26 8.22 8.22 0090.10.69.2121100 37.8975 090 21295 Revision of jaw muscle/bone A 1.53 2.53NA 2.53 0.16 4.22 4.22 0090.10.69.2120000 37.8975 090 21296 Revision of jaw muscle/bone A 4.24 4.91NA 4.91 0.34 9.49 9.49 0090.10.69.2120000 37.8975 090 21299 Cranio/maxillofacial surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 21300 Treatment of skull fracture A 0.72 2.36 0.26 0.12 3.20 1.10 0000.00.00.0020000 37.8975 090 21310 Treatment of nose fracture A 0.58 2.28 0.15 0.06 2.92 0.79 0000.00.00.0020100 37.8975 090 21315 Treatment of nose fracture A 1.51 4.23 1.88 0.14 5.88 3.53 0010.10.80.1020100 37.8975 090 21320 Treatment of nose fracture A 1.85 3.91 1.62 0.18 5.94 3.65 0010.10.80.1020100 37.8975 090 21325 Treatment of nose fracture A 3.76 8.62NA 8.62 0.31 12.69 12.69 0090.10.69.2120000 37.8975 090 21330 Treatment of nose fracture A 5.37 9.70NA 9.70 0.58 15.65 15.65 0090.10.69.2120000 37.8975 090 21335 Treatment of nose fracture A 8.60 9.62NA 9.62 0.74 18.96 18.96 0090.10.69.2120100 37.8975 090 21336 Treat nasal septal fracture A 5.71 9.61NA 9.61 0.56 15.88 15.88 0090.10.69.2120000 37.8975 090 21337 Treat nasal septal fracture A 2.70 6.12 3.57 0.28 9.10 6.55 0090.10.69.2120000 37.8975 090 21338 Treat nasoethmoid fracture A 6.45 14.02NA 14.02 0.79 21.26 21.26 0090.10.69.2120000 37.8975 090 21339 Treat nasoethmoid fracture A 8.08 13.90NA 13.90 0.95 22.93 22.93 0090.10.69.2120210 37.8975 090 21340 Treatment of nose fracture A 10.75 8.40NA 8.40 1.14 20.29 20.29 0090.10.69.2120000 37.8975 090 21343 Treatment of sinus fracture A 12.93 15.47NA 15.47 1.49 29.89 29.89 0090.10.69.2120210 37.8975 090 21344 Treatment of sinus fracture A 19.69 16.50NA 16.50 2.34 38.53 38.53 0090.10.69.2120220 37.8975 090 21345 Treat nose/jaw fracture A 8.15 9.84 7.17 0.92 18.91 16.24 0090.10.69.2120000 37.8975 090 21346 Treat nose/jaw fracture A 10.59 12.20NA 12.20 1.19 23.98 23.98 0090.10.69.2120110 37.8975 090 21347 Treat nose/jaw fracture A 12.67 16.19NA 16.19 1.45 30.31 30.31 0090.10.69.2120210 37.8975 090 21348 Treat nose/jaw fracture A 16.66 11.11NA 11.11 2.47 30.24 30.24 0090.10.69.2120220 37.8975 090 21355 Treat cheek bone fracture A 3.76 6.23 3.48 0.34 10.33 7.58 0010.10.80.1020000 37.8975 090 21356 Treat cheek bone fracture A 4.14 7.12 4.55 0.46 11.72 9.15 0010.10.80.1020000 37.8975 090 21360 Treat cheek bone fracture A 6.45 5.93NA 5.93 0.72 13.10 13.10 0090.10.69.2120200 37.8975 090 21365 Treat cheek bone fracture A 14.93 10.83NA 10.83 1.67 27.43 27.43 0090.10.69.2120210 37.8975 090 21366 Treat cheek bone fracture A 17.74 11.33NA 11.33 2.48 31.55 31.55 0090.10.69.2120220 37.8975 090 21385 Treat eye socket fracture A 9.15 8.28NA 8.28 0.96 18.39 18.39 0090.10.69.2120210 37.8975 090 21386 Treat eye socket fracture A 9.15 7.07NA 7.07 0.98 17.20 17.20 0090.10.69.2120200 37.8975 090 21387 Treat eye socket fracture A 9.69 8.95NA 8.95 1.06 19.70 19.70 0090.10.69.2120200 37.8975 090 21390 Treat eye socket fracture A 10.11 7.80NA 7.80 0.92 18.83 18.83 0090.10.69.2120210 37.8975 090 21395 Treat eye socket fracture A 12.66 9.02NA 9.02 1.46 23.14 23.14 0090.10.69.2120210 37.8975 090 21400 Treat eye socket fracture A 1.40 2.61 1.87 0.14 4.15 3.41 0090.10.69.2120000 37.8975 090 21401 Treat eye socket fracture A 3.26 7.99 3.49 0.38 11.63 7.13 0090.10.69.2120200 37.8975 090 21406 Treat eye socket fracture A 7.00 6.08NA 6.08 0.72 13.80 13.80 0090.10.69.2120210 37.8975 090 21407 Treat eye socket fracture A 8.60 6.86NA 6.86 0.95 16.41 16.41 0090.10.69.2120210 37.8975 090 21408 Treat eye socket fracture A 12.36 8.88NA 8.88 1.43 22.67 22.67 0090.10.69.2120220 37.8975 090 21421 Treat mouth roof fracture A 5.13 9.33 8.31 0.69 15.15 14.13 0090.10.69.2120000 37.8975 090 21422 Treat mouth roof fracture A 8.31 8.08NA 8.08 0.99 17.38 17.38 0090.10.69.2120210 37.8975 090 21423 Treat mouth roof fracture A 10.38 9.32NA 9.32 1.24 20.94 20.94 0090.10.69.2120220 37.8975 090 21431 Treat craniofacial fracture A 7.04 9.52NA 9.52 0.70 17.26 17.26 0090.10.69.2120200 37.8975 090 21432 Treat craniofacial fracture A 8.60 8.06NA 8.06 0.81 17.47 17.47 0090.10.69.2120200 37.8975 090 21433 Treat craniofacial fracture A 25.31 16.40NA 16.40 2.75 44.46 44.46 0090.10.69.2120210 37.8975 090 21435 Treat craniofacial fracture A 17.22 12.70NA 12.70 1.96 31.88 31.88 0090.10.69.2120200 37.8975 090 21436 Treat craniofacial fracture A 28.00 18.22NA 18.22 3.06 49.28 49.28 0090.10.69.2120220 37.8975 090 21440 Treat dental ridge fracture A 2.70 7.10 6.16 0.37 10.17 9.23 0090.10.69.2120000 37.8975 090 21445 Treat dental ridge fracture A 5.37 9.75 8.37 0.76 15.88 14.50 0090.10.69.2120200 37.8975 090 21450 Treat lower jaw fracture A 2.97 7.38 6.87 0.31 10.66 10.15 0090.10.69.2120000 37.8975 090 21451 Treat lower jaw fracture A 4.86 9.35 8.40 0.60 14.81 13.86 0090.10.69.2120000 37.8975 090 21452 Treat lower jaw fracture A 1.98 13.02 4.61 0.27 15.27 6.86 0090.10.69.2120000 37.8975 090 21453 Treat lower jaw fracture A 5.53 10.74 10.73 0.73 17.00 16.99 0090.10.69.2120000 37.8975 090 21454 Treat lower jaw fracture A 6.45 6.26NA 6.26 0.81 13.52 13.52 0090.10.69.2120010 37.8975 090 21461 Treat lower jaw fracture A 8.08 24.46 12.66 0.97 33.51 21.71 0090.10.69.2120210 37.8975 090 21462 Treat lower jaw fracture A 9.78 27.61 12.71 1.25 38.64 23.74 0090.10.69.2120210 37.8975 090 21465 Treat lower jaw fracture A 11.89 9.81NA 9.81 1.49 23.19 23.19 0090.10.69.2120210 37.8975 090 21470 Treat lower jaw fracture A 15.32 12.02NA 12.02 1.94 29.28 29.28 0090.10.69.2120210 37.8975 090 21480 Reset dislocated jaw A 0.61 1.77 0.19 0.06 2.44 0.86 0000.00.00.0021100 37.8975 090 21485 Reset dislocated jaw A 3.98 8.22 7.66 0.50 12.70 12.14 0090.10.69.2121000 37.8975 090 21490 Repair dislocated jaw A 11.84 9.69NA 9.69 1.94 23.47 23.47 0090.10.69.2121210 37.8975 090 21493 Treat hyoid bone fracture A 1.27 0.55NA 0.55 0.12 1.94 1.94 0090.10.69.2120110 37.8975 090 21494 Treat hyoid bone fracture A 6.27 3.54NA 3.54 0.57 10.38 10.38 0090.10.69.2120210 37.8975 090 21495 Treat hyoid bone fracture A 5.68 8.42NA 8.42 0.46 14.56 14.56 0090.10.69.2120200 37.8975 090 21497 Interdental wiring A 3.85 8.45 7.64 0.50 12.80 11.99 0090.10.69.2120000 37.8975 090 21499 Head surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 21501 Drain neck/chest lesion A 3.80 6.42 3.82 0.44 10.66 8.06 0090.10.69.2120100 37.8975 090 21502 Drain chest lesion A 7.11 5.63NA 5.63 0.98 13.72 13.72 0090.10.69.2120200 37.8975 090 21510 Drainage of bone lesion A 5.73 5.66NA 5.66 0.77 12.16 12.16 0090.10.69.2120000 37.8975 090 21550 Biopsy of neck/chest A 2.06 3.58 1.72 0.17 5.81 3.95 0010.10.80.1020100 37.8975 090 21555 Remove lesion, neck/chest A 4.34 5.51 3.19 0.54 10.39 8.07 0090.10.69.2120100 37.8975 090 21556 Remove lesion, neck/chest A 5.56 4.10NA 4.10 0.66 10.32 10.32 0090.10.69.2120100 37.8975 090 21557 Remove tumor, neck/chest A 8.87 5.35NA 5.35 1.08 15.30 15.30 0090.10.69.2120210 37.8975 090 21600 Partial removal of rib A 6.88 5.73NA 5.73 0.96 13.57 13.57 0090.10.69.2120210 37.8975 090 21610 Partial removal of rib A 14.59 8.86NA 8.86 2.76 26.21 26.21 0090.10.69.2120200 37.8975 090 21615 Removal of rib A 9.86 6.68NA 6.68 1.44 17.98 17.98 0090.10.69.2121210 37.8975 090 21616 Removal of rib and nerves A 12.02 8.02NA 8.02 1.85 21.89 21.89 0090.10.69.2121200 37.8975 090 21620 Partial removal of sternum A 6.78 5.97NA 5.97 0.96 13.71 13.71 0090.10.69.2120210 37.8975 090 21627 Sternal debridement A 6.80 6.30NA 6.30 0.99 14.09 14.09 0090.10.69.2120200 37.8975 090 21630 Extensive sternum surgery A 17.35 11.84NA 11.84 2.52 31.71 31.71 0090.10.69.2120210 37.8975 090 21632 Extensive sternum surgery A 18.11 11.11NA 11.11 2.56 31.78 31.78 0090.10.69.2120210 37.8975 090 21685 Hyoid myotomy & suspension A 12.98 9.97NA 9.97 1.06 24.01 24.01 0090.10.76.1420210 37.8975 090 21700 Revision of neck muscle A 6.18 4.44NA 4.44 0.45 11.07 11.07 0090.10.69.2120200 37.8975 090 21705 Revision of neck muscle/rib A 9.59 5.58NA 5.58 1.43 16.60 16.60 0090.10.69.2120200 37.8975 090 21720 Revision of neck muscle A 5.67 2.46 2.46 0.88 9.01 9.01 0090.10.69.2120200 37.8975 090 21725 Revision of neck muscle A 6.98 5.44NA 5.44 1.20 13.62 13.62 0090.10.69.2120210 37.8975 090 21740 Reconstruction of sternum A 16.48 8.52NA 8.52 2.35 27.35 27.35 0090.10.69.2120210 37.8975 090 21742 Repair stern/nuss w/o scope C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 37.8975 090 21743 Repair sternum/nuss w/scope C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 37.8975 090 21750 Repair of sternum separation A 10.75 6.11NA 6.11 1.55 18.41 18.41 0090.10.69.2120210 37.8975 090 21800 Treatment of rib fracture A 0.96 1.34NA 1.34 0.09 2.39 2.39 0090.10.69.2120100 37.8975 090 21805 Treatment of rib fracture A 2.75 3.20NA 3.20 0.38 6.33 6.33 0090.10.69.2120000 37.8975 090 21810 Treatment of rib fracture(s) A 6.85 4.97NA 4.97 0.94 12.76 12.76 0090.10.69.2120200 37.8975 090 21820 Treat sternum fracture A 1.28 1.82 1.76 0.15 3.25 3.19 0090.10.69.2120100 37.8975 090 21825 Treat sternum fracture A 7.40 6.39NA 6.39 1.07 14.86 14.86 0090.10.69.2120210 37.8975 090 21899 Neck/chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 21920 Biopsy soft tissue of back A 2.06 3.28 1.47 0.15 5.49 3.68 0010.10.80.1020100 37.8975 090 21925 Biopsy soft tissue of back A 4.48 5.17 3.24 0.59 10.24 8.31 0090.10.69.2120100 37.8975 090 21930 Remove lesion, back or flank A 4.99 5.71 3.40 0.64 11.34 9.03 0090.10.69.2120100 37.8975 090 21935 Remove tumor, back A 17.93 9.62NA 9.62 2.39 29.94 29.94 0090.10.69.2120110 37.8975 090 22100 Remove part of neck vertebra A 9.72 7.53NA 7.53 2.07 19.32 19.32 0090.10.69.2120210 37.8975 090 22101 Remove part, thorax vertebra A 9.80 7.75NA 7.75 1.69 19.24 19.24 0090.10.69.2120210 37.8975 090 22102 Remove part, lumbar vertebra A 9.80 8.11NA 8.11 1.68 19.59 19.59 0090.10.69.2120210 37.8975 090 22103 Remove extra spine segment A 2.34 1.21NA 1.21 0.41 3.96 3.96 0ZZZ.00.00.0000210 37.8975 090 22110 Remove part of neck vertebra A 12.72 9.16NA 9.16 2.70 24.58 24.58 0090.10.69.2120210 37.8975 090 22112 Remove part, thorax vertebra A 12.79 9.27NA 9.27 2.44 24.50 24.50 0090.10.69.2120210 37.8975 090 22114 Remove part, lumbar vertebra A 12.79 9.25NA 9.25 2.49 24.53 24.53 0090.10.69.2120210 37.8975 090 22116 Remove extra spine segment A 2.32 1.17NA 1.17 0.47 3.96 3.96 0ZZZ.00.00.0000210 37.8975 090 22210 Revision of neck spine A 23.78 15.41NA 15.41 5.35 44.54 44.54 0090.10.69.2120210 37.8975 090 22212 Revision of thorax spine A 19.39 13.27NA 13.27 3.73 36.39 36.39 0090.10.69.2120200 37.8975 090 22214 Revision of lumbar spine A 19.42 13.81NA 13.81 3.82 37.05 37.05 0090.10.69.2120210 37.8975 090 22216 Revise, extra spine segment A 6.03 3.13NA 3.13 1.28 10.44 10.44 0ZZZ.00.00.0000210 37.8975 090 22220 Revision of neck spine A 21.34 13.62NA 13.62 5.02 39.98 39.98 0090.10.69.2120210 37.8975 090 22222 Revision of thorax spine A 21.49 11.13NA 11.13 3.43 36.05 36.05 0090.10.69.2120200 37.8975 090 22224 Revision of lumbar spine A 21.49 14.22NA 14.22 4.04 39.75 39.75 0090.10.69.2120210 37.8975 090 22226 Revise, extra spine segment A 6.03 3.09NA 3.09 1.23 10.35 10.35 0ZZZ.00.00.0000210 37.8975 090 22305 Treat spine process fracture A 2.05 2.31 1.92 0.35 4.71 4.32 0090.10.69.2120100 37.8975 090 22310 Treat spine fracture A 2.61 2.80 2.35 0.48 5.89 5.44 0090.10.69.2120100 37.8975 090 22315 Treat spine fracture A 8.83 9.68 7.33 1.79 20.30 17.95 0090.10.69.2120100 37.8975 090 22318 Treat odontoid fx w/o graft A 21.47 13.38NA 13.38 5.14 39.99 39.99 0090.10.69.2120220 37.8975 090 22319 Treat odontoid fx w/graft A 23.96 14.71NA 14.71 5.93 44.60 44.60 0090.10.69.2120220 37.8975 090 22325 Treat spine fracture A 18.27 12.07NA 12.07 3.76 34.10 34.10 0090.10.69.2120210 37.8975 090 22326 Treat neck spine fracture A 19.56 12.70NA 12.70 4.25 36.51 36.51 0090.10.69.2120210 37.8975 090 22327 Treat thorax spine fracture A 19.17 12.36NA 12.36 3.88 35.41 35.41 0090.10.69.2120210 37.8975 090 22328 Treat each add spine fx A 4.60 2.26NA 2.26 0.93 7.79 7.79 0ZZZ.00.00.0000210 37.8975 090 22505 Manipulation of spine A 1.87 0.94NA 0.94 0.30 3.11 3.11 0010.10.80.1020100 37.8975 090 22520 Percut vertebroplasty thor A 8.90 61.66 5.10 1.42 71.98 15.42 0010.10.80.1020100 37.8975 090 22521 Percut vertebroplasty lumb A 8.33 55.97 4.95 1.33 65.63 14.61 0010.10.80.1020100 37.8975 090 22522 Percut vertebroplasty add’l A 4.30 1.68NA 1.68 0.69 6.67 6.67 0ZZZ.00.00.0000100 37.8975 090 22532 Lat thorax spine fusion A 23.96 14.82NA 14.82 4.07 42.85 42.85 0090.10.69.2120220 37.8975 090 22533 Lat lumbar spine fusion A 23.09 13.59NA 13.59 2.93 39.61 39.61 0090.10.69.2120220 37.8975 090 22534 Lat thor/lumb, add’l seg A 5.99 3.03NA 3.03 1.18 10.20 10.20 0ZZZ.00.00.0000220 37.8975 090 22548 Neck spine fusion A 25.78 15.80NA 15.80 5.54 47.12 47.12 0090.10.69.2120220 37.8975 090 22554 Neck spine fusion A 18.59 12.34NA 12.34 4.33 35.26 35.26 0090.10.69.2120220 37.8975 090 22556 Thorax spine fusion A 23.42 14.73NA 14.73 4.07 42.22 42.22 0090.10.69.2120220 37.8975 090 22558 Lumbar spine fusion A 22.25 13.29NA 13.29 2.93 38.47 38.47 0090.10.69.2120220 37.8975 090 22585 Additional spinal fusion A 5.52 2.79NA 2.79 1.18 9.49 9.49 0ZZZ.00.00.0000220 37.8975 090 22590 Spine & skull spinal fusion A 20.48 13.32NA 13.32 4.63 38.43 38.43 0090.10.69.2120220 37.8975 090 22595 Neck spinal fusion A 19.36 12.83NA 12.83 4.27 36.46 36.46 0090.10.69.2120220 37.8975 090 22600 Neck spine fusion A 16.12 11.19NA 11.19 3.63 30.94 30.94 0090.10.69.2120220 37.8975 090 22610 Thorax spine fusion A 16.00 11.41NA 11.41 3.43 30.84 30.84 0090.10.69.2120220 37.8975 090 22612 Lumbar spine fusion A 20.97 14.20NA 14.20 4.36 39.53 39.53 0090.10.69.2120220 37.8975 090 22614 Spine fusion, extra segment A 6.43 3.35NA 3.35 1.36 11.14 11.14 0ZZZ.00.00.0000220 37.8975 090 22630 Lumbar spine fusion A 20.81 13.60NA 13.60 4.59 39.00 39.00 0090.10.69.2120220 37.8975 090 22632 Spine fusion, extra segment A 5.22 2.66NA 2.66 1.14 9.02 9.02 0ZZZ.00.00.0000220 37.8975 090 22800 Fusion of spine A 18.22 12.77NA 12.77 3.65 34.64 34.64 0090.10.69.2120210 37.8975 090 22802 Fusion of spine A 30.83 19.59NA 19.59 6.08 56.50 56.50 0090.10.69.2120210 37.8975 090 22804 Fusion of spine A 36.22 22.69NA 22.69 6.91 65.82 65.82 0090.10.69.2120210 37.8975 090 22808 Fusion of spine A 26.23 16.30NA 16.30 4.78 47.31 47.31 0090.10.69.2120210 37.8975 090 22810 Fusion of spine A 30.22 18.36NA 18.36 4.77 53.35 53.35 0090.10.69.2120210 37.8975 090 22812 Fusion of spine A 32.65 20.06NA 20.06 5.25 57.96 57.96 0090.10.69.2120210 37.8975 090 22818 Kyphectomy, 1-2 segments A 31.78 18.87NA 18.87 6.29 56.94 56.94 0090.11.76.1320222 37.8975 090 22819 Kyphectomy, 3 or more A 36.39 20.05NA 20.05 7.59 64.03 64.03 0090.11.76.1320222 37.8975 090 22830 Exploration of spinal fusion A 10.83 7.96NA 7.96 2.24 21.03 21.03 0090.10.69.2120210 37.8975 090 22840 Insert spine fixation device A 12.52 6.49NA 6.49 2.71 21.72 21.72 0ZZZ.00.00.0000210 37.8975 090 22841 Insert spine fixation device B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 22842 Insert spine fixation device A 12.56 6.50NA 6.50 2.65 21.71 21.71 0ZZZ.00.00.0000220 37.8975 090 22843 Insert spine fixation device A 13.44 6.60NA 6.60 2.79 22.83 22.83 0ZZZ.00.00.0000220 37.8975 090 22844 Insert spine fixation device A 16.42 8.75NA 8.75 3.13 28.30 28.30 0ZZZ.00.00.0000220 37.8975 090 22845 Insert spine fixation device A 11.94 6.07NA 6.07 2.76 20.77 20.77 0ZZZ.00.00.0000220 37.8975 090 22846 Insert spine fixation device A 12.40 6.33NA 6.33 2.87 21.60 21.60 0ZZZ.00.00.0000220 37.8975 090 22847 Insert spine fixation device A 13.78 7.02NA 7.02 2.96 23.76 23.76 0ZZZ.00.00.0000220 37.8975 090 22848 Insert pelv fixation device A 5.99 3.18NA 3.18 1.14 10.31 10.31 0ZZZ.00.00.0000220 37.8975 090 22849 Reinsert spinal fixation A 18.48 11.73NA 11.73 3.80 34.01 34.01 0090.10.69.2120210 37.8975 090 22850 Remove spine fixation device A 9.51 6.99NA 6.99 2.00 18.50 18.50 0090.10.69.2120210 37.8975 090 22851 Apply spine prosth device A 6.70 3.36NA 3.36 1.46 11.52 11.52 0ZZZ.00.00.0000220 37.8975 090 22852 Remove spine fixation device A 9.00 6.79NA 6.79 1.85 17.64 17.64 0090.10.69.2120210 37.8975 090 22855 Remove spine fixation device A 15.11 9.66NA 9.66 3.40 28.17 28.17 0090.10.69.2120210 37.8975 090 22899 Spine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 22900 Remove abdominal wall lesion A 5.79 3.22NA 3.22 0.75 9.76 9.76 0090.10.69.2120210 37.8975 090 22999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 23000 Removal of calcium deposits A 4.35 8.53 4.42 0.65 13.53 9.42 0090.10.69.2120210 37.8975 090 23020 Release shoulder joint A 8.92 7.56NA 7.56 1.52 18.00 18.00 0090.10.69.2121200 37.8975 090 23030 Drain shoulder lesion A 3.42 7.39 2.90 0.53 11.34 6.85 0010.10.80.1020100 37.8975 090 23031 Drain shoulder bursa A 2.74 7.86 2.72 0.44 11.04 5.90 0010.10.80.1021100 37.8975 090 23035 Drain shoulder bone lesion A 8.60 8.27NA 8.27 1.44 18.31 18.31 0090.10.69.2121200 37.8975 090 23040 Exploratory shoulder surgery A 9.19 7.86NA 7.86 1.56 18.61 18.61 0090.10.69.2121210 37.8975 090 23044 Exploratory shoulder surgery A 7.11 6.43NA 6.43 1.20 14.74 14.74 0090.10.69.2121110 37.8975 090 23065 Biopsy shoulder tissues A 2.27 2.48 1.62 0.20 4.95 4.09 0010.10.80.1021100 37.8975 090 23066 Biopsy shoulder tissues A 4.15 7.67 3.98 0.61 12.43 8.74 0090.10.69.2121100 37.8975 090 23075 Removal of shoulder lesion A 2.39 3.66 1.78 0.32 6.37 4.49 0010.10.80.1021100 37.8975 090 23076 Removal of shoulder lesion A 7.62 5.55NA 5.55 1.10 14.27 14.27 0090.10.69.2121100 37.8975 090 23077 Remove tumor of shoulder A 16.07 10.21NA 10.21 2.28 28.56 28.56 0090.10.69.2121210 37.8975 090 23100 Biopsy of shoulder joint A 6.02 5.65NA 5.65 1.03 12.70 12.70 0090.10.69.2121210 37.8975 090 23101 Shoulder joint surgery A 5.57 5.33NA 5.33 0.94 11.84 11.84 0090.10.69.2121110 37.8975 090 23105 Remove shoulder joint lining A 8.22 7.12NA 7.12 1.40 16.74 16.74 0090.10.69.2121210 37.8975 090 23106 Incision of collarbone joint A 5.95 5.70NA 5.70 0.97 12.62 12.62 0090.10.69.2121110 37.8975 090 23107 Explore treat shoulder joint A 8.61 7.39NA 7.39 1.47 17.47 17.47 0090.10.69.2121210 37.8975 090 23120 Partial removal, collar bone A 7.10 6.46NA 6.46 1.21 14.77 14.77 0090.10.69.2120210 37.8975 090 23125 Removal of collar bone A 9.38 7.56NA 7.56 1.59 18.53 18.53 0090.10.69.2121210 37.8975 090 23130 Remove shoulder bone, part A 7.54 7.13NA 7.13 1.29 15.96 15.96 0090.10.69.2121110 37.8975 090 23140 Removal of bone lesion A 6.88 5.22NA 5.22 1.04 13.14 13.14 0090.10.69.2121100 37.8975 090 23145 Removal of bone lesion A 9.08 7.44NA 7.44 1.49 18.01 18.01 0090.10.69.2121210 37.8975 090 23146 Removal of bone lesion A 7.82 7.11NA 7.11 1.35 16.28 16.28 0090.10.69.2121000 37.8975 090 23150 Removal of humerus lesion A 8.47 6.92NA 6.92 1.27 16.66 16.66 0090.10.69.2121210 37.8975 090 23155 Removal of humerus lesion A 10.33 8.33NA 8.33 1.78 20.44 20.44 0090.10.69.2121210 37.8975 090 23156 Removal of humerus lesion A 8.67 7.38NA 7.38 1.49 17.54 17.54 0090.10.69.2121200 37.8975 090 23170 Remove collar bone lesion A 6.85 6.02NA 6.02 1.05 13.92 13.92 0090.10.69.2121100 37.8975 090 23172 Remove shoulder blade lesion A 6.89 6.28NA 6.28 1.01 14.18 14.18 0090.10.69.2121200 37.8975 090 23174 Remove humerus lesion A 9.50 8.36NA 8.36 1.63 19.49 19.49 0090.10.69.2121210 37.8975 090 23180 Remove collar bone lesion A 8.52 8.99NA 8.99 1.44 18.95 18.95 0090.10.69.2121110 37.8975 090 23182 Remove shoulder blade lesion A 8.14 8.55NA 8.55 1.31 18.00 18.00 0090.10.69.2121200 37.8975 090 23184 Remove humerus lesion A 9.37 9.31NA 9.31 1.59 20.27 20.27 0090.10.69.2121210 37.8975 090 23190 Partial removal of scapula A 7.23 6.17NA 6.17 1.17 14.57 14.57 0090.10.69.2121210 37.8975 090 23195 Removal of head of humerus A 9.80 7.73NA 7.73 1.68 19.21 19.21 0090.10.69.2121210 37.8975 090 23200 Removal of collar bone A 12.06 8.72NA 8.72 1.78 22.56 22.56 0090.10.69.2121210 37.8975 090 23210 Removal of shoulder blade A 12.47 8.99NA 8.99 1.97 23.43 23.43 0090.10.69.2121210 37.8975 090 23220 Partial removal of humerus A 14.54 10.82NA 10.82 2.43 27.79 27.79 0090.10.69.2121210 37.8975 090 23221 Partial removal of humerus A 17.71 11.72NA 11.72 3.03 32.46 32.46 0090.10.69.2121200 37.8975 090 23222 Partial removal of humerus A 23.88 15.78NA 15.78 3.91 43.57 43.57 0090.10.69.2121210 37.8975 090 23330 Remove shoulder foreign body A 1.85 3.68 1.88 0.23 5.76 3.96 0010.10.80.1021000 37.8975 090 23331 Remove shoulder foreign body A 7.37 6.79NA 6.79 1.24 15.40 15.40 0090.10.69.2121000 37.8975 090 23332 Remove shoulder foreign body A 11.60 9.32NA 9.32 1.97 22.89 22.89 0090.10.69.2121210 37.8975 090 23350 Injection for shoulder x-ray A 1.00 3.46 0.33 0.06 4.52 1.39 0000.00.00.0021100 37.8975 090 23395 Muscle transfer,shoulder/arm A 16.82 12.86NA 12.86 2.80 32.48 32.48 0090.10.69.2120210 37.8975 090 23397 Muscle transfers A 16.11 11.37NA 11.37 2.65 30.13 30.13 0090.10.69.2120210 37.8975 090 23400 Fixation of shoulder blade A 13.52 10.07NA 10.07 2.27 25.86 25.86 0090.10.69.2121210 37.8975 090 23405 Incision of tendon & muscle A 8.36 6.92NA 6.92 1.42 16.70 16.70 0090.10.69.2120210 37.8975 090 23406 Incise tendon(s) & muscle(s) A 10.77 8.34NA 8.34 1.82 20.93 20.93 0090.10.69.2120200 37.8975 090 23410 Repair rotator cuff, acute A 12.43 9.40NA 9.40 2.11 23.94 23.94 0090.10.69.2121210 37.8975 090 23412 Repair rotator cuff, chronic A 13.29 9.89NA 9.89 2.26 25.44 25.44 0090.10.69.2121210 37.8975 090 23415 Release of shoulder ligament A 9.96 7.99NA 7.99 1.70 19.65 19.65 0090.10.69.2121110 37.8975 090 23420 Repair of shoulder A 13.28 10.84NA 10.84 2.27 26.39 26.39 0090.10.69.2121210 37.8975 090 23430 Repair biceps tendon A 9.97 8.10NA 8.10 1.70 19.77 19.77 0090.10.69.2121210 37.8975 090 23440 Remove/transplant tendon A 10.46 8.26NA 8.26 1.79 20.51 20.51 0090.10.69.2121210 37.8975 090 23450 Repair shoulder capsule A 13.38 9.84NA 9.84 2.29 25.51 25.51 0090.10.69.2121210 37.8975 090 23455 Repair shoulder capsule A 14.35 10.44NA 10.44 2.45 27.24 27.24 0090.10.69.2121210 37.8975 090 23460 Repair shoulder capsule A 15.35 11.37NA 11.37 2.63 29.35 29.35 0090.10.69.2121210 37.8975 090 23462 Repair shoulder capsule A 15.28 10.75NA 10.75 2.57 28.60 28.60 0090.10.69.2121210 37.8975 090 23465 Repair shoulder capsule A 15.83 11.18NA 11.18 2.71 29.72 29.72 0090.10.69.2121210 37.8975 090 23466 Repair shoulder capsule A 14.20 11.37NA 11.37 2.42 27.99 27.99 0090.10.69.2121210 37.8975 090 23470 Reconstruct shoulder joint A 17.12 12.25NA 12.25 2.92 32.29 32.29 0090.10.69.2121210 37.8975 090 23472 Reconstruct shoulder joint A 21.07 14.41NA 14.41 3.59 39.07 39.07 0090.10.69.2121210 37.8975 090 23480 Revision of collar bone A 11.16 8.77NA 8.77 1.92 21.85 21.85 0090.10.69.2121110 37.8975 090 23485 Revision of collar bone A 13.41 9.89NA 9.89 2.30 25.60 25.60 0090.10.69.2121210 37.8975 090 23490 Reinforce clavicle A 11.84 8.69NA 8.69 1.46 21.99 21.99 0090.10.69.2121200 37.8975 090 23491 Reinforce shoulder bones A 14.19 10.71NA 10.71 2.45 27.35 27.35 0090.10.69.2121210 37.8975 090 23500 Treat clavicle fracture A 2.08 2.87 2.52 0.29 5.24 4.89 0090.10.69.2121100 37.8975 090 23505 Treat clavicle fracture A 3.68 4.41 3.84 0.59 8.68 8.11 0090.10.69.2121100 37.8975 090 23515 Treat clavicle fracture A 7.40 6.55NA 6.55 1.27 15.22 15.22 0090.10.69.2121210 37.8975 090 23520 Treat clavicle dislocation A 2.16 2.85 2.74 0.32 5.33 5.22 0090.10.69.2121000 37.8975 090 23525 Treat clavicle dislocation A 3.59 4.54 3.94 0.44 8.57 7.97 0090.10.69.2121000 37.8975 090 23530 Treat clavicle dislocation A 7.30 5.93NA 5.93 1.20 14.43 14.43 0090.10.69.2121200 37.8975 090 23532 Treat clavicle dislocation A 8.00 6.97NA 6.97 1.38 16.35 16.35 0090.10.69.2121200 37.8975 090 23540 Treat clavicle dislocation A 2.23 2.86 2.36 0.27 5.36 4.86 0090.10.69.2121100 37.8975 090 23545 Treat clavicle dislocation A 3.25 4.19 3.36 0.34 7.78 6.95 0090.10.69.2121000 37.8975 090 23550 Treat clavicle dislocation A 7.23 6.37NA 6.37 1.22 14.82 14.82 0090.10.69.2121210 37.8975 090 23552 Treat clavicle dislocation A 8.44 7.32NA 7.32 1.45 17.21 17.21 0090.10.69.2121210 37.8975 090 23570 Treat shoulder blade fx A 2.23 3.01 2.89 0.35 5.59 5.47 0090.10.69.2121100 37.8975 090 23575 Treat shoulder blade fx A 4.05 4.88 4.31 0.56 9.49 8.92 0090.10.69.2121000 37.8975 090 23585 Treat scapula fracture A 8.95 7.64NA 7.64 1.53 18.12 18.12 0090.10.69.2121210 37.8975 090 23600 Treat humerus fracture A 2.93 4.55 3.55 0.46 7.94 6.94 0090.10.69.2121100 37.8975 090 23605 Treat humerus fracture A 4.86 6.15 5.11 0.80 11.81 10.77 0090.10.69.2121100 37.8975 090 23615 Treat humerus fracture A 9.34 8.83NA 8.83 1.60 19.77 19.77 0090.10.69.2121210 37.8975 090 23616 Treat humerus fracture A 21.24 14.14NA 14.14 3.63 39.01 39.01 0090.10.69.2121220 37.8975 090 23620 Treat humerus fracture A 2.40 3.61 2.98 0.38 6.39 5.76 0090.10.69.2121100 37.8975 090 23625 Treat humerus fracture A 3.92 4.94 4.28 0.62 9.48 8.82 0090.10.69.2121100 37.8975 090 23630 Treat humerus fracture A 7.34 6.63NA 6.63 1.25 15.22 15.22 0090.10.69.2121210 37.8975 090 23650 Treat shoulder dislocation A 3.38 3.77 2.76 0.30 7.45 6.44 0090.10.69.2121100 37.8975 090 23655 Treat shoulder dislocation A 4.56 4.17NA 4.17 0.65 9.38 9.38 0090.10.69.2121100 37.8975 090 23660 Treat shoulder dislocation A 7.48 6.38NA 6.38 1.27 15.13 15.13 0090.10.69.2121210 37.8975 090 23665 Treat dislocation/fracture A 4.46 5.33 4.72 0.69 10.48 9.87 0090.10.69.2121100 37.8975 090 23670 Treat dislocation/fracture A 7.89 6.83NA 6.83 1.34 16.06 16.06 0090.10.69.2121210 37.8975 090 23675 Treat dislocation/fracture A 6.04 6.83 5.83 0.96 13.83 12.83 0090.10.69.2121100 37.8975 090 23680 Treat dislocation/fracture A 10.04 8.11NA 8.11 1.70 19.85 19.85 0090.10.69.2121210 37.8975 090 23700 Fixation of shoulder A 2.52 2.17NA 2.17 0.43 5.12 5.12 0010.10.80.1020100 37.8975 090 23800 Fusion of shoulder joint A 14.14 10.41NA 10.41 2.24 26.79 26.79 0090.10.69.2121210 37.8975 090 23802 Fusion of shoulder joint A 16.58 10.17NA 10.17 2.68 29.43 29.43 0090.10.69.2120210 37.8975 090 23900 Amputation of arm & girdle A 19.69 11.71NA 11.71 3.11 34.51 34.51 0090.10.69.2120200 37.8975 090 23920 Amputation at shoulder joint A 14.59 9.92NA 9.92 2.35 26.86 26.86 0090.10.69.2120210 37.8975 090 23921 Amputation follow-up surgery A 5.48 5.08NA 5.08 0.77 11.33 11.33 0090.10.69.2120100 37.8975 090 23929 Shoulder surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 23930 Drainage of arm lesion A 2.94 6.32 2.31 0.41 9.67 5.66 0010.10.80.1021100 37.8975 090 23931 Drainage of arm bursa A 1.79 5.91 2.17 0.26 7.96 4.22 0010.10.80.1021100 37.8975 090 23935 Drain arm/elbow bone lesion A 6.08 5.91NA 5.91 1.02 13.01 13.01 0090.10.69.2121000 37.8975 090 24000 Exploratory elbow surgery A 5.81 5.41NA 5.41 0.95 12.17 12.17 0090.10.69.2121010 37.8975 090 24006 Release elbow joint A 9.30 7.75NA 7.75 1.48 18.53 18.53 0090.10.69.2121220 37.8975 090 24065 Biopsy arm/elbow soft tissue A 2.08 3.21 1.74 0.17 5.46 3.99 0010.10.80.1021100 37.8975 090 24066 Biopsy arm/elbow soft tissue A 5.20 8.93 4.13 0.76 14.89 10.09 0090.10.69.2121100 37.8975 090 24075 Remove arm/elbow lesion A 3.91 7.35 3.40 0.54 11.80 7.85 0090.10.69.2121100 37.8975 090 24076 Remove arm/elbow lesion A 6.29 4.86NA 4.86 0.92 12.07 12.07 0090.10.69.2121100 37.8975 090 24077 Remove tumor of arm/elbow A 11.74 7.74NA 7.74 1.65 21.13 21.13 0090.10.69.2121210 37.8975 090 24100 Biopsy elbow joint lining A 4.92 4.52NA 4.52 0.78 10.22 10.22 0090.10.69.2121210 37.8975 090 24101 Explore/treat elbow joint A 6.12 5.93NA 5.93 1.03 13.08 13.08 0090.10.69.2121200 37.8975 090 24102 Remove elbow joint lining A 8.02 6.86NA 6.86 1.28 16.16 16.16 0090.10.69.2121210 37.8975 090 24105 Removal of elbow bursa A 3.60 4.39NA 4.39 0.60 8.59 8.59 0090.10.69.2121100 37.8975 090 24110 Remove humerus lesion A 7.38 6.66NA 6.66 1.24 15.28 15.28 0090.10.69.2121110 37.8975 090 24115 Remove/graft bone lesion A 9.62 7.21NA 7.21 1.66 18.49 18.49 0090.10.69.2121210 37.8975 090 24116 Remove/graft bone lesion A 11.79 9.07NA 9.07 2.03 22.89 22.89 0090.10.69.2121200 37.8975 090 24120 Remove elbow lesion A 6.64 5.92NA 5.92 1.09 13.65 13.65 0090.10.69.2121000 37.8975 090 24125 Remove/graft bone lesion A 7.88 6.16NA 6.16 1.06 15.10 15.10 0090.10.69.2121210 37.8975 090 24126 Remove/graft bone lesion A 8.30 7.02NA 7.02 1.16 16.48 16.48 0090.10.69.2121200 37.8975 090 24130 Removal of head of radius A 6.24 6.02NA 6.02 1.03 13.29 13.29 0090.10.69.2121110 37.8975 090 24134 Removal of arm bone lesion A 9.72 8.85NA 8.85 1.62 20.19 20.19 0090.10.69.2121200 37.8975 090 24136 Remove radius bone lesion A 7.98 7.22NA 7.22 1.38 16.58 16.58 0090.10.69.2121100 37.8975 090 24138 Remove elbow bone lesion A 8.04 7.78NA 7.78 1.32 17.14 17.14 0090.10.69.2121200 37.8975 090 24140 Partial removal of arm bone A 9.17 9.10NA 9.10 1.50 19.77 19.77 0090.10.69.2121200 37.8975 090 24145 Partial removal of radius A 7.57 8.06NA 8.06 1.23 16.86 16.86 0090.10.69.2121110 37.8975 090 24147 Partial removal of elbow A 7.53 8.60NA 8.60 1.27 17.40 17.40 0090.10.69.2121110 37.8975 090 24149 Radical resection of elbow A 14.18 11.62NA 11.62 2.30 28.10 28.10 0090.10.69.2121210 37.8975 090 24150 Extensive humerus surgery A 13.25 9.99NA 9.99 2.25 25.49 25.49 0090.10.69.2121210 37.8975 090 24151 Extensive humerus surgery A 15.56 11.51NA 11.51 2.58 29.65 29.65 0090.10.69.2121210 37.8975 090 24152 Extensive radius surgery A 10.04 7.73NA 7.73 1.48 19.25 19.25 0090.10.69.2121210 37.8975 090 24153 Extensive radius surgery A 11.52 5.57NA 5.57 0.74 17.83 17.83 0090.10.69.2121000 37.8975 090 24155 Removal of elbow joint A 11.71 8.40NA 8.40 1.90 22.01 22.01 0090.10.69.2121210 37.8975 090 24160 Remove elbow joint implant A 7.82 6.89NA 6.89 1.27 15.98 15.98 0090.10.69.2121110 37.8975 090 24164 Remove radius head implant A 6.22 5.77NA 5.77 1.02 13.01 13.01 0090.10.69.2121110 37.8975 090 24200 Removal of arm foreign body A 1.76 3.41 1.63 0.19 5.36 3.58 0010.10.80.1021000 37.8975 090 24201 Removal of arm foreign body A 4.55 9.81 4.23 0.66 15.02 9.44 0090.10.69.2121100 37.8975 090 24220 Injection for elbow x-ray A 1.31 3.63 0.44 0.09 5.03 1.84 0000.00.00.0021000 37.8975 090 24300 Manipulate elbow w/anesth A 3.74 5.71NA 5.71 0.62 10.07 10.07 0090.10.69.2121100 37.8975 090 24301 Muscle/tendon transfer A 10.18 8.18NA 8.18 1.58 19.94 19.94 0090.10.69.2120210 37.8975 090 24305 Arm tendon lengthening A 7.44 6.71NA 6.71 1.13 15.28 15.28 0090.10.69.2120000 37.8975 090 24310 Revision of arm tendon A 5.97 5.58NA 5.58 0.94 12.49 12.49 0090.10.69.2120000 37.8975 090 24320 Repair of arm tendon A 10.54 7.53NA 7.53 1.72 19.79 19.79 0090.10.69.2120210 37.8975 090 24330 Revision of arm muscles A 9.59 7.88NA 7.88 1.58 19.05 19.05 0090.10.69.2121200 37.8975 090 24331 Revision of arm muscles A 10.63 8.67NA 8.67 1.76 21.06 21.06 0090.10.69.2121200 37.8975 090 24332 Tenolysis, triceps A 7.44 6.77NA 6.77 1.23 15.44 15.44 0090.10.69.2121100 37.8975 090 24340 Repair of biceps tendon A 7.88 6.98NA 6.98 1.33 16.19 16.19 0090.10.69.2121210 37.8975 090 24341 Repair arm tendon/muscle A 7.89 7.92NA 7.92 1.33 17.14 17.14 0090.10.69.2121210 37.8975 090 24342 Repair of ruptured tendon A 10.60 8.52NA 8.52 1.78 20.90 20.90 0090.10.69.2121210 37.8975 090 24343 Repr elbow lat ligmnt w/tiss A 8.64 8.15NA 8.15 1.40 18.19 18.19 0090.10.69.2121210 37.8975 090 24344 Reconstruct elbow lat ligmnt A 13.98 11.52NA 11.52 2.33 27.83 27.83 0090.10.69.2121210 37.8975 090 24345 Repr elbw med ligmnt w/tissu A 8.64 8.02NA 8.02 1.39 18.05 18.05 0090.10.69.2121210 37.8975 090 24346 Reconstruct elbow med ligmnt A 13.98 11.34NA 11.34 2.31 27.63 27.63 0090.10.69.2121210 37.8975 090 24350 Repair of tennis elbow A 5.24 5.58NA 5.58 0.86 11.68 11.68 0090.10.69.2121000 37.8975 090 24351 Repair of tennis elbow A 5.90 5.92NA 5.92 1.00 12.82 12.82 0090.10.69.2121000 37.8975 090 24352 Repair of tennis elbow A 6.42 6.18NA 6.18 1.10 13.70 13.70 0090.10.69.2121210 37.8975 090 24354 Repair of tennis elbow A 6.47 6.15NA 6.15 1.07 13.69 13.69 0090.10.69.2121100 37.8975 090 24356 Revision of tennis elbow A 6.67 6.31NA 6.31 1.09 14.07 14.07 0090.10.69.2121000 37.8975 090 24360 Reconstruct elbow joint A 12.32 9.47NA 9.47 2.01 23.80 23.80 0090.10.69.2121210 37.8975 090 24361 Reconstruct elbow joint A 14.06 10.58NA 10.58 2.16 26.80 26.80 0090.10.69.2121210 37.8975 090 24362 Reconstruct elbow joint A 14.97 10.04NA 10.04 2.58 27.59 27.59 0090.10.69.2121200 37.8975 090 24363 Replace elbow joint A 18.46 13.71NA 13.71 2.96 35.13 35.13 0090.10.69.2121200 37.8975 090 24365 Reconstruct head of radius A 8.38 7.20NA 7.20 1.41 16.99 16.99 0090.10.69.2121210 37.8975 090 24366 Reconstruct head of radius A 9.12 7.54NA 7.54 1.51 18.17 18.17 0090.10.69.2121210 37.8975 090 24400 Revision of humerus A 11.04 8.85NA 8.85 1.86 21.75 21.75 0090.10.69.2121210 37.8975 090 24410 Revision of humerus A 14.80 10.31NA 10.31 2.55 27.66 27.66 0090.10.69.2121210 37.8975 090 24420 Revision of humerus A 13.42 10.54NA 10.54 2.15 26.11 26.11 0090.10.69.2121210 37.8975 090 24430 Repair of humerus A 12.79 9.74NA 9.74 2.17 24.70 24.70 0090.10.69.2121210 37.8975 090 24435 Repair humerus with graft A 13.15 10.88NA 10.88 2.22 26.25 26.25 0090.10.69.2121210 37.8975 090 24470 Revision of elbow joint A 8.73 7.72NA 7.72 1.48 17.93 17.93 0090.10.69.2121200 37.8975 090 24495 Decompression of forearm A 8.11 8.74NA 8.74 1.16 18.01 18.01 0090.10.69.2121000 37.8975 090 24498 Reinforce humerus A 11.90 9.26NA 9.26 2.02 23.18 23.18 0090.10.69.2121210 37.8975 090 24500 Treat humerus fracture A 3.21 4.85 3.68 0.48 8.54 7.37 0090.10.69.2121100 37.8975 090 24505 Treat humerus fracture A 5.16 6.60 5.39 0.85 12.61 11.40 0090.10.69.2121100 37.8975 090 24515 Treat humerus fracture A 11.63 9.38NA 9.38 1.98 22.99 22.99 0090.10.69.2121210 37.8975 090 24516 Treat humerus fracture A 11.63 9.11NA 9.11 1.99 22.73 22.73 0090.10.69.2121220 37.8975 090 24530 Treat humerus fracture A 3.49 5.20 4.04 0.55 9.24 8.08 0090.10.69.2121100 37.8975 090 24535 Treat humerus fracture A 6.86 7.84 6.62 1.15 15.85 14.63 0090.10.69.2121100 37.8975 090 24538 Treat humerus fracture A 9.42 8.70NA 8.70 1.57 19.69 19.69 0090.10.69.2121100 37.8975 090 24545 Treat humerus fracture A 10.44 8.45NA 8.45 1.79 20.68 20.68 0090.10.69.2121210 37.8975 090 24546 Treat humerus fracture A 15.67 11.32NA 11.32 2.67 29.66 29.66 0090.10.69.2121220 37.8975 090 24560 Treat humerus fracture A 2.80 4.48 3.19 0.41 7.69 6.40 0090.10.69.2121100 37.8975 090 24565 Treat humerus fracture A 5.55 6.61 5.52 0.90 13.06 11.97 0090.10.69.2121100 37.8975 090 24566 Treat humerus fracture A 7.78 8.16NA 8.16 1.29 17.23 17.23 0090.10.69.2121100 37.8975 090 24575 Treat humerus fracture A 10.64 8.40NA 8.40 1.82 20.86 20.86 0090.10.69.2121210 37.8975 090 24576 Treat humerus fracture A 2.86 4.76 3.71 0.44 8.06 7.01 0090.10.69.2121100 37.8975 090 24577 Treat humerus fracture A 5.78 6.93 5.84 0.94 13.65 12.56 0090.10.69.2121100 37.8975 090 24579 Treat humerus fracture A 11.58 8.83NA 8.83 1.98 22.39 22.39 0090.10.69.2121210 37.8975 090 24582 Treat humerus fracture A 8.54 9.11NA 9.11 1.47 19.12 19.12 0090.10.69.2121100 37.8975 090 24586 Treat elbow fracture A 15.19 11.23NA 11.23 2.58 29.00 29.00 0090.10.69.2121210 37.8975 090 24587 Treat elbow fracture A 15.14 11.02NA 11.02 2.50 28.66 28.66 0090.10.69.2121210 37.8975 090 24600 Treat elbow dislocation A 4.22 4.86 3.50 0.47 9.55 8.19 0090.10.69.2121100 37.8975 090 24605 Treat elbow dislocation A 5.41 5.36NA 5.36 0.87 11.64 11.64 0090.10.69.2121100 37.8975 090 24615 Treat elbow dislocation A 9.41 7.82NA 7.82 1.58 18.81 18.81 0090.10.69.2121210 37.8975 090 24620 Treat elbow fracture A 6.97 6.25NA 6.25 1.03 14.25 14.25 0090.10.69.2121000 37.8975 090 24635 Treat elbow fracture A 13.17 14.05NA 14.05 2.25 29.47 29.47 0090.10.69.2121210 37.8975 090 24640 Treat elbow dislocation A 1.20 1.84 0.80 0.12 3.16 2.12 0010.10.80.1021000 37.8975 090 24650 Treat radius fracture A 2.16 3.78 2.75 0.33 6.27 5.24 0090.10.69.2121100 37.8975 090 24655 Treat radius fracture A 4.39 5.95 4.79 0.68 11.02 9.86 0090.10.69.2121100 37.8975 090 24665 Treat radius fracture A 8.13 7.51NA 7.51 1.38 17.02 17.02 0090.10.69.2121210 37.8975 090 24666 Treat radius fracture A 9.48 8.07NA 8.07 1.59 19.14 19.14 0090.10.69.2121210 37.8975 090 24670 Treat ulnar fracture A 2.54 4.11 3.07 0.39 7.04 6.00 0090.10.69.2121100 37.8975 090 24675 Treat ulnar fracture A 4.71 6.00 4.97 0.77 11.48 10.45 0090.10.69.2121100 37.8975 090 24685 Treat ulnar fracture A 8.79 7.52NA 7.52 1.50 17.81 17.81 0090.10.69.2121210 37.8975 090 24800 Fusion of elbow joint A 11.18 8.74NA 8.74 1.62 21.54 21.54 0090.10.69.2121210 37.8975 090 24802 Fusion/graft of elbow joint A 13.67 10.38NA 10.38 2.26 26.31 26.31 0090.10.69.2121200 37.8975 090 24900 Amputation of upper arm A 9.59 7.06NA 7.06 1.49 18.14 18.14 0090.10.69.2121210 37.8975 090 24920 Amputation of upper arm A 9.53 6.94NA 6.94 1.58 18.05 18.05 0090.10.69.2121210 37.8975 090 24925 Amputation follow-up surgery A 7.06 6.08NA 6.08 1.14 14.28 14.28 0090.10.69.2121200 37.8975 090 24930 Amputation follow-up surgery A 10.23 7.24NA 7.24 1.62 19.09 19.09 0090.10.69.2121200 37.8975 090 24931 Amputate upper arm & implant A 12.70 5.72NA 5.72 1.88 20.30 20.30 0090.10.69.2121200 37.8975 090 24935 Revision of amputation A 15.54 8.02NA 8.02 2.12 25.68 25.68 0090.10.69.2121000 37.8975 090 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2121200 37.8975 090 24999 Upper arm/elbow surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 25000 Incision of tendon sheath A 3.37 6.87NA 6.87 0.53 10.77 10.77 0090.10.69.2121100 37.8975 090 25001 Incise flexor carpi radialis A 3.37 4.23NA 4.23 0.52 8.12 8.12 0090.10.69.2121100 37.8975 090 25020 Decompress forearm 1 space A 5.91 9.56NA 9.56 0.93 16.40 16.40 0090.10.69.2121100 37.8975 090 25023 Decompress forearm 1 space A 12.94 14.94NA 14.94 1.96 29.84 29.84 0090.10.69.2121000 37.8975 090 25024 Decompress forearm 2 spaces A 9.49 7.47NA 7.47 1.31 18.27 18.27 0090.10.69.2121100 37.8975 090 25025 Decompress forearm 2 spaces A 16.52 9.97NA 9.97 1.72 28.21 28.21 0090.10.69.2121000 37.8975 090 25028 Drainage of forearm lesion A 5.24 8.16NA 8.16 0.77 14.17 14.17 0090.10.69.2121100 37.8975 090 25031 Drainage of forearm bursa A 4.13 7.92NA 7.92 0.60 12.65 12.65 0090.10.69.2121000 37.8975 090 25035 Treat forearm bone lesion A 7.35 13.59NA 13.59 1.20 22.14 22.14 0090.10.69.2121000 37.8975 090 25040 Explore/treat wrist joint A 7.17 7.30NA 7.30 1.13 15.60 15.60 0090.10.69.2121000 37.8975 090 25065 Biopsy forearm soft tissues A 1.99 3.22 1.90 0.16 5.37 4.05 0010.10.80.1021100 37.8975 090 25066 Biopsy forearm soft tissues A 4.12 7.06NA 7.06 0.62 11.80 11.80 0090.10.69.2121100 37.8975 090 25075 Removal forearm lesion subcu A 3.73 5.89NA 5.89 0.51 10.13 10.13 0090.10.69.2121100 37.8975 090 25076 Removal forearm lesion deep A 4.91 9.54NA 9.54 0.73 15.18 15.18 0090.10.69.2121100 37.8975 090 25077 Remove tumor, forearm/wrist A 9.75 12.08NA 12.08 1.36 23.19 23.19 0090.10.69.2121100 37.8975 090 25085 Incision of wrist capsule A 5.49 7.12NA 7.12 0.83 13.44 13.44 0090.10.69.2121200 37.8975 090 25100 Biopsy of wrist joint A 3.89 5.27NA 5.27 0.58 9.74 9.74 0090.10.69.2121000 37.8975 090 25101 Explore/treat wrist joint A 4.68 5.89NA 5.89 0.75 11.32 11.32 0090.10.69.2121000 37.8975 090 25105 Remove wrist joint lining A 5.84 7.30NA 7.30 0.91 14.05 14.05 0090.10.69.2121010 37.8975 090 25107 Remove wrist joint cartilage A 6.42 8.34NA 8.34 0.98 15.74 15.74 0090.10.69.2121210 37.8975 090 25110 Remove wrist tendon lesion A 3.91 7.05NA 7.05 0.61 11.57 11.57 0090.10.69.2121100 37.8975 090 25111 Remove wrist tendon lesion A 3.38 4.70NA 4.70 0.52 8.60 8.60 0090.10.69.2121100 37.8975 090 25112 Reremove wrist tendon lesion A 4.52 5.25NA 5.25 0.70 10.47 10.47 0090.10.69.2121100 37.8975 090 25115 Remove wrist/forearm lesion A 8.81 14.03NA 14.03 1.30 24.14 24.14 0090.10.69.2121100 37.8975 090 25116 Remove wrist/forearm lesion A 7.10 13.14NA 13.14 1.10 21.34 21.34 0090.10.69.2121010 37.8975 090 25118 Excise wrist tendon sheath A 4.36 5.74NA 5.74 0.68 10.78 10.78 0090.10.69.2121100 37.8975 090 25119 Partial removal of ulna A 6.03 7.60NA 7.60 0.93 14.56 14.56 0090.10.69.2121210 37.8975 090 25120 Removal of forearm lesion A 6.09 12.08NA 12.08 0.98 19.15 19.15 0090.10.69.2121010 37.8975 090 25125 Remove/graft forearm lesion A 7.47 12.84NA 12.84 1.06 21.37 21.37 0090.10.69.2121000 37.8975 090 25126 Remove/graft forearm lesion A 7.54 13.01NA 13.01 1.27 21.82 21.82 0090.10.69.2121200 37.8975 090 25130 Removal of wrist lesion A 5.25 6.42NA 6.42 0.80 12.47 12.47 0090.10.69.2121000 37.8975 090 25135 Remove & graft wrist lesion A 6.88 7.51NA 7.51 0.99 15.38 15.38 0090.10.69.2121210 37.8975 090 25136 Remove & graft wrist lesion A 5.96 6.59NA 6.59 1.03 13.58 13.58 0090.10.69.2121210 37.8975 090 25145 Remove forearm bone lesion A 6.36 12.06NA 12.06 1.00 19.42 19.42 0090.10.69.2121200 37.8975 090 25150 Partial removal of ulna A 7.08 8.21NA 8.21 1.15 16.44 16.44 0090.10.69.2121110 37.8975 090 25151 Partial removal of radius A 7.38 12.72NA 12.72 1.18 21.28 21.28 0090.10.69.2121210 37.8975 090 25170 Extensive forearm surgery A 11.07 15.15NA 15.15 1.69 27.91 27.91 0090.10.69.2121210 37.8975 090 25210 Removal of wrist bone A 5.94 6.79NA 6.79 0.87 13.60 13.60 0090.10.69.2120010 37.8975 090 25215 Removal of wrist bones A 7.88 8.75NA 8.75 1.19 17.82 17.82 0090.10.69.2120210 37.8975 090 25230 Partial removal of radius A 5.22 6.14NA 6.14 0.78 12.14 12.14 0090.10.69.2121110 37.8975 090 25240 Partial removal of ulna A 5.16 6.95NA 6.95 0.80 12.91 12.91 0090.10.69.2121010 37.8975 090 25246 Injection for wrist x-ray A 1.45 3.44 0.48 0.09 4.98 2.02 0000.00.00.0021100 37.8975 090 25248 Remove forearm foreign body A 5.13 8.52NA 8.52 0.69 14.34 14.34 0090.10.69.2121100 37.8975 090 25250 Removal of wrist prosthesis A 6.59 6.10NA 6.10 0.98 13.67 13.67 0090.10.69.2121200 37.8975 090 25251 Removal of wrist prosthesis A 9.56 7.92NA 7.92 1.25 18.73 18.73 0090.10.69.2120200 37.8975 090 25259 Manipulate wrist w/anesthes A 3.74 5.72NA 5.72 0.60 10.06 10.06 0090.10.69.2121100 37.8975 090 25260 Repair forearm tendon/muscle A 7.79 13.31NA 13.31 1.17 22.27 22.27 0090.10.69.2120100 37.8975 090 25263 Repair forearm tendon/muscle A 7.81 13.26NA 13.26 1.14 22.21 22.21 0090.10.69.2120200 37.8975 090 25265 Repair forearm tendon/muscle A 9.87 14.31NA 14.31 1.47 25.65 25.65 0090.10.69.2120200 37.8975 090 25270 Repair forearm tendon/muscle A 5.99 12.03NA 12.03 0.93 18.95 18.95 0090.10.69.2120000 37.8975 090 25272 Repair forearm tendon/muscle A 7.03 12.79NA 12.79 1.09 20.91 20.91 0090.10.69.2120000 37.8975 090 25274 Repair forearm tendon/muscle A 8.74 13.62NA 13.62 1.34 23.70 23.70 0090.10.69.2120010 37.8975 090 25275 Repair forearm tendon sheath A 8.49 7.58NA 7.58 1.31 17.38 17.38 0090.10.69.2121010 37.8975 090 25280 Revise wrist/forearm tendon A 7.21 12.63NA 12.63 1.06 20.90 20.90 0090.10.69.2120010 37.8975 090 25290 Incise wrist/forearm tendon A 5.28 14.99NA 14.99 0.81 21.08 21.08 0090.10.69.2120100 37.8975 090 25295 Release wrist/forearm tendon A 6.54 12.15NA 12.15 1.00 19.69 19.69 0090.10.69.2120100 37.8975 090 25300 Fusion of tendons at wrist A 8.79 8.45NA 8.45 1.26 18.50 18.50 0090.10.69.2121200 37.8975 090 25301 Fusion of tendons at wrist A 8.39 8.06NA 8.06 1.27 17.72 17.72 0090.10.69.2121200 37.8975 090 25310 Transplant forearm tendon A 8.13 13.03NA 13.03 1.21 22.37 22.37 0090.10.69.2120210 37.8975 090 25312 Transplant forearm tendon A 9.56 13.94NA 13.94 1.41 24.91 24.91 0090.10.69.2120210 37.8975 090 25315 Revise palsy hand tendon(s) A 10.18 14.40NA 14.40 1.56 26.14 26.14 0090.10.69.2121200 37.8975 090 25316 Revise palsy hand tendon(s) A 12.31 16.22NA 16.22 1.73 30.26 30.26 0090.10.69.2121200 37.8975 090 25320 Repair/revise wrist joint A 10.75 11.39NA 11.39 1.58 23.72 23.72 0090.10.69.2121200 37.8975 090 25332 Revise wrist joint A 11.39 9.17NA 9.17 1.81 22.37 22.37 0090.10.69.2121200 37.8975 090 25335 Realignment of hand A 12.86 11.59NA 11.59 1.90 26.35 26.35 0090.10.69.2121200 37.8975 090 25337 Reconstruct ulna/radioulnar A 10.15 11.08NA 11.08 1.58 22.81 22.81 0090.10.69.2121100 37.8975 090 25350 Revision of radius A 8.77 13.97NA 13.97 1.43 24.17 24.17 0090.10.69.2121200 37.8975 090 25355 Revision of radius A 10.15 14.61NA 14.61 1.72 26.48 26.48 0090.10.69.2121200 37.8975 090 25360 Revision of ulna A 8.42 13.87NA 13.87 1.40 23.69 23.69 0090.10.69.2121210 37.8975 090 25365 Revise radius & ulna A 12.38 15.64NA 15.64 2.13 30.15 30.15 0090.10.69.2121200 37.8975 090 25370 Revise radius or ulna A 13.34 16.07NA 16.07 2.27 31.68 31.68 0090.10.69.2121200 37.8975 090 25375 Revise radius & ulna A 13.02 16.42NA 16.42 2.24 31.68 31.68 0090.10.69.2121210 37.8975 090 25390 Shorten radius or ulna A 10.38 14.58NA 14.58 1.63 26.59 26.59 0090.10.69.2121210 37.8975 090 25391 Lengthen radius or ulna A 13.63 16.55NA 16.55 2.20 32.38 32.38 0090.10.69.2121210 37.8975 090 25392 Shorten radius & ulna A 13.93 15.96NA 15.96 2.09 31.98 31.98 0090.10.69.2121200 37.8975 090 25393 Lengthen radius & ulna A 15.85 17.58NA 17.58 2.73 36.16 36.16 0090.10.69.2121200 37.8975 090 25394 Repair carpal bone, shorten A 10.38 8.06NA 8.06 1.58 20.02 20.02 0090.10.69.2121210 37.8975 090 25400 Repair radius or ulna A 10.90 15.19NA 15.19 1.79 27.88 27.88 0090.10.69.2121210 37.8975 090 25405 Repair/graft radius or ulna A 14.36 17.27NA 17.27 2.28 33.91 33.91 0090.10.69.2121210 37.8975 090 25415 Repair radius & ulna A 13.33 16.51NA 16.51 2.14 31.98 31.98 0090.10.69.2121210 37.8975 090 25420 Repair/graft radius & ulna A 16.31 18.27NA 18.27 2.59 37.17 37.17 0090.10.69.2121210 37.8975 090 25425 Repair/graft radius or ulna A 13.19 21.39NA 21.39 1.80 36.38 36.38 0090.10.69.2121210 37.8975 090 25426 Repair/graft radius & ulna A 15.80 16.55NA 16.55 2.52 34.87 34.87 0090.10.69.2121210 37.8975 090 25430 Vasc graft into carpal bone A 9.24 7.34NA 7.34 1.26 17.84 17.84 0090.10.69.2121100 37.8975 090 25431 Repair nonunion carpal bone A 10.42 8.40NA 8.40 1.89 20.71 20.71 0090.10.69.2121210 37.8975 090 25440 Repair/graft wrist bone A 10.42 9.40NA 9.40 1.60 21.42 21.42 0090.10.69.2121210 37.8975 090 25441 Reconstruct wrist joint A 12.88 10.00NA 10.00 2.01 24.89 24.89 0090.10.69.2121210 37.8975 090 25442 Reconstruct wrist joint A 10.83 8.88NA 8.88 1.53 21.24 21.24 0090.10.69.2121210 37.8975 090 25443 Reconstruct wrist joint A 10.37 8.77NA 8.77 1.36 20.50 20.50 0090.10.69.2121210 37.8975 090 25444 Reconstruct wrist joint A 11.13 9.03NA 9.03 1.69 21.85 21.85 0090.10.69.2121200 37.8975 090 25445 Reconstruct wrist joint A 9.68 7.99NA 7.99 1.54 19.21 19.21 0090.10.69.2121110 37.8975 090 25446 Wrist replacement A 16.53 11.92NA 11.92 2.45 30.90 30.90 0090.10.69.2121210 37.8975 090 25447 Repair wrist joint(s) A 10.35 8.65NA 8.65 1.59 20.59 20.59 0090.10.69.2121210 37.8975 090 25449 Remove wrist joint implant A 14.47 10.67NA 10.67 2.17 27.31 27.31 0090.10.69.2121210 37.8975 090 25450 Revision of wrist joint A 7.86 10.19NA 10.19 1.35 19.40 19.40 0090.10.69.2121100 37.8975 090 25455 Revision of wrist joint A 9.48 10.86NA 10.86 0.95 21.29 21.29 0090.10.69.2121100 37.8975 090 25490 Reinforce radius A 9.53 13.73NA 13.73 1.43 24.69 24.69 0090.10.69.2121200 37.8975 090 25491 Reinforce ulna A 9.95 14.46NA 14.46 1.58 25.99 25.99 0090.10.69.2121200 37.8975 090 25492 Reinforce radius and ulna A 12.31 15.30NA 15.30 2.12 29.73 29.73 0090.10.69.2121200 37.8975 090 25500 Treat fracture of radius A 2.45 3.57 2.71 0.33 6.35 5.49 0090.10.69.2121100 37.8975 090 25505 Treat fracture of radius A 5.20 6.54 5.42 0.81 12.55 11.43 0090.10.69.2121100 37.8975 090 25515 Treat fracture of radius A 9.17 7.46NA 7.46 1.55 18.18 18.18 0090.10.69.2121210 37.8975 090 25520 Treat fracture of radius A 6.25 6.86 6.06 1.02 14.13 13.33 0090.10.69.2121100 37.8975 090 25525 Treat fracture of radius A 12.22 9.99NA 9.99 2.00 24.21 24.21 0090.10.69.2121220 37.8975 090 25526 Treat fracture of radius A 12.96 13.50NA 13.50 2.13 28.59 28.59 0090.10.69.2121220 37.8975 090 25530 Treat fracture of ulna A 2.09 3.76 2.86 0.32 6.17 5.27 0090.10.69.2121100 37.8975 090 25535 Treat fracture of ulna A 5.13 6.01 5.29 0.84 11.98 11.26 0090.10.69.2121100 37.8975 090 25545 Treat fracture of ulna A 8.89 7.66NA 7.66 1.49 18.04 18.04 0090.10.69.2121210 37.8975 090 25560 Treat fracture radius & ulna A 2.44 3.69 2.60 0.33 6.46 5.37 0090.10.69.2121100 37.8975 090 25565 Treat fracture radius & ulna A 5.62 6.70 5.42 0.89 13.21 11.93 0090.10.69.2121100 37.8975 090 25574 Treat fracture radius & ulna A 7.00 7.20NA 7.20 1.20 15.40 15.40 0090.10.69.2121220 37.8975 090 25575 Treat fracture radius/ulna A 10.43 9.51NA 9.51 1.76 21.70 21.70 0090.10.69.2121210 37.8975 090 25600 Treat fracture radius/ulna A 2.63 4.09 2.97 0.40 7.12 6.00 0090.10.69.2121100 37.8975 090 25605 Treat fracture radius/ulna A 5.80 7.23 6.22 0.95 13.98 12.97 0090.10.69.2121100 37.8975 090 25611 Treat fracture radius/ulna A 7.76 8.96NA 8.96 1.32 18.04 18.04 0090.10.69.2121100 37.8975 090 25620 Treat fracture radius/ulna A 8.54 7.26NA 7.26 1.41 17.21 17.21 0090.10.69.2121200 37.8975 090 25622 Treat wrist bone fracture A 2.61 4.27 3.10 0.39 7.27 6.10 0090.10.69.2121100 37.8975 090 25624 Treat wrist bone fracture A 4.52 6.30 5.07 0.73 11.55 10.32 0090.10.69.2121000 37.8975 090 25628 Treat wrist bone fracture A 8.42 7.82NA 7.82 1.36 17.60 17.60 0090.10.69.2121200 37.8975 090 25630 Treat wrist bone fracture A 2.88 4.18 2.94 0.43 7.49 6.25 0090.10.69.2121100 37.8975 090 25635 Treat wrist bone fracture A 4.38 5.94 3.90 0.71 11.03 8.99 0090.10.69.2121000 37.8975 090 25645 Treat wrist bone fracture A 7.24 6.63NA 6.63 1.19 15.06 15.06 0090.10.69.2121200 37.8975 090 25650 Treat wrist bone fracture A 3.05 4.31 3.17 0.43 7.79 6.65 0090.10.69.2121100 37.8975 090 25651 Pin ulnar styloid fracture A 5.35 5.48NA 5.48 0.82 11.65 11.65 0090.10.69.2121000 37.8975 090 25652 Treat fracture ulnar styloid A 7.59 7.00NA 7.00 1.20 15.79 15.79 0090.10.69.2121110 37.8975 090 25660 Treat wrist dislocation A 4.75 4.71NA 4.71 0.57 10.03 10.03 0090.10.69.2121000 37.8975 090 25670 Treat wrist dislocation A 7.91 6.99NA 6.99 1.26 16.16 16.16 0090.10.69.2121210 37.8975 090 25671 Pin radioulnar dislocation A 5.99 6.15NA 6.15 0.98 13.12 13.12 0090.10.69.2121100 37.8975 090 25675 Treat wrist dislocation A 4.66 5.65 4.65 0.58 10.89 9.89 0090.10.69.2121000 37.8975 090 25676 Treat wrist dislocation A 8.03 7.30NA 7.30 1.33 16.66 16.66 0090.10.69.2121200 37.8975 090 25680 Treat wrist fracture A 5.98 4.74NA 4.74 0.74 11.46 11.46 0090.10.69.2121000 37.8975 090 25685 Treat wrist fracture A 9.77 7.80NA 7.80 1.56 19.13 19.13 0090.10.69.2121200 37.8975 090 25690 Treat wrist dislocation A 5.49 5.50NA 5.50 0.86 11.85 11.85 0090.10.69.2121000 37.8975 090 25695 Treat wrist dislocation A 8.33 7.09NA 7.09 1.32 16.74 16.74 0090.10.69.2121210 37.8975 090 25800 Fusion of wrist joint A 9.75 9.09NA 9.09 1.54 20.38 20.38 0090.10.69.2121210 37.8975 090 25805 Fusion/graft of wrist joint A 11.26 10.25NA 10.25 1.78 23.29 23.29 0090.10.69.2121210 37.8975 090 25810 Fusion/graft of wrist joint A 10.55 9.90NA 9.90 1.64 22.09 22.09 0090.10.69.2121210 37.8975 090 25820 Fusion of hand bones A 7.44 7.85NA 7.85 1.21 16.50 16.50 0090.10.69.2121210 37.8975 090 25825 Fuse hand bones with graft A 9.26 9.23NA 9.23 1.40 19.89 19.89 0090.10.69.2121210 37.8975 090 25830 Fusion, radioulnar jnt/ulna A 10.04 14.41NA 14.41 1.54 25.99 25.99 0090.10.69.2121210 37.8975 090 25900 Amputation of forearm A 9.00 12.56NA 12.56 1.28 22.84 22.84 0090.10.69.2121000 37.8975 090 25905 Amputation of forearm A 9.11 12.29NA 12.29 1.38 22.78 22.78 0090.10.69.2121200 37.8975 090 25907 Amputation follow-up surgery A 7.79 11.76NA 11.76 1.10 20.65 20.65 0090.10.69.2121200 37.8975 090 25909 Amputation follow-up surgery A 8.95 12.27NA 12.27 1.38 22.60 22.60 0090.10.69.2121200 37.8975 090 25915 Amputation of forearm A 17.05 18.88NA 18.88 2.91 38.84 38.84 0090.10.69.2121200 37.8975 090 25920 Amputate hand at wrist A 8.67 7.85NA 7.85 1.34 17.86 17.86 0090.10.69.2121000 37.8975 090 25922 Amputate hand at wrist A 7.41 7.05NA 7.05 1.12 15.58 15.58 0090.10.69.2121200 37.8975 090 25924 Amputation follow-up surgery A 8.45 8.09NA 8.09 1.32 17.86 17.86 0090.10.69.2121200 37.8975 090 25927 Amputation of hand A 8.79 11.68NA 11.68 1.26 21.73 21.73 0090.10.69.2121000 37.8975 090 25929 Amputation follow-up surgery A 7.58 5.87NA 5.87 1.14 14.59 14.59 0090.10.69.2121200 37.8975 090 25931 Amputation follow-up surgery A 7.80 11.46NA 11.46 1.15 20.41 20.41 0090.10.69.2121100 37.8975 090 25999 Forearm or wrist surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 26010 Drainage of finger abscess A 1.54 5.56 1.63 0.17 7.27 3.34 0010.10.80.1020100 37.8975 090 26011 Drainage of finger abscess A 2.19 8.81 2.32 0.32 11.32 4.83 0010.10.80.1020100 37.8975 090 26020 Drain hand tendon sheath A 4.66 5.35NA 5.35 0.72 10.73 10.73 0090.10.69.2120100 37.8975 090 26025 Drainage of palm bursa A 4.81 5.12NA 5.12 0.75 10.68 10.68 0090.10.69.2120000 37.8975 090 26030 Drainage of palm bursa(s) A 5.92 5.72NA 5.72 0.91 12.55 12.55 0090.10.69.2120000 37.8975 090 26034 Treat hand bone lesion A 6.22 6.35NA 6.35 0.97 13.54 13.54 0090.10.69.2120100 37.8975 090 26035 Decompress fingers/hand A 9.50 7.87NA 7.87 1.42 18.79 18.79 0090.10.69.2120000 37.8975 090 26037 Decompress fingers/hand A 7.24 6.32NA 6.32 1.12 14.68 14.68 0090.10.69.2120000 37.8975 090 26040 Release palm contracture A 3.33 4.05NA 4.05 0.53 7.91 7.91 0090.10.69.2121100 37.8975 090 26045 Release palm contracture A 5.55 5.64NA 5.64 0.92 12.11 12.11 0090.10.69.2121100 37.8975 090 26055 Incise finger tendon sheath A 2.69 14.35 3.94 0.43 17.47 7.06 0090.10.69.2120100 37.8975 090 26060 Incision of finger tendon A 2.81 3.51NA 3.51 0.44 6.76 6.76 0090.10.69.2120000 37.8975 090 26070 Explore/treat hand joint A 3.68 3.36NA 3.36 0.46 7.50 7.50 0090.10.69.2121100 37.8975 090 26075 Explore/treat finger joint A 3.78 3.78NA 3.78 0.51 8.07 8.07 0090.10.69.2121100 37.8975 090 26080 Explore/treat finger joint A 4.23 4.85NA 4.85 0.64 9.72 9.72 0090.10.69.2120100 37.8975 090 26100 Biopsy hand joint lining A 3.66 4.13NA 4.13 0.50 8.29 8.29 0090.10.69.2121000 37.8975 090 26105 Biopsy finger joint lining A 3.70 4.23NA 4.23 0.58 8.51 8.51 0090.10.69.2121000 37.8975 090 26110 Biopsy finger joint lining A 3.52 4.04NA 4.04 0.53 8.09 8.09 0090.10.69.2120100 37.8975 090 26115 Removal hand lesion subcut A 3.85 13.09 4.77 0.58 17.52 9.20 0090.10.69.2120100 37.8975 090 26116 Removal hand lesion, deep A 5.52 6.00NA 6.00 0.83 12.35 12.35 0090.10.69.2120100 37.8975 090 26117 Remove tumor, hand/finger A 8.54 7.06NA 7.06 1.24 16.84 16.84 0090.10.69.2120100 37.8975 090 26121 Release palm contracture A 7.53 6.96NA 6.96 1.16 15.65 15.65 0090.10.69.2121100 37.8975 090 26123 Release palm contracture A 9.28 8.85NA 8.85 1.42 19.55 19.55 0090.10.69.2121100 37.8975 090 26125 Release palm contracture A 4.60 2.44NA 2.44 0.70 7.74 7.74 0ZZZ.00.00.0000100 37.8975 090 26130 Remove wrist joint lining A 5.41 5.34NA 5.34 0.94 11.69 11.69 0090.10.69.2121100 37.8975 090 26135 Revise finger joint, each A 6.95 6.46NA 6.46 1.06 14.47 14.47 0090.10.69.2120000 37.8975 090 26140 Revise finger joint, each A 6.16 6.04NA 6.04 0.91 13.11 13.11 0090.10.69.2120100 37.8975 090 26145 Tendon excision, palm/finger A 6.31 6.05NA 6.05 0.96 13.32 13.32 0090.10.69.2120100 37.8975 090 26160 Remove tendon sheath lesion A 3.15 12.37 4.12 0.48 16.00 7.75 0090.10.69.2120100 37.8975 090 26170 Removal of palm tendon, each A 4.76 4.94NA 4.94 0.70 10.40 10.40 0090.10.69.2120000 37.8975 090 26180 Removal of finger tendon A 5.17 5.41NA 5.41 0.78 11.36 11.36 0090.10.69.2120000 37.8975 090 26185 Remove finger bone A 5.24 6.03NA 6.03 0.79 12.06 12.06 0090.10.69.2121210 37.8975 090 26200 Remove hand bone lesion A 5.50 5.35NA 5.35 0.85 11.70 11.70 0090.10.69.2120000 37.8975 090 26205 Remove/graft bone lesion A 7.69 6.89NA 6.89 1.19 15.77 15.77 0090.10.69.2120100 37.8975 090 26210 Removal of finger lesion A 5.14 5.42NA 5.42 0.77 11.33 11.33 0090.10.69.2120100 37.8975 090 26215 Remove/graft finger lesion A 7.09 6.31NA 6.31 0.97 14.37 14.37 0090.10.69.2120100 37.8975 090 26230 Partial removal of hand bone A 6.32 5.91NA 5.91 0.99 13.22 13.22 0090.10.69.2120000 37.8975 090 26235 Partial removal, finger bone A 6.18 5.81NA 5.81 0.94 12.93 12.93 0090.10.69.2120000 37.8975 090 26236 Partial removal, finger bone A 5.31 5.32NA 5.32 0.79 11.42 11.42 0090.10.69.2120100 37.8975 090 26250 Extensive hand surgery A 7.54 6.43NA 6.43 1.07 15.04 15.04 0090.10.69.2120000 37.8975 090 26255 Extensive hand surgery A 12.41 9.37NA 9.37 1.66 23.44 23.44 0090.10.69.2120210 37.8975 090 26260 Extensive finger surgery A 7.02 6.18NA 6.18 0.98 14.18 14.18 0090.10.69.2120200 37.8975 090 26261 Extensive finger surgery A 9.08 6.17NA 6.17 1.13 16.38 16.38 0090.10.69.2120200 37.8975 090 26262 Partial removal of finger A 5.66 5.33NA 5.33 0.88 11.87 11.87 0090.10.69.2120200 37.8975 090 26320 Removal of implant from hand A 3.97 4.31NA 4.31 0.58 8.86 8.86 0090.10.69.2120100 37.8975 090 26340 Manipulate finger w/anesth A 2.50 4.88NA 4.88 0.38 7.76 7.76 0090.10.69.2121100 37.8975 090 26350 Repair finger/hand tendon A 5.98 14.61NA 14.61 0.91 21.50 21.50 0090.10.69.2120100 37.8975 090 26352 Repair/graft hand tendon A 7.67 15.36NA 15.36 1.12 24.15 24.15 0090.10.69.2120210 37.8975 090 26356 Repair finger/hand tendon A 8.06 18.37NA 18.37 1.20 27.63 27.63 0090.10.69.2120100 37.8975 090 26357 Repair finger/hand tendon A 8.57 15.63NA 15.63 1.32 25.52 25.52 0090.10.69.2120200 37.8975 090 26358 Repair/graft hand tendon A 9.13 16.64NA 16.64 1.37 27.14 27.14 0090.10.69.2120200 37.8975 090 26370 Repair finger/hand tendon A 7.10 15.11NA 15.11 1.10 23.31 23.31 0090.10.69.2120000 37.8975 090 26372 Repair/graft hand tendon A 8.75 16.53NA 16.53 1.39 26.67 26.67 0090.10.69.2120200 37.8975 090 26373 Repair finger/hand tendon A 8.15 16.04NA 16.04 1.23 25.42 25.42 0090.10.69.2120200 37.8975 090 26390 Revise hand/finger tendon A 9.18 13.28NA 13.28 1.39 23.85 23.85 0090.10.69.2120210 37.8975 090 26392 Repair/graft hand tendon A 10.24 16.72NA 16.72 1.52 28.48 28.48 0090.10.69.2120210 37.8975 090 26410 Repair hand tendon A 4.62 11.94NA 11.94 0.71 17.27 17.27 0090.10.69.2120100 37.8975 090 26412 Repair/graft hand tendon A 6.30 13.27NA 13.27 0.96 20.53 20.53 0090.10.69.2120000 37.8975 090 26415 Excision, hand/finger tendon A 8.33 11.78NA 11.78 0.97 21.08 21.08 0090.10.69.2120000 37.8975 090 26416 Graft hand or finger tendon A 9.36 14.59NA 14.59 0.79 24.74 24.74 0090.10.69.2120100 37.8975 090 26418 Repair finger tendon A 4.24 12.32NA 12.32 0.64 17.20 17.20 0090.10.69.2120100 37.8975 090 26420 Repair/graft finger tendon A 6.76 13.63NA 13.63 1.06 21.45 21.45 0090.10.69.2120200 37.8975 090 26426 Repair finger/hand tendon A 6.14 13.16NA 13.16 0.93 20.23 20.23 0090.10.69.2120100 37.8975 090 26428 Repair/graft finger tendon A 7.20 13.86NA 13.86 1.08 22.14 22.14 0090.10.69.2120000 37.8975 090 26432 Repair finger tendon A 4.01 10.26NA 10.26 0.62 14.89 14.89 0090.10.69.2120100 37.8975 090 26433 Repair finger tendon A 4.55 10.79NA 10.79 0.71 16.05 16.05 0090.10.69.2120100 37.8975 090 26434 Repair/graft finger tendon A 6.08 11.54NA 11.54 0.93 18.55 18.55 0090.10.69.2120200 37.8975 090 26437 Realignment of tendons A 5.81 11.57NA 11.57 0.89 18.27 18.27 0090.10.69.2120100 37.8975 090 26440 Release palm/finger tendon A 5.01 13.43NA 13.43 0.74 19.18 19.18 0090.10.69.2120100 37.8975 090 26442 Release palm & finger tendon A 8.15 15.94NA 15.94 1.18 25.27 25.27 0090.10.69.2120100 37.8975 090 26445 Release hand/finger tendon A 4.30 13.14NA 13.14 0.64 18.08 18.08 0090.10.69.2120100 37.8975 090 26449 Release forearm/hand tendon A 6.99 15.77NA 15.77 1.05 23.81 23.81 0090.10.69.2120000 37.8975 090 26450 Incision of palm tendon A 3.66 7.33NA 7.33 0.58 11.57 11.57 0090.10.69.2120000 37.8975 090 26455 Incision of finger tendon A 3.63 7.28NA 7.28 0.57 11.48 11.48 0090.10.69.2120000 37.8975 090 26460 Incise hand/finger tendon A 3.45 7.14NA 7.14 0.54 11.13 11.13 0090.10.69.2120100 37.8975 090 26471 Fusion of finger tendons A 5.72 11.24NA 11.24 0.87 17.83 17.83 0090.10.69.2120000 37.8975 090 26474 Fusion of finger tendons A 5.31 11.39NA 11.39 0.75 17.45 17.45 0090.10.69.2120200 37.8975 090 26476 Tendon lengthening A 5.17 10.93NA 10.93 0.77 16.87 16.87 0090.10.69.2120100 37.8975 090 26477 Tendon shortening A 5.14 11.06NA 11.06 0.80 17.00 17.00 0090.10.69.2120110 37.8975 090 26478 Lengthening of hand tendon A 5.79 11.84NA 11.84 0.89 18.52 18.52 0090.10.69.2120000 37.8975 090 26479 Shortening of hand tendon A 5.73 11.56NA 11.56 0.91 18.20 18.20 0090.10.69.2120200 37.8975 090 26480 Transplant hand tendon A 6.68 15.04NA 15.04 1.01 22.73 22.73 0090.10.69.2120000 37.8975 090 26483 Transplant/graft hand tendon A 8.28 15.50NA 15.50 1.26 25.04 25.04 0090.10.69.2120210 37.8975 090 26485 Transplant palm tendon A 7.69 15.36NA 15.36 1.13 24.18 24.18 0090.10.69.2120210 37.8975 090 26489 Transplant/graft palm tendon A 9.54 12.06NA 12.06 1.19 22.79 22.79 0090.10.69.2120000 37.8975 090 26490 Revise thumb tendon A 8.40 12.82NA 12.82 1.20 22.42 22.42 0090.10.69.2120000 37.8975 090 26492 Tendon transfer with graft A 9.61 13.60NA 13.60 1.40 24.61 24.61 0090.10.69.2120210 37.8975 090 26494 Hand tendon/muscle transfer A 8.46 12.97NA 12.97 1.28 22.71 22.71 0090.10.69.2120210 37.8975 090 26496 Revise thumb tendon A 9.58 13.23NA 13.23 1.44 24.25 24.25 0090.10.69.2120000 37.8975 090 26497 Finger tendon transfer A 9.56 13.57NA 13.57 1.39 24.52 24.52 0090.10.69.2120200 37.8975 090 26498 Finger tendon transfer A 13.98 16.16NA 16.16 2.09 32.23 32.23 0090.10.69.2120210 37.8975 090 26499 Revision of finger A 8.97 13.04NA 13.04 1.34 23.35 23.35 0090.10.69.2120210 37.8975 090 26500 Hand tendon reconstruction A 5.95 11.44NA 11.44 0.89 18.28 18.28 0090.10.69.2120000 37.8975 090 26502 Hand tendon reconstruction A 7.13 12.02NA 12.02 1.12 20.27 20.27 0090.10.69.2120200 37.8975 090 26504 Hand tendon reconstruction A 7.46 12.58NA 12.58 1.24 21.28 21.28 0090.10.69.2120200 37.8975 090 26508 Release thumb contracture A 6.00 11.68NA 11.68 0.96 18.64 18.64 0090.10.69.2120000 37.8975 090 26510 Thumb tendon transfer A 5.42 11.34NA 11.34 0.79 17.55 17.55 0090.10.69.2120000 37.8975 090 26516 Fusion of knuckle joint A 7.14 12.23NA 12.23 1.08 20.45 20.45 0090.10.69.2120000 37.8975 090 26517 Fusion of knuckle joints A 8.82 13.50NA 13.50 1.40 23.72 23.72 0090.10.69.2120200 37.8975 090 26518 Fusion of knuckle joints A 9.01 13.39NA 13.39 1.31 23.71 23.71 0090.10.69.2120210 37.8975 090 26520 Release knuckle contracture A 5.29 13.89NA 13.89 0.79 19.97 19.97 0090.10.69.2120100 37.8975 090 26525 Release finger contracture A 5.32 13.97NA 13.97 0.80 20.09 20.09 0090.10.69.2120110 37.8975 090 26530 Revise knuckle joint A 6.68 6.14NA 6.14 1.03 13.85 13.85 0090.10.69.2120200 37.8975 090 26531 Revise knuckle with implant A 7.90 7.12NA 7.12 1.17 16.19 16.19 0090.10.69.2120210 37.8975 090 26535 Revise finger joint A 5.23 3.74NA 3.74 0.71 9.68 9.68 0090.10.69.2120100 37.8975 090 26536 Revise/implant finger joint A 6.36 9.65NA 9.65 0.94 16.95 16.95 0090.10.69.2120000 37.8975 090 26540 Repair hand joint A 6.42 11.87NA 11.87 0.98 19.27 19.27 0090.10.69.2120010 37.8975 090 26541 Repair hand joint with graft A 8.61 13.39NA 13.39 1.27 23.27 23.27 0090.10.69.2120210 37.8975 090 26542 Repair hand joint with graft A 6.77 12.03NA 12.03 1.02 19.82 19.82 0090.10.69.2120000 37.8975 090 26545 Reconstruct finger joint A 6.91 12.13NA 12.13 1.04 20.08 20.08 0090.10.69.2120000 37.8975 090 26546 Repair nonunion hand A 8.91 15.03NA 15.03 1.43 25.37 25.37 0090.10.69.2121200 37.8975 090 26548 Reconstruct finger joint A 8.02 12.85NA 12.85 1.18 22.05 22.05 0090.10.69.2120000 37.8975 090 26550 Construct thumb replacement A 21.21 17.58NA 17.58 2.43 41.22 41.22 0090.10.69.2120200 37.8975 090 26551 Great toe-hand transfer A 46.51 32.44NA 32.44 7.92 86.87 86.87 0090.10.69.2120200 37.8975 090 26553 Single transfer, toe-hand A 46.20 22.68NA 22.68 2.40 71.28 71.28 0090.10.69.2120210 37.8975 090 26554 Double transfer, toe-hand A 54.87 37.53NA 37.53 9.36101.76 101.76 0090.10.69.2120210 37.8975 090 26555 Positional change of finger A 16.61 18.18NA 18.18 2.46 37.25 37.25 0090.10.69.2120200 37.8975 090 26556 Toe joint transfer A 47.19 33.32NA 33.32 2.55 83.06 83.06 0090.10.69.2120210 37.8975 090 26560 Repair of web finger A 5.37 9.80NA 9.80 0.84 16.01 16.01 0090.10.69.2120200 37.8975 090 26561 Repair of web finger A 10.90 12.34NA 12.34 1.45 24.69 24.69 0090.10.69.2120210 37.8975 090 26562 Repair of web finger A 14.98 17.14NA 17.14 2.22 34.34 34.34 0090.10.69.2120200 37.8975 090 26565 Correct metacarpal flaw A 6.73 12.01NA 12.01 0.99 19.73 19.73 0090.10.69.2120200 37.8975 090 26567 Correct finger deformity A 6.81 11.95NA 11.95 1.03 19.79 19.79 0090.10.69.2120000 37.8975 090 26568 Lengthen metacarpal/finger A 9.07 15.43NA 15.43 1.49 25.99 25.99 0090.10.69.2120200 37.8975 090 26580 Repair hand deformity A 18.15 13.64NA 13.64 2.27 34.06 34.06 0090.10.69.2120200 37.8975 090 26587 Reconstruct extra finger A 14.03 9.21NA 9.21 1.52 24.76 24.76 0090.10.69.2120200 37.8975 090 26590 Repair finger deformity A 17.93 13.94NA 13.94 2.74 34.61 34.61 0090.10.69.2120200 37.8975 090 26591 Repair muscles of hand A 3.25 9.62NA 9.62 0.47 13.34 13.34 0090.10.69.2120000 37.8975 090 26593 Release muscles of hand A 5.30 11.13NA 11.13 0.78 17.21 17.21 0090.10.69.2120100 37.8975 090 26596 Excision constricting tissue A 8.94 8.82NA 8.82 1.38 19.14 19.14 0090.10.69.2120200 37.8975 090 26600 Treat metacarpal fracture A 1.96 3.61 2.65 0.29 5.86 4.90 0090.10.69.2120100 37.8975 090 26605 Treat metacarpal fracture A 2.85 4.56 3.65 0.45 7.86 6.95 0090.10.69.2120100 37.8975 090 26607 Treat metacarpal fracture A 5.35 6.27NA 6.27 0.85 12.47 12.47 0090.10.69.2120000 37.8975 090 26608 Treat metacarpal fracture A 5.35 6.25NA 6.25 0.87 12.47 12.47 0090.10.69.2120000 37.8975 090 26615 Treat metacarpal fracture A 5.32 5.30NA 5.30 0.85 11.47 11.47 0090.10.69.2120100 37.8975 090 26641 Treat thumb dislocation A 3.93 4.57 3.53 0.40 8.90 7.86 0090.10.69.2120000 37.8975 090 26645 Treat thumb fracture A 4.40 5.17 4.19 0.63 10.20 9.22 0090.10.69.2120000 37.8975 090 26650 Treat thumb fracture A 5.71 6.69NA 6.69 0.93 13.33 13.33 0090.10.69.2120100 37.8975 090 26665 Treat thumb fracture A 7.59 6.61NA 6.61 0.88 15.08 15.08 0090.10.69.2120110 37.8975 090 26670 Treat hand dislocation A 3.68 4.26 2.94 0.38 8.32 7.00 0090.10.69.2120000 37.8975 090 26675 Treat hand dislocation A 4.63 5.47 4.47 0.75 10.85 9.85 0090.10.69.2120000 37.8975 090 26676 Pin hand dislocation A 5.51 6.69NA 6.69 0.88 13.08 13.08 0090.10.69.2120100 37.8975 090 26685 Treat hand dislocation A 6.97 6.14NA 6.14 1.07 14.18 14.18 0090.10.69.2120110 37.8975 090 26686 Treat hand dislocation A 7.93 6.90NA 6.90 1.23 16.06 16.06 0090.10.69.2120200 37.8975 090 26700 Treat knuckle dislocation A 3.68 3.76 2.86 0.35 7.79 6.89 0090.10.69.2120100 37.8975 090 26705 Treat knuckle dislocation A 4.18 5.33 4.30 0.61 10.12 9.09 0090.10.69.2120000 37.8975 090 26706 Pin knuckle dislocation A 5.11 5.09NA 5.09 0.78 10.98 10.98 0090.10.69.2120100 37.8975 090 26715 Treat knuckle dislocation A 5.73 5.51NA 5.51 0.91 12.15 12.15 0090.10.69.2120000 37.8975 090 26720 Treat finger fracture, each A 1.66 2.78 2.05 0.22 4.66 3.93 0090.10.69.2120100 37.8975 090 26725 Treat finger fracture, each A 3.33 4.77 3.50 0.49 8.59 7.32 0090.10.69.2120100 37.8975 090 26727 Treat finger fracture, each A 5.22 6.23NA 6.23 0.83 12.28 12.28 0090.10.69.2120100 37.8975 090 26735 Treat finger fracture, each A 5.97 5.55NA 5.55 0.93 12.45 12.45 0090.10.69.2120100 37.8975 090 26740 Treat finger fracture, each A 1.94 3.13 2.70 0.29 5.36 4.93 0090.10.69.2120100 37.8975 090 26742 Treat finger fracture, each A 3.84 4.99 3.88 0.56 9.39 8.28 0090.10.69.2120100 37.8975 090 26746 Treat finger fracture, each A 5.80 5.56NA 5.56 0.90 12.26 12.26 0090.10.69.2120100 37.8975 090 26750 Treat finger fracture, each A 1.70 2.48 2.01 0.21 4.39 3.92 0090.10.69.2120100 37.8975 090 26755 Treat finger fracture, each A 3.10 4.42 3.00 0.40 7.92 6.50 0090.10.69.2120100 37.8975 090 26756 Pin finger fracture, each A 4.38 5.72NA 5.72 0.70 10.80 10.80 0090.10.69.2120000 37.8975 090 26765 Treat finger fracture, each A 4.16 4.39NA 4.39 0.63 9.18 9.18 0090.10.69.2120100 37.8975 090 26770 Treat finger dislocation A 3.02 3.43 2.41 0.28 6.73 5.71 0090.10.69.2120100 37.8975 090 26775 Treat finger dislocation A 3.70 5.19 3.81 0.52 9.41 8.03 0090.10.69.2120100 37.8975 090 26776 Pin finger dislocation A 4.79 6.00NA 6.00 0.76 11.55 11.55 0090.10.69.2120100 37.8975 090 26785 Treat finger dislocation A 4.20 4.53NA 4.53 0.65 9.38 9.38 0090.10.69.2120100 37.8975 090 26820 Thumb fusion with graft A 8.25 13.25NA 13.25 1.26 22.76 22.76 0090.10.69.2120210 37.8975 090 26841 Fusion of thumb A 7.12 13.23NA 13.23 1.17 21.52 21.52 0090.10.69.2120010 37.8975 090 26842 Thumb fusion with graft A 8.23 13.37NA 13.37 1.32 22.92 22.92 0090.10.69.2120210 37.8975 090 26843 Fusion of hand joint A 7.60 12.35NA 12.35 1.15 21.10 21.10 0090.10.69.2120210 37.8975 090 26844 Fusion/graft of hand joint A 8.72 13.36NA 13.36 1.32 23.40 23.40 0090.10.69.2120210 37.8975 090 26850 Fusion of knuckle A 6.96 12.20NA 12.20 1.05 20.21 20.21 0090.10.69.2120000 37.8975 090 26852 Fusion of knuckle with graft A 8.45 12.89NA 12.89 1.21 22.55 22.55 0090.10.69.2120210 37.8975 090 26860 Fusion of finger joint A 4.68 11.19NA 11.19 0.72 16.59 16.59 0090.10.69.2120100 37.8975 090 26861 Fusion of finger jnt, add-on A 1.74 0.93NA 0.93 0.26 2.93 2.93 0ZZZ.00.00.0000100 37.8975 090 26862 Fusion/graft of finger joint A 7.36 12.34NA 12.34 1.09 20.79 20.79 0090.10.69.2120210 37.8975 090 26863 Fuse/graft added joint A 3.89 2.11NA 2.11 0.56 6.56 6.56 0ZZZ.00.00.0000200 37.8975 090 26910 Amputate metacarpal bone A 7.59 11.22NA 11.22 1.15 19.96 19.96 0090.10.69.2120100 37.8975 090 26951 Amputation of finger/thumb A 4.58 10.15NA 10.15 0.70 15.43 15.43 0090.10.69.2120100 37.8975 090 26952 Amputation of finger/thumb A 6.30 11.66NA 11.66 0.93 18.89 18.89 0090.10.69.2120100 37.8975 090 26989 Hand/finger surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020101 37.8975 090 26990 Drainage of pelvis lesion A 7.47 7.21NA 7.21 1.17 15.85 15.85 0090.10.69.2120100 37.8975 090 26991 Drainage of pelvis bursa A 6.67 11.16 5.43 1.08 18.91 13.18 0090.10.69.2120000 37.8975 090 26992 Drainage of bone lesion A 13.00 10.38NA 10.38 2.13 25.51 25.51 0090.10.69.2120000 37.8975 090 27000 Incision of hip tendon A 5.61 5.28NA 5.28 0.96 11.85 11.85 0090.10.69.2121110 37.8975 090 27001 Incision of hip tendon A 6.93 6.09NA 6.09 1.22 14.24 14.24 0090.10.69.2121210 37.8975 090 27003 Incision of hip tendon A 7.33 6.48NA 6.48 1.10 14.91 14.91 0090.10.69.2121210 37.8975 090 27005 Incision of hip tendon A 9.65 7.82NA 7.82 1.66 19.13 19.13 0090.10.69.2121210 37.8975 090 27006 Incision of hip tendons A 9.67 7.98NA 7.98 1.67 19.32 19.32 0090.10.69.2121210 37.8975 090 27025 Incision of hip/thigh fascia A 11.14 8.55NA 8.55 1.79 21.48 21.48 0090.10.69.2121010 37.8975 090 27030 Drainage of hip joint A 12.99 9.64NA 9.64 2.22 24.85 24.85 0090.10.69.2121210 37.8975 090 27033 Exploration of hip joint A 13.37 9.92NA 9.92 2.29 25.58 25.58 0090.10.69.2121210 37.8975 090 27035 Denervation of hip joint A 16.66 11.23NA 11.23 2.10 29.99 29.99 0090.10.69.2121210 37.8975 090 27036 Excision of hip joint/muscle A 12.86 10.00NA 10.00 2.21 25.07 25.07 0090.10.69.2121210 37.8975 090 27040 Biopsy of soft tissues A 2.87 5.23 2.01 0.27 8.37 5.15 0010.10.80.1021100 37.8975 090 27041 Biopsy of soft tissues A 9.88 6.64NA 6.64 1.30 17.82 17.82 0090.10.69.2121100 37.8975 090 27047 Remove hip/pelvis lesion A 7.44 7.11 4.77 1.00 15.55 13.21 0090.10.69.2121100 37.8975 090 27048 Remove hip/pelvis lesion A 6.24 4.80NA 4.80 0.90 11.94 11.94 0090.10.69.2121210 37.8975 090 27049 Remove tumor, hip/pelvis A 13.64 8.40NA 8.40 2.01 24.05 24.05 0090.10.69.2121210 37.8975 090 27050 Biopsy of sacroiliac joint A 4.35 4.42NA 4.42 0.60 9.37 9.37 0090.10.69.2121010 37.8975 090 27052 Biopsy of hip joint A 6.22 5.88NA 5.88 1.05 13.15 13.15 0090.10.69.2121210 37.8975 090 27054 Removal of hip joint lining A 8.53 7.34NA 7.34 1.46 17.33 17.33 0090.10.69.2121210 37.8975 090 27060 Removal of ischial bursa A 5.42 4.37NA 4.37 0.79 10.58 10.58 0090.10.69.2121100 37.8975 090 27062 Remove femur lesion/bursa A 5.36 5.19NA 5.19 0.92 11.47 11.47 0090.10.69.2121110 37.8975 090 27065 Removal of hip bone lesion A 5.89 5.44NA 5.44 0.95 12.28 12.28 0090.10.69.2121210 37.8975 090 27066 Removal of hip bone lesion A 10.31 8.44NA 8.44 1.73 20.48 20.48 0090.10.69.2121210 37.8975 090 27067 Remove/graft hip bone lesion A 13.81 10.66NA 10.66 1.82 26.29 26.29 0090.10.69.2121200 37.8975 090 27070 Partial removal of hip bone A 10.70 9.13NA 9.13 1.71 21.54 21.54 0090.10.69.2121210 37.8975 090 27071 Partial removal of hip bone A 11.44 10.12NA 10.12 1.89 23.45 23.45 0090.10.69.2121210 37.8975 090 27075 Extensive hip surgery A 34.95 19.20NA 19.20 5.50 59.65 59.65 0090.10.69.2120210 37.8975 090 27076 Extensive hip surgery A 22.09 14.51NA 14.51 3.59 40.19 40.19 0090.10.69.2120210 37.8975 090 27077 Extensive hip surgery A 39.94 22.66NA 22.66 6.07 68.67 68.67 0090.10.69.2120210 37.8975 090 27078 Extensive hip surgery A 13.42 9.94NA 9.94 2.20 25.56 25.56 0090.10.69.2120210 37.8975 090 27079 Extensive hip surgery A 13.73 9.54NA 9.54 1.89 25.16 25.16 0090.10.69.2120210 37.8975 090 27080 Removal of tail bone A 6.38 4.83NA 4.83 0.92 12.13 12.13 0090.10.69.2120210 37.8975 090 27086 Remove hip foreign body A 1.87 4.55 1.82 0.23 6.65 3.92 0010.10.80.1021000 37.8975 090 27087 Remove hip foreign body A 8.53 6.66NA 6.66 1.30 16.49 16.49 0090.10.69.2121210 37.8975 090 27090 Removal of hip prosthesis A 11.13 8.78NA 8.78 1.91 21.82 21.82 0090.10.69.2121210 37.8975 090 27091 Removal of hip prosthesis A 22.11 13.99NA 13.99 3.78 39.88 39.88 0090.10.69.2121210 37.8975 090 27093 Injection for hip x-ray A 1.30 4.46 0.48 0.12 5.88 1.90 0000.00.00.0021100 37.8975 090 27095 Injection for hip x-ray A 1.50 5.72 0.52 0.14 7.36 2.16 0000.00.00.0021100 37.8975 090 27096 Inject sacroiliac joint A 1.40 4.35 0.33 0.10 5.85 1.83 0000.00.00.0021100 37.8975 090 27097 Revision of hip tendon A 8.79 6.41NA 6.41 1.55 16.75 16.75 0090.10.69.2121200 37.8975 090 27098 Transfer tendon to pelvis A 8.82 7.02NA 7.02 0.95 16.79 16.79 0090.10.69.2121200 37.8975 090 27100 Transfer of abdominal muscle A 11.06 8.66NA 8.66 1.78 21.50 21.50 0090.10.69.2121210 37.8975 090 27105 Transfer of spinal muscle A 11.75 9.16NA 9.16 1.70 22.61 22.61 0090.10.69.2121200 37.8975 090 27110 Transfer of iliopsoas muscle A 13.24 9.11NA 9.11 2.08 24.43 24.43 0090.10.69.2121210 37.8975 090 27111 Transfer of iliopsoas muscle A 12.13 9.13NA 9.13 1.92 23.18 23.18 0090.10.69.2121210 37.8975 090 27120 Reconstruction of hip socket A 17.98 11.84NA 11.84 2.97 32.79 32.79 0090.10.69.2121210 37.8975 090 27122 Reconstruction of hip socket A 14.96 11.04NA 11.04 2.56 28.56 28.56 0090.10.69.2121210 37.8975 090 27125 Partial hip replacement A 14.67 10.62NA 10.62 2.50 27.79 27.79 0090.10.69.2121210 37.8975 090 27130 Total hip arthroplasty A 20.09 13.30NA 13.30 3.45 36.84 36.84 0090.10.69.2121210 37.8975 090 27132 Total hip arthroplasty A 23.27 15.63NA 15.63 3.99 42.89 42.89 0090.10.69.2121210 37.8975 090 27134 Revise hip joint replacement A 28.48 17.79NA 17.79 4.88 51.15 51.15 0090.10.69.2121210 37.8975 090 27137 Revise hip joint replacement A 21.14 13.93NA 13.93 3.63 38.70 38.70 0090.10.69.2121210 37.8975 090 27138 Revise hip joint replacement A 22.14 14.39NA 14.39 3.79 40.32 40.32 0090.10.69.2121210 37.8975 090 27140 Transplant femur ridge A 12.22 9.41NA 9.41 2.05 23.68 23.68 0090.10.69.2121210 37.8975 090 27146 Incision of hip bone A 17.40 12.13NA 12.13 2.95 32.48 32.48 0090.10.69.2121210 37.8975 090 27147 Revision of hip bone A 20.55 13.25NA 13.25 3.54 37.34 37.34 0090.10.69.2121210 37.8975 090 27151 Incision of hip bones A 22.48 7.95NA 7.95 3.88 34.31 34.31 0090.10.69.2121210 37.8975 090 27156 Revision of hip bones A 24.59 16.06NA 16.06 4.11 44.76 44.76 0090.10.69.2121210 37.8975 090 27158 Revision of pelvis A 19.71 10.97NA 10.97 3.13 33.81 33.81 0090.10.69.2122200 37.8975 090 27161 Incision of neck of femur A 16.68 12.10NA 12.10 2.87 31.65 31.65 0090.10.69.2121210 37.8975 090 27165 Incision/fixation of femur A 17.88 12.91NA 12.91 3.07 33.86 33.86 0090.10.69.2120210 37.8975 090 27170 Repair/graft femur head/neck A 16.05 11.30NA 11.30 2.76 30.11 30.11 0090.10.69.2121210 37.8975 090 27175 Treat slipped epiphysis A 8.45 6.67NA 6.67 1.46 16.58 16.58 0090.10.69.2121000 37.8975 090 27176 Treat slipped epiphysis A 12.03 9.01NA 9.01 2.20 23.24 23.24 0090.10.69.2121210 37.8975 090 27177 Treat slipped epiphysis A 15.06 10.89NA 10.89 2.60 28.55 28.55 0090.10.69.2121210 37.8975 090 27178 Treat slipped epiphysis A 11.97 8.42NA 8.42 2.06 22.45 22.45 0090.10.69.2121210 37.8975 090 27179 Revise head/neck of femur A 12.96 9.99NA 9.99 2.23 25.18 25.18 0090.10.69.2121200 37.8975 090 27181 Treat slipped epiphysis A 14.66 10.20NA 10.20 1.56 26.42 26.42 0090.10.69.2121200 37.8975 090 27185 Revision of femur epiphysis A 9.17 7.52NA 7.52 2.37 19.06 19.06 0090.10.69.2121110 37.8975 090 27187 Reinforce hip bones A 13.52 10.32NA 10.32 2.34 26.18 26.18 0090.10.69.2121210 37.8975 090 27193 Treat pelvic ring fracture A 5.55 5.09 5.09 0.93 11.57 11.57 0090.10.69.2121100 37.8975 090 27194 Treat pelvic ring fracture A 9.64 7.65NA 7.65 1.62 18.91 18.91 0090.10.69.2120020 37.8975 090 27200 Treat tail bone fracture A 1.84 2.22 2.15 0.26 4.32 4.25 0090.10.69.2120100 37.8975 090 27202 Treat tail bone fracture A 7.03 16.86NA 16.86 1.06 24.95 24.95 0090.10.69.2120200 37.8975 090 27215 Treat pelvic fracture(s) A 10.03 7.08NA 7.08 1.93 19.04 19.04 0090.10.69.2120220 37.8975 090 27216 Treat pelvic ring fracture A 15.17 9.59NA 9.59 2.66 27.42 27.42 0090.10.69.2120220 37.8975 090 27217 Treat pelvic ring fracture A 14.09 10.14NA 10.14 2.35 26.58 26.58 0090.10.69.2120220 37.8975 090 27218 Treat pelvic ring fracture A 20.12 11.40NA 11.40 3.45 34.97 34.97 0090.10.69.2120220 37.8975 090 27220 Treat hip socket fracture A 6.17 5.72 5.63 1.04 12.93 12.84 0090.10.69.2121100 37.8975 090 27222 Treat hip socket fracture A 12.68 9.97NA 9.97 2.10 24.75 24.75 0090.10.69.2121100 37.8975 090 27226 Treat hip wall fracture A 14.89 7.81NA 7.81 2.45 25.15 25.15 0090.10.69.2121220 37.8975 090 27227 Treat hip fracture(s) A 23.41 15.40NA 15.40 3.98 42.79 42.79 0090.10.69.2121220 37.8975 090 27228 Treat hip fracture(s) A 27.12 17.62NA 17.62 4.61 49.35 49.35 0090.10.69.2121220 37.8975 090 27230 Treat thigh fracture A 5.49 5.51 5.10 0.90 11.90 11.49 0090.10.69.2121100 37.8975 090 27232 Treat thigh fracture A 10.66 7.17NA 7.17 1.68 19.51 19.51 0090.10.69.2121100 37.8975 090 27235 Treat thigh fracture A 12.14 9.45NA 9.45 2.08 23.67 23.67 0090.10.69.2121110 37.8975 090 27236 Treat thigh fracture A 15.58 11.05NA 11.05 2.66 29.29 29.29 0090.10.69.2121210 37.8975 090 27238 Treat thigh fracture A 5.51 5.14NA 5.14 0.87 11.52 11.52 0090.10.69.2121100 37.8975 090 27240 Treat thigh fracture A 12.48 9.47NA 9.47 2.06 24.01 24.01 0090.10.69.2121100 37.8975 090 27244 Treat thigh fracture A 15.92 11.30NA 11.30 2.72 29.94 29.94 0090.10.69.2121210 37.8975 090 27245 Treat thigh fracture A 20.28 13.74NA 13.74 3.47 37.49 37.49 0090.10.69.2121220 37.8975 090 27246 Treat thigh fracture A 4.70 4.46 4.42 0.80 9.96 9.92 0090.10.69.2121100 37.8975 090 27248 Treat thigh fracture A 10.43 8.21NA 8.21 1.78 20.42 20.42 0090.10.69.2121210 37.8975 090 27250 Treat hip dislocation A 6.94 4.62NA 4.62 0.61 12.17 12.17 0090.10.69.2121100 37.8975 090 27252 Treat hip dislocation A 10.37 7.43NA 7.43 1.60 19.40 19.40 0090.10.69.2121100 37.8975 090 27253 Treat hip dislocation A 12.90 9.78NA 9.78 2.20 24.88 24.88 0090.10.69.2121210 37.8975 090 27254 Treat hip dislocation A 18.23 12.02NA 12.02 3.09 33.34 33.34 0090.10.69.2121210 37.8975 090 27256 Treat hip dislocation A 4.11 3.52 2.08 0.44 8.07 6.63 0010.10.80.1021000 37.8975 090 27257 Treat hip dislocation A 5.21 2.81NA 2.81 0.68 8.70 8.70 0010.10.80.1021000 37.8975 090 27258 Treat hip dislocation A 15.41 10.87NA 10.87 2.59 28.87 28.87 0090.10.69.2121210 37.8975 090 27259 Treat hip dislocation A 21.52 14.12NA 14.12 3.71 39.35 39.35 0090.10.69.2121200 37.8975 090 27265 Treat hip dislocation A 5.04 4.79NA 4.79 0.61 10.44 10.44 0090.10.69.2121100 37.8975 090 27266 Treat hip dislocation A 7.48 6.34NA 6.34 1.27 15.09 15.09 0090.10.69.2121100 37.8975 090 27275 Manipulation of hip joint A 2.27 2.10NA 2.10 0.38 4.75 4.75 0010.10.80.1020100 37.8975 090 27280 Fusion of sacroiliac joint A 13.37 10.26NA 10.26 2.38 26.01 26.01 0090.10.69.2121210 37.8975 090 27282 Fusion of pubic bones A 11.32 8.00NA 8.00 1.85 21.17 21.17 0090.10.69.2120210 37.8975 090 27284 Fusion of hip joint A 23.41 14.76NA 14.76 3.89 42.06 42.06 0090.10.69.2121210 37.8975 090 27286 Fusion of hip joint A 23.41 15.79NA 15.79 3.09 42.29 42.29 0090.10.69.2121210 37.8975 090 27290 Amputation of leg at hip A 23.25 14.06NA 14.06 3.32 40.63 40.63 0090.10.69.2120210 37.8975 090 27295 Amputation of leg at hip A 18.62 11.31NA 11.31 2.88 32.81 32.81 0090.10.69.2120210 37.8975 090 27299 Pelvis/hip joint surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 37.8975 090 27301 Drain thigh/knee lesion A 6.48 10.07 5.14 1.00 17.55 12.62 0090.10.69.2121100 37.8975 090 27303 Drainage of bone lesion A 8.27 6.98NA 6.98 1.40 16.65 16.65 0090.10.69.2121210 37.8975 090 27305 Incise thigh tendon & fascia A 5.91 5.18NA 5.18 0.98 12.07 12.07 0090.10.69.2121210 37.8975 090 27306 Incision of thigh tendon A 4.61 4.72NA 4.72 0.83 10.16 10.16 0090.10.69.2121200 37.8975 090 27307 Incision of thigh tendons A 5.79 5.38NA 5.38 1.03 12.20 12.20 0090.10.69.2121010 37.8975 090 27310 Exploration of knee joint A 9.26 7.58NA 7.58 1.58 18.42 18.42 0090.10.69.2121210 37.8975 090 27315 Partial removal, thigh nerve A 6.96 4.95NA 4.95 1.09 13.00 13.00 0090.10.69.2121200 37.8975 090 27320 Partial removal, thigh nerve A 6.29 5.23NA 5.23 1.05 12.57 12.57 0090.10.69.2121210 37.8975 090 27323 Biopsy, thigh soft tissues A 2.28 3.51 1.88 0.24 6.03 4.40 0010.10.80.1021100 37.8975 090 27324 Biopsy, thigh soft tissues A 4.89 4.18NA 4.18 0.73 9.80 9.80 0090.10.69.2121100 37.8975 090 27327 Removal of thigh lesion A 4.46 5.99 3.72 0.62 11.07 8.80 0090.10.69.2121100 37.8975 090 27328 Removal of thigh lesion A 5.56 4.37NA 4.37 0.83 10.76 10.76 0090.10.69.2121100 37.8975 090 27329 Remove tumor, thigh/knee A 14.12 9.02NA 9.02 2.09 25.23 25.23 0090.10.69.2121210 37.8975 090 27330 Biopsy, knee joint lining A 4.96 4.57NA 4.57 0.82 10.35 10.35 0090.10.69.2121110 37.8975 090 27331 Explore/treat knee joint A 5.87 5.52NA 5.52 1.00 12.39 12.39 0090.10.69.2121210 37.8975 090 27332 Removal of knee cartilage A 8.26 7.12NA 7.12 1.42 16.80 16.80 0090.10.69.2121210 37.8975 090 27333 Removal of knee cartilage A 7.29 6.67NA 6.67 1.26 15.22 15.22 0090.10.69.2121210 37.8975 090 27334 Remove knee joint lining A 8.69 7.41NA 7.41 1.49 17.59 17.59 0090.10.69.2121210 37.8975 090 27335 Remove knee joint lining A 9.99 8.22NA 8.22 1.72 19.93 19.93 0090.10.69.2121210 37.8975 090 27340 Removal of kneecap bursa A 4.17 4.56NA 4.56 0.71 9.44 9.44 0090.10.69.2121100 37.8975 090 27345 Removal of knee cyst A 5.91 5.62NA 5.62 0.99 12.52 12.52 0090.10.69.2121210 37.8975 090 27347 Remove knee cyst A 5.77 5.42NA 5.42 0.97 12.16 12.16 0090.10.69.2121210 37.8975 090 27350 Removal of kneecap A 8.16 7.24NA 7.24 1.40 16.80 16.80 0090.10.69.2121210 37.8975 090 27355 Remove femur lesion A 7.64 6.77NA 6.77 1.31 15.72 15.72 0090.10.69.2121210 37.8975 090 27356 Remove femur lesion/graft A 9.47 7.85NA 7.85 1.60 18.92 18.92 0090.10.69.2121210 37.8975 090 27357 Remove femur lesion/graft A 10.51 8.70NA 8.70 1.92 21.13 21.13 0090.10.69.2121210 37.8975 090 27358 Remove femur lesion/fixation A 4.73 2.52NA 2.52 0.82 8.07 8.07 0ZZZ.00.00.0000200 37.8975 090 27360 Partial removal, leg bone(s) A 10.48 9.55NA 9.55 1.75 21.78 21.78 0090.10.69.2121210 37.8975 090 27365 Extensive leg surgery A 16.25 11.68NA 11.68 2.73 30.66 30.66 0090.10.69.2121210 37.8975 090 27370 Injection for knee x-ray A 0.96 3.72 0.32 0.08 4.76 1.36 0000.00.00.0021100 37.8975 090 27372 Removal of foreign body A 5.06 10.05 4.69 0.79 15.90 10.54 0090.10.69.2121000 37.8975 090 27380 Repair of kneecap tendon A 7.15 7.28NA 7.28 1.23 15.66 15.66 0090.10.69.2121210 37.8975 090 27381 Repair/graft kneecap tendon A 10.32 9.09NA 9.09 1.76 21.17 21.17 0090.10.69.2121210 37.8975 090 27385 Repair of thigh muscle A 7.75 7.63NA 7.63 1.34 16.72 16.72 0090.10.69.2121210 37.8975 090 27386 Repair/graft of thigh muscle A 10.54 9.51NA 9.51 1.81 21.86 21.86 0090.10.69.2121210 37.8975 090 27390 Incision of thigh tendon A 5.32 5.11NA 5.11 0.91 11.34 11.34 0090.10.69.2120200 37.8975 090 27391 Incision of thigh tendons A 7.19 6.56NA 6.56 1.20 14.95 14.95 0090.10.69.2120010 37.8975 090 27392 Incision of thigh tendons A 9.19 7.59NA 7.59 1.56 18.34 18.34 0090.10.69.2122210 37.8975 090 27393 Lengthening of thigh tendon A 6.38 5.83NA 5.83 1.06 13.27 13.27 0090.10.69.2120210 37.8975 090 27394 Lengthening of thigh tendons A 8.49 7.22NA 7.22 1.45 17.16 17.16 0090.10.69.2120200 37.8975 090 27395 Lengthening of thigh tendons A 11.71 9.32NA 9.32 2.02 23.05 23.05 0090.10.69.2122210 37.8975 090 27396 Transplant of thigh tendon A 7.85 7.00NA 7.00 1.32 16.17 16.17 0090.10.69.2120210 37.8975 090 27397 Transplants of thigh tendons A 11.26 9.04NA 9.04 1.81 22.11 22.11 0090.10.69.2120200 37.8975 090 27400 Revise thigh muscles/tendons A 9.01 7.25NA 7.25 1.31 17.57 17.57 0090.10.69.2121210 37.8975 090 27403 Repair of knee cartilage A 8.32 7.18NA 7.18 1.43 16.93 16.93 0090.10.69.2121210 37.8975 090 27405 Repair of knee ligament A 8.64 7.49NA 7.49 1.49 17.62 17.62 0090.10.69.2121210 37.8975 090 27407 Repair of knee ligament A 10.26 8.32NA 8.32 1.71 20.29 20.29 0090.10.69.2121210 37.8975 090 27409 Repair of knee ligaments A 12.88 9.95NA 9.95 2.22 25.05 25.05 0090.10.69.2121210 37.8975 090 27412 Autochondrocyte implant knee A 23.23 14.80NA 14.80 4.33 42.36 42.36 0090.10.69.2121210 37.8975 090 27415 Osteochondral knee allograft A 18.49 12.55NA 12.55 4.33 35.37 35.37 0090.10.69.2121210 37.8975 090 27418 Repair degenerated kneecap A 10.83 8.90NA 8.90 1.87 21.60 21.60 0090.10.69.2121210 37.8975 090 27420 Revision of unstable kneecap A 9.82 8.11NA 8.11 1.67 19.60 19.60 0090.10.69.2121210 37.8975 090 27422 Revision of unstable kneecap A 9.77 8.12NA 8.12 1.68 19.57 19.57 0090.10.69.2121210 37.8975 090 27424 Revision/removal of kneecap A 9.80 8.09NA 8.09 1.68 19.57 19.57 0090.10.69.2121210 37.8975 090 27425 Lat retinacular release open A 5.21 5.52NA 5.52 0.90 11.63 11.63 0090.10.69.2121110 37.8975 090 27427 Reconstruction, knee A 9.35 7.80NA 7.80 1.58 18.73 18.73 0090.10.69.2121210 37.8975 090 27428 Reconstruction, knee A 13.98 11.24NA 11.24 2.38 27.60 27.60 0090.10.69.2121210 37.8975 090 27429 Reconstruction, knee A 15.50 12.41NA 12.41 2.67 30.58 30.58 0090.10.69.2121210 37.8975 090 27430 Revision of thigh muscles A 9.66 8.00NA 8.00 1.66 19.32 19.32 0090.10.69.2121210 37.8975 090 27435 Incision of knee joint A 9.48 8.48NA 8.48 1.67 19.63 19.63 0090.10.69.2121210 37.8975 090 27437 Revise kneecap A 8.45 7.24NA 7.24 1.48 17.17 17.17 0090.10.69.2121110 37.8975 090 27438 Revise kneecap with implant A 11.21 8.54NA 8.54 1.93 21.68 21.68 0090.10.69.2121210 37.8975 090 27440 Revision of knee joint A 10.41 5.99NA 5.99 1.80 18.20 18.20 0090.10.69.2121210 37.8975 090 27441 Revision of knee joint A 10.80 6.71NA 6.71 1.84 19.35 19.35 0090.10.69.2121210 37.8975 090 27442 Revision of knee joint A 11.87 8.91NA 8.91 2.07 22.85 22.85 0090.10.69.2121210 37.8975 090 27443 Revision of knee joint A 10.91 8.72NA 8.72 1.87 21.50 21.50 0090.10.69.2121210 37.8975 090 27445 Revision of knee joint A 17.65 12.35NA 12.35 3.05 33.05 33.05 0090.10.69.2121210 37.8975 090 27446 Revision of knee joint A 15.82 11.27NA 11.27 2.76 29.85 29.85 0090.10.69.2121210 37.8975 090 27447 Total knee arthroplasty A 21.45 14.60NA 14.60 3.74 39.79 39.79 0090.10.69.2121210 37.8975 090 27448 Incision of thigh A 11.04 8.60NA 8.60 1.90 21.54 21.54 0090.10.69.2121210 37.8975 090 27450 Incision of thigh A 13.96 10.58NA 10.58 2.38 26.92 26.92 0090.10.69.2121210 37.8975 090 27454 Realignment of thigh bone A 17.53 12.50NA 12.50 3.05 33.08 33.08 0090.10.69.2121210 37.8975 090 27455 Realignment of knee A 12.80 9.88NA 9.88 2.22 24.90 24.90 0090.10.69.2121210 37.8975 090 27457 Realignment of knee A 13.43 9.92NA 9.92 2.32 25.67 25.67 0090.10.69.2121210 37.8975 090 27465 Shortening of thigh bone A 13.85 10.22NA 10.22 2.45 26.52 26.52 0090.10.69.2121210 37.8975 090 27466 Lengthening of thigh bone A 16.31 11.83NA 11.83 2.74 30.88 30.88 0090.10.69.2121210 37.8975 090 27468 Shorten/lengthen thighs A 18.94 12.35NA 12.35 3.27 34.56 34.56 0090.10.69.2121210 37.8975 090 27470 Repair of thigh A 16.05 11.79NA 11.79 2.74 30.58 30.58 0090.10.69.2121210 37.8975 090 27472 Repair/graft of thigh A 17.69 12.68NA 12.68 3.02 33.39 33.39 0090.10.69.2121210 37.8975 090 27475 Surgery to stop leg growth A 8.63 7.21NA 7.21 1.36 17.20 17.20 0090.10.69.2121110 37.8975 090 27477 Surgery to stop leg growth A 9.84 7.73NA 7.73 1.71 19.28 19.28 0090.10.69.2121110 37.8975 090 27479 Surgery to stop leg growth A 12.78 9.64NA 9.64 2.75 25.17 25.17 0090.10.69.2121200 37.8975 090 27485 Surgery to stop leg growth A 8.83 7.40NA 7.40 1.52 17.75 17.75 0090.10.69.2121100 37.8975 090 27486 Revise/replace knee joint A 19.24 13.49NA 13.49 3.32 36.05 36.05 0090.10.69.2121210 37.8975 090 27487 Revise/replace knee joint A 25.23 16.55NA 16.55 4.33 46.11 46.11 0090.10.69.2121210 37.8975 090 27488 Removal of knee prosthesis A 15.72 11.70NA 11.70 2.70 30.12 30.12 0090.10.69.2121210 37.8975 090 27495 Reinforce thigh A 15.53 11.41NA 11.41 2.66 29.60 29.60 0090.10.69.2121210 37.8975 090 27496 Decompression of thigh/knee A 6.10 5.60NA 5.60 0.97 12.67 12.67 0090.10.69.2121100 37.8975 090 27497 Decompression of thigh/knee A 7.16 5.43NA 5.43 1.14 13.73 13.73 0090.10.69.2121020 37.8975 090 27498 Decompression of thigh/knee A 7.98 5.95NA 5.95 1.24 15.17 15.17 0090.10.69.2121220 37.8975 090 27499 Decompression of thigh/knee A 8.99 6.82NA 6.82 1.46 17.27 17.27 0090.10.69.2121220 37.8975 090 27500 Treatment of thigh fracture A 5.91 6.12 4.99 0.96 12.99 11.86 0090.10.69.2121100 37.8975 090 27501 Treatment of thigh fracture A 5.91 5.79 5.38 1.01 12.71 12.30 0090.10.69.2121000 37.8975 090 27502 Treatment of thigh fracture A 10.56 8.11NA 8.11 1.72 20.39 20.39 0090.10.69.2121100 37.8975 090 27503 Treatment of thigh fracture A 10.56 8.29NA 8.29 1.80 20.65 20.65 0090.10.69.2121000 37.8975 090 27506 Treatment of thigh fracture A 17.42 12.78NA 12.78 2.95 33.15 33.15 0090.10.69.2121210 37.8975 090 27507 Treatment of thigh fracture A 13.97 9.84NA 9.84 2.36 26.17 26.17 0090.10.69.2121220 37.8975 090 27508 Treatment of thigh fracture A 5.82 6.46 5.48 0.95 13.23 12.25 0090.10.69.2121100 37.8975 090 27509 Treatment of thigh fracture A 7.70 7.96NA 7.96 1.33 16.99 16.99 0090.10.69.2121000 37.8975 090 27510 Treatment of thigh fracture A 9.12 7.33NA 7.33 1.49 17.94 17.94 0090.10.69.2121100 37.8975 090 27511 Treatment of thigh fracture A 13.62 11.20NA 11.20 2.33 27.15 27.15 0090.10.69.2121220 37.8975 090 27513 Treatment of thigh fracture A 17.89 13.88NA 13.88 3.07 34.84 34.84 0090.10.69.2121220 37.8975 090 27514 Treatment of thigh fracture A 17.27 13.35NA 13.35 2.95 33.57 33.57 0090.10.69.2121210 37.8975 090 27516 Treat thigh fx growth plate A 5.36 6.35 5.51 0.78 12.49 11.65 0090.10.69.2121100 37.8975 090 27517 Treat thigh fx growth plate A 8.77 7.45NA 7.45 1.21 17.43 17.43 0090.10.69.2121000 37.8975 090 27519 Treat thigh fx growth plate A 15.00 11.59NA 11.59 2.53 29.12 29.12 0090.10.69.2121210 37.8975 090 27520 Treat kneecap fracture A 2.86 4.54 3.44 0.45 7.85 6.75 0090.10.69.2121100 37.8975 090 27524 Treat kneecap fracture A 9.99 8.23NA 8.23 1.71 19.93 19.93 0090.10.69.2121210 37.8975 090 27530 Treat knee fracture A 3.77 5.31 4.42 0.62 9.70 8.81 0090.10.69.2121100 37.8975 090 27532 Treat knee fracture A 7.29 7.36 6.45 1.24 15.89 14.98 0090.10.69.2121100 37.8975 090 27535 Treat knee fracture A 11.48 10.11NA 10.11 1.97 23.56 23.56 0090.10.69.2121220 37.8975 090 27536 Treat knee fracture A 15.63 11.61NA 11.61 2.68 29.92 29.92 0090.10.69.2121210 37.8975 090 27538 Treat knee fracture(s) A 4.86 6.13 5.19 0.81 11.80 10.86 0090.10.69.2121000 37.8975 090 27540 Treat knee fracture A 13.08 9.51NA 9.51 2.22 24.81 24.81 0090.10.69.2121210 37.8975 090 27550 Treat knee dislocation A 5.75 6.01 4.93 0.72 12.48 11.40 0090.10.69.2121000 37.8975 090 27552 Treat knee dislocation A 7.89 6.95NA 6.95 1.33 16.17 16.17 0090.10.69.2121000 37.8975 090 27556 Treat knee dislocation A 14.39 11.65NA 11.65 2.46 28.50 28.50 0090.10.69.2121210 37.8975 090 27557 Treat knee dislocation A 16.74 13.12NA 13.12 2.89 32.75 32.75 0090.10.69.2121210 37.8975 090 27558 Treat knee dislocation A 17.69 13.04NA 13.04 3.05 33.78 33.78 0090.10.69.2121220 37.8975 090 27560 Treat kneecap dislocation A 3.81 4.84 3.18 0.40 9.05 7.39 0090.10.69.2121100 37.8975 090 27562 Treat kneecap dislocation A 5.78 4.77NA 4.77 0.92 11.47 11.47 0090.10.69.2121000 37.8975 090 27566 Treat kneecap dislocation A 12.21 9.32NA 9.32 2.10 23.63 23.63 0090.10.69.2121210 37.8975 090 27570 Fixation of knee joint A 1.74 1.77NA 1.77 0.30 3.81 3.81 0010.10.80.1020100 37.8975 090 27580 Fusion of knee A 19.34 14.80NA 14.80 3.27 37.41 37.41 0090.10.69.2121210 37.8975 090 27590 Amputate leg at thigh A 12.01 6.67NA 6.67 1.72 20.40 20.40 0090.10.69.2121210 37.8975 090 27591 Amputate leg at thigh A 12.66 8.64NA 8.64 1.95 23.25 23.25 0090.10.69.2121210 37.8975 090 27592 Amputate leg at thigh A 10.00 6.17NA 6.17 1.44 17.61 17.61 0090.10.69.2121210 37.8975 090 27594 Amputation follow-up surgery A 6.91 5.17NA 5.17 1.01 13.09 13.09 0090.10.69.2121100 37.8975 090 27596 Amputation follow-up surgery A 10.58 6.81NA 6.81 1.55 18.94 18.94 0090.10.69.2121110 37.8975 090 27598 Amputate lower leg at knee A 10.51 7.02NA 7.02 1.61 19.14 19.14 0090.10.69.2121210 37.8975 090 27599 Leg surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 37.8975 090 27600 Decompression of lower leg A 5.64 4.53NA 4.53 0.84 11.01 11.01 0090.10.69.2121110 37.8975 090 27601 Decompression of lower leg A 5.63 4.85NA 4.85 0.80 11.28 11.28 0090.10.69.2121100 37.8975 090 27602 Decompression of lower leg A 7.34 5.13NA 5.13 1.08 13.55 13.55 0090.10.69.2121210 37.8975 090 27603 Drain lower leg lesion A 4.93 7.49 4.16 0.71 13.13 9.80 0090.10.69.2121100 37.8975 090 27604 Drain lower leg bursa A 4.46 6.08 3.96 0.68 11.22 9.10 0090.10.69.2121000 37.8975 090 27605 Incision of achilles tendon A 2.87 7.68 2.32 0.41 10.96 5.60 0010.10.80.1021000 37.8975 090 27606 Incision of achilles tendon A 4.13 3.36NA 3.36 0.68 8.17 8.17 0010.10.80.1021110 37.8975 090 27607 Treat lower leg bone lesion A 7.96 6.17NA 6.17 1.29 15.42 15.42 0090.10.69.2121100 37.8975 090 27610 Explore/treat ankle joint A 8.33 7.00NA 7.00 1.37 16.70 16.70 0090.10.69.2121100 37.8975 090 27612 Exploration of ankle joint A 7.32 6.09NA 6.09 1.12 14.53 14.53 0090.10.69.2121210 37.8975 090 27613 Biopsy lower leg soft tissue A 2.17 3.23 1.80 0.21 5.61 4.18 0010.10.80.1021100 37.8975 090 27614 Biopsy lower leg soft tissue A 5.65 7.13 4.44 0.77 13.55 10.86 0090.10.69.2121100 37.8975 090 27615 Remove tumor, lower leg A 12.54 9.39NA 9.39 1.77 23.70 23.70 0090.10.69.2121010 37.8975 090 27618 Remove lower leg lesion A 5.08 6.01 3.99 0.69 11.78 9.76 0090.10.69.2121100 37.8975 090 27619 Remove lower leg lesion A 8.39 9.51 5.95 1.23 19.13 15.57 0090.10.69.2121100 37.8975 090 27620 Explore/treat ankle joint A 5.97 5.46NA 5.46 0.95 12.38 12.38 0090.10.69.2121210 37.8975 090 27625 Remove ankle joint lining A 8.29 6.46NA 6.46 1.28 16.03 16.03 0090.10.69.2121210 37.8975 090 27626 Remove ankle joint lining A 8.90 6.92NA 6.92 1.47 17.29 17.29 0090.10.69.2121200 37.8975 090 27630 Removal of tendon lesion A 4.79 7.56 4.38 0.73 13.08 9.90 0090.10.69.2121100 37.8975 090 27635 Remove lower leg bone lesion A 7.77 6.74NA 6.74 1.29 15.80 15.80 0090.10.69.2121110 37.8975 090 27637 Remove/graft leg bone lesion A 9.84 8.29NA 8.29 1.64 19.77 19.77 0090.10.69.2121210 37.8975 090 27638 Remove/graft leg bone lesion A 10.55 8.29NA 8.29 1.79 20.63 20.63 0090.10.69.2121210 37.8975 090 27640 Partial removal of tibia A 11.35 10.31NA 10.31 1.84 23.50 23.50 0090.10.69.2121110 37.8975 090 27641 Partial removal of fibula A 9.23 8.34NA 8.34 1.45 19.02 19.02 0090.10.69.2121110 37.8975 090 27645 Extensive lower leg surgery A 14.15 12.05NA 12.05 2.35 28.55 28.55 0090.10.69.2121210 37.8975 090 27646 Extensive lower leg surgery A 12.64 11.03NA 11.03 2.01 25.68 25.68 0090.10.69.2121210 37.8975 090 27647 Extensive ankle/heel surgery A 12.22 7.61NA 7.61 1.74 21.57 21.57 0090.10.69.2121200 37.8975 090 27648 Injection for ankle x-ray A 0.96 3.52 0.33 0.08 4.56 1.37 0000.00.00.0021000 37.8975 090 27650 Repair achilles tendon A 9.68 7.51NA 7.51 1.57 18.76 18.76 0090.10.69.2121210 37.8975 090 27652 Repair/graft achilles tendon A 10.31 8.03NA 8.03 1.68 20.02 20.02 0090.10.69.2121110 37.8975 090 27654 Repair of achilles tendon A 10.00 7.14NA 7.14 1.56 18.70 18.70 0090.10.69.2121210 37.8975 090 27656 Repair leg fascia defect A 4.56 8.53 3.77 0.64 13.73 8.97 0090.10.69.2121200 37.8975 090 27658 Repair of leg tendon, each A 4.97 4.56NA 4.56 0.78 10.31 10.31 0090.10.69.2120210 37.8975 090 27659 Repair of leg tendon, each A 6.80 5.64NA 5.64 1.08 13.52 13.52 0090.10.69.2120210 37.8975 090 27664 Repair of leg tendon, each A 4.58 4.55NA 4.55 0.75 9.88 9.88 0090.10.69.2120000 37.8975 090 27665 Repair of leg tendon, each A 5.39 4.97NA 4.97 0.88 11.24 11.24 0090.10.69.2120210 37.8975 090 27675 Repair lower leg tendons A 7.17 5.73NA 5.73 1.11 14.01 14.01 0090.10.69.2121210 37.8975 090 27676 Repair lower leg tendons A 8.41 6.75NA 6.75 1.37 16.53 16.53 0090.10.69.2121200 37.8975 090 27680 Release of lower leg tendon A 5.73 5.11NA 5.11 0.93 11.77 11.77 0090.10.69.2120110 37.8975 090 27681 Release of lower leg tendons A 6.81 5.91NA 5.91 1.14 13.86 13.86 0090.10.69.2120110 37.8975 090 27685 Revision of lower leg tendon A 6.49 7.29 5.46 0.97 14.75 12.92 0090.10.69.2120210 37.8975 090 27686 Revise lower leg tendons A 7.45 6.49NA 6.49 1.24 15.18 15.18 0090.10.69.2120110 37.8975 090 27687 Revision of calf tendon A 6.23 5.31NA 5.31 1.00 12.54 12.54 0090.10.69.2121210 37.8975 090 27690 Revise lower leg tendon A 8.70 6.35NA 6.35 1.32 16.37 16.37 0090.10.69.2121210 37.8975 090 27691 Revise lower leg tendon A 9.95 7.76NA 7.76 1.63 19.34 19.34 0090.10.69.2121210 37.8975 090 27692 Revise additional leg tendon A 1.87 0.93NA 0.93 0.32 3.12 3.12 0ZZZ.00.00.0000210 37.8975 090 27695 Repair of ankle ligament A 6.50 5.87NA 5.87 1.04 13.41 13.41 0090.10.69.2121110 37.8975 090 27696 Repair of ankle ligaments A 8.26 6.43NA 6.43 1.28 15.97 15.97 0090.10.69.2121110 37.8975 090 27698 Repair of ankle ligament A 9.35 6.94NA 6.94 1.47 17.76 17.76 0090.10.69.2121210 37.8975 090 27700 Revision of ankle joint A 9.28 5.68NA 5.68 1.31 16.27 16.27 0090.10.69.2121210 37.8975 090 27702 Reconstruct ankle joint A 13.65 10.46NA 10.46 2.35 26.46 26.46 0090.10.69.2121210 37.8975 090 27703 Reconstruction, ankle joint A 15.85 11.23NA 11.23 2.72 29.80 29.80 0090.10.69.2121200 37.8975 090 27704 Removal of ankle implant A 7.61 5.59NA 5.59 1.26 14.46 14.46 0090.10.69.2121110 37.8975 090 27705 Incision of tibia A 10.36 8.17NA 8.17 1.74 20.27 20.27 0090.10.69.2121210 37.8975 090 27707 Incision of fibula A 4.36 4.94NA 4.94 0.74 10.04 10.04 0090.10.69.2121110 37.8975 090 27709 Incision of tibia & fibula A 9.94 8.13NA 8.13 1.69 19.76 19.76 0090.10.69.2121210 37.8975 090 27712 Realignment of lower leg A 14.23 10.74NA 10.74 2.45 27.42 27.42 0090.10.69.2121210 37.8975 090 27715 Revision of lower leg A 14.37 10.77NA 10.77 2.44 27.58 27.58 0090.10.69.2121210 37.8975 090 27720 Repair of tibia A 11.77 9.40NA 9.40 2.01 23.18 23.18 0090.10.69.2121210 37.8975 090 27722 Repair/graft of tibia A 11.80 9.13NA 9.13 2.00 22.93 22.93 0090.10.69.2121210 37.8975 090 27724 Repair/graft of tibia A 18.17 12.36NA 12.36 3.12 33.65 33.65 0090.10.69.2121210 37.8975 090 27725 Repair of lower leg A 15.57 11.91NA 11.91 2.62 30.10 30.10 0090.10.69.2121210 37.8975 090 27727 Repair of lower leg A 13.99 10.34NA 10.34 2.41 26.74 26.74 0090.10.69.2121210 37.8975 090 27730 Repair of tibia epiphysis A 7.40 6.42NA 6.42 1.70 15.52 15.52 0090.10.69.2121110 37.8975 090 27732 Repair of fibula epiphysis A 5.31 4.93NA 4.93 0.77 11.01 11.01 0090.10.69.2121100 37.8975 090 27734 Repair lower leg epiphyses A 8.47 6.28NA 6.28 1.35 16.10 16.10 0090.10.69.2121100 37.8975 090 27740 Repair of leg epiphyses A 9.29 7.99NA 7.99 1.60 18.88 18.88 0090.10.69.2121200 37.8975 090 27742 Repair of leg epiphyses A 10.28 5.56 5.56 1.77 17.61 17.61 0090.10.69.2121210 37.8975 090 27745 Reinforce tibia A 10.05 8.17NA 8.17 1.70 19.92 19.92 0090.10.69.2121210 37.8975 090 27750 Treatment of tibia fracture A 3.19 4.76 3.85 0.51 8.46 7.55 0090.10.69.2121100 37.8975 090 27752 Treatment of tibia fracture A 5.83 6.65 5.67 0.98 13.46 12.48 0090.10.69.2121100 37.8975 090 27756 Treatment of tibia fracture A 6.77 6.46NA 6.46 1.15 14.38 14.38 0090.10.69.2121210 37.8975 090 27758 Treatment of tibia fracture A 11.65 9.18NA 9.18 2.00 22.83 22.83 0090.10.69.2121210 37.8975 090 27759 Treatment of tibia fracture A 13.74 10.31NA 10.31 2.35 26.40 26.40 0090.10.69.2121220 37.8975 090 27760 Treatment of ankle fracture A 3.01 4.68 3.59 0.45 8.14 7.05 0090.10.69.2121100 37.8975 090 27762 Treatment of ankle fracture A 5.24 6.33 5.27 0.81 12.38 11.32 0090.10.69.2121100 37.8975 090 27766 Treatment of ankle fracture A 8.35 7.22NA 7.22 1.42 16.99 16.99 0090.10.69.2121110 37.8975 090 27780 Treatment of fibula fracture A 2.65 4.18 3.21 0.40 7.23 6.26 0090.10.69.2121100 37.8975 090 27781 Treatment of fibula fracture A 4.39 5.49 4.64 0.71 10.59 9.74 0090.10.69.2121100 37.8975 090 27784 Treatment of fibula fracture A 7.10 6.47NA 6.47 1.21 14.78 14.78 0090.10.69.2121110 37.8975 090 27786 Treatment of ankle fracture A 2.84 4.46 3.33 0.43 7.73 6.60 0090.10.69.2121100 37.8975 090 27788 Treatment of ankle fracture A 4.44 5.64 4.65 0.71 10.79 9.80 0090.10.69.2121100 37.8975 090 27792 Treatment of ankle fracture A 7.65 6.96NA 6.96 1.30 15.91 15.91 0090.10.69.2121110 37.8975 090 27808 Treatment of ankle fracture A 2.83 4.80 3.70 0.45 8.08 6.98 0090.10.69.2121100 37.8975 090 27810 Treatment of ankle fracture A 5.12 6.24 5.15 0.80 12.16 11.07 0090.10.69.2121100 37.8975 090 27814 Treatment of ankle fracture A 10.66 8.56NA 8.56 1.82 21.04 21.04 0090.10.69.2121210 37.8975 090 27816 Treatment of ankle fracture A 2.89 4.38 3.41 0.41 7.68 6.71 0090.10.69.2121100 37.8975 090 27818 Treatment of ankle fracture A 5.49 6.37 5.17 0.79 12.65 11.45 0090.10.69.2121100 37.8975 090 27822 Treatment of ankle fracture A 10.98 10.65NA 10.65 1.87 23.50 23.50 0090.10.69.2121210 37.8975 090 27823 Treatment of ankle fracture A 12.98 11.47NA 11.47 2.21 26.66 26.66 0090.10.69.2121210 37.8975 090 27824 Treat lower leg fracture A 2.89 4.06 3.56 0.43 7.38 6.88 0090.10.69.2121100 37.8975 090 27825 Treat lower leg fracture A 6.18 6.60 5.38 1.00 13.78 12.56 0090.10.69.2121000 37.8975 090 27826 Treat lower leg fracture A 8.53 8.82NA 8.82 1.46 18.81 18.81 0090.10.69.2121220 37.8975 090 27827 Treat lower leg fracture A 14.04 12.76NA 12.76 2.39 29.19 29.19 0090.10.69.2121220 37.8975 090 27828 Treat lower leg fracture A 16.21 13.93NA 13.93 2.76 32.90 32.90 0090.10.69.2121220 37.8975 090 27829 Treat lower leg joint A 5.48 6.78NA 6.78 0.94 13.20 13.20 0090.10.69.2121220 37.8975 090 27830 Treat lower leg dislocation A 3.78 4.39 3.85 0.52 8.69 8.15 0090.10.69.2121000 37.8975 090 27831 Treat lower leg dislocation A 4.55 4.46NA 4.46 0.73 9.74 9.74 0090.10.69.2121000 37.8975 090 27832 Treat lower leg dislocation A 6.48 6.17NA 6.17 0.97 13.62 13.62 0090.10.69.2121210 37.8975 090 27840 Treat ankle dislocation A 4.57 3.76NA 3.76 0.45 8.78 8.78 0090.10.69.2121100 37.8975 090 27842 Treat ankle dislocation A 6.20 5.12NA 5.12 0.97 12.29 12.29 0090.10.69.2121100 37.8975 090 27846 Treat ankle dislocation A 9.78 7.93NA 7.93 1.63 19.34 19.34 0090.10.69.2121210 37.8975 090 27848 Treat ankle dislocation A 11.18 9.71NA 9.71 1.88 22.77 22.77 0090.10.69.2121210 37.8975 090 27860 Fixation of ankle joint A 2.34 1.98NA 1.98 0.38 4.70 4.70 0010.10.80.1020000 37.8975 090 27870 Fusion of ankle joint, open A 13.89 10.52NA 10.52 2.34 26.75 26.75 0090.10.69.2121210 37.8975 090 27871 Fusion of tibiofibular joint A 9.16 7.58NA 7.58 1.56 18.30 18.30 0090.10.69.2121210 37.8975 090 27880 Amputation of lower leg A 11.83 7.13NA 7.13 1.73 20.69 20.69 0090.10.69.2121210 37.8975 090 27881 Amputation of lower leg A 12.32 8.84NA 8.84 1.95 23.11 23.11 0090.10.69.2121210 37.8975 090 27882 Amputation of lower leg A 8.93 6.48NA 6.48 1.28 16.69 16.69 0090.10.69.2121010 37.8975 090 27884 Amputation follow-up surgery A 8.20 5.75NA 5.75 1.20 15.15 15.15 0090.10.69.2121100 37.8975 090 27886 Amputation follow-up surgery A 9.31 6.51NA 6.51 1.38 17.20 17.20 0090.10.69.2121110 37.8975 090 27888 Amputation of foot at ankle A 9.66 7.50NA 7.50 1.50 18.66 18.66 0090.10.69.2121210 37.8975 090 27889 Amputation of foot at ankle A 9.97 6.47NA 6.47 1.44 17.88 17.88 0090.10.69.2121110 37.8975 090 27892 Decompression of leg A 7.38 5.59NA 5.59 1.08 14.05 14.05 0090.10.69.2121000 37.8975 090 27893 Decompression of leg A 7.34 5.46NA 5.46 1.09 13.89 13.89 0090.10.69.2121000 37.8975 090 27894 Decompression of leg A 10.47 7.77NA 7.77 1.61 19.85 19.85 0090.10.69.2121200 37.8975 090 27899 Leg/ankle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 28001 Drainage of bursa of foot A 2.73 2.98 1.95 0.34 6.05 5.02 0010.10.80.1020100 37.8975 090 28002 Treatment of foot infection A 4.61 4.99 3.77 0.62 10.22 9.00 0010.10.80.1020100 37.8975 090 28003 Treatment of foot infection A 8.40 6.23 5.22 1.13 15.76 14.75 0090.10.69.2120100 37.8975 090 28005 Treat foot bone lesion A 8.67 6.04NA 6.04 1.17 15.88 15.88 0090.10.69.2120100 37.8975 090 28008 Incision of foot fascia A 4.44 4.55 3.20 0.58 9.57 8.22 0090.10.69.2121100 37.8975 090 28010 Incision of toe tendon A 2.84 2.37 2.37 0.37 5.58 5.58 0090.10.69.2120100 37.8975 090 28011 Incision of toe tendons A 4.13 3.30NA 3.30 0.59 8.02 8.02 0090.10.69.2120100 37.8975 090 28020 Exploration of foot joint A 5.00 6.01 4.13 0.72 11.73 9.85 0090.10.69.2120110 37.8975 090 28022 Exploration of foot joint A 4.66 5.19 3.85 0.63 10.48 9.14 0090.10.69.2120100 37.8975 090 28024 Exploration of toe joint A 4.37 5.21 3.92 0.57 10.15 8.86 0090.10.69.2120100 37.8975 090 28030 Removal of foot nerve A 6.14 3.65NA 3.65 0.76 10.55 10.55 0090.10.69.2120000 37.8975 090 28035 Decompression of tibia nerve A 5.08 5.85 4.09 0.70 11.63 9.87 0090.10.69.2120110 37.8975 090 28043 Excision of foot lesion A 3.53 3.81 3.17 0.46 7.80 7.16 0090.10.69.2121100 37.8975 090 28045 Excision of foot lesion A 4.71 5.37 3.60 0.63 10.71 8.94 0090.10.69.2121000 37.8975 090 28046 Resection of tumor, foot A 10.16 8.76 6.47 1.35 20.27 17.98 0090.10.69.2121110 37.8975 090 28050 Biopsy of foot joint lining A 4.24 4.89 3.59 0.60 9.73 8.43 0090.10.69.2121110 37.8975 090 28052 Biopsy of foot joint lining A 3.93 4.91 3.43 0.53 9.37 7.89 0090.10.69.2121110 37.8975 090 28054 Biopsy of toe joint lining A 3.44 4.72 3.23 0.46 8.62 7.13 0090.10.69.2121000 37.8975 090 28060 Partial removal, foot fascia A 5.22 5.47 3.87 0.70 11.39 9.79 0090.10.69.2121100 37.8975 090 28062 Removal of foot fascia A 6.51 6.51 4.01 0.84 13.86 11.36 0090.10.69.2120110 37.8975 090 28070 Removal of foot joint lining A 5.09 5.21 3.81 0.73 11.03 9.63 0090.10.69.2120100 37.8975 090 28072 Removal of foot joint lining A 4.57 5.52 4.30 0.67 10.76 9.54 0090.10.69.2120100 37.8975 090 28080 Removal of foot lesion A 3.57 5.11 3.68 0.47 9.15 7.72 0090.10.69.2120000 37.8975 090 28086 Excise foot tendon sheath A 4.77 7.98 4.68 0.75 13.50 10.20 0090.10.69.2121210 37.8975 090 28088 Excise foot tendon sheath A 3.85 5.75 3.89 0.60 10.20 8.34 0090.10.69.2121000 37.8975 090 28090 Removal of foot lesion A 4.40 5.14 3.45 0.59 10.13 8.44 0090.10.69.2121100 37.8975 090 28092 Removal of toe lesions A 3.63 5.21 3.52 0.49 9.33 7.64 0090.10.69.2120100 37.8975 090 28100 Removal of ankle/heel lesion A 5.65 7.96 4.69 0.80 14.41 11.14 0090.10.69.2121210 37.8975 090 28102 Remove/graft foot lesion A 7.72 5.94NA 5.94 1.15 14.81 14.81 0090.10.69.2121200 37.8975 090 28103 Remove/graft foot lesion A 6.49 4.61NA 4.61 0.91 12.01 12.01 0090.10.69.2121200 37.8975 090 28104 Removal of foot lesion A 5.11 5.48 3.92 0.70 11.29 9.73 0090.10.69.2120210 37.8975 090 28106 Remove/graft foot lesion A 7.15 4.43NA 4.43 0.97 12.55 12.55 0090.10.69.2120210 37.8975 090 28107 Remove/graft foot lesion A 5.55 6.52 4.20 0.74 12.81 10.49 0090.10.69.2120200 37.8975 090 28108 Removal of toe lesions A 4.15 4.59 3.25 0.53 9.27 7.93 0090.10.69.2120100 37.8975 090 28110 Part removal of metatarsal A 4.07 5.21 3.22 0.54 9.82 7.83 0090.10.69.2121110 37.8975 090 28111 Part removal of metatarsal A 5.00 6.27 3.65 0.68 11.95 9.33 0090.10.69.2121110 37.8975 090 28112 Part removal of metatarsal A 4.48 5.80 3.57 0.62 10.90 8.67 0090.10.69.2121110 37.8975 090 28113 Part removal of metatarsal A 4.78 6.05 4.31 0.63 11.46 9.72 0090.10.69.2121000 37.8975 090 28114 Removal of metatarsal heads A 9.78 11.62 8.37 1.43 22.83 19.58 0090.10.69.2121210 37.8975 090 28116 Revision of foot A 7.74 6.79 5.17 1.04 15.57 13.95 0090.10.69.2121100 37.8975 090 28118 Removal of heel bone A 5.95 6.24 4.34 0.84 13.03 11.13 0090.10.69.2121210 37.8975 090 28119 Removal of heel spur A 5.38 5.42 3.72 0.70 11.50 9.80 0090.10.69.2121110 37.8975 090 28120 Part removal of ankle/heel A 5.39 7.28 4.41 0.77 13.44 10.57 0090.10.69.2121110 37.8975 090 28122 Partial removal of foot bone A 7.28 6.83 5.26 0.98 15.09 13.52 0090.10.69.2121210 37.8975 090 28124 Partial removal of toe A 4.80 4.99 3.65 0.60 10.39 9.05 0090.10.69.2121100 37.8975 090 28126 Partial removal of toe A 3.51 4.21 2.99 0.45 8.17 6.95 0090.10.69.2120100 37.8975 090 28130 Removal of ankle bone A 8.10 6.71NA 6.71 1.25 16.06 16.06 0090.10.69.2121210 37.8975 090 28140 Removal of metatarsal A 6.90 7.22 4.76 0.92 15.04 12.58 0090.10.69.2120110 37.8975 090 28150 Removal of toe A 4.08 4.83 3.28 0.53 9.44 7.89 0090.10.69.2120100 37.8975 090 28153 Partial removal of toe A 3.65 4.31 2.68 0.47 8.43 6.80 0090.10.69.2120100 37.8975 090 28160 Partial removal of toe A 3.73 4.56 3.33 0.49 8.78 7.55 0090.10.69.2120100 37.8975 090 28171 Extensive foot surgery A 9.59 5.42NA 5.42 1.33 16.34 16.34 0090.10.69.2120200 37.8975 090 28173 Extensive foot surgery A 8.79 7.59 5.19 1.13 17.51 15.11 0090.10.69.2120110 37.8975 090 28175 Extensive foot surgery A 6.04 5.70 3.70 0.74 12.48 10.48 0090.10.69.2120110 37.8975 090 28190 Removal of foot foreign body A 1.96 3.39 1.48 0.22 5.57 3.66 0010.10.80.1021100 37.8975 090 28192 Removal of foot foreign body A 4.63 5.47 3.64 0.59 10.69 8.86 0090.10.69.2121100 37.8975 090 28193 Removal of foot foreign body A 5.72 5.60 3.92 0.72 12.04 10.36 0090.10.69.2121100 37.8975 090 28200 Repair of foot tendon A 4.59 5.09 3.55 0.61 10.29 8.75 0090.10.69.2120110 37.8975 090 28202 Repair/graft of foot tendon A 6.83 7.21 4.49 0.91 14.95 12.23 0090.10.69.2120210 37.8975 090 28208 Repair of foot tendon A 4.36 4.81 3.30 0.58 9.75 8.24 0090.10.69.2120110 37.8975 090 28210 Repair/graft of foot tendon A 6.34 6.21 4.02 0.82 13.37 11.18 0090.10.69.2120200 37.8975 090 28220 Release of foot tendon A 4.52 4.67 3.42 0.57 9.76 8.51 0090.10.69.2120100 37.8975 090 28222 Release of foot tendons A 5.61 5.23 4.12 0.70 11.54 10.43 0090.10.69.2120100 37.8975 090 28225 Release of foot tendon A 3.65 4.28 2.90 0.47 8.40 7.02 0090.10.69.2120110 37.8975 090 28226 Release of foot tendons A 4.52 4.79 3.74 0.58 9.89 8.84 0090.10.69.2120100 37.8975 090 28230 Incision of foot tendon(s) A 4.23 4.67 3.67 0.56 9.46 8.46 0090.10.69.2120100 37.8975 090 28232 Incision of toe tendon A 3.38 4.52 3.31 0.45 8.35 7.14 0090.10.69.2120100 37.8975 090 28234 Incision of foot tendon A 3.36 4.67 3.35 0.44 8.47 7.15 0090.10.69.2120100 37.8975 090 28238 Revision of foot tendon A 7.72 7.24 4.93 1.06 16.02 13.71 0090.10.69.2121210 37.8975 090 28240 Release of big toe A 4.35 4.63 3.48 0.58 9.56 8.41 0090.10.69.2121100 37.8975 090 28250 Revision of foot fascia A 5.91 5.62 4.13 0.83 12.36 10.87 0090.10.69.2121210 37.8975 090 28260 Release of midfoot joint A 7.95 6.32 4.99 1.14 15.41 14.08 0090.10.69.2121210 37.8975 090 28261 Revision of foot tendon A 11.71 8.61 7.30 1.57 21.89 20.58 0090.10.69.2121000 37.8975 090 28262 Revision of foot and ankle A 15.81 13.55 10.91 2.57 31.93 29.29 0090.10.69.2121210 37.8975 090 28264 Release of midfoot joint A 10.33 7.73 7.28 1.54 19.60 19.15 0090.10.69.2121200 37.8975 090 28270 Release of foot contracture A 4.75 4.89 3.73 0.62 10.26 9.10 0090.10.69.2121100 37.8975 090 28272 Release of toe joint, each A 3.79 4.18 2.85 0.47 8.44 7.11 0090.10.69.2121100 37.8975 090 28280 Fusion of toes A 5.18 6.24 4.48 0.73 12.15 10.39 0090.10.69.2121000 37.8975 090 28285 Repair of hammertoe A 4.58 4.86 3.42 0.60 10.04 8.60 0090.10.69.2121110 37.8975 090 28286 Repair of hammertoe A 4.55 4.79 3.25 0.58 9.92 8.38 0090.10.69.2120100 37.8975 090 28288 Partial removal of foot bone A 4.73 5.93 4.88 0.65 11.31 10.26 0090.10.69.2120100 37.8975 090 28289 Repair hallux rigidus A 7.03 7.98 5.76 1.02 16.03 13.81 0090.10.69.2121210 37.8975 090 28290 Correction of bunion A 5.65 6.25 4.72 0.82 12.72 11.19 0090.10.69.2121100 37.8975 090 28292 Correction of bunion A 7.03 7.46 5.53 0.92 15.41 13.48 0090.10.69.2121210 37.8975 090 28293 Correction of bunion A 9.14 10.74 6.10 1.14 21.02 16.38 0090.10.69.2121210 37.8975 090 28294 Correction of bunion A 8.55 7.43 4.71 1.10 17.08 14.36 0090.10.69.2121210 37.8975 090 28296 Correction of bunion A 9.17 8.15 5.41 1.20 18.52 15.78 0090.10.69.2121210 37.8975 090 28297 Correction of bunion A 9.17 8.94 6.25 1.32 19.43 16.74 0090.10.69.2121210 37.8975 090 28298 Correction of bunion A 7.93 7.21 5.00 1.05 16.19 13.98 0090.10.69.2121210 37.8975 090 28299 Correction of bunion A 10.56 8.76 6.06 1.38 20.70 18.00 0090.10.69.2121210 37.8975 090 28300 Incision of heel bone A 9.53 7.03NA 7.03 1.53 18.09 18.09 0090.10.69.2121210 37.8975 090 28302 Incision of ankle bone A 9.54 6.88NA 6.88 1.42 17.84 17.84 0090.10.69.2121210 37.8975 090 28304 Incision of midfoot bones A 9.15 7.94 5.73 1.27 18.36 16.15 0090.10.69.2121210 37.8975 090 28305 Incise/graft midfoot bones A 10.48 6.72NA 6.72 1.27 18.47 18.47 0090.10.69.2121210 37.8975 090 28306 Incision of metatarsal A 5.85 6.83 4.17 0.84 13.52 10.86 0090.10.69.2121210 37.8975 090 28307 Incision of metatarsal A 6.32 11.02 5.28 0.91 18.25 12.51 0090.10.69.2121000 37.8975 090 28308 Incision of metatarsal A 5.28 5.74 3.68 0.70 11.72 9.66 0090.10.69.2121210 37.8975 090 28309 Incision of metatarsals A 12.76 7.95NA 7.95 2.02 22.73 22.73 0090.10.69.2121000 37.8975 090 28310 Revision of big toe A 5.42 5.74 3.55 0.70 11.86 9.67 0090.10.69.2120110 37.8975 090 28312 Revision of toe A 4.54 5.43 3.63 0.63 10.60 8.80 0090.10.69.2120110 37.8975 090 28313 Repair deformity of toe A 5.00 5.27 4.83 0.73 11.00 10.56 0090.10.69.2120100 37.8975 090 28315 Removal of sesamoid bone A 4.85 4.89 3.33 0.63 10.37 8.81 0090.10.69.2121110 37.8975 090 28320 Repair of foot bones A 9.17 6.71NA 6.71 1.42 17.30 17.30 0090.10.69.2120210 37.8975 090 28322 Repair of metatarsals A 8.33 9.17 6.33 1.26 18.76 15.92 0090.10.69.2120210 37.8975 090 28340 Resect enlarged toe tissue A 6.97 6.44 4.24 0.85 14.26 12.06 0090.10.69.2120100 37.8975 090 28341 Resect enlarged toe A 8.40 6.93 4.81 1.05 16.38 14.26 0090.10.69.2120100 37.8975 090 28344 Repair extra toe(s) A 4.25 5.74 3.63 0.52 10.51 8.40 0090.10.69.2120110 37.8975 090 28345 Repair webbed toe(s) A 5.91 6.19 4.68 0.81 12.91 11.40 0090.10.69.2120000 37.8975 090 28360 Reconstruct cleft foot A 13.32 10.49NA 10.49 2.27 26.08 26.08 0090.10.69.2120200 37.8975 090 28400 Treatment of heel fracture A 2.16 3.63 3.05 0.33 6.12 5.54 0090.10.69.2121100 37.8975 090 28405 Treatment of heel fracture A 4.56 4.83 4.62 0.72 10.11 9.90 0090.10.69.2121000 37.8975 090 28406 Treatment of heel fracture A 6.30 6.79NA 6.79 1.09 14.18 14.18 0090.10.69.2121000 37.8975 090 28415 Treat heel fracture A 15.95 13.28NA 13.28 2.63 31.86 31.86 0090.10.69.2121210 37.8975 090 28420 Treat/graft heel fracture A 16.62 12.91NA 12.91 2.75 32.28 32.28 0090.10.69.2121210 37.8975 090 28430 Treatment of ankle fracture A 2.09 3.39 2.56 0.30 5.78 4.95 0090.10.69.2121100 37.8975 090 28435 Treatment of ankle fracture A 3.39 3.88 3.74 0.53 7.80 7.66 0090.10.69.2121000 37.8975 090 28436 Treatment of ankle fracture A 4.70 5.91NA 5.91 0.78 11.39 11.39 0090.10.69.2121100 37.8975 090 28445 Treat ankle fracture A 15.60 11.03NA 11.03 2.55 29.18 29.18 0090.10.69.2121210 37.8975 090 28450 Treat midfoot fracture, each A 1.90 3.11 2.47 0.28 5.29 4.65 0090.10.69.2120100 37.8975 090 28455 Treat midfoot fracture, each A 3.09 3.42 3.42 0.43 6.94 6.94 0090.10.69.2120000 37.8975 090 28456 Treat midfoot fracture A 2.68 4.15NA 4.15 0.44 7.27 7.27 0090.10.69.2120100 37.8975 090 28465 Treat midfoot fracture, each A 7.00 6.31NA 6.31 1.08 14.39 14.39 0090.10.69.2120100 37.8975 090 28470 Treat metatarsal fracture A 1.99 3.12 2.44 0.29 5.40 4.72 0090.10.69.2120100 37.8975 090 28475 Treat metatarsal fracture A 2.97 3.33 3.21 0.43 6.73 6.61 0090.10.69.2120100 37.8975 090 28476 Treat metatarsal fracture A 3.37 4.98NA 4.98 0.54 8.89 8.89 0090.10.69.2120000 37.8975 090 28485 Treat metatarsal fracture A 5.70 5.44NA 5.44 0.83 11.97 11.97 0090.10.69.2120110 37.8975 090 28490 Treat big toe fracture A 1.09 2.01 1.64 0.14 3.24 2.87 0090.10.69.2120100 37.8975 090 28495 Treat big toe fracture A 1.58 2.17 2.06 0.20 3.95 3.84 0090.10.69.2120100 37.8975 090 28496 Treat big toe fracture A 2.33 8.25 3.19 0.36 10.94 5.88 0090.10.69.2120100 37.8975 090 28505 Treat big toe fracture A 3.80 8.10 3.90 0.55 12.45 8.25 0090.10.69.2120100 37.8975 090 28510 Treatment of toe fracture A 1.09 1.53 1.53 0.13 2.75 2.75 0090.10.69.2120100 37.8975 090 28515 Treatment of toe fracture A 1.46 1.89 1.89 0.18 3.53 3.53 0090.10.69.2120100 37.8975 090 28525 Treat toe fracture A 3.32 7.51 3.43 0.47 11.30 7.22 0090.10.69.2120000 37.8975 090 28530 Treat sesamoid bone fracture A 1.06 1.44 1.44 0.14 2.64 2.64 0090.10.69.2120000 37.8975 090 28531 Treat sesamoid bone fracture A 2.35 7.26 2.06 0.34 9.95 4.75 0090.10.69.2120120 37.8975 090 28540 Treat foot dislocation A 2.04 2.40 2.40 0.25 4.69 4.69 0090.10.69.2120000 37.8975 090 28545 Treat foot dislocation A 2.45 2.34 2.34 0.37 5.16 5.16 0090.10.69.2120000 37.8975 090 28546 Treat foot dislocation A 3.20 6.91 4.38 0.52 10.63 8.10 0090.10.69.2120000 37.8975 090 28555 Repair foot dislocation A 6.29 9.90 5.67 1.04 17.23 13.00 0090.10.69.2120210 37.8975 090 28570 Treat foot dislocation A 1.66 2.42 2.33 0.22 4.30 4.21 0090.10.69.2120000 37.8975 090 28575 Treat foot dislocation A 3.31 3.72 3.72 0.56 7.59 7.59 0090.10.69.2120000 37.8975 090 28576 Treat foot dislocation A 4.16 4.17NA 4.17 0.69 9.02 9.02 0090.10.69.2120000 37.8975 090 28585 Repair foot dislocation A 7.98 7.32 5.83 1.23 16.53 15.04 0090.10.69.2120210 37.8975 090 28600 Treat foot dislocation A 1.89 2.81 2.68 0.27 4.97 4.84 0090.10.69.2120000 37.8975 090 28605 Treat foot dislocation A 2.71 3.12 3.12 0.40 6.23 6.23 0090.10.69.2120000 37.8975 090 28606 Treat foot dislocation A 4.89 4.69NA 4.69 0.82 10.40 10.40 0090.10.69.2120100 37.8975 090 28615 Repair foot dislocation A 7.76 8.04NA 8.04 1.29 17.09 17.09 0090.10.69.2120210 37.8975 090 28630 Treat toe dislocation A 1.70 1.57 1.00 0.19 3.46 2.89 0010.10.80.1020000 37.8975 090 28635 Treat toe dislocation A 1.91 2.02 1.53 0.26 4.19 3.70 0010.10.80.1020000 37.8975 090 28636 Treat toe dislocation A 2.77 3.87 2.62 0.43 7.07 5.82 0010.10.80.1020120 37.8975 090 28645 Repair toe dislocation A 4.21 4.95 3.27 0.58 9.74 8.06 0090.10.69.2120110 37.8975 090 28660 Treat toe dislocation A 1.23 1.26 0.79 0.13 2.62 2.15 0010.10.80.1020100 37.8975 090 28665 Treat toe dislocation A 1.92 1.43NA 1.43 0.25 3.60 3.60 0010.10.80.1020000 37.8975 090 28666 Treat toe dislocation A 2.66 5.88 2.58 0.43 8.97 5.67 0010.10.80.1020120 37.8975 090 28675 Repair of toe dislocation A 2.92 7.14 3.35 0.45 10.51 6.72 0090.10.69.2120100 37.8975 090 28705 Fusion of foot bones A 18.77 12.43NA 12.43 3.05 34.25 34.25 0090.10.69.2120210 37.8975 090 28715 Fusion of foot bones A 13.08 9.75NA 9.75 2.14 24.97 24.97 0090.10.69.2120210 37.8975 090 28725 Fusion of foot bones A 11.59 8.24NA 8.24 1.85 21.68 21.68 0090.10.69.2120210 37.8975 090 28730 Fusion of foot bones A 10.74 8.48NA 8.48 1.68 20.90 20.90 0090.10.69.2120210 37.8975 090 28735 Fusion of foot bones A 10.83 7.82NA 7.82 1.67 20.32 20.32 0090.10.69.2120210 37.8975 090 28737 Revision of foot bones A 9.63 6.80NA 6.80 1.46 17.89 17.89 0090.10.69.2120210 37.8975 090 28740 Fusion of foot bones A 8.01 10.86 6.46 1.22 20.09 15.69 0090.10.69.2120210 37.8975 090 28750 Fusion of big toe joint A 7.29 11.91 6.66 1.11 20.31 15.06 0090.10.69.2121000 37.8975 090 28755 Fusion of big toe joint A 4.73 6.10 3.75 0.65 11.48 9.13 0090.10.69.2121110 37.8975 090 28760 Fusion of big toe joint A 7.74 7.97 5.51 1.06 16.77 14.31 0090.10.69.2121210 37.8975 090 28800 Amputation of midfoot A 8.20 5.79NA 5.79 1.15 15.14 15.14 0090.10.69.2121210 37.8975 090 28805 Amputation thru metatarsal A 8.38 5.64NA 5.64 1.17 15.19 15.19 0090.10.69.2121000 37.8975 090 28810 Amputation toe & metatarsal A 6.20 4.47NA 4.47 0.86 11.53 11.53 0090.10.69.2120000 37.8975 090 28820 Amputation of toe A 4.40 7.55 3.78 0.61 12.56 8.79 0090.10.69.2120100 37.8975 090 28825 Partial amputation of toe A 3.58 6.99 3.48 0.50 11.07 7.56 0090.10.69.2120100 37.8975 090 28899 Foot/toes surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 29000 Application of body cast A 2.25 2.96 1.73 0.40 5.61 4.38 0000.00.00.0020000 37.8975 090 29010 Application of body cast A 2.06 3.28 1.77 0.45 5.79 4.28 0000.00.00.0020000 37.8975 090 29015 Application of body cast A 2.41 2.97 1.60 0.29 5.67 4.30 0000.00.00.0020000 37.8975 090 29020 Application of body cast A 2.11 3.18 1.41 0.28 5.57 3.80 0000.00.00.0020000 37.8975 090 29025 Application of body cast A 2.40 3.14 1.85 0.44 5.98 4.69 0000.00.00.0020000 37.8975 090 29035 Application of body cast A 1.77 3.61 1.58 0.28 5.66 3.63 0000.00.00.0020000 37.8975 090 29040 Application of body cast A 2.22 2.46 1.51 0.36 5.04 4.09 0000.00.00.0020000 37.8975 090 29044 Application of body cast A 2.12 3.97 1.90 0.35 6.44 4.37 0000.00.00.0020000 37.8975 090 29046 Application of body cast A 2.41 3.23 2.09 0.41 6.05 4.91 0000.00.00.0020000 37.8975 090 29049 Application of figure eight A 0.89 1.30 0.53 0.12 2.31 1.54 0000.00.00.0020000 37.8975 090 29055 Application of shoulder cast A 1.78 2.98 1.47 0.28 5.04 3.53 0000.00.00.0020000 37.8975 090 29058 Application of shoulder cast A 1.31 1.56 0.72 0.16 3.03 2.19 0000.00.00.0020000 37.8975 090 29065 Application of long arm cast A 0.87 1.33 0.75 0.14 2.34 1.76 0000.00.00.0021100 37.8975 090 29075 Application of forearm cast A 0.77 1.26 0.68 0.12 2.15 1.57 0000.00.00.0021100 37.8975 090 29085 Apply hand/wrist cast A 0.87 1.28 0.63 0.13 2.28 1.63 0000.00.00.0021100 37.8975 090 29086 Apply finger cast A 0.62 0.96 0.49 0.07 1.65 1.18 0000.00.00.0021100 37.8975 090 29105 Apply long arm splint A 0.87 1.23 0.51 0.12 2.22 1.50 0000.00.00.0021100 37.8975 090 29125 Apply forearm splint A 0.59 1.02 0.39 0.07 1.68 1.05 0000.00.00.0021100 37.8975 090 29126 Apply forearm splint A 0.77 1.21 0.46 0.06 2.04 1.29 0000.00.00.0021100 37.8975 090 29130 Application of finger splint A 0.50 0.47 0.17 0.06 1.03 0.73 0000.00.00.0021100 37.8975 090 29131 Application of finger splint A 0.55 0.74 0.24 0.04 1.33 0.83 0000.00.00.0021100 37.8975 090 29200 Strapping of chest A 0.65 0.72 0.34 0.04 1.41 1.03 0000.00.00.0020100 37.8975 090 29220 Strapping of low back A 0.64 0.72 0.39 0.04 1.40 1.07 0000.00.00.0020100 37.8975 090 29240 Strapping of shoulder A 0.71 0.85 0.36 0.05 1.61 1.12 0000.00.00.0020100 37.8975 090 29260 Strapping of elbow or wrist A 0.55 0.74 0.32 0.05 1.34 0.92 0000.00.00.0021100 37.8975 090 29280 Strapping of hand or finger A 0.51 0.80 0.32 0.03 1.34 0.86 0000.00.00.0021100 37.8975 090 29305 Application of hip cast A 2.03 3.34 1.76 0.33 5.70 4.12 0000.00.00.0020000 37.8975 090 29325 Application of hip casts A 2.32 3.53 1.95 0.38 6.23 4.65 0000.00.00.0020000 37.8975 090 29345 Application of long leg cast A 1.40 1.76 1.06 0.23 3.39 2.69 0000.00.00.0021100 37.8975 090 29355 Application of long leg cast A 1.53 1.71 1.12 0.24 3.48 2.89 0000.00.00.0021100 37.8975 090 29358 Apply long leg cast brace A 1.43 2.06 1.09 0.24 3.73 2.76 0000.00.00.0021100 37.8975 090 29365 Application of long leg cast A 1.18 1.66 0.95 0.20 3.04 2.33 0000.00.00.0021100 37.8975 090 29405 Apply short leg cast A 0.86 1.22 0.71 0.14 2.22 1.71 0000.00.00.0021100 37.8975 090 29425 Apply short leg cast A 1.01 1.23 0.74 0.15 2.39 1.90 0000.00.00.0021100 37.8975 090 29435 Apply short leg cast A 1.18 1.56 0.93 0.20 2.94 2.31 0000.00.00.0021100 37.8975 090 29440 Addition of walker to cast A 0.57 0.69 0.27 0.08 1.34 0.92 0000.00.00.0021100 37.8975 090 29445 Apply rigid leg cast A 1.78 1.80 0.96 0.26 3.84 3.00 0000.00.00.0021100 37.8975 090 29450 Application of leg cast A 2.08 1.47 1.09 0.27 3.82 3.44 0000.00.00.0021100 37.8975 090 29505 Application, long leg splint A 0.69 1.18 0.45 0.07 1.94 1.21 0000.00.00.0021100 37.8975 090 29515 Application lower leg splint A 0.73 0.87 0.46 0.09 1.69 1.28 0000.00.00.0021100 37.8975 090 29520 Strapping of hip A 0.54 0.85 0.47 0.03 1.42 1.04 0000.00.00.0020000 37.8975 090 29530 Strapping of knee A 0.57 0.79 0.33 0.04 1.40 0.94 0000.00.00.0020100 37.8975 090 29540 Strapping of ankle and/or ft A 0.51 0.42 0.31 0.06 0.99 0.88 0000.00.00.0020100 37.8975 090 29550 Strapping of toes A 0.47 0.42 0.28 0.06 0.95 0.81 0000.00.00.0020100 37.8975 090 29580 Application of paste boot A 0.57 0.65 0.35 0.07 1.29 0.99 0000.00.00.0021100 37.8975 090 29590 Application of foot splint A 0.76 0.51 0.29 0.09 1.36 1.14 0000.00.00.0020100 37.8975 090 29700 Removal/revision of cast A 0.57 0.89 0.28 0.07 1.53 0.92 0000.00.00.0020100 37.8975 090 29705 Removal/revision of cast A 0.76 0.82 0.38 0.12 1.70 1.26 0000.00.00.0021100 37.8975 090 29710 Removal/revision of cast A 1.34 1.53 0.70 0.19 3.06 2.23 0000.00.00.0021000 37.8975 090 29715 Removal/revision of cast A 0.94 1.17 0.40 0.10 2.21 1.44 0000.00.00.0020000 37.8975 090 29720 Repair of body cast A 0.68 1.16 0.39 0.11 1.95 1.18 0000.00.00.0020100 37.8975 090 29730 Windowing of cast A 0.75 0.81 0.35 0.12 1.68 1.22 0000.00.00.0020100 37.8975 090 29740 Wedging of cast A 1.12 1.15 0.49 0.17 2.44 1.78 0000.00.00.0020100 37.8975 090 29750 Wedging of clubfoot cast A 1.26 1.06 0.58 0.20 2.52 2.04 0000.00.00.0021000 37.8975 090 29799 Casting/strapping procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 29800 Jaw arthroscopy/surgery A 6.42 6.97NA 6.97 0.98 14.37 14.37 0090.10.69.2121000 37.8975 090 29804 Jaw arthroscopy/surgery A 8.13 7.62NA 7.62 1.38 17.13 17.13 0090.10.69.2121210 37.8975 090 29805 Shoulder arthroscopy, dx A 5.88 5.67NA 5.67 1.00 12.55 12.55 0090.10.69.2121110 37.8975 090 29806 Shoulder arthroscopy/surgery A 14.35 11.16NA 11.16 2.45 27.96 27.96 0090.10.69.2131110 29805 37.8975 090 29807 Shoulder arthroscopy/surgery A 13.88 10.99NA 10.99 2.36 27.23 27.23 0090.10.69.2131110 29805 37.8975 090 29819 Shoulder arthroscopy/surgery A 7.61 6.79NA 6.79 1.29 15.69 15.69 0090.10.69.2131110 29805 37.8975 090 29820 Shoulder arthroscopy/surgery A 7.06 6.22NA 6.22 1.20 14.48 14.48 0090.10.69.2131210 29805 37.8975 090 29821 Shoulder arthroscopy/surgery A 7.71 6.80NA 6.80 1.30 15.81 15.81 0090.10.69.2131210 29805 37.8975 090 29822 Shoulder arthroscopy/surgery A 7.42 6.69NA 6.69 1.27 15.38 15.38 0090.10.69.2131200 29805 37.8975 090 29823 Shoulder arthroscopy/surgery A 8.16 7.22NA 7.22 1.39 16.77 16.77 0090.10.69.2131210 29805 37.8975 090 29824 Shoulder arthroscopy/surgery A 8.24 7.53NA 7.53 1.41 17.18 17.18 0090.10.69.2131210 29805 37.8975 090 29825 Shoulder arthroscopy/surgery A 7.61 6.76NA 6.76 1.29 15.66 15.66 0090.10.69.2131210 29805 37.8975 090 29826 Shoulder arthroscopy/surgery A 8.98 7.53NA 7.53 1.54 18.05 18.05 0090.10.69.2131210 29805 37.8975 090 29827 Arthroscop rotator cuff repr A 15.34 11.53NA 11.53 2.63 29.50 29.50 0090.10.69.2121210 37.8975 090 29830 Elbow arthroscopy A 5.75 5.34NA 5.34 0.96 12.05 12.05 0090.10.69.2121100 37.8975 090 29834 Elbow arthroscopy/surgery A 6.27 5.83NA 5.83 1.06 13.16 13.16 0090.10.69.2131210 29830 37.8975 090 29835 Elbow arthroscopy/surgery A 6.47 5.88NA 5.88 1.11 13.46 13.46 0090.10.69.2131210 29830 37.8975 090 29836 Elbow arthroscopy/surgery A 7.54 6.79NA 6.79 1.21 15.54 15.54 0090.10.69.2131210 29830 37.8975 090 29837 Elbow arthroscopy/surgery A 6.86 6.13NA 6.13 1.18 14.17 14.17 0090.10.69.2131210 29830 37.8975 090 29838 Elbow arthroscopy/surgery A 7.70 6.89NA 6.89 1.27 15.86 15.86 0090.10.69.2131000 29830 37.8975 090 29840 Wrist arthroscopy A 5.53 5.32NA 5.32 0.83 11.68 11.68 0090.10.69.2121000 37.8975 090 29843 Wrist arthroscopy/surgery A 6.00 5.62NA 5.62 0.92 12.54 12.54 0090.10.69.2131210 29840 37.8975 090 29844 Wrist arthroscopy/surgery A 6.36 5.82NA 5.82 1.04 13.22 13.22 0090.10.69.2131200 29840 37.8975 090 29845 Wrist arthroscopy/surgery A 7.51 6.47NA 6.47 0.99 14.97 14.97 0090.10.69.2131210 29840 37.8975 090 29846 Wrist arthroscopy/surgery A 6.74 6.05NA 6.05 1.06 13.85 13.85 0090.10.69.2131000 29840 37.8975 090 29847 Wrist arthroscopy/surgery A 7.07 6.19NA 6.19 1.08 14.34 14.34 0090.10.69.2131200 29840 37.8975 090 29848 Wrist endoscopy/surgery A 5.43 5.60NA 5.60 0.87 11.90 11.90 0090.10.69.2121100 37.8975 090 29850 Knee arthroscopy/surgery A 8.18 5.04NA 5.04 1.17 14.39 14.39 0090.10.69.2121020 37.8975 090 29851 Knee arthroscopy/surgery A 13.08 9.79NA 9.79 2.32 25.19 25.19 0090.10.69.2121220 37.8975 090 29855 Tibial arthroscopy/surgery A 10.60 8.76NA 8.76 1.82 21.18 21.18 0090.10.69.2121220 37.8975 090 29856 Tibial arthroscopy/surgery A 14.12 10.67NA 10.67 2.38 27.17 27.17 0090.10.69.2121220 37.8975 090 29860 Hip arthroscopy, dx A 8.04 6.95NA 6.95 1.35 16.34 16.34 0090.10.69.2121210 37.8975 090 29861 Hip arthroscopy/surgery A 9.14 7.34NA 7.34 1.55 18.03 18.03 0090.10.69.2131210 29860 37.8975 090 29862 Hip arthroscopy/surgery A 9.89 8.56NA 8.56 1.61 20.06 20.06 0090.10.69.2131210 29860 37.8975 090 29863 Hip arthroscopy/surgery A 9.89 8.51NA 8.51 1.42 19.82 19.82 0090.10.69.2131210 29860 37.8975 090 29866 Autgrft implnt, knee w/scope A 13.88 11.35NA 11.35 2.38 27.61 27.61 0090.10.69.2121000 37.8975 090 29867 Allgrft implnt, knee w/scope A 17.00 13.22NA 13.22 2.76 32.98 32.98 0090.10.69.2121000 37.8975 090 29868 Meniscal trnspl, knee w/scpe A 23.59 16.79NA 16.79 4.33 44.71 44.71 0090.10.69.2121000 37.8975 090 29870 Knee arthroscopy, dx A 5.06 4.89NA 4.89 0.83 10.78 10.78 0090.10.69.2121110 37.8975 090 29871 Knee arthroscopy/drainage A 6.54 5.87NA 5.87 1.12 13.53 13.53 0090.10.69.2131100 29870 37.8975 090 29873 Knee arthroscopy/surgery A 5.99 6.57NA 6.57 1.03 13.59 13.59 0090.10.69.2131110 29870 37.8975 090 29874 Knee arthroscopy/surgery A 7.04 6.07NA 6.07 1.07 14.18 14.18 0090.10.69.2131000 29870 37.8975 090 29875 Knee arthroscopy/surgery A 6.30 5.85NA 5.85 1.08 13.23 13.23 0090.10.69.2131000 29870 37.8975 090 29876 Knee arthroscopy/surgery A 7.91 7.02NA 7.02 1.36 16.29 16.29 0090.10.69.2131100 29870 37.8975 090 29877 Knee arthroscopy/surgery A 7.34 6.74NA 6.74 1.26 15.34 15.34 0090.10.69.2131000 29870 37.8975 090 29879 Knee arthroscopy/surgery A 8.03 7.12NA 7.12 1.38 16.53 16.53 0090.10.69.2131000 29870 37.8975 090 29880 Knee arthroscopy/surgery A 8.49 7.36NA 7.36 1.46 17.31 17.31 0090.10.69.2131010 29870 37.8975 090 29881 Knee arthroscopy/surgery A 7.75 6.96NA 6.96 1.33 16.04 16.04 0090.10.69.2131000 29870 37.8975 090 29882 Knee arthroscopy/surgery A 8.64 7.24NA 7.24 1.48 17.36 17.36 0090.10.69.2131100 29870 37.8975 090 29883 Knee arthroscopy/surgery A 11.03 9.06NA 9.06 1.89 21.98 21.98 0090.10.69.2131000 29870 37.8975 090 29884 Knee arthroscopy/surgery A 7.32 6.70NA 6.70 1.26 15.28 15.28 0090.10.69.2131210 29870 37.8975 090 29885 Knee arthroscopy/surgery A 9.08 7.97NA 7.97 1.56 18.61 18.61 0090.10.69.2131210 29870 37.8975 090 29886 Knee arthroscopy/surgery A 7.53 6.85NA 6.85 1.29 15.67 15.67 0090.10.69.2131100 29870 37.8975 090 29887 Knee arthroscopy/surgery A 9.03 7.93NA 7.93 1.55 18.51 18.51 0090.10.69.2131210 29870 37.8975 090 29888 Knee arthroscopy/surgery A 13.88 10.20NA 10.20 2.38 26.46 26.46 0090.10.69.2121210 37.8975 090 29889 Knee arthroscopy/surgery A 15.98 12.43NA 12.43 2.73 31.14 31.14 0090.10.69.2121210 37.8975 090 29891 Ankle arthroscopy/surgery A 8.39 7.51NA 7.51 1.38 17.28 17.28 0090.10.69.2121200 37.8975 090 29892 Ankle arthroscopy/surgery A 8.99 7.74NA 7.74 1.41 18.14 18.14 0090.10.69.2121200 37.8975 090 29893 Scope, plantar fasciotomy A 5.21 6.28 3.99 0.65 12.14 9.85 0090.10.69.2121210 37.8975 090 29894 Ankle arthroscopy/surgery A 7.20 5.47NA 5.47 1.14 13.81 13.81 0090.10.69.2121210 37.8975 090 29895 Ankle arthroscopy/surgery A 6.98 5.47NA 5.47 1.10 13.55 13.55 0090.10.69.2121210 37.8975 090 29897 Ankle arthroscopy/surgery A 7.17 5.88NA 5.88 1.17 14.22 14.22 0090.10.69.2121200 37.8975 090 29898 Ankle arthroscopy/surgery A 8.31 6.19NA 6.19 1.27 15.77 15.77 0090.10.69.2121210 37.8975 090 29899 Ankle arthroscopy/surgery A 13.89 10.54NA 10.54 2.36 26.79 26.79 0090.10.69.2121210 37.8975 090 29900 Mcp joint arthroscopy, dx A 5.41 5.86NA 5.86 0.93 12.20 12.20 0090.10.69.2121000 37.8975 090 29901 Mcp joint arthroscopy, surg A 6.12 6.26NA 6.26 1.06 13.44 13.44 0090.10.69.2121000 37.8975 090 29902 Mcp joint arthroscopy, surg A 6.69 6.54NA 6.54 1.12 14.35 14.35 0090.10.69.2121000 37.8975 090 29999 Arthroscopy of joint C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021010 37.8975 090 30000 Drainage of nose lesion A 1.43 4.07 1.39 0.12 5.62 2.94 0010.10.80.1020000 37.8975 090 30020 Drainage of nose lesion A 1.43 3.27 1.47 0.12 4.82 3.02 0010.10.80.1020100 37.8975 090 30100 Intranasal biopsy A 0.94 1.97 0.82 0.07 2.98 1.83 0000.00.00.0020100 37.8975 090 30110 Removal of nose polyp(s) A 1.63 3.24 1.57 0.14 5.01 3.34 0010.10.80.1021100 37.8975 090 30115 Removal of nose polyp(s) A 4.34 5.76NA 5.76 0.41 10.51 10.51 0090.10.76.1421100 37.8975 090 30117 Removal of intranasal lesion A 3.16 13.14 4.63 0.26 16.56 8.05 0090.10.76.1420100 37.8975 090 30118 Removal of intranasal lesion A 9.68 9.19NA 9.19 0.82 19.69 19.69 0090.10.76.1420210 37.8975 090 30120 Revision of nose A 5.26 6.49 6.00 0.52 12.27 11.78 0090.10.76.1420100 37.8975 090 30124 Removal of nose lesion A 3.10 3.61NA 3.61 0.25 6.96 6.96 0090.10.76.1420100 37.8975 090 30125 Removal of nose lesion A 7.15 8.32NA 8.32 0.65 16.12 16.12 0090.10.76.1420200 37.8975 090 30130 Removal of turbinate bones A 3.37 5.59NA 5.59 0.32 9.28 9.28 0090.10.76.1421100 37.8975 090 30140 Removal of turbinate bones A 3.42 6.19NA 6.19 0.36 9.97 9.97 0090.10.76.1421100 37.8975 090 30150 Partial removal of nose A 9.13 11.01NA 11.01 0.90 21.04 21.04 0090.10.76.1420110 37.8975 090 30160 Removal of nose A 9.57 10.21NA 10.21 0.91 20.69 20.69 0090.10.76.1420210 37.8975 090 30200 Injection treatment of nose A 0.78 1.62 0.74 0.06 2.46 1.58 0000.00.00.0020100 37.8975 090 30210 Nasal sinus therapy A 1.08 2.10 1.31 0.09 3.27 2.48 0010.10.80.1020100 37.8975 090 30220 Insert nasal septal button A 1.54 4.23 1.53 0.13 5.90 3.20 0010.10.80.1020100 37.8975 090 30300 Remove nasal foreign body A 1.04 4.63 1.91 0.08 5.75 3.03 0010.10.80.1020100 37.8975 090 30310 Remove nasal foreign body A 1.96 3.10NA 3.10 0.17 5.23 5.23 0010.10.80.1020000 37.8975 090 30320 Remove nasal foreign body A 4.51 7.04NA 7.04 0.39 11.94 11.94 0090.10.76.1420000 37.8975 090 30400 Reconstruction of nose R 9.82 15.49NA 15.49 1.03 26.34 26.34 0090.10.76.1420000 37.8975 090 30410 Reconstruction of nose R 12.96 18.37NA 18.37 1.41 32.74 32.74 0090.10.76.1420200 37.8975 090 30420 Reconstruction of nose R 15.86 17.91NA 17.91 1.46 35.23 35.23 0090.10.76.1420100 37.8975 090 30430 Revision of nose R 7.20 16.01NA 16.01 0.77 23.98 23.98 0090.10.76.1420200 37.8975 090 30435 Revision of nose R 11.69 19.35NA 19.35 1.19 32.23 32.23 0090.10.76.1420200 37.8975 090 30450 Revision of nose R 18.62 21.89NA 21.89 1.93 42.44 42.44 0090.10.76.1420200 37.8975 090 30460 Revision of nose A 9.95 9.94NA 9.94 1.03 20.92 20.92 0090.10.76.1420220 37.8975 090 30462 Revision of nose A 19.54 20.24NA 20.24 2.51 42.29 42.29 0090.10.76.1420220 37.8975 090 30465 Repair nasal stenosis A 11.62 11.97NA 11.97 1.05 24.64 24.64 0090.10.76.1420000 37.8975 090 30520 Repair of nasal septum A 5.69 6.66NA 6.66 0.47 12.82 12.82 0090.10.76.1420100 37.8975 090 30540 Repair nasal defect A 7.74 9.27NA 9.27 0.68 17.69 17.69 0090.10.76.1420200 37.8975 090 30545 Repair nasal defect A 11.36 11.90NA 11.90 1.68 24.94 24.94 0090.10.76.1420200 37.8975 090 30560 Release of nasal adhesions A 1.26 4.77 2.13 0.10 6.13 3.49 0010.10.80.1020100 37.8975 090 30580 Repair upper jaw fistula A 6.68 7.77 5.79 0.89 15.34 13.36 0090.10.76.1420100 37.8975 090 30600 Repair mouth/nose fistula A 6.01 7.52 5.02 0.68 14.21 11.71 0090.10.76.1420000 37.8975 090 30620 Intranasal reconstruction A 5.96 8.83NA 8.83 0.57 15.36 15.36 0090.10.76.1420100 37.8975 090 30630 Repair nasal septum defect A 7.11 7.95NA 7.95 0.61 15.67 15.67 0090.10.76.1420000 37.8975 090 30801 Cauterization, inner nose A 1.09 4.13 1.92 0.09 5.31 3.10 0010.10.80.1022100 37.8975 090 30802 Cauterization, inner nose A 2.03 4.61 2.36 0.17 6.81 4.56 0010.10.80.1022100 37.8975 090 30901 Control of nosebleed A 1.21 1.36 0.32 0.11 2.68 1.64 0000.00.00.0021100 37.8975 090 30903 Control of nosebleed A 1.54 2.71 0.50 0.13 4.38 2.17 0000.00.00.0021100 37.8975 090 30905 Control of nosebleed A 1.97 3.51 0.76 0.17 5.65 2.90 0000.00.00.0022100 37.8975 090 30906 Repeat control of nosebleed A 2.45 3.89 1.20 0.20 6.54 3.85 0000.00.00.0022100 37.8975 090 30915 Ligation, nasal sinus artery A 7.19 6.69NA 6.69 0.59 14.47 14.47 0090.10.76.1420100 37.8975 090 30920 Ligation, upper jaw artery A 9.82 8.97NA 8.97 0.80 19.59 19.59 0090.10.76.1420100 37.8975 090 30930 Therapy, fracture of nose A 1.26 1.62NA 1.62 0.12 3.00 3.00 0010.10.80.1021100 37.8975 090 30999 Nasal surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 31000 Irrigation, maxillary sinus A 1.15 2.84 1.40 0.09 4.08 2.64 0010.10.80.1021100 37.8975 090 31002 Irrigation, sphenoid sinus A 1.91 3.24NA 3.24 0.16 5.31 5.31 0010.10.80.1021000 37.8975 090 31020 Exploration, maxillary sinus A 2.94 8.53 5.18 0.29 11.76 8.41 0090.10.76.1421100 37.8975 090 31030 Exploration, maxillary sinus A 5.91 11.50 6.66 0.58 17.99 13.15 0090.10.76.1421100 37.8975 090 31032 Explore sinus, remove polyps A 6.56 7.23NA 7.23 0.60 14.39 14.39 0090.10.76.1421100 37.8975 090 31040 Exploration behind upper jaw A 9.41 9.82NA 9.82 0.85 20.08 20.08 0090.10.76.1420110 37.8975 090 31050 Exploration, sphenoid sinus A 5.27 6.35NA 6.35 0.53 12.15 12.15 0090.10.76.1421100 37.8975 090 31051 Sphenoid sinus surgery A 7.10 8.24NA 8.24 0.64 15.98 15.98 0090.10.76.1421100 37.8975 090 31070 Exploration of frontal sinus A 4.27 5.93NA 5.93 0.40 10.60 10.60 0090.10.76.1421100 37.8975 090 31075 Exploration of frontal sinus A 9.15 9.73NA 9.73 0.80 19.68 19.68 0090.10.76.1421210 37.8975 090 31080 Removal of frontal sinus A 11.40 13.53NA 13.53 1.15 26.08 26.08 0090.10.76.1421200 37.8975 090 31081 Removal of frontal sinus A 12.73 14.00NA 14.00 2.44 29.17 29.17 0090.10.76.1421210 37.8975 090 31084 Removal of frontal sinus A 13.49 13.50NA 13.50 1.25 28.24 28.24 0090.10.76.1421210 37.8975 090 31085 Removal of frontal sinus A 14.18 13.96NA 13.96 1.68 29.82 29.82 0090.10.76.1421210 37.8975 090 31086 Removal of frontal sinus A 12.84 13.28NA 13.28 1.09 27.21 27.21 0090.10.76.1421200 37.8975 090 31087 Removal of frontal sinus A 13.08 12.53NA 12.53 1.49 27.10 27.10 0090.10.76.1421210 37.8975 090 31090 Exploration of sinuses A 9.52 12.55NA 12.55 0.93 23.00 23.00 0090.10.76.1421100 37.8975 090 31200 Removal of ethmoid sinus A 4.96 9.21NA 9.21 0.30 14.47 14.47 0090.10.76.1421100 37.8975 090 31201 Removal of ethmoid sinus A 8.36 9.17NA 9.17 0.82 18.35 18.35 0090.10.76.1421100 37.8975 090 31205 Removal of ethmoid sinus A 10.22 11.88NA 11.88 0.68 22.78 22.78 0090.10.76.1421210 37.8975 090 31225 Removal of upper jaw A 19.20 17.82NA 17.82 1.69 38.71 38.71 0090.10.76.1421210 37.8975 090 31230 Removal of upper jaw A 21.91 19.36NA 19.36 1.81 43.08 43.08 0090.10.76.1421210 37.8975 090 31231 Nasal endoscopy, dx A 1.10 3.38 0.88 0.09 4.57 2.07 0000.00.00.0022100 37.8975 090 31233 Nasal/sinus endoscopy, dx A 2.18 4.30 1.48 0.20 6.68 3.86 0000.00.00.0021100 37.8975 090 31235 Nasal/sinus endoscopy, dx A 2.64 4.91 1.72 0.26 7.81 4.62 0000.00.00.0021100 37.8975 090 31237 Nasal/sinus endoscopy, surg A 2.98 5.19 1.88 0.28 8.45 5.14 0000.00.00.0021100 37.8975 090 31238 Nasal/sinus endoscopy, surg A 3.26 5.23 2.09 0.27 8.76 5.62 0000.00.00.0021000 37.8975 090 31239 Nasal/sinus endoscopy, surg A 8.69 8.00NA 8.00 0.62 17.31 17.31 0010.10.80.1021000 37.8975 090 31240 Nasal/sinus endoscopy, surg A 2.61 1.73NA 1.73 0.24 4.58 4.58 0000.00.00.0021000 37.8975 090 31254 Revision of ethmoid sinus A 4.64 2.85NA 2.85 0.45 7.94 7.94 0000.00.00.0021100 37.8975 090 31255 Removal of ethmoid sinus A 6.95 4.11NA 4.11 0.73 11.79 11.79 0000.00.00.0021100 37.8975 090 31256 Exploration maxillary sinus A 3.29 2.11NA 2.11 0.34 5.74 5.74 0000.00.00.0021100 37.8975 090 31267 Endoscopy, maxillary sinus A 5.45 3.29NA 3.29 0.55 9.29 9.29 0000.00.00.0021100 37.8975 090 31276 Sinus endoscopy, surgical A 8.84 5.12NA 5.12 0.91 14.87 14.87 0000.00.00.0021100 37.8975 090 31287 Nasal/sinus endoscopy, surg A 3.91 2.45NA 2.45 0.39 6.75 6.75 0000.00.00.0021000 37.8975 090 31288 Nasal/sinus endoscopy, surg A 4.57 2.81NA 2.81 0.46 7.84 7.84 0000.00.00.0021000 37.8975 090 31290 Nasal/sinus endoscopy, surg A 17.21 12.05NA 12.05 1.49 30.75 30.75 0010.10.80.1021000 37.8975 090 31291 Nasal/sinus endoscopy, surg A 18.16 12.47NA 12.47 1.67 32.30 32.30 0010.10.80.1021000 37.8975 090 31292 Nasal/sinus endoscopy, surg A 14.74 10.61NA 10.61 1.21 26.56 26.56 0010.10.80.1021000 37.8975 090 31293 Nasal/sinus endoscopy, surg A 16.19 11.38NA 11.38 1.31 28.88 28.88 0010.10.80.1021000 37.8975 090 31294 Nasal/sinus endoscopy, surg A 19.03 12.87NA 12.87 1.52 33.42 33.42 0010.10.80.1021000 37.8975 090 31299 Sinus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 31300 Removal of larynx lesion A 14.27 14.98NA 14.98 1.18 30.43 30.43 0090.10.76.1420210 37.8975 090 31320 Diagnostic incision, larynx A 5.25 10.30NA 10.30 0.46 16.01 16.01 0090.10.76.1420000 37.8975 090 31360 Removal of larynx A 17.05 16.72NA 16.72 1.40 35.17 35.17 0090.10.76.1420210 37.8975 090 31365 Removal of larynx A 24.12 20.36NA 20.36 2.02 46.50 46.50 0090.10.76.1420210 37.8975 090 31367 Partial removal of larynx A 21.83 21.89NA 21.89 1.81 45.53 45.53 0090.10.76.1420210 37.8975 090 31368 Partial removal of larynx A 27.05 25.49NA 25.49 2.23 54.77 54.77 0090.10.76.1420210 37.8975 090 31370 Partial removal of larynx A 21.35 22.26NA 22.26 1.81 45.42 45.42 0090.10.76.1420210 37.8975 090 31375 Partial removal of larynx A 20.18 20.38NA 20.38 1.61 42.17 42.17 0090.10.76.1420210 37.8975 090 31380 Partial removal of larynx A 20.18 20.60NA 20.60 1.69 42.47 42.47 0090.10.76.1420210 37.8975 090 31382 Partial removal of larynx A 20.49 21.61NA 21.61 1.71 43.81 43.81 0090.10.76.1420210 37.8975 090 31390 Removal of larynx & pharynx A 27.49 24.38NA 24.38 2.35 54.22 54.22 0090.10.76.1420210 37.8975 090 31395 Reconstruct larynx & pharynx A 31.04 28.30NA 28.30 2.52 61.86 61.86 0090.10.76.1420210 37.8975 090 31400 Revision of larynx A 10.29 13.77NA 13.77 0.85 24.91 24.91 0090.10.76.1420200 37.8975 090 31420 Removal of epiglottis A 10.20 9.54NA 9.54 0.84 20.58 20.58 0090.10.76.1420210 37.8975 090 31500 Insert emergency airway A 2.33 0.55NA 0.55 0.19 3.07 3.07 0000.00.00.0000100 37.8975 090 31502 Change of windpipe airway A 0.65 0.31 0.28 0.05 1.01 0.98 0000.00.00.0020100 37.8975 090 31505 Diagnostic laryngoscopy A 0.61 1.45 0.61 0.05 2.11 1.27 0000.00.00.0020100 37.8975 090 31510 Laryngoscopy with biopsy A 1.92 3.30 1.25 0.16 5.38 3.33 0000.00.00.0030000 31505 37.8975 090 31511 Remove foreign body, larynx A 2.16 3.12 1.06 0.19 5.47 3.41 0000.00.00.0030100 31505 37.8975 090 31512 Removal of larynx lesion A 2.07 3.20 1.36 0.18 5.45 3.61 0000.00.00.0030000 31505 37.8975 090 31513 Injection into vocal cord A 2.10 1.46NA 1.46 0.17 3.73 3.73 0000.00.00.0030000 31505 37.8975 090 31515 Laryngoscopy for aspiration A 1.80 3.54 1.06 0.14 5.48 3.00 0000.00.00.0020100 37.8975 090 31520 Diagnostic laryngoscopy A 2.56 1.56NA 1.56 0.20 4.32 4.32 0000.00.00.0020000 37.8975 090 31525 Diagnostic laryngoscopy A 2.63 3.64 1.66 0.21 6.48 4.50 0000.00.00.0020100 37.8975 090 31526 Diagnostic laryngoscopy A 2.57 1.72NA 1.72 0.21 4.50 4.50 0000.00.00.0020100 37.8975 090 31527 Laryngoscopy for treatment A 3.27 1.87NA 1.87 0.26 5.40 5.40 0000.00.00.0030000 31525 37.8975 090 31528 Laryngoscopy and dilation A 2.37 1.46NA 1.46 0.20 4.03 4.03 0000.00.00.0030000 31525 37.8975 090 31529 Laryngoscopy and dilation A 2.68 1.71NA 1.71 0.22 4.61 4.61 0000.00.00.0030000 31525 37.8975 090 31530 Operative laryngoscopy A 3.38 1.95NA 1.95 0.29 5.62 5.62 0000.00.00.0030100 31525 37.8975 090 31531 Operative laryngoscopy A 3.58 2.27NA 2.27 0.29 6.14 6.14 0000.00.00.0030000 31526 37.8975 090 31535 Operative laryngoscopy A 3.16 1.99NA 1.99 0.26 5.41 5.41 0000.00.00.0030100 31525 37.8975 090 31536 Operative laryngoscopy A 3.55 2.25NA 2.25 0.29 6.09 6.09 0000.00.00.0030100 31526 37.8975 090 31540 Operative laryngoscopy A 4.12 2.54NA 2.54 0.34 7.00 7.00 0000.00.00.0030100 31525 37.8975 090 31541 Operative laryngoscopy A 4.52 2.78NA 2.78 0.37 7.67 7.67 0000.00.00.0030100 31526 37.8975 090 31545 Remove vc lesion w/scope A 6.30 3.47NA 3.47 0.37 10.14 10.14 0000.00.00.0030100 31526 37.8975 090 31546 Remove vc lesion scope/graft A 9.73 4.97NA 4.97 0.78 15.48 15.48 0000.00.00.0030100 31526 37.8975 090 31560 Operative laryngoscopy A 5.45 3.15NA 3.15 0.43 9.03 9.03 0000.00.00.0030000 31525 37.8975 090 31561 Operative laryngoscopy A 5.99 3.37NA 3.37 0.48 9.84 9.84 0000.00.00.0030000 31526 37.8975 090 31570 Laryngoscopy with injection A 3.86 5.67 2.38 0.31 9.84 6.55 0000.00.00.0030100 31525 37.8975 090 31571 Laryngoscopy with injection A 4.26 2.60NA 2.60 0.34 7.20 7.20 0000.00.00.0030100 31526 37.8975 090 31575 Diagnostic laryngoscopy A 1.10 1.90 0.89 0.09 3.09 2.08 0000.00.00.0020100 37.8975 090 31576 Laryngoscopy with biopsy A 1.97 3.66 1.29 0.15 5.78 3.41 0000.00.00.0030100 31575 37.8975 090 31577 Remove foreign body, larynx A 2.47 3.76 1.53 0.21 6.44 4.21 0000.00.00.0030000 31575 37.8975 090 31578 Removal of larynx lesion A 2.84 4.28 1.52 0.23 7.35 4.59 0000.00.00.0030000 31575 37.8975 090 31579 Diagnostic laryngoscopy A 2.26 3.78 1.48 0.19 6.23 3.93 0000.00.00.0030100 31575 37.8975 090 31580 Revision of larynx A 12.36 15.91NA 15.91 1.02 29.29 29.29 0090.10.76.1420210 37.8975 090 31582 Revision of larynx A 21.59 25.80NA 25.80 1.74 49.13 49.13 0090.10.76.1420110 37.8975 090 31584 Treat larynx fracture A 19.61 18.15NA 18.15 1.70 39.46 39.46 0090.10.76.1420210 37.8975 090 31585 Treat larynx fracture A 4.63 6.69NA 6.69 0.37 11.69 11.69 0090.10.76.1420000 37.8975 090 31586 Treat larynx fracture A 8.02 10.86NA 10.86 0.66 19.54 19.54 0090.10.76.1420000 37.8975 090 31587 Revision of larynx A 11.97 9.26NA 9.26 1.03 22.26 22.26 0090.10.76.1420210 37.8975 090 31588 Revision of larynx A 13.09 13.61NA 13.61 1.06 27.76 27.76 0090.10.76.1420200 37.8975 090 31590 Reinnervate larynx A 6.96 15.53NA 15.53 0.80 23.29 23.29 0090.10.76.1420210 37.8975 090 31595 Larynx nerve surgery A 8.33 10.55NA 10.55 0.69 19.57 19.57 0090.10.76.1420210 37.8975 090 31599 Larynx surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 31600 Incision of windpipe A 7.17 3.19NA 3.19 0.80 11.16 11.16 0000.00.00.0020100 37.8975 090 31601 Incision of windpipe A 4.44 2.40NA 2.40 0.40 7.24 7.24 0000.00.00.0020210 37.8975 090 31603 Incision of windpipe A 4.14 1.71NA 1.71 0.44 6.29 6.29 0000.00.00.0020100 37.8975 090 31605 Incision of windpipe A 3.57 1.19NA 1.19 0.38 5.14 5.14 0000.00.00.0020100 37.8975 090 31610 Incision of windpipe A 8.75 8.26NA 8.26 0.80 17.81 17.81 0090.10.76.1420100 37.8975 090 31611 Surgery/speech prosthesis A 5.63 7.06NA 7.06 0.47 13.16 13.16 0090.10.76.1420210 37.8975 090 31612 Puncture/clear windpipe A 0.91 1.10 0.35 0.08 2.09 1.34 0000.00.00.0020000 37.8975 090 31613 Repair windpipe opening A 4.58 5.99NA 5.99 0.44 11.01 11.01 0090.10.76.1420100 37.8975 090 31614 Repair windpipe opening A 7.11 8.71NA 8.71 0.62 16.44 16.44 0090.10.76.1420100 37.8975 090 31615 Visualization of windpipe A 2.09 2.59 1.20 0.17 4.85 3.46 0000.00.00.0020100 37.8975 090 31620 Endobronchial us add-on A 1.40 5.64 0.55 0.11 7.15 2.06 0ZZZ.00.00.0000100 37.8975 090 31622 Dx bronchoscope/wash A 2.78 5.65 1.06 0.20 8.63 4.04 0000.00.00.0020100 37.8975 090 31623 Dx bronchoscope/brush A 2.88 6.42 1.05 0.16 9.46 4.09 0000.00.00.0030100 31622 37.8975 090 31624 Dx bronchoscope/lavage A 2.88 5.77 1.05 0.16 8.81 4.09 0000.00.00.0030100 31622 37.8975 090 31625 Bronchoscopy w/biopsy(s) A 3.36 5.81 1.21 0.20 9.37 4.77 0000.00.00.0030100 31622 37.8975 090 31628 Bronchoscopy/lung bx, each A 3.80 7.02 1.30 0.19 11.01 5.29 0000.00.00.0030100 31622 37.8975 090 31629 Bronchoscopy/needle bx, each A 4.09 14.25 1.40 0.17 18.51 5.66 0000.00.00.0030100 31622 37.8975 090 31630 Bronchoscopy dilate/fx repr A 3.81 1.72NA 1.72 0.34 5.87 5.87 0000.00.00.0030100 31622 37.8975 090 31631 Bronchoscopy, dilate w/stent A 4.36 1.76NA 1.76 0.36 6.48 6.48 0000.00.00.0030100 31622 37.8975 090 31632 Bronchoscopy/lung bx, add’l A 1.03 0.81 0.31 0.19 2.03 1.53 0ZZZ.00.00.0000100 37.8975 090 31633 Bronchoscopy/needle bx add’l A 1.32 0.92 0.40 0.17 2.41 1.89 0ZZZ.00.00.0000100 37.8975 090 31635 Bronchoscopy w/fb removal A 3.67 6.11 1.43 0.26 10.04 5.36 0000.00.00.0030100 31622 37.8975 090 31636 Bronchoscopy, bronch stents A 4.30 1.76NA 1.76 0.31 6.37 6.37 0000.00.00.0030100 31622 37.8975 090 31637 Bronchoscopy, stent add-on A 1.58 0.56NA 0.56 0.13 2.27 2.27 0ZZZ.00.00.0000100 37.8975 090 31638 Bronchoscopy, revise stent A 4.88 1.97NA 1.97 0.22 7.07 7.07 0000.00.00.0030100 31622 37.8975 090 31640 Bronchoscopy w/tumor excise A 4.93 2.07NA 2.07 0.46 7.46 7.46 0000.00.00.0030100 31622 37.8975 090 31641 Bronchoscopy, treat blockage A 5.02 1.88NA 1.88 0.38 7.28 7.28 0000.00.00.0030100 31622 37.8975 090 31643 Diag bronchoscope/catheter A 3.49 1.23NA 1.23 0.20 4.92 4.92 0000.00.00.0020100 37.8975 090 31645 Bronchoscopy, clear airways A 3.16 5.14 1.12 0.19 8.49 4.47 0000.00.00.0030100 31622 37.8975 090 31646 Bronchoscopy, reclear airway A 2.72 4.86 1.00 0.16 7.74 3.88 0000.00.00.0020100 37.8975 090 31656 Bronchoscopy, inj for x-ray A 2.17 7.29 0.83 0.16 9.62 3.16 0000.00.00.0020000 37.8975 090 31700 Insertion of airway catheter A 1.34 2.15 0.68 0.10 3.59 2.12 0000.00.00.0020000 37.8975 090 31708 Instill airway contrast dye A 1.41 2.03 0.46 0.07 3.51 1.94 0000.00.00.0021000 37.8975 090 31710 Insertion of airway catheter A 1.30 0.41NA 0.41 0.13 1.84 1.84 0000.00.00.0021000 37.8975 090 31715 Injection for bronchus x-ray A 1.11 0.34NA 0.34 0.07 1.52 1.52 0000.00.00.0021000 37.8975 090 31717 Bronchial brush biopsy A 2.12 8.25 0.79 0.14 10.51 3.05 0000.00.00.0020100 37.8975 090 31720 Clearance of airways A 1.06 0.33 0.33 0.07 1.46 1.46 0000.00.00.0020100 37.8975 090 31725 Clearance of airways A 1.96 0.65 0.58 0.15 2.76 2.69 0000.00.00.0020100 37.8975 090 31730 Intro, windpipe wire/tube A 2.85 2.19 1.00 0.23 5.27 4.08 0000.00.00.0020100 37.8975 090 31750 Repair of windpipe A 13.00 17.55NA 17.55 1.12 31.67 31.67 0090.10.76.1420210 37.8975 090 31755 Repair of windpipe A 15.91 24.52NA 24.52 1.31 41.74 41.74 0090.10.76.1420210 37.8975 090 31760 Repair of windpipe A 22.32 10.71NA 10.71 2.78 35.81 35.81 0090.10.76.1420210 37.8975 090 31766 Reconstruction of windpipe A 30.38 13.65NA 13.65 4.49 48.52 48.52 0090.10.76.1420210 37.8975 090 31770 Repair/graft of bronchus A 22.48 10.24NA 10.24 2.80 35.52 35.52 0090.10.76.1420210 37.8975 090 31775 Reconstruct bronchus A 23.50 11.79NA 11.79 2.98 38.27 38.27 0090.10.76.1420200 37.8975 090 31780 Reconstruct windpipe A 17.69 11.05NA 11.05 1.65 30.39 30.39 0090.10.76.1420210 37.8975 090 31781 Reconstruct windpipe A 23.49 12.12NA 12.12 2.21 37.82 37.82 0090.10.76.1420210 37.8975 090 31785 Remove windpipe lesion A 17.20 10.18NA 10.18 1.59 28.97 28.97 0090.10.76.1420210 37.8975 090 31786 Remove windpipe lesion A 23.94 13.09NA 13.09 3.26 40.29 40.29 0090.10.76.1420210 37.8975 090 31800 Repair of windpipe injury A 7.42 9.24NA 9.24 0.78 17.44 17.44 0090.10.76.1420000 37.8975 090 31805 Repair of windpipe injury A 13.11 7.21NA 7.21 1.81 22.13 22.13 0090.10.76.1420210 37.8975 090 31820 Closure of windpipe lesion A 4.48 5.66 3.65 0.39 10.53 8.52 0090.10.76.1420000 37.8975 090 31825 Repair of windpipe defect A 6.80 7.66 5.37 0.56 15.02 12.73 0090.10.76.1420000 37.8975 090 31830 Revise windpipe scar A 4.49 5.76 3.98 0.44 10.69 8.91 0090.10.76.1420000 37.8975 090 31899 Airways surgical procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 32000 Drainage of chest A 1.54 3.05 0.48 0.09 4.68 2.11 0000.00.00.0001100 37.8975 090 32002 Treatment of collapsed lung A 2.19 3.21 1.06 0.14 5.54 3.39 0000.00.00.0001110 37.8975 090 32005 Treat lung lining chemically A 2.19 6.45 0.70 0.22 8.86 3.11 0000.00.00.0020100 37.8975 090 32019 Insert pleural catheter A 4.17 19.96 1.65 0.42 24.55 6.24 0000.00.00.0000100 37.8975 090 32020 Insertion of chest tube A 3.97 1.35NA 1.35 0.42 5.74 5.74 0000.00.00.0001100 37.8975 090 32035 Exploration of chest A 8.66 5.85NA 5.85 1.22 15.73 15.73 0090.10.76.1420210 37.8975 090 32036 Exploration of chest A 9.67 6.43NA 6.43 1.38 17.48 17.48 0090.10.76.1420210 37.8975 090 32095 Biopsy through chest wall A 8.35 5.36NA 5.36 1.17 14.88 14.88 0090.10.76.1420210 37.8975 090 32100 Exploration/biopsy of chest A 15.22 7.82NA 7.82 2.16 25.20 25.20 0090.10.76.1420210 37.8975 090 32110 Explore/repair chest A 22.97 10.73NA 10.73 3.13 36.83 36.83 0090.10.76.1420210 37.8975 090 32120 Re-exploration of chest A 11.52 7.07NA 7.07 1.61 20.20 20.20 0090.10.76.1420210 37.8975 090 32124 Explore chest free adhesions A 12.70 7.21NA 7.21 1.85 21.76 21.76 0090.10.76.1420210 37.8975 090 32140 Removal of lung lesion(s) A 13.91 7.68NA 7.68 1.95 23.54 23.54 0090.10.76.1420210 37.8975 090 32141 Remove/treat lung lesions A 13.98 7.55NA 7.55 1.98 23.51 23.51 0090.10.76.1420210 37.8975 090 32150 Removal of lung lesion(s) A 14.13 7.60NA 7.60 1.96 23.69 23.69 0090.10.76.1420210 37.8975 090 32151 Remove lung foreign body A 14.19 8.00NA 8.00 1.92 24.11 24.11 0090.10.76.1420210 37.8975 090 32160 Open chest heart massage A 9.29 5.26NA 5.26 1.25 15.80 15.80 0090.10.76.1420210 37.8975 090 32200 Drain, open, lung lesion A 15.27 8.61NA 8.61 1.93 25.81 25.81 0090.10.76.1420210 37.8975 090 32201 Drain, percut, lung lesion A 3.99 20.70 1.30 0.24 24.93 5.53 0000.00.00.0020200 37.8975 090 32215 Treat chest lining A 11.31 6.90NA 6.90 1.56 19.77 19.77 0090.10.76.1420210 37.8975 090 32220 Release of lung A 23.96 12.95NA 12.95 3.41 40.32 40.32 0090.10.76.1420210 37.8975 090 32225 Partial release of lung A 13.94 7.65NA 7.65 1.97 23.56 23.56 0090.10.76.1420210 37.8975 090 32310 Removal of chest lining A 13.42 7.39NA 7.39 1.92 22.73 22.73 0090.10.76.1420210 37.8975 090 32320 Free/remove chest lining A 23.96 12.15NA 12.15 3.39 39.50 39.50 0090.10.76.1420210 37.8975 090 32400 Needle biopsy chest lining A 1.76 2.12 0.55 0.10 3.98 2.41 0000.00.00.0020100 37.8975 090 32402 Open biopsy chest lining A 7.55 5.11NA 5.11 1.04 13.70 13.70 0090.10.76.1420210 37.8975 090 32405 Biopsy, lung or mediastinum A 1.93 0.67 0.63 0.11 2.71 2.67 0000.00.00.0020100 37.8975 090 32420 Puncture/clear lung A 2.18 0.68NA 0.68 0.14 3.00 3.00 0000.00.00.0020100 37.8975 090 32440 Removal of lung A 24.96 12.89NA 12.89 3.56 41.41 41.41 0090.10.76.1420210 37.8975 090 32442 Sleeve pneumonectomy A 26.20 14.76NA 14.76 3.81 44.77 44.77 0090.10.76.1420210 37.8975 090 32445 Removal of lung A 25.05 14.06NA 14.06 3.62 42.73 42.73 0090.10.76.1420210 37.8975 090 32480 Partial removal of lung A 23.71 12.06NA 12.06 3.38 39.15 39.15 0090.10.76.1420210 37.8975 090 32482 Bilobectomy A 24.96 12.91NA 12.91 3.53 41.40 41.40 0090.10.76.1420210 37.8975 090 32484 Segmentectomy A 20.66 11.38NA 11.38 2.94 34.98 34.98 0090.10.76.1420210 37.8975 090 32486 Sleeve lobectomy A 23.88 13.24NA 13.24 3.48 40.60 40.60 0090.10.76.1420210 37.8975 090 32488 Completion pneumonectomy A 25.67 13.78NA 13.78 3.66 43.11 43.11 0090.10.76.1420210 37.8975 090 32491 Lung volume reduction R 21.22 12.62NA 12.62 2.94 36.78 36.78 0090.10.76.1421210 37.8975 090 32500 Partial removal of lung A 21.97 12.35NA 12.35 3.14 37.46 37.46 0090.10.76.1420210 37.8975 090 32501 Repair bronchus add-on A 4.68 1.54NA 1.54 0.65 6.87 6.87 0ZZZ.00.00.0000210 37.8975 090 32520 Remove lung & revise chest A 21.65 11.31NA 11.31 3.04 36.00 36.00 0090.10.76.1420210 37.8975 090 32522 Remove lung & revise chest A 24.16 12.12NA 12.12 3.28 39.56 39.56 0090.10.76.1420210 37.8975 090 32525 Remove lung & revise chest A 26.46 12.80NA 12.80 3.72 42.98 42.98 0090.10.76.1420210 37.8975 090 32540 Removal of lung lesion A 14.62 9.63NA 9.63 2.04 26.29 26.29 0090.10.76.1420210 37.8975 090 32601 Thoracoscopy, diagnostic A 5.45 2.35NA 2.35 0.78 8.58 8.58 0000.00.00.0020000 37.8975 090 32602 Thoracoscopy, diagnostic A 5.95 2.52NA 2.52 0.84 9.31 9.31 0000.00.00.0020000 37.8975 090 32603 Thoracoscopy, diagnostic A 7.80 3.03NA 3.03 1.11 11.94 11.94 0000.00.00.0020000 37.8975 090 32604 Thoracoscopy, diagnostic A 8.77 3.45NA 3.45 1.23 13.45 13.45 0000.00.00.0020000 37.8975 090 32605 Thoracoscopy, diagnostic A 6.92 2.90NA 2.90 0.97 10.79 10.79 0000.00.00.0020000 37.8975 090 32606 Thoracoscopy, diagnostic A 8.39 3.33NA 3.33 1.20 12.92 12.92 0000.00.00.0020000 37.8975 090 32650 Thoracoscopy, surgical A 10.73 6.76NA 6.76 1.50 18.99 18.99 0090.10.76.1420210 37.8975 090 32651 Thoracoscopy, surgical A 12.89 7.23NA 7.23 1.82 21.94 21.94 0090.10.76.1420210 37.8975 090 32652 Thoracoscopy, surgical A 18.63 10.14NA 10.14 2.60 31.37 31.37 0090.10.76.1420210 37.8975 090 32653 Thoracoscopy, surgical A 12.85 6.97NA 6.97 1.79 21.61 21.61 0090.10.76.1420210 37.8975 090 32654 Thoracoscopy, surgical A 12.42 7.53NA 7.53 1.62 21.57 21.57 0090.10.76.1420210 37.8975 090 32655 Thoracoscopy, surgical A 13.08 7.24NA 7.24 1.82 22.14 22.14 0090.10.76.1420210 37.8975 090 32656 Thoracoscopy, surgical A 12.89 7.94NA 7.94 1.82 22.65 22.65 0090.10.76.1420210 37.8975 090 32657 Thoracoscopy, surgical A 13.63 7.68NA 7.68 1.94 23.25 23.25 0090.10.76.1420210 37.8975 090 32658 Thoracoscopy, surgical A 11.61 7.35NA 7.35 1.62 20.58 20.58 0090.09.84.0720210 37.8975 090 32659 Thoracoscopy, surgical A 11.57 7.45NA 7.45 1.61 20.63 20.63 0090.09.84.0720210 37.8975 090 32660 Thoracoscopy, surgical A 17.40 9.48NA 9.48 2.06 28.94 28.94 0090.09.84.0720210 37.8975 090 32661 Thoracoscopy, surgical A 13.23 7.79NA 7.79 1.82 22.84 22.84 0090.09.84.0720210 37.8975 090 32662 Thoracoscopy, surgical A 16.42 8.82NA 8.82 2.16 27.40 27.40 0090.09.84.0720210 37.8975 090 32663 Thoracoscopy, surgical A 18.44 10.76NA 10.76 2.66 31.86 31.86 0090.09.84.0720210 37.8975 090 32664 Thoracoscopy, surgical A 14.18 7.63NA 7.63 2.33 24.14 24.14 0090.09.84.0721210 37.8975 090 32665 Thoracoscopy, surgical A 15.52 8.13NA 8.13 2.13 25.78 25.78 0090.09.81.1020210 37.8975 090 32800 Repair lung hernia A 13.67 7.41NA 7.41 1.86 22.94 22.94 0090.10.76.1420210 37.8975 090 32810 Close chest after drainage A 13.03 7.52NA 7.52 1.87 22.42 22.42 0090.10.76.1420200 37.8975 090 32815 Close bronchial fistula A 23.12 10.97NA 10.97 3.23 37.32 37.32 0090.10.76.1420210 37.8975 090 32820 Reconstruct injured chest A 21.45 12.16NA 12.16 2.51 36.12 36.12 0090.10.76.1420210 37.8975 090 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 32851 Lung transplant, single A 38.57 27.66NA 27.66 5.35 71.58 71.58 0090.10.76.1420212 37.8975 090 32852 Lung transplant with bypass A 41.74 33.16NA 33.16 5.96 80.86 80.86 0090.10.76.1420212 37.8975 090 32853 Lung transplant, double A 47.74 31.75NA 31.75 6.85 86.34 86.34 0090.10.76.1422212 37.8975 090 32854 Lung transplant with bypass A 50.90 34.73NA 34.73 7.16 92.79 92.79 0090.10.76.1422212 37.8975 090 32855 Prepare donor lung, single C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 32856 Prepare donor lung, double C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 32900 Removal of rib(s) A 20.24 9.88NA 9.88 2.89 33.01 33.01 0090.10.76.1420210 37.8975 090 32905 Revise & repair chest wall A 20.72 10.13NA 10.13 3.03 33.88 33.88 0090.10.76.1420210 37.8975 090 32906 Revise & repair chest wall A 26.73 12.06NA 12.06 3.82 42.61 42.61 0090.10.76.1420210 37.8975 090 32940 Revision of lung A 19.40 9.47NA 9.47 2.75 31.62 31.62 0090.10.76.1420210 37.8975 090 32960 Therapeutic pneumothorax A 1.84 1.73 0.56 0.16 3.73 2.56 0000.00.00.0020100 37.8975 090 32997 Total lung lavage A 5.99 1.91NA 1.91 0.54 8.44 8.44 0000.00.00.0020100 37.8975 090 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 33010 Drainage of heart sac A 2.24 0.78NA 0.78 0.15 3.17 3.17 0000.00.00.0020100 37.8975 090 33011 Repeat drainage of heart sac A 2.24 0.81NA 0.81 0.17 3.22 3.22 0000.00.00.0020000 37.8975 090 33015 Incision of heart sac A 6.79 4.95NA 4.95 0.64 12.38 12.38 0090.09.84.0720100 37.8975 090 33020 Incision of heart sac A 12.59 6.78NA 6.78 1.74 21.11 21.11 0090.09.84.0720210 37.8975 090 33025 Incision of heart sac A 12.07 6.35NA 6.35 1.72 20.14 20.14 0090.09.84.0720210 37.8975 090 33030 Partial removal of heart sac A 18.68 9.52NA 9.52 2.73 30.93 30.93 0090.09.84.0720210 37.8975 090 33031 Partial removal of heart sac A 21.76 10.03NA 10.03 3.10 34.89 34.89 0090.09.84.0720210 37.8975 090 33050 Removal of heart sac lesion A 14.34 7.84NA 7.84 2.08 24.26 24.26 0090.09.84.0720210 37.8975 090 33120 Removal of heart lesion A 24.52 11.58NA 11.58 3.57 39.67 39.67 0090.09.84.0720210 37.8975 090 33130 Removal of heart lesion A 21.36 10.11NA 10.11 2.87 34.34 34.34 0090.09.84.0720210 37.8975 090 33140 Heart revascularize (tmr) A 19.97 10.88NA 10.88 2.81 33.66 33.66 0090.09.84.0720200 37.8975 090 33141 Heart tmr w/other procedure A 4.83 1.58NA 1.58 0.69 7.10 7.10 0ZZZ.00.00.0000210 37.8975 090 33200 Insertion of heart pacemaker A 12.46 6.84NA 6.84 1.67 20.97 20.97 0090.09.84.0720100 37.8975 090 33201 Insertion of heart pacemaker A 10.16 6.58NA 6.58 1.34 18.08 18.08 0090.09.84.0720100 37.8975 090 33206 Insertion of heart pacemaker A 6.66 4.46NA 4.46 0.52 11.64 11.64 0090.09.84.0720120 37.8975 090 33207 Insertion of heart pacemaker A 8.03 4.66NA 4.66 0.61 13.30 13.30 0090.09.84.0720120 37.8975 090 33208 Insertion of heart pacemaker A 8.12 4.77NA 4.77 0.59 13.48 13.48 0090.09.84.0720120 37.8975 090 33210 Insertion of heart electrode A 3.30 1.25NA 1.25 0.19 4.74 4.74 0000.00.00.0020100 37.8975 090 33211 Insertion of heart electrode A 3.39 1.31NA 1.31 0.23 4.93 4.93 0000.00.00.0020100 37.8975 090 33212 Insertion of pulse generator A 5.51 3.36NA 3.36 0.46 9.33 9.33 0090.09.84.0720100 37.8975 090 33213 Insertion of pulse generator A 6.36 3.72NA 3.72 0.48 10.56 10.56 0090.09.84.0720100 37.8975 090 33214 Upgrade of pacemaker system A 7.74 4.89NA 4.89 0.58 13.21 13.21 0090.09.84.0720020 37.8975 090 33215 Reposition pacing-defib lead A 4.75 3.18NA 3.18 0.37 8.30 8.30 0090.09.84.0720100 37.8975 090 33216 Insert lead pace-defib, one A 5.77 4.20NA 4.20 0.40 10.37 10.37 0090.09.84.0720100 37.8975 090 33217 Insert lead pace-defib, dual A 5.74 4.23NA 4.23 0.41 10.38 10.38 0090.09.84.0720100 37.8975 090 33218 Repair lead pace-defib, one A 5.43 4.30NA 4.30 0.39 10.12 10.12 0090.09.84.0720100 37.8975 090 33220 Repair lead pace-defib, dual A 5.51 4.27NA 4.27 0.39 10.17 10.17 0090.09.84.0720100 37.8975 090 33222 Revise pocket, pacemaker A 4.95 4.29NA 4.29 0.42 9.66 9.66 0090.09.84.0720100 37.8975 090 33223 Revise pocket, pacing-defib A 6.45 4.59NA 4.59 0.45 11.49 11.49 0090.09.84.0720000 37.8975 090 33224 Insert pacing lead & connect A 9.04 4.00NA 4.00 0.57 13.61 13.61 0000.00.00.0020100 37.8975 090 33225 L ventric pacing lead add-on A 8.33 3.25NA 3.25 0.48 12.06 12.06 0ZZZ.00.00.0000100 37.8975 090 33226 Reposition l ventric lead A 8.68 3.82NA 3.82 0.61 13.11 13.11 0000.00.00.0020100 37.8975 090 33233 Removal of pacemaker system A 3.29 3.27NA 3.27 0.23 6.79 6.79 0090.09.84.0720100 37.8975 090 33234 Removal of pacemaker system A 7.81 4.91NA 4.91 0.58 13.30 13.30 0090.09.84.0720100 37.8975 090 33235 Removal pacemaker electrode A 9.39 6.81NA 6.81 0.75 16.95 16.95 0090.09.84.0720100 37.8975 090 33236 Remove electrode/thoracotomy A 12.58 7.43NA 7.43 1.66 21.67 21.67 0090.09.84.0720020 37.8975 090 33237 Remove electrode/thoracotomy A 13.69 7.78NA 7.78 1.56 23.03 23.03 0090.09.84.0720020 37.8975 090 33238 Remove electrode/thoracotomy A 15.20 8.20NA 8.20 1.95 25.35 25.35 0090.09.84.0720020 37.8975 090 33240 Insert pulse generator A 7.59 4.58NA 4.58 0.48 12.65 12.65 0090.09.84.0720100 37.8975 090 33241 Remove pulse generator A 3.24 2.96NA 2.96 0.21 6.41 6.41 0090.09.84.0720010 37.8975 090 33243 Remove eltrd/thoracotomy A 22.61 11.46NA 11.46 2.10 36.17 36.17 0090.09.84.0720210 37.8975 090 33244 Remove eltrd, transven A 13.74 8.89NA 8.89 1.00 23.63 23.63 0090.09.84.0720110 37.8975 090 33245 Insert epic eltrd pace-defib A 14.28 7.90NA 7.90 1.98 24.16 24.16 0090.09.84.0720210 37.8975 090 33246 Insert epic eltrd/generator A 20.68 10.28NA 10.28 2.59 33.55 33.55 0090.09.84.0720210 37.8975 090 33249 Eltrd/insert pace-defib A 14.21 8.36NA 8.36 0.83 23.40 23.40 0090.09.84.0720110 37.8975 090 33250 Ablate heart dysrhythm focus A 21.82 11.02NA 11.02 3.06 35.90 35.90 0090.09.84.0720210 37.8975 090 33251 Ablate heart dysrhythm focus A 24.84 11.66NA 11.66 3.49 39.99 39.99 0090.09.84.0720210 37.8975 090 33253 Reconstruct atria A 31.01 13.82NA 13.82 4.45 49.28 49.28 0090.09.84.0720210 37.8975 090 33261 Ablate heart dysrhythm focus A 24.84 11.77NA 11.77 3.38 39.99 39.99 0090.09.84.0720210 37.8975 090 33282 Implant pat-active ht record A 4.16 4.02NA 4.02 0.25 8.43 8.43 0090.09.84.0720100 37.8975 090 33284 Remove pat-active ht record A 2.50 3.53NA 3.53 0.15 6.18 6.18 0090.09.84.0720100 37.8975 090 33300 Repair of heart wound A 17.89 9.23NA 9.23 2.56 29.68 29.68 0090.09.84.0720210 37.8975 090 33305 Repair of heart wound A 21.41 10.61NA 10.61 3.07 35.09 35.09 0090.09.84.0720210 37.8975 090 33310 Exploratory heart surgery A 18.48 9.58NA 9.58 2.56 30.62 30.62 0090.09.84.0720210 37.8975 090 33315 Exploratory heart surgery A 22.34 10.88NA 10.88 3.23 36.45 36.45 0090.09.84.0720210 37.8975 090 33320 Repair major blood vessel(s) A 16.76 8.22NA 8.22 2.03 27.01 27.01 0090.09.84.0720210 37.8975 090 33321 Repair major vessel A 20.17 9.78NA 9.78 2.87 32.82 32.82 0090.09.84.0720210 37.8975 090 33322 Repair major blood vessel(s) A 20.59 10.36NA 10.36 2.80 33.75 33.75 0090.09.84.0720210 37.8975 090 33330 Insert major vessel graft A 21.40 10.26NA 10.26 2.73 34.39 34.39 0090.09.84.0720210 37.8975 090 33332 Insert major vessel graft A 23.92 10.51NA 10.51 2.99 37.42 37.42 0090.09.84.0720210 37.8975 090 33335 Insert major vessel graft A 29.96 13.33NA 13.33 4.19 47.48 47.48 0090.09.84.0720210 37.8975 090 33400 Repair of aortic valve A 28.46 15.66NA 15.66 4.04 48.16 48.16 0090.09.84.0720210 37.8975 090 33401 Valvuloplasty, open A 23.87 13.50NA 13.50 3.53 40.90 40.90 0090.09.84.0720210 37.8975 090 33403 Valvuloplasty, w/cp bypass A 24.85 14.30NA 14.30 3.51 42.66 42.66 0090.09.84.0720210 37.8975 090 33404 Prepare heart-aorta conduit A 28.50 14.54NA 14.54 4.29 47.33 47.33 0090.09.84.0720210 37.8975 090 33405 Replacement of aortic valve A 34.95 18.29NA 18.29 5.09 58.33 58.33 0090.09.84.0720210 37.8975 090 33406 Replacement of aortic valve A 37.44 19.12NA 19.12 5.38 61.94 61.94 0090.09.84.0720210 37.8975 090 33410 Replacement of aortic valve A 32.41 16.58NA 16.58 4.61 53.60 53.60 0090.09.84.0720210 37.8975 090 33411 Replacement of aortic valve A 36.20 18.74NA 18.74 5.29 60.23 60.23 0090.09.84.0720200 37.8975 090 33412 Replacement of aortic valve A 41.94 20.40NA 20.40 6.29 68.63 68.63 0090.09.84.0720210 37.8975 090 33413 Replacement of aortic valve A 43.43 20.81NA 20.81 6.46 70.70 70.70 0090.09.84.0720210 37.8975 090 33414 Repair of aortic valve A 30.30 14.13NA 14.13 4.45 48.88 48.88 0090.09.84.0720210 37.8975 090 33415 Revision, subvalvular tissue A 27.11 12.02NA 12.02 3.80 42.93 42.93 0090.09.84.0720210 37.8975 090 33416 Revise ventricle muscle A 30.30 13.50NA 13.50 4.46 48.26 48.26 0090.09.84.0720210 37.8975 090 33417 Repair of aortic valve A 28.49 13.61NA 13.61 4.05 46.15 46.15 0090.09.84.0720210 37.8975 090 33420 Revision of mitral valve A 22.67 9.56NA 9.56 1.82 34.05 34.05 0090.09.84.0720110 37.8975 090 33422 Revision of mitral valve A 25.90 13.65NA 13.65 3.76 43.31 43.31 0090.09.84.0720210 37.8975 090 33425 Repair of mitral valve A 26.96 13.05NA 13.05 3.91 43.92 43.92 0090.09.84.0720210 37.8975 090 33426 Repair of mitral valve A 32.95 17.13NA 17.13 4.77 54.85 54.85 0090.09.84.0720210 37.8975 090 33427 Repair of mitral valve A 39.94 19.36NA 19.36 5.82 65.12 65.12 0090.09.84.0720210 37.8975 090 33430 Replacement of mitral valve A 33.45 17.29NA 17.29 4.85 55.59 55.59 0090.09.84.0720210 37.8975 090 33460 Revision of tricuspid valve A 23.56 11.30NA 11.30 3.39 38.25 38.25 0090.09.84.0720210 37.8975 090 33463 Valvuloplasty, tricuspid A 25.58 12.91NA 12.91 3.71 42.20 42.20 0090.09.84.0720210 37.8975 090 33464 Valvuloplasty, tricuspid A 27.29 13.52NA 13.52 3.96 44.77 44.77 0090.09.84.0720210 37.8975 090 33465 Replace tricuspid valve A 28.75 12.96NA 12.96 4.18 45.89 45.89 0090.09.84.0720210 37.8975 090 33468 Revision of tricuspid valve A 30.07 13.65NA 13.65 4.03 47.75 47.75 0090.09.84.0720210 37.8975 090 33470 Revision of pulmonary valve A 20.78 10.69NA 10.69 1.03 32.50 32.50 0090.09.84.0720200 37.8975 090 33471 Valvotomy, pulmonary valve A 22.22 9.75NA 9.75 3.35 35.32 35.32 0090.09.84.0720210 37.8975 090 33472 Revision of pulmonary valve A 22.22 11.86NA 11.86 3.52 37.60 37.60 0090.09.84.0720200 37.8975 090 33474 Revision of pulmonary valve A 23.01 10.88NA 10.88 3.18 37.07 37.07 0090.09.84.0720210 37.8975 090 33475 Replacement, pulmonary valve A 32.95 15.37NA 15.37 4.76 53.08 53.08 0090.09.84.0720210 37.8975 090 33476 Revision of heart chamber A 25.73 11.96NA 11.96 2.39 40.08 40.08 0090.09.84.0720210 37.8975 090 33478 Revision of heart chamber A 26.70 13.05NA 13.05 3.85 43.60 43.60 0090.09.84.0720210 37.8975 090 33496 Repair, prosth valve clot A 27.21 12.74NA 12.74 4.01 43.96 43.96 0090.09.84.0720210 37.8975 090 33500 Repair heart vessel fistula A 25.51 11.46NA 11.46 3.66 40.63 40.63 0090.09.84.0720210 37.8975 090 33501 Repair heart vessel fistula A 17.75 8.28NA 8.28 1.84 27.87 27.87 0090.09.84.0720220 37.8975 090 33502 Coronary artery correction A 21.01 11.07NA 11.07 2.96 35.04 35.04 0090.09.84.0720210 37.8975 090 33503 Coronary artery graft A 21.75 9.73NA 9.73 1.86 33.34 33.34 0090.09.84.0720010 37.8975 090 33504 Coronary artery graft A 24.62 11.81NA 11.81 3.32 39.75 39.75 0090.09.84.0720210 37.8975 090 33505 Repair artery w/tunnel A 26.80 12.90NA 12.90 2.17 41.87 41.87 0090.09.84.0720210 37.8975 090 33506 Repair artery, translocation A 35.45 14.56NA 14.56 4.62 54.63 54.63 0090.09.84.0720210 37.8975 090 33508 Endoscopic vein harvest A 0.31 0.10NA 0.10 0.04 0.45 0.45 0ZZZ.00.00.0000210 37.8975 090 33510 CABG, vein, single A 28.96 16.33NA 16.33 4.19 49.48 49.48 0090.09.84.0720200 37.8975 090 33511 CABG, vein, two A 29.96 17.07NA 17.07 4.36 51.39 51.39 0090.09.84.0720200 37.8975 090 33512 CABG, vein, three A 31.75 17.60NA 17.60 4.59 53.94 53.94 0090.09.84.0720200 37.8975 090 33513 CABG, vein, four A 31.95 17.78NA 17.78 4.63 54.36 54.36 0090.09.84.0720200 37.8975 090 33514 CABG, vein, five A 32.70 18.05NA 18.05 4.68 55.43 55.43 0090.09.84.0720200 37.8975 090 33516 Cabg, vein, six or more A 34.95 18.80NA 18.80 5.02 58.77 58.77 0090.09.84.0720200 37.8975 090 33517 CABG, artery-vein, single A 2.57 0.84NA 0.84 0.37 3.78 3.78 0ZZZ.00.00.0000200 37.8975 090 33518 CABG, artery-vein, two A 4.84 1.58NA 1.58 0.70 7.12 7.12 0ZZZ.00.00.0000200 37.8975 090 33519 CABG, artery-vein, three A 7.11 2.32NA 2.32 1.03 10.46 10.46 0ZZZ.00.00.0000200 37.8975 090 33521 CABG, artery-vein, four A 9.39 3.07NA 3.07 1.35 13.81 13.81 0ZZZ.00.00.0000200 37.8975 090 33522 CABG, artery-vein, five A 11.65 3.81NA 3.81 1.69 17.15 17.15 0ZZZ.00.00.0000200 37.8975 090 33523 Cabg, art-vein, six or more A 13.93 4.53NA 4.53 2.06 20.52 20.52 0ZZZ.00.00.0000200 37.8975 090 33530 Coronary artery, bypass/reop A 5.85 1.91NA 1.91 0.85 8.61 8.61 0ZZZ.00.00.0000200 37.8975 090 33533 CABG, arterial, single A 29.96 16.46NA 16.46 4.33 50.75 50.75 0090.09.82.0920200 37.8975 090 33534 CABG, arterial, two A 32.15 17.71NA 17.71 4.53 54.39 54.39 0090.09.82.0920200 37.8975 090 33535 CABG, arterial, three A 34.45 18.13NA 18.13 4.94 57.52 57.52 0090.09.82.0920200 37.8975 090 33536 Cabg, arterial, four or more A 37.44 18.29NA 18.29 5.27 61.00 61.00 0090.09.82.0920200 37.8975 090 33542 Removal of heart lesion A 28.81 12.99NA 12.99 4.18 45.98 45.98 0090.09.84.0720210 37.8975 090 33545 Repair of heart damage A 36.72 15.62NA 15.62 5.13 57.47 57.47 0090.09.84.0720210 37.8975 090 33572 Open coronary endarterectomy A 4.44 1.45NA 1.45 0.64 6.53 6.53 0ZZZ.00.00.0000200 37.8975 090 33600 Closure of valve A 29.47 12.51NA 12.51 4.38 46.36 46.36 0090.09.84.0720210 37.8975 090 33602 Closure of valve A 28.50 12.44NA 12.44 3.78 44.72 44.72 0090.09.84.0720210 37.8975 090 33606 Anastomosis/artery-aorta A 30.69 13.67NA 13.67 4.37 48.73 48.73 0090.09.84.0720210 37.8975 090 33608 Repair anomaly w/conduit A 31.04 14.10NA 14.10 4.69 49.83 49.83 0090.09.84.0720210 37.8975 090 33610 Repair by enlargement A 30.56 13.60NA 13.60 4.52 48.68 48.68 0090.09.84.0720210 37.8975 090 33611 Repair double ventricle A 33.95 14.13NA 14.13 4.33 52.41 52.41 0090.09.84.0720210 37.8975 090 33612 Repair double ventricle A 34.95 15.15NA 15.15 5.23 55.33 55.33 0090.09.84.0720210 37.8975 090 33615 Repair, modified fontan A 33.95 13.14NA 13.14 4.26 51.35 51.35 0090.09.84.0720210 37.8975 090 33617 Repair single ventricle A 36.94 15.99NA 15.99 5.59 58.52 58.52 0090.09.84.0720210 37.8975 090 33619 Repair single ventricle A 44.93 20.80NA 20.80 6.39 72.12 72.12 0090.09.84.0720210 37.8975 090 33641 Repair heart septum defect A 21.36 9.57NA 9.57 3.10 34.03 34.03 0090.09.84.0720210 37.8975 090 33645 Revision of heart veins A 24.78 11.77NA 11.77 3.63 40.18 40.18 0090.09.84.0720210 37.8975 090 33647 Repair heart septum defects A 28.69 13.77NA 13.77 3.22 45.68 45.68 0090.09.84.0720210 37.8975 090 33660 Repair of heart defects A 29.96 13.48NA 13.48 4.45 47.89 47.89 0090.09.84.0720210 37.8975 090 33665 Repair of heart defects A 28.56 13.83NA 13.83 3.96 46.35 46.35 0090.09.84.0720210 37.8975 090 33670 Repair of heart chambers A 34.95 13.17NA 13.17 4.61 52.73 52.73 0090.09.84.0720210 37.8975 090 33681 Repair heart septum defect A 30.56 14.68NA 14.68 4.39 49.63 49.63 0090.09.84.0720210 37.8975 090 33684 Repair heart septum defect A 29.61 13.62NA 13.62 3.46 46.69 46.69 0090.09.84.0720210 37.8975 090 33688 Repair heart septum defect A 30.57 10.47NA 10.47 4.69 45.73 45.73 0090.09.84.0720210 37.8975 090 33690 Reinforce pulmonary artery A 19.52 10.16NA 10.16 1.94 31.62 31.62 0090.09.84.0720210 37.8975 090 33692 Repair of heart defects A 30.70 13.92NA 13.92 4.55 49.17 49.17 0090.09.84.0720210 37.8975 090 33694 Repair of heart defects A 33.95 14.22NA 14.22 5.21 53.38 53.38 0090.09.84.0720210 37.8975 090 33697 Repair of heart defects A 35.95 14.87NA 14.87 4.05 54.87 54.87 0090.09.84.0720210 37.8975 090 33702 Repair of heart defects A 26.50 12.56NA 12.56 3.64 42.70 42.70 0090.09.84.0720210 37.8975 090 33710 Repair of heart defects A 29.67 13.96NA 13.96 4.38 48.01 48.01 0090.09.84.0720200 37.8975 090 33720 Repair of heart defect A 26.52 12.28NA 12.28 3.76 42.56 42.56 0090.09.84.0720210 37.8975 090 33722 Repair of heart defect A 28.37 13.85NA 13.85 1.30 43.52 43.52 0090.09.84.0720210 37.8975 090 33730 Repair heart-vein defect(s) A 34.20 14.12NA 14.12 4.96 53.28 53.28 0090.09.84.0720210 37.8975 090 33732 Repair heart-vein defect A 28.12 13.38NA 13.38 3.64 45.14 45.14 0090.09.84.0720210 37.8975 090 33735 Revision of heart chamber A 21.36 8.95NA 8.95 1.89 32.20 32.20 0090.09.84.0720200 37.8975 090 33736 Revision of heart chamber A 23.48 11.85NA 11.85 3.05 38.38 38.38 0090.09.84.0720210 37.8975 090 33737 Revision of heart chamber A 21.73 10.93NA 10.93 3.21 35.87 35.87 0090.09.84.0720210 37.8975 090 33750 Major vessel shunt A 21.38 10.21NA 10.21 1.16 32.75 32.75 0090.09.84.0720210 37.8975 090 33755 Major vessel shunt A 21.76 8.80NA 8.80 3.22 33.78 33.78 0090.09.84.0720210 37.8975 090 33762 Major vessel shunt A 21.76 10.15NA 10.15 3.10 35.01 35.01 0090.09.84.0720210 37.8975 090 33764 Major vessel shunt & graft A 21.76 10.22NA 10.22 2.97 34.95 34.95 0090.09.84.0720210 37.8975 090 33766 Major vessel shunt A 22.73 11.67NA 11.67 3.67 38.07 38.07 0090.09.84.0720210 37.8975 090 33767 Major vessel shunt A 24.46 11.72NA 11.72 3.79 39.97 39.97 0090.09.84.0720210 37.8975 090 33770 Repair great vessels defect A 36.94 14.68NA 14.68 5.67 57.29 57.29 0090.09.84.0720210 37.8975 090 33771 Repair great vessels defect A 34.60 12.38NA 12.38 5.63 52.61 52.61 0090.09.84.0720210 37.8975 090 33774 Repair great vessels defect A 30.93 14.66NA 14.66 4.75 50.34 50.34 0090.09.84.0720210 37.8975 090 33775 Repair great vessels defect A 32.15 14.99NA 14.99 4.94 52.08 52.08 0090.09.84.0720200 37.8975 090 33776 Repair great vessels defect A 33.99 15.80NA 15.80 5.02 54.81 54.81 0090.09.84.0720210 37.8975 090 33777 Repair great vessels defect A 33.41 15.61NA 15.61 5.44 54.46 54.46 0090.09.84.0720200 37.8975 090 33778 Repair great vessels defect A 39.94 16.89NA 16.89 6.13 62.96 62.96 0090.09.84.0720210 37.8975 090 33779 Repair great vessels defect A 36.16 15.37NA 15.37 2.89 54.42 54.42 0090.09.84.0720210 37.8975 090 33780 Repair great vessels defect A 41.69 19.08NA 19.08 3.64 64.41 64.41 0090.09.84.0720210 37.8975 090 33781 Repair great vessels defect A 36.40 13.33NA 13.33 5.92 55.65 55.65 0090.09.84.0720200 37.8975 090 33786 Repair arterial trunk A 38.94 16.71NA 16.71 5.66 61.31 61.31 0090.09.84.0720210 37.8975 090 33788 Revision of pulmonary artery A 26.58 11.95NA 11.95 4.00 42.53 42.53 0090.09.84.0720210 37.8975 090 33800 Aortic suspension A 16.22 8.11NA 8.11 2.43 26.76 26.76 0090.09.84.0720220 37.8975 090 33802 Repair vessel defect A 17.63 9.22NA 9.22 2.24 29.09 29.09 0090.09.84.0720210 37.8975 090 33803 Repair vessel defect A 19.57 9.76NA 9.76 3.17 32.50 32.50 0090.09.84.0720210 37.8975 090 33813 Repair septal defect A 20.62 10.91NA 10.91 3.09 34.62 34.62 0090.09.84.0720210 37.8975 090 33814 Repair septal defect A 25.73 12.64NA 12.64 3.80 42.17 42.17 0090.09.84.0720210 37.8975 090 33820 Revise major vessel A 16.27 8.36NA 8.36 2.38 27.01 27.01 0090.09.84.0720200 37.8975 090 33822 Revise major vessel A 17.29 8.95NA 8.95 2.66 28.90 28.90 0090.09.84.0720210 37.8975 090 33824 Revise major vessel A 19.49 9.98NA 9.98 2.86 32.33 32.33 0090.09.84.0720210 37.8975 090 33840 Remove aorta constriction A 20.60 10.29NA 10.29 2.14 33.03 33.03 0090.09.84.0720210 37.8975 090 33845 Remove aorta constriction A 22.09 11.35NA 11.35 3.18 36.62 36.62 0090.09.84.0720210 37.8975 090 33851 Remove aorta constriction A 21.24 10.68NA 10.68 3.14 35.06 35.06 0090.09.84.0720210 37.8975 090 33852 Repair septal defect A 23.67 11.36NA 11.36 2.13 37.16 37.16 0090.09.84.0720200 37.8975 090 33853 Repair septal defect A 31.67 14.82NA 14.82 4.42 50.91 50.91 0090.09.84.0720210 37.8975 090 33860 Ascending aortic graft A 37.94 16.45NA 16.45 5.53 59.92 59.92 0090.09.84.0720210 37.8975 090 33861 Ascending aortic graft A 41.94 17.71NA 17.71 6.07 65.72 65.72 0090.09.84.0720210 37.8975 090 33863 Ascending aortic graft A 44.93 18.69NA 18.69 6.47 70.09 70.09 0090.09.84.0720210 37.8975 090 33870 Transverse aortic arch graft A 43.93 18.38NA 18.38 6.28 68.59 68.59 0090.09.84.0720210 37.8975 090 33875 Thoracic aortic graft A 33.01 14.09NA 14.09 4.73 51.83 51.83 0090.09.84.0720210 37.8975 090 33877 Thoracoabdominal graft A 42.54 16.31NA 16.31 5.77 64.62 64.62 0090.09.84.0720210 37.8975 090 33910 Remove lung artery emboli A 24.55 11.43NA 11.43 3.62 39.60 39.60 0090.09.84.0720210 37.8975 090 33915 Remove lung artery emboli A 20.99 9.63NA 9.63 1.66 32.28 32.28 0090.09.84.0720210 37.8975 090 33916 Surgery of great vessel A 25.79 11.34NA 11.34 3.64 40.77 40.77 0090.09.84.0720210 37.8975 090 33917 Repair pulmonary artery A 24.46 12.18NA 12.18 3.66 40.30 40.30 0090.09.84.0720210 37.8975 090 33918 Repair pulmonary atresia A 26.41 12.07NA 12.07 4.12 42.60 42.60 0090.09.84.0720210 37.8975 090 33919 Repair pulmonary atresia A 39.94 17.51NA 17.51 5.90 63.35 63.35 0090.09.84.0720210 37.8975 090 33920 Repair pulmonary atresia A 31.90 13.82NA 13.82 4.35 50.07 50.07 0090.09.84.0720210 37.8975 090 33922 Transect pulmonary artery A 23.48 10.90NA 10.90 3.06 37.44 37.44 0090.09.84.0720210 37.8975 090 33924 Remove pulmonary shunt A 5.49 1.84NA 1.84 0.82 8.15 8.15 0ZZZ.00.00.0000210 37.8975 090 33930 Removal of donor heart/lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 33933 Prepare donor heart/lung C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 33935 Transplantation, heart/lung R 60.87 28.77NA 28.77 8.95 98.59 98.59 0090.09.84.0720212 37.8975 090 33940 Removal of donor heart X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 33944 Prepare donor heart C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 33945 Transplantation of heart R 42.04 21.39NA 21.39 6.08 69.51 69.51 0090.09.84.0720212 37.8975 090 33960 External circulation assist A 19.33 4.91NA 4.91 2.60 26.84 26.84 0000.00.00.0000210 37.8975 090 33961 External circulation assist A 10.91 3.61NA 3.61 0.90 15.42 15.42 0ZZZ.00.00.0000210 37.8975 090 33967 Insert ia percut device A 4.84 1.84NA 1.84 0.35 7.03 7.03 0000.00.00.0020000 37.8975 090 33968 Remove aortic assist device A 0.64 0.23NA 0.23 0.07 0.94 0.94 0000.00.00.0000100 37.8975 090 33970 Aortic circulation assist A 6.74 2.28NA 2.28 0.82 9.84 9.84 0000.00.00.0020210 37.8975 090 33971 Aortic circulation assist A 9.68 6.00NA 6.00 1.21 16.89 16.89 0090.09.84.0720100 37.8975 090 33973 Insert balloon device A 9.75 3.31NA 3.31 1.22 14.28 14.28 0000.00.00.0020210 37.8975 090 33974 Remove intra-aortic balloon A 14.39 7.88NA 7.88 1.68 23.95 23.95 0090.09.84.0720100 37.8975 090 33975 Implant ventricular device A 20.97 6.28NA 6.28 2.99 30.24 30.24 0XXX.00.00.0020200 37.8975 090 33976 Implant ventricular device A 22.97 7.55NA 7.55 3.20 33.72 33.72 0XXX.00.00.0022200 37.8975 090 33977 Remove ventricular device A 19.26 11.07NA 11.07 2.77 33.10 33.10 0090.09.84.0720200 37.8975 090 33978 Remove ventricular device A 21.70 11.75NA 11.75 3.20 36.65 36.65 0090.09.84.0722200 37.8975 090 33979 Insert intracorporeal device A 45.93 14.92NA 14.92 6.80 67.65 67.65 0XXX.00.00.0020200 37.8975 090 33980 Remove intracorporeal device A 56.17 25.24NA 25.24 8.35 89.76 89.76 0090.09.84.0720200 37.8975 090 33999 Cardiac surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 34001 Removal of artery clot A 12.89 6.71NA 6.71 1.77 21.37 21.37 0090.09.84.0721210 37.8975 090 34051 Removal of artery clot A 15.19 7.78NA 7.78 2.18 25.15 25.15 0090.09.84.0721210 37.8975 090 34101 Removal of artery clot A 9.99 5.35NA 5.35 1.38 16.72 16.72 0090.09.84.0721210 37.8975 090 34111 Removal of arm artery clot A 9.99 5.35NA 5.35 1.35 16.69 16.69 0090.09.84.0721210 37.8975 090 34151 Removal of artery clot A 24.96 10.40NA 10.40 3.47 38.83 38.83 0090.09.84.0721210 37.8975 090 34201 Removal of artery clot A 10.01 5.41NA 5.41 1.42 16.84 16.84 0090.09.84.0721210 37.8975 090 34203 Removal of leg artery clot A 16.48 8.06NA 8.06 2.31 26.85 26.85 0090.09.84.0721210 37.8975 090 34401 Removal of vein clot A 24.96 10.66NA 10.66 2.94 38.56 38.56 0090.09.84.0721210 37.8975 090 34421 Removal of vein clot A 11.98 6.29NA 6.29 1.54 19.81 19.81 0090.09.84.0721210 37.8975 090 34451 Removal of vein clot A 26.96 11.44NA 11.44 3.70 42.10 42.10 0090.09.84.0721210 37.8975 090 34471 Removal of vein clot A 10.16 5.30NA 5.30 1.14 16.60 16.60 0090.09.84.0721110 37.8975 090 34490 Removal of vein clot A 9.85 5.42NA 5.42 1.33 16.60 16.60 0090.09.84.0721100 37.8975 090 34501 Repair valve, femoral vein A 15.98 8.49NA 8.49 2.19 26.66 26.66 0090.09.84.0721210 37.8975 090 34502 Reconstruct vena cava A 26.91 12.29NA 12.29 3.57 42.77 42.77 0090.09.84.0720200 37.8975 090 34510 Transposition of vein valve A 18.92 9.41NA 9.41 2.27 30.60 30.60 0090.09.84.0721210 37.8975 090 34520 Cross-over vein graft A 17.92 8.45NA 8.45 2.18 28.55 28.55 0090.09.84.0721210 37.8975 090 34530 Leg vein fusion A 16.62 8.61NA 8.61 1.71 26.94 26.94 0090.09.84.0721210 37.8975 090 34800 Endovas aaa repr w/sm tube A 20.72 9.16NA 9.16 2.30 32.18 32.18 0090.09.84.0720220 37.8975 090 34802 Endovas aaa repr w/2-p part A 22.97 9.78NA 9.78 2.25 35.00 35.00 0090.09.84.0720220 37.8975 090 34803 Endovas aaa repr w/3-p part A 24.00 10.21NA 10.21 1.99 36.20 36.20 0090.09.84.0722220 37.8975 090 34804 Endovas aaa repr w/1-p part A 22.97 9.80NA 9.80 2.23 35.00 35.00 0090.09.84.0720220 37.8975 090 34805 Endovas aaa repr w/long tube A 21.85 9.64NA 9.64 1.99 33.48 33.48 0090.09.84.0720220 37.8975 090 34808 Endovas iliac a device addon A 4.12 1.37NA 1.37 0.53 6.02 6.02 0ZZZ.00.00.0000220 37.8975 090 34812 Xpose for endoprosth, femorl A 6.74 2.23NA 2.23 1.15 10.12 10.12 0000.00.00.0021220 37.8975 090 34813 Femoral endovas graft add-on A 4.79 1.57NA 1.57 0.64 7.00 7.00 0ZZZ.00.00.0000220 37.8975 090 34820 Xpose for endoprosth, iliac A 9.74 3.23NA 3.23 1.41 14.38 14.38 0000.00.00.0021220 37.8975 090 34825 Endovasc extend prosth, init A 11.98 6.14NA 6.14 1.26 19.38 19.38 0090.09.84.0720220 37.8975 090 34826 Endovasc exten prosth, add’l A 4.12 1.37NA 1.37 0.43 5.92 5.92 0ZZZ.00.00.0000220 37.8975 090 34830 Open aortic tube prosth repr A 32.54 13.69NA 13.69 4.52 50.75 50.75 0090.09.84.0720020 37.8975 090 34831 Open aortoiliac prosth repr A 35.29 11.73NA 11.73 4.59 51.61 51.61 0090.09.84.0720020 37.8975 090 34832 Open aortofemor prosth repr A 35.29 14.62NA 14.62 4.69 54.60 54.60 0090.09.84.0720020 37.8975 090 34833 Xpose for endoprosth, iliac A 11.98 4.43NA 4.43 1.63 18.04 18.04 0000.00.00.0021220 37.8975 090 34834 Xpose, endoprosth, brachial A 5.34 2.19NA 2.19 0.75 8.28 8.28 0000.00.00.0021220 37.8975 090 34900 Endovasc iliac repr w/graft A 16.36 7.58NA 7.58 1.90 25.84 25.84 0090.09.84.0721220 37.8975 090 35001 Repair defect of artery A 19.61 9.55NA 9.55 2.73 31.89 31.89 0090.09.84.0721210 37.8975 090 35002 Repair artery rupture, neck A 20.97 9.69NA 9.69 3.00 33.66 33.66 0090.09.84.0721210 37.8975 090 35005 Repair defect of artery A 18.09 8.84NA 8.84 1.75 28.68 28.68 0090.09.84.0721210 37.8975 090 35011 Repair defect of artery A 17.97 7.98NA 7.98 2.48 28.43 28.43 0090.09.84.0721210 37.8975 090 35013 Repair artery rupture, arm A 21.97 9.67NA 9.67 3.04 34.68 34.68 0090.09.84.0721210 37.8975 090 35021 Repair defect of artery A 19.62 9.41NA 9.41 2.76 31.79 31.79 0090.09.84.0721210 37.8975 090 35022 Repair artery rupture, chest A 23.15 9.85NA 9.85 3.13 36.13 36.13 0090.09.84.0721210 37.8975 090 35045 Repair defect of arm artery A 17.54 7.50NA 7.50 2.41 27.45 27.45 0090.09.84.0721210 37.8975 090 35081 Repair defect of artery A 27.97 11.46NA 11.46 3.91 43.34 43.34 0090.09.84.0720210 37.8975 090 35082 Repair artery rupture, aorta A 38.44 15.29NA 15.29 5.32 59.05 59.05 0090.09.84.0720210 37.8975 090 35091 Repair defect of artery A 35.35 13.56NA 13.56 5.04 53.95 53.95 0090.09.84.0721210 37.8975 090 35092 Repair artery rupture, aorta A 44.93 17.63NA 17.63 6.22 68.78 68.78 0090.09.84.0721210 37.8975 090 35102 Repair defect of artery A 30.71 12.35NA 12.35 4.39 47.45 47.45 0090.09.84.0721210 37.8975 090 35103 Repair artery rupture, groin A 40.44 15.84NA 15.84 5.69 61.97 61.97 0090.09.84.0721210 37.8975 090 35111 Repair defect of artery A 24.96 10.46NA 10.46 3.36 38.78 38.78 0090.09.84.0721210 37.8975 090 35112 Repair artery rupture,spleen A 29.96 11.96NA 11.96 4.04 45.96 45.96 0090.09.84.0721210 37.8975 090 35121 Repair defect of artery A 29.96 12.36NA 12.36 4.21 46.53 46.53 0090.09.84.0721200 37.8975 090 35122 Repair artery rupture, belly A 34.95 13.80NA 13.80 4.69 53.44 53.44 0090.09.84.0721210 37.8975 090 35131 Repair defect of artery A 24.96 10.74NA 10.74 3.70 39.40 39.40 0090.09.84.0721210 37.8975 090 35132 Repair artery rupture, groin A 29.96 12.37NA 12.37 4.27 46.60 46.60 0090.09.84.0721210 37.8975 090 35141 Repair defect of artery A 19.97 8.91NA 8.91 2.82 31.70 31.70 0090.09.84.0721210 37.8975 090 35142 Repair artery rupture, thigh A 23.27 10.36NA 10.36 3.28 36.91 36.91 0090.09.84.0721210 37.8975 090 35151 Repair defect of artery A 22.61 9.98NA 9.98 3.18 35.77 35.77 0090.09.84.0721210 37.8975 090 35152 Repair artery rupture, knee A 25.58 11.37NA 11.37 3.55 40.50 40.50 0090.09.84.0721210 37.8975 090 35180 Repair blood vessel lesion A 13.60 6.94NA 6.94 1.00 21.54 21.54 0090.09.84.0720210 37.8975 090 35182 Repair blood vessel lesion A 29.96 12.79NA 12.79 4.31 47.06 47.06 0090.09.84.0720210 37.8975 090 35184 Repair blood vessel lesion A 17.97 8.29NA 8.29 2.49 28.75 28.75 0090.09.84.0720210 37.8975 090 35188 Repair blood vessel lesion A 14.26 7.63NA 7.63 2.13 24.02 24.02 0090.09.84.0720210 37.8975 090 35189 Repair blood vessel lesion A 27.96 11.95NA 11.95 3.92 43.83 43.83 0090.09.84.0720210 37.8975 090 35190 Repair blood vessel lesion A 12.73 6.47NA 6.47 1.76 20.96 20.96 0090.09.84.0720210 37.8975 090 35201 Repair blood vessel lesion A 16.12 7.99NA 7.99 2.26 26.37 26.37 0090.09.84.0721210 37.8975 090 35206 Repair blood vessel lesion A 13.23 6.55NA 6.55 1.84 21.62 21.62 0090.09.84.0721210 37.8975 090 35207 Repair blood vessel lesion A 10.13 7.35NA 7.35 1.44 18.92 18.92 0090.09.84.0721110 37.8975 090 35211 Repair blood vessel lesion A 22.09 10.61NA 10.61 3.15 35.85 35.85 0090.09.84.0721210 37.8975 090 35216 Repair blood vessel lesion A 18.72 8.97NA 8.97 2.61 30.30 30.30 0090.09.84.0721210 37.8975 090 35221 Repair blood vessel lesion A 24.35 9.93NA 9.93 3.27 37.55 37.55 0090.09.84.0721210 37.8975 090 35226 Repair blood vessel lesion A 14.48 7.43NA 7.43 1.98 23.89 23.89 0090.09.84.0721210 37.8975 090 35231 Repair blood vessel lesion A 19.97 9.76NA 9.76 2.78 32.51 32.51 0090.09.84.0721210 37.8975 090 35236 Repair blood vessel lesion A 17.08 7.88NA 7.88 2.40 27.36 27.36 0090.09.84.0721210 37.8975 090 35241 Repair blood vessel lesion A 23.09 11.12NA 11.12 3.46 37.67 37.67 0090.09.84.0721210 37.8975 090 35246 Repair blood vessel lesion A 26.41 11.42NA 11.42 3.69 41.52 41.52 0090.09.84.0721210 37.8975 090 35251 Repair blood vessel lesion A 30.15 11.79NA 11.79 4.05 45.99 45.99 0090.09.84.0721210 37.8975 090 35256 Repair blood vessel lesion A 18.33 8.35NA 8.35 2.59 29.27 29.27 0090.09.84.0721210 37.8975 090 35261 Repair blood vessel lesion A 17.77 8.01NA 8.01 2.54 28.32 28.32 0090.09.84.0721210 37.8975 090 35266 Repair blood vessel lesion A 14.89 7.00NA 7.00 2.05 23.94 23.94 0090.09.84.0721210 37.8975 090 35271 Repair blood vessel lesion A 22.09 10.51NA 10.51 3.12 35.72 35.72 0090.09.84.0721210 37.8975 090 35276 Repair blood vessel lesion A 24.21 11.20NA 11.20 3.36 38.77 38.77 0090.09.84.0721210 37.8975 090 35281 Repair blood vessel lesion A 27.96 11.70NA 11.70 3.89 43.55 43.55 0090.09.84.0721210 37.8975 090 35286 Repair blood vessel lesion A 16.14 8.05NA 8.05 2.30 26.49 26.49 0090.09.84.0721210 37.8975 090 35301 Rechanneling of artery A 18.67 8.43NA 8.43 2.68 29.78 29.78 0090.09.84.0721210 37.8975 090 35311 Rechanneling of artery A 26.96 11.74NA 11.74 3.38 42.08 42.08 0090.09.84.0721210 37.8975 090 35321 Rechanneling of artery A 15.98 7.38NA 7.38 2.22 25.58 25.58 0090.09.84.0721210 37.8975 090 35331 Rechanneling of artery A 26.16 11.23NA 11.23 3.72 41.11 41.11 0090.09.84.0721210 37.8975 090 35341 Rechanneling of artery A 25.07 10.86NA 10.86 3.71 39.64 39.64 0090.09.84.0721210 37.8975 090 35351 Rechanneling of artery A 22.97 9.59NA 9.59 3.30 35.86 35.86 0090.09.84.0721210 37.8975 090 35355 Rechanneling of artery A 18.47 8.08NA 8.08 2.63 29.18 29.18 0090.09.84.0721210 37.8975 090 35361 Rechanneling of artery A 28.16 11.70NA 11.70 3.96 43.82 43.82 0090.09.84.0721210 37.8975 090 35363 Rechanneling of artery A 30.15 12.58NA 12.58 4.27 47.00 47.00 0090.09.84.0721210 37.8975 090 35371 Rechanneling of artery A 14.70 6.95NA 6.95 2.08 23.73 23.73 0090.09.84.0721210 37.8975 090 35372 Rechanneling of artery A 17.97 8.04NA 8.04 2.59 28.60 28.60 0090.09.84.0721210 37.8975 090 35381 Rechanneling of artery A 15.79 7.81NA 7.81 2.18 25.78 25.78 0090.09.84.0721210 37.8975 090 35390 Reoperation, carotid add-on A 3.19 1.06NA 1.06 0.45 4.70 4.70 0ZZZ.00.00.0000210 37.8975 090 35400 Angioscopy A 3.00 1.11NA 1.11 0.42 4.53 4.53 0ZZZ.00.00.0000010 37.8975 090 35450 Repair arterial blockage A 10.05 3.56NA 3.56 1.24 14.85 14.85 0000.00.00.0021210 37.8975 090 35452 Repair arterial blockage A 6.90 2.60NA 2.60 0.90 10.40 10.40 0000.00.00.0021210 37.8975 090 35454 Repair arterial blockage A 6.03 2.31NA 2.31 0.84 9.18 9.18 0000.00.00.0021210 37.8975 090 35456 Repair arterial blockage A 7.34 2.76NA 2.76 1.01 11.11 11.11 0000.00.00.0021210 37.8975 090 35458 Repair arterial blockage A 9.48 3.47NA 3.47 1.23 14.18 14.18 0000.00.00.0021210 37.8975 090 35459 Repair arterial blockage A 8.62 3.17NA 3.17 1.17 12.96 12.96 0000.00.00.0021210 37.8975 090 35460 Repair venous blockage A 6.03 2.27NA 2.27 0.82 9.12 9.12 0000.00.00.0021110 37.8975 090 35470 Repair arterial blockage A 8.62 88.86 3.35 0.72 98.20 12.69 0000.00.00.0021100 37.8975 090 35471 Repair arterial blockage A 10.05 100.26 3.95 0.71111.02 14.71 0000.00.00.0021100 37.8975 090 35472 Repair arterial blockage A 6.90 64.35 2.74 0.60 71.85 10.24 0000.00.00.0021010 37.8975 090 35473 Repair arterial blockage A 6.03 59.84 2.42 0.52 66.39 8.97 0000.00.00.0021100 37.8975 090 35474 Repair arterial blockage A 7.35 87.73 2.89 0.59 95.67 10.83 0000.00.00.0021100 37.8975 090 35475 Repair arterial blockage R 9.48 56.10 3.56 0.65 66.23 13.69 0000.00.00.0021100 37.8975 090 35476 Repair venous blockage A 6.03 44.73 2.35 0.39 51.15 8.77 0000.00.00.0021100 37.8975 090 35480 Atherectomy, open A 11.06 4.04NA 4.04 1.28 16.38 16.38 0000.00.00.0020220 37.8975 090 35481 Atherectomy, open A 7.60 2.87NA 2.87 1.10 11.57 11.57 0000.00.00.0020220 37.8975 090 35482 Atherectomy, open A 6.64 2.56NA 2.56 0.89 10.09 10.09 0000.00.00.0020220 37.8975 090 35483 Atherectomy, open A 8.09 3.02NA 3.02 1.11 12.22 12.22 0000.00.00.0020220 37.8975 090 35484 Atherectomy, open A 10.42 3.77NA 3.77 1.28 15.47 15.47 0000.00.00.0020220 37.8975 090 35485 Atherectomy, open A 9.48 3.53NA 3.53 1.31 14.32 14.32 0000.00.00.0020220 37.8975 090 35490 Atherectomy, percutaneous A 11.06 4.70NA 4.70 0.76 16.52 16.52 0000.00.00.0020200 37.8975 090 35491 Atherectomy, percutaneous A 7.60 3.29NA 3.29 0.74 11.63 11.63 0000.00.00.0020200 37.8975 090 35492 Atherectomy, percutaneous A 6.64 3.19NA 3.19 0.48 10.31 10.31 0000.00.00.0020200 37.8975 090 35493 Atherectomy, percutaneous A 8.09 3.80NA 3.80 0.58 12.47 12.47 0000.00.00.0020100 37.8975 090 35494 Atherectomy, percutaneous A 10.42 4.46NA 4.46 0.72 15.60 15.60 0000.00.00.0020100 37.8975 090 35495 Atherectomy, percutaneous A 9.48 4.39NA 4.39 0.71 14.58 14.58 0000.00.00.0020000 37.8975 090 35500 Harvest vein for bypass A 6.44 2.02NA 2.02 0.90 9.36 9.36 0ZZZ.00.00.0000210 37.8975 090 35501 Artery bypass graft A 19.16 8.46NA 8.46 2.71 30.33 30.33 0090.09.84.0721210 37.8975 090 35506 Artery bypass graft A 19.64 9.46NA 9.46 2.78 31.88 31.88 0090.09.84.0721210 37.8975 090 35507 Artery bypass graft A 19.64 9.42NA 9.42 2.83 31.89 31.89 0090.09.84.0721210 37.8975 090 35508 Artery bypass graft A 18.62 9.44NA 9.44 2.83 30.89 30.89 0090.09.84.0721210 37.8975 090 35509 Artery bypass graft A 18.04 8.76NA 8.76 2.61 29.41 29.41 0090.09.84.0721210 37.8975 090 35510 Artery bypass graft A 22.97 10.17NA 10.17 2.10 35.24 35.24 0090.09.84.0721210 37.8975 090 35511 Artery bypass graft A 21.17 9.35NA 9.35 2.80 33.32 33.32 0090.09.84.0721210 37.8975 090 35512 Artery bypass graft A 22.47 10.00NA 10.00 2.10 34.57 34.57 0090.09.84.0721210 37.8975 090 35515 Artery bypass graft A 18.62 9.28NA 9.28 2.74 30.64 30.64 0090.09.84.0721210 37.8975 090 35516 Artery bypass graft A 16.30 6.80NA 6.80 2.32 25.42 25.42 0090.09.84.0721210 37.8975 090 35518 Artery bypass graft A 21.17 8.97NA 8.97 2.95 33.09 33.09 0090.09.84.0721210 37.8975 090 35521 Artery bypass graft A 22.17 9.83NA 9.83 3.03 35.03 35.03 0090.09.84.0721210 37.8975 090 35522 Artery bypass graft A 21.73 9.75NA 9.75 2.10 33.58 33.58 0090.09.84.0721210 37.8975 090 35525 Artery bypass graft A 20.60 9.37NA 9.37 2.10 32.07 32.07 0090.09.84.0721210 37.8975 090 35526 Artery bypass graft A 29.91 12.50NA 12.50 3.59 46.00 46.00 0090.09.84.0721210 37.8975 090 35531 Artery bypass graft A 36.15 14.47NA 14.47 5.02 55.64 55.64 0090.09.84.0721210 37.8975 090 35533 Artery bypass graft A 27.96 11.72NA 11.72 3.70 43.38 43.38 0090.09.84.0721210 37.8975 090 35536 Artery bypass graft A 31.65 12.94NA 12.94 4.45 49.04 49.04 0090.09.84.0721210 37.8975 090 35541 Artery bypass graft A 25.76 11.20NA 11.20 3.61 40.57 40.57 0090.09.84.0720210 37.8975 090 35546 Artery bypass graft A 25.50 10.86NA 10.86 3.61 39.97 39.97 0090.09.84.0721210 37.8975 090 35548 Artery bypass graft A 21.54 9.42NA 9.42 2.94 33.90 33.90 0090.09.84.0720210 37.8975 090 35549 Artery bypass graft A 23.31 10.37NA 10.37 3.26 36.94 36.94 0090.09.84.0722210 37.8975 090 35551 Artery bypass graft A 26.63 11.49NA 11.49 3.54 41.66 41.66 0090.09.84.0721210 37.8975 090 35556 Artery bypass graft A 21.73 9.72NA 9.72 3.04 34.49 34.49 0090.09.84.0721210 37.8975 090 35558 Artery bypass graft A 21.17 9.54NA 9.54 2.92 33.63 33.63 0090.09.84.0721210 37.8975 090 35560 Artery bypass graft A 31.95 13.31NA 13.31 4.66 49.92 49.92 0090.09.84.0721210 37.8975 090 35563 Artery bypass graft A 24.16 10.52NA 10.52 3.40 38.08 38.08 0090.09.84.0721210 37.8975 090 35565 Artery bypass graft A 23.17 10.13NA 10.13 3.24 36.54 36.54 0090.09.84.0721210 37.8975 090 35566 Artery bypass graft A 26.88 11.38NA 11.38 3.78 42.04 42.04 0090.09.84.0721210 37.8975 090 35571 Artery bypass graft A 24.02 10.84NA 10.84 3.39 38.25 38.25 0090.09.84.0721210 37.8975 090 35572 Harvest femoropopliteal vein A 6.81 2.24NA 2.24 0.98 10.03 10.03 0ZZZ.00.00.0000200 37.8975 090 35583 Vein bypass graft A 22.34 10.15NA 10.15 3.13 35.62 35.62 0090.09.84.0721210 37.8975 090 35585 Vein bypass graft A 28.35 12.21NA 12.21 3.97 44.53 44.53 0090.09.84.0721210 37.8975 090 35587 Vein bypass graft A 24.71 11.45NA 11.45 3.46 39.62 39.62 0090.09.84.0721210 37.8975 090 35600 Harvest artery for cabg A 4.94 1.62NA 1.62 0.72 7.28 7.28 0ZZZ.00.00.0000210 37.8975 090 35601 Artery bypass graft A 17.47 8.62NA 8.62 2.52 28.61 28.61 0090.09.84.0721210 37.8975 090 35606 Artery bypass graft A 18.68 9.01NA 9.01 2.63 30.32 30.32 0090.09.84.0721210 37.8975 090 35612 Artery bypass graft A 15.74 7.88NA 7.88 2.03 25.65 25.65 0090.09.84.0721210 37.8975 090 35616 Artery bypass graft A 15.68 8.10NA 8.10 2.13 25.91 25.91 0090.09.84.0721210 37.8975 090 35621 Artery bypass graft A 19.97 8.67NA 8.67 2.86 31.50 31.50 0090.09.84.0721210 37.8975 090 35623 Bypass graft, not vein A 23.96 10.49NA 10.49 3.43 37.88 37.88 0090.09.84.0721210 37.8975 090 35626 Artery bypass graft A 27.71 11.97NA 11.97 3.94 43.62 43.62 0090.09.84.0721210 37.8975 090 35631 Artery bypass graft A 33.95 13.83NA 13.83 4.86 52.64 52.64 0090.09.84.0721210 37.8975 090 35636 Artery bypass graft A 29.46 12.29NA 12.29 4.06 45.81 45.81 0090.09.84.0721210 37.8975 090 35641 Artery bypass graft A 24.53 11.06NA 11.06 3.45 39.04 39.04 0090.09.84.0720210 37.8975 090 35642 Artery bypass graft A 17.95 8.68NA 8.68 2.25 28.88 28.88 0090.09.84.0721210 37.8975 090 35645 Artery bypass graft A 17.44 8.27NA 8.27 2.47 28.18 28.18 0090.09.84.0721210 37.8975 090 35646 Artery bypass graft A 30.95 13.10NA 13.10 4.35 48.40 48.40 0090.09.84.0720210 37.8975 090 35647 Artery bypass graft A 27.96 11.77NA 11.77 3.91 43.64 43.64 0090.09.84.0721210 37.8975 090 35650 Artery bypass graft A 18.97 8.36NA 8.36 2.66 29.99 29.99 0090.09.84.0721210 37.8975 090 35651 Artery bypass graft A 25.00 10.72NA 10.72 3.22 38.94 38.94 0090.09.84.0721210 37.8975 090 35654 Artery bypass graft A 24.96 10.65NA 10.65 3.48 39.09 39.09 0090.09.84.0720210 37.8975 090 35656 Artery bypass graft A 19.50 8.60NA 8.60 2.73 30.83 30.83 0090.09.84.0721210 37.8975 090 35661 Artery bypass graft A 18.97 8.92NA 8.92 2.66 30.55 30.55 0090.09.84.0721210 37.8975 090 35663 Artery bypass graft A 21.97 9.97NA 9.97 3.06 35.00 35.00 0090.09.84.0721210 37.8975 090 35665 Artery bypass graft A 20.97 9.44NA 9.44 2.96 33.37 33.37 0090.09.84.0721210 37.8975 090 35666 Artery bypass graft A 22.16 10.64NA 10.64 3.11 35.91 35.91 0090.09.84.0721210 37.8975 090 35671 Artery bypass graft A 19.30 9.36NA 9.36 2.72 31.38 31.38 0090.09.84.0721210 37.8975 090 35681 Composite bypass graft A 1.60 0.53NA 0.53 0.22 2.35 2.35 0ZZZ.00.00.0000210 37.8975 090 35682 Composite bypass graft A 7.19 2.38NA 2.38 1.02 10.59 10.59 0ZZZ.00.00.0000010 37.8975 090 35683 Composite bypass graft A 8.49 2.82NA 2.82 1.20 12.51 12.51 0ZZZ.00.00.0000010 37.8975 090 35685 Bypass graft patency/patch A 4.04 1.35NA 1.35 0.58 5.97 5.97 0ZZZ.00.00.0000210 37.8975 090 35686 Bypass graft/av fist patency A 3.34 1.13NA 1.13 0.47 4.94 4.94 0ZZZ.00.00.0000210 37.8975 090 35691 Arterial transposition A 18.02 8.40NA 8.40 2.60 29.02 29.02 0090.09.84.0721210 37.8975 090 35693 Arterial transposition A 15.34 7.72NA 7.72 2.20 25.26 25.26 0090.09.84.0721210 37.8975 090 35694 Arterial transposition A 19.13 8.60NA 8.60 2.67 30.40 30.40 0090.09.84.0721210 37.8975 090 35695 Arterial transposition A 19.13 8.55NA 8.55 2.71 30.39 30.39 0090.09.84.0721210 37.8975 090 35697 Reimplant artery each A 3.00 1.02NA 1.02 0.41 4.43 4.43 0ZZZ.00.00.0000220 37.8975 090 35700 Reoperation, bypass graft A 3.08 1.02NA 1.02 0.43 4.53 4.53 0ZZZ.00.00.0000210 37.8975 090 35701 Exploration, carotid artery A 8.49 5.15NA 5.15 1.11 14.75 14.75 0090.09.84.0721210 37.8975 090 35721 Exploration, femoral artery A 7.17 4.43NA 4.43 1.02 12.62 12.62 0090.09.84.0721210 37.8975 090 35741 Exploration popliteal artery A 7.99 4.66NA 4.66 1.09 13.74 13.74 0090.09.84.0721210 37.8975 090 35761 Exploration of artery/vein A 5.36 4.01NA 4.01 0.74 10.11 10.11 0090.09.84.0721210 37.8975 090 35800 Explore neck vessels A 7.01 4.65NA 4.65 0.95 12.61 12.61 0090.09.84.0720210 37.8975 090 35820 Explore chest vessels A 12.86 7.20NA 7.20 1.86 21.92 21.92 0090.09.84.0720210 37.8975 090 35840 Explore abdominal vessels A 9.76 5.28NA 5.28 1.31 16.35 16.35 0090.09.84.0720210 37.8975 090 35860 Explore limb vessels A 5.54 4.03NA 4.03 0.77 10.34 10.34 0090.09.84.0720210 37.8975 090 35870 Repair vessel graft defect A 22.14 9.76NA 9.76 2.92 34.82 34.82 0090.09.84.0720210 37.8975 090 35875 Removal of clot in graft A 10.11 5.18NA 5.18 1.38 16.67 16.67 0090.09.84.0720110 37.8975 090 35876 Removal of clot in graft A 16.97 7.51NA 7.51 2.36 26.84 26.84 0090.09.84.0720210 37.8975 090 35879 Revise graft w/vein A 15.98 7.69NA 7.69 2.26 25.93 25.93 0090.09.84.0721210 37.8975 090 35881 Revise graft w/vein A 17.97 8.66NA 8.66 2.53 29.16 29.16 0090.09.84.0721210 37.8975 090 35901 Excision, graft, neck A 8.18 5.30NA 5.30 1.14 14.62 14.62 0090.09.84.0720210 37.8975 090 35903 Excision, graft, extremity A 9.38 6.15NA 6.15 1.29 16.82 16.82 0090.09.84.0720210 37.8975 090 35905 Excision, graft, thorax A 31.20 13.18NA 13.18 4.37 48.75 48.75 0090.09.84.0720210 37.8975 090 35907 Excision, graft, abdomen A 34.95 14.16NA 14.16 4.84 53.95 53.95 0090.09.84.0720210 37.8975 090 36000 Place needle in vein A 0.18 0.57 0.05 0.01 0.76 0.24 0XXX.00.00.0021100 37.8975 090 36002 Pseudoaneurysm injection trt A 1.96 2.86 0.97 0.17 4.99 3.10 0000.00.00.0021100 37.8975 090 36005 Injection ext venography A 0.95 7.65 0.31 0.06 8.66 1.32 0000.00.00.0021000 37.8975 090 36010 Place catheter in vein A 2.43 19.30 0.79 0.19 21.92 3.41 0XXX.00.00.0021100 37.8975 090 36011 Place catheter in vein A 3.14 27.82 1.06 0.28 31.24 4.48 0XXX.00.00.0021100 37.8975 090 36012 Place catheter in vein A 3.51 18.95 1.19 0.24 22.70 4.94 0XXX.00.00.0021100 37.8975 090 36013 Place catheter in artery A 2.52 21.36 0.69 0.23 24.11 3.44 0XXX.00.00.0020100 37.8975 090 36014 Place catheter in artery A 3.02 20.12 1.03 0.19 23.33 4.24 0XXX.00.00.0021100 37.8975 090 36015 Place catheter in artery A 3.51 23.66 1.19 0.22 27.39 4.92 0XXX.00.00.0021100 37.8975 090 36100 Establish access to artery A 3.02 12.07 1.11 0.27 15.36 4.40 0XXX.00.00.0021100 37.8975 090 36120 Establish access to artery A 2.01 10.70 0.65 0.15 12.86 2.81 0XXX.00.00.0020100 37.8975 090 36140 Establish access to artery A 2.01 12.77 0.64 0.16 14.94 2.81 0XXX.00.00.0020100 37.8975 090 36145 Artery to vein shunt A 2.01 12.55 0.66 0.13 14.69 2.80 0XXX.00.00.0020100 37.8975 090 36160 Establish access to aorta A 2.52 13.48 0.84 0.25 16.25 3.61 0XXX.00.00.0020100 37.8975 090 36200 Place catheter in aorta A 3.02 16.51 1.01 0.25 19.78 4.28 0XXX.00.00.0021100 37.8975 090 36215 Place catheter in artery A 4.67 27.03 1.61 0.32 32.02 6.60 0XXX.00.00.0020100 37.8975 090 36216 Place catheter in artery A 5.27 29.08 1.79 0.37 34.72 7.43 0XXX.00.00.0020100 37.8975 090 36217 Place catheter in artery A 6.29 55.44 2.17 0.46 62.19 8.92 0XXX.00.00.0020100 37.8975 090 36218 Place catheter in artery A 1.01 5.09 0.34 0.08 6.18 1.43 0ZZZ.00.00.0000100 37.8975 090 36245 Place catheter in artery A 4.67 32.09 1.68 0.33 37.09 6.68 0XXX.00.00.0021100 37.8975 090 36246 Place catheter in artery A 5.27 29.96 1.82 0.39 35.62 7.48 0XXX.00.00.0021100 37.8975 090 36247 Place catheter in artery A 6.29 49.51 2.14 0.48 56.28 8.91 0XXX.00.00.0021100 37.8975 090 36248 Place catheter in artery A 1.01 4.04 0.34 0.08 5.13 1.43 0ZZZ.00.00.0000100 37.8975 090 36260 Insertion of infusion pump A 9.70 4.88NA 4.88 1.28 15.86 15.86 0090.09.84.0720100 37.8975 090 36261 Revision of infusion pump A 5.44 3.66NA 3.66 0.70 9.80 9.80 0090.09.84.0720200 37.8975 090 36262 Removal of infusion pump A 4.01 2.75NA 2.75 0.52 7.28 7.28 0090.09.84.0720100 37.8975 090 36299 Vessel injection procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 36400 Bl draw < 3 yrs fem/jugular A 0.38 0.28 0.09 0.03 0.69 0.50 0XXX.00.00.0020100 37.8975 090 36405 Bl draw < 3 yrs scalp vein A 0.31 0.26 0.08 0.03 0.60 0.42 0XXX.00.00.0020100 37.8975 090 36406 Bl draw < 3 yrs other vein A 0.18 0.28 0.05 0.01 0.47 0.24 0XXX.00.00.0020100 37.8975 090 36410 Non-routine bl draw > 3 yrs A 0.18 0.29 0.05 0.01 0.48 0.24 0XXX.00.00.0020100 37.8975 090 36415 Routine venipuncture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 36416 Capillary blood draw B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 36420 Vein access cutdown < 1 yr A 1.01 0.34 0.27 0.07 1.42 1.35 0XXX.00.00.0020000 37.8975 090 36425 Vein access cutdown > 1 yr A 0.76 0.22NA 0.22 0.06 1.04 1.04 0XXX.00.00.0020100 37.8975 090 36430 Blood transfusion service A 0.00 1.01 1.01 NA 0.06 1.07 1.07 5XXX.00.00.0000100 37.8975 090 36440 Bl push transfuse, 2 yr or < A 1.03 0.29NA 0.29 0.10 1.42 1.42 0XXX.00.00.0020000 37.8975 090 36450 Bl exchange/transfuse, nb A 2.23 0.71NA 0.71 0.21 3.15 3.15 0XXX.00.00.0020000 37.8975 090 36455 Bl exchange/transfuse non-nb A 2.43 1.01NA 1.01 0.16 3.60 3.60 0XXX.00.00.0020100 37.8975 090 36460 Transfusion service, fetal A 6.58 2.24NA 2.24 0.79 9.61 9.61 0XXX.00.00.0020200 37.8975 090 36468 Injection(s), spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 36469 Injection(s), spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 36470 Injection therapy of vein A 1.09 2.68 0.73 0.12 3.89 1.94 0010.10.80.1021100 37.8975 090 36471 Injection therapy of veins A 1.57 3.07 0.96 0.19 4.83 2.72 0010.10.80.1021100 37.8975 090 36475 Endovenous rf, 1st vein A 6.72 51.39 2.53 0.37 58.48 9.62 0000.00.00.0021100 37.8975 090 36476 Endovenous rf, vein add-on A 3.38 7.88 1.14 0.18 11.44 4.70 0ZZZ.00.00.0001100 37.8975 090 36478 Endovenous laser, 1st vein A 6.72 46.77 2.53 0.37 53.86 9.62 0000.00.00.0021100 37.8975 090 36479 Endovenous laser vein addon A 3.38 7.99 1.14 0.18 11.55 4.70 0ZZZ.00.00.0001100 37.8975 090 36481 Insertion of catheter, vein A 6.98 5.73 2.59 0.54 13.25 10.11 0000.00.00.0020100 37.8975 090 36500 Insertion of catheter, vein A 3.51 1.37NA 1.37 0.23 5.11 5.11 0000.00.00.0020100 37.8975 090 36510 Insertion of catheter, vein A 1.09 3.89 0.61 0.10 5.08 1.80 0000.00.00.0020000 37.8975 090 36511 Apheresis wbc A 1.74 0.73NA 0.73 0.08 2.55 2.55 0000.00.00.0020100 37.8975 090 36512 Apheresis rbc A 1.74 0.74NA 0.74 0.08 2.56 2.56 0000.00.00.0020100 37.8975 090 36513 Apheresis platelets A 1.74 0.73NA 0.73 0.17 2.64 2.64 0000.00.00.0020100 37.8975 090 36514 Apheresis plasma A 1.74 16.97 0.71 0.08 18.79 2.53 0000.00.00.0020100 37.8975 090 36515 Apheresis, adsorp/reinfuse A 1.74 66.30 0.66 0.08 68.12 2.48 0000.00.00.0020100 37.8975 090 36516 Apheresis, selective A 1.22 84.05 0.48 0.08 85.35 1.78 0000.00.00.0020100 37.8975 090 36522 Photopheresis A 1.67 32.37 0.96 0.13 34.17 2.76 0000.00.00.0020100 37.8975 090 36540 Collect blood venous device B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 36550 Declot vascular device A 0.00 0.39 0.39 NA 0.37 0.76 0.76 9XXX.00.00.0000000 37.8975 090 36555 Insert non-tunnel cv cath A 2.68 5.75 0.80 0.12 8.55 3.60 0000.00.00.0000100 37.8975 090 36556 Insert non-tunnel cv cath A 2.50 5.62 0.74 0.19 8.31 3.43 0000.00.00.0000100 37.8975 090 36557 Insert tunneled cv cath A 5.09 21.14 2.65 0.57 26.80 8.31 0010.10.80.1021000 37.8975 090 36558 Insert tunneled cv cath A 4.79 21.04 2.55 0.57 26.40 7.91 0010.10.80.1021000 37.8975 090 36560 Insert tunneled cv cath A 6.24 29.67 3.03 0.57 36.48 9.84 0010.10.80.1021000 37.8975 090 36561 Insert tunneled cv cath A 5.99 29.58 2.95 0.57 36.14 9.51 0010.10.80.1021000 37.8975 090 36563 Insert tunneled cv cath A 6.19 26.74 2.98 0.83 33.76 10.00 0010.10.80.1020000 37.8975 090 36565 Insert tunneled cv cath A 5.99 24.70 2.95 0.57 31.26 9.51 0010.10.80.1021000 37.8975 090 36566 Insert tunneled cv cath A 6.49 25.50 3.11 0.57 32.56 10.17 0010.10.80.1021000 37.8975 090 36568 Insert picc cath A 1.92 7.53 0.58 0.12 9.57 2.62 0000.00.00.0000100 37.8975 090 36569 Insert picc cath A 1.82 7.34 0.57 0.19 9.35 2.58 0000.00.00.0000100 37.8975 090 36570 Insert picvad cath A 5.31 33.17 2.72 0.57 39.05 8.60 0010.10.80.1021000 37.8975 090 36571 Insert picvad cath A 5.29 33.24 2.71 0.57 39.10 8.57 0010.10.80.1021000 37.8975 090 36575 Repair tunneled cv cath A 0.67 4.05 0.26 0.21 4.93 1.14 0000.00.00.0020000 37.8975 090 36576 Repair tunneled cv cath A 3.19 6.94 1.84 0.20 10.33 5.23 0010.10.80.1020000 37.8975 090 36578 Replace tunneled cv cath A 3.49 11.13 2.30 0.20 14.82 5.99 0010.10.80.1020000 37.8975 090 36580 Replace cvad cath A 1.31 6.94 0.41 0.19 8.44 1.91 0000.00.00.0000100 37.8975 090 36581 Replace tunneled cv cath A 3.43 19.49 1.92 0.20 23.12 5.55 0010.10.80.1020000 37.8975 090 36582 Replace tunneled cv cath A 5.19 26.01 2.86 0.20 31.40 8.25 0010.10.80.1020000 37.8975 090 36583 Replace tunneled cv cath A 5.24 26.03 2.88 0.20 31.47 8.32 0010.10.80.1020000 37.8975 090 36584 Replace picc cath A 1.20 6.97 0.55 0.19 8.36 1.94 0000.00.00.0000100 37.8975 090 36585 Replace picvad cath A 4.79 27.82 2.73 0.20 32.81 7.72 0010.10.80.1020000 37.8975 090 36589 Removal tunneled cv cath A 2.27 2.24 1.39 0.24 4.75 3.90 0010.10.80.1021000 37.8975 090 36590 Removal tunneled cv cath A 3.30 3.37 1.72 0.43 7.10 5.45 0010.10.80.1020000 37.8975 090 36595 Mech remov tunneled cv cath A 3.59 17.25 1.45 0.24 21.08 5.28 0000.00.00.0020100 37.8975 090 36596 Mech remov tunneled cv cath A 0.75 3.69 0.50 0.05 4.49 1.30 0000.00.00.0020100 37.8975 090 36597 Reposition venous catheter A 1.21 2.40 0.44 0.08 3.69 1.73 0000.00.00.0020100 37.8975 090 36600 Withdrawal of arterial blood A 0.32 0.49 0.09 0.02 0.83 0.43 0XXX.00.00.0020100 37.8975 090 36620 Insertion catheter, artery A 1.15 0.23NA 0.23 0.08 1.46 1.46 0000.00.00.0000100 37.8975 090 36625 Insertion catheter, artery A 2.11 0.53NA 0.53 0.25 2.89 2.89 0000.00.00.0000100 37.8975 090 36640 Insertion catheter, artery A 2.10 1.04NA 1.04 0.21 3.35 3.35 0000.00.00.0020100 37.8975 090 36660 Insertion catheter, artery A 1.40 0.44NA 0.44 0.14 1.98 1.98 0000.00.00.0000000 37.8975 090 36680 Insert needle, bone cavity A 1.20 0.49NA 0.49 0.11 1.80 1.80 0000.00.00.0020000 37.8975 090 36800 Insertion of cannula A 2.43 1.80NA 1.80 0.24 4.47 4.47 0000.00.00.0020100 37.8975 090 36810 Insertion of cannula A 3.96 1.68NA 1.68 0.44 6.08 6.08 0000.00.00.0020100 37.8975 090 36815 Insertion of cannula A 2.62 1.17NA 1.17 0.34 4.13 4.13 0000.00.00.0020100 37.8975 090 36818 Av fuse, uppr arm, cephalic A 11.52 6.03NA 6.03 1.88 19.43 19.43 0090.09.84.0720210 37.8975 090 36819 Av fuse, uppr arm, basilic A 13.98 6.37NA 6.37 1.92 22.27 22.27 0090.09.84.0720210 37.8975 090 36820 Av fusion/forearm vein A 13.98 6.38NA 6.38 1.92 22.28 22.28 0090.09.84.0721210 37.8975 090 36821 Av fusion direct any site A 8.92 4.65NA 4.65 1.21 14.78 14.78 0090.09.84.0720210 37.8975 090 36822 Insertion of cannula(s) A 5.41 4.38NA 4.38 0.74 10.53 10.53 0090.09.84.0720100 37.8975 090 36823 Insertion of cannula(s) A 20.97 9.37NA 9.37 2.82 33.16 33.16 0090.09.84.0720100 37.8975 090 36825 Artery-vein autograft A 9.83 5.05NA 5.05 1.33 16.21 16.21 0090.09.84.0720210 37.8975 090 36830 Artery-vein nonautograft A 11.98 5.23NA 5.23 1.64 18.85 18.85 0090.09.84.0720210 37.8975 090 36831 Open thrombect av fistula A 7.99 3.94NA 3.94 1.08 13.01 13.01 0090.09.84.0720210 37.8975 090 36832 Av fistula revision, open A 10.48 4.72NA 4.72 1.43 16.63 16.63 0090.09.84.0720210 37.8975 090 36833 Av fistula revision A 11.93 5.20NA 5.20 1.64 18.77 18.77 0090.09.84.0720210 37.8975 090 36834 Repair A-V aneurysm A 9.92 4.79NA 4.79 1.36 16.07 16.07 0090.09.84.0720210 37.8975 090 36835 Artery to vein shunt A 7.14 4.32NA 4.32 0.98 12.44 12.44 0090.09.84.0720100 37.8975 090 36838 Dist revas ligation, hemo A 20.60 9.38NA 9.38 2.99 32.97 32.97 0090.09.84.0721210 37.8975 090 36860 External cannula declotting A 2.01 1.77 0.68 0.14 3.92 2.83 0000.00.00.0020100 37.8975 090 36861 Cannula declotting A 2.52 1.49NA 1.49 0.26 4.27 4.27 0000.00.00.0020100 37.8975 090 36870 Percut thrombect av fistula A 5.15 53.03 3.15 0.33 58.51 8.63 0090.09.84.0721120 37.8975 090 37140 Revision of circulation A 23.56 10.48NA 10.48 1.99 36.03 36.03 0090.09.84.0720110 37.8975 090 37145 Revision of circulation A 24.57 10.86NA 10.86 3.22 38.65 38.65 0090.09.84.0720200 37.8975 090 37160 Revision of circulation A 21.57 9.25NA 9.25 2.78 33.60 33.60 0090.09.84.0720210 37.8975 090 37180 Revision of circulation A 24.57 10.29NA 10.29 3.31 38.17 38.17 0090.09.84.0720210 37.8975 090 37181 Splice spleen/kidney veins A 26.64 11.00NA 11.00 3.37 41.01 41.01 0090.09.84.0720210 37.8975 090 37182 Insert hepatic shunt (tips) A 16.97 6.06NA 6.06 1.00 24.03 24.03 0000.00.00.0020200 37.8975 090 37183 Remove hepatic shunt (tips) A 7.99 3.01NA 3.01 0.48 11.48 11.48 0000.00.00.0020200 37.8975 090 37195 Thrombolytic therapy, stroke C 0.00 0.00 0.00 NA 0.00 0.00 0.00 5XXX.00.00.0000000 37.8975 090 37200 Transcatheter biopsy A 4.55 1.50NA 1.50 0.27 6.32 6.32 0000.00.00.0020100 37.8975 090 37201 Transcatheter therapy infuse A 4.99 2.54NA 2.54 0.36 7.89 7.89 0000.00.00.0020100 37.8975 090 37202 Transcatheter therapy infuse A 5.67 3.03NA 3.03 0.46 9.16 9.16 0000.00.00.0020100 37.8975 090 37203 Transcatheter retrieval A 5.02 32.87 2.03 0.35 38.24 7.40 0000.00.00.0020100 37.8975 090 37204 Transcatheter occlusion A 18.11 5.90NA 5.90 1.51 25.52 25.52 0000.00.00.0020100 37.8975 090 37205 Transcath iv stent, percut A 8.27 3.75NA 3.75 0.61 12.63 12.63 0000.00.00.0020000 37.8975 090 37206 Transcath iv stent/perc addl A 4.12 1.43NA 1.43 0.32 5.87 5.87 0ZZZ.00.00.0000000 37.8975 090 37207 Transcath iv stent, open A 8.27 3.16NA 3.16 1.13 12.56 12.56 0000.00.00.0021220 37.8975 090 37208 Transcath iv stent/open addl A 4.12 1.38NA 1.38 0.57 6.07 6.07 0ZZZ.00.00.0000220 37.8975 090 37209 Exchange arterial catheter A 2.27 0.74NA 0.74 0.16 3.17 3.17 0000.00.00.0020100 37.8975 090 37215 Transcath stent, cca w/eps R 18.71 9.09NA 9.09 1.09 28.89 28.89 0090.09.84.0720000 37.8975 090 37216 Transcath stent, cca w/o eps R 17.98 8.81NA 8.81 1.04 27.83 27.83 0090.09.84.0720000 37.8975 090 37250 Iv us first vessel add-on A 2.10 0.75NA 0.75 0.21 3.06 3.06 0ZZZ.00.00.0000010 37.8975 090 37251 Iv us each add vessel add-on A 1.60 0.55NA 0.55 0.19 2.34 2.34 0ZZZ.00.00.0000010 37.8975 090 37500 Endoscopy ligate perf veins A 10.98 6.85NA 6.85 1.53 19.36 19.36 0090.09.84.0721110 37.8975 090 37501 Vascular endoscopy procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021110 37.8975 090 37565 Ligation of neck vein A 10.86 5.62NA 5.62 1.33 17.81 17.81 0090.09.84.0720010 37.8975 090 37600 Ligation of neck artery A 11.23 6.63NA 6.63 1.41 19.27 19.27 0090.09.84.0720210 37.8975 090 37605 Ligation of neck artery A 13.09 6.90NA 6.90 1.94 21.93 21.93 0090.09.84.0720210 37.8975 090 37606 Ligation of neck artery A 6.27 4.56NA 4.56 1.23 12.06 12.06 0090.09.84.0720200 37.8975 090 37607 Ligation of a-v fistula A 6.15 3.56NA 3.56 0.83 10.54 10.54 0090.09.84.0720110 37.8975 090 37609 Temporal artery procedure A 3.00 4.50 1.96 0.37 7.87 5.33 0010.10.80.1021100 37.8975 090 37615 Ligation of neck artery A 5.72 4.11NA 4.11 0.70 10.53 10.53 0090.09.84.0720210 37.8975 090 37616 Ligation of chest artery A 16.47 8.08NA 8.08 2.29 26.84 26.84 0090.09.84.0720210 37.8975 090 37617 Ligation of abdomen artery A 22.03 9.17NA 9.17 2.93 34.13 34.13 0090.09.84.0720210 37.8975 090 37618 Ligation of extremity artery A 4.83 3.61NA 3.61 0.66 9.10 9.10 0090.09.84.0720210 37.8975 090 37620 Revision of major vein A 10.54 5.71NA 5.71 0.93 17.18 17.18 0090.09.84.0720110 37.8975 090 37650 Revision of major vein A 7.79 4.68NA 4.68 0.98 13.45 13.45 0090.09.84.0721110 37.8975 090 37660 Revision of major vein A 20.97 9.05NA 9.05 2.46 32.48 32.48 0090.09.84.0720210 37.8975 090 37700 Revise leg vein A 3.72 2.79NA 2.79 0.52 7.03 7.03 0090.09.84.0721100 37.8975 090 37720 Removal of leg vein A 5.65 3.70NA 3.70 0.78 10.13 10.13 0090.09.84.0721110 37.8975 090 37730 Removal of leg veins A 7.32 4.26NA 4.26 1.01 12.59 12.59 0090.09.84.0721110 37.8975 090 37735 Removal of leg veins/lesion A 10.51 5.50NA 5.50 1.48 17.49 17.49 0090.09.84.0721210 37.8975 090 37760 Ligation, leg veins, open A 10.45 5.34NA 5.34 1.39 17.18 17.18 0090.09.84.0720210 37.8975 090 37765 Phleb veins - extrem - to 20 A 7.34 4.62NA 4.62 0.48 12.44 12.44 0090.09.84.0721110 37.8975 090 37766 Phleb veins - extrem 20+ A 9.29 5.32NA 5.32 0.48 15.09 15.09 0090.09.84.0721110 37.8975 090 37780 Revision of leg vein A 3.83 2.85NA 2.85 0.53 7.21 7.21 0090.09.84.0721110 37.8975 090 37785 Ligate/divide/excise vein A 3.83 5.19 2.72 0.51 9.53 7.06 0090.09.84.0721100 37.8975 090 37788 Revascularization, penis A 21.98 9.08NA 9.08 2.23 33.29 33.29 0090.09.84.0720210 37.8975 090 37790 Penile venous occlusion A 8.33 4.37NA 4.37 0.59 13.29 13.29 0090.08.83.0920000 37.8975 090 37799 Vascular surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 38100 Removal of spleen, total A 14.48 6.17NA 6.17 1.88 22.53 22.53 0090.11.73.1620210 37.8975 090 38101 Removal of spleen, partial A 15.29 6.52NA 6.52 1.96 23.77 23.77 0090.11.73.1620210 37.8975 090 38102 Removal of spleen, total A 4.79 1.64NA 1.64 0.62 7.05 7.05 0ZZZ.00.00.0000210 37.8975 090 38115 Repair of ruptured spleen A 15.80 6.64NA 6.64 2.00 24.44 24.44 0090.11.73.1620210 37.8975 090 38120 Laparoscopy, splenectomy A 16.97 7.38NA 7.38 2.21 26.56 26.56 0090.09.84.0720210 37.8975 090 38129 Laparoscope proc, spleen C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 37.8975 090 38200 Injection for spleen x-ray A 2.64 0.89NA 0.89 0.17 3.70 3.70 0000.00.00.0020000 37.8975 090 38204 Bl donor search management B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38205 Harvest allogenic stem cells R 1.50 0.67NA 0.67 0.07 2.24 2.24 0000.00.00.0020000 37.8975 090 38206 Harvest auto stem cells R 1.50 0.67NA 0.67 0.07 2.24 2.24 0000.00.00.0020000 37.8975 090 38207 Cryopreserve stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38208 Thaw preserved stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38209 Wash harvest stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38210 T-cell depletion of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38211 Tumor cell deplete of harvst I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38212 Rbc depletion of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38213 Platelet deplete of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38214 Volume deplete of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38215 Harvest stem cell concentrte I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 38220 Bone marrow aspiration A 1.08 3.72 0.52 0.06 4.86 1.66 0XXX.00.00.0021000 37.8975 090 38221 Bone marrow biopsy A 1.37 3.93 0.65 0.07 5.37 2.09 0XXX.00.00.0021000 37.8975 090 38230 Bone marrow collection R 4.53 3.22NA 3.22 0.47 8.22 8.22 0010.10.80.1020000 37.8975 090 38240 Bone marrow/stem transplant R 2.24 1.03NA 1.03 0.12 3.39 3.39 0XXX.00.00.0020000 37.8975 090 38241 Bone marrow/stem transplant R 2.24 1.04NA 1.04 0.14 3.42 3.42 0XXX.00.00.0020000 37.8975 090 38242 Lymphocyte infuse transplant A 1.71 0.78NA 0.78 0.10 2.59 2.59 0000.00.00.0020000 37.8975 090 38300 Drainage, lymph node lesion A 1.99 4.30 2.05 0.24 6.53 4.28 0010.10.80.1020100 37.8975 090 38305 Drainage, lymph node lesion A 5.99 4.44NA 4.44 0.85 11.28 11.28 0090.11.73.1620100 37.8975 090 38308 Incision of lymph channels A 6.44 3.74NA 3.74 0.85 11.03 11.03 0090.11.73.1620210 37.8975 090 38380 Thoracic duct procedure A 7.45 5.68NA 5.68 0.80 13.93 13.93 0090.11.73.1620210 37.8975 090 38381 Thoracic duct procedure A 12.86 6.88NA 6.88 1.83 21.57 21.57 0090.11.73.1620210 37.8975 090 38382 Thoracic duct procedure A 10.06 5.75NA 5.75 1.37 17.18 17.18 0090.11.73.1620210 37.8975 090 38500 Biopsy/removal, lymph nodes A 3.74 3.69 2.08 0.48 7.91 6.30 0010.10.80.1021100 37.8975 090 38505 Needle biopsy, lymph nodes A 1.14 2.05 0.78 0.09 3.28 2.01 0000.00.00.0021100 37.8975 090 38510 Biopsy/removal, lymph nodes A 6.42 5.54 3.48 0.74 12.70 10.64 0010.10.80.1021100 37.8975 090 38520 Biopsy/removal, lymph nodes A 6.66 4.05NA 4.05 0.84 11.55 11.55 0090.11.73.1621100 37.8975 090 38525 Biopsy/removal, lymph nodes A 6.06 3.29NA 3.29 0.80 10.15 10.15 0090.11.73.1621100 37.8975 090 38530 Biopsy/removal, lymph nodes A 7.97 4.39NA 4.39 1.10 13.46 13.46 0090.11.73.1621210 37.8975 090 38542 Explore deep node(s), neck A 5.90 4.48NA 4.48 0.62 11.00 11.00 0090.11.73.1621210 37.8975 090 38550 Removal, neck/armpit lesion A 6.91 3.91NA 3.91 0.87 11.69 11.69 0090.11.73.1620000 37.8975 090 38555 Removal, neck/armpit lesion A 14.12 8.53NA 8.53 1.78 24.43 24.43 0090.11.73.1620210 37.8975 090 38562 Removal, pelvic lymph nodes A 10.47 5.77NA 5.77 1.21 17.45 17.45 0090.11.73.1622210 37.8975 090 38564 Removal, abdomen lymph nodes A 10.81 5.24NA 5.24 1.32 17.37 17.37 0090.11.73.1620210 37.8975 090 38570 Laparoscopy, lymph node biop A 9.24 3.97NA 3.97 1.13 14.34 14.34 0010.10.80.1030220 49320 37.8975 090 38571 Laparoscopy, lymphadenectomy A 14.66 5.64NA 5.64 1.16 21.46 21.46 0010.10.80.1022220 37.8975 090 38572 Laparoscopy, lymphadenectomy A 16.57 7.07NA 7.07 1.89 25.53 25.53 0010.10.80.1022220 37.8975 090 38589 Laparoscope proc, lymphatic C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 38700 Removal of lymph nodes, neck A 8.23 6.23NA 6.23 0.76 15.22 15.22 0090.11.73.1621210 37.8975 090 38720 Removal of lymph nodes, neck A 13.59 9.35NA 9.35 1.25 24.19 24.19 0090.11.73.1621210 37.8975 090 38724 Removal of lymph nodes, neck A 14.52 9.83NA 9.83 1.31 25.66 25.66 0090.11.73.1621210 37.8975 090 38740 Remove armpit lymph nodes A 10.01 4.94NA 4.94 1.31 16.26 16.26 0090.11.73.1620210 37.8975 090 38745 Remove armpit lymph nodes A 13.08 6.07NA 6.07 1.71 20.86 20.86 0090.11.73.1620210 37.8975 090 38746 Remove thoracic lymph nodes A 4.88 1.61NA 1.61 0.70 7.19 7.19 0ZZZ.00.00.0000210 37.8975 090 38747 Remove abdominal lymph nodes A 4.88 1.67NA 1.67 0.63 7.18 7.18 0ZZZ.00.00.0000210 37.8975 090 38760 Remove groin lymph nodes A 12.93 6.12NA 6.12 1.68 20.73 20.73 0090.11.73.1621210 37.8975 090 38765 Remove groin lymph nodes A 19.95 8.80NA 8.80 2.46 31.21 31.21 0090.11.73.1621210 37.8975 090 38770 Remove pelvis lymph nodes A 13.21 5.74NA 5.74 1.41 20.36 20.36 0090.11.73.1621210 37.8975 090 38780 Remove abdomen lymph nodes A 16.57 8.20NA 8.20 1.87 26.64 26.64 0090.11.73.1620210 37.8975 090 38790 Inject for lymphatic x-ray A 1.29 7.35 0.76 0.13 8.77 2.18 0000.00.00.0021100 37.8975 090 38792 Identify sentinel node A 0.52 0.44NA 0.44 0.06 1.02 1.02 0000.00.00.0021100 37.8975 090 38794 Access thoracic lymph duct A 4.44 3.45NA 3.45 0.31 8.20 8.20 0090.11.73.1620000 37.8975 090 38999 Blood/lymph system procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 39000 Exploration of chest A 6.09 4.65NA 4.65 0.85 11.59 11.59 0090.09.84.0720210 37.8975 090 39010 Exploration of chest A 11.77 7.54NA 7.54 1.67 20.98 20.98 0090.09.84.0720210 37.8975 090 39200 Removal chest lesion A 13.60 7.53NA 7.53 1.91 23.04 23.04 0090.09.84.0720210 37.8975 090 39220 Removal chest lesion A 17.39 9.36NA 9.36 2.38 29.13 29.13 0090.09.84.0720210 37.8975 090 39400 Visualization of chest A 5.60 4.85NA 4.85 0.80 11.25 11.25 0010.10.80.1020100 37.8975 090 39499 Chest procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 39501 Repair diaphragm laceration A 13.17 6.45NA 6.45 1.73 21.35 21.35 0090.09.84.0720210 37.8975 090 39502 Repair paraesophageal hernia A 16.31 7.14NA 7.14 2.14 25.59 25.59 0090.09.84.0720210 37.8975 090 39503 Repair of diaphragm hernia A 94.86 33.37NA 33.37 10.87139.10 139.10 0090.09.84.0720210 37.8975 090 39520 Repair of diaphragm hernia A 16.08 8.04NA 8.04 2.20 26.32 26.32 0090.09.84.0720210 37.8975 090 39530 Repair of diaphragm hernia A 15.39 7.13NA 7.13 2.08 24.60 24.60 0090.09.84.0720210 37.8975 090 39531 Repair of diaphragm hernia A 16.40 7.38NA 7.38 2.19 25.97 25.97 0090.09.84.0720210 37.8975 090 39540 Repair of diaphragm hernia A 13.30 6.22NA 6.22 1.75 21.27 21.27 0090.09.84.0720210 37.8975 090 39541 Repair of diaphragm hernia A 14.39 6.58NA 6.58 1.90 22.87 22.87 0090.09.84.0720210 37.8975 090 39545 Revision of diaphragm A 13.35 7.54NA 7.54 1.81 22.70 22.70 0090.09.84.0720210 37.8975 090 39560 Resect diaphragm, simple A 11.98 6.28NA 6.28 1.55 19.81 19.81 0090.09.84.0720210 37.8975 090 39561 Resect diaphragm, complex A 17.47 9.33NA 9.33 2.36 29.16 29.16 0090.09.84.0720210 37.8975 090 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 4000F Tobacco use txmnt counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 4001F Tobacco use txmnt, pharmacol I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 4002F Statin therapy, rx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 4006F Beta-blocker therapy, rx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 4009F Ace inhibitor therapy, rx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 4011F Oral antiplatelet tx, rx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 40490 Biopsy of lip A 1.22 1.63 0.61 0.06 2.91 1.89 0000.00.00.0020100 37.8975 090 40500 Partial excision of lip A 4.27 6.89 4.33 0.39 11.55 8.99 0090.09.81.1020100 37.8975 090 40510 Partial excision of lip A 4.69 6.61 4.01 0.48 11.78 9.18 0090.09.81.1020100 37.8975 090 40520 Partial excision of lip A 4.66 7.54 4.11 0.52 12.72 9.29 0090.09.81.1020100 37.8975 090 40525 Reconstruct lip with flap A 7.54 6.30NA 6.30 0.85 14.69 14.69 0090.09.81.1020100 37.8975 090 40527 Reconstruct lip with flap A 9.12 7.35NA 7.35 0.99 17.46 17.46 0090.09.81.1020000 37.8975 090 40530 Partial removal of lip A 5.39 7.81 4.58 0.55 13.75 10.52 0090.09.81.1020100 37.8975 090 40650 Repair lip A 3.63 6.79 3.29 0.38 10.80 7.30 0090.09.81.1020000 37.8975 090 40652 Repair lip A 4.25 7.74 4.26 0.50 12.49 9.01 0090.09.81.1020000 37.8975 090 40654 Repair lip A 5.30 8.60 4.93 0.60 14.50 10.83 0090.09.81.1020100 37.8975 090 40700 Repair cleft lip/nasal A 12.77 9.07NA 9.07 0.95 22.79 22.79 0090.09.81.1020000 37.8975 090 40701 Repair cleft lip/nasal A 15.83 11.33NA 11.33 1.64 28.80 28.80 0090.09.81.1022200 37.8975 090 40702 Repair cleft lip/nasal A 13.02 8.25NA 8.25 1.24 22.51 22.51 0090.09.81.1022200 37.8975 090 40720 Repair cleft lip/nasal A 13.53 9.89NA 9.89 1.78 25.20 25.20 0090.09.81.1021000 37.8975 090 40761 Repair cleft lip/nasal A 14.70 10.27NA 10.27 1.91 26.88 26.88 0090.09.81.1020100 37.8975 090 40799 Lip surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 40800 Drainage of mouth lesion A 1.17 2.96 1.77 0.12 4.25 3.06 0010.10.80.1020100 37.8975 090 40801 Drainage of mouth lesion A 2.53 4.02 2.74 0.31 6.86 5.58 0010.10.80.1020100 37.8975 090 40804 Removal, foreign body, mouth A 1.24 3.39 1.85 0.11 4.74 3.20 0010.10.80.1020000 37.8975 090 40805 Removal, foreign body, mouth A 2.69 4.48 2.81 0.31 7.48 5.81 0010.10.80.1020000 37.8975 090 40806 Incision of lip fold A 0.31 1.83 0.50 0.04 2.18 0.85 0000.00.00.0020000 37.8975 090 40808 Biopsy of mouth lesion A 0.96 2.65 1.48 0.10 3.71 2.54 0010.10.80.1020100 37.8975 090 40810 Excision of mouth lesion A 1.31 2.88 1.66 0.13 4.32 3.10 0010.10.80.1020100 37.8975 090 40812 Excise/repair mouth lesion A 2.31 3.72 2.40 0.28 6.31 4.99 0010.10.80.1020100 37.8975 090 40814 Excise/repair mouth lesion A 3.41 4.94 3.89 0.41 8.76 7.71 0090.09.81.1020100 37.8975 090 40816 Excision of mouth lesion A 3.66 5.17 4.00 0.41 9.24 8.07 0090.09.81.1020100 37.8975 090 40818 Excise oral mucosa for graft A 2.41 5.17 3.97 0.21 7.79 6.59 0090.09.81.1020000 37.8975 090 40819 Excise lip or cheek fold A 2.41 4.08 3.09 0.27 6.76 5.77 0090.09.81.1020000 37.8975 090 40820 Treatment of mouth lesion A 1.28 3.93 2.44 0.11 5.32 3.83 0010.10.80.1020100 37.8975 090 40830 Repair mouth laceration A 1.76 3.72 2.09 0.19 5.67 4.04 0010.10.80.1020000 37.8975 090 40831 Repair mouth laceration A 2.46 4.66 3.05 0.29 7.41 5.80 0010.10.80.1020000 37.8975 090 40840 Reconstruction of mouth R 8.72 9.78 6.97 1.05 19.55 16.74 0090.09.81.1020200 37.8975 090 40842 Reconstruction of mouth R 8.72 10.06 6.78 1.08 19.86 16.58 0090.09.81.1020000 37.8975 090 40843 Reconstruction of mouth R 12.08 11.95 7.81 1.38 25.41 21.27 0090.09.81.1022200 37.8975 090 40844 Reconstruction of mouth R 15.99 15.76 11.56 1.97 33.72 29.52 0090.09.81.1020200 37.8975 090 40845 Reconstruction of mouth R 18.55 17.06 13.21 1.99 37.60 33.75 0090.09.81.1020000 37.8975 090 40899 Mouth surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 41000 Drainage of mouth lesion A 1.30 2.31 1.41 0.12 3.73 2.83 0010.10.80.1020100 37.8975 090 41005 Drainage of mouth lesion A 1.26 3.33 1.72 0.12 4.71 3.10 0010.10.80.1020000 37.8975 090 41006 Drainage of mouth lesion A 3.24 4.79 3.17 0.35 8.38 6.76 0090.09.81.1020000 37.8975 090 41007 Drainage of mouth lesion A 3.10 5.14 3.02 0.31 8.55 6.43 0090.09.81.1020000 37.8975 090 41008 Drainage of mouth lesion A 3.36 4.68 3.20 0.42 8.46 6.98 0090.09.81.1020000 37.8975 090 41009 Drainage of mouth lesion A 3.58 4.97 3.57 0.46 9.01 7.61 0090.09.81.1020000 37.8975 090 41010 Incision of tongue fold A 1.06 3.42 1.60 0.08 4.56 2.74 0010.10.80.1020000 37.8975 090 41015 Drainage of mouth lesion A 3.95 5.40 4.14 0.46 9.81 8.55 0090.09.81.1020000 37.8975 090 41016 Drainage of mouth lesion A 4.06 5.61 4.22 0.52 10.19 8.80 0090.09.81.1020000 37.8975 090 41017 Drainage of mouth lesion A 4.06 5.63 4.30 0.53 10.22 8.89 0090.09.81.1020000 37.8975 090 41018 Drainage of mouth lesion A 5.09 6.13 4.57 0.66 11.88 10.32 0090.09.81.1020000 37.8975 090 41100 Biopsy of tongue A 1.63 2.42 1.42 0.15 4.20 3.20 0010.10.80.1020100 37.8975 090 41105 Biopsy of tongue A 1.42 2.30 1.32 0.13 3.85 2.87 0010.10.80.1020100 37.8975 090 41108 Biopsy of floor of mouth A 1.05 2.07 1.13 0.10 3.22 2.28 0010.10.80.1020100 37.8975 090 41110 Excision of tongue lesion A 1.51 2.98 1.64 0.13 4.62 3.28 0010.10.80.1020100 37.8975 090 41112 Excision of tongue lesion A 2.73 4.47 3.22 0.29 7.49 6.24 0090.09.81.1020100 37.8975 090 41113 Excision of tongue lesion A 3.19 4.74 3.47 0.34 8.27 7.00 0090.09.81.1020100 37.8975 090 41114 Excision of tongue lesion A 8.46 7.19NA 7.19 0.83 16.48 16.48 0090.09.81.1020000 37.8975 090 41115 Excision of tongue fold A 1.74 3.29 1.85 0.18 5.21 3.77 0010.10.80.1020000 37.8975 090 41116 Excision of mouth lesion A 2.44 4.35 2.80 0.23 7.02 5.47 0090.09.81.1020100 37.8975 090 41120 Partial removal of tongue A 9.76 15.31NA 15.31 0.83 25.90 25.90 0090.09.81.1020210 37.8975 090 41130 Partial removal of tongue A 11.13 16.19NA 16.19 0.97 28.29 28.29 0090.09.81.1020210 37.8975 090 41135 Tongue and neck surgery A 23.06 23.22NA 23.22 1.97 48.25 48.25 0090.09.81.1020210 37.8975 090 41140 Removal of tongue A 25.46 26.67NA 26.67 2.24 54.37 54.37 0090.09.81.1020210 37.8975 090 41145 Tongue removal, neck surgery A 30.01 30.54NA 30.54 2.58 63.13 63.13 0090.09.81.1020210 37.8975 090 41150 Tongue, mouth, jaw surgery A 23.01 24.71NA 24.71 2.01 49.73 49.73 0090.09.81.1020210 37.8975 090 41153 Tongue, mouth, neck surgery A 23.73 25.02NA 25.02 2.07 50.82 50.82 0090.09.81.1020210 37.8975 090 41155 Tongue, jaw, & neck surgery A 27.68 26.80NA 26.80 2.42 56.90 56.90 0090.09.81.1020210 37.8975 090 41250 Repair tongue laceration A 1.91 2.74 1.18 0.19 4.84 3.28 0010.10.80.1020000 37.8975 090 41251 Repair tongue laceration A 2.27 3.27 1.55 0.22 5.76 4.04 0010.10.80.1020000 37.8975 090 41252 Repair tongue laceration A 2.97 3.89 2.25 0.29 7.15 5.51 0010.10.80.1020000 37.8975 090 41500 Fixation of tongue A 3.70 7.45NA 7.45 0.30 11.45 11.45 0090.09.81.1020000 37.8975 090 41510 Tongue to lip surgery A 3.41 7.93NA 7.93 0.20 11.54 11.54 0090.09.81.1020000 37.8975 090 41520 Reconstruction, tongue fold A 2.73 4.62 3.62 0.27 7.62 6.62 0090.09.81.1020000 37.8975 090 41599 Tongue and mouth surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 41800 Drainage of gum lesion A 1.17 2.59 1.28 0.12 3.88 2.57 0010.10.80.1020100 37.8975 090 41805 Removal foreign body, gum A 1.24 2.67 2.21 0.13 4.04 3.58 0010.10.80.1020000 37.8975 090 41806 Removal foreign body,jawbone A 2.69 3.58 3.03 0.36 6.63 6.08 0010.10.80.1020000 37.8975 090 41820 Excision, gum, each quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 41822 Excision of gum lesion R 2.31 3.89 1.87 0.31 6.51 4.49 0010.10.80.1020000 37.8975 090 41823 Excision of gum lesion R 3.30 5.56 4.01 0.46 9.32 7.77 0090.09.81.1020000 37.8975 090 41825 Excision of gum lesion A 1.31 3.06 2.24 0.15 4.52 3.70 0010.10.80.1020100 37.8975 090 41826 Excision of gum lesion A 2.31 2.43 2.10 0.30 5.04 4.71 0010.10.80.1020100 37.8975 090 41827 Excision of gum lesion A 3.41 5.51 3.66 0.35 9.27 7.42 0090.09.81.1020100 37.8975 090 41828 Excision of gum lesion R 3.09 3.80 2.96 0.44 7.33 6.49 0010.10.80.1020000 37.8975 090 41830 Removal of gum tissue R 3.34 4.96 3.62 0.44 8.74 7.40 0010.10.80.1020000 37.8975 090 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 41870 Gum graft R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 37.8975 090 41872 Repair gum R 2.59 5.02 3.46 0.30 7.91 6.35 0090.09.81.1020000 37.8975 090 41874 Repair tooth socket R 3.09 4.84 3.17 0.44 8.37 6.70 0090.09.81.1020000 37.8975 090 41899 Dental surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 42000 Drainage mouth roof lesion A 1.23 2.56 1.25 0.12 3.91 2.60 0010.10.80.1020000 37.8975 090 42100 Biopsy roof of mouth A 1.31 2.08 1.36 0.13 3.52 2.80 0010.10.80.1020100 37.8975 090 42104 Excision lesion, mouth roof A 1.64 2.54 1.55 0.16 4.34 3.35 0010.10.80.1020100 37.8975 090 42106 Excision lesion, mouth roof A 2.10 3.22 2.44 0.25 5.57 4.79 0010.10.80.1020100 37.8975 090 42107 Excision lesion, mouth roof A 4.43 5.71 3.95 0.45 10.59 8.83 0090.09.81.1020100 37.8975 090 42120 Remove palate/lesion A 6.16 11.77NA 11.77 0.54 18.47 18.47 0090.09.81.1020210 37.8975 090 42140 Excision of uvula A 1.62 3.72 2.09 0.13 5.47 3.84 0090.09.81.1020100 37.8975 090 42145 Repair palate, pharynx/uvula A 8.04 7.49NA 7.49 0.65 16.18 16.18 0090.09.81.1020100 37.8975 090 42160 Treatment mouth roof lesion A 1.80 4.25 2.29 0.17 6.22 4.26 0010.10.80.1020000 37.8975 090 42180 Repair palate A 2.50 3.07 2.10 0.21 5.78 4.81 0010.10.80.1020000 37.8975 090 42182 Repair palate A 3.82 3.87 3.03 0.40 8.09 7.25 0010.10.80.1020000 37.8975 090 42200 Reconstruct cleft palate A 11.98 10.21NA 10.21 1.27 23.46 23.46 0090.09.81.1020200 37.8975 090 42205 Reconstruct cleft palate A 13.27 10.07NA 10.07 1.56 24.90 24.90 0090.09.81.1020200 37.8975 090 42210 Reconstruct cleft palate A 14.48 11.46NA 11.46 2.14 28.08 28.08 0090.09.81.1020200 37.8975 090 42215 Reconstruct cleft palate A 8.81 9.07NA 9.07 1.30 19.18 19.18 0090.09.81.1020200 37.8975 090 42220 Reconstruct cleft palate A 7.01 6.78NA 6.78 0.72 14.51 14.51 0090.09.81.1020200 37.8975 090 42225 Reconstruct cleft palate A 9.53 17.06NA 17.06 0.89 27.48 27.48 0090.09.81.1020200 37.8975 090 42226 Lengthening of palate A 9.99 14.70NA 14.70 1.01 25.70 25.70 0090.09.81.1020200 37.8975 090 42227 Lengthening of palate A 9.51 15.54NA 15.54 0.98 26.03 26.03 0090.09.81.1020200 37.8975 090 42235 Repair palate A 7.86 11.86NA 11.86 0.72 20.44 20.44 0090.09.81.1020200 37.8975 090 42260 Repair nose to lip fistula A 9.79 10.19 7.06 1.25 21.23 18.10 0090.09.81.1020200 37.8975 090 42280 Preparation, palate mold A 1.54 1.96 1.14 0.19 3.69 2.87 0010.10.80.1020000 37.8975 090 42281 Insertion, palate prosthesis A 1.93 2.63 1.87 0.17 4.73 3.97 0010.10.80.1020000 37.8975 090 42299 Palate/uvula surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 42300 Drainage of salivary gland A 1.93 2.82 1.81 0.16 4.91 3.90 0010.10.80.1020100 37.8975 090 42305 Drainage of salivary gland A 6.06 4.72NA 4.72 0.53 11.31 11.31 0090.09.81.1020000 37.8975 090 42310 Drainage of salivary gland A 1.56 2.26 1.54 0.13 3.95 3.23 0010.10.80.1020000 37.8975 090 42320 Drainage of salivary gland A 2.35 3.27 2.09 0.21 5.83 4.65 0010.10.80.1020000 37.8975 090 42325 Create salivary cyst drain A 2.75 4.61 2.30 0.26 7.62 5.31 0090.09.81.1020200 37.8975 090 42326 Create salivary cyst drain A 3.77 5.90 3.15 0.29 9.96 7.21 0090.09.81.1020200 37.8975 090 42330 Removal of salivary stone A 2.21 3.14 1.84 0.19 5.54 4.24 0010.10.80.1020100 37.8975 090 42335 Removal of salivary stone A 3.31 4.90 3.14 0.30 8.51 6.75 0090.09.81.1020100 37.8975 090 42340 Removal of salivary stone A 4.59 6.04 3.93 0.43 11.06 8.95 0090.09.81.1020000 37.8975 090 42400 Biopsy of salivary gland A 0.78 1.65 0.72 0.06 2.49 1.56 0000.00.00.0020100 37.8975 090 42405 Biopsy of salivary gland A 3.29 4.00 2.45 0.28 7.57 6.02 0010.10.80.1020100 37.8975 090 42408 Excision of salivary cyst A 4.53 5.91 3.61 0.45 10.89 8.59 0090.09.81.1020000 37.8975 090 42409 Drainage of salivary cyst A 2.81 4.52 2.76 0.27 7.60 5.84 0090.09.81.1020200 37.8975 090 42410 Excise parotid gland/lesion A 9.33 6.22NA 6.22 0.91 16.46 16.46 0090.09.81.1020210 37.8975 090 42415 Excise parotid gland/lesion A 16.86 10.86NA 10.86 1.46 29.18 29.18 0090.09.81.1020210 37.8975 090 42420 Excise parotid gland/lesion A 19.56 12.37NA 12.37 1.67 33.60 33.60 0090.09.81.1020210 37.8975 090 42425 Excise parotid gland/lesion A 13.00 8.61NA 8.61 1.13 22.74 22.74 0090.09.81.1020210 37.8975 090 42426 Excise parotid gland/lesion A 21.23 13.01NA 13.01 1.85 36.09 36.09 0090.09.81.1020210 37.8975 090 42440 Excise submaxillary gland A 6.96 4.79NA 4.79 0.60 12.35 12.35 0090.09.81.1020210 37.8975 090 42450 Excise sublingual gland A 4.61 5.90 4.25 0.42 10.93 9.28 0090.09.81.1020000 37.8975 090 42500 Repair salivary duct A 4.29 5.68 4.18 0.41 10.38 8.88 0090.09.81.1020000 37.8975 090 42505 Repair salivary duct A 6.17 7.12 5.36 0.56 13.85 12.09 0090.09.81.1020100 37.8975 090 42507 Parotid duct diversion A 6.10 6.53NA 6.53 0.49 13.12 13.12 0090.09.81.1022200 37.8975 090 42508 Parotid duct diversion A 9.09 8.34NA 8.34 1.04 18.47 18.47 0090.09.81.1022200 37.8975 090 42509 Parotid duct diversion A 11.52 10.19NA 10.19 0.93 22.64 22.64 0090.09.81.1022000 37.8975 090 42510 Parotid duct diversion A 8.14 7.79NA 7.79 0.66 16.59 16.59 0090.09.81.1022210 37.8975 090 42550 Injection for salivary x-ray A 1.25 3.21 0.41 0.07 4.53 1.73 0000.00.00.0020100 37.8975 090 42600 Closure of salivary fistula A 4.81 6.58 4.12 0.43 11.82 9.36 0090.09.81.1020000 37.8975 090 42650 Dilation of salivary duct A 0.77 1.10 0.71 0.07 1.94 1.55 0000.00.00.0020100 37.8975 090 42660 Dilation of salivary duct A 1.13 1.35 0.85 0.09 2.57 2.07 0000.00.00.0020000 37.8975 090 42665 Ligation of salivary duct A 2.53 4.17 2.59 0.23 6.93 5.35 0090.09.81.1020000 37.8975 090 42699 Salivary surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 42700 Drainage of tonsil abscess A 1.62 2.65 1.70 0.13 4.40 3.45 0010.10.80.1020100 37.8975 090 42720 Drainage of throat abscess A 5.41 4.83 3.79 0.47 10.71 9.67 0010.10.80.1020000 37.8975 090 42725 Drainage of throat abscess A 10.70 8.22NA 8.22 0.96 19.88 19.88 0090.09.81.1020210 37.8975 090 42800 Biopsy of throat A 1.39 2.18 1.40 0.11 3.68 2.90 0010.10.80.1020100 37.8975 090 42802 Biopsy of throat A 1.54 4.76 2.06 0.13 6.43 3.73 0010.10.80.1020100 37.8975 090 42804 Biopsy of upper nose/throat A 1.24 3.74 1.73 0.10 5.08 3.07 0010.10.80.1020100 37.8975 090 42806 Biopsy of upper nose/throat A 1.58 4.07 1.93 0.13 5.78 3.64 0010.10.80.1020100 37.8975 090 42808 Excise pharynx lesion A 2.30 3.09 1.93 0.19 5.58 4.42 0010.10.80.1020100 37.8975 090 42809 Remove pharynx foreign body A 1.81 2.33 1.33 0.16 4.30 3.30 0010.10.80.1020100 37.8975 090 42810 Excision of neck cyst A 3.25 5.71 3.54 0.30 9.26 7.09 0090.09.81.1020200 37.8975 090 42815 Excision of neck cyst A 7.06 6.41NA 6.41 0.62 14.09 14.09 0090.09.81.1020210 37.8975 090 42820 Remove tonsils and adenoids A 3.90 3.29NA 3.29 0.31 7.50 7.50 0090.09.81.1020000 37.8975 090 42821 Remove tonsils and adenoids A 4.28 3.50NA 3.50 0.35 8.13 8.13 0090.09.81.1020000 37.8975 090 42825 Removal of tonsils A 3.41 3.17NA 3.17 0.25 6.83 6.83 0090.09.81.1020000 37.8975 090 42826 Removal of tonsils A 3.37 3.03NA 3.03 0.28 6.68 6.68 0090.09.81.1020100 37.8975 090 42830 Removal of adenoids A 2.57 2.56NA 2.56 0.20 5.33 5.33 0090.09.81.1020000 37.8975 090 42831 Removal of adenoids A 2.71 2.84NA 2.84 0.22 5.77 5.77 0090.09.81.1020000 37.8975 090 42835 Removal of adenoids A 2.30 2.46NA 2.46 0.21 4.97 4.97 0090.09.81.1020000 37.8975 090 42836 Removal of adenoids A 3.18 2.96NA 2.96 0.26 6.40 6.40 0090.09.81.1020000 37.8975 090 42842 Extensive surgery of throat A 8.75 10.99NA 10.99 0.72 20.46 20.46 0090.09.81.1020000 37.8975 090 42844 Extensive surgery of throat A 14.29 16.23NA 16.23 1.19 31.71 31.71 0090.09.81.1020210 37.8975 090 42845 Extensive surgery of throat A 24.25 23.18NA 23.18 2.06 49.49 49.49 0090.09.81.1020210 37.8975 090 42860 Excision of tonsil tags A 2.22 2.40NA 2.40 0.18 4.80 4.80 0090.09.81.1020000 37.8975 090 42870 Excision of lingual tonsil A 5.39 8.57NA 8.57 0.44 14.40 14.40 0090.09.81.1020000 37.8975 090 42890 Partial removal of pharynx A 12.92 14.15NA 14.15 1.09 28.16 28.16 0090.09.81.1020210 37.8975 090 42892 Revision of pharyngeal walls A 15.81 17.17NA 17.17 1.35 34.33 34.33 0090.09.81.1020210 37.8975 090 42894 Revision of pharyngeal walls A 22.85 22.02NA 22.02 1.91 46.78 46.78 0090.09.81.1020210 37.8975 090 42900 Repair throat wound A 5.24 3.66NA 3.66 0.53 9.43 9.43 0010.10.80.1020000 37.8975 090 42950 Reconstruction of throat A 8.09 11.87NA 11.87 0.72 20.68 20.68 0090.09.81.1020210 37.8975 090 42953 Repair throat, esophagus A 8.95 17.33NA 17.33 0.90 27.18 27.18 0090.09.81.1020200 37.8975 090 42955 Surgical opening of throat A 7.38 10.67NA 10.67 0.80 18.85 18.85 0090.09.81.1020200 37.8975 090 42960 Control throat bleeding A 2.33 1.96NA 1.96 0.20 4.49 4.49 0010.10.80.1020000 37.8975 090 42961 Control throat bleeding A 5.58 4.96NA 4.96 0.46 11.00 11.00 0090.09.81.1020200 37.8975 090 42962 Control throat bleeding A 7.13 5.91NA 5.91 0.59 13.63 13.63 0090.09.81.1020200 37.8975 090 42970 Control nose/throat bleeding A 5.42 4.18NA 4.18 0.39 9.99 9.99 0090.09.81.1020100 37.8975 090 42971 Control nose/throat bleeding A 6.20 5.12NA 5.12 0.51 11.83 11.83 0090.09.81.1020200 37.8975 090 42972 Control nose/throat bleeding A 7.19 5.70NA 5.70 0.62 13.51 13.51 0090.09.81.1020200 37.8975 090 42999 Throat surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 43020 Incision of esophagus A 8.08 5.41NA 5.41 0.88 14.37 14.37 0090.09.81.1020210 37.8975 090 43030 Throat muscle surgery A 7.68 5.49NA 5.49 0.70 13.87 13.87 0090.09.81.1020210 37.8975 090 43045 Incision of esophagus A 20.09 10.70NA 10.70 2.56 33.35 33.35 0090.09.81.1020210 37.8975 090 43100 Excision of esophagus lesion A 9.18 6.22NA 6.22 0.92 16.32 16.32 0090.09.81.1020210 37.8975 090 43101 Excision of esophagus lesion A 16.22 7.88NA 7.88 2.23 26.33 26.33 0090.09.81.1020210 37.8975 090 43107 Removal of esophagus A 39.94 18.26NA 18.26 5.02 63.22 63.22 0090.09.81.1020210 37.8975 090 43108 Removal of esophagus A 34.14 14.21NA 14.21 3.94 52.29 52.29 0090.09.81.1020210 37.8975 090 43112 Removal of esophagus A 43.43 19.36NA 19.36 5.66 68.45 68.45 0090.09.81.1020220 37.8975 090 43113 Removal of esophagus A 35.22 15.11NA 15.11 4.38 54.71 54.71 0090.09.81.1020220 37.8975 090 43116 Partial removal of esophagus A 31.17 16.69NA 16.69 3.02 50.88 50.88 0090.09.81.1020210 37.8975 090 43117 Partial removal of esophagus A 39.94 17.27NA 17.27 5.07 62.28 62.28 0090.09.81.1020220 37.8975 090 43118 Partial removal of esophagus A 33.15 13.78NA 13.78 4.07 51.00 51.00 0090.09.81.1020220 37.8975 090 43121 Partial removal of esophagus A 29.15 13.67NA 13.67 3.86 46.68 46.68 0090.09.81.1020220 37.8975 090 43122 Partial removal of esophagus A 39.94 17.39NA 17.39 5.25 62.58 62.58 0090.09.81.1020210 37.8975 090 43123 Partial removal of esophagus A 33.15 14.10NA 14.10 4.16 51.41 51.41 0090.09.81.1020210 37.8975 090 43124 Removal of esophagus A 27.28 13.08NA 13.08 3.67 44.03 44.03 0090.09.81.1020210 37.8975 090 43130 Removal of esophagus pouch A 11.73 7.56NA 7.56 1.18 20.47 20.47 0090.09.81.1020210 37.8975 090 43135 Removal of esophagus pouch A 16.08 8.09NA 8.09 2.27 26.44 26.44 0090.09.81.1020210 37.8975 090 43200 Esophagus endoscopy A 1.59 4.13 1.07 0.13 5.85 2.79 0000.00.00.0020100 37.8975 090 43201 Esoph scope w/submucous inj A 2.09 4.63 1.10 0.16 6.88 3.35 0000.00.00.0030100 43200 37.8975 090 43202 Esophagus endoscopy, biopsy A 1.89 5.54 0.94 0.16 7.59 2.99 0000.00.00.0030100 43200 37.8975 090 43204 Esoph scope w/sclerosis inj A 3.76 1.52NA 1.52 0.30 5.58 5.58 0000.00.00.0030100 43200 37.8975 090 43205 Esophagus endoscopy/ligation A 3.78 1.52NA 1.52 0.28 5.58 5.58 0000.00.00.0030000 43200 37.8975 090 43215 Esophagus endoscopy A 2.60 1.20NA 1.20 0.23 4.03 4.03 0000.00.00.0030100 43200 37.8975 090 43216 Esophagus endoscopy/lesion A 2.40 1.06NA 1.06 0.20 3.66 3.66 0000.00.00.0030000 43200 37.8975 090 43217 Esophagus endoscopy A 2.90 6.95 1.19 0.26 10.11 4.35 0000.00.00.0030100 43200 37.8975 090 43219 Esophagus endoscopy A 2.80 1.35NA 1.35 0.24 4.39 4.39 0000.00.00.0030100 43200 37.8975 090 43220 Esoph endoscopy, dilation A 2.10 0.97NA 0.97 0.17 3.24 3.24 0000.00.00.0030100 43200 37.8975 090 43226 Esoph endoscopy, dilation A 2.34 1.03NA 1.03 0.19 3.56 3.56 0000.00.00.0030100 43200 37.8975 090 43227 Esoph endoscopy, repair A 3.59 1.45NA 1.45 0.28 5.32 5.32 0000.00.00.0030100 43200 37.8975 090 43228 Esoph endoscopy, ablation A 3.76 1.55NA 1.55 0.34 5.65 5.65 0000.00.00.0030100 43200 37.8975 090 43231 Esoph endoscopy w/us exam A 3.19 1.31NA 1.31 0.24 4.74 4.74 0000.00.00.0030020 43235 37.8975 090 43232 Esoph endoscopy w/us fn bx A 4.47 1.81NA 1.81 0.34 6.62 6.62 0000.00.00.0030020 43235 37.8975 090 43234 Upper GI endoscopy, exam A 2.01 5.32 0.87 0.18 7.51 3.06 0000.00.00.0020100 37.8975 090 43235 Uppr gi endoscopy, diagnosis A 2.39 5.17 1.02 0.19 7.75 3.60 0000.00.00.0020100 37.8975 090 43236 Uppr gi scope w/submuc inj A 2.92 6.40 1.22 0.22 9.54 4.36 0000.00.00.0030100 43235 37.8975 090 43237 Endoscopic us exam, esoph A 3.98 1.59NA 1.59 0.44 6.01 6.01 0000.00.00.0030000 43235 37.8975 090 43238 Uppr gi endoscopy w/us fn bx A 5.02 1.96NA 1.96 0.44 7.42 7.42 0000.00.00.0030000 43235 37.8975 090 43239 Upper GI endoscopy, biopsy A 2.87 5.71 1.19 0.22 8.80 4.28 0000.00.00.0030100 43235 37.8975 090 43240 Esoph endoscope w/drain cyst A 6.85 2.60NA 2.60 0.56 10.01 10.01 0000.00.00.0030100 43235 37.8975 090 43241 Upper GI endoscopy with tube A 2.59 1.10NA 1.10 0.21 3.90 3.90 0000.00.00.0030100 43235 37.8975 090 43242 Uppr gi endoscopy w/us fn bx A 7.30 2.73NA 2.73 0.53 10.56 10.56 0000.00.00.0030000 43235 37.8975 090 43243 Upper gi endoscopy & inject A 4.56 1.79NA 1.79 0.35 6.70 6.70 0000.00.00.0030100 43235 37.8975 090 43244 Upper GI endoscopy/ligation A 5.04 1.96NA 1.96 0.37 7.37 7.37 0000.00.00.0030000 43235 37.8975 090 43245 Uppr gi scope dilate strictr A 3.18 1.30NA 1.30 0.26 4.74 4.74 0000.00.00.0030100 43235 37.8975 090 43246 Place gastrostomy tube A 4.32 1.69NA 1.69 0.34 6.35 6.35 0000.00.00.0030020 43235 37.8975 090 43247 Operative upper GI endoscopy A 3.38 1.37NA 1.37 0.27 5.02 5.02 0000.00.00.0030100 43235 37.8975 090 43248 Uppr gi endoscopy/guide wire A 3.15 1.31NA 1.31 0.24 4.70 4.70 0000.00.00.0030100 43235 37.8975 090 43249 Esoph endoscopy, dilation A 2.90 1.21NA 1.21 0.22 4.33 4.33 0000.00.00.0030100 43235 37.8975 090 43250 Upper GI endoscopy/tumor A 3.20 1.31NA 1.31 0.26 4.77 4.77 0000.00.00.0030100 43235 37.8975 090 43251 Operative upper GI endoscopy A 3.69 1.48NA 1.48 0.29 5.46 5.46 0000.00.00.0030100 43235 37.8975 090 43255 Operative upper GI endoscopy A 4.81 1.88NA 1.88 0.36 7.05 7.05 0000.00.00.0030100 43235 37.8975 090 43256 Uppr gi endoscopy w/stent A 4.34 1.71NA 1.71 0.34 6.39 6.39 0000.00.00.0030100 43235 37.8975 090 43257 Uppr gi scope w/thrml txmnt A 5.50 2.20NA 2.20 0.36 8.06 8.06 0000.00.00.0030100 43235 37.8975 090 43258 Operative upper GI endoscopy A 4.54 1.78NA 1.78 0.34 6.66 6.66 0000.00.00.0030100 43235 37.8975 090 43259 Endoscopic ultrasound exam A 5.19 1.99NA 1.99 0.36 7.54 7.54 0000.00.00.0030000 43235 37.8975 090 43260 Endo cholangiopancreatograph A 5.95 2.28NA 2.28 0.44 8.67 8.67 0000.00.00.0020100 37.8975 090 43261 Endo cholangiopancreatograph A 6.26 2.39NA 2.39 0.46 9.11 9.11 0000.00.00.0030100 43260 37.8975 090 43262 Endo cholangiopancreatograph A 7.38 2.78NA 2.78 0.54 10.70 10.70 0000.00.00.0030100 43260 37.8975 090 43263 Endo cholangiopancreatograph A 7.28 2.76NA 2.76 0.54 10.58 10.58 0000.00.00.0030100 43260 37.8975 090 43264 Endo cholangiopancreatograph A 8.89 3.31NA 3.31 0.65 12.85 12.85 0000.00.00.0030100 43260 37.8975 090 43265 Endo cholangiopancreatograph A 10.00 3.69NA 3.69 0.73 14.42 14.42 0000.00.00.0030100 43260 37.8975 090 43267 Endo cholangiopancreatograph A 7.38 2.78NA 2.78 0.55 10.71 10.71 0000.00.00.0030100 43260 37.8975 090 43268 Endo cholangiopancreatograph A 7.38 2.88NA 2.88 0.54 10.80 10.80 0000.00.00.0030100 43260 37.8975 090 43269 Endo cholangiopancreatograph A 8.20 3.07NA 3.07 0.61 11.88 11.88 0000.00.00.0030100 43260 37.8975 090 43271 Endo cholangiopancreatograph A 7.38 2.78NA 2.78 0.54 10.70 10.70 0000.00.00.0030100 43260 37.8975 090 43272 Endo cholangiopancreatograph A 7.38 2.78NA 2.78 0.55 10.71 10.71 0000.00.00.0030000 43260 37.8975 090 43280 Laparoscopy, fundoplasty A 17.22 7.27NA 7.27 2.25 26.74 26.74 0090.09.81.1020210 37.8975 090 43289 Laparoscope proc, esoph C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 43300 Repair of esophagus A 9.13 6.37NA 6.37 1.07 16.57 16.57 0090.09.81.1020210 37.8975 090 43305 Repair esophagus and fistula A 17.36 10.69NA 10.69 1.58 29.63 29.63 0090.09.81.1020210 37.8975 090 43310 Repair of esophagus A 25.35 11.06NA 11.06 3.39 39.80 39.80 0090.09.81.1020210 37.8975 090 43312 Repair esophagus and fistula A 28.38 11.89NA 11.89 3.96 44.23 44.23 0090.09.81.1020210 37.8975 090 43313 Esophagoplasty congenital A 45.21 18.81NA 18.81 5.40 69.42 69.42 0090.09.81.1020210 37.8975 090 43314 Tracheo-esophagoplasty cong A 50.19 19.18NA 19.18 6.58 75.95 75.95 0090.09.81.1020210 37.8975 090 43320 Fuse esophagus & stomach A 19.90 9.20NA 9.20 2.53 31.63 31.63 0090.09.81.1020210 37.8975 090 43324 Revise esophagus & stomach A 20.54 8.76NA 8.76 2.72 32.02 32.02 0090.09.81.1020210 37.8975 090 43325 Revise esophagus & stomach A 20.03 8.78NA 8.78 2.59 31.40 31.40 0090.09.81.1020210 37.8975 090 43326 Revise esophagus & stomach A 19.71 9.29NA 9.29 2.78 31.78 31.78 0090.09.81.1020210 37.8975 090 43330 Repair of esophagus A 19.74 8.53NA 8.53 2.58 30.85 30.85 0090.09.81.1020210 37.8975 090 43331 Repair of esophagus A 20.10 9.78NA 9.78 2.83 32.71 32.71 0090.09.81.1020210 37.8975 090 43340 Fuse esophagus & intestine A 19.58 8.96NA 8.96 2.45 30.99 30.99 0090.09.81.1020210 37.8975 090 43341 Fuse esophagus & intestine A 20.82 10.01NA 10.01 2.88 33.71 33.71 0090.09.81.1020210 37.8975 090 43350 Surgical opening, esophagus A 15.76 8.44NA 8.44 1.41 25.61 25.61 0090.09.81.1020210 37.8975 090 43351 Surgical opening, esophagus A 18.32 9.79NA 9.79 2.44 30.55 30.55 0090.09.81.1020210 37.8975 090 43352 Surgical opening, esophagus A 15.24 8.38NA 8.38 1.97 25.59 25.59 0090.09.81.1020210 37.8975 090 43360 Gastrointestinal repair A 35.65 15.07NA 15.07 4.83 55.55 55.55 0090.09.81.1020210 37.8975 090 43361 Gastrointestinal repair A 40.44 16.88NA 16.88 4.43 61.75 61.75 0090.09.81.1020210 37.8975 090 43400 Ligate esophagus veins A 21.17 9.43NA 9.43 1.91 32.51 32.51 0090.09.81.1020210 37.8975 090 43401 Esophagus surgery for veins A 22.06 9.48NA 9.48 3.01 34.55 34.55 0090.09.81.1020210 37.8975 090 43405 Ligate/staple esophagus A 19.98 9.58NA 9.58 2.76 32.32 32.32 0090.09.81.1020210 37.8975 090 43410 Repair esophagus wound A 13.45 7.63NA 7.63 1.75 22.83 22.83 0090.09.81.1020210 37.8975 090 43415 Repair esophagus wound A 24.96 11.74NA 11.74 3.39 40.09 40.09 0090.09.81.1020210 37.8975 090 43420 Repair esophagus opening A 14.33 7.40NA 7.40 1.44 23.17 23.17 0090.09.81.1020010 37.8975 090 43425 Repair esophagus opening A 21.00 9.97NA 9.97 2.92 33.89 33.89 0090.09.81.1020210 37.8975 090 43450 Dilate esophagus A 1.38 2.63 0.69 0.11 4.12 2.18 0000.00.00.0020100 37.8975 090 43453 Dilate esophagus A 1.51 6.06 0.73 0.11 7.68 2.35 0000.00.00.0020100 37.8975 090 43456 Dilate esophagus A 2.57 13.74 1.10 0.20 16.51 3.87 0000.00.00.0020100 37.8975 090 43458 Dilate esophagus A 3.06 6.65 1.28 0.24 9.95 4.58 0000.00.00.0020100 37.8975 090 43460 Pressure treatment esophagus A 3.79 1.49NA 1.49 0.32 5.60 5.60 0000.00.00.0020100 37.8975 090 43496 Free jejunum flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 37.8975 090 43499 Esophagus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 43500 Surgical opening of stomach A 11.03 4.97NA 4.97 1.41 17.41 17.41 0090.09.81.1020210 37.8975 090 43501 Surgical repair of stomach A 20.01 8.30NA 8.30 2.62 30.93 30.93 0090.09.81.1020210 37.8975 090 43502 Surgical repair of stomach A 23.10 9.45NA 9.45 3.06 35.61 35.61 0090.09.81.1020210 37.8975 090 43510 Surgical opening of stomach A 13.06 6.58NA 6.58 1.46 21.10 21.10 0090.09.81.1020210 37.8975 090 43520 Incision of pyloric muscle A 9.98 5.25NA 5.25 1.32 16.55 16.55 0090.09.81.1020210 37.8975 090 43600 Biopsy of stomach A 1.91 0.66NA 0.66 0.14 2.71 2.71 0000.00.00.0020100 37.8975 090 43605 Biopsy of stomach A 11.96 5.28NA 5.28 1.57 18.81 18.81 0090.09.81.1020210 37.8975 090 43610 Excision of stomach lesion A 14.58 6.14NA 6.14 1.90 22.62 22.62 0090.09.81.1020210 37.8975 090 43611 Excision of stomach lesion A 17.81 7.56NA 7.56 2.32 27.69 27.69 0090.09.81.1020210 37.8975 090 43620 Removal of stomach A 29.99 11.79NA 11.79 3.91 45.69 45.69 0090.09.81.1020210 37.8975 090 43621 Removal of stomach A 30.68 11.97NA 11.97 4.00 46.65 46.65 0090.09.81.1020210 37.8975 090 43622 Removal of stomach A 32.48 12.58NA 12.58 4.25 49.31 49.31 0090.09.81.1020210 37.8975 090 43631 Removal of stomach, partial A 22.56 9.15NA 9.15 2.94 34.65 34.65 0090.09.81.1020210 37.8975 090 43632 Removal of stomach, partial A 22.56 9.15NA 9.15 2.94 34.65 34.65 0090.09.81.1020210 37.8975 090 43633 Removal of stomach, partial A 23.07 9.32NA 9.32 3.02 35.41 35.41 0090.09.81.1020210 37.8975 090 43634 Removal of stomach, partial A 25.08 10.08NA 10.08 3.30 38.46 38.46 0090.09.81.1020210 37.8975 090 43635 Removal of stomach, partial A 2.06 0.70NA 0.70 0.27 3.03 3.03 0ZZZ.00.00.0000210 37.8975 090 43638 Removal of stomach, partial A 28.96 11.88NA 11.88 3.75 44.59 44.59 0090.09.81.1020210 37.8975 090 43639 Removal of stomach, partial A 29.61 11.68NA 11.68 3.85 45.14 45.14 0090.09.81.1020210 37.8975 090 43640 Vagotomy & pylorus repair A 16.99 7.25NA 7.25 2.22 26.46 26.46 0090.09.81.1020210 37.8975 090 43641 Vagotomy & pylorus repair A 17.24 7.36NA 7.36 2.18 26.78 26.78 0090.09.81.1020210 37.8975 090 43644 Lap gastric bypass/roux-en-y A 27.83 11.21NA 11.21 3.13 42.17 42.17 0090.09.81.1020210 37.8975 090 43645 Lap gastr bypass incl smll i A 29.96 12.01NA 12.01 3.51 45.48 45.48 0090.09.81.1020210 37.8975 090 43651 Laparoscopy, vagus nerve A 10.13 4.76NA 4.76 1.33 16.22 16.22 0090.11.76.1320210 37.8975 090 43652 Laparoscopy, vagus nerve A 12.13 5.75NA 5.75 1.54 19.42 19.42 0090.11.76.1320210 37.8975 090 43653 Laparoscopy, gastrostomy A 7.72 4.18NA 4.18 1.00 12.90 12.90 0090.09.81.1020210 37.8975 090 43659 Laparoscope proc, stom C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 43750 Place gastrostomy tube A 4.48 2.19NA 2.19 0.43 7.10 7.10 0010.10.80.1020100 37.8975 090 43752 Nasal/orogastric w/stent A 0.81 0.28 0.26 0.02 1.11 1.09 0000.00.00.0000100 37.8975 090 43760 Change gastrostomy tube A 1.10 2.08 0.45 0.09 3.27 1.64 0000.00.00.0020100 37.8975 090 43761 Reposition gastrostomy tube A 2.01 1.17 0.66 0.14 3.32 2.81 0000.00.00.0020100 37.8975 090 43800 Reconstruction of pylorus A 13.67 5.89NA 5.89 1.78 21.34 21.34 0090.09.81.1020210 37.8975 090 43810 Fusion of stomach and bowel A 14.63 6.17NA 6.17 1.91 22.71 22.71 0090.09.81.1020210 37.8975 090 43820 Fusion of stomach and bowel A 15.35 6.40NA 6.40 2.00 23.75 23.75 0090.09.81.1020210 37.8975 090 43825 Fusion of stomach and bowel A 19.19 8.01NA 8.01 2.52 29.72 29.72 0090.09.81.1020210 37.8975 090 43830 Place gastrostomy tube A 9.52 4.84NA 4.84 1.20 15.56 15.56 0090.09.81.1020210 37.8975 090 43831 Place gastrostomy tube A 7.83 4.51NA 4.51 0.99 13.33 13.33 0090.09.81.1020210 37.8975 090 43832 Place gastrostomy tube A 15.58 6.84NA 6.84 1.93 24.35 24.35 0090.09.81.1020210 37.8975 090 43840 Repair of stomach lesion A 15.54 6.76NA 6.76 2.02 24.32 24.32 0090.09.81.1020210 37.8975 090 43842 V-band gastroplasty A 18.44 7.79NA 7.79 2.42 28.65 28.65 0090.09.81.1020220 37.8975 090 43843 Gastroplasty w/o v-band A 18.62 7.76NA 7.76 2.43 28.81 28.81 0090.09.81.1020220 37.8975 090 43845 Gastroplasty duodenal switch C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 37.8975 090 43846 Gastric bypass for obesity A 24.01 10.02NA 10.02 3.13 37.16 37.16 0090.09.81.1020210 37.8975 090 43847 Gastric bypass incl small i A 26.88 10.89NA 10.89 3.51 41.28 41.28 0090.09.81.1020210 37.8975 090 43848 Revision gastroplasty A 29.35 11.81NA 11.81 3.83 44.99 44.99 0090.09.81.1020210 37.8975 090 43850 Revise stomach-bowel fusion A 24.68 9.81NA 9.81 3.18 37.67 37.67 0090.09.81.1020210 37.8975 090 43855 Revise stomach-bowel fusion A 26.12 10.32NA 10.32 3.43 39.87 39.87 0090.09.81.1020210 37.8975 090 43860 Revise stomach-bowel fusion A 24.96 9.96NA 9.96 3.25 38.17 38.17 0090.09.81.1020210 37.8975 090 43865 Revise stomach-bowel fusion A 26.48 10.50NA 10.50 3.44 40.42 40.42 0090.09.81.1020210 37.8975 090 43870 Repair stomach opening A 9.68 4.51NA 4.51 1.23 15.42 15.42 0090.09.81.1020210 37.8975 090 43880 Repair stomach-bowel fistula A 24.61 9.89NA 9.89 3.18 37.68 37.68 0090.09.81.1020210 37.8975 090 43999 Stomach surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 44005 Freeing of bowel adhesion A 16.21 6.71NA 6.71 2.08 25.00 25.00 0090.09.81.1020210 37.8975 090 44010 Incision of small bowel A 12.50 5.44NA 5.44 1.60 19.54 19.54 0090.09.81.1020210 37.8975 090 44015 Insert needle cath bowel A 2.62 0.88NA 0.88 0.34 3.84 3.84 0ZZZ.00.00.0000210 37.8975 090 44020 Explore small intestine A 13.97 5.93NA 5.93 1.79 21.69 21.69 0090.09.81.1020210 37.8975 090 44021 Decompress small bowel A 14.06 5.96NA 5.96 1.79 21.81 21.81 0090.09.81.1020210 37.8975 090 44025 Incision of large bowel A 14.26 6.02NA 6.02 1.79 22.07 22.07 0090.09.81.1020210 37.8975 090 44050 Reduce bowel obstruction A 14.01 5.95NA 5.95 1.81 21.77 21.77 0090.09.81.1020210 37.8975 090 44055 Correct malrotation of bowel A 21.97 8.72NA 8.72 2.81 33.50 33.50 0090.09.81.1020210 37.8975 090 44100 Biopsy of bowel A 2.01 0.71NA 0.71 0.17 2.89 2.89 0000.00.00.0020100 37.8975 090 44110 Excise intestine lesion(s) A 11.79 5.22NA 5.22 1.51 18.52 18.52 0090.09.81.1020210 37.8975 090 44111 Excision of bowel lesion(s) A 14.27 6.10NA 6.10 1.83 22.20 22.20 0090.09.81.1020210 37.8975 090 44120 Removal of small intestine A 16.97 7.07NA 7.07 2.19 26.23 26.23 0090.09.81.1020210 37.8975 090 44121 Removal of small intestine A 4.44 1.52NA 1.52 0.57 6.53 6.53 0ZZZ.00.00.0000210 37.8975 090 44125 Removal of small intestine A 17.51 7.25NA 7.25 2.23 26.99 26.99 0090.09.81.1020210 37.8975 090 44126 Enterectomy w/o taper, cong A 35.45 14.11NA 14.11 4.66 54.22 54.22 0090.09.81.1020210 37.8975 090 44127 Enterectomy w/taper, cong A 40.94 15.71NA 15.71 5.70 62.35 62.35 0090.09.81.1020210 37.8975 090 44128 Enterectomy cong, add-on A 4.44 1.53NA 1.53 0.61 6.58 6.58 0ZZZ.00.00.0000210 37.8975 090 44130 Bowel to bowel fusion A 14.47 6.21NA 6.21 1.84 22.52 22.52 0090.09.81.1020210 37.8975 090 44132 Enterectomy, cadaver donor R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 44133 Enterectomy, live donor R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 44135 Intestine transplnt, cadaver R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 44136 Intestine transplant, live R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 44137 Remove intestinal allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 44139 Mobilization of colon A 2.23 0.76NA 0.76 0.28 3.27 3.27 0ZZZ.00.00.0000210 37.8975 090 44140 Partial removal of colon A 20.97 8.64NA 8.64 2.67 32.28 32.28 0090.09.81.1020210 37.8975 090 44141 Partial removal of colon A 19.48 10.04NA 10.04 2.49 32.01 32.01 0090.09.81.1020210 37.8975 090 44143 Partial removal of colon A 22.96 10.68NA 10.68 2.95 36.59 36.59 0090.09.81.1020210 37.8975 090 44144 Partial removal of colon A 21.50 9.61NA 9.61 2.77 33.88 33.88 0090.09.81.1020210 37.8975 090 44145 Partial removal of colon A 26.38 10.80NA 10.80 3.24 40.42 40.42 0090.09.81.1020210 37.8975 090 44146 Partial removal of colon A 27.50 12.85NA 12.85 3.37 43.72 43.72 0090.09.81.1020210 37.8975 090 44147 Partial removal of colon A 20.68 8.68NA 8.68 2.51 31.87 31.87 0090.09.81.1020210 37.8975 090 44150 Removal of colon A 23.91 12.02NA 12.02 3.00 38.93 38.93 0090.09.81.1020210 37.8975 090 44151 Removal of colon/ileostomy A 26.84 13.39NA 13.39 3.44 43.67 43.67 0090.09.81.1020210 37.8975 090 44152 Removal of colon/ileostomy A 27.79 11.59NA 11.59 3.47 42.85 42.85 0090.09.81.1020210 37.8975 090 44153 Removal of colon/ileostomy A 30.54 14.37NA 14.37 3.52 48.43 48.43 0090.09.81.1020210 37.8975 090 44155 Removal of colon/ileostomy A 27.82 13.30NA 13.30 3.24 44.36 44.36 0090.09.81.1020210 37.8975 090 44156 Removal of colon/ileostomy A 30.74 15.03NA 15.03 3.94 49.71 49.71 0090.09.81.1020210 37.8975 090 44160 Removal of colon A 18.59 7.74NA 7.74 2.33 28.66 28.66 0090.09.81.1020210 37.8975 090 44200 Laparoscopy, enterolysis A 14.42 6.19NA 6.19 1.85 22.46 22.46 0090.09.81.1020210 37.8975 090 44201 Laparoscopy, jejunostomy A 9.77 4.66NA 4.66 1.27 15.70 15.70 0090.09.84.0720210 37.8975 090 44202 Lap resect s/intestine singl A 22.01 8.92NA 8.92 2.81 33.74 33.74 0090.09.81.1020210 37.8975 090 44203 Lap resect s/intestine, addl A 4.44 1.50NA 1.50 0.57 6.51 6.51 0ZZZ.00.00.0000210 37.8975 090 44204 Laparo partial colectomy A 25.04 9.95NA 9.95 3.07 38.06 38.06 0090.09.81.1020210 37.8975 090 44205 Lap colectomy part w/ileum A 22.20 8.84NA 8.84 2.71 33.75 33.75 0090.09.81.1020210 37.8975 090 44206 Lap part colectomy w/stoma A 26.96 11.25NA 11.25 3.41 41.62 41.62 0090.09.81.1020210 37.8975 090 44207 L colectomy/coloproctostomy A 29.96 11.48NA 11.48 3.63 45.07 45.07 0090.09.81.1020210 37.8975 090 44208 L colectomy/coloproctostomy A 31.95 13.13NA 13.13 3.84 48.92 48.92 0090.09.81.1020210 37.8975 090 44210 Laparo total proctocolectomy A 27.96 11.87NA 11.87 3.39 43.22 43.22 0090.09.81.1020210 37.8975 090 44211 Laparo total proctocolectomy A 34.95 14.67NA 14.67 4.14 53.76 53.76 0090.09.81.1020210 37.8975 090 44212 Laparo total proctocolectomy A 32.45 13.68NA 13.68 3.66 49.79 49.79 0090.09.81.1020210 37.8975 090 44238 Laparoscope proc, intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 44239 Laparoscope proc, rectum C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 37.8975 090 44300 Open bowel to skin A 12.09 5.48NA 5.48 1.56 19.13 19.13 0090.09.81.1020210 37.8975 090 44310 Ileostomy/jejunostomy A 15.93 6.69NA 6.69 1.95 24.57 24.57 0090.09.81.1020210 37.8975 090 44312 Revision of ileostomy A 8.01 3.99NA 3.99 0.93 12.93 12.93 0090.09.81.1020000 37.8975 090 44314 Revision of ileostomy A 15.03 6.55NA 6.55 1.73 23.31 23.31 0090.09.81.1020210 37.8975 090 44316 Devise bowel pouch A 21.06 8.54NA 8.54 2.36 31.96 31.96 0090.09.81.1020210 37.8975 090 44320 Colostomy A 17.61 7.65NA 7.65 2.23 27.49 27.49 0090.09.81.1020210 37.8975 090 44322 Colostomy with biopsies A 11.96 8.57NA 8.57 1.53 22.06 22.06 0090.09.81.1020210 37.8975 090 44340 Revision of colostomy A 7.71 4.26NA 4.26 0.98 12.95 12.95 0090.09.81.1020110 37.8975 090 44345 Revision of colostomy A 15.41 6.88NA 6.88 1.94 24.23 24.23 0090.09.81.1020210 37.8975 090 44346 Revision of colostomy A 16.96 7.38NA 7.38 2.09 26.43 26.43 0090.09.81.1020210 37.8975 090 44360 Small bowel endoscopy A 2.59 1.10NA 1.10 0.19 3.88 3.88 0000.00.00.0020100 37.8975 090 44361 Small bowel endoscopy/biopsy A 2.87 1.20NA 1.20 0.21 4.28 4.28 0000.00.00.0030100 44360 37.8975 090 44363 Small bowel endoscopy A 3.49 1.38NA 1.38 0.27 5.14 5.14 0000.00.00.0030000 44360 37.8975 090 44364 Small bowel endoscopy A 3.73 1.49NA 1.49 0.27 5.49 5.49 0000.00.00.0030000 44360 37.8975 090 44365 Small bowel endoscopy A 3.31 1.36NA 1.36 0.24 4.91 4.91 0000.00.00.0030000 44360 37.8975 090 44366 Small bowel endoscopy A 4.40 1.73NA 1.73 0.32 6.45 6.45 0000.00.00.0030100 44360 37.8975 090 44369 Small bowel endoscopy A 4.51 1.73NA 1.73 0.33 6.57 6.57 0000.00.00.0030000 44360 37.8975 090 44370 Small bowel endoscopy/stent A 4.79 1.97NA 1.97 0.37 7.13 7.13 0000.00.00.0030000 44360 37.8975 090 44372 Small bowel endoscopy A 4.40 1.73NA 1.73 0.35 6.48 6.48 0000.00.00.0030100 44360 37.8975 090 44373 Small bowel endoscopy A 3.49 1.42NA 1.42 0.27 5.18 5.18 0000.00.00.0030100 44360 37.8975 090 44376 Small bowel endoscopy A 5.25 2.02NA 2.02 0.43 7.70 7.70 0000.00.00.0020000 37.8975 090 44377 Small bowel endoscopy/biopsy A 5.52 2.13NA 2.13 0.40 8.05 8.05 0000.00.00.0030000 44376 37.8975 090 44378 Small bowel endoscopy A 7.12 2.69NA 2.69 0.53 10.34 10.34 0000.00.00.0030000 44376 37.8975 090 44379 S bowel endoscope w/stent A 7.46 2.91NA 2.91 0.62 10.99 10.99 0000.00.00.0030000 44376 37.8975 090 44380 Small bowel endoscopy A 1.05 0.55NA 0.55 0.08 1.68 1.68 0000.00.00.0020100 37.8975 090 44382 Small bowel endoscopy A 1.27 0.63NA 0.63 0.12 2.02 2.02 0000.00.00.0020100 37.8975 090 44383 Ileoscopy w/stent A 2.94 1.27NA 1.27 0.22 4.43 4.43 0000.00.00.0020100 37.8975 090 44385 Endoscopy of bowel pouch A 1.82 3.35 0.75 0.15 5.32 2.72 0000.00.00.0020100 37.8975 090 44386 Endoscopy, bowel pouch/biop A 2.12 6.64 0.88 0.19 8.95 3.19 0000.00.00.0020000 37.8975 090 44388 Colonoscopy A 2.82 5.08 1.15 0.26 8.16 4.23 0000.00.00.0020100 37.8975 090 44389 Colonoscopy with biopsy A 3.13 6.62 1.27 0.27 10.02 4.67 0000.00.00.0030100 44388 37.8975 090 44390 Colonoscopy for foreign body A 3.82 7.11 1.49 0.32 11.25 5.63 0000.00.00.0030000 44388 37.8975 090 44391 Colonoscopy for bleeding A 4.31 8.72 1.69 0.34 13.37 6.34 0000.00.00.0030000 44388 37.8975 090 44392 Colonoscopy & polypectomy A 3.81 6.58 1.49 0.34 10.73 5.64 0000.00.00.0030100 44388 37.8975 090 44393 Colonoscopy, lesion removal A 4.83 6.90 1.86 0.42 12.15 7.11 0000.00.00.0030100 44388 37.8975 090 44394 Colonoscopy w/snare A 4.42 7.81 1.72 0.38 12.61 6.52 0000.00.00.0030100 44388 37.8975 090 44397 Colonoscopy w/stent A 4.70 1.79NA 1.79 0.39 6.88 6.88 0000.00.00.0030100 44388 37.8975 090 44500 Intro, gastrointestinal tube A 0.49 0.16NA 0.16 0.03 0.68 0.68 0000.00.00.0000000 37.8975 090 44602 Suture, small intestine A 16.01 6.39NA 6.39 2.05 24.45 24.45 0090.09.81.1020210 37.8975 090 44603 Suture, small intestine A 18.63 7.27NA 7.27 2.38 28.28 28.28 0090.09.81.1020210 37.8975 090 44604 Suture, large intestine A 16.01 6.45NA 6.45 2.04 24.50 24.50 0090.09.81.1020210 37.8975 090 44605 Repair of bowel lesion A 19.50 8.39NA 8.39 2.48 30.37 30.37 0090.09.81.1020210 37.8975 090 44615 Intestinal stricturoplasty A 15.91 6.67NA 6.67 2.01 24.59 24.59 0090.09.81.1020210 37.8975 090 44620 Repair bowel opening A 12.18 5.32NA 5.32 1.51 19.01 19.01 0090.09.81.1020210 37.8975 090 44625 Repair bowel opening A 15.03 6.30NA 6.30 1.83 23.16 23.16 0090.09.81.1020210 37.8975 090 44626 Repair bowel opening A 25.32 9.81NA 9.81 3.22 38.35 38.35 0090.09.81.1020210 37.8975 090 44640 Repair bowel-skin fistula A 21.62 8.57NA 8.57 2.72 32.91 32.91 0090.09.81.1020210 37.8975 090 44650 Repair bowel fistula A 22.54 8.88NA 8.88 2.84 34.26 34.26 0090.09.81.1020210 37.8975 090 44660 Repair bowel-bladder fistula A 21.33 8.34NA 8.34 2.12 31.79 31.79 0090.09.81.1020210 37.8975 090 44661 Repair bowel-bladder fistula A 24.77 9.55NA 9.55 2.79 37.11 37.11 0090.09.81.1020210 37.8975 090 44680 Surgical revision, intestine A 15.38 6.44NA 6.44 1.89 23.71 23.71 0090.09.81.1020210 37.8975 090 44700 Suspend bowel w/prosthesis A 16.09 6.66NA 6.66 1.80 24.55 24.55 0090.09.81.1020210 37.8975 090 44701 Intraop colon lavage add-on A 3.10 1.06NA 1.06 0.37 4.53 4.53 0ZZZ.00.00.0000210 37.8975 090 44715 Prepare donor intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 44720 Prep donor intestine/venous A 5.00 1.71NA 1.71 0.37 7.08 7.08 0XXX.00.00.0020210 37.8975 090 44721 Prep donor intestine/artery A 7.00 2.39NA 2.39 0.97 10.36 10.36 0XXX.00.00.0020210 37.8975 090 44799 Unlisted procedure intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 44800 Excision of bowel pouch A 11.21 5.38NA 5.38 1.42 18.01 18.01 0090.09.81.1020210 37.8975 090 44820 Excision of mesentery lesion A 12.07 5.48NA 5.48 1.53 19.08 19.08 0090.09.81.1020210 37.8975 090 44850 Repair of mesentery A 10.72 5.00NA 5.00 1.37 17.09 17.09 0090.09.81.1020210 37.8975 090 44899 Bowel surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 44900 Drain app abscess, open A 10.12 4.69NA 4.69 1.29 16.10 16.10 0090.09.81.1020210 37.8975 090 44901 Drain app abscess, percut A 3.37 27.89 1.11 0.23 31.49 4.71 0000.00.00.0020200 37.8975 090 44950 Appendectomy A 9.99 4.31NA 4.31 1.30 15.60 15.60 0090.09.81.1020210 37.8975 090 44955 Appendectomy add-on A 1.53 0.54NA 0.54 0.19 2.26 2.26 0ZZZ.00.00.0000210 37.8975 090 44960 Appendectomy A 12.32 5.33NA 5.33 1.61 19.26 19.26 0090.09.81.1020210 37.8975 090 44970 Laparoscopy, appendectomy A 8.69 4.08NA 4.08 1.13 13.90 13.90 0090.09.81.1020220 37.8975 090 44979 Laparoscope proc, app C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 45000 Drainage of pelvic abscess A 4.51 2.96NA 2.96 0.51 7.98 7.98 0090.09.81.1020100 37.8975 090 45005 Drainage of rectal abscess A 1.99 4.05 1.58 0.24 6.28 3.81 0010.10.80.1020100 37.8975 090 45020 Drainage of rectal abscess A 4.71 3.27NA 3.27 0.54 8.52 8.52 0090.09.81.1020100 37.8975 090 45100 Biopsy of rectum A 3.67 2.36NA 2.36 0.42 6.45 6.45 0090.09.81.1020100 37.8975 090 45108 Removal of anorectal lesion A 4.75 2.77NA 2.77 0.58 8.10 8.10 0090.09.81.1020110 37.8975 090 45110 Removal of rectum A 27.96 12.39NA 12.39 3.32 43.67 43.67 0090.09.81.1020210 37.8975 090 45111 Partial removal of rectum A 16.46 7.16NA 7.16 2.04 25.66 25.66 0090.09.81.1020210 37.8975 090 45112 Removal of rectum A 30.49 11.76NA 11.76 3.38 45.63 45.63 0090.09.81.1020210 37.8975 090 45113 Partial proctectomy A 30.53 12.59NA 12.59 3.37 46.49 46.49 0090.09.81.1020210 37.8975 090 45114 Partial removal of rectum A 27.28 10.87NA 10.87 3.31 41.46 41.46 0090.09.81.1020210 37.8975 090 45116 Partial removal of rectum A 24.54 10.02NA 10.02 2.91 37.47 37.47 0090.09.81.1020210 37.8975 090 45119 Remove rectum w/reservoir A 30.79 12.45NA 12.45 3.31 46.55 46.55 0090.09.81.1020210 37.8975 090 45120 Removal of rectum A 24.56 10.12NA 10.12 2.86 37.54 37.54 0090.09.81.1020210 37.8975 090 45121 Removal of rectum and colon A 27.00 11.10NA 11.10 3.21 41.31 41.31 0090.09.81.1020210 37.8975 090 45123 Partial proctectomy A 16.68 6.85NA 6.85 1.83 25.36 25.36 0090.09.81.1020210 37.8975 090 45126 Pelvic exenteration A 45.09 19.20NA 19.20 4.27 68.56 68.56 0090.12.74.1420210 37.8975 090 45130 Excision of rectal prolapse A 16.42 6.76NA 6.76 1.76 24.94 24.94 0090.09.81.1020210 37.8975 090 45135 Excision of rectal prolapse A 19.25 8.41NA 8.41 2.34 30.00 30.00 0090.09.81.1020210 37.8975 090 45136 Excise ileoanal reservior A 27.26 12.51NA 12.51 2.71 42.48 42.48 0090.09.81.1020210 37.8975 090 45150 Excision of rectal stricture A 5.66 2.96NA 2.96 0.59 9.21 9.21 0090.09.81.1020000 37.8975 090 45160 Excision of rectal lesion A 15.30 6.64NA 6.64 1.66 23.60 23.60 0090.09.81.1020210 37.8975 090 45170 Excision of rectal lesion A 11.47 5.23NA 5.23 1.34 18.04 18.04 0090.09.81.1020210 37.8975 090 45190 Destruction, rectal tumor A 9.73 4.62NA 4.62 1.09 15.44 15.44 0090.09.81.1020210 37.8975 090 45300 Proctosigmoidoscopy dx A 0.38 1.53 0.28 0.04 1.95 0.70 0000.00.00.0020100 37.8975 090 45303 Proctosigmoidoscopy dilate A 0.44 18.68 0.33 0.05 19.17 0.82 0000.00.00.0030100 45300 37.8975 090 45305 Proctosigmoidoscopy w/bx A 1.01 2.63 0.50 0.11 3.75 1.62 0000.00.00.0030100 45300 37.8975 090 45307 Proctosigmoidoscopy fb A 0.94 3.03 0.48 0.11 4.08 1.53 0000.00.00.0030000 45300 37.8975 090 45308 Proctosigmoidoscopy removal A 0.83 1.99 0.44 0.09 2.91 1.36 0000.00.00.0030100 45300 37.8975 090 45309 Proctosigmoidoscopy removal A 2.01 2.81 0.84 0.22 5.04 3.07 0000.00.00.0030100 45300 37.8975 090 45315 Proctosigmoidoscopy removal A 1.40 2.86 0.63 0.15 4.41 2.18 0000.00.00.0030100 45300 37.8975 090 45317 Proctosigmoidoscopy bleed A 1.50 2.43 0.66 0.15 4.08 2.31 0000.00.00.0030100 45300 37.8975 090 45320 Proctosigmoidoscopy ablate A 1.58 2.91 0.71 0.16 4.65 2.45 0000.00.00.0030100 45300 37.8975 090 45321 Proctosigmoidoscopy volvul A 1.17 0.56NA 0.56 0.13 1.86 1.86 0000.00.00.0030100 45300 37.8975 090 45327 Proctosigmoidoscopy w/stent A 1.65 0.69NA 0.69 0.16 2.50 2.50 0000.00.00.0030100 45300 37.8975 090 45330 Diagnostic sigmoidoscopy A 0.96 2.27 0.50 0.08 3.31 1.54 0000.00.00.0020100 37.8975 090 45331 Sigmoidoscopy and biopsy A 1.15 3.07 0.59 0.09 4.31 1.83 0000.00.00.0030100 45330 37.8975 090 45332 Sigmoidoscopy w/fb removal A 1.79 5.00 0.80 0.16 6.95 2.75 0000.00.00.0030100 45330 37.8975 090 45333 Sigmoidoscopy & polypectomy A 1.79 4.87 0.80 0.15 6.81 2.74 0000.00.00.0030100 45330 37.8975 090 45334 Sigmoidoscopy for bleeding A 2.73 1.14NA 1.14 0.21 4.08 4.08 0000.00.00.0030100 45330 37.8975 090 45335 Sigmoidoscopy w/submuc inj A 1.46 3.21 0.69 0.11 4.78 2.26 0000.00.00.0030100 45330 37.8975 090 45337 Sigmoidoscopy & decompress A 2.36 1.00NA 1.00 0.21 3.57 3.57 0000.00.00.0030100 45330 37.8975 090 45338 Sigmoidoscopy w/tumr remove A 2.34 5.21 1.00 0.19 7.74 3.53 0000.00.00.0030100 45330 37.8975 090 45339 Sigmoidoscopy w/ablate tumr A 3.14 3.46 1.28 0.26 6.86 4.68 0000.00.00.0030100 45330 37.8975 090 45340 Sig w/balloon dilation A 1.89 6.17 0.83 0.15 8.21 2.87 0000.00.00.0030100 45330 37.8975 090 45341 Sigmoidoscopy w/ultrasound A 2.60 1.07NA 1.07 0.20 3.87 3.87 0000.00.00.0020100 37.8975 090 45342 Sigmoidoscopy w/us guide bx A 4.05 1.54NA 1.54 0.30 5.89 5.89 0000.00.00.0020100 37.8975 090 45345 Sigmoidoscopy w/stent A 2.92 1.16NA 1.16 0.23 4.31 4.31 0000.00.00.0030100 45330 37.8975 090 45355 Surgical colonoscopy A 3.51 1.38NA 1.38 0.35 5.24 5.24 0000.00.00.0020100 37.8975 090 45378 Diagnostic colonoscopy A 3.69 6.14 1.47 0.30 10.13 5.46 0000.00.00.0020100 37.8975 090 4537853Diagnostic colonoscopy A 0.96 2.27 0.50 0.08 3.31 1.54 0000.00.00.0020100 37.8975 090 45379 Colonoscopy w/fb removal A 4.68 7.66 1.81 0.39 12.73 6.88 0000.00.00.0030100 45378 37.8975 090 45380 Colonoscopy and biopsy A 4.43 7.19 1.73 0.35 11.97 6.51 0000.00.00.0030100 45378 37.8975 090 45381 Colonoscopy, submucous inj A 4.19 7.11 1.65 0.32 11.62 6.16 0000.00.00.0030100 45378 37.8975 090 45382 Colonoscopy/control bleeding A 5.68 9.94 2.18 0.43 16.05 8.29 0000.00.00.0030100 45378 37.8975 090 45383 Lesion removal colonoscopy A 5.86 7.92 2.22 0.48 14.26 8.56 0000.00.00.0030100 45378 37.8975 090 45384 Lesion remove colonoscopy A 4.69 6.80 1.82 0.38 11.87 6.89 0000.00.00.0030100 45378 37.8975 090 45385 Lesion removal colonoscopy A 5.30 7.80 2.03 0.42 13.52 7.75 0000.00.00.0030100 45378 37.8975 090 45386 Colonoscopy dilate stricture A 4.57 12.40 1.78 0.39 17.36 6.74 0000.00.00.0030100 45378 37.8975 090 45387 Colonoscopy w/stent A 5.90 2.33NA 2.33 0.48 8.71 8.71 0000.00.00.0030100 45378 37.8975 090 45391 Colonoscopy w/endoscope us A 5.09 1.97NA 1.97 0.42 7.48 7.48 0000.00.00.0030100 45378 37.8975 090 45392 Colonoscopy w/endoscopic fnb A 6.54 2.48NA 2.48 0.42 9.44 9.44 0000.00.00.0030100 45378 37.8975 090 45500 Repair of rectum A 7.28 3.53NA 3.53 0.73 11.54 11.54 0090.09.81.1020000 37.8975 090 45505 Repair of rectum A 7.57 3.85NA 3.85 0.85 12.27 12.27 0090.09.81.1020100 37.8975 090 45520 Treatment of rectal prolapse A 0.55 1.64 0.37 0.05 2.24 0.97 0000.00.00.0020100 37.8975 090 45540 Correct rectal prolapse A 16.25 6.79NA 6.79 1.82 24.86 24.86 0090.09.81.1020210 37.8975 090 45541 Correct rectal prolapse A 13.38 5.94NA 5.94 1.55 20.87 20.87 0090.09.81.1020210 37.8975 090 45550 Repair rectum/remove sigmoid A 22.97 9.21NA 9.21 2.58 34.76 34.76 0090.09.81.1020210 37.8975 090 45560 Repair of rectocele A 10.56 5.05NA 5.05 1.13 16.74 16.74 0090.09.81.1020210 37.8975 090 45562 Exploration/repair of rectum A 15.36 6.98NA 6.98 1.81 24.15 24.15 0090.09.81.1020210 37.8975 090 45563 Exploration/repair of rectum A 23.43 10.51NA 10.51 3.04 36.98 36.98 0090.09.81.1020210 37.8975 090 45800 Repair rect/bladder fistula A 17.74 7.42NA 7.42 1.83 26.99 26.99 0090.09.81.1020210 37.8975 090 45805 Repair fistula w/colostomy A 20.75 9.50NA 9.50 2.06 32.31 32.31 0090.09.81.1020210 37.8975 090 45820 Repair rectourethral fistula A 18.45 7.62NA 7.62 1.59 27.66 27.66 0090.09.81.1020210 37.8975 090 45825 Repair fistula w/colostomy A 21.22 9.81NA 9.81 2.29 33.32 33.32 0090.09.81.1020210 37.8975 090 45900 Reduction of rectal prolapse A 2.61 1.50NA 1.50 0.30 4.41 4.41 0010.10.80.1020000 37.8975 090 45905 Dilation of anal sphincter A 2.30 1.43NA 1.43 0.27 4.00 4.00 0010.10.80.1020100 37.8975 090 45910 Dilation of rectal narrowing A 2.80 1.66NA 1.66 0.29 4.75 4.75 0010.10.80.1020100 37.8975 090 45915 Remove rectal obstruction A 3.14 4.32 2.09 0.30 7.76 5.53 0010.10.80.1020100 37.8975 090 45999 Rectum surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 46020 Placement of seton A 2.90 2.33 1.85 0.31 5.54 5.06 0010.10.80.1020100 37.8975 090 46030 Removal of rectal marker A 1.23 1.35 0.71 0.13 2.71 2.07 0010.10.80.1020000 37.8975 090 46040 Incision of rectal abscess A 4.95 5.49 3.58 0.60 11.04 9.13 0090.09.81.1020100 37.8975 090 46045 Incision of rectal abscess A 4.31 2.89NA 2.89 0.53 7.73 7.73 0090.09.81.1020100 37.8975 090 46050 Incision of anal abscess A 1.19 2.54 0.84 0.13 3.86 2.16 0010.10.80.1020100 37.8975 090 46060 Incision of rectal abscess A 5.68 3.24NA 3.24 0.66 9.58 9.58 0090.09.81.1020100 37.8975 090 46070 Incision of anal septum A 2.71 1.83NA 1.83 0.35 4.89 4.89 0090.09.81.1020000 37.8975 090 46080 Incision of anal sphincter A 2.49 2.36 1.13 0.30 5.15 3.92 0010.10.80.1020100 37.8975 090 46083 Incise external hemorrhoid A 1.40 2.52 0.92 0.15 4.07 2.47 0010.10.80.1020100 37.8975 090 46200 Removal of anal fissure A 3.41 3.85 2.86 0.38 7.64 6.65 0090.09.81.1020100 37.8975 090 46210 Removal of anal crypt A 2.67 5.11 2.62 0.31 8.09 5.60 0090.09.81.1020000 37.8975 090 46211 Removal of anal crypts A 4.24 5.40 3.50 0.47 10.11 8.21 0090.09.81.1020000 37.8975 090 46220 Removal of anal tag A 1.56 2.29 0.95 0.17 4.02 2.68 0010.10.80.1020100 37.8975 090 46221 Ligation of hemorrhoid(s) A 2.04 2.64 1.74 0.22 4.90 4.00 0010.10.80.1020100 37.8975 090 46230 Removal of anal tags A 2.57 3.07 1.29 0.29 5.93 4.15 0010.10.80.1020100 37.8975 090 46250 Hemorrhoidectomy A 3.88 5.30 2.61 0.47 9.65 6.96 0090.09.81.1020100 37.8975 090 46255 Hemorrhoidectomy A 4.59 5.83 2.83 0.56 10.98 7.98 0090.09.81.1020100 37.8975 090 46257 Remove hemorrhoids & fissure A 5.39 2.87NA 2.87 0.63 8.89 8.89 0090.09.81.1020100 37.8975 090 46258 Remove hemorrhoids & fistula A 5.72 3.27NA 3.27 0.68 9.67 9.67 0090.09.81.1020000 37.8975 090 46260 Hemorrhoidectomy A 6.36 3.18NA 3.18 0.75 10.29 10.29 0090.09.81.1020100 37.8975 090 46261 Remove hemorrhoids & fissure A 7.07 3.60NA 3.60 0.79 11.46 11.46 0090.09.81.1020100 37.8975 090 46262 Remove hemorrhoids & fistula A 7.49 3.73NA 3.73 0.82 12.04 12.04 0090.09.81.1020100 37.8975 090 46270 Removal of anal fistula A 3.71 4.99 2.83 0.46 9.16 7.00 0090.09.81.1020100 37.8975 090 46275 Removal of anal fistula A 4.55 4.63 2.97 0.52 9.70 8.04 0090.09.81.1020100 37.8975 090 46280 Removal of anal fistula A 5.97 3.25NA 3.25 0.66 9.88 9.88 0090.09.81.1020100 37.8975 090 46285 Removal of anal fistula A 4.08 3.76 2.74 0.43 8.27 7.25 0090.09.81.1020100 37.8975 090 46288 Repair anal fistula A 7.12 3.67NA 3.67 0.79 11.58 11.58 0090.09.81.1020100 37.8975 090 46320 Removal of hemorrhoid clot A 1.61 2.12 0.85 0.18 3.91 2.64 0010.10.80.1020100 37.8975 090 46500 Injection into hemorrhoid(s) A 1.61 2.11 1.15 0.16 3.88 2.92 0010.10.80.1020100 37.8975 090 46600 Diagnostic anoscopy A 0.50 1.56 0.34 0.05 2.11 0.89 0000.00.00.0020100 37.8975 090 46604 Anoscopy and dilation A 1.31 9.12 0.62 0.12 10.55 2.05 0000.00.00.0030100 46600 37.8975 090 46606 Anoscopy and biopsy A 0.81 3.78 0.43 0.09 4.68 1.33 0000.00.00.0030100 46600 37.8975 090 46608 Anoscopy, remove for body A 1.51 4.40 0.65 0.16 6.07 2.32 0000.00.00.0030000 46600 37.8975 090 46610 Anoscopy, remove lesion A 1.32 4.03 0.61 0.15 5.50 2.08 0000.00.00.0030100 46600 37.8975 090 46611 Anoscopy A 1.81 3.33 0.78 0.19 5.33 2.78 0000.00.00.0030000 46600 37.8975 090 46612 Anoscopy, remove lesions A 2.34 5.18 0.98 0.27 7.79 3.59 0000.00.00.0030000 46600 37.8975 090 46614 Anoscopy, control bleeding A 2.01 2.32 0.84 0.20 4.53 3.05 0000.00.00.0030100 46600 37.8975 090 46615 Anoscopy A 2.68 2.48 1.07 0.32 5.48 4.07 0000.00.00.0030000 46600 37.8975 090 46700 Repair of anal stricture A 9.12 4.20NA 4.20 0.93 14.25 14.25 0090.09.81.1020100 37.8975 090 46705 Repair of anal stricture A 6.89 3.68NA 3.68 0.90 11.47 11.47 0090.09.81.1020210 37.8975 090 46706 Repr of anal fistula w/glue A 2.39 1.25NA 1.25 0.27 3.91 3.91 0010.10.80.1020100 37.8975 090 46715 Rep perf anoper fistu A 7.19 3.57NA 3.57 0.92 11.68 11.68 0090.09.81.1020200 37.8975 090 46716 Rep perf anoper/vestib fistu A 15.05 7.97NA 7.97 1.57 24.59 24.59 0090.09.81.1020210 37.8975 090 46730 Construction of absent anus A 26.71 12.02NA 12.02 2.45 41.18 41.18 0090.09.81.1020210 37.8975 090 46735 Construction of absent anus A 32.12 13.54NA 13.54 3.18 48.84 48.84 0090.09.81.1020210 37.8975 090 46740 Construction of absent anus A 29.96 13.22NA 13.22 2.40 45.58 45.58 0090.09.81.1020210 37.8975 090 46742 Repair of imperforated anus A 35.75 17.38NA 17.38 3.17 56.30 56.30 0090.09.81.1020210 37.8975 090 46744 Repair of cloacal anomaly A 52.55 21.11NA 21.11 6.33 79.99 79.99 0090.09.81.1020210 37.8975 090 46746 Repair of cloacal anomaly A 58.13 25.14NA 25.14 7.62 90.89 90.89 0090.09.81.1020210 37.8975 090 46748 Repair of cloacal anomaly A 64.11 23.63NA 23.63 3.34 91.08 91.08 0090.09.81.1020210 37.8975 090 46750 Repair of anal sphincter A 10.23 5.05NA 5.05 1.09 16.37 16.37 0090.09.81.1020210 37.8975 090 46751 Repair of anal sphincter A 8.76 5.41NA 5.41 0.94 15.11 15.11 0090.09.81.1020210 37.8975 090 46753 Reconstruction of anus A 8.28 3.84NA 3.84 0.94 13.06 13.06 0090.09.81.1020100 37.8975 090 46754 Removal of suture from anus A 2.20 3.59 1.67 0.19 5.98 4.06 0010.10.80.1020000 37.8975 090 46760 Repair of anal sphincter A 14.41 7.08NA 7.08 1.56 23.05 23.05 0090.09.81.1020210 37.8975 090 46761 Repair of anal sphincter A 13.82 6.00NA 6.00 1.41 21.23 21.23 0090.09.81.1020210 37.8975 090 46762 Implant artificial sphincter A 12.69 5.51NA 5.51 1.23 19.43 19.43 0090.09.81.1020210 37.8975 090 46900 Destruction, anal lesion(s) A 1.91 2.58 1.27 0.17 4.66 3.35 0010.10.80.1020100 37.8975 090 46910 Destruction, anal lesion(s) A 1.86 2.90 1.06 0.18 4.94 3.10 0010.10.80.1020100 37.8975 090 46916 Cryosurgery, anal lesion(s) A 1.86 3.15 1.39 0.11 5.12 3.36 0010.10.80.1020100 37.8975 090 46917 Laser surgery, anal lesions A 1.86 9.12 1.12 0.21 11.19 3.19 0010.10.80.1020100 37.8975 090 46922 Excision of anal lesion(s) A 1.86 3.27 1.07 0.21 5.34 3.14 0010.10.80.1020100 37.8975 090 46924 Destruction, anal lesion(s) A 2.76 8.68 1.35 0.26 11.70 4.37 0010.10.80.1020100 37.8975 090 46934 Destruction of hemorrhoids A 3.50 5.07 2.95 0.31 8.88 6.76 0090.09.81.1020100 37.8975 090 46935 Destruction of hemorrhoids A 2.43 3.46 1.21 0.23 6.12 3.87 0010.10.80.1020100 37.8975 090 46936 Destruction of hemorrhoids A 3.68 4.87 2.49 0.34 8.89 6.51 0090.09.81.1020100 37.8975 090 46937 Cryotherapy of rectal lesion A 2.69 2.77 1.22 0.14 5.60 4.05 0010.10.80.1020000 37.8975 090 46938 Cryotherapy of rectal lesion A 4.65 3.99 3.05 0.58 9.22 8.28 0090.09.81.1020000 37.8975 090 46940 Treatment of anal fissure A 2.32 1.99 1.09 0.22 4.53 3.63 0010.10.80.1020100 37.8975 090 46942 Treatment of anal fissure A 2.04 1.83 1.02 0.19 4.06 3.25 0010.10.80.1020000 37.8975 090 46945 Ligation of hemorrhoids A 1.84 3.26 2.47 0.19 5.29 4.50 0090.09.81.1020100 37.8975 090 46946 Ligation of hemorrhoids A 2.58 3.72 2.39 0.26 6.56 5.23 0090.09.81.1020100 37.8975 090 46947 Hemorrhoidopexy by stapling A 5.20 2.71NA 2.71 0.75 8.66 8.66 0090.09.81.1020100 37.8975 090 46999 Anus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 47000 Needle biopsy of liver A 1.90 3.07 0.63 0.12 5.09 2.65 0000.00.00.0020100 37.8975 090 47001 Needle biopsy, liver add-on A 1.90 0.65NA 0.65 0.24 2.79 2.79 0ZZZ.00.00.0000110 37.8975 090 47010 Open drainage, liver lesion A 15.99 8.39NA 8.39 1.77 26.15 26.15 0090.09.81.1020210 37.8975 090 47011 Percut drain, liver lesion A 3.69 1.21NA 1.21 0.22 5.12 5.12 0000.00.00.0020200 37.8975 090 47015 Inject/aspirate liver cyst A 15.09 7.48NA 7.48 1.79 24.36 24.36 0090.09.81.1020210 37.8975 090 47100 Wedge biopsy of liver A 11.65 6.03NA 6.03 1.50 19.18 19.18 0090.09.81.1020210 37.8975 090 47120 Partial removal of liver A 35.45 15.14NA 15.14 4.54 55.13 55.13 0090.09.81.1020210 37.8975 090 47122 Extensive removal of liver A 55.05 21.44NA 21.44 7.10 83.59 83.59 0090.09.81.1020210 37.8975 090 47125 Partial removal of liver A 49.12 19.50NA 19.50 6.17 74.79 74.79 0090.09.81.1020210 37.8975 090 47130 Partial removal of liver A 53.27 20.96NA 20.96 6.76 80.99 80.99 0090.09.81.1020210 37.8975 090 47133 Removal of donor liver X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 47135 Transplantation of liver R 81.40 31.50NA 31.50 9.65122.55 122.55 0090.09.81.1020212 37.8975 090 47136 Transplantation of liver R 68.50 27.01NA 27.01 8.36103.87 103.87 0090.09.81.1020212 37.8975 090 47140 Partial removal, donor liver A 54.92 22.27NA 22.27 5.13 82.32 82.32 0090.09.81.1020212 37.8975 090 47141 Partial removal, donor liver A 67.40 26.90NA 26.90 5.13 99.43 99.43 0090.09.81.1020212 37.8975 090 47142 Partial removal, donor liver A 74.89 29.46NA 29.46 5.13109.48 109.48 0090.09.81.1020210 37.8975 090 47143 Prep donor liver, whole C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 47144 Prep donor liver, 3-segment C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 37.8975 090 47145 Prep donor liver, lobe split C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 37.8975 090 47146 Prep donor liver/venous A 6.00 2.05NA 2.05 0.83 8.88 8.88 0XXX.00.00.0020210 37.8975 090 47147 Prep donor liver/arterial A 7.00 2.39NA 2.39 0.97 10.36 10.36 0XXX.00.00.0020210 37.8975 090 47300 Surgery for liver lesion A 15.06 7.22NA 7.22 1.92 24.20 24.20 0090.09.81.1020210 37.8975 090 47350 Repair liver wound A 19.53 8.86NA 8.86 2.51 30.90 30.90 0090.09.81.1020210 37.8975 090 47360 Repair liver wound A 26.88 11.57NA 11.57 3.31 41.76 41.76 0090.09.81.1020210 37.8975 090 47361 Repair liver wound A 47.05 18.51NA 18.51 5.79 71.35 71.35 0090.09.81.1020210 37.8975 090 47362 Repair liver wound A 18.48 8.71NA 8.71 2.39 29.58 29.58 0090.09.81.1020210 37.8975 090 47370 Laparo ablate liver tumor rf A 19.66 8.13NA 8.13 2.46 30.25 30.25 0090.09.81.1020210 37.8975 090 47371 Laparo ablate liver cryosurg A 19.66 8.14NA 8.14 2.58 30.38 30.38 0090.09.81.1020210 37.8975 090 47379 Laparoscope procedure, liver C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 37.8975 090 47380 Open ablate liver tumor rf A 22.97 9.35NA 9.35 2.78 35.10 35.10 0090.09.81.1020210 37.8975 090 47381 Open ablate liver tumor cryo A 23.24 9.58NA 9.58 2.81 35.63 35.63 0090.09.81.1020210 37.8975 090 47382 Percut ablate liver rf A 15.17 6.07NA 6.07 0.97 22.21 22.21 0010.10.80.1020200 37.8975 090 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 47400 Incision of liver duct A 32.44 13.43NA 13.43 3.11 48.98 48.98 0090.09.81.1020210 37.8975 090 47420 Incision of bile duct A 19.85 8.75NA 8.75 2.59 31.19 31.19 0090.09.81.1020210 37.8975 090 47425 Incision of bile duct A 19.80 8.80NA 8.80 2.57 31.17 31.17 0090.09.81.1020210 37.8975 090 47460 Incise bile duct sphincter A 18.01 8.36NA 8.36 2.10 28.47 28.47 0090.09.81.1020210 37.8975 090 47480 Incision of gallbladder A 10.80 5.90NA 5.90 1.39 18.09 18.09 0090.09.81.1020210 37.8975 090 47490 Incision of gallbladder A 7.22 5.56NA 5.56 0.44 13.22 13.22 0090.09.81.1020100 37.8975 090 47500 Injection for liver x-rays A 1.96 0.64NA 0.64 0.12 2.72 2.72 0000.00.00.0020100 37.8975 090 47505 Injection for liver x-rays A 0.76 0.25NA 0.25 0.05 1.06 1.06 0000.00.00.0020000 37.8975 090 47510 Insert catheter, bile duct A 7.82 5.01NA 5.01 0.48 13.31 13.31 0090.09.81.1020100 37.8975 090 47511 Insert bile duct drain A 10.48 5.08NA 5.08 0.63 16.19 16.19 0090.09.81.1021100 37.8975 090 47525 Change bile duct catheter A 5.54 15.09 2.80 0.33 20.96 8.67 0010.10.80.1021100 37.8975 090 47530 Revise/reinsert bile tube A 5.84 33.78 3.71 0.37 39.99 9.92 0090.09.81.1020100 37.8975 090 47550 Bile duct endoscopy add-on A 3.02 1.02NA 1.02 0.39 4.43 4.43 0ZZZ.00.00.0000210 37.8975 090 47552 Biliary endoscopy thru skin A 6.03 2.37NA 2.37 0.43 8.83 8.83 0000.00.00.0020110 37.8975 090 47553 Biliary endoscopy thru skin A 6.34 2.06NA 2.06 0.40 8.80 8.80 0000.00.00.0030100 47552 37.8975 090 47554 Biliary endoscopy thru skin A 9.05 3.35NA 3.35 0.95 13.35 13.35 0000.00.00.0030110 47552 37.8975 090 47555 Biliary endoscopy thru skin A 7.55 2.46NA 2.46 0.45 10.46 10.46 0000.00.00.0030100 47552 37.8975 090 47556 Biliary endoscopy thru skin A 8.55 2.78NA 2.78 0.51 11.84 11.84 0000.00.00.0030100 47552 37.8975 090 47560 Laparoscopy w/cholangio A 4.88 1.67NA 1.67 0.64 7.19 7.19 0000.00.00.0020000 37.8975 090 47561 Laparo w/cholangio/biopsy A 5.17 1.91NA 1.91 0.64 7.72 7.72 0000.00.00.0020000 37.8975 090 47562 Laparoscopic cholecystectomy A 11.07 4.98NA 4.98 1.44 17.49 17.49 0090.09.81.1020210 37.8975 090 47563 Laparo cholecystectomy/graph A 11.92 5.29NA 5.29 1.56 18.77 18.77 0090.09.81.1020210 37.8975 090 47564 Laparo cholecystectomy/explr A 14.21 5.94NA 5.94 1.86 22.01 22.01 0090.09.81.1020210 37.8975 090 47570 Laparo cholecystoenterostomy A 12.56 5.36NA 5.36 1.63 19.55 19.55 0090.09.81.1020210 37.8975 090 47579 Laparoscope proc, biliary C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 47600 Removal of gallbladder A 13.56 6.12NA 6.12 1.77 21.45 21.45 0090.09.81.1020210 37.8975 090 47605 Removal of gallbladder A 14.67 6.49NA 6.49 1.92 23.08 23.08 0090.09.81.1020210 37.8975 090 47610 Removal of gallbladder A 18.79 7.92NA 7.92 2.45 29.16 29.16 0090.09.81.1020210 37.8975 090 47612 Removal of gallbladder A 18.75 7.87NA 7.87 2.46 29.08 29.08 0090.09.81.1020210 37.8975 090 47620 Removal of gallbladder A 20.61 8.51NA 8.51 2.70 31.82 31.82 0090.09.81.1020210 37.8975 090 47630 Remove bile duct stone A 9.10 4.88NA 4.88 0.65 14.63 14.63 0090.09.81.1020110 37.8975 090 47700 Exploration of bile ducts A 15.60 7.40NA 7.40 2.02 25.02 25.02 0090.09.81.1020210 37.8975 090 47701 Bile duct revision A 27.77 11.47NA 11.47 3.64 42.88 42.88 0090.09.81.1020000 37.8975 090 47711 Excision of bile duct tumor A 23.00 9.91NA 9.91 3.01 35.92 35.92 0090.09.81.1020210 37.8975 090 47712 Excision of bile duct tumor A 30.19 12.40NA 12.40 3.87 46.46 46.46 0090.09.81.1020210 37.8975 090 47715 Excision of bile duct cyst A 18.77 8.42NA 8.42 2.45 29.64 29.64 0090.09.81.1020210 37.8975 090 47716 Fusion of bile duct cyst A 16.42 7.81NA 7.81 2.12 26.35 26.35 0090.09.81.1020210 37.8975 090 47720 Fuse gallbladder & bowel A 15.89 7.46NA 7.46 2.08 25.43 25.43 0090.09.81.1020210 37.8975 090 47721 Fuse upper gi structures A 19.09 8.55NA 8.55 2.48 30.12 30.12 0090.09.81.1020210 37.8975 090 47740 Fuse gallbladder & bowel A 18.45 8.36NA 8.36 2.35 29.16 29.16 0090.09.81.1020210 37.8975 090 47741 Fuse gallbladder & bowel A 21.31 9.27NA 9.27 2.81 33.39 33.39 0090.09.81.1020210 37.8975 090 47760 Fuse bile ducts and bowel A 25.81 10.83NA 10.83 3.37 40.01 40.01 0090.09.81.1020210 37.8975 090 47765 Fuse liver ducts & bowel A 24.84 10.78NA 10.78 3.24 38.86 38.86 0090.09.81.1020210 37.8975 090 47780 Fuse bile ducts and bowel A 26.46 11.19NA 11.19 3.43 41.08 41.08 0090.09.81.1020210 37.8975 090 47785 Fuse bile ducts and bowel A 31.13 12.89NA 12.89 3.99 48.01 48.01 0090.09.81.1020210 37.8975 090 47800 Reconstruction of bile ducts A 23.27 10.04NA 10.04 2.98 36.29 36.29 0090.09.81.1020210 37.8975 090 47801 Placement, bile duct support A 15.15 8.14NA 8.14 1.16 24.45 24.45 0090.09.81.1020210 37.8975 090 47802 Fuse liver duct & intestine A 21.52 9.65NA 9.65 2.82 33.99 33.99 0090.09.81.1020210 37.8975 090 47900 Suture bile duct injury A 19.87 8.85NA 8.85 2.63 31.35 31.35 0090.09.81.1020210 37.8975 090 47999 Bile tract surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 48000 Drainage of abdomen A 28.03 11.49NA 11.49 3.37 42.89 42.89 0090.09.81.1020210 37.8975 090 48001 Placement of drain, pancreas A 35.40 13.86NA 13.86 4.60 53.86 53.86 0090.09.81.1020210 37.8975 090 48005 Resect/debride pancreas A 42.11 16.54NA 16.54 5.45 64.10 64.10 0090.09.81.1020210 37.8975 090 48020 Removal of pancreatic stone A 15.68 7.29NA 7.29 2.10 25.07 25.07 0090.09.81.1020210 37.8975 090 48100 Biopsy of pancreas, open A 12.21 5.58NA 5.58 1.56 19.35 19.35 0090.09.81.1020210 37.8975 090 48102 Needle biopsy, pancreas A 4.67 7.95 1.94 0.29 12.91 6.90 0010.10.80.1020100 37.8975 090 48120 Removal of pancreas lesion A 15.83 6.84NA 6.84 2.06 24.73 24.73 0090.09.81.1020210 37.8975 090 48140 Partial removal of pancreas A 22.91 9.52NA 9.52 2.97 35.40 35.40 0090.09.81.1020210 37.8975 090 48145 Partial removal of pancreas A 23.98 9.81NA 9.81 3.15 36.94 36.94 0090.09.81.1020210 37.8975 090 48146 Pancreatectomy A 26.36 11.97NA 11.97 3.45 41.78 41.78 0090.09.81.1020210 37.8975 090 48148 Removal of pancreatic duct A 17.31 7.59NA 7.59 2.22 27.12 27.12 0090.09.81.1020210 37.8975 090 48150 Partial removal of pancreas A 47.93 19.48NA 19.48 6.23 73.64 73.64 0090.09.81.1020210 37.8975 090 48152 Pancreatectomy A 43.68 18.18NA 18.18 5.77 67.63 67.63 0090.09.81.1020210 37.8975 090 48153 Pancreatectomy A 47.82 19.52NA 19.52 6.26 73.60 73.60 0090.09.81.1020210 37.8975 090 48154 Pancreatectomy A 44.03 18.21NA 18.21 5.77 68.01 68.01 0090.09.81.1020210 37.8975 090 48155 Removal of pancreas A 24.60 11.65NA 11.65 3.20 39.45 39.45 0090.09.81.1020210 37.8975 090 48160 Pancreas removal/transplant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 48180 Fuse pancreas and bowel A 24.68 10.14NA 10.14 3.22 38.04 38.04 0090.09.81.1020210 37.8975 090 48400 Injection, intraop add-on A 1.95 0.64NA 0.64 0.15 2.74 2.74 0ZZZ.00.00.0000000 37.8975 090 48500 Surgery of pancreatic cyst A 15.26 7.32NA 7.32 2.00 24.58 24.58 0090.09.81.1020210 37.8975 090 48510 Drain pancreatic pseudocyst A 14.29 7.43NA 7.43 1.78 23.50 23.50 0090.09.81.1020210 37.8975 090 48511 Drain pancreatic pseudocyst A 3.99 20.89 1.31 0.24 25.12 5.54 0000.00.00.0020200 37.8975 090 48520 Fuse pancreas cyst and bowel A 15.57 6.69NA 6.69 2.02 24.28 24.28 0090.09.81.1020210 37.8975 090 48540 Fuse pancreas cyst and bowel A 19.69 8.10NA 8.10 2.53 30.32 30.32 0090.09.81.1020210 37.8975 090 48545 Pancreatorrhaphy A 18.15 7.97NA 7.97 2.32 28.44 28.44 0090.09.81.1020210 37.8975 090 48547 Duodenal exclusion A 25.79 10.47NA 10.47 3.33 39.59 39.59 0090.09.81.1020210 37.8975 090 48550 Donor pancreatectomy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 48551 Prep donor pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 48552 Prep donor pancreas/venous A 4.30 1.46NA 1.46 0.31 6.07 6.07 0XXX.00.00.0020210 37.8975 090 48554 Transpl allograft pancreas R 34.12 18.25NA 18.25 4.13 56.50 56.50 0090.09.81.1020222 37.8975 090 48556 Removal, allograft pancreas A 15.69 8.06NA 8.06 2.00 25.75 25.75 0090.09.81.1020222 37.8975 090 48999 Pancreas surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 49000 Exploration of abdomen A 11.66 5.37NA 5.37 1.48 18.51 18.51 0090.09.81.1020210 37.8975 090 49002 Reopening of abdomen A 10.47 5.01NA 5.01 1.34 16.82 16.82 0090.09.81.1020210 37.8975 090 49010 Exploration behind abdomen A 12.26 5.89NA 5.89 1.51 19.66 19.66 0090.09.81.1020210 37.8975 090 49020 Drain abdominal abscess A 22.81 10.18NA 10.18 2.75 35.74 35.74 0090.09.81.1020200 37.8975 090 49021 Drain abdominal abscess A 3.37 21.05 1.11 0.20 24.62 4.68 0000.00.00.0020100 37.8975 090 49040 Drain, open, abdom abscess A 13.50 6.41NA 6.41 1.65 21.56 21.56 0090.09.81.1020210 37.8975 090 49041 Drain, percut, abdom abscess A 3.99 19.51 1.31 0.24 23.74 5.54 0000.00.00.0020200 37.8975 090 49060 Drain, open, retrop abscess A 15.84 7.42NA 7.42 1.75 25.01 25.01 0090.09.81.1020110 37.8975 090 49061 Drain, percut, retroper absc A 3.69 19.62 1.21 0.22 23.53 5.12 0000.00.00.0020200 37.8975 090 49062 Drain to peritoneal cavity A 11.34 5.42NA 5.42 1.40 18.16 18.16 0090.09.81.1020210 37.8975 090 49080 Puncture, peritoneal cavity A 1.35 3.98 0.46 0.09 5.42 1.90 0000.00.00.0020100 37.8975 090 49081 Removal of abdominal fluid A 1.26 2.58 0.43 0.09 3.93 1.78 0000.00.00.0020100 37.8975 090 49085 Remove abdomen foreign body A 12.12 5.49NA 5.49 1.55 19.16 19.16 0090.09.81.1020110 37.8975 090 49180 Biopsy, abdominal mass A 1.73 3.10 0.57 0.11 4.94 2.41 0000.00.00.0020100 37.8975 090 49200 Removal of abdominal lesion A 10.23 5.02NA 5.02 1.20 16.45 16.45 0090.09.81.1020210 37.8975 090 49201 Remove abdom lesion, complex A 14.82 7.02NA 7.02 1.77 23.61 23.61 0090.09.81.1020210 37.8975 090 49215 Excise sacral spine tumor A 33.45 14.04NA 14.04 4.24 51.73 51.73 0090.09.81.1020210 37.8975 090 49220 Multiple surgery, abdomen A 14.86 6.62NA 6.62 1.88 23.36 23.36 0090.09.81.1020210 37.8975 090 49250 Excision of umbilicus A 8.34 4.26NA 4.26 1.07 13.67 13.67 0090.09.81.1020110 37.8975 090 49255 Removal of omentum A 11.12 5.60NA 5.60 1.40 18.12 18.12 0090.09.81.1020210 37.8975 090 49320 Diag laparo separate proc A 5.09 2.63NA 2.63 0.63 8.35 8.35 0010.10.80.1020200 37.8975 090 49321 Laparoscopy, biopsy A 5.39 2.64NA 2.64 0.69 8.72 8.72 0010.10.80.1030220 49320 37.8975 090 49322 Laparoscopy, aspiration A 5.69 2.99NA 2.99 0.71 9.39 9.39 0010.10.80.1030220 49320 37.8975 090 49323 Laparo drain lymphocele A 9.47 4.49NA 4.49 1.18 15.14 15.14 0090.10.80.1030220 49320 37.8975 090 49329 Laparo proc, abdm/per/oment C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 49400 Air injection into abdomen A 1.88 3.07 0.62 0.15 5.10 2.65 0000.00.00.0020100 37.8975 090 49419 Insrt abdom cath for chemotx A 6.64 3.56NA 3.56 0.80 11.00 11.00 0090.09.81.1020100 37.8975 090 49420 Insert abdom drain, temp A 2.22 1.09NA 1.09 0.21 3.52 3.52 0000.00.00.0020100 37.8975 090 49421 Insert abdom drain, perm A 5.53 3.15NA 3.15 0.70 9.38 9.38 0090.09.81.1020100 37.8975 090 49422 Remove perm cannula/catheter A 6.24 2.89NA 2.89 0.79 9.92 9.92 0010.10.80.1020100 37.8975 090 49423 Exchange drainage catheter A 1.46 14.07 0.52 0.09 15.62 2.07 0000.00.00.0020000 37.8975 090 49424 Assess cyst, contrast inject A 0.76 3.71 0.29 0.05 4.52 1.10 0000.00.00.0020000 37.8975 090 49425 Insert abdomen-venous drain A 11.35 5.59NA 5.59 1.50 18.44 18.44 0090.09.81.1020210 37.8975 090 49426 Revise abdomen-venous shunt A 9.62 4.76NA 4.76 1.25 15.63 15.63 0090.09.81.1020100 37.8975 090 49427 Injection, abdominal shunt A 0.89 0.30NA 0.30 0.07 1.26 1.26 0000.00.00.0020000 37.8975 090 49428 Ligation of shunt A 6.05 3.92NA 3.92 0.80 10.77 10.77 0010.10.80.1020100 37.8975 090 49429 Removal of shunt A 7.39 3.42NA 3.42 1.00 11.81 11.81 0010.10.80.1020100 37.8975 090 49491 Rpr hern preemie reduc A 11.11 5.05NA 5.05 1.40 17.56 17.56 0090.09.81.1021210 37.8975 090 49492 Rpr ing hern premie, blocked A 14.01 6.10NA 6.10 1.78 21.89 21.89 0090.09.81.1021210 37.8975 090 49495 Rpr ing hernia baby, reduc A 5.88 2.95NA 2.95 0.73 9.56 9.56 0090.09.81.1021210 37.8975 090 49496 Rpr ing hernia baby, blocked A 8.78 4.27NA 4.27 1.07 14.12 14.12 0090.09.81.1021210 37.8975 090 49500 Rpr ing hernia, init, reduce A 5.47 3.11NA 3.11 0.71 9.29 9.29 0090.09.81.1021210 37.8975 090 49501 Rpr ing hernia, init blocked A 8.87 4.20NA 4.20 1.08 14.15 14.15 0090.09.81.1021210 37.8975 090 49505 Prp i/hern init reduc >5 yr A 7.59 3.74NA 3.74 1.01 12.34 12.34 0090.09.81.1021210 37.8975 090 49507 Prp i/hern init block >5 yr A 9.56 4.45NA 4.45 1.25 15.26 15.26 0090.09.81.1021210 37.8975 090 49520 Rerepair ing hernia, reduce A 9.62 4.43NA 4.43 1.27 15.32 15.32 0090.09.81.1021210 37.8975 090 49521 Rerepair ing hernia, blocked A 11.95 5.23NA 5.23 1.56 18.74 18.74 0090.09.81.1021210 37.8975 090 49525 Repair ing hernia, sliding A 8.56 4.07NA 4.07 1.11 13.74 13.74 0090.09.81.1021210 37.8975 090 49540 Repair lumbar hernia A 10.37 4.74NA 4.74 1.36 16.47 16.47 0090.09.81.1021210 37.8975 090 49550 Rpr rem hernia, init, reduce A 8.62 4.12NA 4.12 1.13 13.87 13.87 0090.09.81.1021210 37.8975 090 49553 Rpr fem hernia, init blocked A 9.43 4.41NA 4.41 1.23 15.07 15.07 0090.09.81.1021210 37.8975 090 49555 Rerepair fem hernia, reduce A 9.02 4.26NA 4.26 1.18 14.46 14.46 0090.09.81.1021210 37.8975 090 49557 Rerepair fem hernia, blocked A 11.13 4.98NA 4.98 1.46 17.57 17.57 0090.09.81.1021210 37.8975 090 49560 Rpr ventral hern init, reduc A 11.55 5.14NA 5.14 1.50 18.19 18.19 0090.09.81.1021210 37.8975 090 49561 Rpr ventral hern init, block A 14.23 6.05NA 6.05 1.85 22.13 22.13 0090.09.81.1021210 37.8975 090 49565 Rerepair ventrl hern, reduce A 11.55 5.21NA 5.21 1.51 18.27 18.27 0090.09.81.1021210 37.8975 090 49566 Rerepair ventrl hern, block A 14.38 6.12NA 6.12 1.87 22.37 22.37 0090.09.81.1021210 37.8975 090 49568 Hernia repair w/mesh A 4.88 1.67NA 1.67 0.64 7.19 7.19 0ZZZ.00.00.0000210 37.8975 090 49570 Rpr epigastric hern, reduce A 5.68 3.16NA 3.16 0.74 9.58 9.58 0090.09.81.1021210 37.8975 090 49572 Rpr epigastric hern, blocked A 6.72 3.46NA 3.46 0.88 11.06 11.06 0090.09.81.1021210 37.8975 090 49580 Rpr umbil hern, reduc < 5 yr A 4.10 2.59NA 2.59 0.50 7.19 7.19 0090.09.81.1020210 37.8975 090 49582 Rpr umbil hern, block < 5 yr A 6.64 3.46NA 3.46 0.88 10.98 10.98 0090.09.81.1020210 37.8975 090 49585 Rpr umbil hern, reduc > 5 yr A 6.22 3.29NA 3.29 0.81 10.32 10.32 0090.09.81.1020210 37.8975 090 49587 Rpr umbil hern, block > 5 yr A 7.55 3.73NA 3.73 0.98 12.26 12.26 0090.09.81.1020210 37.8975 090 49590 Repair spigelian hernia A 8.53 4.08NA 4.08 1.11 13.72 13.72 0090.09.81.1021210 37.8975 090 49600 Repair umbilical lesion A 10.94 5.32NA 5.32 1.32 17.58 17.58 0090.09.81.1020210 37.8975 090 49605 Repair umbilical lesion A 75.89 28.50NA 28.50 9.29113.68 113.68 0090.09.81.1020210 37.8975 090 49606 Repair umbilical lesion A 18.57 7.68NA 7.68 2.42 28.67 28.67 0090.09.81.1020210 37.8975 090 49610 Repair umbilical lesion A 10.48 5.19NA 5.19 1.07 16.74 16.74 0090.09.81.1020210 37.8975 090 49611 Repair umbilical lesion A 8.91 6.97NA 6.97 0.78 16.66 16.66 0090.09.81.1020210 37.8975 090 49650 Laparo hernia repair initial A 6.26 3.19NA 3.19 0.92 10.37 10.37 0090.09.81.1021210 37.8975 090 49651 Laparo hernia repair recur A 8.23 4.04NA 4.04 1.13 13.40 13.40 0090.09.81.1021210 37.8975 090 49659 Laparo proc, hernia repair C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 49900 Repair of abdominal wall A 12.26 6.22NA 6.22 1.55 20.03 20.03 0090.09.81.1020210 37.8975 090 49904 Omental flap, extra-abdom A 19.97 15.21NA 15.21 2.63 37.81 37.81 0090.10.80.1020111 37.8975 090 49905 Omental flap, intra-abdom A 6.54 2.29NA 2.29 0.77 9.60 9.60 0ZZZ.00.00.0000220 37.8975 090 49906 Free omental flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020110 37.8975 090 49999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 50010 Exploration of kidney A 10.96 5.21NA 5.21 0.94 17.11 17.11 0090.08.83.0920210 37.8975 090 50020 Renal abscess, open drain A 14.64 7.74NA 7.74 1.28 23.66 23.66 0090.08.83.0920110 37.8975 090 50021 Renal abscess, percut drain A 3.37 21.65 1.10 0.20 25.22 4.67 0000.00.00.0020200 37.8975 090 50040 Drainage of kidney A 14.92 6.80NA 6.80 1.07 22.79 22.79 0090.08.83.0920110 37.8975 090 50045 Exploration of kidney A 15.44 6.59NA 6.59 1.26 23.29 23.29 0090.08.83.0920210 37.8975 090 50060 Removal of kidney stone A 19.27 7.82NA 7.82 1.36 28.45 28.45 0090.08.83.0920210 37.8975 090 50065 Incision of kidney A 20.76 6.07NA 6.07 1.58 28.41 28.41 0090.08.83.0920200 37.8975 090 50070 Incision of kidney A 20.29 8.21NA 8.21 1.43 29.93 29.93 0090.08.83.0920210 37.8975 090 50075 Removal of kidney stone A 25.30 9.89NA 9.89 1.80 36.99 36.99 0090.08.83.0920210 37.8975 090 50080 Removal of kidney stone A 14.69 6.27NA 6.27 1.04 22.00 22.00 0090.08.83.0921100 37.8975 090 50081 Removal of kidney stone A 21.77 8.75NA 8.75 1.54 32.06 32.06 0090.08.83.0921210 37.8975 090 50100 Revise kidney blood vessels A 16.07 7.78NA 7.78 2.02 25.87 25.87 0090.08.83.0920210 37.8975 090 50120 Exploration of kidney A 15.89 6.76NA 6.76 1.22 23.87 23.87 0090.08.83.0921210 37.8975 090 50125 Explore and drain kidney A 16.50 6.96NA 6.96 1.43 24.89 24.89 0090.08.83.0921210 37.8975 090 50130 Removal of kidney stone A 17.26 7.16NA 7.16 1.22 25.64 25.64 0090.08.83.0921210 37.8975 090 50135 Exploration of kidney A 19.15 7.77NA 7.77 1.37 28.29 28.29 0090.08.83.0921210 37.8975 090 50200 Biopsy of kidney A 2.63 1.29NA 1.29 0.16 4.08 4.08 0000.00.00.0021100 37.8975 090 50205 Biopsy of kidney A 11.29 5.01NA 5.01 1.30 17.60 17.60 0090.08.83.0921210 37.8975 090 50220 Remove kidney, open A 17.12 7.23NA 7.23 1.38 25.73 25.73 0090.08.83.0921210 37.8975 090 50225 Removal kidney open, complex A 20.20 8.14NA 8.14 1.50 29.84 29.84 0090.08.83.0921210 37.8975 090 50230 Removal kidney open, radical A 22.04 8.57NA 8.57 1.59 32.20 32.20 0090.08.83.0921220 37.8975 090 50234 Removal of kidney & ureter A 22.37 8.82NA 8.82 1.61 32.80 32.80 0090.08.83.0920210 37.8975 090 50236 Removal of kidney & ureter A 24.82 10.24NA 10.24 1.75 36.81 36.81 0090.08.83.0920210 37.8975 090 50240 Partial removal of kidney A 21.97 9.00NA 9.00 1.59 32.56 32.56 0090.08.83.0920210 37.8975 090 50280 Removal of kidney lesion A 15.65 6.68NA 6.68 1.19 23.52 23.52 0090.08.83.0920210 37.8975 090 50290 Removal of kidney lesion A 14.71 6.45NA 6.45 1.39 22.55 22.55 0090.08.83.0920210 37.8975 090 50300 Remove cadaver donor kidney X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 50320 Remove kidney, living donor A 22.18 10.65NA 10.65 2.36 35.19 35.19 0090.08.83.0921210 37.8975 090 50323 Prep cadaver renal allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 50325 Prep donor renal graft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 37.8975 090 50327 Prep renal graft/venous A 4.00 1.35NA 1.35 0.29 5.64 5.64 0XXX.00.00.0020210 37.8975 090 50328 Prep renal graft/arterial A 3.50 1.18NA 1.18 0.26 4.94 4.94 0XXX.00.00.0020210 37.8975 090 50329 Prep renal graft/ureteral A 3.34 1.13NA 1.13 0.25 4.72 4.72 0XXX.00.00.0020210 37.8975 090 50340 Removal of kidney A 12.13 6.49NA 6.49 1.64 20.26 20.26 0090.08.83.0921210 37.8975 090 50360 Transplantation of kidney A 31.48 15.47NA 15.47 3.78 50.73 50.73 0090.08.83.0920222 37.8975 090 50365 Transplantation of kidney A 36.75 18.19NA 18.19 4.39 59.33 59.33 0090.08.83.0921222 37.8975 090 50370 Remove transplanted kidney A 13.70 7.14NA 7.14 1.65 22.49 22.49 0090.08.83.0920210 37.8975 090 50380 Reimplantation of kidney A 20.73 12.02NA 12.02 2.41 35.16 35.16 0090.08.83.0920210 37.8975 090 50390 Drainage of kidney lesion A 1.96 0.64NA 0.64 0.12 2.72 2.72 0000.00.00.0021100 37.8975 090 50391 Instll rx agnt into rnal tub A 1.96 1.58 0.63 0.14 3.68 2.73 0000.00.00.0020100 37.8975 090 50392 Insert kidney drain A 3.37 1.52NA 1.52 0.21 5.10 5.10 0000.00.00.0021100 37.8975 090 50393 Insert ureteral tube A 4.15 1.78NA 1.78 0.25 6.18 6.18 0000.00.00.0021100 37.8975 090 50394 Injection for kidney x-ray A 0.76 2.68 0.66 0.05 3.49 1.47 0000.00.00.0021100 37.8975 090 50395 Create passage to kidney A 3.37 1.50NA 1.50 0.21 5.08 5.08 0000.00.00.0021100 37.8975 090 50396 Measure kidney pressure A 2.09 1.08NA 1.08 0.13 3.30 3.30 0000.00.00.0021000 37.8975 090 50398 Change kidney tube A 1.46 16.31 0.52 0.09 17.86 2.07 0000.00.00.0021100 37.8975 090 50400 Revision of kidney/ureter A 19.47 7.87NA 7.87 1.40 28.74 28.74 0090.08.83.0920210 37.8975 090 50405 Revision of kidney/ureter A 23.89 9.02NA 9.02 1.76 34.67 34.67 0090.08.83.0920210 37.8975 090 50500 Repair of kidney wound A 19.54 8.38NA 8.38 2.00 29.92 29.92 0090.08.83.0920210 37.8975 090 50520 Close kidney-skin fistula A 17.20 7.42NA 7.42 1.49 26.11 26.11 0090.08.83.0920210 37.8975 090 50525 Repair renal-abdomen fistula A 22.24 8.99NA 8.99 1.82 33.05 33.05 0090.08.83.0920210 37.8975 090 50526 Repair renal-abdomen fistula A 23.98 9.85NA 9.85 1.95 35.78 35.78 0090.08.83.0920200 37.8975 090 50540 Revision of horseshoe kidney A 19.90 8.32NA 8.32 1.35 29.57 29.57 0090.08.83.0922210 37.8975 090 50541 Laparo ablate renal cyst A 15.98 6.48NA 6.48 1.15 23.61 23.61 0090.08.83.0920210 37.8975 090 50542 Laparo ablate renal mass A 19.97 8.13NA 8.13 1.39 29.49 29.49 0090.08.83.0920210 37.8975 090 50543 Laparo partial nephrectomy A 25.46 10.19NA 10.19 1.84 37.49 37.49 0090.08.83.0920210 37.8975 090 50544 Laparoscopy, pyeloplasty A 22.37 8.52NA 8.52 1.57 32.46 32.46 0090.08.83.0920210 37.8975 090 50545 Laparo radical nephrectomy A 23.96 9.18NA 9.18 1.74 34.88 34.88 0090.08.83.0921210 37.8975 090 50546 Laparoscopic nephrectomy A 20.45 8.36NA 8.36 1.56 30.37 30.37 0090.08.83.0920210 37.8975 090 50547 Laparo removal donor kidney A 25.46 11.10NA 11.10 2.74 39.30 39.30 0090.08.83.0921210 37.8975 090 50548 Laparo remove w/ureter A 24.36 9.17NA 9.17 1.74 35.27 35.27 0090.08.83.0920210 37.8975 090 50549 Laparoscope proc, renal C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 50551 Kidney endoscopy A 5.59 4.14 1.97 0.41 10.14 7.97 0000.00.00.0021000 37.8975 090 50553 Kidney endoscopy A 5.98 4.36 2.17 0.39 10.73 8.54 0000.00.00.0021100 37.8975 090 50555 Kidney endoscopy & biopsy A 6.52 4.81 2.33 0.46 11.79 9.31 0000.00.00.0031000 50551 37.8975 090 50557 Kidney endoscopy & treatment A 6.61 4.58 2.29 0.47 11.66 9.37 0000.00.00.0031000 50551 37.8975 090 50561 Kidney endoscopy & treatment A 7.58 5.08 2.64 0.54 13.20 10.76 0000.00.00.0031000 50551 37.8975 090 50562 Renal scope w/tumor resect A 10.90 4.31NA 4.31 0.76 15.97 15.97 0090.08.83.0920210 37.8975 090 50570 Kidney endoscopy A 9.53 3.21NA 3.21 0.68 13.42 13.42 0000.00.00.0021000 37.8975 090 50572 Kidney endoscopy A 10.33 3.50NA 3.50 0.84 14.67 14.67 0000.00.00.0031000 50570 37.8975 090 50574 Kidney endoscopy & biopsy A 11.00 3.74NA 3.74 0.79 15.53 15.53 0000.00.00.0031000 50570 37.8975 090 50575 Kidney endoscopy A 13.96 4.63NA 4.63 1.00 19.59 19.59 0000.00.00.0031100 50570 37.8975 090 50576 Kidney endoscopy & treatment A 10.97 3.66NA 3.66 0.78 15.41 15.41 0000.00.00.0031000 50570 37.8975 090 50580 Kidney endoscopy & treatment A 11.84 3.96NA 3.96 0.88 16.68 16.68 0000.00.00.0031000 50570 37.8975 090 50590 Fragmenting of kidney stone A 9.08 12.39 4.11 0.65 22.12 13.84 0090.08.83.0921100 37.8975 090 50600 Exploration of ureter A 15.82 6.66NA 6.66 1.21 23.69 23.69 0090.08.83.0921210 37.8975 090 50605 Insert ureteral support A 15.44 6.73NA 6.73 1.46 23.63 23.63 0090.08.83.0921210 37.8975 090 50610 Removal of ureter stone A 15.90 6.96NA 6.96 1.38 24.24 24.24 0090.08.83.0921210 37.8975 090 50620 Removal of ureter stone A 15.14 6.33NA 6.33 1.09 22.56 22.56 0090.08.83.0921210 37.8975 090 50630 Removal of ureter stone A 14.92 6.27NA 6.27 1.11 22.30 22.30 0090.08.83.0921210 37.8975 090 50650 Removal of ureter A 17.38 7.22NA 7.22 1.26 25.86 25.86 0090.08.83.0920210 37.8975 090 50660 Removal of ureter A 19.52 7.95NA 7.95 1.43 28.90 28.90 0090.08.83.0920210 37.8975 090 50684 Injection for ureter x-ray A 0.76 4.97 0.47 0.05 5.78 1.28 0000.00.00.0021100 37.8975 090 50686 Measure ureter pressure A 1.51 3.44 0.82 0.11 5.06 2.44 0000.00.00.0020000 37.8975 090 50688 Change of ureter tube A 1.17 1.06NA 1.06 0.07 2.30 2.30 0010.10.80.1020100 37.8975 090 50690 Injection for ureter x-ray A 1.16 1.82 0.72 0.07 3.05 1.95 0000.00.00.0020100 37.8975 090 50700 Revision of ureter A 15.19 7.11NA 7.11 1.28 23.58 23.58 0090.08.83.0920210 37.8975 090 50715 Release of ureter A 18.87 8.73NA 8.73 2.11 29.71 29.71 0090.08.83.0921210 37.8975 090 50722 Release of ureter A 16.33 7.80NA 7.80 1.88 26.01 26.01 0090.08.83.0920210 37.8975 090 50725 Release/revise ureter A 18.46 8.04NA 8.04 1.51 28.01 28.01 0090.08.83.0920210 37.8975 090 50727 Revise ureter A 8.17 4.27NA 4.27 0.62 13.06 13.06 0090.08.83.0920220 37.8975 090 50728 Revise ureter A 12.00 5.55NA 5.55 1.01 18.56 18.56 0090.08.83.0920220 37.8975 090 50740 Fusion of ureter & kidney A 18.39 7.73NA 7.73 1.96 28.08 28.08 0090.08.83.0920210 37.8975 090 50750 Fusion of ureter & kidney A 19.48 7.98NA 7.98 1.38 28.84 28.84 0090.08.83.0920200 37.8975 090 50760 Fusion of ureters A 18.39 7.67NA 7.67 1.58 27.64 27.64 0090.08.83.0920210 37.8975 090 50770 Splicing of ureters A 19.48 7.97NA 7.97 1.48 28.93 28.93 0090.08.83.0920210 37.8975 090 50780 Reimplant ureter in bladder A 18.33 7.58NA 7.58 1.53 27.44 27.44 0090.08.83.0921210 37.8975 090 50782 Reimplant ureter in bladder A 19.51 8.76NA 8.76 1.58 29.85 29.85 0090.08.83.0921220 37.8975 090 50783 Reimplant ureter in bladder A 20.52 8.21NA 8.21 1.97 30.70 30.70 0090.08.83.0921220 37.8975 090 50785 Reimplant ureter in bladder A 20.49 8.29NA 8.29 1.56 30.34 30.34 0090.08.83.0921210 37.8975 090 50800 Implant ureter in bowel A 14.50 6.46NA 6.46 1.20 22.16 22.16 0090.08.83.0921210 37.8975 090 50810 Fusion of ureter & bowel A 20.02 9.08NA 9.08 2.30 31.40 31.40 0090.08.83.0920210 37.8975 090 50815 Urine shunt to intestine A 19.90 8.44NA 8.44 1.60 29.94 29.94 0090.08.83.0921210 37.8975 090 50820 Construct bowel bladder A 21.86 8.63NA 8.63 1.88 32.37 32.37 0090.08.83.0921210 37.8975 090 50825 Construct bowel bladder A 28.14 11.12NA 11.12 2.08 41.34 41.34 0090.08.83.0920210 37.8975 090 50830 Revise urine flow A 31.23 12.16NA 12.16 2.34 45.73 45.73 0090.08.83.0920210 37.8975 090 50840 Replace ureter by bowel A 19.97 8.42NA 8.42 1.51 29.90 29.90 0090.08.83.0921210 37.8975 090 50845 Appendico-vesicostomy A 20.86 8.89NA 8.89 1.53 31.28 31.28 0090.08.83.0920210 37.8975 090 50860 Transplant ureter to skin A 15.34 6.61NA 6.61 1.30 23.25 23.25 0090.08.83.0921210 37.8975 090 50900 Repair of ureter A 13.60 6.13NA 6.13 1.17 20.90 20.90 0090.08.83.0920210 37.8975 090 50920 Closure ureter/skin fistula A 14.31 6.56NA 6.56 1.01 21.88 21.88 0090.08.83.0920210 37.8975 090 50930 Closure ureter/bowel fistula A 18.69 7.96NA 7.96 1.28 27.93 27.93 0090.08.83.0920210 37.8975 090 50940 Release of ureter A 14.49 6.39NA 6.39 1.26 22.14 22.14 0090.08.83.0921210 37.8975 090 50945 Laparoscopy ureterolithotomy A 16.97 7.03NA 7.03 1.36 25.36 25.36 0090.08.83.0921210 37.8975 090 50947 Laparo new ureter/bladder A 24.46 9.68NA 9.68 2.14 36.28 36.28 0090.08.83.0921210 37.8975 090 50948 Laparo new ureter/bladder A 22.47 8.68NA 8.68 1.69 32.84 32.84 0090.08.83.0921210 37.8975 090 50949 Laparoscope proc, ureter C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021210 37.8975 090 50951 Endoscopy of ureter A 5.83 4.29 2.05 0.42 10.54 8.30 0000.00.00.0021000 37.8975 090 50953 Endoscopy of ureter A 6.23 4.40 2.36 0.44 11.07 9.03 0000.00.00.0031000 50951 37.8975 090 50955 Ureter endoscopy & biopsy A 6.74 6.41 2.68 0.48 13.63 9.90 0000.00.00.0031000 50951 37.8975 090 50957 Ureter endoscopy & treatment A 6.78 4.56 2.37 0.49 11.83 9.64 0000.00.00.0031000 50951 37.8975 090 50961 Ureter endoscopy & treatment A 6.04 4.36 2.18 0.41 10.81 8.63 0000.00.00.0031000 50951 37.8975 090 50970 Ureter endoscopy A 7.13 2.46NA 2.46 0.52 10.11 10.11 0000.00.00.0021000 37.8975 090 50972 Ureter endoscopy & catheter A 6.88 2.46NA 2.46 0.50 9.84 9.84 0000.00.00.0021000 37.8975 090 50974 Ureter endoscopy & biopsy A 9.16 3.10NA 3.10 0.64 12.90 12.90 0000.00.00.0031000 50970 37.8975 090 50976 Ureter endoscopy & treatment A 9.03 3.06NA 3.06 0.65 12.74 12.74 0000.00.00.0031000 50970 37.8975 090 50980 Ureter endoscopy & treatment A 6.84 2.37NA 2.37 0.50 9.71 9.71 0000.00.00.0021000 37.8975 090 51000 Drainage of bladder A 0.78 1.94 0.24 0.06 2.78 1.08 0000.00.00.0020100 37.8975 090 51005 Drainage of bladder A 1.02 4.70 0.34 0.10 5.82 1.46 0000.00.00.0020100 37.8975 090 51010 Drainage of bladder A 3.52 5.60 1.87 0.28 9.40 5.67 0010.10.80.1020100 37.8975 090 51020 Incise & treat bladder A 6.70 3.85NA 3.85 0.49 11.04 11.04 0090.08.83.0920210 37.8975 090 51030 Incise & treat bladder A 6.76 3.97NA 3.97 0.58 11.31 11.31 0090.08.83.0920000 37.8975 090 51040 Incise & drain bladder A 4.39 2.76NA 2.76 0.32 7.47 7.47 0090.08.83.0920210 37.8975 090 51045 Incise bladder/drain ureter A 6.76 3.92NA 3.92 0.55 11.23 11.23 0090.08.83.0920200 37.8975 090 51050 Removal of bladder stone A 6.91 3.64NA 3.64 0.49 11.04 11.04 0090.08.83.0920210 37.8975 090 51060 Removal of ureter stone A 8.84 4.50NA 4.50 0.61 13.95 13.95 0090.08.83.0920210 37.8975 090 51065 Remove ureter calculus A 8.84 4.35NA 4.35 0.64 13.83 13.83 0090.08.83.0920000 37.8975 090 51080 Drainage of bladder abscess A 5.95 3.54NA 3.54 0.44 9.93 9.93 0090.08.83.0920210 37.8975 090 51500 Removal of bladder cyst A 10.12 5.00NA 5.00 1.03 16.15 16.15 0090.08.83.0920210 37.8975 090 51520 Removal of bladder lesion A 9.28 4.67NA 4.67 0.69 14.64 14.64 0090.08.83.0920210 37.8975 090 51525 Removal of bladder lesion A 13.95 6.12NA 6.12 1.01 21.08 21.08 0090.08.83.0920210 37.8975 090 51530 Removal of bladder lesion A 12.36 5.74NA 5.74 1.06 19.16 19.16 0090.08.83.0920210 37.8975 090 51535 Repair of ureter lesion A 12.55 6.10NA 6.10 1.21 19.86 19.86 0090.08.83.0921210 37.8975 090 51550 Partial removal of bladder A 15.64 6.72NA 6.72 1.34 23.70 23.70 0090.08.83.0920210 37.8975 090 51555 Partial removal of bladder A 21.20 8.65NA 8.65 1.72 31.57 31.57 0090.08.83.0920210 37.8975 090 51565 Revise bladder & ureter(s) A 21.59 8.95NA 8.95 1.66 32.20 32.20 0090.08.83.0920210 37.8975 090 51570 Removal of bladder A 24.20 9.73NA 9.73 1.84 35.77 35.77 0090.08.83.0920210 37.8975 090 51575 Removal of bladder & nodes A 30.40 12.02NA 12.02 2.16 44.58 44.58 0090.08.83.0922210 37.8975 090 51580 Remove bladder/revise tract A 31.03 12.48NA 12.48 2.22 45.73 45.73 0090.08.83.0920210 37.8975 090 51585 Removal of bladder & nodes A 35.18 13.69NA 13.69 2.48 51.35 51.35 0090.08.83.0922210 37.8975 090 51590 Remove bladder/revise tract A 32.61 12.60NA 12.60 2.32 47.53 47.53 0090.08.83.0920210 37.8975 090 51595 Remove bladder/revise tract A 37.08 14.12NA 14.12 2.62 53.82 53.82 0090.08.83.0922210 37.8975 090 51596 Remove bladder/create pouch A 39.46 15.22NA 15.22 2.78 57.46 57.46 0090.08.83.0920210 37.8975 090 51597 Removal of pelvic structures A 38.29 14.82NA 14.82 2.83 55.94 55.94 0090.08.83.0920210 37.8975 090 51600 Injection for bladder x-ray A 0.88 5.05 0.29 0.06 5.99 1.23 0000.00.00.0020100 37.8975 090 51605 Preparation for bladder xray A 0.64 6.05 0.35 0.04 6.73 1.03 0000.00.00.0020100 37.8975 090 51610 Injection for bladder x-ray A 1.05 2.28 0.60 0.07 3.40 1.72 0000.00.00.0020100 37.8975 090 51700 Irrigation of bladder A 0.88 1.60 0.28 0.07 2.55 1.23 0000.00.00.0020100 37.8975 090 51701 Insert bladder catheter A 0.50 1.58 0.19 0.04 2.12 0.73 0000.00.00.0020100 37.8975 090 51702 Insert temp bladder cath A 0.50 2.08 0.24 0.04 2.62 0.78 0000.00.00.0020100 37.8975 090 51703 Insert bladder cath, complex A 1.47 2.73 0.56 0.11 4.31 2.14 0000.00.00.0020100 37.8975 090 51705 Change of bladder tube A 1.02 2.27 0.61 0.07 3.36 1.70 0010.10.80.1020100 37.8975 090 51710 Change of bladder tube A 1.49 3.33 0.77 0.11 4.93 2.37 0010.10.80.1020100 37.8975 090 51715 Endoscopic injection/implant A 3.73 3.90 1.35 0.29 7.92 5.37 0000.00.00.0020000 37.8975 090 51720 Treatment of bladder lesion A 1.96 1.74 0.69 0.14 3.84 2.79 0000.00.00.0020100 37.8975 090 51725 Simple cystometrogram A 1.51 5.59 5.59 NA 0.16 7.26 7.26 1000.00.00.0020000 37.8975 090 51725TCSimple cystometrogram A 0.00 5.10 5.10 NA 0.04 5.14 5.14 1000.00.00.0000000 37.8975 020 5172526Simple cystometrogram A 1.51 0.49 0.49 0.12 2.12 2.12 1000.00.00.0020000 37.8975 090 51726 Complex cystometrogram A 1.71 7.50 7.50 NA 0.18 9.39 9.39 1000.00.00.0020100 37.8975 090 51726TCComplex cystometrogram A 0.00 6.94 6.94 NA 0.05 6.99 6.99 1000.00.00.0000100 37.8975 020 5172626Complex cystometrogram A 1.71 0.56 0.56 0.13 2.40 2.40 1000.00.00.0020100 37.8975 090 51736 Urine flow measurement A 0.61 0.58 0.58 NA 0.06 1.25 1.25 1000.00.00.0020000 37.8975 090 51736TCUrine flow measurement A 0.00 0.38 0.38 NA 0.01 0.39 0.39 1000.00.00.0000000 37.8975 020 5173626Urine flow measurement A 0.61 0.20 0.20 0.05 0.86 0.86 1000.00.00.0020000 37.8975 090 51741 Electro-uroflowmetry, first A 1.14 0.79 0.79 NA 0.11 2.04 2.04 1000.00.00.0020100 37.8975 090 51741TCElectro-uroflowmetry, first A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1000.00.00.0000100 37.8975 020 5174126Electro-uroflowmetry, first A 1.14 0.37 0.37 0.09 1.60 1.60 1000.00.00.0020100 37.8975 090 51772 Urethra pressure profile A 1.61 5.58 5.58 NA 0.19 7.38 7.38 1000.00.00.0020000 37.8975 090 51772TCUrethra pressure profile A 0.00 5.03 5.03 NA 0.05 5.08 5.08 1000.00.00.0000000 37.8975 020 5177226Urethra pressure profile A 1.61 0.55 0.55 0.14 2.30 2.30 1000.00.00.0020000 37.8975 090 51784 Anal/urinary muscle study A 1.53 3.98 3.98 NA 0.16 5.67 5.67 1000.00.00.0020100 37.8975 090 51784TCAnal/urinary muscle study A 0.00 3.48 3.48 NA 0.04 3.52 3.52 1000.00.00.0000100 37.8975 020 5178426Anal/urinary muscle study A 1.53 0.50 0.50 0.12 2.15 2.15 1000.00.00.0020100 37.8975 090 51785 Anal/urinary muscle study A 1.53 4.44 4.44 NA 0.15 6.12 6.12 1000.00.00.0020000 37.8975 090 51785TCAnal/urinary muscle study A 0.00 3.94 3.94 NA 0.04 3.98 3.98 1000.00.00.0000000 37.8975 030 5178526Anal/urinary muscle study A 1.53 0.50 0.50 0.11 2.14 2.14 1000.00.00.0020000 37.8975 090 51792 Urinary reflex study A 1.10 5.99 5.99 NA 0.20 7.29 7.29 1000.00.00.0020000 37.8975 090 51792TCUrinary reflex study A 0.00 5.58 5.58 NA 0.13 5.71 5.71 1000.00.00.0000000 37.8975 020 5179226Urinary reflex study A 1.10 0.41 0.41 0.07 1.58 1.58 1000.00.00.0020000 37.8975 090 51795 Urine voiding pressure study A 1.53 7.29 7.29 NA 0.22 9.04 9.04 1000.00.00.0020000 37.8975 090 51795TCUrine voiding pressure study A 0.00 6.79 6.79 NA 0.10 6.89 6.89 1000.00.00.0000000 37.8975 020 5179526Urine voiding pressure study A 1.53 0.50 0.50 0.12 2.15 2.15 1000.00.00.0020000 37.8975 090 51797 Intraabdominal pressure test A 1.60 5.78 5.78 NA 0.17 7.55 7.55 1000.00.00.0020000 37.8975 090 51797TCIntraabdominal pressure test A 0.00 5.25 5.25 NA 0.05 5.30 5.30 1000.00.00.0000000 37.8975 020 5179726Intraabdominal pressure test A 1.60 0.53 0.53 0.12 2.25 2.25 1000.00.00.0020000 37.8975 090 51798 Us urine capacity measure A 0.00 0.34 0.34 NA 0.08 0.42 0.42 0XXX.00.00.0000000 37.8975 090 51800 Revision of bladder/urethra A 17.39 7.56NA 7.56 1.35 26.30 26.30 0090.08.83.0920210 37.8975 090 51820 Revision of urinary tract A 17.86 8.28NA 8.28 1.73 27.87 27.87 0090.08.83.0922210 37.8975 090 51840 Attach bladder/urethra A 10.69 5.56NA 5.56 1.07 17.32 17.32 0090.08.83.0920210 37.8975 090 51841 Attach bladder/urethra A 13.01 6.37NA 6.37 1.26 20.64 20.64 0090.08.83.0920210 37.8975 090 51845 Repair bladder neck A 9.72 4.74NA 4.74 0.80 15.26 15.26 0090.08.83.0920210 37.8975 090 51860 Repair of bladder wound A 12.00 5.75NA 5.75 1.16 18.91 18.91 0090.08.83.0920210 37.8975 090 51865 Repair of bladder wound A 15.02 6.67NA 6.67 1.26 22.95 22.95 0090.08.83.0920210 37.8975 090 51880 Repair of bladder opening A 7.65 3.95NA 3.95 0.72 12.32 12.32 0090.08.83.0920210 37.8975 090 51900 Repair bladder/vagina lesion A 12.95 6.06NA 6.06 1.21 20.22 20.22 0090.08.83.0920210 37.8975 090 51920 Close bladder-uterus fistula A 11.79 5.63NA 5.63 1.18 18.60 18.60 0090.08.83.0920210 37.8975 090 51925 Hysterectomy/bladder repair A 15.56 8.61NA 8.61 2.02 26.19 26.19 0090.08.83.0920210 37.8975 090 51940 Correction of bladder defect A 28.39 12.07NA 12.07 2.12 42.58 42.58 0090.08.83.0920210 37.8975 090 51960 Revision of bladder & bowel A 22.98 9.63NA 9.63 1.65 34.26 34.26 0090.08.83.0920210 37.8975 090 51980 Construct bladder opening A 11.34 5.37NA 5.37 0.86 17.57 17.57 0090.08.83.0920210 37.8975 090 51990 Laparo urethral suspension A 12.48 6.14NA 6.14 1.40 20.02 20.02 0090.08.83.0920210 37.8975 090 51992 Laparo sling operation A 13.99 6.20NA 6.20 1.40 21.59 21.59 0090.08.83.0920210 37.8975 090 52000 Cystoscopy A 2.01 3.30 0.76 0.14 5.45 2.91 0000.00.00.0020100 37.8975 090 52001 Cystoscopy, removal of clots A 5.44 5.07 1.86 0.39 10.90 7.69 0000.00.00.0030100 52000 37.8975 090 52005 Cystoscopy & ureter catheter A 2.37 5.56 0.89 0.17 8.10 3.43 0000.00.00.0030100 52000 37.8975 090 52007 Cystoscopy and biopsy A 3.02 16.44 1.15 0.22 19.68 4.39 0000.00.00.0031100 52000 37.8975 090 52010 Cystoscopy & duct catheter A 3.02 10.75 1.15 0.22 13.99 4.39 0000.00.00.0030100 52000 37.8975 090 52204 Cystoscopy A 2.37 14.51 0.90 0.17 17.05 3.44 0000.00.00.0030100 52000 37.8975 090 52214 Cystoscopy and treatment A 3.70 38.10 1.33 0.26 42.06 5.29 0000.00.00.0030100 52000 37.8975 090 52224 Cystoscopy and treatment A 3.14 36.45 1.15 0.22 39.81 4.51 0000.00.00.0030100 52000 37.8975 090 52234 Cystoscopy and treatment A 4.62 1.66NA 1.66 0.33 6.61 6.61 0000.00.00.0030100 52000 37.8975 090 52235 Cystoscopy and treatment A 5.44 1.93NA 1.93 0.39 7.76 7.76 0000.00.00.0030100 52000 37.8975 090 52240 Cystoscopy and treatment A 9.71 3.30NA 3.30 0.69 13.70 13.70 0000.00.00.0030100 52000 37.8975 090 52250 Cystoscopy and radiotracer A 4.49 1.65NA 1.65 0.32 6.46 6.46 0000.00.00.0030100 52000 37.8975 090 52260 Cystoscopy and treatment A 3.91 1.42NA 1.42 0.28 5.61 5.61 0000.00.00.0030100 52000 37.8975 090 52265 Cystoscopy and treatment A 2.94 13.34 1.11 0.22 16.50 4.27 0000.00.00.0030100 52000 37.8975 090 52270 Cystoscopy & revise urethra A 3.36 11.03 1.24 0.24 14.63 4.84 0000.00.00.0030100 52000 37.8975 090 52275 Cystoscopy & revise urethra A 4.69 15.55 1.66 0.33 20.57 6.68 0000.00.00.0030100 52000 37.8975 090 52276 Cystoscopy and treatment A 4.99 1.78NA 1.78 0.35 7.12 7.12 0000.00.00.0030100 52000 37.8975 090 52277 Cystoscopy and treatment A 6.16 2.22NA 2.22 0.44 8.82 8.82 0000.00.00.0030000 52000 37.8975 090 52281 Cystoscopy and treatment A 2.80 7.09 1.08 0.20 10.09 4.08 0000.00.00.0030100 52000 37.8975 090 52282 Cystoscopy, implant stent A 6.39 2.23NA 2.23 0.47 9.09 9.09 0000.00.00.0030100 52000 37.8975 090 52283 Cystoscopy and treatment A 3.73 3.94 1.38 0.26 7.93 5.37 0000.00.00.0030100 52000 37.8975 090 52285 Cystoscopy and treatment A 3.60 4.01 1.33 0.26 7.87 5.19 0000.00.00.0030100 52000 37.8975 090 52290 Cystoscopy and treatment A 4.58 1.65NA 1.65 0.32 6.55 6.55 0000.00.00.0032100 52000 37.8975 090 52300 Cystoscopy and treatment A 5.30 1.90NA 1.90 0.38 7.58 7.58 0000.00.00.0032000 52000 37.8975 090 52301 Cystoscopy and treatment A 5.50 1.98NA 1.98 0.46 7.94 7.94 0000.00.00.0032000 52000 37.8975 090 52305 Cystoscopy and treatment A 5.30 1.85NA 1.85 0.38 7.53 7.53 0000.00.00.0030100 52000 37.8975 090 52310 Cystoscopy and treatment A 2.81 4.69 1.03 0.20 7.70 4.04 0000.00.00.0030100 52000 37.8975 090 52315 Cystoscopy and treatment A 5.20 8.66 1.83 0.37 14.23 7.40 0000.00.00.0030100 52000 37.8975 090 52317 Remove bladder stone A 6.71 28.94 2.28 0.48 36.13 9.47 0000.00.00.0030100 52000 37.8975 090 52318 Remove bladder stone A 9.18 3.09NA 3.09 0.65 12.92 12.92 0000.00.00.0030100 52000 37.8975 090 52320 Cystoscopy and treatment A 4.69 1.63NA 1.63 0.34 6.66 6.66 0000.00.00.0031100 52000 37.8975 090 52325 Cystoscopy, stone removal A 6.15 2.11NA 2.11 0.44 8.70 8.70 0000.00.00.0031100 52000 37.8975 090 52327 Cystoscopy, inject material A 5.18 31.81 1.81 0.38 37.37 7.37 0000.00.00.0031100 52000 37.8975 090 52330 Cystoscopy and treatment A 5.03 38.82 1.75 0.36 44.21 7.14 0000.00.00.0031100 52000 37.8975 090 52332 Cystoscopy and treatment A 2.83 5.74 1.05 0.21 8.78 4.09 0000.00.00.0031100 52000 37.8975 090 52334 Create passage to kidney A 4.82 1.73NA 1.73 0.34 6.89 6.89 0000.00.00.0031100 52000 37.8975 090 52341 Cysto w/ureter stricture tx A 5.99 2.21NA 2.21 0.43 8.63 8.63 0000.00.00.0031100 52000 37.8975 090 52342 Cysto w/up stricture tx A 6.49 2.34NA 2.34 0.46 9.29 9.29 0000.00.00.0031100 52000 37.8975 090 52343 Cysto w/renal stricture tx A 7.19 2.58NA 2.58 0.52 10.29 10.29 0000.00.00.0031100 52000 37.8975 090 52344 Cysto/uretero, stricture tx A 7.69 2.79NA 2.79 0.55 11.03 11.03 0000.00.00.0031100 52000 37.8975 090 52345 Cysto/uretero w/up stricture A 8.19 2.95NA 2.95 0.58 11.72 11.72 0000.00.00.0030000 52351 37.8975 090 52346 Cystouretero w/renal strict A 9.22 3.28NA 3.28 0.67 13.17 13.17 0000.00.00.0030000 52351 37.8975 090 52351 Cystouretero & or pyeloscope A 5.85 2.14NA 2.14 0.42 8.41 8.41 0000.00.00.0020100 37.8975 090 52352 Cystouretero w/stone remove A 6.87 2.50NA 2.50 0.49 9.86 9.86 0000.00.00.0031100 52351 37.8975 090 52353 Cystouretero w/lithotripsy A 7.96 2.85NA 2.85 0.57 11.38 11.38 0000.00.00.0031100 52351 37.8975 090 52354 Cystouretero w/biopsy A 7.33 2.67NA 2.67 0.52 10.52 10.52 0000.00.00.0031100 52351 37.8975 090 52355 Cystouretero w/excise tumor A 8.81 3.14NA 3.14 0.63 12.58 12.58 0000.00.00.0031100 52351 37.8975 090 52400 Cystouretero w/congen repr A 9.67 3.73NA 3.73 0.69 14.09 14.09 0090.08.83.0930100 52000 37.8975 090 52402 Cystourethro cut ejacul duct A 5.27 1.70NA 1.70 0.40 7.37 7.37 0000.00.00.0030000 52010 37.8975 090 52450 Incision of prostate A 7.63 3.67NA 3.67 0.54 11.84 11.84 0090.08.83.0920100 37.8975 090 52500 Revision of bladder neck A 8.46 3.92NA 3.92 0.60 12.98 12.98 0090.08.83.0920100 37.8975 090 52510 Dilation prostatic urethra A 6.71 3.11NA 3.11 0.48 10.30 10.30 0090.08.83.0920100 37.8975 090 52601 Prostatectomy (TURP) A 12.35 5.10NA 5.10 0.87 18.32 18.32 0090.08.83.0920100 37.8975 090 52606 Control postop bleeding A 8.12 3.55NA 3.55 0.58 12.25 12.25 0090.08.83.0920100 37.8975 090 52612 Prostatectomy, first stage A 7.97 3.73NA 3.73 0.57 12.27 12.27 0090.08.83.0920100 37.8975 090 52614 Prostatectomy, second stage A 6.83 3.34NA 3.34 0.48 10.65 10.65 0090.08.83.0920100 37.8975 090 52620 Remove residual prostate A 6.60 2.98NA 2.98 0.47 10.05 10.05 0090.08.83.0920100 37.8975 090 52630 Remove prostate regrowth A 7.25 3.19NA 3.19 0.51 10.95 10.95 0090.08.83.0920100 37.8975 090 52640 Relieve bladder contracture A 6.61 2.96NA 2.96 0.47 10.04 10.04 0090.08.83.0920100 37.8975 090 52647 Laser surgery of prostate A 10.34 73.94 4.53 0.73 85.01 15.60 0090.08.83.0920100 37.8975 090 52648 Laser surgery of prostate A 11.19 4.79NA 4.79 0.79 16.77 16.77 0090.08.83.0920100 37.8975 090 52700 Drainage of prostate abscess A 6.79 3.18NA 3.18 0.48 10.45 10.45 0090.08.83.0920000 37.8975 090 53000 Incision of urethra A 2.28 1.54NA 1.54 0.16 3.98 3.98 0010.10.80.1020100 37.8975 090 53010 Incision of urethra A 3.63 2.91NA 2.91 0.25 6.79 6.79 0090.08.83.0920100 37.8975 090 53020 Incision of urethra A 1.77 3.00 0.67 0.13 4.90 2.57 0000.00.00.0020100 37.8975 090 53025 Incision of urethra A 1.13 3.73 0.51 0.08 4.94 1.72 0000.00.00.0020000 37.8975 090 53040 Drainage of urethra abscess A 6.39 3.43NA 3.43 0.47 10.29 10.29 0090.08.83.0920000 37.8975 090 53060 Drainage of urethra abscess A 2.63 2.08 1.37 0.27 4.98 4.27 0010.10.80.1020100 37.8975 090 53080 Drainage of urinary leakage A 6.28 5.95NA 5.95 0.52 12.75 12.75 0090.08.83.0920100 37.8975 090 53085 Drainage of urinary leakage A 10.25 7.40NA 7.40 0.91 18.56 18.56 0090.08.83.0920210 37.8975 090 53200 Biopsy of urethra A 2.59 1.32 0.98 0.21 4.12 3.78 0000.00.00.0020100 37.8975 090 53210 Removal of urethra A 12.55 5.83NA 5.83 0.93 19.31 19.31 0090.08.83.0920210 37.8975 090 53215 Removal of urethra A 15.56 6.62NA 6.62 1.11 23.29 23.29 0090.08.83.0920210 37.8975 090 53220 Treatment of urethra lesion A 6.99 3.71NA 3.71 0.53 11.23 11.23 0090.08.83.0920000 37.8975 090 53230 Removal of urethra lesion A 9.57 4.71NA 4.71 0.73 15.01 15.01 0090.08.83.0920210 37.8975 090 53235 Removal of urethra lesion A 10.12 4.90NA 4.90 0.73 15.75 15.75 0090.08.83.0920210 37.8975 090 53240 Surgery for urethra pouch A 6.44 3.52NA 3.52 0.53 10.49 10.49 0090.08.83.0920100 37.8975 090 53250 Removal of urethra gland A 5.88 3.29NA 3.29 0.49 9.66 9.66 0090.08.83.0920100 37.8975 090 53260 Treatment of urethra lesion A 2.98 2.24 1.42 0.26 5.48 4.66 0010.10.80.1020100 37.8975 090 53265 Treatment of urethra lesion A 3.12 2.71 1.42 0.24 6.07 4.78 0010.10.80.1020100 37.8975 090 53270 Removal of urethra gland A 3.09 2.20 1.54 0.30 5.59 4.93 0010.10.80.1020100 37.8975 090 53275 Repair of urethra defect A 4.52 2.25NA 2.25 0.33 7.10 7.10 0010.10.80.1020100 37.8975 090 53400 Revise urethra, stage 1 A 12.75 6.02NA 6.02 1.00 19.77 19.77 0090.08.83.0920210 37.8975 090 53405 Revise urethra, stage 2 A 14.46 6.31NA 6.31 1.09 21.86 21.86 0090.08.83.0920210 37.8975 090 53410 Reconstruction of urethra A 16.42 7.05NA 7.05 1.19 24.66 24.66 0090.08.83.0920210 37.8975 090 53415 Reconstruction of urethra A 19.38 7.33NA 7.33 1.38 28.09 28.09 0090.08.83.0920210 37.8975 090 53420 Reconstruct urethra, stage 1 A 14.06 6.28NA 6.28 1.01 21.35 21.35 0090.08.83.0920110 37.8975 090 53425 Reconstruct urethra, stage 2 A 15.96 6.88NA 6.88 1.13 23.97 23.97 0090.08.83.0920210 37.8975 090 53430 Reconstruction of urethra A 16.32 6.99NA 6.99 1.20 24.51 24.51 0090.08.83.0920210 37.8975 090 53431 Reconstruct urethra/bladder A 19.86 8.05NA 8.05 1.45 29.36 29.36 0090.08.83.0920210 37.8975 090 53440 Male sling procedure A 13.60 5.97NA 5.97 0.97 20.54 20.54 0090.08.83.0920210 37.8975 090 53442 Remove/revise male sling A 11.55 5.43NA 5.43 0.83 17.81 17.81 0090.08.83.0920200 37.8975 090 53444 Insert tandem cuff A 13.38 5.87NA 5.87 0.94 20.19 20.19 0090.08.83.0920210 37.8975 090 53445 Insert uro/ves nck sphincter A 14.04 7.08NA 7.08 1.00 22.12 22.12 0090.08.83.0920210 37.8975 090 53446 Remove uro sphincter A 10.21 5.21NA 5.21 0.73 16.15 16.15 0090.08.83.0920210 37.8975 090 53447 Remove/replace ur sphincter A 13.47 6.42NA 6.42 0.95 20.84 20.84 0090.08.83.0920210 37.8975 090 53448 Remov/replc ur sphinctr comp A 21.12 9.04NA 9.04 1.52 31.68 31.68 0090.08.83.0920210 37.8975 090 53449 Repair uro sphincter A 9.69 4.72NA 4.72 0.69 15.10 15.10 0090.08.83.0920210 37.8975 090 53450 Revision of urethra A 6.13 3.29NA 3.29 0.43 9.85 9.85 0090.08.83.0920100 37.8975 090 53460 Revision of urethra A 7.11 3.69NA 3.69 0.52 11.32 11.32 0090.08.83.0920000 37.8975 090 53500 Urethrlys, transvag w/ scope A 12.19 6.20NA 6.20 0.91 19.30 19.30 0090.12.74.1420210 37.8975 090 53502 Repair of urethra injury A 7.62 3.98NA 3.98 0.63 12.23 12.23 0090.08.83.0920100 37.8975 090 53505 Repair of urethra injury A 7.62 3.86NA 3.86 0.54 12.02 12.02 0090.08.83.0920200 37.8975 090 53510 Repair of urethra injury A 10.09 5.16NA 5.16 0.77 16.02 16.02 0090.08.83.0920210 37.8975 090 53515 Repair of urethra injury A 13.29 5.92NA 5.92 1.05 20.26 20.26 0090.08.83.0920210 37.8975 090 53520 Repair of urethra defect A 8.67 4.47NA 4.47 0.63 13.77 13.77 0090.08.83.0920100 37.8975 090 53600 Dilate urethra stricture A 1.21 1.14 0.43 0.09 2.44 1.73 0000.00.00.0020100 37.8975 090 53601 Dilate urethra stricture A 0.98 1.27 0.37 0.07 2.32 1.42 0000.00.00.0020100 37.8975 090 53605 Dilate urethra stricture A 1.28 0.41NA 0.41 0.09 1.78 1.78 0000.00.00.0020100 37.8975 090 53620 Dilate urethra stricture A 1.62 1.99 0.59 0.12 3.73 2.33 0000.00.00.0020100 37.8975 090 53621 Dilate urethra stricture A 1.35 2.07 0.49 0.10 3.52 1.94 0000.00.00.0020100 37.8975 090 53660 Dilation of urethra A 0.71 1.31 0.31 0.05 2.07 1.07 0000.00.00.0020100 37.8975 090 53661 Dilation of urethra A 0.72 1.30 0.29 0.05 2.07 1.06 0000.00.00.0020100 37.8975 090 53665 Dilation of urethra A 0.76 0.25NA 0.25 0.06 1.07 1.07 0000.00.00.0020100 37.8975 090 53850 Prostatic microwave thermotx A 9.44 94.06 3.94 0.67104.17 14.05 0090.08.83.0920100 37.8975 090 53852 Prostatic rf thermotx A 9.87 88.77 4.37 0.70 99.34 14.94 0090.08.83.0920100 37.8975 090 53853 Prostatic water thermother A 5.23 55.34 2.85 0.37 60.94 8.45 0090.08.83.0920100 37.8975 090 53899 Urology surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 54000 Slitting of prepuce A 1.54 2.91 0.93 0.11 4.56 2.58 0010.10.80.1020000 37.8975 090 54001 Slitting of prepuce A 2.19 3.18 1.11 0.16 5.53 3.46 0010.10.80.1020100 37.8975 090 54015 Drain penis lesion A 5.31 2.55NA 2.55 0.38 8.24 8.24 0010.10.80.1020000 37.8975 090 54050 Destruction, penis lesion(s) A 1.24 1.66 1.03 0.08 2.98 2.35 0010.10.80.1020100 37.8975 090 54055 Destruction, penis lesion(s) A 1.22 1.57 0.80 0.08 2.87 2.10 0010.10.80.1020100 37.8975 090 54056 Cryosurgery, penis lesion(s) A 1.24 1.69 1.13 0.06 2.99 2.43 0010.10.80.1020100 37.8975 090 54057 Laser surg, penis lesion(s) A 1.24 2.21 0.83 0.09 3.54 2.16 0010.10.80.1020100 37.8975 090 54060 Excision of penis lesion(s) A 1.93 3.10 1.06 0.14 5.17 3.13 0010.10.80.1020100 37.8975 090 54065 Destruction, penis lesion(s) A 2.42 2.63 1.23 0.14 5.19 3.79 0010.10.80.1020100 37.8975 090 54100 Biopsy of penis A 1.90 2.80 0.82 0.11 4.81 2.83 0000.00.00.0020100 37.8975 090 54105 Biopsy of penis A 3.49 4.28 1.93 0.25 8.02 5.67 0010.10.80.1020100 37.8975 090 54110 Treatment of penis lesion A 10.11 4.75NA 4.75 0.74 15.60 15.60 0090.10.80.1020200 37.8975 090 54111 Treat penis lesion, graft A 13.55 5.76NA 5.76 0.97 20.28 20.28 0090.10.80.1020210 37.8975 090 54112 Treat penis lesion, graft A 15.84 6.79NA 6.79 1.12 23.75 23.75 0090.10.80.1020210 37.8975 090 54115 Treatment of penis lesion A 6.14 4.37 3.45 0.45 10.96 10.04 0090.10.80.1020200 37.8975 090 54120 Partial removal of penis A 9.96 4.67NA 4.67 0.68 15.31 15.31 0090.10.80.1020210 37.8975 090 54125 Removal of penis A 13.51 5.82NA 5.82 0.98 20.31 20.31 0090.10.80.1020210 37.8975 090 54130 Remove penis & nodes A 20.11 8.17NA 8.17 1.51 29.79 29.79 0090.10.80.1022210 37.8975 090 54135 Remove penis & nodes A 26.32 10.16NA 10.16 1.86 38.34 38.34 0090.10.80.1022200 37.8975 090 54150 Circumcision A 1.81 4.35 0.70 0.16 6.32 2.67 0000.00.00.0020000 37.8975 090 54152 Circumcision A 2.31 1.20NA 1.20 0.19 3.70 3.70 0010.10.80.1020100 37.8975 090 54160 Circumcision A 2.48 4.14 1.09 0.19 6.81 3.76 0010.10.80.1020100 37.8975 090 54161 Circumcision A 3.27 1.56NA 1.56 0.24 5.07 5.07 0010.10.80.1020100 37.8975 090 54162 Lysis penil circumic lesion A 3.00 4.65 1.44 0.22 7.87 4.66 0010.10.80.1020100 37.8975 090 54163 Repair of circumcision A 3.00 2.00NA 2.00 0.22 5.22 5.22 0010.10.80.1020100 37.8975 090 54164 Frenulotomy of penis A 2.50 1.83NA 1.83 0.19 4.52 4.52 0010.10.80.1020100 37.8975 090 54200 Treatment of penis lesion A 1.06 1.79 0.97 0.08 2.93 2.11 0010.10.80.1020100 37.8975 090 54205 Treatment of penis lesion A 7.92 4.68NA 4.68 0.56 13.16 13.16 0090.10.80.1020200 37.8975 090 54220 Treatment of penis lesion A 2.42 3.84 0.95 0.18 6.44 3.55 0000.00.00.0020100 37.8975 090 54230 Prepare penis study A 1.34 1.08 0.63 0.09 2.51 2.06 0000.00.00.0020100 37.8975 090 54231 Dynamic cavernosometry A 2.04 1.37 0.87 0.16 3.57 3.07 0000.00.00.0020100 37.8975 090 54235 Penile injection A 1.19 0.96 0.58 0.09 2.24 1.86 0000.00.00.0020100 37.8975 090 54240 Penis study A 1.31 1.03 1.03 NA 0.16 2.50 2.50 1000.00.00.0020000 37.8975 090 54240TCPenis study A 0.00 0.60 0.60 NA 0.06 0.66 0.66 1000.00.00.0000000 37.8975 020 5424026Penis study A 1.31 0.43 0.43 0.10 1.84 1.84 1000.00.00.0020000 37.8975 090 54250 Penis study A 2.22 0.91 0.91 NA 0.18 3.31 3.31 1000.00.00.0020000 37.8975 090 54250TCPenis study A 0.00 0.20 0.20 NA 0.02 0.22 0.22 1000.00.00.0000000 37.8975 010 5425026Penis study A 2.22 0.71 0.71 0.16 3.09 3.09 1000.00.00.0020000 37.8975 090 54300 Revision of penis A 10.39 5.56NA 5.56 0.76 16.71 16.71 0090.10.80.1020210 37.8975 090 54304 Revision of penis A 12.47 6.32NA 6.32 0.87 19.66 19.66 0090.10.80.1020200 37.8975 090 54308 Reconstruction of urethra A 11.81 5.95NA 5.95 0.84 18.60 18.60 0090.10.80.1020210 37.8975 090 54312 Reconstruction of urethra A 13.55 6.98NA 6.98 1.23 21.76 21.76 0090.10.80.1020210 37.8975 090 54316 Reconstruction of urethra A 16.79 7.94NA 7.94 1.21 25.94 25.94 0090.10.80.1020210 37.8975 090 54318 Reconstruction of urethra A 11.23 5.78NA 5.78 1.39 18.40 18.40 0090.10.80.1020210 37.8975 090 54322 Reconstruction of urethra A 12.99 6.45NA 6.45 0.92 20.36 20.36 0090.10.80.1020200 37.8975 090 54324 Reconstruction of urethra A 16.29 7.95NA 7.95 1.13 25.37 25.37 0090.10.80.1020210 37.8975 090 54326 Reconstruction of urethra A 15.70 7.77NA 7.77 1.11 24.58 24.58 0090.10.80.1020210 37.8975 090 54328 Revise penis/urethra A 15.63 7.24NA 7.24 0.97 23.84 23.84 0090.10.80.1020210 37.8975 090 54332 Revise penis/urethra A 17.05 7.72NA 7.72 1.20 25.97 25.97 0090.10.80.1020210 37.8975 090 54336 Revise penis/urethra A 20.01 10.28NA 10.28 2.19 32.48 32.48 0090.10.80.1020210 37.8975 090 54340 Secondary urethral surgery A 8.90 5.03NA 5.03 0.63 14.56 14.56 0090.10.80.1020210 37.8975 090 54344 Secondary urethral surgery A 15.92 7.74NA 7.74 1.53 25.19 25.19 0090.10.80.1020210 37.8975 090 54348 Secondary urethral surgery A 17.12 8.34NA 8.34 1.23 26.69 26.69 0090.10.80.1020210 37.8975 090 54352 Reconstruct urethra/penis A 24.70 11.17NA 11.17 2.22 38.09 38.09 0090.10.80.1020210 37.8975 090 54360 Penis plastic surgery A 11.91 6.02NA 6.02 0.85 18.78 18.78 0090.10.80.1020210 37.8975 090 54380 Repair penis A 13.16 6.60NA 6.60 0.93 20.69 20.69 0090.10.80.1020210 37.8975 090 54385 Repair penis A 15.37 8.25NA 8.25 0.86 24.48 24.48 0090.10.80.1020210 37.8975 090 54390 Repair penis and bladder A 21.58 9.40NA 9.40 1.54 32.52 32.52 0090.10.80.1020210 37.8975 090 54400 Insert semi-rigid prosthesis A 8.98 4.34NA 4.34 0.64 13.96 13.96 0090.10.80.1020110 37.8975 090 54401 Insert self-contd prosthesis A 10.26 5.72NA 5.72 0.73 16.71 16.71 0090.10.80.1020110 37.8975 090 54405 Insert multi-comp penis pros A 13.41 5.91NA 5.91 0.95 20.27 20.27 0090.10.80.1020210 37.8975 090 54406 Remove muti-comp penis pros A 12.08 5.41NA 5.41 0.86 18.35 18.35 0090.10.80.1020210 37.8975 090 54408 Repair multi-comp penis pros A 12.73 5.72NA 5.72 0.91 19.36 19.36 0090.10.80.1020210 37.8975 090 54410 Remove/replace penis prosth A 15.48 6.61NA 6.61 1.10 23.19 23.19 0090.10.80.1020210 37.8975 090 54411 Remov/replc penis pros, comp A 15.98 7.03NA 7.03 1.12 24.13 24.13 0090.10.80.1020210 37.8975 090 54415 Remove self-contd penis pros A 8.19 4.19NA 4.19 0.58 12.96 12.96 0090.10.80.1020210 37.8975 090 54416 Remv/repl penis contain pros A 10.85 5.36NA 5.36 0.77 16.98 16.98 0090.10.80.1020210 37.8975 090 54417 Remv/replc penis pros, compl A 14.17 6.16NA 6.16 1.00 21.33 21.33 0090.10.80.1020210 37.8975 090 54420 Revision of penis A 11.40 5.56NA 5.56 0.80 17.76 17.76 0090.10.80.1020200 37.8975 090 54430 Revision of penis A 10.13 5.10NA 5.10 0.72 15.95 15.95 0090.10.80.1022200 37.8975 090 54435 Revision of penis A 6.11 3.61NA 3.61 0.44 10.16 10.16 0090.10.80.1020100 37.8975 090 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.80.1020210 37.8975 090 54450 Preputial stretching A 1.12 0.95 0.44 0.08 2.15 1.64 0000.00.00.0020100 37.8975 090 54500 Biopsy of testis A 1.31 0.61 0.56 0.09 2.01 1.96 0000.00.00.0021000 37.8975 090 54505 Biopsy of testis A 3.45 1.91NA 1.91 0.27 5.63 5.63 0010.10.80.1021000 37.8975 090 54512 Excise lesion testis A 8.57 4.12NA 4.12 0.68 13.37 13.37 0090.10.80.1021210 37.8975 090 54520 Removal of testis A 5.22 2.78NA 2.78 0.50 8.50 8.50 0090.10.80.1021100 37.8975 090 54522 Orchiectomy, partial A 9.49 4.86NA 4.86 0.89 15.24 15.24 0090.10.80.1021210 37.8975 090 54530 Removal of testis A 8.57 4.23NA 4.23 0.66 13.46 13.46 0090.10.80.1021210 37.8975 090 54535 Extensive testis surgery A 12.14 5.53NA 5.53 0.98 18.65 18.65 0090.10.80.1021200 37.8975 090 54550 Exploration for testis A 7.77 3.80NA 3.80 0.59 12.16 12.16 0090.10.80.1021200 37.8975 090 54560 Exploration for testis A 11.11 5.15NA 5.15 0.90 17.16 17.16 0090.10.80.1021210 37.8975 090 54600 Reduce testis torsion A 7.00 3.54NA 3.54 0.52 11.06 11.06 0090.10.80.1021100 37.8975 090 54620 Suspension of testis A 4.89 2.43NA 2.43 0.37 7.69 7.69 0010.10.80.1021100 37.8975 090 54640 Suspension of testis A 6.89 3.73NA 3.73 0.63 11.25 11.25 0090.10.80.1021000 37.8975 090 54650 Orchiopexy (Fowler-Stephens) A 11.43 5.39NA 5.39 1.15 17.97 17.97 0090.10.80.1021200 37.8975 090 54660 Revision of testis A 5.10 2.99NA 2.99 0.44 8.53 8.53 0090.10.80.1021000 37.8975 090 54670 Repair testis injury A 6.40 3.53NA 3.53 0.46 10.39 10.39 0090.10.80.1021000 37.8975 090 54680 Relocation of testis(es) A 12.63 6.14NA 6.14 1.16 19.93 19.93 0090.10.80.1021210 37.8975 090 54690 Laparoscopy, orchiectomy A 10.94 4.93NA 4.93 1.01 16.88 16.88 0090.10.80.1021210 37.8975 090 54692 Laparoscopy, orchiopexy A 12.86 5.42NA 5.42 1.30 19.58 19.58 0090.10.80.1021100 37.8975 090 54699 Laparoscope proc, testis C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 54700 Drainage of scrotum A 3.42 1.93NA 1.93 0.28 5.63 5.63 0010.10.80.1020100 37.8975 090 54800 Biopsy of epididymis A 2.33 0.94 0.90 0.23 3.50 3.46 0000.00.00.0020000 37.8975 090 54820 Exploration of epididymis A 5.13 2.93NA 2.93 0.40 8.46 8.46 0090.10.80.1020000 37.8975 090 54830 Remove epididymis lesion A 5.37 3.01NA 3.01 0.41 8.79 8.79 0090.10.80.1020000 37.8975 090 54840 Remove epididymis lesion A 5.19 2.77NA 2.77 0.38 8.34 8.34 0090.10.80.1020100 37.8975 090 54860 Removal of epididymis A 6.31 3.30NA 3.30 0.45 10.06 10.06 0090.10.80.1020100 37.8975 090 54861 Removal of epididymis A 8.89 4.30NA 4.30 0.63 13.82 13.82 0090.10.80.1020000 37.8975 090 54900 Fusion of spermatic ducts A 13.18 5.78NA 5.78 0.93 19.89 19.89 0090.10.80.1020000 37.8975 090 54901 Fusion of spermatic ducts A 17.91 7.51NA 7.51 1.81 27.23 27.23 0090.10.80.1022000 37.8975 090 55000 Drainage of hydrocele A 1.43 2.06 0.65 0.11 3.60 2.19 0000.00.00.0020100 37.8975 090 55040 Removal of hydrocele A 5.35 2.89NA 2.89 0.43 8.67 8.67 0090.10.80.1020100 37.8975 090 55041 Removal of hydroceles A 7.73 3.96NA 3.96 0.60 12.29 12.29 0090.10.80.1022100 37.8975 090 55060 Repair of hydrocele A 5.51 3.07NA 3.07 0.46 9.04 9.04 0090.10.80.1021000 37.8975 090 55100 Drainage of scrotum abscess A 2.13 3.67 1.56 0.17 5.97 3.86 0010.10.80.1020100 37.8975 090 55110 Explore scrotum A 5.69 3.12NA 3.12 0.43 9.24 9.24 0090.10.80.1020100 37.8975 090 55120 Removal of scrotum lesion A 5.08 2.94NA 2.94 0.39 8.41 8.41 0090.10.80.1020000 37.8975 090 55150 Removal of scrotum A 7.21 3.83NA 3.83 0.57 11.61 11.61 0090.10.80.1020210 37.8975 090 55175 Revision of scrotum A 5.23 3.00NA 3.00 0.39 8.62 8.62 0090.10.80.1020000 37.8975 090 55180 Revision of scrotum A 10.70 5.35NA 5.35 0.90 16.95 16.95 0090.10.80.1020000 37.8975 090 55200 Incision of sperm duct A 4.23 12.31 2.37 0.32 16.86 6.92 0090.10.80.1022000 37.8975 090 55250 Removal of sperm duct(s) A 3.29 11.47 2.21 0.26 15.02 5.76 0090.10.80.1022100 37.8975 090 55300 Prepare, sperm duct x-ray A 3.50 1.31NA 1.31 0.25 5.06 5.06 0000.00.00.0022000 37.8975 090 55400 Repair of sperm duct A 8.48 4.05NA 4.05 0.64 13.17 13.17 0090.10.80.1021210 37.8975 090 55450 Ligation of sperm duct A 4.11 6.99 1.86 0.29 11.39 6.26 0010.10.80.1022000 37.8975 090 55500 Removal of hydrocele A 5.58 3.08NA 3.08 0.56 9.22 9.22 0090.10.80.1020000 37.8975 090 55520 Removal of sperm cord lesion A 6.02 3.24NA 3.24 0.74 10.00 10.00 0090.10.80.1020210 37.8975 090 55530 Revise spermatic cord veins A 5.65 3.00NA 3.00 0.45 9.10 9.10 0090.10.80.1021110 37.8975 090 55535 Revise spermatic cord veins A 6.55 3.39NA 3.39 0.49 10.43 10.43 0090.10.80.1021210 37.8975 090 55540 Revise hernia & sperm veins A 7.66 3.79NA 3.79 0.94 12.39 12.39 0090.10.80.1021210 37.8975 090 55550 Laparo ligate spermatic vein A 6.56 3.29NA 3.29 0.57 10.42 10.42 0090.10.80.1021210 37.8975 090 55559 Laparo proc, spermatic cord C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 55600 Incise sperm duct pouch A 6.37 3.32NA 3.32 0.63 10.32 10.32 0090.10.80.1021000 37.8975 090 55605 Incise sperm duct pouch A 7.95 4.28NA 4.28 0.64 12.87 12.87 0090.10.80.1021000 37.8975 090 55650 Remove sperm duct pouch A 11.78 5.26NA 5.26 0.96 18.00 18.00 0090.10.80.1021210 37.8975 090 55680 Remove sperm pouch lesion A 5.18 2.96NA 2.96 0.47 8.61 8.61 0090.10.80.1020000 37.8975 090 55700 Biopsy of prostate A 1.57 4.19 0.64 0.11 5.87 2.32 0000.00.00.0020100 37.8975 090 55705 Biopsy of prostate A 4.56 2.29NA 2.29 0.33 7.18 7.18 0010.10.80.1020110 37.8975 090 55720 Drainage of prostate abscess A 7.63 3.81NA 3.81 0.94 12.38 12.38 0090.10.80.1020210 37.8975 090 55725 Drainage of prostate abscess A 8.67 4.48NA 4.48 0.70 13.85 13.85 0090.10.80.1020210 37.8975 090 55801 Removal of prostate A 17.77 7.60NA 7.60 1.34 26.71 26.71 0090.10.80.1020210 37.8975 090 55810 Extensive prostate surgery A 22.55 8.92NA 8.92 1.59 33.06 33.06 0090.10.80.1020210 37.8975 090 55812 Extensive prostate surgery A 27.47 10.96NA 10.96 2.03 40.46 40.46 0090.10.80.1020210 37.8975 090 55815 Extensive prostate surgery A 30.41 11.87NA 11.87 2.16 44.44 44.44 0090.10.80.1022210 37.8975 090 55821 Removal of prostate A 14.23 6.19NA 6.19 1.01 21.43 21.43 0090.10.80.1020210 37.8975 090 55831 Removal of prostate A 15.60 6.64NA 6.64 1.11 23.35 23.35 0090.10.80.1020210 37.8975 090 55840 Extensive prostate surgery A 22.66 9.26NA 9.26 1.61 33.53 33.53 0090.10.80.1020210 37.8975 090 55842 Extensive prostate surgery A 24.34 9.82NA 9.82 1.70 35.86 35.86 0090.10.80.1020210 37.8975 090 55845 Extensive prostate surgery A 28.51 10.91NA 10.91 2.02 41.44 41.44 0090.10.80.1022210 37.8975 090 55859 Percut/needle insert, pros A 12.50 5.83NA 5.83 0.87 19.20 19.20 0090.10.80.1020000 37.8975 090 55860 Surgical exposure, prostate A 14.43 6.39NA 6.39 1.02 21.84 21.84 0090.10.80.1020110 37.8975 090 55862 Extensive prostate surgery A 18.36 7.83NA 7.83 1.48 27.67 27.67 0090.10.80.1020210 37.8975 090 55865 Extensive prostate surgery A 22.84 9.24NA 9.24 1.61 33.69 33.69 0090.10.80.1022210 37.8975 090 55866 Laparo radical prostatectomy A 30.69 11.70NA 11.70 2.15 44.54 44.54 0090.08.83.0920210 37.8975 090 55870 Electroejaculation A 2.58 1.53 1.08 0.16 4.27 3.82 0000.00.00.0020110 37.8975 090 55873 Cryoablate prostate A 19.44 8.93NA 8.93 1.37 29.74 29.74 0090.08.83.0920100 37.8975 090 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 37.8975 090 55970 Sex transformation, M to F N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 55980 Sex transformation, F to M N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 56405 I & D of vulva/perineum A 1.44 1.33 1.14 0.17 2.94 2.75 0010.10.80.1020120 37.8975 090 56420 Drainage of gland abscess A 1.39 2.27 1.04 0.16 3.82 2.59 0010.10.80.1020100 37.8975 090 56440 Surgery for vulva lesion A 2.84 1.71NA 1.71 0.34 4.89 4.89 0010.10.80.1020100 37.8975 090 56441 Lysis of labial lesion(s) A 1.97 1.81 1.41 0.20 3.98 3.58 0010.10.80.1020000 37.8975 090 56501 Destroy, vulva lesions, sim A 1.53 1.78 1.24 0.17 3.48 2.94 0010.10.80.1020100 37.8975 090 56515 Destroy vulva lesion/s compl A 2.76 2.54 1.81 0.32 5.62 4.89 0010.10.80.1020100 37.8975 090 56605 Biopsy of vulva/perineum A 1.10 1.07 0.46 0.13 2.30 1.69 0000.00.00.0020120 37.8975 090 56606 Biopsy of vulva/perineum A 0.55 0.49 0.22 0.07 1.11 0.84 0ZZZ.00.00.0000120 37.8975 090 56620 Partial removal of vulva A 7.46 4.79NA 4.79 0.89 13.14 13.14 0090.12.74.1420210 37.8975 090 56625 Complete removal of vulva A 8.39 5.31NA 5.31 1.00 14.70 14.70 0090.12.74.1420210 37.8975 090 56630 Extensive vulva surgery A 12.34 6.83NA 6.83 1.47 20.64 20.64 0090.12.74.1420210 37.8975 090 56631 Extensive vulva surgery A 16.18 8.80NA 8.80 1.92 26.90 26.90 0090.12.74.1420220 37.8975 090 56632 Extensive vulva surgery A 20.26 9.51NA 9.51 2.33 32.10 32.10 0090.12.74.1422220 37.8975 090 56633 Extensive vulva surgery A 16.45 8.59NA 8.59 1.93 26.97 26.97 0090.12.74.1420220 37.8975 090 56634 Extensive vulva surgery A 17.85 9.42NA 9.42 2.14 29.41 29.41 0090.12.74.1420220 37.8975 090 56637 Extensive vulva surgery A 21.94 11.06NA 11.06 2.54 35.54 35.54 0090.12.74.1420220 37.8975 090 56640 Extensive vulva surgery A 22.14 10.61NA 10.61 2.80 35.55 35.55 0090.12.74.1421210 37.8975 090 56700 Partial removal of hymen A 2.52 1.83NA 1.83 0.30 4.65 4.65 0010.10.80.1020210 37.8975 090 56720 Incision of hymen A 0.68 0.51NA 0.51 0.08 1.27 1.27 0000.00.00.0020000 37.8975 090 56740 Remove vagina gland lesion A 4.56 2.56NA 2.56 0.54 7.66 7.66 0010.10.80.1020100 37.8975 090 56800 Repair of vagina A 3.88 2.19NA 2.19 0.44 6.51 6.51 0010.10.80.1020210 37.8975 090 56805 Repair clitoris A 18.83 9.41NA 9.41 2.13 30.37 30.37 0090.12.74.1420210 37.8975 090 56810 Repair of perineum A 4.12 2.29NA 2.29 0.48 6.89 6.89 0010.10.80.1020220 37.8975 090 56820 Exam of vulva w/scope A 1.50 1.31 0.65 0.18 2.99 2.33 0000.00.00.0020100 37.8975 090 56821 Exam/biopsy of vulva w/scope A 2.05 1.75 0.91 0.24 4.04 3.20 0000.00.00.0020100 37.8975 090 57000 Exploration of vagina A 2.97 1.72NA 1.72 0.31 5.00 5.00 0010.10.80.1020000 37.8975 090 57010 Drainage of pelvic abscess A 6.02 3.80NA 3.80 0.68 10.50 10.50 0090.12.74.1420000 37.8975 090 57020 Drainage of pelvic fluid A 1.50 0.94 0.59 0.17 2.61 2.26 0000.00.00.0020000 37.8975 090 57022 I & d vaginal hematoma, pp A 2.56 1.49NA 1.49 0.26 4.31 4.31 0010.10.80.1020000 37.8975 090 57023 I & d vag hematoma, non-ob A 4.74 2.57NA 2.57 0.55 7.86 7.86 0010.10.80.1020000 37.8975 090 57061 Destroy vag lesions, simple A 1.25 1.65 1.12 0.15 3.05 2.52 0010.10.80.1020100 37.8975 090 57065 Destroy vag lesions, complex A 2.61 2.29 1.67 0.31 5.21 4.59 0010.10.80.1020100 37.8975 090 57100 Biopsy of vagina A 1.20 1.08 0.48 0.14 2.42 1.82 0000.00.00.0020100 37.8975 090 57105 Biopsy of vagina A 1.69 1.79 1.42 0.20 3.68 3.31 0010.10.80.1020100 37.8975 090 57106 Remove vagina wall, partial A 6.35 4.18NA 4.18 0.73 11.26 11.26 0090.12.74.1420210 37.8975 090 57107 Remove vagina tissue, part A 22.97 10.46NA 10.46 2.65 36.08 36.08 0090.12.74.1420210 37.8975 090 57109 Vaginectomy partial w/nodes A 26.96 11.24NA 11.24 3.14 41.34 41.34 0090.12.74.1422210 37.8975 090 57110 Remove vagina wall, complete A 14.27 7.27NA 7.27 1.69 23.23 23.23 0090.12.74.1420210 37.8975 090 57111 Remove vagina tissue, compl A 26.96 12.61NA 12.61 3.16 42.73 42.73 0090.12.74.1422210 37.8975 090 57112 Vaginectomy w/nodes, compl A 28.96 12.09NA 12.09 3.04 44.09 44.09 0090.12.74.1422210 37.8975 090 57120 Closure of vagina A 7.40 4.60NA 4.60 0.87 12.87 12.87 0090.12.74.1420210 37.8975 090 57130 Remove vagina lesion A 2.43 2.15 1.54 0.29 4.87 4.26 0010.10.80.1020210 37.8975 090 57135 Remove vagina lesion A 2.67 2.26 1.65 0.31 5.24 4.63 0010.10.80.1020100 37.8975 090 57150 Treat vagina infection A 0.55 1.10 0.21 0.06 1.71 0.82 0000.00.00.0020100 37.8975 090 57155 Insert uteri tandems/ovoids A 6.26 4.56NA 4.56 0.43 11.25 11.25 0090.12.74.1420100 37.8975 090 57160 Insert pessary/other device A 0.89 1.01 0.34 0.10 2.00 1.33 0000.00.00.0020100 37.8975 090 57170 Fitting of diaphragm/cap A 0.91 1.48 0.33 0.11 2.50 1.35 0000.00.00.0020000 37.8975 090 57180 Treat vaginal bleeding A 1.58 2.16 1.26 0.18 3.92 3.02 0010.10.80.1020100 37.8975 090 57200 Repair of vagina A 3.93 2.89NA 2.89 0.45 7.27 7.27 0090.12.74.1420210 37.8975 090 57210 Repair vagina/perineum A 5.16 3.43NA 3.43 0.61 9.20 9.20 0090.12.74.1420210 37.8975 090 57220 Revision of urethra A 4.30 3.10NA 3.10 0.50 7.90 7.90 0090.12.74.1420210 37.8975 090 57230 Repair of urethral lesion A 5.63 3.40NA 3.40 0.55 9.58 9.58 0090.12.74.1420210 37.8975 090 57240 Repair bladder & vagina A 6.06 3.81NA 3.81 0.62 10.49 10.49 0090.12.74.1420210 37.8975 090 57250 Repair rectum & vagina A 5.52 3.57NA 3.57 0.65 9.74 9.74 0090.12.74.1420210 37.8975 090 57260 Repair of vagina A 8.26 4.83NA 4.83 0.97 14.06 14.06 0090.12.74.1420210 37.8975 090 57265 Extensive repair of vagina A 11.32 6.03NA 6.03 1.32 18.67 18.67 0090.12.74.1420210 37.8975 090 57267 Insert mesh/pelvic flr addon A 4.88 1.97NA 1.97 0.64 7.49 7.49 0ZZZ.00.00.0000210 37.8975 090 57268 Repair of bowel bulge A 6.75 4.19NA 4.19 0.78 11.72 11.72 0090.12.74.1420210 37.8975 090 57270 Repair of bowel pouch A 12.09 6.24NA 6.24 1.41 19.74 19.74 0090.12.74.1420210 37.8975 090 57280 Suspension of vagina A 15.02 7.36NA 7.36 1.66 24.04 24.04 0090.12.74.1420210 37.8975 090 57282 Colpopexy, extraperitoneal A 6.86 4.50NA 4.50 1.02 12.38 12.38 0090.12.74.1420210 37.8975 090 57283 Colpopexy, intraperitoneal A 10.84 5.91NA 5.91 1.02 17.77 17.77 0090.12.74.1420210 37.8975 090 57284 Repair paravaginal defect A 12.68 7.14NA 7.14 1.41 21.23 21.23 0090.08.83.0920220 37.8975 090 57287 Revise/remove sling repair A 10.69 5.47NA 5.47 0.91 17.07 17.07 0090.12.74.1420210 37.8975 090 57288 Repair bladder defect A 13.00 5.90NA 5.90 1.12 20.02 20.02 0090.12.74.1420210 37.8975 090 57289 Repair bladder & vagina A 11.56 6.03NA 6.03 1.21 18.80 18.80 0090.12.74.1420210 37.8975 090 57291 Construction of vagina A 7.94 4.92NA 4.92 0.93 13.79 13.79 0090.12.74.1420200 37.8975 090 57292 Construct vagina with graft A 13.07 6.93NA 6.93 1.56 21.56 21.56 0090.12.74.1420210 37.8975 090 57300 Repair rectum-vagina fistula A 7.60 4.28NA 4.28 0.86 12.74 12.74 0090.12.74.1420210 37.8975 090 57305 Repair rectum-vagina fistula A 13.75 6.26NA 6.26 1.69 21.70 21.70 0090.12.74.1420210 37.8975 090 57307 Fistula repair & colostomy A 15.91 6.99NA 6.99 1.92 24.82 24.82 0090.12.74.1420210 37.8975 090 57308 Fistula repair, transperine A 9.93 5.09NA 5.09 1.13 16.15 16.15 0090.12.74.1420210 37.8975 090 57310 Repair urethrovaginal lesion A 6.77 3.83NA 3.83 0.54 11.14 11.14 0090.12.74.1420210 37.8975 090 57311 Repair urethrovaginal lesion A 7.97 4.11NA 4.11 0.65 12.73 12.73 0090.12.74.1420210 37.8975 090 57320 Repair bladder-vagina lesion A 8.00 4.36NA 4.36 0.68 13.04 13.04 0090.12.74.1420210 37.8975 090 57330 Repair bladder-vagina lesion A 12.33 5.70NA 5.70 1.06 19.09 19.09 0090.12.74.1420210 37.8975 090 57335 Repair vagina A 18.70 9.02NA 9.02 1.89 29.61 29.61 0090.12.74.1420210 37.8975 090 57400 Dilation of vagina A 2.27 1.11NA 1.11 0.25 3.63 3.63 0000.00.00.0020000 37.8975 090 57410 Pelvic examination A 1.75 2.01 0.89 0.17 3.93 2.81 0000.00.00.0020100 37.8975 090 57415 Remove vaginal foreign body A 2.17 1.42NA 1.42 0.24 3.83 3.83 0010.10.80.1020000 37.8975 090 57420 Exam of vagina w/scope A 1.60 1.35 0.67 0.18 3.13 2.45 0000.00.00.0020100 37.8975 090 57421 Exam/biopsy of vag w/scope A 2.20 1.84 0.96 0.26 4.30 3.42 0000.00.00.0020100 37.8975 090 57425 Laparoscopy, surg, colpopexy A 15.73 6.63NA 6.63 1.74 24.10 24.10 0090.12.74.1420210 37.8975 090 57452 Exam of cervix w/scope A 1.50 1.28 0.76 0.17 2.95 2.43 0000.00.00.0020100 37.8975 090 57454 Bx/curett of cervix w/scope A 2.33 1.64 1.15 0.28 4.25 3.76 0000.00.00.0030100 57452 37.8975 090 57455 Biopsy of cervix w/scope A 1.99 1.72 0.87 0.24 3.95 3.10 0000.00.00.0030100 57452 37.8975 090 57456 Endocerv curettage w/scope A 1.85 1.65 0.82 0.22 3.72 2.89 0000.00.00.0030100 57452 37.8975 090 57460 Bx of cervix w/scope, leep A 2.83 5.84 1.38 0.34 9.01 4.55 0000.00.00.0030100 57452 37.8975 090 57461 Conz of cervix w/scope, leep A 3.43 6.10 1.47 0.41 9.94 5.31 0000.00.00.0030100 57452 37.8975 090 57500 Biopsy of cervix A 0.97 2.54 0.63 0.11 3.62 1.71 0000.00.00.0020100 37.8975 090 57505 Endocervical curettage A 1.14 1.46 1.10 0.13 2.73 2.37 0010.10.80.1020100 37.8975 090 57510 Cauterization of cervix A 1.90 1.56 1.04 0.22 3.68 3.16 0010.10.80.1020100 37.8975 090 57511 Cryocautery of cervix A 1.90 1.82 1.37 0.22 3.94 3.49 0010.10.80.1020100 37.8975 090 57513 Laser surgery of cervix A 1.90 1.72 1.40 0.23 3.85 3.53 0010.10.80.1020100 37.8975 090 57520 Conization of cervix A 4.03 3.93 2.87 0.48 8.44 7.38 0090.12.74.1420100 37.8975 090 57522 Conization of cervix A 3.35 3.15 2.45 0.40 6.90 6.20 0090.12.74.1420100 37.8975 090 57530 Removal of cervix A 4.78 3.38NA 3.38 0.58 8.74 8.74 0090.12.74.1420210 37.8975 090 57531 Removal of cervix, radical A 27.96 13.16NA 13.16 3.31 44.43 44.43 0090.12.74.1422210 37.8975 090 57540 Removal of residual cervix A 12.20 6.23NA 6.23 1.48 19.91 19.91 0090.12.74.1420210 37.8975 090 57545 Remove cervix/repair pelvis A 13.01 6.67NA 6.67 1.51 21.19 21.19 0090.12.74.1420210 37.8975 090 57550 Removal of residual cervix A 5.52 3.82NA 3.82 0.66 10.00 10.00 0090.12.74.1420210 37.8975 090 57555 Remove cervix/repair vagina A 8.94 5.08NA 5.08 1.07 15.09 15.09 0090.12.74.1420210 37.8975 090 57556 Remove cervix, repair bowel A 8.36 4.85NA 4.85 0.93 14.14 14.14 0090.12.74.1420210 37.8975 090 57700 Revision of cervix A 3.54 3.10NA 3.10 0.41 7.05 7.05 0090.12.74.1420000 37.8975 090 57720 Revision of cervix A 4.12 3.10NA 3.10 0.48 7.70 7.70 0090.12.74.1420200 37.8975 090 57800 Dilation of cervical canal A 0.77 0.76 0.47 0.09 1.62 1.33 0000.00.00.0020100 37.8975 090 57820 D & c of residual cervix A 1.67 1.47 1.14 0.20 3.34 3.01 0010.10.80.1020100 37.8975 090 58100 Biopsy of uterus lining A 1.53 1.32 0.72 0.18 3.03 2.43 0000.00.00.0020100 37.8975 090 58120 Dilation and curettage A 3.27 2.30 1.87 0.39 5.96 5.53 0010.10.80.1020100 37.8975 090 58140 Myomectomy abdom method A 14.58 7.10NA 7.10 1.78 23.46 23.46 0090.12.74.1420210 37.8975 090 58145 Myomectomy vag method A 8.03 4.79NA 4.79 0.96 13.78 13.78 0090.12.74.1420210 37.8975 090 58146 Myomectomy abdom complex A 18.97 9.00NA 9.00 2.27 30.24 30.24 0090.12.74.1420210 37.8975 090 58150 Total hysterectomy A 15.22 7.48NA 7.48 1.81 24.51 24.51 0090.12.74.1420210 37.8975 090 58152 Total hysterectomy A 20.57 9.85NA 9.85 2.41 32.83 32.83 0090.12.74.1420210 37.8975 090 58180 Partial hysterectomy A 15.27 7.45NA 7.45 1.64 24.36 24.36 0090.12.74.1420210 37.8975 090 58200 Extensive hysterectomy A 21.56 9.99NA 9.99 2.49 34.04 34.04 0090.12.74.1420210 37.8975 090 58210 Extensive hysterectomy A 28.81 13.19NA 13.19 3.30 45.30 45.30 0090.12.74.1422210 37.8975 090 58240 Removal of pelvis contents A 38.33 17.61NA 17.61 4.15 60.09 60.09 0090.12.74.1420210 37.8975 090 58260 Vaginal hysterectomy A 12.96 6.69NA 6.69 1.55 21.20 21.20 0090.12.74.1420210 37.8975 090 58262 Vag hyst including t/o A 14.75 7.38NA 7.38 1.77 23.90 23.90 0090.12.74.1420220 37.8975 090 58263 Vag hyst w/t/o & vag repair A 16.04 7.88NA 7.88 1.92 25.84 25.84 0090.12.74.1420220 37.8975 090 58267 Vag hyst w/urinary repair A 17.01 8.37NA 8.37 2.04 27.42 27.42 0090.12.74.1420210 37.8975 090 58270 Vag hyst w/enterocele repair A 14.24 7.06NA 7.06 1.70 23.00 23.00 0090.12.74.1420210 37.8975 090 58275 Hysterectomy/revise vagina A 15.74 7.77NA 7.77 1.86 25.37 25.37 0090.12.74.1420210 37.8975 090 58280 Hysterectomy/revise vagina A 16.98 8.25NA 8.25 1.99 27.22 27.22 0090.12.74.1420210 37.8975 090 58285 Extensive hysterectomy A 22.23 9.94NA 9.94 2.68 34.85 34.85 0090.12.74.1420210 37.8975 090 58290 Vag hyst complex A 18.97 9.12NA 9.12 2.28 30.37 30.37 0090.12.74.1420210 37.8975 090 58291 Vag hyst incl t/o, complex A 20.76 9.87NA 9.87 2.48 33.11 33.11 0090.12.74.1420220 37.8975 090 58292 Vag hyst t/o & repair, compl A 22.05 10.36NA 10.36 2.67 35.08 35.08 0090.12.74.1420220 37.8975 090 58293 Vag hyst w/uro repair, compl A 23.03 10.65NA 10.65 2.75 36.43 36.43 0090.12.74.1420210 37.8975 090 58294 Vag hyst w/enterocele, compl A 20.25 9.55NA 9.55 2.32 32.12 32.12 0090.12.74.1420210 37.8975 090 58300 Insert intrauterine device N+ 1.01 1.42 0.38 0.12 2.55 1.51 9XXX.00.00.0099999 37.8975 090 58301 Remove intrauterine device A 1.27 1.32 0.48 0.15 2.74 1.90 0000.00.00.0020000 37.8975 090 58321 Artificial insemination A 0.92 1.15 0.37 0.10 2.17 1.39 0000.00.00.0020000 37.8975 090 58322 Artificial insemination A 1.10 1.20 0.42 0.13 2.43 1.65 0000.00.00.0020000 37.8975 090 58323 Sperm washing A 0.23 0.53 0.09 0.03 0.79 0.35 0000.00.00.0020000 37.8975 090 58340 Catheter for hysterography A 0.88 3.16 0.65 0.09 4.13 1.62 0000.00.00.0020100 37.8975 090 58345 Reopen fallopian tube A 4.65 2.43NA 2.43 0.41 7.49 7.49 0010.10.80.1021220 37.8975 090 58346 Insert heyman uteri capsule A 6.74 3.92NA 3.92 0.58 11.24 11.24 0090.12.74.1420100 37.8975 090 58350 Reopen fallopian tube A 1.01 1.49 0.92 0.12 2.62 2.05 0010.10.80.1020100 37.8975 090 58353 Endometr ablate, thermal A 3.55 35.66 2.05 0.42 39.63 6.02 0010.10.80.1021220 37.8975 090 58356 Endometrial cryoablation A 6.36 61.43 2.69 0.82 68.61 9.87 0010.10.80.1021220 37.8975 090 58400 Suspension of uterus A 6.35 3.93NA 3.93 0.74 11.02 11.02 0090.12.74.1420210 37.8975 090 58410 Suspension of uterus A 12.71 6.43NA 6.43 1.45 20.59 20.59 0090.12.74.1420210 37.8975 090 58520 Repair of ruptured uterus A 11.90 6.03NA 6.03 1.47 19.40 19.40 0090.12.74.1420210 37.8975 090 58540 Revision of uterus A 14.62 6.95NA 6.95 1.76 23.33 23.33 0090.12.74.1420200 37.8975 090 58545 Laparoscopic myomectomy A 14.58 7.18NA 7.18 1.76 23.52 23.52 0090.12.74.1420220 37.8975 090 58546 Laparo-myomectomy, complex A 18.97 8.91NA 8.91 2.28 30.16 30.16 0090.12.74.1420220 37.8975 090 58550 Laparo-asst vag hysterectomy A 14.17 7.29NA 7.29 1.70 23.16 23.16 0090.12.74.1430220 49320 37.8975 090 58552 Laparo-vag hyst incl t/o A 15.98 8.01NA 8.01 1.70 25.69 25.69 0090.12.74.1420220 37.8975 090 58553 Laparo-vag hyst, complex A 18.97 8.91NA 8.91 2.29 30.17 30.17 0090.12.74.1420220 37.8975 090 58554 Laparo-vag hyst w/t/o, compl A 21.97 10.39NA 10.39 2.24 34.60 34.60 0090.12.74.1420220 37.8975 090 58555 Hysteroscopy, dx, sep proc A 3.33 2.19 1.55 0.40 5.92 5.28 0000.00.00.0020020 37.8975 090 58558 Hysteroscopy, biopsy A 4.74 2.17NA 2.17 0.57 7.48 7.48 0000.00.00.0030120 58555 37.8975 090 58559 Hysteroscopy, lysis A 6.16 2.73NA 2.73 0.73 9.62 9.62 0000.00.00.0030120 58555 37.8975 090 58560 Hysteroscopy, resect septum A 6.99 3.08NA 3.08 0.83 10.90 10.90 0000.00.00.0030220 58555 37.8975 090 58561 Hysteroscopy, remove myoma A 9.99 4.28NA 4.28 1.19 15.46 15.46 0000.00.00.0030020 58555 37.8975 090 58562 Hysteroscopy, remove fb A 5.20 2.35NA 2.35 0.62 8.17 8.17 0000.00.00.0030120 58555 37.8975 090 58563 Hysteroscopy, ablation A 6.16 56.19 2.75 0.74 63.09 9.65 0000.00.00.0030020 58555 37.8975 090 58565 Hysteroscopy, sterilization A 7.02 49.56 3.90 1.19 57.77 12.11 0090.12.74.1432120 58555 37.8975 090 58578 Laparo proc, uterus C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 58579 Hysteroscope procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 58600 Division of fallopian tube A 5.59 3.33NA 3.33 0.65 9.57 9.57 0090.12.74.1422210 37.8975 090 58605 Division of fallopian tube A 4.99 3.11NA 3.11 0.59 8.69 8.69 0090.12.74.1422200 37.8975 090 58611 Ligate oviduct(s) add-on A 1.45 0.57NA 0.57 0.17 2.19 2.19 0ZZZ.00.00.0000200 37.8975 090 58615 Occlude fallopian tube(s) A 3.89 2.70NA 2.70 0.47 7.06 7.06 0010.10.80.1020200 37.8975 090 58660 Laparoscopy, lysis A 11.27 5.25NA 5.25 1.38 17.90 17.90 0090.09.84.0730220 49320 37.8975 090 58661 Laparoscopy, remove adnexa A 11.03 5.12NA 5.12 1.33 17.48 17.48 0010.10.80.1030220 49320 37.8975 090 58662 Laparoscopy, excise lesions A 11.77 5.78NA 5.78 1.42 18.97 18.97 0090.09.84.0730220 49320 37.8975 090 58670 Laparoscopy, tubal cautery A 5.59 3.27NA 3.27 0.67 9.53 9.53 0090.10.80.1030120 49320 37.8975 090 58671 Laparoscopy, tubal block A 5.59 3.27NA 3.27 0.67 9.53 9.53 0090.10.80.1030120 49320 37.8975 090 58672 Laparoscopy, fimbrioplasty A 12.86 6.18NA 6.18 1.58 20.62 20.62 0090.10.80.1031200 49320 37.8975 090 58673 Laparoscopy, salpingostomy A 13.72 6.57NA 6.57 1.66 21.95 21.95 0090.10.80.1031200 49320 37.8975 090 58679 Laparo proc, oviduct-ovary C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 58700 Removal of fallopian tube A 12.03 5.98NA 5.98 1.50 19.51 19.51 0090.12.74.1422210 37.8975 090 58720 Removal of ovary/tube(s) A 11.34 5.77NA 5.77 1.37 18.48 18.48 0090.12.74.1422210 37.8975 090 58740 Revise fallopian tube(s) A 13.98 7.13NA 7.13 1.67 22.78 22.78 0090.12.74.1420210 37.8975 090 58750 Repair oviduct A 14.82 7.36NA 7.36 1.83 24.01 24.01 0090.12.74.1420210 37.8975 090 58752 Revise ovarian tube(s) A 14.82 6.94NA 6.94 1.78 23.54 23.54 0090.12.74.1420200 37.8975 090 58760 Remove tubal obstruction A 13.11 6.71NA 6.71 1.78 21.60 21.60 0090.12.74.1421210 37.8975 090 58770 Create new tubal opening A 13.95 6.90NA 6.90 1.72 22.57 22.57 0090.12.74.1421200 37.8975 090 58800 Drainage of ovarian cyst(s) A 4.13 3.64 2.90 0.42 8.19 7.45 0090.12.74.1422100 37.8975 090 58805 Drainage of ovarian cyst(s) A 5.87 3.50NA 3.50 0.66 10.03 10.03 0090.12.74.1422210 37.8975 090 58820 Drain ovary abscess, open A 4.21 3.29NA 3.29 0.52 8.02 8.02 0090.12.74.1420200 37.8975 090 58822 Drain ovary abscess, percut A 10.11 5.21NA 5.21 1.15 16.47 16.47 0090.12.74.1420210 37.8975 090 58823 Drain pelvic abscess, percut A 3.37 21.32 1.12 0.25 24.94 4.74 0000.00.00.0020200 37.8975 090 58825 Transposition, ovary(s) A 10.96 5.79NA 5.79 1.32 18.07 18.07 0090.12.74.1420210 37.8975 090 58900 Biopsy of ovary(s) A 5.98 3.57NA 3.57 0.68 10.23 10.23 0090.12.74.1422210 37.8975 090 58920 Partial removal of ovary(s) A 11.34 5.57NA 5.57 1.41 18.32 18.32 0090.12.74.1422210 37.8975 090 58925 Removal of ovarian cyst(s) A 11.34 5.68NA 5.68 1.39 18.41 18.41 0090.12.74.1422210 37.8975 090 58940 Removal of ovary(s) A 7.28 4.10NA 4.10 0.89 12.27 12.27 0090.12.74.1422210 37.8975 090 58943 Removal of ovary(s) A 18.40 8.64NA 8.64 2.20 29.24 29.24 0090.12.74.1420210 37.8975 090 58950 Resect ovarian malignancy A 16.90 8.40NA 8.40 2.01 27.31 27.31 0090.12.74.1422210 37.8975 090 58951 Resect ovarian malignancy A 22.35 10.44NA 10.44 2.59 35.38 35.38 0090.12.74.1422210 37.8975 090 58952 Resect ovarian malignancy A 24.97 11.75NA 11.75 2.96 39.68 39.68 0090.12.74.1422210 37.8975 090 58953 Tah, rad dissect for debulk A 31.95 14.54NA 14.54 3.75 50.24 50.24 0090.12.74.1422210 37.8975 090 58954 Tah rad debulk/lymph remove A 34.95 15.70NA 15.70 4.11 54.76 54.76 0090.12.74.1422210 37.8975 090 58956 Bso, omentectomy w/tah A 20.78 10.31NA 10.31 3.98 35.07 35.07 0090.12.74.1422210 37.8975 090 58960 Exploration of abdomen A 14.63 7.35NA 7.35 1.76 23.74 23.74 0090.12.74.1420210 37.8975 090 58970 Retrieval of oocyte A 3.52 2.31 1.49 0.42 6.25 5.43 0000.00.00.0020000 37.8975 090 58974 Transfer of embryo C 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020210 37.8975 090 58976 Transfer of embryo A 3.82 2.68 1.82 0.47 6.97 6.11 0000.00.00.0020210 37.8975 090 58999 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 59000 Amniocentesis, diagnostic A 1.30 2.07 0.67 0.31 3.68 2.28 0000.00.00.0020100 37.8975 090 59001 Amniocentesis, therapeutic A 3.00 1.41NA 1.41 0.71 5.12 5.12 0000.00.00.0020100 37.8975 090 59012 Fetal cord puncture,prenatal A 3.44 1.54NA 1.54 0.81 5.79 5.79 0000.00.00.0020000 37.8975 090 59015 Chorion biopsy A 2.20 1.55 1.04 0.52 4.27 3.76 0000.00.00.0020000 37.8975 090 59020 Fetal contract stress test A 0.66 0.78 0.78 NA 0.26 1.70 1.70 1000.00.00.0020000 37.8975 090 59020TCFetal contract stress test A 0.00 0.52 0.52 NA 0.10 0.62 0.62 1000.00.00.0000000 37.8975 020 5902026Fetal contract stress test A 0.66 0.26 0.26 0.16 1.08 1.08 1000.00.00.0020000 37.8975 090 59025 Fetal non-stress test A 0.53 0.44 0.44 NA 0.14 1.11 1.11 1000.00.00.0020000 37.8975 090 59025TCFetal non-stress test A 0.00 0.23 0.23 NA 0.02 0.25 0.25 1000.00.00.0000000 37.8975 010 5902526Fetal non-stress test A 0.53 0.21 0.21 0.12 0.86 0.86 1000.00.00.0020000 37.8975 090 59030 Fetal scalp blood sample A 1.99 0.77NA 0.77 0.47 3.23 3.23 0000.00.00.0020000 37.8975 090 59050 Fetal monitor w/report A 0.89 0.35NA 0.35 0.21 1.45 1.45 0XXX.00.00.0000000 37.8975 090 59051 Fetal monitor/interpret only A 0.74 0.29NA 0.29 0.17 1.20 1.20 0XXX.00.00.0000000 37.8975 090 59070 Transabdom amnioinfus w/us A 5.24 5.15 2.31 0.28 10.67 7.83 0000.00.00.0020200 37.8975 090 59072 Umbilical cord occlud w/us A 8.99 3.12NA 3.12 0.16 12.27 12.27 0000.00.00.0020100 37.8975 090 59074 Fetal fluid drainage w/us A 5.24 4.57 2.31 0.28 10.09 7.83 0000.00.00.0020200 37.8975 090 59076 Fetal shunt placement, w/us A 8.99 3.12NA 3.12 0.16 12.27 12.27 0000.00.00.0020200 37.8975 090 59100 Remove uterus lesion A 12.33 6.45NA 6.45 2.91 21.69 21.69 0090.17.60.2320210 37.8975 090 59120 Treat ectopic pregnancy A 11.47 6.24NA 6.24 2.66 20.37 20.37 0090.17.60.2320210 37.8975 090 59121 Treat ectopic pregnancy A 11.65 6.32NA 6.32 2.75 20.72 20.72 0090.17.60.2320210 37.8975 090 59130 Treat ectopic pregnancy A 14.20 4.79NA 4.79 3.35 22.34 22.34 0090.17.60.2320000 37.8975 090 59135 Treat ectopic pregnancy A 13.86 7.22NA 7.22 3.27 24.35 24.35 0090.17.60.2320000 37.8975 090 59136 Treat ectopic pregnancy A 13.16 6.60NA 6.60 3.11 22.87 22.87 0090.17.60.2320200 37.8975 090 59140 Treat ectopic pregnancy A 5.45 2.21 2.21 1.29 8.95 8.95 0090.17.60.2320200 37.8975 090 59150 Treat ectopic pregnancy A 11.65 5.99NA 5.99 2.75 20.39 20.39 0090.17.60.2320200 37.8975 090 59151 Treat ectopic pregnancy A 11.47 6.05NA 6.05 2.71 20.23 20.23 0090.17.60.2320200 37.8975 090 59160 D & c after delivery A 2.71 3.29 2.13 0.64 6.64 5.48 0010.10.80.1020000 37.8975 090 59200 Insert cervical dilator A 0.79 1.19 0.30 0.19 2.17 1.28 0000.00.00.0020100 37.8975 090 59300 Episiotomy or vaginal repair A 2.41 2.17 0.96 0.57 5.15 3.94 0000.00.00.0020000 37.8975 090 59320 Revision of cervix A 2.48 1.24NA 1.24 0.58 4.30 4.30 0000.00.00.0020000 37.8975 090 59325 Revision of cervix A 4.06 1.89NA 1.89 0.88 6.83 6.83 0000.00.00.0020000 37.8975 090 59350 Repair of uterus A 4.94 1.87NA 1.87 1.17 7.98 7.98 0000.00.00.0020200 37.8975 090 59400 Obstetrical care A 23.03 15.32NA 15.32 5.43 43.78 43.78 0MMM.00.00.0020100 37.8975 090 59409 Obstetrical care A 13.48 5.30NA 5.30 3.18 21.96 21.96 0MMM.00.00.0020000 37.8975 090 59410 Obstetrical care A 14.76 6.30NA 6.30 3.48 24.54 24.54 0MMM.00.00.0020100 37.8975 090 59412 Antepartum manipulation A 1.71 0.81NA 0.81 0.40 2.92 2.92 0MMM.00.00.0000000 37.8975 090 59414 Deliver placenta A 1.61 0.64NA 0.64 0.38 2.63 2.63 0MMM.00.00.0020000 37.8975 090 59425 Antepartum care only A 4.80 4.20 1.85 1.13 10.13 7.78 0MMM.00.00.0000000 37.8975 090 59426 Antepartum care only A 8.27 7.54 3.22 1.95 17.76 13.44 0MMM.00.00.0000000 37.8975 090 59430 Care after delivery A 2.13 1.23 0.94 0.50 3.86 3.57 0MMM.00.00.0020100 37.8975 090 59510 Cesarean delivery A 26.18 17.26NA 17.26 6.18 49.62 49.62 0MMM.00.00.0020100 37.8975 090 59514 Cesarean delivery only A 15.95 6.21NA 6.21 3.76 25.92 25.92 0MMM.00.00.0020210 37.8975 090 59515 Cesarean delivery A 17.34 7.83NA 7.83 4.09 29.26 29.26 0MMM.00.00.0020100 37.8975 090 59525 Remove uterus after cesarean A 8.53 3.30NA 3.30 1.93 13.76 13.76 0ZZZ.00.00.0000210 37.8975 090 59610 Vbac delivery A 24.58 15.86NA 15.86 5.80 46.24 46.24 0MMM.00.00.0020000 37.8975 090 59612 Vbac delivery only A 15.04 6.05NA 6.05 3.55 24.64 24.64 0MMM.00.00.0020000 37.8975 090 59614 Vbac care after delivery A 16.32 6.93NA 6.93 3.85 27.10 27.10 0MMM.00.00.0020000 37.8975 090 59618 Attempted vbac delivery A 27.74 18.23NA 18.23 6.54 52.51 52.51 0MMM.00.00.0020200 37.8975 090 59620 Attempted vbac delivery only A 17.50 6.76NA 6.76 4.13 28.39 28.39 0MMM.00.00.0020200 37.8975 090 59622 Attempted vbac after care A 18.90 8.63NA 8.63 4.46 31.99 31.99 0MMM.00.00.0020200 37.8975 090 59812 Treatment of miscarriage A 4.00 2.54NA 2.54 0.94 7.48 7.48 0090.17.60.2320100 37.8975 090 59820 Care of miscarriage A 4.00 4.42 3.56 0.94 9.36 8.50 0090.17.60.2320100 37.8975 090 59821 Treatment of miscarriage A 4.46 4.27 3.40 1.05 9.78 8.91 0090.17.60.2320000 37.8975 090 59830 Treat uterus infection A 6.10 3.98NA 3.98 1.44 11.52 11.52 0090.17.60.2320000 37.8975 090 59840 Abortion R 3.01 2.12NA 2.12 0.71 5.84 5.84 0010.10.80.1020000 37.8975 090 59841 Abortion R 5.23 3.49 2.97 1.23 9.95 9.43 0010.10.80.1020000 37.8975 090 59850 Abortion R 5.90 3.25NA 3.25 1.28 10.43 10.43 0090.17.60.2320000 37.8975 090 59851 Abortion R 5.92 3.74NA 3.74 1.28 10.94 10.94 0090.17.60.2320000 37.8975 090 59852 Abortion R 8.23 5.04NA 5.04 1.79 15.06 15.06 0090.17.60.2320000 37.8975 090 59855 Abortion R 6.11 3.54NA 3.54 1.44 11.09 11.09 0090.17.60.2320000 37.8975 090 59856 Abortion R 7.47 4.06NA 4.06 1.76 13.29 13.29 0090.17.60.2320000 37.8975 090 59857 Abortion R 9.28 4.71NA 4.71 2.00 15.99 15.99 0090.17.60.2320000 37.8975 090 59866 Abortion (mpr) R 3.99 1.89NA 1.89 0.87 6.75 6.75 0000.00.00.0020210 37.8975 090 59870 Evacuate mole of uterus A 6.00 4.48NA 4.48 1.42 11.90 11.90 0090.17.60.2320200 37.8975 090 59871 Remove cerclage suture A 2.13 1.74 1.13 0.50 4.37 3.76 0000.00.00.0020000 37.8975 090 59897 Fetal invas px w/us C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020100 37.8975 090 59898 Laparo proc, ob care/deliver C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 60000 Drain thyroid/tongue cyst A 1.76 1.92 1.71 0.14 3.82 3.61 0010.10.80.1020000 37.8975 090 60001 Aspirate/inject thyriod cyst A 0.97 1.41 0.33 0.07 2.45 1.37 0000.00.00.0020100 37.8975 090 60100 Biopsy of thyroid A 1.56 1.40 0.53 0.10 3.06 2.19 0000.00.00.0020100 37.8975 090 60200 Remove thyroid lesion A 9.54 5.98NA 5.98 1.01 16.53 16.53 0090.09.82.0920210 37.8975 090 60210 Partial thyroid excision A 10.86 5.63NA 5.63 1.23 17.72 17.72 0090.09.82.0920210 37.8975 090 60212 Partial thyroid excision A 16.01 7.67NA 7.67 1.92 25.60 25.60 0090.09.82.0920210 37.8975 090 60220 Partial removal of thyroid A 11.88 6.14NA 6.14 1.33 19.35 19.35 0090.09.82.0920210 37.8975 090 60225 Partial removal of thyroid A 14.17 7.40NA 7.40 1.63 23.20 23.20 0090.09.82.0920210 37.8975 090 60240 Removal of thyroid A 16.04 7.58NA 7.58 1.85 25.47 25.47 0090.09.82.0920210 37.8975 090 60252 Removal of thyroid A 20.54 10.09NA 10.09 2.31 32.94 32.94 0090.09.82.0920210 37.8975 090 60254 Extensive thyroid surgery A 26.95 14.14NA 14.14 2.63 43.72 43.72 0090.09.82.0920210 37.8975 090 60260 Repeat thyroid surgery A 17.44 8.64NA 8.64 1.94 28.02 28.02 0090.09.82.0921210 37.8975 090 60270 Removal of thyroid A 20.24 10.45NA 10.45 2.28 32.97 32.97 0090.09.82.0920210 37.8975 090 60271 Removal of thyroid A 16.80 8.58NA 8.58 1.79 27.17 27.17 0090.09.82.0920210 37.8975 090 60280 Remove thyroid duct lesion A 5.86 4.66NA 4.66 0.54 11.06 11.06 0090.09.82.0920210 37.8975 090 60281 Remove thyroid duct lesion A 8.52 5.83NA 5.83 0.73 15.08 15.08 0090.09.82.0920210 37.8975 090 60500 Explore parathyroid glands A 16.21 7.40NA 7.40 2.00 25.61 25.61 0090.09.82.0920210 37.8975 090 60502 Re-explore parathyroids A 20.32 9.35NA 9.35 2.51 32.18 32.18 0090.09.82.0920210 37.8975 090 60505 Explore parathyroid glands A 21.46 10.92NA 10.92 2.62 35.00 35.00 0090.09.82.0920210 37.8975 090 60512 Autotransplant parathyroid A 4.44 1.62NA 1.62 0.54 6.60 6.60 0ZZZ.00.00.0000210 37.8975 090 60520 Removal of thymus gland A 16.78 8.29NA 8.29 2.15 27.22 27.22 0090.09.82.0920210 37.8975 090 60521 Removal of thymus gland A 18.84 9.54NA 9.54 2.75 31.13 31.13 0090.09.82.0920210 37.8975 090 60522 Removal of thymus gland A 23.06 11.26NA 11.26 3.22 37.54 37.54 0090.09.82.0920210 37.8975 090 60540 Explore adrenal gland A 17.00 7.58NA 7.58 1.76 26.34 26.34 0090.09.82.0921210 37.8975 090 60545 Explore adrenal gland A 19.85 8.53NA 8.53 2.09 30.47 30.47 0090.09.82.0920210 37.8975 090 60600 Remove carotid body lesion A 17.90 10.96NA 10.96 2.19 31.05 31.05 0090.09.82.0920210 37.8975 090 60605 Remove carotid body lesion A 20.21 12.25NA 12.25 2.46 34.92 34.92 0090.09.82.0920210 37.8975 090 60650 Laparoscopy adrenalectomy A 19.97 7.98NA 7.98 2.27 30.22 30.22 0090.09.84.0721210 37.8975 090 60659 Laparo proc, endocrine C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 37.8975 090 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 37.8975 090 61000 Remove cranial cavity fluid A 1.58 0.95NA 0.95 0.13 2.66 2.66 0000.00.00.0022100 37.8975 090 61001 Remove cranial cavity fluid A 1.49 1.06NA 1.06 0.16 2.71 2.71 0000.00.00.0022100 37.8975 090 61020 Remove brain cavity fluid A 1.51 1.34NA 1.34 0.29 3.14 3.14 0000.00.00.0020100 37.8975 090 61026 Injection into brain canal A 1.69 1.39NA 1.39 0.28 3.36 3.36 0000.00.00.0020100 37.8975 090 61050 Remove brain canal fluid A 1.51 1.27NA 1.27 0.11 2.89 2.89 0000.00.00.0020000 37.8975 090 61055 Injection into brain canal A 2.10 1.42NA 1.42 0.16 3.68 3.68 0000.00.00.0000100 37.8975 090 61070 Brain canal shunt procedure A 0.89 1.01NA 1.01 0.15 2.05 2.05 0000.00.00.0020100 37.8975 090 61105 Twist drill hole A 5.13 3.93NA 3.93 1.28 10.34 10.34 0090.11.76.1320000 37.8975 090 61107 Drill skull for implantation A 4.99 2.53NA 2.53 1.23 8.75 8.75 0000.00.00.0000100 37.8975 090 61108 Drill skull for drainage A 10.17 7.14NA 7.14 2.53 19.84 19.84 0090.11.76.1320100 37.8975 090 61120 Burr hole for puncture A 8.75 5.99NA 5.99 1.91 16.65 16.65 0090.11.76.1320000 37.8975 090 61140 Pierce skull for biopsy A 15.88 9.88NA 9.88 4.03 29.79 29.79 0090.11.76.1320200 37.8975 090 61150 Pierce skull for drainage A 17.54 10.37NA 10.37 4.28 32.19 32.19 0090.11.76.1320110 37.8975 090 61151 Pierce skull for drainage A 12.40 7.81NA 7.81 2.97 23.18 23.18 0090.11.76.1320100 37.8975 090 61154 Pierce skull & remove clot A 14.97 9.48NA 9.48 4.07 28.52 28.52 0090.11.76.1321210 37.8975 090 61156 Pierce skull for drainage A 16.30 9.83NA 9.83 4.05 30.18 30.18 0090.11.76.1320210 37.8975 090 61210 Pierce skull, implant device A 5.83 2.91NA 2.91 1.45 10.19 10.19 0000.00.00.0000100 37.8975 090 61215 Insert brain-fluid device A 4.88 4.00NA 4.00 1.20 10.08 10.08 0090.11.76.1320110 37.8975 090 61250 Pierce skull & explore A 10.40 6.85NA 6.85 2.73 19.98 19.98 0090.11.76.1321210 37.8975 090 61253 Pierce skull & explore A 12.34 7.72NA 7.72 2.59 22.65 22.65 0090.11.76.1322200 37.8975 090 61304 Open skull for exploration A 21.93 12.83NA 12.83 5.19 39.95 39.95 0090.11.76.1320210 37.8975 090 61305 Open skull for exploration A 26.57 15.31NA 15.31 5.78 47.66 47.66 0090.11.76.1320210 37.8975 090 61312 Open skull for drainage A 24.53 15.04NA 15.04 6.14 45.71 45.71 0090.11.76.1320210 37.8975 090 61313 Open skull for drainage A 24.89 14.80NA 14.80 6.26 45.95 45.95 0090.11.76.1320210 37.8975 090 61314 Open skull for drainage A 24.19 13.03NA 13.03 6.12 43.34 43.34 0090.11.76.1320210 37.8975 090 61315 Open skull for drainage A 27.64 16.01NA 16.01 6.91 50.56 50.56 0090.11.76.1320210 37.8975 090 61316 Implt cran bone flap to abdo A 1.39 0.60NA 0.60 0.34 2.33 2.33 0ZZZ.00.00.0000100 37.8975 090 61320 Open skull for drainage A 25.58 14.75NA 14.75 6.24 46.57 46.57 0090.11.76.1320210 37.8975 090 61321 Open skull for drainage A 28.46 16.12NA 16.12 6.92 51.50 51.50 0090.11.76.1320210 37.8975 090 61322 Decompressive craniotomy A 29.46 15.66NA 15.66 7.26 52.38 52.38 0090.11.76.1320210 37.8975 090 61323 Decompressive lobectomy A 30.95 16.08NA 16.08 7.81 54.84 54.84 0090.11.76.1320110 37.8975 090 61330 Decompress eye socket A 23.29 13.72NA 13.72 2.34 39.35 39.35 0090.11.76.1321210 37.8975 090 61332 Explore/biopsy eye socket A 27.24 15.59NA 15.59 4.61 47.44 47.44 0090.11.76.1320210 37.8975 090 61333 Explore orbit/remove lesion A 27.91 15.57NA 15.57 3.81 47.29 47.29 0090.11.76.1320210 37.8975 090 61334 Explore orbit/remove object A 18.24 10.63NA 10.63 1.73 30.60 30.60 0090.11.76.1320210 37.8975 090 61340 Subtemporal decompression A 18.63 11.12NA 11.12 4.59 34.34 34.34 0090.11.76.1321210 37.8975 090 61343 Incise skull (press relief) A 29.73 16.80NA 16.80 7.40 53.93 53.93 0090.11.76.1320210 37.8975 090 61345 Relieve cranial pressure A 27.16 15.39NA 15.39 6.68 49.23 49.23 0090.11.76.1320210 37.8975 090 61440 Incise skull for surgery A 26.59 14.20NA 14.20 6.83 47.62 47.62 0090.11.76.1320210 37.8975 090 61450 Incise skull for surgery A 25.91 14.28NA 14.28 5.73 45.92 45.92 0090.11.76.1320210 37.8975 090 61458 Incise skull for brain wound A 27.25 15.51NA 15.51 6.72 49.48 49.48 0090.11.76.1320210 37.8975 090 61460 Incise skull for surgery A 28.35 16.41NA 16.41 5.88 50.64 50.64 0090.11.76.1320220 37.8975 090 61470 Incise skull for surgery A 26.02 13.85NA 13.85 5.83 45.70 45.70 0090.11.76.1320210 37.8975 090 61480 Incise skull for surgery A 26.45 15.27NA 15.27 6.68 48.40 48.40 0090.11.76.1320210 37.8975 090 61490 Incise skull for surgery A 25.62 14.32NA 14.32 6.85 46.79 46.79 0090.11.76.1321210 37.8975 090 61500 Removal of skull lesion A 17.89 10.80NA 10.80 3.93 32.62 32.62 0090.11.76.1320210 37.8975 090 61501 Remove infected skull bone A 14.82 9.20NA 9.20 3.01 27.03 27.03 0090.11.76.1320210 37.8975 090 61510 Removal of brain lesion A 28.41 16.69NA 16.69 7.09 52.19 52.19 0090.11.76.1320210 37.8975 090 61512 Remove brain lining lesion A 35.04 19.67NA 19.67 8.76 63.47 63.47 0090.11.76.1320210 37.8975 090 61514 Removal of brain abscess A 25.22 14.43NA 14.43 6.26 45.91 45.91 0090.11.76.1320210 37.8975 090 61516 Removal of brain lesion A 24.57 14.26NA 14.26 6.19 45.02 45.02 0090.11.76.1320210 37.8975 090 61517 Implt brain chemotx add-on A 1.38 0.64NA 0.64 0.34 2.36 2.36 0ZZZ.00.00.0000100 37.8975 090 61518 Removal of brain lesion A 37.26 21.09NA 21.09 9.30 67.65 67.65 0090.11.76.1320210 37.8975 090 61519 Remove brain lining lesion A 41.33 22.64NA 22.64 10.10 74.07 74.07 0090.11.76.1320210 37.8975 090 61520 Removal of brain lesion A 54.76 30.32NA 30.32 10.72 95.80 95.80 0090.11.76.1320220 37.8975 090 61521 Removal of brain lesion A 44.41 24.21NA 24.21 10.52 79.14 79.14 0090.11.76.1320210 37.8975 090 61522 Removal of brain abscess A 29.41 16.41NA 16.41 7.43 53.25 53.25 0090.11.76.1320210 37.8975 090 61524 Removal of brain lesion A 27.82 15.66NA 15.66 6.66 50.14 50.14 0090.11.76.1320210 37.8975 090 61526 Removal of brain lesion A 52.09 29.48NA 29.48 6.82 88.39 88.39 0090.11.76.1320120 37.8975 090 61530 Removal of brain lesion A 43.79 25.05NA 25.05 6.00 74.84 74.84 0090.11.76.1320120 37.8975 090 61531 Implant brain electrodes A 14.61 9.12NA 9.12 3.71 27.44 27.44 0090.11.76.1320220 37.8975 090 61533 Implant brain electrodes A 19.68 11.53NA 11.53 4.92 36.13 36.13 0090.11.76.1320210 37.8975 090 61534 Removal of brain lesion A 20.94 12.08NA 12.08 5.33 38.35 38.35 0090.11.76.1320210 37.8975 090 61535 Remove brain electrodes A 11.61 7.42NA 7.42 2.92 21.95 21.95 0090.11.76.1320210 37.8975 090 61536 Removal of brain lesion A 35.47 19.78NA 19.78 8.68 63.93 63.93 0090.11.76.1320210 37.8975 090 61537 Removal of brain tissue A 24.96 14.74NA 14.74 6.75 46.45 46.45 0090.11.76.1320210 37.8975 090 61538 Removal of brain tissue A 26.77 15.31NA 15.31 6.75 48.83 48.83 0090.11.76.1320210 37.8975 090 61539 Removal of brain tissue A 32.03 17.76NA 17.76 8.22 58.01 58.01 0090.11.76.1320210 37.8975 090 61540 Removal of brain tissue A 29.96 17.24NA 17.24 8.22 55.42 55.42 0090.11.76.1320210 37.8975 090 61541 Incision of brain tissue A 28.81 16.20NA 16.20 6.53 51.54 51.54 0090.11.76.1320210 37.8975 090 61542 Removal of brain tissue A 30.97 17.82NA 17.82 7.95 56.74 56.74 0090.11.76.1320210 37.8975 090 61543 Removal of brain tissue A 29.18 16.38NA 16.38 7.49 53.05 53.05 0090.11.76.1320210 37.8975 090 61544 Remove & treat brain lesion A 25.46 13.82NA 13.82 5.92 45.20 45.20 0090.11.76.1320200 37.8975 090 61545 Excision of brain tumor A 43.73 24.21NA 24.21 9.92 77.86 77.86 0090.11.76.1320210 37.8975 090 61546 Removal of pituitary gland A 31.25 17.49NA 17.49 7.47 56.21 56.21 0090.11.76.1320210 37.8975 090 61548 Removal of pituitary gland A 21.50 12.78NA 12.78 3.34 37.62 37.62 0090.11.76.1320220 37.8975 090 61550 Release of skull seams A 14.63 6.93NA 6.93 0.98 22.54 22.54 0090.11.76.1320210 37.8975 090 61552 Release of skull seams A 19.53 9.11NA 9.11 1.06 29.70 29.70 0090.11.76.1320210 37.8975 090 61556 Incise skull/sutures A 22.23 11.36NA 11.36 4.60 38.19 38.19 0090.11.76.1320200 37.8975 090 61557 Incise skull/sutures A 22.35 13.62NA 13.62 5.74 41.71 41.71 0090.11.76.1320200 37.8975 090 61558 Excision of skull/sutures A 25.54 14.19NA 14.19 1.35 41.08 41.08 0090.11.76.1320200 37.8975 090 61559 Excision of skull/sutures A 32.74 19.31NA 19.31 8.40 60.45 60.45 0090.11.76.1320210 37.8975 090 61563 Excision of skull tumor A 26.79 15.24NA 15.24 5.11 47.14 47.14 0090.11.76.1320210 37.8975 090 61564 Excision of skull tumor A 33.78 18.28NA 18.28 8.67 60.73 60.73 0090.11.76.1320210 37.8975 090 61566 Removal of brain tissue A 30.95 17.77NA 17.77 6.75 55.47 55.47 0090.11.76.1320210 37.8975 090 61567 Incision of brain tissue A 35.45 20.67NA 20.67 6.49 62.61 62.61 0090.11.76.1320210 37.8975 090 61570 Remove foreign body, brain A 24.56 13.91NA 13.91 5.32 43.79 43.79 0090.11.76.1320210 37.8975 090 61571 Incise skull for brain wound A 26.35 15.14NA 15.14 6.72 48.21 48.21 0090.11.76.1320210 37.8975 090 61575 Skull base/brainstem surgery A 34.31 19.63NA 19.63 5.10 59.04 59.04 0090.11.76.1320210 37.8975 090 61576 Skull base/brainstem surgery A 52.35 34.73NA 34.73 5.51 92.59 92.59 0090.11.76.1320210 37.8975 090 61580 Craniofacial approach, skull A 30.30 25.58NA 25.58 3.33 59.21 59.21 0090.11.76.1321212 37.8975 090 61581 Craniofacial approach, skull A 34.55 23.44NA 23.44 3.87 61.86 61.86 0090.11.76.1321122 37.8975 090 61582 Craniofacial approach, skull A 31.61 27.30NA 27.30 6.91 65.82 65.82 0090.11.76.1320212 37.8975 090 61583 Craniofacial approach, skull A 36.16 25.11NA 25.11 8.32 69.59 69.59 0090.11.76.1320212 37.8975 090 61584 Orbitocranial approach/skull A 34.60 24.52NA 24.52 7.69 66.81 66.81 0090.11.76.1321212 37.8975 090 61585 Orbitocranial approach/skull A 38.55 26.49NA 26.49 6.96 72.00 72.00 0090.11.76.1321212 37.8975 090 61586 Resect nasopharynx, skull A 25.06 22.58NA 22.58 4.32 51.96 51.96 0090.11.76.1320212 37.8975 090 61590 Infratemporal approach/skull A 41.72 28.62NA 28.62 5.18 75.52 75.52 0090.11.76.1321212 37.8975 090 61591 Infratemporal approach/skull A 43.61 29.52NA 29.52 5.48 78.61 78.61 0090.11.76.1321212 37.8975 090 61592 Orbitocranial approach/skull A 39.58 26.50NA 26.50 9.31 75.39 75.39 0090.11.76.1321212 37.8975 090 61595 Transtemporal approach/skull A 29.53 22.35NA 22.35 3.86 55.74 55.74 0090.11.76.1321212 37.8975 090 61596 Transcochlear approach/skull A 35.58 24.44NA 24.44 3.36 63.38 63.38 0090.11.76.1321212 37.8975 090 61597 Transcondylar approach/skull A 37.90 22.99NA 22.99 8.31 69.20 69.20 0090.11.76.1321212 37.8975 090 61598 Transpetrosal approach/skull A 33.36 23.23NA 23.23 5.53 62.12 62.12 0090.11.76.1320212 37.8975 090 61600 Resect/excise cranial lesion A 25.81 19.77NA 19.77 3.62 49.20 49.20 0090.11.76.1320212 37.8975 090 61601 Resect/excise cranial lesion A 27.85 20.49NA 20.49 6.34 54.68 54.68 0090.11.76.1320212 37.8975 090 61605 Resect/excise cranial lesion A 29.29 21.96NA 21.96 2.81 54.06 54.06 0090.11.76.1320212 37.8975 090 61606 Resect/excise cranial lesion A 38.77 25.15NA 25.15 8.57 72.49 72.49 0090.11.76.1320212 37.8975 090 61607 Resect/excise cranial lesion A 36.22 23.78NA 23.78 6.69 66.69 66.69 0090.11.76.1320212 37.8975 090 61608 Resect/excise cranial lesion A 42.04 26.58NA 26.58 9.93 78.55 78.55 0090.11.76.1320212 37.8975 090 61609 Transect artery, sinus A 9.88 4.85NA 4.85 2.53 17.26 17.26 0ZZZ.00.00.0000212 37.8975 090 61610 Transect artery, sinus A 29.63 13.14NA 13.14 7.60 50.37 50.37 0ZZZ.00.00.0000212 37.8975 090 61611 Transect artery, sinus A 7.41 3.82NA 3.82 1.87 13.10 13.10 0ZZZ.00.00.0000212 37.8975 090 61612 Transect artery, sinus A 27.84 13.31NA 13.31 4.28 45.43 45.43 0ZZZ.00.00.0000212 37.8975 090 61613 Remove aneurysm, sinus A 40.80 26.26NA 26.26 8.34 75.40 75.40 0090.11.76.1321212 37.8975 090 61615 Resect/excise lesion, skull A 32.02 22.72NA 22.72 4.65 59.39 59.39 0090.11.76.1320212 37.8975 090 61616 Resect/excise lesion, skull A 43.27 28.65NA 28.65 7.89 79.81 79.81 0090.11.76.1320212 37.8975 090 61618 Repair dura A 16.96 10.44NA 10.44 3.62 31.02 31.02 0090.11.76.1320212 37.8975 090 61619 Repair dura A 20.68 12.24NA 12.24 3.89 36.81 36.81 0090.11.76.1320212 37.8975 090 61623 Endovasc tempory vessel occl A 9.95 4.08NA 4.08 1.05 15.08 15.08 0000.00.00.0020100 37.8975 090 61624 Transcath occlusion, cns A 20.12 6.89NA 6.89 1.92 28.93 28.93 0000.00.00.0020100 37.8975 090 61626 Transcath occlusion, non-cns A 16.60 5.51NA 5.51 1.24 23.35 23.35 0000.00.00.0020100 37.8975 090 61680 Intracranial vessel surgery A 30.66 17.43NA 17.43 7.60 55.69 55.69 0090.11.76.1320210 37.8975 090 61682 Intracranial vessel surgery A 61.48 32.21NA 32.21 15.50109.19 109.19 0090.11.76.1320210 37.8975 090 61684 Intracranial vessel surgery A 39.75 22.00NA 22.00 10.20 71.95 71.95 0090.11.76.1320210 37.8975 090 61686 Intracranial vessel surgery A 64.39 34.72NA 34.72 16.15115.26 115.26 0090.11.76.1320210 37.8975 090 61690 Intracranial vessel surgery A 29.27 16.72NA 16.72 6.87 52.86 52.86 0090.11.76.1320210 37.8975 090 61692 Intracranial vessel surgery A 51.79 27.47NA 27.47 13.29 92.55 92.55 0090.11.76.1320210 37.8975 090 61697 Brain aneurysm repr, complx A 50.44 28.01NA 28.01 12.44 90.89 90.89 0090.11.76.1320210 37.8975 090 61698 Brain aneurysm repr, complx A 48.34 26.69NA 26.69 12.08 87.11 87.11 0090.11.76.1320210 37.8975 090 61700 Brain aneurysm repr, simple A 50.44 27.80NA 27.80 12.59 90.83 90.83 0090.11.76.1320210 37.8975 090 61702 Inner skull vessel surgery A 48.34 26.03NA 26.03 10.32 84.69 84.69 0090.11.76.1320210 37.8975 090 61703 Clamp neck artery A 17.44 10.46NA 10.46 3.94 31.84 31.84 0090.11.76.1320210 37.8975 090 61705 Revise circulation to head A 36.15 19.25NA 19.25 8.76 64.16 64.16 0090.11.76.1320210 37.8975 090 61708 Revise circulation to head A 35.25 15.15NA 15.15 2.49 52.89 52.89 0090.11.76.1320200 37.8975 090 61710 Revise circulation to head A 29.63 13.64NA 13.64 4.47 47.74 47.74 0090.11.76.1320000 37.8975 090 61711 Fusion of skull arteries A 36.28 19.80NA 19.80 9.16 65.24 65.24 0090.11.76.1320210 37.8975 090 61720 Incise skull/brain surgery A 16.74 9.97NA 9.97 2.72 29.43 29.43 0090.11.76.1320100 37.8975 090 61735 Incise skull/brain surgery A 20.40 12.16NA 12.16 2.69 35.25 35.25 0090.11.76.1320110 37.8975 090 61750 Incise skull/brain biopsy A 18.17 10.61NA 10.61 4.50 33.28 33.28 0090.11.76.1320110 37.8975 090 61751 Brain biopsy w/ct/mr guide A 17.59 10.82NA 10.82 4.39 32.80 32.80 0090.11.76.1320110 37.8975 090 61760 Implant brain electrodes A 22.24 8.71NA 8.71 5.07 36.02 36.02 0090.11.76.1320120 37.8975 090 61770 Incise skull for treatment A 21.41 12.25NA 12.25 3.51 37.17 37.17 0090.11.76.1320110 37.8975 090 61790 Treat trigeminal nerve A 10.84 5.91NA 5.91 2.68 19.43 19.43 0090.11.76.1320100 37.8975 090 61791 Treat trigeminal tract A 14.59 8.91NA 8.91 3.07 26.57 26.57 0090.11.76.1320000 37.8975 090 61793 Focus radiation beam A 17.21 10.12NA 10.12 4.24 31.57 31.57 0090.11.76.1320100 37.8975 090 61795 Brain surgery using computer A 4.03 2.03NA 2.03 0.77 6.83 6.83 0ZZZ.00.00.0000100 37.8975 090 61850 Implant neuroelectrodes A 12.37 7.67NA 7.67 3.18 23.22 23.22 0090.11.76.1320200 37.8975 090 61860 Implant neuroelectrodes A 20.84 12.06NA 12.06 4.90 37.80 37.80 0090.11.76.1320200 37.8975 090 61863 Implant neuroelectrode A 18.97 11.77NA 11.77 5.21 35.95 35.95 0090.11.76.1321210 37.8975 090 61864 Implant neuroelectrde, add’l A 4.49 2.28NA 2.28 5.21 11.98 11.98 0ZZZ.00.00.0000210 37.8975 090 61867 Implant neuroelectrode A 31.29 18.02NA 18.02 5.21 54.52 54.52 0090.11.76.1321210 37.8975 090 61868 Implant neuroelectrde, add’l A 7.91 4.01NA 4.01 5.21 17.13 17.13 0ZZZ.00.00.0000210 37.8975 090 61870 Implant neuroelectrodes A 14.92 9.70NA 9.70 3.83 28.45 28.45 0090.11.76.1320210 37.8975 090 61875 Implant neuroelectrodes A 15.04 8.57NA 8.57 2.92 26.53 26.53 0090.11.76.1320200 37.8975 090 61880 Revise/remove neuroelectrode A 6.28 4.57NA 4.57 1.58 12.43 12.43 0090.11.76.1321210 37.8975 090 61885 Insrt/redo neurostim 1 array A 5.84 5.30NA 5.30 1.42 12.56 12.56 0090.11.76.1321000 37.8975 090 61886 Implant neurostim arrays A 7.99 6.35NA 6.35 1.92 16.26 16.26 0090.11.76.1320000 37.8975 090 61888 Revise/remove neuroreceiver A 5.06 3.67NA 3.67 1.23 9.96 9.96 0010.10.80.1021100 37.8975 090 62000 Treat skull fracture A 12.51 5.51NA 5.51 1.04 19.06 19.06 0090.11.76.1320100 37.8975 090 62005 Treat skull fracture A 16.15 8.79NA 8.79 3.74 28.68 28.68 0090.11.76.1320210 37.8975 090 62010 Treatment of head injury A 19.78 11.71NA 11.71 4.80 36.29 36.29 0090.11.76.1320210 37.8975 090 62100 Repair brain fluid leakage A 22.00 12.78NA 12.78 4.71 39.49 39.49 0090.11.76.1320210 37.8975 090 62115 Reduction of skull defect A 21.63 11.64NA 11.64 5.46 38.73 38.73 0090.11.76.1320210 37.8975 090 62116 Reduction of skull defect A 23.55 13.36NA 13.36 6.05 42.96 42.96 0090.11.76.1320200 37.8975 090 62117 Reduction of skull defect A 26.56 15.37NA 15.37 4.48 46.41 46.41 0090.11.76.1320210 37.8975 090 62120 Repair skull cavity lesion A 23.31 18.48NA 18.48 2.96 44.75 44.75 0090.11.76.1320210 37.8975 090 62121 Incise skull repair A 21.55 15.45NA 15.45 4.08 41.08 41.08 0090.11.76.1320210 37.8975 090 62140 Repair of skull defect A 13.49 8.32NA 8.32 3.22 25.03 25.03 0090.11.76.1320210 37.8975 090 62141 Repair of skull defect A 14.89 9.04NA 9.04 3.49 27.42 27.42 0090.11.76.1320210 37.8975 090 62142 Remove skull plate/flap A 10.77 6.99NA 6.99 2.55 20.31 20.31 0090.11.76.1320200 37.8975 090 62143 Replace skull plate/flap A 13.03 8.04NA 8.04 3.18 24.25 24.25 0090.11.76.1320210 37.8975 090 62145 Repair of skull & brain A 18.79 10.89NA 10.89 4.30 33.98 33.98 0090.11.76.1320210 37.8975 090 62146 Repair of skull with graft A 16.10 9.63NA 9.63 3.52 29.25 29.25 0090.11.76.1320210 37.8975 090 62147 Repair of skull with graft A 19.31 11.30NA 11.30 4.20 34.81 34.81 0090.11.76.1320210 37.8975 090 62148 Retr bone flap to fix skull A 2.00 0.86NA 0.86 0.47 3.33 3.33 0ZZZ.00.00.0000100 37.8975 090 62160 Neuroendoscopy add-on A 3.00 1.53NA 1.53 0.75 5.28 5.28 0ZZZ.00.00.0000100 37.8975 090 62161 Dissect brain w/scope A 19.97 12.09NA 12.09 5.02 37.08 37.08 0090.11.76.1320210 37.8975 090 62162 Remove colloid cyst w/scope A 25.21 14.85NA 14.85 5.85 45.91 45.91 0090.11.76.1320210 37.8975 090 62163 Neuroendoscopy w/fb removal A 15.48 9.92NA 9.92 3.97 29.37 29.37 0090.11.76.1320210 37.8975 090 62164 Remove brain tumor w/scope A 27.46 14.95NA 14.95 5.31 47.72 47.72 0090.11.76.1320210 37.8975 090 62165 Remove pituit tumor w/scope A 21.97 13.38NA 13.38 2.95 38.30 38.30 0090.11.76.1320210 37.8975 090 62180 Establish brain cavity shunt A 21.03 12.28NA 12.28 4.77 38.08 38.08 0090.11.76.1320200 37.8975 090 62190 Establish brain cavity shunt A 11.05 7.08NA 7.08 2.76 20.89 20.89 0090.11.76.1320110 37.8975 090 62192 Establish brain cavity shunt A 12.23 7.62NA 7.62 2.93 22.78 22.78 0090.11.76.1320210 37.8975 090 62194 Replace/irrigate catheter A 5.02 2.43NA 2.43 0.89 8.34 8.34 0010.10.80.1020000 37.8975 090 62200 Establish brain cavity shunt A 18.29 10.84NA 10.84 4.49 33.62 33.62 0090.11.76.1320210 37.8975 090 62201 Brain cavity shunt w/scope A 14.84 9.44NA 9.44 3.41 27.69 27.69 0090.11.76.1320100 37.8975 090 62220 Establish brain cavity shunt A 12.98 7.98NA 7.98 3.06 24.02 24.02 0090.11.76.1320210 37.8975 090 62223 Establish brain cavity shunt A 12.85 8.24NA 8.24 3.02 24.11 24.11 0090.11.76.1320210 37.8975 090 62225 Replace/irrigate catheter A 5.40 4.09NA 4.09 1.33 10.82 10.82 0090.11.76.1320100 37.8975 090 62230 Replace/revise brain shunt A 10.52 6.48NA 6.48 2.54 19.54 19.54 0090.11.76.1320210 37.8975 090 62252 Csf shunt reprogram A 0.74 1.47 1.47 NA 0.20 2.41 2.41 1XXX.00.00.0000000 37.8975 090 62252TCCsf shunt reprogram A 0.00 1.10 1.10 NA 0.02 1.12 1.12 1XXX.00.00.0000000 37.8975 030 6225226Csf shunt reprogram A 0.74 0.37 0.37 0.18 1.29 1.29 1XXX.00.00.0000000 37.8975 090 62256 Remove brain cavity shunt A 6.59 4.69NA 4.69 1.65 12.93 12.93 0090.11.76.1320200 37.8975 090 62258 Replace brain cavity shunt A 14.52 8.71NA 8.71 3.56 26.79 26.79 0090.11.76.1320210 37.8975 090 62263 Epidural lysis mult sessions A 6.13 12.69 3.19 0.42 19.24 9.74 0010.10.80.1020100 37.8975 090 62264 Epidural lysis on single day A 4.42 7.73 1.42 0.27 12.42 6.11 0010.10.80.1020100 37.8975 090 62268 Drain spinal cord cyst A 4.73 11.53 2.14 0.43 16.69 7.30 0000.00.00.0020100 37.8975 090 62269 Needle biopsy, spinal cord A 5.01 14.68 1.97 0.39 20.08 7.37 0000.00.00.0020000 37.8975 090 62270 Spinal fluid tap, diagnostic A 1.13 2.99 0.56 0.08 4.20 1.77 0000.00.00.0020100 37.8975 090 62272 Drain cerebro spinal fluid A 1.35 3.61 0.71 0.17 5.13 2.23 0000.00.00.0020100 37.8975 090 62273 Inject epidural patch A 2.15 2.71 0.71 0.14 5.00 3.00 0000.00.00.0020100 37.8975 090 62280 Treat spinal cord lesion A 2.63 6.93 1.01 0.31 9.87 3.95 0010.10.80.1020100 37.8975 090 62281 Treat spinal cord lesion A 2.66 5.65 0.89 0.18 8.49 3.73 0010.10.80.1020100 37.8975 090 62282 Treat spinal canal lesion A 2.33 8.36 0.92 0.19 10.88 3.44 0010.10.80.1020100 37.8975 090 62284 Injection for myelogram A 1.54 4.96 0.68 0.13 6.63 2.35 0000.00.00.0000100 37.8975 090 62287 Percutaneous diskectomy A 8.07 5.55NA 5.55 0.64 14.26 14.26 0090.11.76.1320100 37.8975 090 62290 Inject for spine disk x-ray A 3.00 7.13 1.38 0.25 10.38 4.63 0000.00.00.0020100 37.8975 090 62291 Inject for spine disk x-ray A 2.91 5.93 1.23 0.26 9.10 4.40 0000.00.00.0020100 37.8975 090 62292 Injection into disk lesion A 7.85 4.47NA 4.47 0.81 13.13 13.13 0090.11.76.1320000 37.8975 090 62294 Injection into spinal artery A 11.81 5.58NA 5.58 1.23 18.62 18.62 0090.11.76.1320100 37.8975 090 62310 Inject spine c/t A 1.91 4.81 0.65 0.12 6.84 2.68 0000.00.00.0020100 37.8975 090 62311 Inject spine l/s (cd) A 1.54 4.92 0.59 0.10 6.56 2.23 0000.00.00.0020100 37.8975 090 62318 Inject spine w/cath, c/t A 2.04 5.72 0.65 0.13 7.89 2.82 0000.00.00.0020100 37.8975 090 62319 Inject spine w/cath l/s (cd) A 1.87 4.98 0.61 0.12 6.97 2.60 0000.00.00.0020100 37.8975 090 62350 Implant spinal canal cath A 6.86 3.94NA 3.94 0.98 11.78 11.78 0090.11.76.1320110 37.8975 090 62351 Implant spinal canal cath A 9.99 7.12NA 7.12 2.17 19.28 19.28 0090.11.76.1320220 37.8975 090 62355 Remove spinal canal catheter A 5.44 3.16NA 3.16 0.74 9.34 9.34 0090.11.76.1320000 37.8975 090 62360 Insert spine infusion device A 2.62 2.68NA 2.68 0.36 5.66 5.66 0090.11.76.1320010 37.8975 090 62361 Implant spine infusion pump A 5.41 3.92NA 3.92 0.77 10.10 10.10 0090.11.76.1320010 37.8975 090 62362 Implant spine infusion pump A 7.03 4.36NA 4.36 1.15 12.54 12.54 0090.11.76.1320010 37.8975 090 62365 Remove spine infusion device A 5.41 3.58NA 3.58 0.83 9.82 9.82 0090.11.76.1320000 37.8975 090 62367 Analyze spine infusion pump A 0.48 0.61 0.10 0.03 1.12 0.61 0XXX.00.00.0000000 37.8975 090 62368 Analyze spine infusion pump A 0.75 0.69 0.17 0.06 1.50 0.98 0XXX.00.00.0000000 37.8975 090 63001 Removal of spinal lamina A 15.80 9.51NA 9.51 3.65 28.96 28.96 0090.11.76.1320220 37.8975 090 63003 Removal of spinal lamina A 15.93 9.86NA 9.86 3.63 29.42 29.42 0090.11.76.1320220 37.8975 090 63005 Removal of spinal lamina A 14.90 9.97NA 9.97 3.27 28.14 28.14 0090.11.76.1320220 37.8975 090 63011 Removal of spinal lamina A 14.50 8.27NA 8.27 3.31 26.08 26.08 0090.11.76.1320220 37.8975 090 63012 Removal of spinal lamina A 15.38 10.12NA 10.12 3.41 28.91 28.91 0090.11.76.1320220 37.8975 090 63015 Removal of spinal lamina A 19.32 11.87NA 11.87 4.64 35.83 35.83 0090.11.76.1320220 37.8975 090 63016 Removal of spinal lamina A 19.17 11.78NA 11.78 4.45 35.40 35.40 0090.11.76.1320220 37.8975 090 63017 Removal of spinal lamina A 15.92 10.39NA 10.39 3.56 29.87 29.87 0090.11.76.1320220 37.8975 090 63020 Neck spine disk surgery A 14.79 9.67NA 9.67 3.60 28.06 28.06 0090.11.76.1321220 37.8975 090 63030 Low back disk surgery A 11.98 8.42NA 8.42 2.91 23.31 23.31 0090.11.76.1321220 37.8975 090 63035 Spinal disk surgery add-on A 3.15 1.59NA 1.59 0.77 5.51 5.51 0ZZZ.00.00.0000220 37.8975 090 63040 Laminotomy, single cervical A 18.78 11.50NA 11.50 4.49 34.77 34.77 0090.11.76.1321220 37.8975 090 63042 Laminotomy, single lumbar A 17.44 11.34NA 11.34 4.08 32.86 32.86 0090.11.76.1321220 37.8975 090 63043 Laminotomy, add’l cervical C 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000220 37.8975 090 63044 Laminotomy, add’l lumbar C 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000220 37.8975 090 63045 Removal of spinal lamina A 16.48 10.35NA 10.35 3.89 30.72 30.72 0090.11.76.1322220 37.8975 090 63046 Removal of spinal lamina A 15.78 10.18NA 10.18 3.47 29.43 29.43 0090.11.76.1322220 37.8975 090 63047 Removal of spinal lamina A 14.59 9.89NA 9.89 3.15 27.63 27.63 0090.11.76.1322220 37.8975 090 63048 Remove spinal lamina add-on A 3.26 1.66NA 1.66 0.71 5.63 5.63 0ZZZ.00.00.0000220 37.8975 090 63050 Cervical laminoplasty A 20.75 11.84NA 11.84 4.64 37.23 37.23 0090.11.76.1320220 37.8975 090 63051 C-laminoplasty w/graft/plate A 24.25 13.47NA 13.47 4.64 42.36 42.36 0090.11.76.1320220 37.8975 090 63055 Decompress spinal cord A 21.96 13.13NA 13.13 5.13 40.22 40.22 0090.11.76.1320210 37.8975 090 63056 Decompress spinal cord A 20.33 12.56NA 12.56 4.57 37.46 37.46 0090.11.76.1320210 37.8975 090 63057 Decompress spine cord add-on A 5.25 2.63NA 2.63 1.18 9.06 9.06 0ZZZ.00.00.0000210 37.8975 090 63064 Decompress spinal cord A 24.57 14.42NA 14.42 5.45 44.44 44.44 0090.11.76.1320210 37.8975 090 63066 Decompress spine cord add-on A 3.26 1.66NA 1.66 0.67 5.59 5.59 0ZZZ.00.00.0000210 37.8975 090 63075 Neck spine disk surgery A 19.38 12.08NA 12.08 4.49 35.95 35.95 0090.11.76.1320220 37.8975 090 63076 Neck spine disk surgery A 4.04 2.05NA 2.05 0.93 7.02 7.02 0ZZZ.00.00.0000220 37.8975 090 63077 Spine disk surgery, thorax A 21.41 12.79NA 12.79 3.70 37.90 37.90 0090.11.76.1320220 37.8975 090 63078 Spine disk surgery, thorax A 3.28 1.64NA 1.64 0.63 5.55 5.55 0ZZZ.00.00.0000220 37.8975 090 63081 Removal of vertebral body A 23.69 14.32NA 14.32 5.36 43.37 43.37 0090.11.76.1320212 37.8975 090 63082 Remove vertebral body add-on A 4.36 2.22NA 2.22 1.00 7.58 7.58 0ZZZ.00.00.0000212 37.8975 090 63085 Removal of vertebral body A 26.88 15.47NA 15.47 4.18 46.53 46.53 0090.11.76.1320222 37.8975 090 63086 Remove vertebral body add-on A 3.19 1.59NA 1.59 0.55 5.33 5.33 0ZZZ.00.00.0000222 37.8975 090 63087 Removal of vertebral body A 35.52 19.45NA 19.45 5.65 60.62 60.62 0090.11.76.1320222 37.8975 090 63088 Remove vertebral body add-on A 4.32 2.17NA 2.17 0.78 7.27 7.27 0ZZZ.00.00.0000222 37.8975 090 63090 Removal of vertebral body A 28.12 16.03NA 16.03 4.06 48.21 48.21 0090.11.76.1320222 37.8975 090 63091 Remove vertebral body add-on A 3.03 1.46NA 1.46 0.47 4.96 4.96 0ZZZ.00.00.0000222 37.8975 090 63101 Removal of vertebral body A 31.95 19.27NA 19.27 5.45 56.67 56.67 0090.11.76.1320210 37.8975 090 63102 Removal of vertebral body A 31.95 19.27NA 19.27 5.45 56.67 56.67 0090.11.76.1320210 37.8975 090 63103 Remove vertebral body add-on A 4.82 2.50NA 2.50 0.67 7.99 7.99 0ZZZ.00.00.0000210 37.8975 090 63170 Incise spinal cord tract(s) A 19.80 11.86NA 11.86 4.81 36.47 36.47 0090.11.76.1320210 37.8975 090 63172 Drainage of spinal cyst A 17.63 10.64NA 10.64 4.37 32.64 32.64 0090.11.76.1320210 37.8975 090 63173 Drainage of spinal cyst A 21.96 12.80NA 12.80 5.64 40.40 40.40 0090.11.76.1320210 37.8975 090 63180 Revise spinal cord ligaments A 18.24 10.98NA 10.98 3.92 33.14 33.14 0090.11.76.1320210 37.8975 090 63182 Revise spinal cord ligaments A 20.47 10.95NA 10.95 5.25 36.67 36.67 0090.11.76.1320210 37.8975 090 63185 Incise spinal column/nerves A 15.02 8.09NA 8.09 2.66 25.77 25.77 0090.11.76.1320210 37.8975 090 63190 Incise spinal column/nerves A 17.42 10.13NA 10.13 3.21 30.76 30.76 0090.11.76.1320210 37.8975 090 63191 Incise spinal column/nerves A 17.51 10.47NA 10.47 6.29 34.27 34.27 0090.11.76.1321210 37.8975 090 63194 Incise spinal column & cord A 19.16 11.71NA 11.71 3.23 34.10 34.10 0090.11.76.1320210 37.8975 090 63195 Incise spinal column & cord A 18.81 11.04NA 11.04 4.83 34.68 34.68 0090.11.76.1320210 37.8975 090 63196 Incise spinal column & cord A 22.27 13.38NA 13.38 5.72 41.37 41.37 0090.11.76.1320210 37.8975 090 63197 Incise spinal column & cord A 21.08 12.20NA 12.20 5.33 38.61 38.61 0090.11.76.1320210 37.8975 090 63198 Incise spinal column & cord A 25.34 8.43NA 8.43 6.40 40.17 40.17 0090.11.76.1320210 37.8975 090 63199 Incise spinal column & cord A 26.85 15.03NA 15.03 1.40 43.28 43.28 0090.11.76.1320210 37.8975 090 63200 Release of spinal cord A 19.15 11.29NA 11.29 4.73 35.17 35.17 0090.11.76.1320200 37.8975 090 63250 Revise spinal cord vessels A 40.70 19.92NA 19.92 8.93 69.55 69.55 0090.11.76.1320210 37.8975 090 63251 Revise spinal cord vessels A 41.14 22.58NA 22.58 9.92 73.64 73.64 0090.11.76.1320210 37.8975 090 63252 Revise spinal cord vessels A 41.13 22.23NA 22.23 10.07 73.43 73.43 0090.11.76.1320210 37.8975 090 63265 Excise intraspinal lesion A 21.53 12.76NA 12.76 5.28 39.57 39.57 0090.11.76.1320210 37.8975 090 63266 Excise intraspinal lesion A 22.27 13.17NA 13.17 5.37 40.81 40.81 0090.11.76.1320210 37.8975 090 63267 Excise intraspinal lesion A 17.92 11.07NA 11.07 4.26 33.25 33.25 0090.11.76.1320210 37.8975 090 63268 Excise intraspinal lesion A 18.49 10.36NA 10.36 3.61 32.46 32.46 0090.11.76.1320210 37.8975 090 63270 Excise intraspinal lesion A 26.76 15.46NA 15.46 6.56 48.78 48.78 0090.11.76.1320210 37.8975 090 63271 Excise intraspinal lesion A 26.88 15.56NA 15.56 6.47 48.91 48.91 0090.11.76.1320210 37.8975 090 63272 Excise intraspinal lesion A 25.28 14.68NA 14.68 6.04 46.00 46.00 0090.11.76.1320210 37.8975 090 63273 Excise intraspinal lesion A 24.25 14.33NA 14.33 5.69 44.27 44.27 0090.11.76.1320200 37.8975 090 63275 Biopsy/excise spinal tumor A 23.64 13.76NA 13.76 5.61 43.01 43.01 0090.11.76.1320210 37.8975 090 63276 Biopsy/excise spinal tumor A 23.41 13.67NA 13.67 5.60 42.68 42.68 0090.11.76.1320210 37.8975 090 63277 Biopsy/excise spinal tumor A 20.80 12.51NA 12.51 4.86 38.17 38.17 0090.11.76.1320210 37.8975 090 63278 Biopsy/excise spinal tumor A 20.53 12.38NA 12.38 4.40 37.31 37.31 0090.11.76.1320210 37.8975 090 63280 Biopsy/excise spinal tumor A 28.31 16.30NA 16.30 7.01 51.62 51.62 0090.11.76.1320210 37.8975 090 63281 Biopsy/excise spinal tumor A 28.01 16.16NA 16.16 6.90 51.07 51.07 0090.11.76.1320210 37.8975 090 63282 Biopsy/excise spinal tumor A 26.35 15.32NA 15.32 6.40 48.07 48.07 0090.11.76.1320210 37.8975 090 63283 Biopsy/excise spinal tumor A 24.96 14.65NA 14.65 6.22 45.83 45.83 0090.11.76.1320210 37.8975 090 63285 Biopsy/excise spinal tumor A 35.95 19.93NA 19.93 8.98 64.86 64.86 0090.11.76.1320210 37.8975 090 63286 Biopsy/excise spinal tumor A 35.58 19.89NA 19.89 8.87 64.34 64.34 0090.11.76.1320210 37.8975 090 63287 Biopsy/excise spinal tumor A 36.64 20.41NA 20.41 8.81 65.86 65.86 0090.11.76.1320210 37.8975 090 63290 Biopsy/excise spinal tumor A 37.32 20.58NA 20.58 8.74 66.64 66.64 0090.11.76.1320210 37.8975 090 63295 Repair of laminectomy defect A 5.25 2.14NA 2.14 1.03 8.42 8.42 0ZZZ.00.00.0002220 37.8975 090 63300 Removal of vertebral body A 24.39 14.29NA 14.29 5.56 44.24 44.24 0090.11.76.1320210 37.8975 090 63301 Removal of vertebral body A 27.56 15.54NA 15.54 4.91 48.01 48.01 0090.11.76.1320210 37.8975 090 63302 Removal of vertebral body A 27.77 15.84NA 15.84 5.22 48.83 48.83 0090.11.76.1320210 37.8975 090 63303 Removal of vertebral body A 30.45 16.90NA 16.90 4.49 51.84 51.84 0090.11.76.1320210 37.8975 090 63304 Removal of vertebral body A 30.28 17.26NA 17.26 6.36 53.90 53.90 0090.11.76.1320210 37.8975 090 63305 Removal of vertebral body A 31.98 18.04NA 18.04 5.66 55.68 55.68 0090.11.76.1320210 37.8975 090 63306 Removal of vertebral body A 32.17 17.79NA 17.79 8.26 58.22 58.22 0090.11.76.1320210 37.8975 090 63307 Removal of vertebral body A 31.58 16.80NA 16.80 4.43 52.81 52.81 0090.11.76.1320210 37.8975 090 63308 Remove vertebral body add-on A 5.24 2.60NA 2.60 1.26 9.10 9.10 0ZZZ.00.00.0000210 37.8975 090 63600 Remove spinal cord lesion A 14.00 5.39NA 5.39 1.49 20.88 20.88 0090.11.76.1320000 37.8975 090 63610 Stimulation of spinal cord A 8.72 59.68 2.25 0.86 69.26 11.83 0000.00.00.0020000 37.8975 090 63615 Remove lesion of spinal cord A 16.26 9.26NA 9.26 2.64 28.16 28.16 0090.11.76.1320110 37.8975 090 63650 Implant neuroelectrodes A 6.73 3.17NA 3.17 0.54 10.44 10.44 0090.11.76.1320100 37.8975 090 63655 Implant neuroelectrodes A 10.27 6.89NA 6.89 2.33 19.49 19.49 0090.11.76.1320210 37.8975 090 63660 Revise/remove neuroelectrode A 6.15 3.61NA 3.61 0.79 10.55 10.55 0090.11.76.1320110 37.8975 090 63685 Insrt/redo spine n generator A 7.03 4.14NA 4.14 1.02 12.19 12.19 0090.11.76.1320210 37.8975 090 63688 Revise/remove neuroreceiver A 5.38 3.55NA 3.55 0.85 9.78 9.78 0090.11.76.1320100 37.8975 090 63700 Repair of spinal herniation A 16.51 10.30NA 10.30 3.42 30.23 30.23 0090.11.76.1320210 37.8975 090 63702 Repair of spinal herniation A 18.45 11.03NA 11.03 4.09 33.57 33.57 0090.11.76.1320210 37.8975 090 63704 Repair of spinal herniation A 21.15 12.91NA 12.91 4.54 38.60 38.60 0090.11.76.1320210 37.8975 090 63706 Repair of spinal herniation A 24.07 13.57NA 13.57 6.18 43.82 43.82 0090.11.76.1320210 37.8975 090 63707 Repair spinal fluid leakage A 11.24 7.70NA 7.70 2.41 21.35 21.35 0090.11.76.1320210 37.8975 090 63709 Repair spinal fluid leakage A 14.30 9.39NA 9.39 3.02 26.71 26.71 0090.11.76.1320210 37.8975 090 63710 Graft repair of spine defect A 14.05 9.03NA 9.03 3.34 26.42 26.42 0090.11.76.1320210 37.8975 090 63740 Install spinal shunt A 11.34 7.34NA 7.34 2.68 21.36 21.36 0090.11.76.1320210 37.8975 090 63741 Install spinal shunt A 8.24 4.75NA 4.75 1.59 14.58 14.58 0090.11.76.1320210 37.8975 090 63744 Revision of spinal shunt A 8.09 5.25NA 5.25 1.76 15.10 15.10 0090.11.76.1320210 37.8975 090 63746 Removal of spinal shunt A 6.42 3.77NA 3.77 1.49 11.68 11.68 0090.11.76.1320000 37.8975 090 64400 N block inj, trigeminal A 1.11 1.89 0.43 0.09 3.09 1.63 0000.00.00.0020100 37.8975 090 64402 N block inj, facial A 1.25 1.61 0.60 0.09 2.95 1.94 0000.00.00.0020100 37.8975 090 64405 N block inj, occipital A 1.32 1.46 0.46 0.08 2.86 1.86 0000.00.00.0020100 37.8975 090 64408 N block inj, vagus A 1.41 1.58 0.85 0.10 3.09 2.36 0000.00.00.0020000 37.8975 090 64410 N block inj, phrenic A 1.43 2.50 0.46 0.10 4.03 1.99 0000.00.00.0020000 37.8975 090 64412 N block inj, spinal accessor A 1.18 2.65 0.43 0.08 3.91 1.69 0000.00.00.0020100 37.8975 090 64413 N block inj, cervical plexus A 1.40 1.84 0.50 0.09 3.33 1.99 0000.00.00.0020100 37.8975 090 64415 N block inj, brachial plexus A 1.48 2.80 0.46 0.10 4.38 2.04 0000.00.00.0020100 37.8975 090 64416 N block cont infuse, b plex A 3.49 0.79NA 0.79 0.31 4.59 4.59 0010.10.80.1020100 37.8975 090 64417 N block inj, axillary A 1.44 3.03 0.49 0.11 4.58 2.04 0000.00.00.0020100 37.8975 090 64418 N block inj, suprascapular A 1.32 2.62 0.44 0.08 4.02 1.84 0000.00.00.0020100 37.8975 090 64420 N block inj, intercost, sng A 1.18 3.88 0.42 0.09 5.15 1.69 0000.00.00.0020100 37.8975 090 64421 N block inj, intercost, mlt A 1.68 6.08 0.52 0.12 7.88 2.32 0000.00.00.0020100 37.8975 090 64425 N block inj, ilio-ing/hypogi A 1.75 1.65 0.54 0.14 3.54 2.43 0000.00.00.0020100 37.8975 090 64430 N block inj, pudendal A 1.46 2.51 0.55 0.11 4.08 2.12 0000.00.00.0020100 37.8975 090 64435 N block inj, paracervical A 1.45 2.52 0.69 0.15 4.12 2.29 0000.00.00.0020100 37.8975 090 64445 N block inj, sciatic, sng A 1.48 2.67 0.50 0.10 4.25 2.08 0000.00.00.0020100 37.8975 090 64446 N blk inj, sciatic, cont inf A 3.25 1.00NA 1.00 0.24 4.49 4.49 0010.10.80.1020100 37.8975 090 64447 N block inj fem, single A 1.50 0.43NA 0.43 0.10 2.03 2.03 0000.00.00.0020100 37.8975 090 64448 N block inj fem, cont inf A 3.00 0.81NA 0.81 0.21 4.02 4.02 0010.10.80.1020100 37.8975 090 64449 N block inj, lumbar plexus A 3.00 0.96NA 0.96 0.16 4.12 4.12 0010.10.80.1020100 37.8975 090 64450 N block, other peripheral A 1.27 1.24 0.48 0.13 2.64 1.88 0000.00.00.0021100 37.8975 090 64470 Inj paravertebral c/t A 1.85 7.23 0.71 0.13 9.21 2.69 0000.00.00.0021100 37.8975 090 64472 Inj paravertebral c/t add-on A 1.29 2.33 0.34 0.09 3.71 1.72 0ZZZ.00.00.0001100 37.8975 090 64475 Inj paravertebral l/s A 1.41 6.88 0.63 0.11 8.40 2.15 0000.00.00.0021100 37.8975 090 64476 Inj paravertebral l/s add-on A 0.98 2.12 0.24 0.07 3.17 1.29 0ZZZ.00.00.0001100 37.8975 090 64479 Inj foramen epidural c/t A 2.20 7.49 0.89 0.15 9.84 3.24 0000.00.00.0021100 37.8975 090 64480 Inj foramen epidural add-on A 1.54 2.84 0.47 0.12 4.50 2.13 0ZZZ.00.00.0000100 37.8975 090 64483 Inj foramen epidural l/s A 1.90 7.89 0.83 0.12 9.91 2.85 0000.00.00.0021100 37.8975 090 64484 Inj foramen epidural add-on A 1.33 3.28 0.37 0.09 4.70 1.79 0ZZZ.00.00.0000100 37.8975 090 64505 N block, spenopalatine gangl A 1.36 1.24 0.66 0.10 2.70 2.12 0000.00.00.0020100 37.8975 090 64508 N block, carotid sinus s/p A 1.12 3.32 0.74 0.07 4.51 1.93 0000.00.00.0020000 37.8975 090 64510 N block, stellate ganglion A 1.22 3.45 0.51 0.07 4.74 1.80 0000.00.00.0020100 37.8975 090 64517 N block inj, hypogas plxs A 2.20 2.72 0.87 0.11 5.03 3.18 0000.00.00.0020100 37.8975 090 64520 N block, lumbar/thoracic A 1.35 5.14 0.55 0.08 6.57 1.98 0000.00.00.0020100 37.8975 090 64530 N block inj, celiac pelus A 1.58 4.45 0.65 0.10 6.13 2.33 0000.00.00.0020100 37.8975 090 64550 Apply neurostimulator A 0.18 0.28 0.05 0.01 0.47 0.24 0000.00.00.0000100 37.8975 090 64553 Implant neuroelectrodes A 2.31 2.83 1.85 0.19 5.33 4.35 0010.10.80.1020000 37.8975 090 64555 Implant neuroelectrodes A 2.27 3.10 1.19 0.20 5.57 3.66 0010.10.80.1020100 37.8975 090 64560 Implant neuroelectrodes A 2.36 2.63 1.28 0.21 5.20 3.85 0010.10.80.1020000 37.8975 090 64561 Implant neuroelectrodes A 6.73 30.05 2.77 0.51 37.29 10.01 0010.10.80.1020100 37.8975 090 64565 Implant neuroelectrodes A 1.76 3.28 1.26 0.13 5.17 3.15 0010.10.80.1020100 37.8975 090 64573 Implant neuroelectrodes A 7.49 5.24NA 5.24 1.53 14.26 14.26 0090.11.76.1320000 37.8975 090 64575 Implant neuroelectrodes A 4.34 2.67NA 2.67 0.59 7.60 7.60 0090.11.76.1320100 37.8975 090 64577 Implant neuroelectrodes A 4.61 3.28NA 3.28 1.04 8.93 8.93 0090.11.76.1320100 37.8975 090 64580 Implant neuroelectrodes A 4.11 3.55NA 3.55 0.36 8.02 8.02 0090.11.76.1320200 37.8975 090 64581 Implant neuroelectrodes A 13.48 5.37NA 5.37 1.05 19.90 19.90 0090.11.76.1320100 37.8975 090 64585 Revise/remove neuroelectrode A 2.06 11.28 2.13 0.20 13.54 4.39 0010.10.80.1020200 37.8975 090 64590 Insrt/redo perph n generator A 2.40 7.14 2.28 0.21 9.75 4.89 0010.10.80.1020210 37.8975 090 64595 Revise/remove neuroreceiver A 1.73 10.39 1.92 0.19 12.31 3.84 0010.10.80.1020100 37.8975 090 64600 Injection treatment of nerve A 3.44 9.35 1.65 0.33 13.12 5.42 0010.10.80.1022100 37.8975 090 64605 Injection treatment of nerve A 5.60 9.55 2.18 0.77 15.92 8.55 0010.10.80.1020000 37.8975 090 64610 Injection treatment of nerve A 7.15 8.86 3.71 1.48 17.49 12.34 0010.10.80.1020100 37.8975 090 64612 Destroy nerve, face muscle A 1.96 2.48 1.32 0.12 4.56 3.40 0010.10.80.1021100 37.8975 090 64613 Destroy nerve, spine muscle A 1.96 2.93 1.22 0.11 5.00 3.29 0010.10.80.1020100 37.8975 090 64614 Destroy nerve, extrem musc A 2.20 3.22 1.31 0.11 5.53 3.62 0010.10.80.1021100 37.8975 090 64620 Injection treatment of nerve A 2.84 5.06 1.33 0.20 8.10 4.37 0010.10.80.1020100 37.8975 090 64622 Destr paravertebrl nerve l/s A 3.00 7.76 1.37 0.21 10.97 4.58 0010.10.80.1021100 37.8975 090 64623 Destr paravertebral n add-on A 0.99 2.96 0.22 0.07 4.02 1.28 0ZZZ.00.00.0001100 37.8975 090 64626 Destr paravertebrl nerve c/t A 3.28 7.78 1.96 0.22 11.28 5.46 0010.10.80.1021100 37.8975 090 64627 Destr paravertebral n add-on A 1.16 4.53 0.27 0.08 5.77 1.51 0ZZZ.00.00.0001100 37.8975 090 64630 Injection treatment of nerve A 3.00 2.73 1.41 0.23 5.96 4.64 0010.10.80.1020000 37.8975 090 64640 Injection treatment of nerve A 2.76 4.18 1.84 0.28 7.22 4.88 0010.10.80.1021100 37.8975 090 64680 Injection treatment of nerve A 2.62 6.71 1.43 0.18 9.51 4.23 0010.10.80.1020100 37.8975 090 64681 Injection treatment of nerve A 3.54 9.29 2.06 0.28 13.11 5.88 0010.10.80.1020100 37.8975 090 64702 Revise finger/toe nerve A 4.22 3.86NA 3.86 0.61 8.69 8.69 0090.11.76.1320100 37.8975 090 64704 Revise hand/foot nerve A 4.56 3.31NA 3.31 0.61 8.48 8.48 0090.11.76.1320210 37.8975 090 64708 Revise arm/leg nerve A 6.11 4.86NA 4.86 0.94 11.91 11.91 0090.11.76.1320210 37.8975 090 64712 Revision of sciatic nerve A 7.74 4.96NA 4.96 0.99 13.69 13.69 0090.11.76.1320210 37.8975 090 64713 Revision of arm nerve(s) A 10.98 5.87NA 5.87 1.74 18.59 18.59 0090.11.76.1320210 37.8975 090 64714 Revise low back nerve(s) A 10.31 4.20NA 4.20 1.19 15.70 15.70 0090.11.76.1320210 37.8975 090 64716 Revision of cranial nerve A 6.30 5.97NA 5.97 0.65 12.92 12.92 0090.11.76.1320210 37.8975 090 64718 Revise ulnar nerve at elbow A 5.98 5.99NA 5.99 1.04 13.01 13.01 0090.11.76.1320000 37.8975 090 64719 Revise ulnar nerve at wrist A 4.84 4.52NA 4.52 0.77 10.13 10.13 0090.11.76.1320100 37.8975 090 64721 Carpal tunnel surgery A 4.28 5.36NA 5.36 0.72 10.36 10.36 0090.11.76.1321100 37.8975 090 64722 Relieve pressure on nerve(s) A 4.69 3.04NA 3.04 0.52 8.25 8.25 0090.11.76.1320210 37.8975 090 64726 Release foot/toe nerve A 4.17 2.79NA 2.79 0.55 7.51 7.51 0090.11.76.1320100 37.8975 090 64727 Internal nerve revision A 3.10 1.50NA 1.50 0.47 5.07 5.07 0ZZZ.00.00.0000100 37.8975 090 64732 Incision of brow nerve A 4.40 3.50NA 3.50 0.94 8.84 8.84 0090.11.76.1320200 37.8975 090 64734 Incision of cheek nerve A 4.91 4.05NA 4.05 0.88 9.84 9.84 0090.11.76.1320000 37.8975 090 64736 Incision of chin nerve A 4.59 4.02NA 4.02 0.52 9.13 9.13 0090.11.76.1320200 37.8975 090 64738 Incision of jaw nerve A 5.72 4.61NA 4.61 1.07 11.40 11.40 0090.11.76.1320200 37.8975 090 64740 Incision of tongue nerve A 5.58 5.12NA 5.12 0.69 11.39 11.39 0090.11.76.1320200 37.8975 090 64742 Incision of facial nerve A 6.21 4.70NA 4.70 0.73 11.64 11.64 0090.11.76.1320200 37.8975 090 64744 Incise nerve, back of head A 5.23 3.77NA 3.77 1.09 10.09 10.09 0090.11.76.1321000 37.8975 090 64746 Incise diaphragm nerve A 5.92 4.50NA 4.50 0.82 11.24 11.24 0090.11.76.1320210 37.8975 090 64752 Incision of vagus nerve A 7.05 4.28NA 4.28 0.92 12.25 12.25 0090.11.76.1320210 37.8975 090 64755 Incision of stomach nerves A 13.50 5.63NA 5.63 1.81 20.94 20.94 0090.11.76.1320210 37.8975 090 64760 Incision of vagus nerve A 6.95 3.45NA 3.45 0.78 11.18 11.18 0090.11.76.1320210 37.8975 090 64761 Incision of pelvis nerve A 6.40 3.52NA 3.52 0.53 10.45 10.45 0090.11.76.1321200 37.8975 090 64763 Incise hip/thigh nerve A 6.92 5.19NA 5.19 0.94 13.05 13.05 0090.11.76.1321210 37.8975 090 64766 Incise hip/thigh nerve A 8.66 5.24NA 5.24 1.06 14.96 14.96 0090.11.76.1321200 37.8975 090 64771 Sever cranial nerve A 7.34 5.55NA 5.55 1.22 14.11 14.11 0090.11.76.1320200 37.8975 090 64772 Incision of spinal nerve A 7.20 4.92NA 4.92 1.29 13.41 13.41 0090.11.76.1320210 37.8975 090 64774 Remove skin nerve lesion A 5.16 3.83NA 3.83 0.75 9.74 9.74 0090.11.76.1320100 37.8975 090 64776 Remove digit nerve lesion A 5.11 3.68NA 3.68 0.73 9.52 9.52 0090.11.76.1320000 37.8975 090 64778 Digit nerve surgery add-on A 3.11 1.50NA 1.50 0.45 5.06 5.06 0ZZZ.00.00.0000100 37.8975 090 64782 Remove limb nerve lesion A 6.22 3.77NA 3.77 0.87 10.86 10.86 0090.11.76.1320110 37.8975 090 64783 Limb nerve surgery add-on A 3.71 1.83NA 1.83 0.51 6.05 6.05 0ZZZ.00.00.0000100 37.8975 090 64784 Remove nerve lesion A 9.81 6.59NA 6.59 1.42 17.82 17.82 0090.11.76.1320000 37.8975 090 64786 Remove sciatic nerve lesion A 15.44 9.83NA 9.83 2.53 27.80 27.80 0090.11.76.1320200 37.8975 090 64787 Implant nerve end A 4.29 2.12NA 2.12 0.58 6.99 6.99 0ZZZ.00.00.0000000 37.8975 090 64788 Remove skin nerve lesion A 4.60 3.46NA 3.46 0.68 8.74 8.74 0090.11.76.1320100 37.8975 090 64790 Removal of nerve lesion A 11.29 7.20NA 7.20 1.99 20.48 20.48 0090.11.76.1320010 37.8975 090 64792 Removal of nerve lesion A 14.90 8.82NA 8.82 2.36 26.08 26.08 0090.11.76.1320210 37.8975 090 64795 Biopsy of nerve A 3.01 1.56NA 1.56 0.50 5.07 5.07 0000.00.00.0020100 37.8975 090 64802 Remove sympathetic nerves A 9.14 5.13NA 5.13 1.28 15.55 15.55 0090.11.76.1321210 37.8975 090 64804 Remove sympathetic nerves A 14.62 7.16NA 7.16 2.09 23.87 23.87 0090.11.76.1321210 37.8975 090 64809 Remove sympathetic nerves A 13.65 5.76NA 5.76 1.50 20.91 20.91 0090.11.76.1321210 37.8975 090 64818 Remove sympathetic nerves A 10.28 5.28NA 5.28 1.32 16.88 16.88 0090.11.76.1321210 37.8975 090 64820 Remove sympathetic nerves A 10.35 7.12NA 7.12 1.48 18.95 18.95 0090.11.76.1320100 37.8975 090 64821 Remove sympathetic nerves A 8.74 7.34NA 7.34 1.24 17.32 17.32 0090.11.76.1321100 37.8975 090 64822 Remove sympathetic nerves A 8.74 7.23NA 7.23 1.27 17.24 17.24 0090.11.76.1321100 37.8975 090 64823 Remove sympathetic nerves A 10.35 8.13NA 8.13 1.55 20.03 20.03 0090.11.76.1321100 37.8975 090 64831 Repair of digit nerve A 9.43 7.07NA 7.07 1.39 17.89 17.89 0090.11.76.1320100 37.8975 090 64832 Repair nerve add-on A 5.65 2.93NA 2.93 0.84 9.42 9.42 0ZZZ.00.00.0000000 37.8975 090 64834 Repair of hand or foot nerve A 10.17 7.09NA 7.09 1.52 18.78 18.78 0090.11.76.1320000 37.8975 090 64835 Repair of hand or foot nerve A 10.92 7.69NA 7.69 1.67 20.28 20.28 0090.11.76.1320200 37.8975 090 64836 Repair of hand or foot nerve A 10.92 7.66NA 7.66 1.66 20.24 20.24 0090.11.76.1320200 37.8975 090 64837 Repair nerve add-on A 6.25 3.23NA 3.23 0.96 10.44 10.44 0ZZZ.00.00.0000200 37.8975 090 64840 Repair of leg nerve A 13.00 8.25NA 8.25 1.36 22.61 22.61 0090.11.76.1320200 37.8975 090 64856 Repair/transpose nerve A 13.78 9.18NA 9.18 2.08 25.04 25.04 0090.11.76.1320110 37.8975 090 64857 Repair arm/leg nerve A 14.47 9.63NA 9.63 2.22 26.32 26.32 0090.11.76.1320210 37.8975 090 64858 Repair sciatic nerve A 16.47 10.77NA 10.77 3.30 30.54 30.54 0090.11.76.1320210 37.8975 090 64859 Nerve surgery A 4.25 2.19NA 2.19 0.67 7.11 7.11 0ZZZ.00.00.0000210 37.8975 090 64861 Repair of arm nerves A 19.21 11.77NA 11.77 4.05 35.03 35.03 0090.11.76.1320210 37.8975 090 64862 Repair of low back nerves A 19.41 11.93NA 11.93 4.28 35.62 35.62 0090.11.76.1320200 37.8975 090 64864 Repair of facial nerve A 12.53 8.76NA 8.76 1.30 22.59 22.59 0090.11.76.1320210 37.8975 090 64865 Repair of facial nerve A 15.22 13.52NA 13.52 1.55 30.29 30.29 0090.11.76.1320210 37.8975 090 64866 Fusion of facial/other nerve A 15.72 13.16NA 13.16 2.03 30.91 30.91 0090.11.76.1320210 37.8975 090 64868 Fusion of facial/other nerve A 14.02 11.43NA 11.43 1.43 26.88 26.88 0090.11.76.1320210 37.8975 090 64870 Fusion of facial/other nerve A 15.97 8.72NA 8.72 1.30 25.99 25.99 0090.11.76.1320210 37.8975 090 64872 Subsequent repair of nerve A 1.99 1.08NA 1.08 0.29 3.36 3.36 0ZZZ.00.00.0000210 37.8975 090 64874 Repair & revise nerve add-on A 2.98 1.53NA 1.53 0.42 4.93 4.93 0ZZZ.00.00.0000210 37.8975 090 64876 Repair nerve/shorten bone A 3.37 1.74NA 1.74 0.47 5.58 5.58 0ZZZ.00.00.0000210 37.8975 090 64885 Nerve graft, head or neck A 17.50 11.60NA 11.60 1.67 30.77 30.77 0090.11.76.1320210 37.8975 090 64886 Nerve graft, head or neck A 20.72 13.54NA 13.54 2.10 36.36 36.36 0090.11.76.1320210 37.8975 090 64890 Nerve graft, hand or foot A 15.13 9.99NA 9.99 2.28 27.40 27.40 0090.11.76.1320200 37.8975 090 64891 Nerve graft, hand or foot A 16.12 7.58NA 7.58 1.62 25.32 25.32 0090.11.76.1320200 37.8975 090 64892 Nerve graft, arm or leg A 14.63 8.86NA 8.86 2.45 25.94 25.94 0090.11.76.1320210 37.8975 090 64893 Nerve graft, arm or leg A 15.58 9.86NA 9.86 2.60 28.04 28.04 0090.11.76.1320200 37.8975 090 64895 Nerve graft, hand or foot A 19.22 9.65NA 9.65 2.55 31.42 31.42 0090.11.76.1320210 37.8975 090 64896 Nerve graft, hand or foot A 20.46 10.98NA 10.98 3.13 34.57 34.57 0090.11.76.1320210 37.8975 090 64897 Nerve graft, arm or leg A 18.21 10.69NA 10.69 2.52 31.42 31.42 0090.11.76.1320200 37.8975 090 64898 Nerve graft, arm or leg A 19.47 11.79NA 11.79 2.74 34.00 34.00 0090.11.76.1320210 37.8975 090 64901 Nerve graft add-on A 10.20 5.26NA 5.26 1.37 16.83 16.83 0ZZZ.00.00.0000210 37.8975 090 64902 Nerve graft add-on A 11.81 5.96NA 5.96 1.54 19.31 19.31 0ZZZ.00.00.0000200 37.8975 090 64905 Nerve pedicle transfer A 14.00 8.49NA 8.49 1.98 24.47 24.47 0090.11.76.1320210 37.8975 090 64907 Nerve pedicle transfer A 18.80 12.52NA 12.52 3.13 34.45 34.45 0090.11.76.1320210 37.8975 090 64999 Nervous system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 65091 Revise eye A 6.45 8.35NA 8.35 0.32 15.12 15.12 0090.10.70.2021010 37.8975 090 65093 Revise eye with implant A 6.86 8.71NA 8.71 0.36 15.93 15.93 0090.10.70.2021110 37.8975 090 65101 Removal of eye A 7.02 9.52NA 9.52 0.37 16.91 16.91 0090.10.70.2021100 37.8975 090 65103 Remove eye/insert implant A 7.56 9.73NA 9.73 0.38 17.67 17.67 0090.10.70.2021110 37.8975 090 65105 Remove eye/attach implant A 8.48 10.46NA 10.46 0.43 19.37 19.37 0090.10.70.2021210 37.8975 090 65110 Removal of eye A 13.93 13.67NA 13.67 0.84 28.44 28.44 0090.10.70.2021210 37.8975 090 65112 Remove eye/revise socket A 16.36 16.13NA 16.13 1.38 33.87 33.87 0090.10.70.2021210 37.8975 090 65114 Remove eye/revise socket A 17.50 16.34NA 16.34 1.02 34.86 34.86 0090.10.70.2021210 37.8975 090 65125 Revise ocular implant A 3.12 8.80 3.60 0.18 12.10 6.90 0090.10.70.2021110 37.8975 090 65130 Insert ocular implant A 7.14 9.16NA 9.16 0.35 16.65 16.65 0090.10.70.2021110 37.8975 090 65135 Insert ocular implant A 7.32 9.31NA 9.31 0.38 17.01 17.01 0090.10.70.2021100 37.8975 090 65140 Attach ocular implant A 8.01 9.87NA 9.87 0.43 18.31 18.31 0090.10.70.2021100 37.8975 090 65150 Revise ocular implant A 6.25 7.97NA 7.97 0.33 14.55 14.55 0090.10.70.2021000 37.8975 090 65155 Reinsert ocular implant A 8.65 10.48NA 10.48 0.50 19.63 19.63 0090.10.70.2021100 37.8975 090 65175 Removal of ocular implant A 6.27 8.48NA 8.48 0.34 15.09 15.09 0090.10.70.2021110 37.8975 090 65205 Remove foreign body from eye A 0.71 0.64 0.29 0.04 1.39 1.04 0000.00.00.0021100 37.8975 090 65210 Remove foreign body from eye A 0.84 0.81 0.38 0.04 1.69 1.26 0000.00.00.0021100 37.8975 090 65220 Remove foreign body from eye A 0.71 0.64 0.28 0.05 1.40 1.04 0000.00.00.0021100 37.8975 090 65222 Remove foreign body from eye A 0.93 0.89 0.38 0.05 1.87 1.36 0000.00.00.0021100 37.8975 090 65235 Remove foreign body from eye A 7.56 6.74NA 6.74 0.39 14.69 14.69 0090.10.70.2021000 37.8975 090 65260 Remove foreign body from eye A 10.94 9.65NA 9.65 0.57 21.16 21.16 0090.10.70.2021200 37.8975 090 65265 Remove foreign body from eye A 12.57 10.62NA 10.62 0.63 23.82 23.82 0090.10.70.2021210 37.8975 090 65270 Repair of eye wound A 1.90 5.22 1.39 0.10 7.22 3.39 0010.10.80.1021000 37.8975 090 65272 Repair of eye wound A 3.81 7.71 3.29 0.20 11.72 7.30 0090.10.70.2021100 37.8975 090 65273 Repair of eye wound A 4.35 3.58NA 3.58 0.22 8.15 8.15 0090.10.70.2021110 37.8975 090 65275 Repair of eye wound A 5.33 6.31 3.94 0.29 11.93 9.56 0090.10.70.2021000 37.8975 090 65280 Repair of eye wound A 7.65 6.23NA 6.23 0.38 14.26 14.26 0090.10.70.2021000 37.8975 090 65285 Repair of eye wound A 12.88 9.21NA 9.21 0.64 22.73 22.73 0090.10.70.2021200 37.8975 090 65286 Repair of eye wound A 5.50 11.14 4.62 0.27 16.91 10.39 0090.10.70.2021100 37.8975 090 65290 Repair of eye socket wound A 5.40 4.74NA 4.74 0.32 10.46 10.46 0090.10.70.2021110 37.8975 090 65400 Removal of eye lesion A 6.05 8.33 6.12 0.30 14.68 12.47 0090.10.70.2021100 37.8975 090 65410 Biopsy of cornea A 1.47 2.11 0.97 0.07 3.65 2.51 0000.00.00.0021000 37.8975 090 65420 Removal of eye lesion A 4.16 8.85 4.44 0.21 13.22 8.81 0090.10.70.2021100 37.8975 090 65426 Removal of eye lesion A 5.24 10.17 4.92 0.26 15.67 10.42 0090.10.70.2021100 37.8975 090 65430 Corneal smear A 1.47 1.29 0.98 0.07 2.83 2.52 0000.00.00.0021100 37.8975 090 65435 Curette/treat cornea A 0.92 1.00 0.71 0.05 1.97 1.68 0000.00.00.0021100 37.8975 090 65436 Curette/treat cornea A 4.18 4.09 3.67 0.21 8.48 8.06 0090.10.70.2021100 37.8975 090 65450 Treatment of corneal lesion A 3.27 4.07 3.94 0.16 7.50 7.37 0090.10.70.2021100 37.8975 090 65600 Revision of cornea A 3.39 5.01 3.35 0.17 8.57 6.91 0090.10.70.2021100 37.8975 090 65710 Corneal transplant A 12.33 11.20NA 11.20 0.60 24.13 24.13 0090.10.70.2021210 37.8975 090 65730 Corneal transplant A 14.23 12.02NA 12.02 0.70 26.95 26.95 0090.10.70.2021210 37.8975 090 65750 Corneal transplant A 14.98 11.97NA 11.97 0.74 27.69 27.69 0090.10.70.2021210 37.8975 090 65755 Corneal transplant A 14.87 11.89NA 11.89 0.73 27.49 27.49 0090.10.70.2021210 37.8975 090 65760 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 65765 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 65767 Corneal tissue transplant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 65770 Revise cornea with implant A 17.53 13.20NA 13.20 0.86 31.59 31.59 0090.10.70.2021200 37.8975 090 65771 Radial keratotomy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 65772 Correction of astigmatism A 4.28 5.53 4.13 0.21 10.02 8.62 0090.10.70.2021100 37.8975 090 65775 Correction of astigmatism A 5.78 5.95NA 5.95 0.28 12.01 12.01 0090.10.70.2021100 37.8975 090 65780 Ocular reconst, transplant A 10.23 10.29NA 10.29 0.44 20.96 20.96 0090.10.70.2021210 37.8975 090 65781 Ocular reconst, transplant A 17.64 13.67NA 13.67 0.44 31.75 31.75 0090.10.70.2021210 37.8975 090 65782 Ocular reconst, transplant A 14.98 11.99NA 11.99 0.44 27.41 27.41 0090.10.70.2021210 37.8975 090 65800 Drainage of eye A 1.91 1.79 1.18 0.09 3.79 3.18 0000.00.00.0021100 37.8975 090 65805 Drainage of eye A 1.91 2.17 1.19 0.09 4.17 3.19 0000.00.00.0021100 37.8975 090 65810 Drainage of eye A 4.86 4.70NA 4.70 0.24 9.80 9.80 0090.10.70.2021100 37.8975 090 65815 Drainage of eye A 5.04 10.00 4.81 0.25 15.29 10.10 0090.10.70.2021100 37.8975 090 65820 Relieve inner eye pressure A 8.12 9.05NA 9.05 0.40 17.57 17.57 0090.10.70.2021000 37.8975 090 65850 Incision of eye A 10.50 8.44NA 8.44 0.52 19.46 19.46 0090.10.70.2021110 37.8975 090 65855 Laser surgery of eye A 3.84 4.31 3.10 0.19 8.34 7.13 0010.10.80.1021100 37.8975 090 65860 Incise inner eye adhesions A 3.54 4.04 2.50 0.18 7.76 6.22 0090.10.70.2021000 37.8975 090 65865 Incise inner eye adhesions A 5.59 5.62NA 5.62 0.28 11.49 11.49 0090.10.70.2021110 37.8975 090 65870 Incise inner eye adhesions A 6.26 6.41NA 6.41 0.31 12.98 12.98 0090.10.70.2021110 37.8975 090 65875 Incise inner eye adhesions A 6.53 6.79NA 6.79 0.32 13.64 13.64 0090.10.70.2021110 37.8975 090 65880 Incise inner eye adhesions A 7.08 7.03NA 7.03 0.35 14.46 14.46 0090.10.70.2021100 37.8975 090 65900 Remove eye lesion A 10.91 10.25NA 10.25 0.57 21.73 21.73 0090.10.70.2021200 37.8975 090 65920 Remove implant of eye A 8.39 8.17NA 8.17 0.41 16.97 16.97 0090.10.70.2021110 37.8975 090 65930 Remove blood clot from eye A 7.43 6.83NA 6.83 0.37 14.63 14.63 0090.10.70.2021110 37.8975 090 66020 Injection treatment of eye A 1.59 3.12 1.44 0.08 4.79 3.11 0010.10.80.1021100 37.8975 090 66030 Injection treatment of eye A 1.25 2.96 1.28 0.06 4.27 2.59 0010.10.80.1021100 37.8975 090 66130 Remove eye lesion A 7.68 9.62 5.61 0.38 17.68 13.67 0090.10.70.2021000 37.8975 090 66150 Glaucoma surgery A 8.29 9.40NA 9.40 0.46 18.15 18.15 0090.10.70.2021110 37.8975 090 66155 Glaucoma surgery A 8.28 9.35NA 9.35 0.41 18.04 18.04 0090.10.70.2021100 37.8975 090 66160 Glaucoma surgery A 10.15 10.19NA 10.19 0.50 20.84 20.84 0090.10.70.2021110 37.8975 090 66165 Glaucoma surgery A 8.00 9.24NA 9.24 0.40 17.64 17.64 0090.10.70.2021200 37.8975 090 66170 Glaucoma surgery A 12.14 12.22NA 12.22 0.59 24.95 24.95 0090.10.70.2021210 37.8975 090 66172 Incision of eye A 15.02 15.20NA 15.20 0.74 30.96 30.96 0090.10.70.2021210 37.8975 090 66180 Implant eye shunt A 14.53 10.76NA 10.76 0.71 26.00 26.00 0090.10.70.2021210 37.8975 090 66185 Revise eye shunt A 8.13 7.38NA 7.38 0.40 15.91 15.91 0090.10.70.2021200 37.8975 090 66220 Repair eye lesion A 7.76 7.10NA 7.10 0.42 15.28 15.28 0090.10.70.2021210 37.8975 090 66225 Repair/graft eye lesion A 11.03 8.73NA 8.73 0.54 20.30 20.30 0090.10.70.2021210 37.8975 090 66250 Follow-up surgery of eye A 5.97 11.69 5.48 0.30 17.96 11.75 0090.10.70.2021100 37.8975 090 66500 Incision of iris A 3.70 4.64NA 4.64 0.18 8.52 8.52 0090.10.70.2021110 37.8975 090 66505 Incision of iris A 4.07 4.99NA 4.99 0.20 9.26 9.26 0090.10.70.2021100 37.8975 090 66600 Remove iris and lesion A 8.67 8.22NA 8.22 0.44 17.33 17.33 0090.10.70.2021100 37.8975 090 66605 Removal of iris A 12.77 10.02NA 10.02 0.77 23.56 23.56 0090.10.70.2021100 37.8975 090 66625 Removal of iris A 5.12 4.73NA 4.73 0.25 10.10 10.10 0090.10.70.2021100 37.8975 090 66630 Removal of iris A 6.15 5.71NA 5.71 0.30 12.16 12.16 0090.10.70.2021100 37.8975 090 66635 Removal of iris A 6.24 5.74NA 5.74 0.31 12.29 12.29 0090.10.70.2021100 37.8975 090 66680 Repair iris & ciliary body A 5.43 5.27NA 5.27 0.27 10.97 10.97 0090.10.70.2021110 37.8975 090 66682 Repair iris & ciliary body A 6.20 6.61NA 6.61 0.31 13.12 13.12 0090.10.70.2021100 37.8975 090 66700 Destruction, ciliary body A 4.77 5.24 3.93 0.24 10.25 8.94 0090.10.70.2021000 37.8975 090 66710 Ciliary transsleral therapy A 4.77 5.17 3.84 0.23 10.17 8.84 0090.10.70.2021100 37.8975 090 66711 Ciliary endoscopic ablation A 6.60 6.47NA 6.47 0.30 13.37 13.37 0090.10.70.2031100 66710 37.8975 090 66720 Destruction, ciliary body A 4.77 5.79 4.72 0.26 10.82 9.75 0090.10.70.2021100 37.8975 090 66740 Destruction, ciliary body A 4.77 5.09 3.97 0.23 10.09 8.97 0090.10.70.2021100 37.8975 090 66761 Revision of iris A 4.06 5.59 4.31 0.20 9.85 8.57 0090.10.70.2021100 37.8975 090 66762 Revision of iris A 4.57 5.65 4.29 0.23 10.45 9.09 0090.10.70.2021100 37.8975 090 66770 Removal of inner eye lesion A 5.17 6.08 4.80 0.26 11.51 10.23 0090.10.70.2021100 37.8975 090 66820 Incision, secondary cataract A 3.88 5.81NA 5.81 0.19 9.88 9.88 0090.10.70.2021100 37.8975 090 66821 After cataract laser surgery A 2.35 4.09 3.62 0.11 6.55 6.08 0090.10.70.2021100 37.8975 090 66825 Reposition intraocular lens A 8.22 9.06NA 9.06 0.40 17.68 17.68 0090.10.70.2021000 37.8975 090 66830 Removal of lens lesion A 8.19 6.95NA 6.95 0.38 15.52 15.52 0090.10.70.2021100 37.8975 090 66840 Removal of lens material A 7.90 6.86NA 6.86 0.38 15.14 15.14 0090.10.70.2021100 37.8975 090 66850 Removal of lens material A 9.10 7.64NA 7.64 0.44 17.18 17.18 0090.10.70.2021100 37.8975 090 66852 Removal of lens material A 9.96 8.10NA 8.10 0.49 18.55 18.55 0090.10.70.2021010 37.8975 090 66920 Extraction of lens A 8.85 7.30NA 7.30 0.44 16.59 16.59 0090.10.70.2021010 37.8975 090 66930 Extraction of lens A 10.16 8.14NA 8.14 0.48 18.78 18.78 0090.10.70.2021000 37.8975 090 66940 Extraction of lens A 8.92 7.60NA 7.60 0.43 16.95 16.95 0090.10.70.2021010 37.8975 090 66982 Cataract surgery, complex A 13.48 9.86NA 9.86 0.61 23.95 23.95 0090.10.70.2021100 37.8975 090 66983 Cataract surg w/iol, 1 stage A 8.98 6.11NA 6.11 0.22 15.31 15.31 0090.10.70.2021100 37.8975 090 66984 Cataract surg w/iol, 1 stage A 10.21 7.42NA 7.42 0.42 18.05 18.05 0090.10.70.2021100 37.8975 090 66985 Insert lens prosthesis A 8.38 7.45NA 7.45 0.38 16.21 16.21 0090.10.70.2021110 37.8975 090 66986 Exchange lens prosthesis A 12.26 9.17NA 9.17 0.59 22.02 22.02 0090.10.70.2021110 37.8975 090 66990 Ophthalmic endoscope add-on A 1.51 0.69NA 0.69 0.08 2.28 2.28 0ZZZ.00.00.0000100 37.8975 090 66999 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 67005 Partial removal of eye fluid A 5.69 4.86NA 4.86 0.28 10.83 10.83 0090.10.70.2021110 37.8975 090 67010 Partial removal of eye fluid A 6.86 5.41NA 5.41 0.34 12.61 12.61 0090.10.70.2021210 37.8975 090 67015 Release of eye fluid A 6.91 6.45NA 6.45 0.34 13.70 13.70 0090.10.70.2021110 37.8975 090 67025 Replace eye fluid A 6.83 9.22 6.22 0.34 16.39 13.39 0090.10.70.2021110 37.8975 090 67027 Implant eye drug system A 10.83 8.00NA 8.00 0.54 19.37 19.37 0090.10.70.2021210 37.8975 090 67028 Injection eye drug A 2.52 2.70 1.46 0.12 5.34 4.10 0000.00.00.0021100 37.8975 090 67030 Incise inner eye strands A 4.83 5.85NA 5.85 0.24 10.92 10.92 0090.10.70.2021210 37.8975 090 67031 Laser surgery, eye strands A 3.66 4.60 3.64 0.18 8.44 7.48 0090.10.70.2021100 37.8975 090 67036 Removal of inner eye fluid A 11.87 9.12NA 9.12 0.58 21.57 21.57 0090.10.70.2021210 37.8975 090 67038 Strip retinal membrane A 21.21 15.49NA 15.49 1.04 37.74 37.74 0090.10.70.2021210 37.8975 090 67039 Laser treatment of retina A 14.50 12.18NA 12.18 0.71 27.39 27.39 0090.10.70.2021210 37.8975 090 67040 Laser treatment of retina A 17.20 13.68NA 13.68 0.85 31.73 31.73 0090.10.70.2021210 37.8975 090 67101 Repair detached retina A 7.52 9.12 6.53 0.37 17.01 14.42 0090.10.70.2021100 37.8975 090 67105 Repair detached retina A 7.40 8.08 6.15 0.37 15.85 13.92 0090.10.70.2021100 37.8975 090 67107 Repair detached retina A 14.82 11.30NA 11.30 0.73 26.85 26.85 0090.10.70.2021210 37.8975 090 67108 Repair detached retina A 20.79 14.42NA 14.42 1.02 36.23 36.23 0090.10.70.2021210 37.8975 090 67110 Repair detached retina A 8.80 10.23 7.39 0.44 19.47 16.63 0090.10.70.2021100 37.8975 090 67112 Rerepair detached retina A 16.83 11.81NA 11.81 0.83 29.47 29.47 0090.10.70.2021210 37.8975 090 67115 Release encircling material A 4.98 5.08NA 5.08 0.25 10.31 10.31 0090.10.70.2021100 37.8975 090 67120 Remove eye implant material A 5.97 8.58 5.53 0.30 14.85 11.80 0090.10.70.2021110 37.8975 090 67121 Remove eye implant material A 10.65 8.53NA 8.53 0.53 19.71 19.71 0090.10.70.2021210 37.8975 090 67141 Treatment of retina A 5.19 5.85 4.86 0.26 11.30 10.31 0090.10.70.2021100 37.8975 090 67145 Treatment of retina A 5.36 5.72 4.93 0.27 11.35 10.56 0090.10.70.2021100 37.8975 090 67208 Treatment of retinal lesion A 6.69 6.12 5.51 0.33 13.14 12.53 0090.10.70.2021100 37.8975 090 67210 Treatment of retinal lesion A 8.81 6.57 5.88 0.44 15.82 15.13 0090.10.70.2021100 37.8975 090 67218 Treatment of retinal lesion A 18.50 12.15NA 12.15 0.92 31.57 31.57 0090.10.70.2021100 37.8975 090 67220 Treatment of choroid lesion A 13.11 10.42 9.01 0.65 24.18 22.77 0090.10.70.2021100 37.8975 090 67221 Ocular photodynamic ther R 4.00 4.33 1.80 0.20 8.53 6.00 0000.00.00.0020100 37.8975 090 67225 Eye photodynamic ther add-on A 0.47 0.25 0.21 0.02 0.74 0.70 0ZZZ.00.00.0000100 37.8975 090 67227 Treatment of retinal lesion A 6.57 6.58 5.52 0.33 13.48 12.42 0090.10.70.2021100 37.8975 090 67228 Treatment of retinal lesion A 12.72 11.48 8.54 0.63 24.83 21.89 0090.10.70.2021100 37.8975 090 67250 Reinforce eye wall A 8.65 9.17NA 9.17 0.47 18.29 18.29 0090.10.70.2021110 37.8975 090 67255 Reinforce/graft eye wall A 8.89 9.89NA 9.89 0.44 19.22 19.22 0090.10.70.2021210 37.8975 090 67299 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 67311 Revise eye muscle A 6.64 6.02NA 6.02 0.37 13.03 13.03 0090.10.70.2021100 37.8975 090 67312 Revise two eye muscles A 8.53 6.75NA 6.75 0.43 15.71 15.71 0090.10.70.2021110 37.8975 090 67314 Revise eye muscle A 7.51 6.55NA 6.55 0.39 14.45 14.45 0090.10.70.2021100 37.8975 090 67316 Revise two eye muscles A 9.65 7.50NA 7.50 0.49 17.64 17.64 0090.10.70.2021000 37.8975 090 67318 Revise eye muscle(s) A 7.84 6.93NA 6.93 0.41 15.18 15.18 0090.10.70.2021110 37.8975 090 67320 Revise eye muscle(s) add-on A 4.32 1.95NA 1.95 0.23 6.50 6.50 0ZZZ.00.00.0000100 37.8975 090 67331 Eye surgery follow-up add-on A 4.05 1.83NA 1.83 0.21 6.09 6.09 0ZZZ.00.00.0000110 37.8975 090 67332 Rerevise eye muscles add-on A 4.48 2.02NA 2.02 0.24 6.74 6.74 0ZZZ.00.00.0000210 37.8975 090 67334 Revise eye muscle w/suture A 3.97 1.79NA 1.79 0.20 5.96 5.96 0ZZZ.00.00.0000110 37.8975 090 67335 Eye suture during surgery A 2.49 1.12NA 1.12 0.13 3.74 3.74 0ZZZ.00.00.0000110 37.8975 090 67340 Revise eye muscle add-on A 4.92 2.20NA 2.20 0.25 7.37 7.37 0ZZZ.00.00.0000200 37.8975 090 67343 Release eye tissue A 7.34 6.51NA 6.51 0.37 14.22 14.22 0090.10.70.2021210 37.8975 090 67345 Destroy nerve of eye muscle A 2.96 2.58 2.01 0.17 5.71 5.14 0010.10.80.1021100 37.8975 090 67350 Biopsy eye muscle A 2.87 1.87NA 1.87 0.16 4.90 4.90 0000.00.00.0021000 37.8975 090 67399 Eye muscle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 37.8975 090 67400 Explore/biopsy eye socket A 9.75 11.26NA 11.26 0.57 21.58 21.58 0090.10.70.2021210 37.8975 090 67405 Explore/drain eye socket A 7.92 9.77NA 9.77 0.46 18.15 18.15 0090.10.70.2021200 37.8975 090 67412 Explore/treat eye socket A 9.49 10.93NA 10.93 0.53 20.95 20.95 0090.10.70.2021210 37.8975 090 67413 Explore/treat eye socket A 9.99 10.77NA 10.77 0.54 21.30 21.30 0090.10.70.2021200 37.8975 090 67414 Explr/decompress eye socket A 11.11 12.04NA 12.04 0.66 23.81 23.81 0090.10.70.2021210 37.8975 090 67415 Aspiration, orbital contents A 1.76 0.76NA 0.76 0.10 2.62 2.62 0000.00.00.0021000 37.8975 090 67420 Explore/treat eye socket A 20.03 17.39NA 17.39 1.22 38.64 38.64 0090.10.70.2021210 37.8975 090 67430 Explore/treat eye socket A 13.37 14.89NA 14.89 0.91 29.17 29.17 0090.10.70.2021200 37.8975 090 67440 Explore/drain eye socket A 13.07 14.26NA 14.26 0.77 28.10 28.10 0090.10.70.2021210 37.8975 090 67445 Explr/decompress eye socket A 14.40 13.91NA 13.91 0.93 29.24 29.24 0090.10.70.2021210 37.8975 090 67450 Explore/biopsy eye socket A 13.49 14.69NA 14.69 0.73 28.91 28.91 0090.10.70.2021210 37.8975 090 67500 Inject/treat eye socket A 0.79 0.67 0.29 0.06 1.52 1.14 0000.00.00.0021100 37.8975 090 67505 Inject/treat eye socket A 0.82 0.69 0.31 0.05 1.56 1.18 0000.00.00.0021100 37.8975 090 67515 Inject/treat eye socket A 0.61 0.59 0.38 0.03 1.23 1.02 0000.00.00.0021100 37.8975 090 67550 Insert eye socket implant A 10.17 11.30NA 11.30 0.73 22.20 22.20 0090.10.70.2021110 37.8975 090 67560 Revise eye socket implant A 10.58 11.37NA 11.37 0.59 22.54 22.54 0090.10.70.2021000 37.8975 090 67570 Decompress optic nerve A 13.56 13.58NA 13.58 0.79 27.93 27.93 0090.10.70.2021210 37.8975 090 67599 Orbit surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 37.8975 090 67700 Drainage of eyelid abscess A 1.35 6.02 1.27 0.07 7.44 2.69 0010.10.80.1021100 37.8975 090 67710 Incision of eyelid A 1.02 5.37 1.21 0.05 6.44 2.28 0010.10.80.1021100 37.8975 090 67715 Incision of eyelid fold A 1.22 5.37 1.29 0.06 6.65 2.57 0010.10.80.1021100 37.8975 090 67800 Remove eyelid lesion A 1.38 1.62 1.04 0.07 3.07 2.49 0010.10.80.1020100 37.8975 090 67801 Remove eyelid lesions A 1.88 1.96 1.26 0.09 3.93 3.23 0010.10.80.1020100 37.8975 090 67805 Remove eyelid lesions A 2.22 2.52 1.65 0.11 4.85 3.98 0010.10.80.1020100 37.8975 090 67808 Remove eyelid lesion(s) A 3.79 3.77NA 3.77 0.21 7.77 7.77 0090.10.70.2020100 37.8975 090 67810 Biopsy of eyelid A 1.48 3.33 0.68 0.07 4.88 2.23 0000.00.00.0021100 37.8975 090 67820 Revise eyelashes A 0.89 0.60 0.56 0.04 1.53 1.49 0000.00.00.0021100 37.8975 090 67825 Revise eyelashes A 1.38 1.73 1.41 0.07 3.18 2.86 0010.10.80.1021100 37.8975 090 67830 Revise eyelashes A 1.70 5.53 1.50 0.09 7.32 3.29 0010.10.80.1021100 37.8975 090 67835 Revise eyelashes A 5.55 4.62NA 4.62 0.29 10.46 10.46 0090.10.70.2021000 37.8975 090 67840 Remove eyelid lesion A 2.04 5.47 1.65 0.10 7.61 3.79 0010.10.80.1021100 37.8975 090 67850 Treat eyelid lesion A 1.69 3.37 1.47 0.08 5.14 3.24 0010.10.80.1021100 37.8975 090 67875 Closure of eyelid by suture A 1.35 3.30 0.94 0.08 4.73 2.37 0000.00.00.0021100 37.8975 090 67880 Revision of eyelid A 3.79 6.61 3.80 0.20 10.60 7.79 0090.10.70.2021100 37.8975 090 67882 Revision of eyelid A 5.06 7.63 4.81 0.27 12.96 10.14 0090.10.70.2021100 37.8975 090 67900 Repair brow defect A 6.13 9.06 5.25 0.38 15.57 11.76 0090.10.70.2021100 37.8975 090 67901 Repair eyelid defect A 6.96 5.40NA 5.40 0.51 12.87 12.87 0090.10.70.2021100 37.8975 090 67902 Repair eyelid defect A 7.02 5.46NA 5.46 0.45 12.93 12.93 0090.10.70.2021110 37.8975 090 67903 Repair eyelid defect A 6.36 9.56 5.51 0.47 16.39 12.34 0090.10.70.2021110 37.8975 090 67904 Repair eyelid defect A 6.25 9.63 5.23 0.41 16.29 11.89 0090.10.70.2021110 37.8975 090 67906 Repair eyelid defect A 6.78 5.37 5.03 0.46 12.61 12.27 0090.10.70.2021100 37.8975 090 67908 Repair eyelid defect A 5.12 6.63 5.34 0.29 12.04 10.75 0090.10.70.2021100 37.8975 090 67909 Revise eyelid defect A 5.39 8.03 4.95 0.31 13.73 10.65 0090.10.70.2021100 37.8975 090 67911 Revise eyelid defect A 5.26 4.78NA 4.78 0.31 10.35 10.35 0090.10.70.2021100 37.8975 090 67912 Correction eyelid w/implant A 5.67 18.93 5.53 0.28 24.88 11.48 0090.10.70.2021100 37.8975 090 67914 Repair eyelid defect A 3.67 6.34 3.05 0.21 10.22 6.93 0090.10.70.2021100 37.8975 090 67915 Repair eyelid defect A 3.18 5.98 2.80 0.17 9.33 6.15 0090.10.70.2021100 37.8975 090 67916 Repair eyelid defect A 5.30 8.05 4.76 0.30 13.65 10.36 0090.10.70.2021100 37.8975 090 67917 Repair eyelid defect A 6.01 8.46 5.07 0.36 14.83 11.44 0090.10.70.2021100 37.8975 090 67921 Repair eyelid defect A 3.39 6.19 2.89 0.18 9.76 6.46 0090.10.70.2021100 37.8975 090 67922 Repair eyelid defect A 3.06 5.91 2.75 0.15 9.12 5.96 0090.10.70.2021100 37.8975 090 67923 Repair eyelid defect A 5.87 8.12 4.97 0.32 14.31 11.16 0090.10.70.2021100 37.8975 090 67924 Repair eyelid defect A 5.78 8.92 4.68 0.32 15.02 10.78 0090.10.70.2021100 37.8975 090 67930 Repair eyelid wound A 3.60 5.71 2.17 0.21 9.52 5.98 0010.10.80.1021100 37.8975 090 67935 Repair eyelid wound A 6.21 8.52 4.41 0.39 15.12 11.01 0090.10.70.2021100 37.8975 090 67938 Remove eyelid foreign body A 1.33 5.38 1.26 0.07 6.78 2.66 0010.10.80.1021100 37.8975 090 67950 Revision of eyelid A 5.81 8.63 5.21 0.36 14.80 11.38 0090.10.70.2021110 37.8975 090 67961 Revision of eyelid A 5.68 8.68 5.03 0.33 14.69 11.04 0090.10.70.2021000 37.8975 090 67966 Revision of eyelid A 6.56 9.13 5.56 0.37 16.06 12.49 0090.10.70.2021100 37.8975 090 67971 Reconstruction of eyelid A 9.78 7.28NA 7.28 0.53 17.59 17.59 0090.10.70.2021210 37.8975 090 67973 Reconstruction of eyelid A 12.85 9.31NA 9.31 0.75 22.91 22.91 0090.10.70.2021210 37.8975 090 67974 Reconstruction of eyelid A 12.82 9.23NA 9.23 0.75 22.80 22.80 0090.10.70.2021210 37.8975 090 67975 Reconstruction of eyelid A 9.12 6.95NA 6.95 0.50 16.57 16.57 0090.10.70.2021100 37.8975 090 67999 Revision of eyelid C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 68020 Incise/drain eyelid lining A 1.37 1.41 1.21 0.07 2.85 2.65 0010.10.80.1021100 37.8975 090 68040 Treatment of eyelid lesions A 0.85 0.71 0.43 0.04 1.60 1.32 0000.00.00.0021100 37.8975 090 68100 Biopsy of eyelid lining A 1.35 3.25 0.95 0.07 4.67 2.37 0000.00.00.0021100 37.8975 090 68110 Remove eyelid lining lesion A 1.77 4.10 1.65 0.09 5.96 3.51 0010.10.80.1021100 37.8975 090 68115 Remove eyelid lining lesion A 2.36 5.96 1.91 0.12 8.44 4.39 0010.10.80.1021100 37.8975 090 68130 Remove eyelid lining lesion A 4.92 8.71 4.60 0.25 13.88 9.77 0090.10.70.2021100 37.8975 090 68135 Remove eyelid lining lesion A 1.84 1.81 1.65 0.09 3.74 3.58 0010.10.80.1021100 37.8975 090 68200 Treat eyelid by injection A 0.49 0.54 0.33 0.02 1.05 0.84 0000.00.00.0021100 37.8975 090 68320 Revise/graft eyelid lining A 5.36 11.28 5.52 0.28 16.92 11.16 0090.10.70.2021110 37.8975 090 68325 Revise/graft eyelid lining A 7.35 6.54NA 6.54 0.44 14.33 14.33 0090.10.70.2021110 37.8975 090 68326 Revise/graft eyelid lining A 7.14 6.41NA 6.41 0.38 13.93 13.93 0090.10.70.2021100 37.8975 090 68328 Revise/graft eyelid lining A 8.17 7.29NA 7.29 0.54 16.00 16.00 0090.10.70.2021000 37.8975 090 68330 Revise eyelid lining A 4.82 9.41 4.72 0.25 14.48 9.79 0090.10.70.2021000 37.8975 090 68335 Revise/graft eyelid lining A 7.18 6.38NA 6.38 0.36 13.92 13.92 0090.10.70.2021110 37.8975 090 68340 Separate eyelid adhesions A 4.16 8.87 4.10 0.21 13.24 8.47 0090.10.70.2021000 37.8975 090 68360 Revise eyelid lining A 4.36 8.04 4.18 0.22 12.62 8.76 0090.10.70.2021100 37.8975 090 68362 Revise eyelid lining A 7.33 6.40NA 6.40 0.36 14.09 14.09 0090.10.70.2021110 37.8975 090 68371 Harvest eye tissue, alograft A 4.89 4.73NA 4.73 0.44 10.06 10.06 0010.10.80.1021100 37.8975 090 68399 Eyelid lining surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 68400 Incise/drain tear gland A 1.69 5.90 1.82 0.09 7.68 3.60 0010.10.80.1021100 37.8975 090 68420 Incise/drain tear sac A 2.30 6.19 2.10 0.12 8.61 4.52 0010.10.80.1021100 37.8975 090 68440 Incise tear duct opening A 0.94 2.08 1.27 0.05 3.07 2.26 0010.10.80.1021100 37.8975 090 68500 Removal of tear gland A 11.00 9.73NA 9.73 0.55 21.28 21.28 0090.10.70.2021100 37.8975 090 68505 Partial removal, tear gland A 10.92 10.65NA 10.65 0.57 22.14 22.14 0090.10.70.2021100 37.8975 090 68510 Biopsy of tear gland A 4.60 7.33 2.09 0.24 12.17 6.93 0000.00.00.0021000 37.8975 090 68520 Removal of tear sac A 7.50 7.42NA 7.42 0.41 15.33 15.33 0090.10.70.2021000 37.8975 090 68525 Biopsy of tear sac A 4.42 2.02NA 2.02 0.23 6.67 6.67 0000.00.00.0021110 37.8975 090 68530 Clearance of tear duct A 3.65 8.17 2.64 0.20 12.02 6.49 0010.10.80.1021100 37.8975 090 68540 Remove tear gland lesion A 10.58 9.39NA 9.39 0.61 20.58 20.58 0090.10.70.2021110 37.8975 090 68550 Remove tear gland lesion A 13.24 11.35NA 11.35 0.79 25.38 25.38 0090.10.70.2021100 37.8975 090 68700 Repair tear ducts A 6.59 5.98NA 5.98 0.35 12.92 12.92 0090.10.70.2021100 37.8975 090 68705 Revise tear duct opening A 2.06 4.17 1.79 0.10 6.33 3.95 0010.10.80.1021100 37.8975 090 68720 Create tear sac drain A 8.95 7.86NA 7.86 0.49 17.30 17.30 0090.10.70.2021210 37.8975 090 68745 Create tear duct drain A 8.62 7.86NA 7.86 0.51 16.99 16.99 0090.10.70.2021210 37.8975 090 68750 Create tear duct drain A 8.65 8.27NA 8.27 0.47 17.39 17.39 0090.10.70.2021210 37.8975 090 68760 Close tear duct opening A 1.73 3.54 1.63 0.09 5.36 3.45 0010.10.80.1021100 37.8975 090 68761 Close tear duct opening A 1.36 2.27 1.32 0.07 3.70 2.75 0010.10.80.1021000 37.8975 090 68770 Close tear system fistula A 7.01 3.18 3.18 0.35 10.54 10.54 0090.10.70.2021000 37.8975 090 68801 Dilate tear duct opening A 0.94 1.94 1.48 0.05 2.93 2.47 0010.10.80.1021100 37.8975 090 68810 Probe nasolacrimal duct A 1.90 3.66 2.67 0.11 5.67 4.68 0010.10.80.1021100 37.8975 090 68811 Probe nasolacrimal duct A 2.35 2.41NA 2.41 0.14 4.90 4.90 0010.10.80.1021100 37.8975 090 68815 Probe nasolacrimal duct A 3.20 8.24 2.81 0.18 11.62 6.19 0010.10.80.1021100 37.8975 090 68840 Explore/irrigate tear ducts A 1.25 1.60 1.12 0.06 2.91 2.43 0010.10.80.1021100 37.8975 090 68850 Injection for tear sac x-ray A 0.80 0.88 0.68 0.04 1.72 1.52 0000.00.00.0021100 37.8975 090 68899 Tear duct system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 69000 Drain external ear lesion A 1.45 2.88 1.36 0.12 4.45 2.93 0010.10.80.1020100 37.8975 090 69005 Drain external ear lesion A 2.11 2.93 1.83 0.18 5.22 4.12 0010.10.80.1020100 37.8975 090 69020 Drain outer ear canal lesion A 1.48 3.99 2.06 0.12 5.59 3.66 0010.10.80.1020100 37.8975 090 69090 Pierce earlobes N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 69100 Biopsy of external ear A 0.81 1.71 0.39 0.04 2.56 1.24 0000.00.00.0020100 37.8975 090 69105 Biopsy of external ear canal A 0.85 2.34 0.77 0.07 3.26 1.69 0000.00.00.0020100 37.8975 090 69110 Remove external ear, partial A 3.43 6.74 4.47 0.30 10.47 8.20 0090.07.79.1420100 37.8975 090 69120 Removal of external ear A 4.04 6.18NA 6.18 0.38 10.60 10.60 0090.07.79.1420100 37.8975 090 69140 Remove ear canal lesion(s) A 7.96 13.28NA 13.28 0.67 21.91 21.91 0090.07.79.1420000 37.8975 090 69145 Remove ear canal lesion(s) A 2.62 5.78 3.30 0.22 8.62 6.14 0090.07.79.1420100 37.8975 090 69150 Extensive ear canal surgery A 13.41 13.40NA 13.40 1.25 28.06 28.06 0090.07.79.1420110 37.8975 090 69155 Extensive ear/neck surgery A 20.77 19.54NA 19.54 1.98 42.29 42.29 0090.07.79.1420210 37.8975 090 69200 Clear outer ear canal A 0.77 2.38 0.55 0.06 3.21 1.38 0000.00.00.0020100 37.8975 090 69205 Clear outer ear canal A 1.20 1.36NA 1.36 0.10 2.66 2.66 0010.10.80.1020100 37.8975 090 69210 Remove impacted ear wax A 0.61 0.63 0.23 0.05 1.29 0.89 0000.00.00.0022100 37.8975 090 69220 Clean out mastoid cavity A 0.83 2.36 0.73 0.07 3.26 1.63 0000.00.00.0021100 37.8975 090 69222 Clean out mastoid cavity A 1.40 3.85 2.06 0.12 5.37 3.58 0010.10.80.1021100 37.8975 090 69300 Revise external ear R 6.35 4.22NA 4.22 0.72 11.29 11.29 0YYY.00.00.0021000 37.8975 090 69310 Rebuild outer ear canal A 10.77 16.28NA 16.28 0.86 27.91 27.91 0090.07.79.1420100 37.8975 090 69320 Rebuild outer ear canal A 16.93 21.84NA 21.84 1.40 40.17 40.17 0090.07.79.1420200 37.8975 090 69399 Outer ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 37.8975 090 69400 Inflate middle ear canal A 0.83 2.16 0.67 0.07 3.06 1.57 0000.00.00.0020100 37.8975 090 69401 Inflate middle ear canal A 0.63 1.24 0.65 0.05 1.92 1.33 0000.00.00.0020100 37.8975 090 69405 Catheterize middle ear canal A 2.63 3.50 2.31 0.22 6.35 5.16 0010.10.80.1020000 37.8975 090 69410 Inset middle ear (baffle) A 0.33 2.10 0.48 0.03 2.46 0.84 0000.00.00.0020000 37.8975 090 69420 Incision of eardrum A 1.33 3.15 1.59 0.11 4.59 3.03 0010.10.80.1021100 37.8975 090 69421 Incision of eardrum A 1.73 2.16NA 2.16 0.15 4.04 4.04 0010.10.80.1021100 37.8975 090 69424 Remove ventilating tube A 0.85 2.18 0.68 0.07 3.10 1.60 0000.00.00.0021100 37.8975 090 69433 Create eardrum opening A 1.52 3.09 1.64 0.13 4.74 3.29 0010.10.80.1021100 37.8975 090 69436 Create eardrum opening A 1.96 2.29NA 2.29 0.19 4.44 4.44 0010.10.80.1021100 37.8975 090 69440 Exploration of middle ear A 7.56 8.77NA 8.77 0.61 16.94 16.94 0090.07.79.1421100 37.8975 090 69450 Eardrum revision A 5.56 7.03NA 7.03 0.45 13.04 13.04 0090.07.79.1421000 37.8975 090 69501 Mastoidectomy A 9.06 9.00NA 9.00 0.77 18.83 18.83 0090.07.79.1421100 37.8975 090 69502 Mastoidectomy A 12.36 11.59NA 11.59 1.00 24.95 24.95 0090.07.79.1421000 37.8975 090 69505 Remove mastoid structures A 12.97 17.19NA 17.19 1.08 31.24 31.24 0090.07.79.1421000 37.8975 090 69511 Extensive mastoid surgery A 13.50 17.47NA 17.47 1.09 32.06 32.06 0090.07.79.1421000 37.8975 090 69530 Extensive mastoid surgery A 19.16 21.63NA 21.63 1.52 42.31 42.31 0090.07.79.1421200 37.8975 090 69535 Remove part of temporal bone A 36.09 31.96NA 31.96 2.86 70.91 70.91 0090.07.79.1421110 37.8975 090 69540 Remove ear lesion A 1.20 3.74 1.97 0.10 5.04 3.27 0010.10.80.1021100 37.8975 090 69550 Remove ear lesion A 10.97 14.86NA 14.86 0.90 26.73 26.73 0090.07.79.1421200 37.8975 090 69552 Remove ear lesion A 19.43 20.67NA 20.67 1.57 41.67 41.67 0090.07.79.1421200 37.8975 090 69554 Remove ear lesion A 33.11 30.33NA 30.33 2.89 66.33 66.33 0090.07.79.1421210 37.8975 090 69601 Mastoid surgery revision A 13.22 12.67NA 12.67 1.05 26.94 26.94 0090.07.79.1421000 37.8975 090 69602 Mastoid surgery revision A 13.56 13.23NA 13.23 1.10 27.89 27.89 0090.07.79.1421000 37.8975 090 69603 Mastoid surgery revision A 14.00 18.36NA 18.36 1.15 33.51 33.51 0090.07.79.1421000 37.8975 090 69604 Mastoid surgery revision A 14.00 13.69NA 13.69 1.12 28.81 28.81 0090.07.79.1421100 37.8975 090 69605 Mastoid surgery revision A 18.46 20.95NA 20.95 1.49 40.90 40.90 0090.07.79.1421200 37.8975 090 69610 Repair of eardrum A 4.42 5.55 3.27 0.36 10.33 8.05 0010.10.80.1021100 37.8975 090 69620 Repair of eardrum A 5.88 11.12 6.29 0.47 17.47 12.64 0090.07.79.1421100 37.8975 090 69631 Repair eardrum structures A 9.85 11.20NA 11.20 0.80 21.85 21.85 0090.07.79.1421100 37.8975 090 69632 Rebuild eardrum structures A 12.73 13.47NA 13.47 1.04 27.24 27.24 0090.07.79.1421100 37.8975 090 69633 Rebuild eardrum structures A 12.08 13.05NA 13.05 0.98 26.11 26.11 0090.07.79.1421100 37.8975 090 69635 Repair eardrum structures A 13.31 16.74NA 16.74 1.09 31.14 31.14 0090.07.79.1421100 37.8975 090 69636 Rebuild eardrum structures A 15.20 19.30NA 19.30 1.24 35.74 35.74 0090.07.79.1421000 37.8975 090 69637 Rebuild eardrum structures A 15.09 19.22NA 19.22 1.23 35.54 35.54 0090.07.79.1421000 37.8975 090 69641 Revise middle ear & mastoid A 12.69 12.78NA 12.78 1.04 26.51 26.51 0090.07.79.1421100 37.8975 090 69642 Revise middle ear & mastoid A 16.81 16.28NA 16.28 1.37 34.46 34.46 0090.07.79.1421100 37.8975 090 69643 Revise middle ear & mastoid A 15.30 14.82NA 14.82 1.24 31.36 31.36 0090.07.79.1421100 37.8975 090 69644 Revise middle ear & mastoid A 16.94 20.40NA 20.40 1.37 38.71 38.71 0090.07.79.1421100 37.8975 090 69645 Revise middle ear & mastoid A 16.36 20.02NA 20.02 1.33 37.71 37.71 0090.07.79.1421100 37.8975 090 69646 Revise middle ear & mastoid A 17.96 20.76NA 20.76 1.46 40.18 40.18 0090.07.79.1421000 37.8975 090 69650 Release middle ear bone A 9.65 9.91NA 9.91 0.78 20.34 20.34 0090.07.79.1421100 37.8975 090 69660 Revise middle ear bone A 11.88 11.18NA 11.18 0.96 24.02 24.02 0090.07.79.1421100 37.8975 090 69661 Revise middle ear bone A 15.72 14.70NA 14.70 1.27 31.69 31.69 0090.07.79.1421000 37.8975 090 69662 Revise middle ear bone A 15.42 13.75NA 13.75 1.25 30.42 30.42 0090.07.79.1421100 37.8975 090 69666 Repair middle ear structures A 9.74 9.97NA 9.97 0.79 20.50 20.50 0090.07.79.1421000 37.8975 090 69667 Repair middle ear structures A 9.75 9.98NA 9.98 0.79 20.52 20.52 0090.07.79.1421000 37.8975 090 69670 Remove mastoid air cells A 11.49 11.71NA 11.71 0.92 24.12 24.12 0090.07.79.1421200 37.8975 090 69676 Remove middle ear nerve A 9.51 10.75NA 10.75 0.80 21.06 21.06 0090.07.79.1421100 37.8975 090 69700 Close mastoid fistula A 8.22 9.24NA 9.24 0.67 18.13 18.13 0090.07.79.1421100 37.8975 090 69710 Implant/replace hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 69711 Remove/repair hearing aid A 10.42 10.79NA 10.79 0.83 22.04 22.04 0090.07.79.1421200 37.8975 090 69714 Implant temple bone w/stimul A 13.98 12.66NA 12.66 1.13 27.77 27.77 0090.07.79.1421100 37.8975 090 69715 Temple bne implnt w/stimulat A 18.22 15.03NA 15.03 1.47 34.72 34.72 0090.07.79.1421100 37.8975 090 69717 Temple bone implant revision A 14.96 14.47NA 14.47 0.90 30.33 30.33 0090.07.79.1421100 37.8975 090 69718 Revise temple bone implant A 18.47 15.30NA 15.30 3.18 36.95 36.95 0090.07.79.1421100 37.8975 090 69720 Release facial nerve A 14.36 14.52NA 14.52 1.18 30.06 30.06 0090.07.79.1421010 37.8975 090 69725 Release facial nerve A 25.34 20.13NA 20.13 2.42 47.89 47.89 0090.07.79.1421200 37.8975 090 69740 Repair facial nerve A 15.94 13.41NA 13.41 1.27 30.62 30.62 0090.07.79.1421200 37.8975 090 69745 Repair facial nerve A 16.66 14.97NA 14.97 1.14 32.77 32.77 0090.07.79.1421200 37.8975 090 69799 Middle ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 69801 Incise inner ear A 8.55 9.46NA 9.46 0.69 18.70 18.70 0090.07.79.1421000 37.8975 090 69802 Incise inner ear A 13.08 12.32NA 12.32 1.06 26.46 26.46 0090.07.79.1421200 37.8975 090 69805 Explore inner ear A 13.80 11.88NA 11.88 1.12 26.80 26.80 0090.07.79.1421200 37.8975 090 69806 Explore inner ear A 12.33 11.04NA 11.04 1.01 24.38 24.38 0090.07.79.1421100 37.8975 090 69820 Establish inner ear window A 10.32 11.22NA 11.22 0.90 22.44 22.44 0090.07.79.1421200 37.8975 090 69840 Revise inner ear window A 10.24 13.17NA 13.17 0.79 24.20 24.20 0090.07.79.1421200 37.8975 090 69905 Remove inner ear A 11.08 11.35NA 11.35 1.02 23.45 23.45 0090.07.79.1421100 37.8975 090 69910 Remove inner ear & mastoid A 13.61 11.92NA 11.92 1.06 26.59 26.59 0090.07.79.1421000 37.8975 090 69915 Incise inner ear nerve A 21.20 16.46NA 16.46 1.67 39.33 39.33 0090.07.79.1421210 37.8975 090 69930 Implant cochlear device A 16.78 14.75NA 14.75 1.36 32.89 32.89 0090.07.79.1421000 37.8975 090 69949 Inner ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 69950 Incise inner ear nerve A 25.60 18.90NA 18.90 2.26 46.76 46.76 0090.07.79.1421210 37.8975 090 69955 Release facial nerve A 27.00 21.38NA 21.38 2.46 50.84 50.84 0090.07.79.1421210 37.8975 090 69960 Release inner ear canal A 27.00 20.05NA 20.05 2.15 49.20 49.20 0090.07.79.1421210 37.8975 090 69970 Remove inner ear lesion A 29.99 23.27NA 23.27 2.59 55.85 55.85 0090.07.79.1421210 37.8975 090 69979 Temporal bone surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 37.8975 090 69990 Microsurgery add-on R 3.46 1.79NA 1.79 0.83 6.08 6.08 0ZZZ.00.00.0000200 37.8975 090 70010 Contrast x-ray of brain A 1.19 4.72 4.72 NA 0.28 6.19 6.19 1XXX.00.00.0000000 37.8975 090 70010TCContrast x-ray of brain A 0.00 4.33 4.33 NA 0.22 4.55 4.55 1XXX.00.00.0000000 37.8975 030 7001026Contrast x-ray of brain A 1.19 0.39 0.39 0.06 1.64 1.64 1XXX.00.00.0000000 37.8975 090 70015 Contrast x-ray of brain A 1.19 1.74 1.74 NA 0.16 3.09 3.09 1XXX.00.00.0000000 37.8975 090 70015TCContrast x-ray of brain A 0.00 1.35 1.35 NA 0.08 1.43 1.43 1XXX.00.00.0000000 37.8975 030 7001526Contrast x-ray of brain A 1.19 0.39 0.39 0.08 1.66 1.66 1XXX.00.00.0000000 37.8975 090 70030 X-ray eye for foreign body A 0.17 0.48 0.48 NA 0.03 0.68 0.68 1XXX.00.00.0003000 37.8975 090 70030TCX-ray eye for foreign body A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 37.8975 010 7003026X-ray eye for foreign body A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 70100 X-ray exam of jaw A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 37.8975 090 70100TCX-ray exam of jaw A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7010026X-ray exam of jaw A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 70110 X-ray exam of jaw A 0.25 0.70 0.70 NA 0.05 1.00 1.00 1XXX.00.00.0000000 37.8975 090 70110TCX-ray exam of jaw A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7011026X-ray exam of jaw A 0.25 0.08 0.08 0.01 0.34 0.34 1XXX.00.00.0000000 37.8975 090 70120 X-ray exam of mastoids A 0.18 0.68 0.68 NA 0.05 0.91 0.91 1XXX.00.00.0003000 37.8975 090 70120TCX-ray exam of mastoids A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0003000 37.8975 010 7012026X-ray exam of mastoids A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0003000 37.8975 090 70130 X-ray exam of mastoids A 0.34 0.89 0.89 NA 0.07 1.30 1.30 1XXX.00.00.0003000 37.8975 090 70130TCX-ray exam of mastoids A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0003000 37.8975 010 7013026X-ray exam of mastoids A 0.34 0.11 0.11 0.02 0.47 0.47 1XXX.00.00.0003000 37.8975 090 70134 X-ray exam of middle ear A 0.34 0.84 0.84 NA 0.07 1.25 1.25 1XXX.00.00.0000000 37.8975 090 70134TCX-ray exam of middle ear A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7013426X-ray exam of middle ear A 0.34 0.11 0.11 0.02 0.47 0.47 1XXX.00.00.0000000 37.8975 090 70140 X-ray exam of facial bones A 0.19 0.68 0.68 NA 0.05 0.92 0.92 1XXX.00.00.0000000 37.8975 090 70140TCX-ray exam of facial bones A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7014026X-ray exam of facial bones A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 37.8975 090 70150 X-ray exam of facial bones A 0.26 0.86 0.86 NA 0.06 1.18 1.18 1XXX.00.00.0000000 37.8975 090 70150TCX-ray exam of facial bones A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7015026X-ray exam of facial bones A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 70160 X-ray exam of nasal bones A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 37.8975 090 70160TCX-ray exam of nasal bones A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7016026X-ray exam of nasal bones A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 70170 X-ray exam of tear duct A 0.30 1.05 1.05 NA 0.07 1.42 1.42 1XXX.00.00.0000000 37.8975 090 70170TCX-ray exam of tear duct A 0.00 0.95 0.95 NA 0.06 1.01 1.01 1XXX.00.00.0000000 37.8975 030 7017026X-ray exam of tear duct A 0.30 0.10 0.10 0.01 0.41 0.41 1XXX.00.00.0000000 37.8975 090 70190 X-ray exam of eye sockets A 0.21 0.69 0.69 NA 0.05 0.95 0.95 1XXX.00.00.0003000 37.8975 090 70190TCX-ray exam of eye sockets A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0003000 37.8975 010 7019026X-ray exam of eye sockets A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0003000 37.8975 090 70200 X-ray exam of eye sockets A 0.28 0.87 0.87 NA 0.06 1.21 1.21 1XXX.00.00.0000000 37.8975 090 70200TCX-ray exam of eye sockets A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7020026X-ray exam of eye sockets A 0.28 0.09 0.09 0.01 0.38 0.38 1XXX.00.00.0000000 37.8975 090 70210 X-ray exam of sinuses A 0.17 0.68 0.68 NA 0.05 0.90 0.90 1XXX.00.00.0000000 37.8975 090 70210TCX-ray exam of sinuses A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7021026X-ray exam of sinuses A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 70220 X-ray exam of sinuses A 0.25 0.86 0.86 NA 0.06 1.17 1.17 1XXX.00.00.0000000 37.8975 090 70220TCX-ray exam of sinuses A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7022026X-ray exam of sinuses A 0.25 0.08 0.08 0.01 0.34 0.34 1XXX.00.00.0000000 37.8975 090 70240 X-ray exam, pituitary saddle A 0.19 0.48 0.48 NA 0.03 0.70 0.70 1XXX.00.00.0000000 37.8975 090 70240TCX-ray exam, pituitary saddle A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7024026X-ray exam, pituitary saddle A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 37.8975 090 70250 X-ray exam of skull A 0.24 0.70 0.70 NA 0.05 0.99 0.99 1XXX.00.00.0000000 37.8975 090 70250TCX-ray exam of skull A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7025026X-ray exam of skull A 0.24 0.08 0.08 0.01 0.33 0.33 1XXX.00.00.0000000 37.8975 090 70260 X-ray exam of skull A 0.34 1.00 1.00 NA 0.08 1.42 1.42 1XXX.00.00.0000000 37.8975 090 70260TCX-ray exam of skull A 0.00 0.89 0.89 NA 0.06 0.95 0.95 1XXX.00.00.0000000 37.8975 010 7026026X-ray exam of skull A 0.34 0.11 0.11 0.02 0.47 0.47 1XXX.00.00.0000000 37.8975 090 70300 X-ray exam of teeth A 0.10 0.31 0.31 NA 0.03 0.44 0.44 1XXX.00.00.0000000 37.8975 090 70300TCX-ray exam of teeth A 0.00 0.26 0.26 NA 0.02 0.28 0.28 1XXX.00.00.0000000 37.8975 010 7030026X-ray exam of teeth A 0.10 0.05 0.05 0.01 0.16 0.16 1XXX.00.00.0000000 37.8975 090 70310 X-ray exam of teeth A 0.16 0.50 0.50 NA 0.03 0.69 0.69 1XXX.00.00.0000000 37.8975 090 70310TCX-ray exam of teeth A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7031026X-ray exam of teeth A 0.16 0.08 0.08 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 70320 Full mouth x-ray of teeth A 0.22 0.86 0.86 NA 0.06 1.14 1.14 1XXX.00.00.0000000 37.8975 090 70320TCFull mouth x-ray of teeth A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7032026Full mouth x-ray of teeth A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 37.8975 090 70328 X-ray exam of jaw joint A 0.18 0.55 0.55 NA 0.03 0.76 0.76 1XXX.00.00.0000000 37.8975 090 70328TCX-ray exam of jaw joint A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0000000 37.8975 010 7032826X-ray exam of jaw joint A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 70330 X-ray exam of jaw joints A 0.24 0.92 0.92 NA 0.06 1.22 1.22 1XXX.00.00.0002000 37.8975 090 70330TCX-ray exam of jaw joints A 0.00 0.84 0.84 NA 0.05 0.89 0.89 1XXX.00.00.0002000 37.8975 010 7033026X-ray exam of jaw joints A 0.24 0.08 0.08 0.01 0.33 0.33 1XXX.00.00.0002000 37.8975 090 70332 X-ray exam of jaw joint A 0.54 2.30 2.30 NA 0.15 2.99 2.99 1XXX.00.00.0003000 37.8975 090 70332TCX-ray exam of jaw joint A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0003000 37.8975 030 7033226X-ray exam of jaw joint A 0.54 0.20 0.20 0.03 0.77 0.77 1XXX.00.00.0003000 37.8975 090 70336 Magnetic image, jaw joint A 1.48 11.69 11.69 NA 0.66 13.83 13.83 1XXX.00.00.0003000 37.8975 090 70336TCMagnetic image, jaw joint A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0003000 37.8975 010 7033626Magnetic image, jaw joint A 1.48 0.49 0.49 0.07 2.04 2.04 1XXX.00.00.0003000 37.8975 090 70350 X-ray head for orthodontia A 0.17 0.45 0.45 NA 0.03 0.65 0.65 1XXX.00.00.0000000 37.8975 090 70350TCX-ray head for orthodontia A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 37.8975 010 7035026X-ray head for orthodontia A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 70355 Panoramic x-ray of jaws A 0.20 0.64 0.64 NA 0.05 0.89 0.89 1XXX.00.00.0000000 37.8975 090 70355TCPanoramic x-ray of jaws A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7035526Panoramic x-ray of jaws A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 70360 X-ray exam of neck A 0.17 0.48 0.48 NA 0.03 0.68 0.68 1XXX.00.00.0000000 37.8975 090 70360TCX-ray exam of neck A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7036026X-ray exam of neck A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 70370 Throat x-ray & fluoroscopy A 0.32 1.41 1.41 NA 0.08 1.81 1.81 1XXX.00.00.0000000 37.8975 090 70370TCThroat x-ray & fluoroscopy A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7037026Throat x-ray & fluoroscopy A 0.32 0.10 0.10 0.01 0.43 0.43 1XXX.00.00.0000000 37.8975 090 70371 Speech evaluation, complex A 0.84 2.38 2.38 NA 0.16 3.38 3.38 1XXX.00.00.0000000 37.8975 090 70371TCSpeech evaluation, complex A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0000000 37.8975 030 7037126Speech evaluation, complex A 0.84 0.28 0.28 0.04 1.16 1.16 1XXX.00.00.0000000 37.8975 090 70373 Contrast x-ray of larynx A 0.44 1.92 1.92 NA 0.13 2.49 2.49 1XXX.00.00.0000000 37.8975 090 70373TCContrast x-ray of larynx A 0.00 1.78 1.78 NA 0.11 1.89 1.89 1XXX.00.00.0000000 37.8975 030 7037326Contrast x-ray of larynx A 0.44 0.14 0.14 0.02 0.60 0.60 1XXX.00.00.0000000 37.8975 090 70380 X-ray exam of salivary gland A 0.17 0.73 0.73 NA 0.05 0.95 0.95 1XXX.00.00.0000000 37.8975 090 70380TCX-ray exam of salivary gland A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7038026X-ray exam of salivary gland A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 70390 X-ray exam of salivary duct A 0.38 1.90 1.90 NA 0.13 2.41 2.41 1XXX.00.00.0000000 37.8975 090 70390TCX-ray exam of salivary duct A 0.00 1.78 1.78 NA 0.11 1.89 1.89 1XXX.00.00.0000000 37.8975 030 7039026X-ray exam of salivary duct A 0.38 0.12 0.12 0.02 0.52 0.52 1XXX.00.00.0000000 37.8975 090 70450 Ct head/brain w/o dye A 0.85 5.00 5.00 NA 0.29 6.14 6.14 1XXX.00.00.0000000 37.8975 090 70450TCCt head/brain w/o dye A 0.00 4.72 4.72 NA 0.25 4.97 4.97 1XXX.00.00.0000000 37.8975 010 7045026Ct head/brain w/o dye A 0.85 0.28 0.28 0.04 1.17 1.17 1XXX.00.00.0000000 37.8975 090 70460 Ct head/brain w/dye A 1.13 6.03 6.03 NA 0.35 7.51 7.51 1XXX.00.00.0000000 37.8975 090 70460TCCt head/brain w/dye A 0.00 5.66 5.66 NA 0.30 5.96 5.96 1XXX.00.00.0000000 37.8975 020 7046026Ct head/brain w/dye A 1.13 0.37 0.37 0.05 1.55 1.55 1XXX.00.00.0000000 37.8975 090 70470 Ct head/brain w/o & w/dye A 1.27 7.49 7.49 NA 0.43 9.19 9.19 1XXX.00.00.0000000 37.8975 090 70470TCCt head/brain w/o & w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7047026Ct head/brain w/o & w/dye A 1.27 0.42 0.42 0.06 1.75 1.75 1XXX.00.00.0000000 37.8975 090 70480 Ct orbit/ear/fossa w/o dye A 1.28 5.14 5.14 NA 0.31 6.73 6.73 1XXX.00.00.0000000 37.8975 090 70480TCCt orbit/ear/fossa w/o dye A 0.00 4.72 4.72 NA 0.25 4.97 4.97 1XXX.00.00.0000000 37.8975 010 7048026Ct orbit/ear/fossa w/o dye A 1.28 0.42 0.42 0.06 1.76 1.76 1XXX.00.00.0000000 37.8975 090 70481 Ct orbit/ear/fossa w/dye A 1.38 6.11 6.11 NA 0.36 7.85 7.85 1XXX.00.00.0000000 37.8975 090 70481TCCt orbit/ear/fossa w/dye A 0.00 5.66 5.66 NA 0.30 5.96 5.96 1XXX.00.00.0000000 37.8975 020 7048126Ct orbit/ear/fossa w/dye A 1.38 0.45 0.45 0.06 1.89 1.89 1XXX.00.00.0000000 37.8975 090 70482 Ct orbit/ear/fossa w/o&w/dye A 1.45 7.55 7.55 NA 0.43 9.43 9.43 1XXX.00.00.0000000 37.8975 090 70482TCCt orbit/ear/fossa w/o&w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7048226Ct orbit/ear/fossa w/o&w/dye A 1.45 0.48 0.48 0.06 1.99 1.99 1XXX.00.00.0000000 37.8975 090 70486 Ct maxillofacial w/o dye A 1.14 5.09 5.09 NA 0.30 6.53 6.53 1XXX.00.00.0000000 37.8975 090 70486TCCt maxillofacial w/o dye A 0.00 4.72 4.72 NA 0.25 4.97 4.97 1XXX.00.00.0000000 37.8975 010 7048626Ct maxillofacial w/o dye A 1.14 0.37 0.37 0.05 1.56 1.56 1XXX.00.00.0000000 37.8975 090 70487 Ct maxillofacial w/dye A 1.30 6.09 6.09 NA 0.36 7.75 7.75 1XXX.00.00.0000000 37.8975 090 70487TCCt maxillofacial w/dye A 0.00 5.66 5.66 NA 0.30 5.96 5.96 1XXX.00.00.0000000 37.8975 020 7048726Ct maxillofacial w/dye A 1.30 0.43 0.43 0.06 1.79 1.79 1XXX.00.00.0000000 37.8975 090 70488 Ct maxillofacial w/o & w/dye A 1.42 7.53 7.53 NA 0.43 9.38 9.38 1XXX.00.00.0000000 37.8975 090 70488TCCt maxillofacial w/o & w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7048826Ct maxillofacial w/o & w/dye A 1.42 0.46 0.46 0.06 1.94 1.94 1XXX.00.00.0000000 37.8975 090 70490 Ct soft tissue neck w/o dye A 1.28 5.14 5.14 NA 0.31 6.73 6.73 1XXX.00.00.0000000 37.8975 090 70490TCCt soft tissue neck w/o dye A 0.00 4.72 4.72 NA 0.25 4.97 4.97 1XXX.00.00.0000000 37.8975 010 7049026Ct soft tissue neck w/o dye A 1.28 0.42 0.42 0.06 1.76 1.76 1XXX.00.00.0000000 37.8975 090 70491 Ct soft tissue neck w/dye A 1.38 6.11 6.11 NA 0.36 7.85 7.85 1XXX.00.00.0000000 37.8975 090 70491TCCt soft tissue neck w/dye A 0.00 5.66 5.66 NA 0.30 5.96 5.96 1XXX.00.00.0000000 37.8975 020 7049126Ct soft tissue neck w/dye A 1.38 0.45 0.45 0.06 1.89 1.89 1XXX.00.00.0000000 37.8975 090 70492 Ct sft tsue nck w/o & w/dye A 1.45 7.54 7.54 NA 0.43 9.42 9.42 1XXX.00.00.0000000 37.8975 090 70492TCCt sft tsue nck w/o & w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7049226Ct sft tsue nck w/o & w/dye A 1.45 0.47 0.47 0.06 1.98 1.98 1XXX.00.00.0000000 37.8975 090 70496 Ct angiography, head A 1.75 11.17 11.17 NA 0.66 13.58 13.58 1XXX.00.00.0000000 37.8975 090 70496TCCt angiography, head A 0.00 10.60 10.60 NA 0.58 11.18 11.18 1XXX.00.00.0000000 37.8975 020 7049626Ct angiography, head A 1.75 0.57 0.57 0.08 2.40 2.40 1XXX.00.00.0000000 37.8975 090 70498 Ct angiography, neck A 1.75 11.17 11.17 NA 0.66 13.58 13.58 1XXX.00.00.0000000 37.8975 090 70498TCCt angiography, neck A 0.00 10.60 10.60 NA 0.58 11.18 11.18 1XXX.00.00.0000000 37.8975 020 7049826Ct angiography, neck A 1.75 0.57 0.57 0.08 2.40 2.40 1XXX.00.00.0000000 37.8975 090 70540 Mri orbit/face/neck w/o dye A 1.35 11.64 11.64 NA 0.45 13.44 13.44 1XXX.00.00.0000000 37.8975 090 70540TCMri orbit/face/neck w/o dye A 0.00 11.20 11.20 NA 0.39 11.59 11.59 1XXX.00.00.0000000 37.8975 010 7054026Mri orbit/face/neck w/o dye A 1.35 0.44 0.44 0.06 1.85 1.85 1XXX.00.00.0000000 37.8975 090 70542 Mri orbit/face/neck w/dye A 1.62 13.97 13.97 NA 0.54 16.13 16.13 1XXX.00.00.0000000 37.8975 090 70542TCMri orbit/face/neck w/dye A 0.00 13.44 13.44 NA 0.47 13.91 13.91 1XXX.00.00.0000000 37.8975 020 7054226Mri orbit/face/neck w/dye A 1.62 0.53 0.53 0.07 2.22 2.22 1XXX.00.00.0000000 37.8975 090 70543 Mri orbt/fac/nck w/o & w/dye A 2.15 25.59 25.59 NA 0.94 28.68 28.68 1XXX.00.00.0000000 37.8975 090 70543TCMri orbt/fac/nck w/o & w/dye A 0.00 24.88 24.88 NA 0.84 25.72 25.72 1XXX.00.00.0000000 37.8975 020 7054326Mri orbt/fac/nck w/o & w/dye A 2.15 0.71 0.71 0.10 2.96 2.96 1XXX.00.00.0000000 37.8975 090 70544 Mr angiography head w/o dye A 1.20 11.60 11.60 NA 0.64 13.44 13.44 1XXX.00.00.0000000 37.8975 090 70544TCMr angiography head w/o dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7054426Mr angiography head w/o dye A 1.20 0.40 0.40 0.05 1.65 1.65 1XXX.00.00.0000000 37.8975 090 70545 Mr angiography head w/dye A 1.20 11.59 11.59 NA 0.64 13.43 13.43 1XXX.00.00.0000000 37.8975 090 70545TCMr angiography head w/dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7054526Mr angiography head w/dye A 1.20 0.39 0.39 0.05 1.64 1.64 1XXX.00.00.0000000 37.8975 090 70546 Mr angiograph head w/o&w/dye A 1.80 23.00 23.00 NA 0.67 25.47 25.47 1XXX.00.00.0000000 37.8975 090 70546TCMr angiograph head w/o&w/dye A 0.00 22.41 22.41 NA 0.59 23.00 23.00 1XXX.00.00.0000000 37.8975 020 7054626Mr angiograph head w/o&w/dye A 1.80 0.59 0.59 0.08 2.47 2.47 1XXX.00.00.0000000 37.8975 090 70547 Mr angiography neck w/o dye A 1.20 11.59 11.59 NA 0.64 13.43 13.43 1XXX.00.00.0000000 37.8975 090 70547TCMr angiography neck w/o dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7054726Mr angiography neck w/o dye A 1.20 0.39 0.39 0.05 1.64 1.64 1XXX.00.00.0000000 37.8975 090 70548 Mr angiography neck w/dye A 1.20 11.59 11.59 NA 0.64 13.43 13.43 1XXX.00.00.0000000 37.8975 090 70548TCMr angiography neck w/dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7054826Mr angiography neck w/dye A 1.20 0.39 0.39 0.05 1.64 1.64 1XXX.00.00.0000000 37.8975 090 70549 Mr angiograph neck w/o&w/dye A 1.80 23.00 23.00 NA 0.67 25.47 25.47 1XXX.00.00.0000000 37.8975 090 70549TCMr angiograph neck w/o&w/dye A 0.00 22.41 22.41 NA 0.59 23.00 23.00 1XXX.00.00.0000000 37.8975 020 7054926Mr angiograph neck w/o&w/dye A 1.80 0.59 0.59 0.08 2.47 2.47 1XXX.00.00.0000000 37.8975 090 70551 Mri brain w/o dye A 1.48 11.69 11.69 NA 0.66 13.83 13.83 1XXX.00.00.0000000 37.8975 090 70551TCMri brain w/o dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7055126Mri brain w/o dye A 1.48 0.49 0.49 0.07 2.04 2.04 1XXX.00.00.0000000 37.8975 090 70552 Mri brain w/dye A 1.78 14.03 14.03 NA 0.78 16.59 16.59 1XXX.00.00.0000000 37.8975 090 70552TCMri brain w/dye A 0.00 13.44 13.44 NA 0.70 14.14 14.14 1XXX.00.00.0000000 37.8975 020 7055226Mri brain w/dye A 1.78 0.59 0.59 0.08 2.45 2.45 1XXX.00.00.0000000 37.8975 090 70553 Mri brain w/o & w/dye A 2.36 25.66 25.66 NA 1.42 29.44 29.44 1XXX.00.00.0000000 37.8975 090 70553TCMri brain w/o & w/dye A 0.00 24.88 24.88 NA 1.31 26.19 26.19 1XXX.00.00.0000000 37.8975 020 7055326Mri brain w/o & w/dye A 2.36 0.78 0.78 0.11 3.25 3.25 1XXX.00.00.0000000 37.8975 090 70557 Mri brain w/o dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 70557TCMri brain w/o dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7055726Mri brain w/o dye A 2.90 1.13 1.13 0.08 4.11 4.11 1XXX.00.00.0000000 37.8975 090 70558 Mri brain w/dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 70558TCMri brain w/dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 7055826Mri brain w/dye A 3.20 1.24 1.24 0.10 4.54 4.54 1XXX.00.00.0000000 37.8975 090 70559 Mri brain w/o & w/dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 70559TCMri brain w/o & w/dye C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 7055926Mri brain w/o & w/dye A 3.20 1.24 1.24 0.12 4.56 4.56 1XXX.00.00.0000000 37.8975 090 71010 Chest x-ray A 0.18 0.53 0.53 NA 0.03 0.74 0.74 1XXX.00.00.0000000 37.8975 090 71010TCChest x-ray A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0000000 37.8975 010 7101026Chest x-ray A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 71015 Chest x-ray A 0.21 0.59 0.59 NA 0.03 0.83 0.83 1XXX.00.00.0000000 37.8975 090 71015TCChest x-ray A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7101526Chest x-ray A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0000000 37.8975 090 71020 Chest x-ray A 0.22 0.69 0.69 NA 0.05 0.96 0.96 1XXX.00.00.0000000 37.8975 090 71020TCChest x-ray A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7102026Chest x-ray A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 71021 Chest x-ray A 0.27 0.82 0.82 NA 0.06 1.15 1.15 1XXX.00.00.0000000 37.8975 090 71021TCChest x-ray A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7102126Chest x-ray A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 37.8975 090 71022 Chest x-ray A 0.31 0.83 0.83 NA 0.06 1.20 1.20 1XXX.00.00.0000000 37.8975 090 71022TCChest x-ray A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7102226Chest x-ray A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 71023 Chest x-ray and fluoroscopy A 0.38 0.91 0.91 NA 0.07 1.36 1.36 1XXX.00.00.0000000 37.8975 090 71023TCChest x-ray and fluoroscopy A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 030 7102326Chest x-ray and fluoroscopy A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 71030 Chest x-ray A 0.31 0.88 0.88 NA 0.06 1.25 1.25 1XXX.00.00.0000000 37.8975 090 71030TCChest x-ray A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7103026Chest x-ray A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 71034 Chest x-ray and fluoroscopy A 0.46 1.60 1.60 NA 0.10 2.16 2.16 1XXX.00.00.0000000 37.8975 090 71034TCChest x-ray and fluoroscopy A 0.00 1.44 1.44 NA 0.08 1.52 1.52 1XXX.00.00.0000000 37.8975 030 7103426Chest x-ray and fluoroscopy A 0.46 0.16 0.16 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 090 71035 Chest x-ray A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 37.8975 090 71035TCChest x-ray A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7103526Chest x-ray A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 71040 Contrast x-ray of bronchi A 0.58 1.65 1.65 NA 0.11 2.34 2.34 1XXX.00.00.0000000 37.8975 090 71040TCContrast x-ray of bronchi A 0.00 1.46 1.46 NA 0.08 1.54 1.54 1XXX.00.00.0000000 37.8975 030 7104026Contrast x-ray of bronchi A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 71060 Contrast x-ray of bronchi A 0.74 2.44 2.44 NA 0.17 3.35 3.35 1XXX.00.00.0002000 37.8975 090 71060TCContrast x-ray of bronchi A 0.00 2.20 2.20 NA 0.13 2.33 2.33 1XXX.00.00.0002000 37.8975 030 7106026Contrast x-ray of bronchi A 0.74 0.24 0.24 0.04 1.02 1.02 1XXX.00.00.0002000 37.8975 090 71090 X-ray & pacemaker insertion A 0.54 1.89 1.89 NA 0.13 2.56 2.56 1XXX.00.00.0000000 37.8975 090 71090TCX-ray & pacemaker insertion A 0.00 1.68 1.68 NA 0.11 1.79 1.79 1XXX.00.00.0000000 37.8975 030 7109026X-ray & pacemaker insertion A 0.54 0.21 0.21 0.02 0.77 0.77 1XXX.00.00.0000000 37.8975 090 71100 X-ray exam of ribs A 0.22 0.64 0.64 NA 0.05 0.91 0.91 1XXX.00.00.0000000 37.8975 090 71100TCX-ray exam of ribs A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7110026X-ray exam of ribs A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 71101 X-ray exam of ribs/chest A 0.27 0.76 0.76 NA 0.05 1.08 1.08 1XXX.00.00.0000000 37.8975 090 71101TCX-ray exam of ribs/chest A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7110126X-ray exam of ribs/chest A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 37.8975 090 71110 X-ray exam of ribs A 0.27 0.87 0.87 NA 0.06 1.20 1.20 1XXX.00.00.0002000 37.8975 090 71110TCX-ray exam of ribs A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0002000 37.8975 010 7111026X-ray exam of ribs A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0002000 37.8975 090 71111 X-ray exam of ribs/chest A 0.32 0.99 0.99 NA 0.07 1.38 1.38 1XXX.00.00.0002000 37.8975 090 71111TCX-ray exam of ribs/chest A 0.00 0.89 0.89 NA 0.06 0.95 0.95 1XXX.00.00.0002000 37.8975 010 7111126X-ray exam of ribs/chest A 0.32 0.10 0.10 0.01 0.43 0.43 1XXX.00.00.0002000 37.8975 090 71120 X-ray exam of breastbone A 0.20 0.72 0.72 NA 0.05 0.97 0.97 1XXX.00.00.0000000 37.8975 090 71120TCX-ray exam of breastbone A 0.00 0.65 0.65 NA 0.04 0.69 0.69 1XXX.00.00.0000000 37.8975 010 7112026X-ray exam of breastbone A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 71130 X-ray exam of breastbone A 0.22 0.78 0.78 NA 0.05 1.05 1.05 1XXX.00.00.0000000 37.8975 090 71130TCX-ray exam of breastbone A 0.00 0.71 0.71 NA 0.04 0.75 0.75 1XXX.00.00.0000000 37.8975 010 7113026X-ray exam of breastbone A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 71250 Ct thorax w/o dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0000000 37.8975 090 71250TCCt thorax w/o dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7125026Ct thorax w/o dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 71260 Ct thorax w/dye A 1.24 7.48 7.48 NA 0.43 9.15 9.15 1XXX.00.00.0000000 37.8975 090 71260TCCt thorax w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7126026Ct thorax w/dye A 1.24 0.41 0.41 0.06 1.71 1.71 1XXX.00.00.0000000 37.8975 090 71270 Ct thorax w/o & w/dye A 1.38 9.30 9.30 NA 0.52 11.20 11.20 1XXX.00.00.0000000 37.8975 090 71270TCCt thorax w/o & w/dye A 0.00 8.85 8.85 NA 0.46 9.31 9.31 1XXX.00.00.0000000 37.8975 020 7127026Ct thorax w/o & w/dye A 1.38 0.45 0.45 0.06 1.89 1.89 1XXX.00.00.0000000 37.8975 090 71275 Ct angiography, chest A 1.92 13.01 13.01 NA 0.48 15.41 15.41 1XXX.00.00.0000000 37.8975 090 71275TCCt angiography, chest A 0.00 12.38 12.38 NA 0.39 12.77 12.77 1XXX.00.00.0000000 37.8975 020 7127526Ct angiography, chest A 1.92 0.63 0.63 0.09 2.64 2.64 1XXX.00.00.0000000 37.8975 090 71550 Mri chest w/o dye A 1.46 11.68 11.68 NA 0.51 13.65 13.65 1XXX.00.00.0000000 37.8975 090 71550TCMri chest w/o dye A 0.00 11.20 11.20 NA 0.45 11.65 11.65 1XXX.00.00.0000000 37.8975 010 7155026Mri chest w/o dye A 1.46 0.48 0.48 0.06 2.00 2.00 1XXX.00.00.0000000 37.8975 090 71551 Mri chest w/dye A 1.73 14.01 14.01 NA 0.60 16.34 16.34 1XXX.00.00.0000000 37.8975 090 71551TCMri chest w/dye A 0.00 13.44 13.44 NA 0.52 13.96 13.96 1XXX.00.00.0000000 37.8975 020 7155126Mri chest w/dye A 1.73 0.57 0.57 0.08 2.38 2.38 1XXX.00.00.0000000 37.8975 090 71552 Mri chest w/o & w/dye A 2.26 25.62 25.62 NA 0.78 28.66 28.66 1XXX.00.00.0000000 37.8975 090 71552TCMri chest w/o & w/dye A 0.00 24.88 24.88 NA 0.68 25.56 25.56 1XXX.00.00.0000000 37.8975 020 7155226Mri chest w/o & w/dye A 2.26 0.74 0.74 0.10 3.10 3.10 1XXX.00.00.0000000 37.8975 090 71555 Mri angio chest w or w/o dye R 1.81 11.80 11.80 NA 0.67 14.28 14.28 1XXX.00.00.0000000 37.8975 090 71555TCMri angio chest w or w/o dye R 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7155526Mri angio chest w or w/o dye R 1.81 0.60 0.60 0.08 2.49 2.49 1XXX.00.00.0000000 37.8975 090 72010 X-ray exam of spine A 0.45 1.17 1.17 NA 0.08 1.70 1.70 1XXX.00.00.0000000 37.8975 090 72010TCX-ray exam of spine A 0.00 1.02 1.02 NA 0.06 1.08 1.08 1XXX.00.00.0000000 37.8975 010 7201026X-ray exam of spine A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 72020 X-ray exam of spine A 0.15 0.47 0.47 NA 0.03 0.65 0.65 1XXX.00.00.0000000 37.8975 090 72020TCX-ray exam of spine A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7202026X-ray exam of spine A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0000000 37.8975 090 72040 X-ray exam of neck spine A 0.22 0.67 0.67 NA 0.05 0.94 0.94 1XXX.00.00.0000000 37.8975 090 72040TCX-ray exam of neck spine A 0.00 0.60 0.60 NA 0.04 0.64 0.64 1XXX.00.00.0000000 37.8975 010 7204026X-ray exam of neck spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72050 X-ray exam of neck spine A 0.31 0.99 0.99 NA 0.07 1.37 1.37 1XXX.00.00.0000000 37.8975 090 72050TCX-ray exam of neck spine A 0.00 0.89 0.89 NA 0.06 0.95 0.95 1XXX.00.00.0000000 37.8975 010 7205026X-ray exam of neck spine A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 72052 X-ray exam of neck spine A 0.36 1.25 1.25 NA 0.08 1.69 1.69 1XXX.00.00.0000000 37.8975 090 72052TCX-ray exam of neck spine A 0.00 1.13 1.13 NA 0.06 1.19 1.19 1XXX.00.00.0000000 37.8975 010 7205226X-ray exam of neck spine A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 72069 X-ray exam of trunk spine A 0.22 0.57 0.57 NA 0.03 0.82 0.82 1XXX.00.00.0000000 37.8975 090 72069TCX-ray exam of trunk spine A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0000000 37.8975 010 7206926X-ray exam of trunk spine A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 37.8975 090 72070 X-ray exam of thoracic spine A 0.22 0.72 0.72 NA 0.05 0.99 0.99 1XXX.00.00.0000000 37.8975 090 72070TCX-ray exam of thoracic spine A 0.00 0.65 0.65 NA 0.04 0.69 0.69 1XXX.00.00.0000000 37.8975 010 7207026X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72072 X-ray exam of thoracic spine A 0.22 0.80 0.80 NA 0.06 1.08 1.08 1XXX.00.00.0000000 37.8975 090 72072TCX-ray exam of thoracic spine A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7207226X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72074 X-ray exam of thoracic spine A 0.22 0.98 0.98 NA 0.07 1.27 1.27 1XXX.00.00.0000000 37.8975 090 72074TCX-ray exam of thoracic spine A 0.00 0.91 0.91 NA 0.06 0.97 0.97 1XXX.00.00.0000000 37.8975 010 7207426X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72080 X-ray exam of trunk spine A 0.22 0.74 0.74 NA 0.05 1.01 1.01 1XXX.00.00.0000000 37.8975 090 72080TCX-ray exam of trunk spine A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7208026X-ray exam of trunk spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72090 X-ray exam of trunk spine A 0.28 0.76 0.76 NA 0.05 1.09 1.09 1XXX.00.00.0000000 37.8975 090 72090TCX-ray exam of trunk spine A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7209026X-ray exam of trunk spine A 0.28 0.09 0.09 0.01 0.38 0.38 1XXX.00.00.0000000 37.8975 090 72100 X-ray exam of lower spine A 0.22 0.74 0.74 NA 0.05 1.01 1.01 1XXX.00.00.0000000 37.8975 090 72100TCX-ray exam of lower spine A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7210026X-ray exam of lower spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72110 X-ray exam of lower spine A 0.31 1.01 1.01 NA 0.07 1.39 1.39 1XXX.00.00.0000000 37.8975 090 72110TCX-ray exam of lower spine A 0.00 0.91 0.91 NA 0.06 0.97 0.97 1XXX.00.00.0000000 37.8975 010 7211026X-ray exam of lower spine A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 72114 X-ray exam of lower spine A 0.36 1.31 1.31 NA 0.08 1.75 1.75 1XXX.00.00.0000000 37.8975 090 72114TCX-ray exam of lower spine A 0.00 1.19 1.19 NA 0.06 1.25 1.25 1XXX.00.00.0000000 37.8975 010 7211426X-ray exam of lower spine A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 72120 X-ray exam of lower spine A 0.22 0.96 0.96 NA 0.07 1.25 1.25 1XXX.00.00.0000000 37.8975 090 72120TCX-ray exam of lower spine A 0.00 0.89 0.89 NA 0.06 0.95 0.95 1XXX.00.00.0000000 37.8975 010 7212026X-ray exam of lower spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 72125 Ct neck spine w/o dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0000000 37.8975 090 72125TCCt neck spine w/o dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7212526Ct neck spine w/o dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 72126 Ct neck spine w/dye A 1.22 7.47 7.47 NA 0.42 9.11 9.11 1XXX.00.00.0000000 37.8975 090 72126TCCt neck spine w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7212626Ct neck spine w/dye A 1.22 0.40 0.40 0.05 1.67 1.67 1XXX.00.00.0000000 37.8975 090 72127 Ct neck spine w/o & w/dye A 1.27 9.27 9.27 NA 0.52 11.06 11.06 1XXX.00.00.0000000 37.8975 090 72127TCCt neck spine w/o & w/dye A 0.00 8.85 8.85 NA 0.46 9.31 9.31 1XXX.00.00.0000000 37.8975 020 7212726Ct neck spine w/o & w/dye A 1.27 0.42 0.42 0.06 1.75 1.75 1XXX.00.00.0000000 37.8975 090 72128 Ct chest spine w/o dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0000000 37.8975 090 72128TCCt chest spine w/o dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7212826Ct chest spine w/o dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 72129 Ct chest spine w/dye A 1.22 7.47 7.47 NA 0.43 9.12 9.12 1XXX.00.00.0000000 37.8975 090 72129TCCt chest spine w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7212926Ct chest spine w/dye A 1.22 0.40 0.40 0.06 1.68 1.68 1XXX.00.00.0000000 37.8975 090 72130 Ct chest spine w/o & w/dye A 1.27 9.27 9.27 NA 0.52 11.06 11.06 1XXX.00.00.0000000 37.8975 090 72130TCCt chest spine w/o & w/dye A 0.00 8.85 8.85 NA 0.46 9.31 9.31 1XXX.00.00.0000000 37.8975 020 7213026Ct chest spine w/o & w/dye A 1.27 0.42 0.42 0.06 1.75 1.75 1XXX.00.00.0000000 37.8975 090 72131 Ct lumbar spine w/o dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0000000 37.8975 090 72131TCCt lumbar spine w/o dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7213126Ct lumbar spine w/o dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 72132 Ct lumbar spine w/dye A 1.22 7.47 7.47 NA 0.42 9.11 9.11 1XXX.00.00.0000000 37.8975 090 72132TCCt lumbar spine w/dye A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 020 7213226Ct lumbar spine w/dye A 1.22 0.40 0.40 0.05 1.67 1.67 1XXX.00.00.0000000 37.8975 090 72133 Ct lumbar spine w/o & w/dye A 1.27 9.27 9.27 NA 0.52 11.06 11.06 1XXX.00.00.0000000 37.8975 090 72133TCCt lumbar spine w/o & w/dye A 0.00 8.85 8.85 NA 0.46 9.31 9.31 1XXX.00.00.0000000 37.8975 020 7213326Ct lumbar spine w/o & w/dye A 1.27 0.42 0.42 0.06 1.75 1.75 1XXX.00.00.0000000 37.8975 090 72141 Mri neck spine w/o dye A 1.60 11.73 11.73 NA 0.66 13.99 13.99 1XXX.00.00.0000000 37.8975 090 72141TCMri neck spine w/o dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7214126Mri neck spine w/o dye A 1.60 0.53 0.53 0.07 2.20 2.20 1XXX.00.00.0000000 37.8975 090 72142 Mri neck spine w/dye A 1.92 14.08 14.08 NA 0.79 16.79 16.79 1XXX.00.00.0000000 37.8975 090 72142TCMri neck spine w/dye A 0.00 13.44 13.44 NA 0.70 14.14 14.14 1XXX.00.00.0000000 37.8975 020 7214226Mri neck spine w/dye A 1.92 0.64 0.64 0.09 2.65 2.65 1XXX.00.00.0000000 37.8975 090 72146 Mri chest spine w/o dye A 1.60 12.97 12.97 NA 0.71 15.28 15.28 1XXX.00.00.0000000 37.8975 090 72146TCMri chest spine w/o dye A 0.00 12.44 12.44 NA 0.64 13.08 13.08 1XXX.00.00.0000000 37.8975 010 7214626Mri chest spine w/o dye A 1.60 0.53 0.53 0.07 2.20 2.20 1XXX.00.00.0000000 37.8975 090 72147 Mri chest spine w/dye A 1.92 14.07 14.07 NA 0.79 16.78 16.78 1XXX.00.00.0000000 37.8975 090 72147TCMri chest spine w/dye A 0.00 13.44 13.44 NA 0.70 14.14 14.14 1XXX.00.00.0000000 37.8975 020 7214726Mri chest spine w/dye A 1.92 0.63 0.63 0.09 2.64 2.64 1XXX.00.00.0000000 37.8975 090 72148 Mri lumbar spine w/o dye A 1.48 12.93 12.93 NA 0.71 15.12 15.12 1XXX.00.00.0000000 37.8975 090 72148TCMri lumbar spine w/o dye A 0.00 12.44 12.44 NA 0.64 13.08 13.08 1XXX.00.00.0000000 37.8975 010 7214826Mri lumbar spine w/o dye A 1.48 0.49 0.49 0.07 2.04 2.04 1XXX.00.00.0000000 37.8975 090 72149 Mri lumbar spine w/dye A 1.78 14.04 14.04 NA 0.78 16.60 16.60 1XXX.00.00.0000000 37.8975 090 72149TCMri lumbar spine w/dye A 0.00 13.44 13.44 NA 0.70 14.14 14.14 1XXX.00.00.0000000 37.8975 020 7214926Mri lumbar spine w/dye A 1.78 0.60 0.60 0.08 2.46 2.46 1XXX.00.00.0000000 37.8975 090 72156 Mri neck spine w/o & w/dye A 2.57 25.73 25.73 NA 1.43 29.73 29.73 1XXX.00.00.0000000 37.8975 090 72156TCMri neck spine w/o & w/dye A 0.00 24.88 24.88 NA 1.31 26.19 26.19 1XXX.00.00.0000000 37.8975 020 7215626Mri neck spine w/o & w/dye A 2.57 0.85 0.85 0.12 3.54 3.54 1XXX.00.00.0000000 37.8975 090 72157 Mri chest spine w/o & w/dye A 2.57 25.72 25.72 NA 1.42 29.71 29.71 1XXX.00.00.0000000 37.8975 090 72157TCMri chest spine w/o & w/dye A 0.00 24.88 24.88 NA 1.31 26.19 26.19 1XXX.00.00.0000000 37.8975 020 7215726Mri chest spine w/o & w/dye A 2.57 0.84 0.84 0.11 3.52 3.52 1XXX.00.00.0000000 37.8975 090 72158 Mri lumbar spine w/o & w/dye A 2.36 25.66 25.66 NA 1.42 29.44 29.44 1XXX.00.00.0000000 37.8975 090 72158TCMri lumbar spine w/o & w/dye A 0.00 24.88 24.88 NA 1.31 26.19 26.19 1XXX.00.00.0000000 37.8975 020 7215826Mri lumbar spine w/o & w/dye A 2.36 0.78 0.78 0.11 3.25 3.25 1XXX.00.00.0000000 37.8975 090 72159 Mr angio spine w/o&w/dye N+ 1.80 12.92 12.92 0.74 15.46 15.46 1XXX.00.00.0099999 37.8975 090 72159TCMr angio spine w/o&w/dye N+ 0.00 12.23 12.23 0.64 12.87 12.87 1XXX.00.00.0099999 37.8975 020 7215926Mr angio spine w/o&w/dye N+ 1.80 0.69 0.69 0.10 2.59 2.59 1XXX.00.00.0099999 37.8975 090 72170 X-ray exam of pelvis A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 37.8975 090 72170TCX-ray exam of pelvis A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7217026X-ray exam of pelvis A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 72190 X-ray exam of pelvis A 0.21 0.74 0.74 NA 0.05 1.00 1.00 1XXX.00.00.0000000 37.8975 090 72190TCX-ray exam of pelvis A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0000000 37.8975 010 7219026X-ray exam of pelvis A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0000000 37.8975 090 72191 Ct angiograph pelv w/o&w/dye A 1.81 12.63 12.63 NA 0.47 14.91 14.91 1XXX.00.00.0000000 37.8975 090 72191TCCt angiograph pelv w/o&w/dye A 0.00 12.03 12.03 NA 0.39 12.42 12.42 1XXX.00.00.0000000 37.8975 020 7219126Ct angiograph pelv w/o&w/dye A 1.81 0.60 0.60 0.08 2.49 2.49 1XXX.00.00.0000000 37.8975 090 72192 Ct pelvis w/o dye A 1.09 6.27 6.27 NA 0.36 7.72 7.72 1XXX.00.00.0000000 37.8975 090 72192TCCt pelvis w/o dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7219226Ct pelvis w/o dye A 1.09 0.36 0.36 0.05 1.50 1.50 1XXX.00.00.0000000 37.8975 090 72193 Ct pelvis w/dye A 1.16 7.22 7.22 NA 0.41 8.79 8.79 1XXX.00.00.0000000 37.8975 090 72193TCCt pelvis w/dye A 0.00 6.84 6.84 NA 0.36 7.20 7.20 1XXX.00.00.0000000 37.8975 020 7219326Ct pelvis w/dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 72194 Ct pelvis w/o & w/dye A 1.22 8.89 8.89 NA 0.48 10.59 10.59 1XXX.00.00.0000000 37.8975 090 72194TCCt pelvis w/o & w/dye A 0.00 8.49 8.49 NA 0.43 8.92 8.92 1XXX.00.00.0000000 37.8975 020 7219426Ct pelvis w/o & w/dye A 1.22 0.40 0.40 0.05 1.67 1.67 1XXX.00.00.0000000 37.8975 090 72195 Mri pelvis w/o dye A 1.46 11.68 11.68 NA 0.52 13.66 13.66 1XXX.00.00.0000000 37.8975 090 72195TCMri pelvis w/o dye A 0.00 11.20 11.20 NA 0.45 11.65 11.65 1XXX.00.00.0000000 37.8975 010 7219526Mri pelvis w/o dye A 1.46 0.48 0.48 0.07 2.01 2.01 1XXX.00.00.0000000 37.8975 090 72196 Mri pelvis w/dye A 1.73 14.01 14.01 NA 0.60 16.34 16.34 1XXX.00.00.0000000 37.8975 090 72196TCMri pelvis w/dye A 0.00 13.44 13.44 NA 0.52 13.96 13.96 1XXX.00.00.0000000 37.8975 020 7219626Mri pelvis w/dye A 1.73 0.57 0.57 0.08 2.38 2.38 1XXX.00.00.0000000 37.8975 090 72197 Mri pelvis w/o & w/dye A 2.26 25.62 25.62 NA 1.02 28.90 28.90 1XXX.00.00.0000000 37.8975 090 72197TCMri pelvis w/o & w/dye A 0.00 24.88 24.88 NA 0.92 25.80 25.80 1XXX.00.00.0000000 37.8975 020 7219726Mri pelvis w/o & w/dye A 2.26 0.74 0.74 0.10 3.10 3.10 1XXX.00.00.0000000 37.8975 090 72198 Mr angio pelvis w/o & w/dye A 1.80 11.79 11.79 NA 0.67 14.26 14.26 1XXX.00.00.0000000 37.8975 090 72198TCMr angio pelvis w/o & w/dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7219826Mr angio pelvis w/o & w/dye A 1.80 0.59 0.59 0.08 2.47 2.47 1XXX.00.00.0000000 37.8975 090 72200 X-ray exam sacroiliac joints A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 37.8975 090 72200TCX-ray exam sacroiliac joints A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7220026X-ray exam sacroiliac joints A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 72202 X-ray exam sacroiliac joints A 0.19 0.68 0.68 NA 0.05 0.92 0.92 1XXX.00.00.0000000 37.8975 090 72202TCX-ray exam sacroiliac joints A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7220226X-ray exam sacroiliac joints A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 37.8975 090 72220 X-ray exam of tailbone A 0.17 0.63 0.63 NA 0.05 0.85 0.85 1XXX.00.00.0000000 37.8975 090 72220TCX-ray exam of tailbone A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7222026X-ray exam of tailbone A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 72240 Contrast x-ray of neck spine A 0.91 5.04 5.04 NA 0.29 6.24 6.24 1XXX.00.00.0000000 37.8975 090 72240TCContrast x-ray of neck spine A 0.00 4.75 4.75 NA 0.25 5.00 5.00 1XXX.00.00.0000000 37.8975 030 7224026Contrast x-ray of neck spine A 0.91 0.29 0.29 0.04 1.24 1.24 1XXX.00.00.0000000 37.8975 090 72255 Contrast x-ray, thorax spine A 0.91 4.60 4.60 NA 0.26 5.77 5.77 1XXX.00.00.0000000 37.8975 090 72255TCContrast x-ray, thorax spine A 0.00 4.33 4.33 NA 0.22 4.55 4.55 1XXX.00.00.0000000 37.8975 030 7225526Contrast x-ray, thorax spine A 0.91 0.27 0.27 0.04 1.22 1.22 1XXX.00.00.0000000 37.8975 090 72265 Contrast x-ray, lower spine A 0.83 4.32 4.32 NA 0.26 5.41 5.41 1XXX.00.00.0000000 37.8975 090 72265TCContrast x-ray, lower spine A 0.00 4.07 4.07 NA 0.22 4.29 4.29 1XXX.00.00.0000000 37.8975 030 7226526Contrast x-ray, lower spine A 0.83 0.25 0.25 0.04 1.12 1.12 1XXX.00.00.0000000 37.8975 090 72270 Contrast x-ray, spine A 1.33 6.52 6.52 NA 0.39 8.24 8.24 1XXX.00.00.0000000 37.8975 090 72270TCContrast x-ray, spine A 0.00 6.10 6.10 NA 0.33 6.43 6.43 1XXX.00.00.0000000 37.8975 030 7227026Contrast x-ray, spine A 1.33 0.42 0.42 0.06 1.81 1.81 1XXX.00.00.0000000 37.8975 090 72275 Epidurography A 0.76 2.30 2.30 NA 0.26 3.32 3.32 1XXX.00.00.0099999 37.8975 090 72275TCEpidurography A 0.00 2.10 2.10 NA 0.22 2.32 2.32 1XXX.00.00.0099999 37.8975 030 7227526Epidurography A 0.76 0.20 0.20 0.04 1.00 1.00 1XXX.00.00.0099999 37.8975 090 72285 X-ray c/t spine disk A 1.16 8.74 8.74 NA 0.50 10.40 10.40 1XXX.00.00.0000000 37.8975 090 72285TCX-ray c/t spine disk A 0.00 8.38 8.38 NA 0.43 8.81 8.81 1XXX.00.00.0000000 37.8975 030 7228526X-ray c/t spine disk A 1.16 0.36 0.36 0.07 1.59 1.59 1XXX.00.00.0000000 37.8975 090 72295 X-ray of lower spine disk A 0.83 8.13 8.13 NA 0.46 9.42 9.42 1XXX.00.00.0000000 37.8975 090 72295TCX-ray of lower spine disk A 0.00 7.86 7.86 NA 0.40 8.26 8.26 1XXX.00.00.0000000 37.8975 030 7229526X-ray of lower spine disk A 0.83 0.27 0.27 0.06 1.16 1.16 1XXX.00.00.0000000 37.8975 090 73000 X-ray exam of collar bone A 0.16 0.57 0.57 NA 0.03 0.76 0.76 1XXX.00.00.0003000 37.8975 090 73000TCX-ray exam of collar bone A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7300026X-ray exam of collar bone A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73010 X-ray exam of shoulder blade A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0003000 37.8975 090 73010TCX-ray exam of shoulder blade A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7301026X-ray exam of shoulder blade A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73020 X-ray exam of shoulder A 0.15 0.52 0.52 NA 0.03 0.70 0.70 1XXX.00.00.0003000 37.8975 090 73020TCX-ray exam of shoulder A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0003000 37.8975 010 7302026X-ray exam of shoulder A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0003000 37.8975 090 73030 X-ray exam of shoulder A 0.18 0.63 0.63 NA 0.05 0.86 0.86 1XXX.00.00.0003000 37.8975 090 73030TCX-ray exam of shoulder A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0003000 37.8975 010 7303026X-ray exam of shoulder A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0003000 37.8975 090 73040 Contrast x-ray of shoulder A 0.54 2.28 2.28 NA 0.14 2.96 2.96 1XXX.00.00.0003000 37.8975 090 73040TCContrast x-ray of shoulder A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0003000 37.8975 030 7304026Contrast x-ray of shoulder A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0003000 37.8975 090 73050 X-ray exam of shoulders A 0.20 0.74 0.74 NA 0.05 0.99 0.99 1XXX.00.00.0002000 37.8975 090 73050TCX-ray exam of shoulders A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0002000 37.8975 010 7305026X-ray exam of shoulders A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0002000 37.8975 090 73060 X-ray exam of humerus A 0.17 0.63 0.63 NA 0.05 0.85 0.85 1XXX.00.00.0003000 37.8975 090 73060TCX-ray exam of humerus A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0003000 37.8975 010 7306026X-ray exam of humerus A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73070 X-ray exam of elbow A 0.15 0.57 0.57 NA 0.03 0.75 0.75 1XXX.00.00.0003000 37.8975 090 73070TCX-ray exam of elbow A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7307026X-ray exam of elbow A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0003000 37.8975 090 73080 X-ray exam of elbow A 0.17 0.63 0.63 NA 0.05 0.85 0.85 1XXX.00.00.0003000 37.8975 090 73080TCX-ray exam of elbow A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0003000 37.8975 010 7308026X-ray exam of elbow A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73085 Contrast x-ray of elbow A 0.54 2.29 2.29 NA 0.15 2.98 2.98 1XXX.00.00.0003000 37.8975 090 73085TCContrast x-ray of elbow A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0003000 37.8975 030 7308526Contrast x-ray of elbow A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0003000 37.8975 090 73090 X-ray exam of forearm A 0.16 0.57 0.57 NA 0.03 0.76 0.76 1XXX.00.00.0003000 37.8975 090 73090TCX-ray exam of forearm A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7309026X-ray exam of forearm A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73092 X-ray exam of arm, infant A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73092TCX-ray exam of arm, infant A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7309226X-ray exam of arm, infant A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73100 X-ray exam of wrist A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73100TCX-ray exam of wrist A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7310026X-ray exam of wrist A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73110 X-ray exam of wrist A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 37.8975 090 73110TCX-ray exam of wrist A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 37.8975 010 7311026X-ray exam of wrist A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73115 Contrast x-ray of wrist A 0.54 1.76 1.76 NA 0.13 2.43 2.43 1XXX.00.00.0003000 37.8975 090 73115TCContrast x-ray of wrist A 0.00 1.58 1.58 NA 0.10 1.68 1.68 1XXX.00.00.0003000 37.8975 030 7311526Contrast x-ray of wrist A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 37.8975 090 73120 X-ray exam of hand A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73120TCX-ray exam of hand A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7312026X-ray exam of hand A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73130 X-ray exam of hand A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 37.8975 090 73130TCX-ray exam of hand A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 37.8975 010 7313026X-ray exam of hand A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73140 X-ray exam of finger(s) A 0.13 0.46 0.46 NA 0.03 0.62 0.62 1XXX.00.00.0003000 37.8975 090 73140TCX-ray exam of finger(s) A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 37.8975 010 7314026X-ray exam of finger(s) A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0003000 37.8975 090 73200 Ct upper extremity w/o dye A 1.09 5.32 5.32 NA 0.30 6.71 6.71 1XXX.00.00.0003000 37.8975 090 73200TCCt upper extremity w/o dye A 0.00 4.96 4.96 NA 0.25 5.21 5.21 1XXX.00.00.0003000 37.8975 010 7320026Ct upper extremity w/o dye A 1.09 0.36 0.36 0.05 1.50 1.50 1XXX.00.00.0003000 37.8975 090 73201 Ct upper extremity w/dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0003000 37.8975 090 73201TCCt upper extremity w/dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0003000 37.8975 020 7320126Ct upper extremity w/dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0003000 37.8975 090 73202 Ct uppr extremity w/o&w/dye A 1.22 7.82 7.82 NA 0.45 9.49 9.49 1XXX.00.00.0003000 37.8975 090 73202TCCt uppr extremity w/o&w/dye A 0.00 7.42 7.42 NA 0.39 7.81 7.81 1XXX.00.00.0003000 37.8975 020 7320226Ct uppr extremity w/o&w/dye A 1.22 0.40 0.40 0.06 1.68 1.68 1XXX.00.00.0003000 37.8975 090 73206 Ct angio upr extrm w/o&w/dye A 1.81 11.55 11.55 NA 0.47 13.83 13.83 1XXX.00.00.0000000 37.8975 090 73206TCCt angio upr extrm w/o&w/dye A 0.00 10.96 10.96 NA 0.39 11.35 11.35 1XXX.00.00.0000000 37.8975 020 7320626Ct angio upr extrm w/o&w/dye A 1.81 0.59 0.59 0.08 2.48 2.48 1XXX.00.00.0000000 37.8975 090 73218 Mri upper extremity w/o dye A 1.35 11.64 11.64 NA 0.45 13.44 13.44 1XXX.00.00.0003000 37.8975 090 73218TCMri upper extremity w/o dye A 0.00 11.20 11.20 NA 0.39 11.59 11.59 1XXX.00.00.0003000 37.8975 010 7321826Mri upper extremity w/o dye A 1.35 0.44 0.44 0.06 1.85 1.85 1XXX.00.00.0003000 37.8975 090 73219 Mri upper extremity w/dye A 1.62 13.98 13.98 NA 0.54 16.14 16.14 1XXX.00.00.0003000 37.8975 090 73219TCMri upper extremity w/dye A 0.00 13.44 13.44 NA 0.47 13.91 13.91 1XXX.00.00.0003000 37.8975 020 7321926Mri upper extremity w/dye A 1.62 0.54 0.54 0.07 2.23 2.23 1XXX.00.00.0003000 37.8975 090 73220 Mri uppr extremity w/o&w/dye A 2.15 25.59 25.59 NA 0.94 28.68 28.68 1XXX.00.00.0003000 37.8975 090 73220TCMri uppr extremity w/o&w/dye A 0.00 24.88 24.88 NA 0.84 25.72 25.72 1XXX.00.00.0003000 37.8975 020 7322026Mri uppr extremity w/o&w/dye A 2.15 0.71 0.71 0.10 2.96 2.96 1XXX.00.00.0003000 37.8975 090 73221 Mri joint upr extrem w/o dye A 1.35 11.64 11.64 NA 0.45 13.44 13.44 1XXX.00.00.0003000 37.8975 090 73221TCMri joint upr extrem w/o dye A 0.00 11.20 11.20 NA 0.39 11.59 11.59 1XXX.00.00.0003000 37.8975 010 7322126Mri joint upr extrem w/o dye A 1.35 0.44 0.44 0.06 1.85 1.85 1XXX.00.00.0003000 37.8975 090 73222 Mri joint upr extrem w/dye A 1.62 13.97 13.97 NA 0.54 16.13 16.13 1XXX.00.00.0003000 37.8975 090 73222TCMri joint upr extrem w/dye A 0.00 13.44 13.44 NA 0.47 13.91 13.91 1XXX.00.00.0003000 37.8975 020 7322226Mri joint upr extrem w/dye A 1.62 0.53 0.53 0.07 2.22 2.22 1XXX.00.00.0003000 37.8975 090 73223 Mri joint upr extr w/o&w/dye A 2.15 25.59 25.59 NA 0.94 28.68 28.68 1XXX.00.00.0003000 37.8975 090 73223TCMri joint upr extr w/o&w/dye A 0.00 24.88 24.88 NA 0.84 25.72 25.72 1XXX.00.00.0003000 37.8975 020 7322326Mri joint upr extr w/o&w/dye A 2.15 0.71 0.71 0.10 2.96 2.96 1XXX.00.00.0003000 37.8975 090 73225 Mr angio upr extr w/o&w/dye N+ 1.73 11.68 11.68 0.69 14.10 14.10 1XXX.00.00.0099999 37.8975 090 73225TCMr angio upr extr w/o&w/dye N+ 0.00 11.01 11.01 0.59 11.60 11.60 1XXX.00.00.0099999 37.8975 020 7322526Mr angio upr extr w/o&w/dye N+ 1.73 0.67 0.67 0.10 2.50 2.50 1XXX.00.00.0099999 37.8975 090 73500 X-ray exam of hip A 0.17 0.53 0.53 NA 0.03 0.73 0.73 1XXX.00.00.0000000 37.8975 090 73500TCX-ray exam of hip A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0000000 37.8975 010 7350026X-ray exam of hip A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 73510 X-ray exam of hip A 0.21 0.64 0.64 NA 0.05 0.90 0.90 1XXX.00.00.0000000 37.8975 090 73510TCX-ray exam of hip A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7351026X-ray exam of hip A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0000000 37.8975 090 73520 X-ray exam of hips A 0.26 0.76 0.76 NA 0.05 1.07 1.07 1XXX.00.00.0002000 37.8975 090 73520TCX-ray exam of hips A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0002000 37.8975 010 7352026X-ray exam of hips A 0.26 0.09 0.09 0.01 0.36 0.36 1XXX.00.00.0002000 37.8975 090 73525 Contrast x-ray of hip A 0.54 2.28 2.28 NA 0.15 2.97 2.97 1XXX.00.00.0003000 37.8975 090 73525TCContrast x-ray of hip A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0003000 37.8975 030 7352526Contrast x-ray of hip A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 37.8975 090 73530 X-ray exam of hip A 0.29 0.62 0.62 NA 0.03 0.94 0.94 1XXX.00.00.0003000 37.8975 090 73530TCX-ray exam of hip A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 030 7353026X-ray exam of hip A 0.29 0.10 0.10 0.01 0.40 0.40 1XXX.00.00.0003000 37.8975 090 73540 X-ray exam of pelvis & hips A 0.20 0.64 0.64 NA 0.05 0.89 0.89 1XXX.00.00.0000000 37.8975 090 73540TCX-ray exam of pelvis & hips A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7354026X-ray exam of pelvis & hips A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 73542 X-ray exam, sacroiliac joint A 0.59 2.26 2.26 NA 0.16 3.01 3.01 1XXX.00.00.0099999 37.8975 090 73542TCX-ray exam, sacroiliac joint A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0099999 37.8975 030 7354226X-ray exam, sacroiliac joint A 0.59 0.16 0.16 0.04 0.79 0.79 1XXX.00.00.0099999 37.8975 090 73550 X-ray exam of thigh A 0.17 0.63 0.63 NA 0.05 0.85 0.85 1XXX.00.00.0003000 37.8975 090 73550TCX-ray exam of thigh A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0003000 37.8975 010 7355026X-ray exam of thigh A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73560 X-ray exam of knee, 1 or 2 A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0003000 37.8975 090 73560TCX-ray exam of knee, 1 or 2 A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7356026X-ray exam of knee, 1 or 2 A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73562 X-ray exam of knee, 3 A 0.18 0.63 0.63 NA 0.05 0.86 0.86 1XXX.00.00.0003000 37.8975 090 73562TCX-ray exam of knee, 3 A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0003000 37.8975 010 7356226X-ray exam of knee, 3 A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0003000 37.8975 090 73564 X-ray exam, knee, 4 or more A 0.22 0.69 0.69 NA 0.05 0.96 0.96 1XXX.00.00.0003000 37.8975 090 73564TCX-ray exam, knee, 4 or more A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0003000 37.8975 010 7356426X-ray exam, knee, 4 or more A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0003000 37.8975 090 73565 X-ray exam of knees A 0.17 0.55 0.55 NA 0.03 0.75 0.75 1XXX.00.00.0002000 37.8975 090 73565TCX-ray exam of knees A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0002000 37.8975 010 7356526X-ray exam of knees A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0002000 37.8975 090 73580 Contrast x-ray of knee joint A 0.54 2.79 2.79 NA 0.17 3.50 3.50 1XXX.00.00.0003000 37.8975 090 73580TCContrast x-ray of knee joint A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0003000 37.8975 030 7358026Contrast x-ray of knee joint A 0.54 0.17 0.17 0.03 0.74 0.74 1XXX.00.00.0003000 37.8975 090 73590 X-ray exam of lower leg A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0003000 37.8975 090 73590TCX-ray exam of lower leg A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 37.8975 010 7359026X-ray exam of lower leg A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73592 X-ray exam of leg, infant A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73592TCX-ray exam of leg, infant A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7359226X-ray exam of leg, infant A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73600 X-ray exam of ankle A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73600TCX-ray exam of ankle A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7360026X-ray exam of ankle A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73610 X-ray exam of ankle A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 37.8975 090 73610TCX-ray exam of ankle A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 37.8975 010 7361026X-ray exam of ankle A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73615 Contrast x-ray of ankle A 0.54 2.28 2.28 NA 0.15 2.97 2.97 1XXX.00.00.0003000 37.8975 090 73615TCContrast x-ray of ankle A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0003000 37.8975 030 7361526Contrast x-ray of ankle A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 37.8975 090 73620 X-ray exam of foot A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 37.8975 090 73620TCX-ray exam of foot A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 37.8975 010 7362026X-ray exam of foot A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73630 X-ray exam of foot A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 37.8975 090 73630TCX-ray exam of foot A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 37.8975 010 7363026X-ray exam of foot A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 37.8975 090 73650 X-ray exam of heel A 0.16 0.52 0.52 NA 0.03 0.71 0.71 1XXX.00.00.0003000 37.8975 090 73650TCX-ray exam of heel A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0003000 37.8975 010 7365026X-ray exam of heel A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 37.8975 090 73660 X-ray exam of toe(s) A 0.13 0.46 0.46 NA 0.03 0.62 0.62 1XXX.00.00.0003000 37.8975 090 73660TCX-ray exam of toe(s) A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 37.8975 010 7366026X-ray exam of toe(s) A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0003000 37.8975 090 73700 Ct lower extremity w/o dye A 1.09 5.32 5.32 NA 0.30 6.71 6.71 1XXX.00.00.0003000 37.8975 090 73700TCCt lower extremity w/o dye A 0.00 4.96 4.96 NA 0.25 5.21 5.21 1XXX.00.00.0003000 37.8975 010 7370026Ct lower extremity w/o dye A 1.09 0.36 0.36 0.05 1.50 1.50 1XXX.00.00.0003000 37.8975 090 73701 Ct lower extremity w/dye A 1.16 6.29 6.29 NA 0.36 7.81 7.81 1XXX.00.00.0003000 37.8975 090 73701TCCt lower extremity w/dye A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0003000 37.8975 020 7370126Ct lower extremity w/dye A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0003000 37.8975 090 73702 Ct lwr extremity w/o&w/dye A 1.22 7.82 7.82 NA 0.44 9.48 9.48 1XXX.00.00.0003000 37.8975 090 73702TCCt lwr extremity w/o&w/dye A 0.00 7.42 7.42 NA 0.39 7.81 7.81 1XXX.00.00.0003000 37.8975 020 7370226Ct lwr extremity w/o&w/dye A 1.22 0.40 0.40 0.05 1.67 1.67 1XXX.00.00.0003000 37.8975 090 73706 Ct angio lwr extr w/o&w/dye A 1.90 11.58 11.58 NA 0.48 13.96 13.96 1XXX.00.00.0003000 37.8975 090 73706TCCt angio lwr extr w/o&w/dye A 0.00 10.96 10.96 NA 0.39 11.35 11.35 1XXX.00.00.0003000 37.8975 020 7370626Ct angio lwr extr w/o&w/dye A 1.90 0.62 0.62 0.09 2.61 2.61 1XXX.00.00.0003000 37.8975 090 73718 Mri lower extremity w/o dye A 1.35 11.64 11.64 NA 0.45 13.44 13.44 1XXX.00.00.0003000 37.8975 090 73718TCMri lower extremity w/o dye A 0.00 11.20 11.20 NA 0.39 11.59 11.59 1XXX.00.00.0003000 37.8975 010 7371826Mri lower extremity w/o dye A 1.35 0.44 0.44 0.06 1.85 1.85 1XXX.00.00.0003000 37.8975 090 73719 Mri lower extremity w/dye A 1.62 13.97 13.97 NA 0.54 16.13 16.13 1XXX.00.00.0003000 37.8975 090 73719TCMri lower extremity w/dye A 0.00 13.44 13.44 NA 0.47 13.91 13.91 1XXX.00.00.0003000 37.8975 020 7371926Mri lower extremity w/dye A 1.62 0.53 0.53 0.07 2.22 2.22 1XXX.00.00.0003000 37.8975 090 73720 Mri lwr extremity w/o&w/dye A 2.15 25.58 25.58 NA 0.94 28.67 28.67 1XXX.00.00.0003000 37.8975 090 73720TCMri lwr extremity w/o&w/dye A 0.00 24.88 24.88 NA 0.84 25.72 25.72 1XXX.00.00.0003000 37.8975 020 7372026Mri lwr extremity w/o&w/dye A 2.15 0.70 0.70 0.10 2.95 2.95 1XXX.00.00.0003000 37.8975 090 73721 Mri jnt of lwr extre w/o dye A 1.35 11.64 11.64 NA 0.45 13.44 13.44 1XXX.00.00.0003000 37.8975 090 73721TCMri jnt of lwr extre w/o dye A 0.00 11.20 11.20 NA 0.39 11.59 11.59 1XXX.00.00.0003000 37.8975 010 7372126Mri jnt of lwr extre w/o dye A 1.35 0.44 0.44 0.06 1.85 1.85 1XXX.00.00.0003000 37.8975 090 73722 Mri joint of lwr extr w/dye A 1.62 13.97 13.97 NA 0.54 16.13 16.13 1XXX.00.00.0003000 37.8975 090 73722TCMri joint of lwr extr w/dye A 0.00 13.44 13.44 NA 0.47 13.91 13.91 1XXX.00.00.0003000 37.8975 020 7372226Mri joint of lwr extr w/dye A 1.62 0.53 0.53 0.07 2.22 2.22 1XXX.00.00.0003000 37.8975 090 73723 Mri joint lwr extr w/o&w/dye A 2.15 25.59 25.59 NA 0.94 28.68 28.68 1XXX.00.00.0003000 37.8975 090 73723TCMri joint lwr extr w/o&w/dye A 0.00 24.88 24.88 NA 0.84 25.72 25.72 1XXX.00.00.0003000 37.8975 020 7372326Mri joint lwr extr w/o&w/dye A 2.15 0.71 0.71 0.10 2.96 2.96 1XXX.00.00.0003000 37.8975 090 73725 Mr ang lwr ext w or w/o dye R 1.82 11.80 11.80 NA 0.67 14.29 14.29 1XXX.00.00.0003000 37.8975 090 73725TCMr ang lwr ext w or w/o dye R 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0003000 37.8975 020 7372526Mr ang lwr ext w or w/o dye R 1.82 0.60 0.60 0.08 2.50 2.50 1XXX.00.00.0003000 37.8975 090 74000 X-ray exam of abdomen A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 37.8975 090 74000TCX-ray exam of abdomen A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7400026X-ray exam of abdomen A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 74010 X-ray exam of abdomen A 0.23 0.65 0.65 NA 0.05 0.93 0.93 1XXX.00.00.0000000 37.8975 090 74010TCX-ray exam of abdomen A 0.00 0.57 0.57 NA 0.04 0.61 0.61 1XXX.00.00.0000000 37.8975 010 7401026X-ray exam of abdomen A 0.23 0.08 0.08 0.01 0.32 0.32 1XXX.00.00.0000000 37.8975 090 74020 X-ray exam of abdomen A 0.27 0.71 0.71 NA 0.05 1.03 1.03 1XXX.00.00.0000000 37.8975 090 74020TCX-ray exam of abdomen A 0.00 0.62 0.62 NA 0.04 0.66 0.66 1XXX.00.00.0000000 37.8975 010 7402026X-ray exam of abdomen A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 37.8975 090 74022 X-ray exam series, abdomen A 0.32 0.83 0.83 NA 0.06 1.21 1.21 1XXX.00.00.0000000 37.8975 090 74022TCX-ray exam series, abdomen A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7402226X-ray exam series, abdomen A 0.32 0.10 0.10 0.01 0.43 0.43 1XXX.00.00.0000000 37.8975 090 74150 Ct abdomen w/o dye A 1.19 6.05 6.05 NA 0.35 7.59 7.59 1XXX.00.00.0000000 37.8975 090 74150TCCt abdomen w/o dye A 0.00 5.66 5.66 NA 0.30 5.96 5.96 1XXX.00.00.0000000 37.8975 010 7415026Ct abdomen w/o dye A 1.19 0.39 0.39 0.05 1.63 1.63 1XXX.00.00.0000000 37.8975 090 74160 Ct abdomen w/dye A 1.27 7.26 7.26 NA 0.42 8.95 8.95 1XXX.00.00.0000000 37.8975 090 74160TCCt abdomen w/dye A 0.00 6.84 6.84 NA 0.36 7.20 7.20 1XXX.00.00.0000000 37.8975 020 7416026Ct abdomen w/dye A 1.27 0.42 0.42 0.06 1.75 1.75 1XXX.00.00.0000000 37.8975 090 74170 Ct abdomen w/o & w/dye A 1.40 8.95 8.95 NA 0.49 10.84 10.84 1XXX.00.00.0000000 37.8975 090 74170TCCt abdomen w/o & w/dye A 0.00 8.49 8.49 NA 0.43 8.92 8.92 1XXX.00.00.0000000 37.8975 020 7417026Ct abdomen w/o & w/dye A 1.40 0.46 0.46 0.06 1.92 1.92 1XXX.00.00.0000000 37.8975 090 74175 Ct angio abdom w/o & w/dye A 1.90 12.65 12.65 NA 0.47 15.02 15.02 1XXX.00.00.0000000 37.8975 090 74175TCCt angio abdom w/o & w/dye A 0.00 12.03 12.03 NA 0.39 12.42 12.42 1XXX.00.00.0000000 37.8975 020 7417526Ct angio abdom w/o & w/dye A 1.90 0.62 0.62 0.08 2.60 2.60 1XXX.00.00.0000000 37.8975 090 74181 Mri abdomen w/o dye A 1.46 11.68 11.68 NA 0.51 13.65 13.65 1XXX.00.00.0000000 37.8975 090 74181TCMri abdomen w/o dye A 0.00 11.20 11.20 NA 0.45 11.65 11.65 1XXX.00.00.0000000 37.8975 010 7418126Mri abdomen w/o dye A 1.46 0.48 0.48 0.06 2.00 2.00 1XXX.00.00.0000000 37.8975 090 74182 Mri abdomen w/dye A 1.73 14.01 14.01 NA 0.60 16.34 16.34 1XXX.00.00.0000000 37.8975 090 74182TCMri abdomen w/dye A 0.00 13.44 13.44 NA 0.52 13.96 13.96 1XXX.00.00.0000000 37.8975 020 7418226Mri abdomen w/dye A 1.73 0.57 0.57 0.08 2.38 2.38 1XXX.00.00.0000000 37.8975 090 74183 Mri abdomen w/o & w/dye A 2.26 25.62 25.62 NA 1.02 28.90 28.90 1XXX.00.00.0000000 37.8975 090 74183TCMri abdomen w/o & w/dye A 0.00 24.88 24.88 NA 0.92 25.80 25.80 1XXX.00.00.0000000 37.8975 020 7418326Mri abdomen w/o & w/dye A 2.26 0.74 0.74 0.10 3.10 3.10 1XXX.00.00.0000000 37.8975 090 74185 Mri angio, abdom w orw/o dye R 1.80 11.79 11.79 NA 0.67 14.26 14.26 1XXX.00.00.0000000 37.8975 090 74185TCMri angio, abdom w orw/o dye R 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7418526Mri angio, abdom w orw/o dye R 1.80 0.59 0.59 0.08 2.47 2.47 1XXX.00.00.0000000 37.8975 090 74190 X-ray exam of peritoneum A 0.48 1.47 1.47 NA 0.09 2.04 2.04 1XXX.00.00.0000000 37.8975 090 74190TCX-ray exam of peritoneum A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7419026X-ray exam of peritoneum A 0.48 0.16 0.16 0.02 0.66 0.66 1XXX.00.00.0000000 37.8975 090 74210 Contrst x-ray exam of throat A 0.36 1.31 1.31 NA 0.08 1.75 1.75 1XXX.00.00.0000000 37.8975 090 74210TCContrst x-ray exam of throat A 0.00 1.19 1.19 NA 0.06 1.25 1.25 1XXX.00.00.0000000 37.8975 030 7421026Contrst x-ray exam of throat A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 74220 Contrast x-ray, esophagus A 0.46 1.34 1.34 NA 0.08 1.88 1.88 1XXX.00.00.0000000 37.8975 090 74220TCContrast x-ray, esophagus A 0.00 1.19 1.19 NA 0.06 1.25 1.25 1XXX.00.00.0000000 37.8975 030 7422026Contrast x-ray, esophagus A 0.46 0.15 0.15 0.02 0.63 0.63 1XXX.00.00.0000000 37.8975 090 74230 Cine/vid x-ray, throat/esoph A 0.53 1.48 1.48 NA 0.09 2.10 2.10 1XXX.00.00.0000000 37.8975 090 74230TCCine/vid x-ray, throat/esoph A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7423026Cine/vid x-ray, throat/esoph A 0.53 0.17 0.17 0.02 0.72 0.72 1XXX.00.00.0000000 37.8975 090 74235 Remove esophagus obstruction A 1.19 3.01 3.01 NA 0.20 4.40 4.40 1XXX.00.00.0000000 37.8975 090 74235TCRemove esophagus obstruction A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7423526Remove esophagus obstruction A 1.19 0.39 0.39 0.06 1.64 1.64 1XXX.00.00.0000000 37.8975 090 74240 X-ray exam, upper gi tract A 0.69 1.69 1.69 NA 0.11 2.49 2.49 1XXX.00.00.0000000 37.8975 090 74240TCX-ray exam, upper gi tract A 0.00 1.46 1.46 NA 0.08 1.54 1.54 1XXX.00.00.0000000 37.8975 030 7424026X-ray exam, upper gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74241 X-ray exam, upper gi tract A 0.69 1.72 1.72 NA 0.11 2.52 2.52 1XXX.00.00.0000000 37.8975 090 74241TCX-ray exam, upper gi tract A 0.00 1.49 1.49 NA 0.08 1.57 1.57 1XXX.00.00.0000000 37.8975 030 7424126X-ray exam, upper gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74245 X-ray exam, upper gi tract A 0.91 2.68 2.68 NA 0.17 3.76 3.76 1XXX.00.00.0000000 37.8975 090 74245TCX-ray exam, upper gi tract A 0.00 2.38 2.38 NA 0.13 2.51 2.51 1XXX.00.00.0000000 37.8975 030 7424526X-ray exam, upper gi tract A 0.91 0.30 0.30 0.04 1.25 1.25 1XXX.00.00.0000000 37.8975 090 74246 Contrst x-ray uppr gi tract A 0.69 1.87 1.87 NA 0.13 2.69 2.69 1XXX.00.00.0000000 37.8975 090 74246TCContrst x-ray uppr gi tract A 0.00 1.64 1.64 NA 0.10 1.74 1.74 1XXX.00.00.0000000 37.8975 030 7424626Contrst x-ray uppr gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74247 Contrst x-ray uppr gi tract A 0.69 1.91 1.91 NA 0.14 2.74 2.74 1XXX.00.00.0000000 37.8975 090 74247TCContrst x-ray uppr gi tract A 0.00 1.68 1.68 NA 0.11 1.79 1.79 1XXX.00.00.0000000 37.8975 030 7424726Contrst x-ray uppr gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74249 Contrst x-ray uppr gi tract A 0.91 2.87 2.87 NA 0.18 3.96 3.96 1XXX.00.00.0000000 37.8975 090 74249TCContrst x-ray uppr gi tract A 0.00 2.57 2.57 NA 0.14 2.71 2.71 1XXX.00.00.0000000 37.8975 030 7424926Contrst x-ray uppr gi tract A 0.91 0.30 0.30 0.04 1.25 1.25 1XXX.00.00.0000000 37.8975 090 74250 X-ray exam of small bowel A 0.47 1.46 1.46 NA 0.09 2.02 2.02 1XXX.00.00.0000000 37.8975 090 74250TCX-ray exam of small bowel A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 020 7425026X-ray exam of small bowel A 0.47 0.15 0.15 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 090 74251 X-ray exam of small bowel A 0.69 1.54 1.54 NA 0.10 2.33 2.33 1XXX.00.00.0000000 37.8975 090 74251TCX-ray exam of small bowel A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7425126X-ray exam of small bowel A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74260 X-ray exam of small bowel A 0.50 1.65 1.65 NA 0.10 2.25 2.25 1XXX.00.00.0000000 37.8975 090 74260TCX-ray exam of small bowel A 0.00 1.49 1.49 NA 0.08 1.57 1.57 1XXX.00.00.0000000 37.8975 030 7426026X-ray exam of small bowel A 0.50 0.16 0.16 0.02 0.68 0.68 1XXX.00.00.0000000 37.8975 090 74270 Contrast x-ray exam of colon A 0.69 1.93 1.93 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 090 74270TCContrast x-ray exam of colon A 0.00 1.70 1.70 NA 0.11 1.81 1.81 1XXX.00.00.0000000 37.8975 030 7427026Contrast x-ray exam of colon A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 74280 Contrast x-ray exam of colon A 0.99 2.55 2.55 NA 0.17 3.71 3.71 1XXX.00.00.0000000 37.8975 090 74280TCContrast x-ray exam of colon A 0.00 2.23 2.23 NA 0.13 2.36 2.36 1XXX.00.00.0000000 37.8975 030 7428026Contrast x-ray exam of colon A 0.99 0.32 0.32 0.04 1.35 1.35 1XXX.00.00.0000000 37.8975 090 74283 Contrast x-ray exam of colon A 2.02 3.22 3.22 NA 0.23 5.47 5.47 1XXX.00.00.0000000 37.8975 090 74283TCContrast x-ray exam of colon A 0.00 2.56 2.56 NA 0.14 2.70 2.70 1XXX.00.00.0000000 37.8975 030 7428326Contrast x-ray exam of colon A 2.02 0.66 0.66 0.09 2.77 2.77 1XXX.00.00.0000000 37.8975 090 74290 Contrast x-ray, gallbladder A 0.32 0.83 0.83 NA 0.06 1.21 1.21 1XXX.00.00.0000000 37.8975 090 74290TCContrast x-ray, gallbladder A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7429026Contrast x-ray, gallbladder A 0.32 0.10 0.10 0.01 0.43 0.43 1XXX.00.00.0000000 37.8975 090 74291 Contrast x-rays, gallbladder A 0.20 0.49 0.49 NA 0.03 0.72 0.72 1XXX.00.00.0000000 37.8975 090 74291TCContrast x-rays, gallbladder A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7429126Contrast x-rays, gallbladder A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 74300 X-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 74300TCX-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7430026X-ray bile ducts/pancreas A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 74301 X-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 74301TCX-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 030 7430126X-rays at surgery add-on A 0.21 0.07 0.07 0.01 0.29 0.29 1ZZZ.00.00.0000000 37.8975 090 74305 X-ray bile ducts/pancreas A 0.42 0.92 0.92 NA 0.07 1.41 1.41 1XXX.00.00.0000000 37.8975 090 74305TCX-ray bile ducts/pancreas A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 030 7430526X-ray bile ducts/pancreas A 0.42 0.14 0.14 0.02 0.58 0.58 1XXX.00.00.0000000 37.8975 090 74320 Contrast x-ray of bile ducts A 0.54 3.33 3.33 NA 0.19 4.06 4.06 1XXX.00.00.0000000 37.8975 090 74320TCContrast x-ray of bile ducts A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7432026Contrast x-ray of bile ducts A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74327 X-ray bile stone removal A 0.70 1.99 1.99 NA 0.14 2.83 2.83 1XXX.00.00.0000000 37.8975 090 74327TCX-ray bile stone removal A 0.00 1.76 1.76 NA 0.11 1.87 1.87 1XXX.00.00.0000000 37.8975 030 7432726X-ray bile stone removal A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 74328 X-ray bile duct endoscopy A 0.70 3.38 3.38 NA 0.20 4.28 4.28 1XXX.00.00.0000000 37.8975 090 74328TCX-ray bile duct endoscopy A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7432826X-ray bile duct endoscopy A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 74329 X-ray for pancreas endoscopy A 0.70 3.38 3.38 NA 0.20 4.28 4.28 1XXX.00.00.0000000 37.8975 090 74329TCX-ray for pancreas endoscopy A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7432926X-ray for pancreas endoscopy A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 74330 X-ray bile/panc endoscopy A 0.90 3.44 3.44 NA 0.21 4.55 4.55 1XXX.00.00.0000000 37.8975 090 74330TCX-ray bile/panc endoscopy A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7433026X-ray bile/panc endoscopy A 0.90 0.29 0.29 0.04 1.23 1.23 1XXX.00.00.0000000 37.8975 090 74340 X-ray guide for GI tube A 0.54 2.80 2.80 NA 0.16 3.50 3.50 1XXX.00.00.0000000 37.8975 090 74340TCX-ray guide for GI tube A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7434026X-ray guide for GI tube A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74350 X-ray guide, stomach tube A 0.76 3.40 3.40 NA 0.20 4.36 4.36 1XXX.00.00.0000000 37.8975 090 74350TCX-ray guide, stomach tube A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7435026X-ray guide, stomach tube A 0.76 0.25 0.25 0.03 1.04 1.04 1XXX.00.00.0000000 37.8975 090 74355 X-ray guide, intestinal tube A 0.76 2.87 2.87 NA 0.17 3.80 3.80 1XXX.00.00.0000000 37.8975 090 74355TCX-ray guide, intestinal tube A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7435526X-ray guide, intestinal tube A 0.76 0.25 0.25 0.03 1.04 1.04 1XXX.00.00.0000000 37.8975 090 74360 X-ray guide, GI dilation A 0.54 3.34 3.34 NA 0.20 4.08 4.08 1XXX.00.00.0000000 37.8975 090 74360TCX-ray guide, GI dilation A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7436026X-ray guide, GI dilation A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0000000 37.8975 090 74363 X-ray, bile duct dilation A 0.88 6.39 6.39 NA 0.37 7.64 7.64 1XXX.00.00.0000000 37.8975 090 74363TCX-ray, bile duct dilation A 0.00 6.10 6.10 NA 0.33 6.43 6.43 1XXX.00.00.0000000 37.8975 030 7436326X-ray, bile duct dilation A 0.88 0.29 0.29 0.04 1.21 1.21 1XXX.00.00.0000000 37.8975 090 74400 Contrst x-ray, urinary tract A 0.49 1.84 1.84 NA 0.13 2.46 2.46 1XXX.00.00.0000000 37.8975 090 74400TCContrst x-ray, urinary tract A 0.00 1.68 1.68 NA 0.11 1.79 1.79 1XXX.00.00.0000000 37.8975 020 7440026Contrst x-ray, urinary tract A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 74410 Contrst x-ray, urinary tract A 0.49 2.11 2.11 NA 0.13 2.73 2.73 1XXX.00.00.0000000 37.8975 090 74410TCContrst x-ray, urinary tract A 0.00 1.95 1.95 NA 0.11 2.06 2.06 1XXX.00.00.0000000 37.8975 020 7441026Contrst x-ray, urinary tract A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 74415 Contrst x-ray, urinary tract A 0.49 2.28 2.28 NA 0.14 2.91 2.91 1XXX.00.00.0000000 37.8975 090 74415TCContrst x-ray, urinary tract A 0.00 2.12 2.12 NA 0.12 2.24 2.24 1XXX.00.00.0000000 37.8975 020 7441526Contrst x-ray, urinary tract A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 74420 Contrst x-ray, urinary tract A 0.36 2.74 2.74 NA 0.16 3.26 3.26 1XXX.00.00.0000000 37.8975 090 74420TCContrst x-ray, urinary tract A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7442026Contrst x-ray, urinary tract A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 74425 Contrst x-ray, urinary tract A 0.36 1.43 1.43 NA 0.09 1.88 1.88 1XXX.00.00.0000000 37.8975 090 74425TCContrst x-ray, urinary tract A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7442526Contrst x-ray, urinary tract A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 74430 Contrast x-ray, bladder A 0.32 1.15 1.15 NA 0.08 1.55 1.55 1XXX.00.00.0000000 37.8975 090 74430TCContrast x-ray, bladder A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 030 7443026Contrast x-ray, bladder A 0.32 0.10 0.10 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 090 74440 X-ray, male genital tract A 0.38 1.25 1.25 NA 0.08 1.71 1.71 1XXX.00.00.0000000 37.8975 090 74440TCX-ray, male genital tract A 0.00 1.13 1.13 NA 0.06 1.19 1.19 1XXX.00.00.0000000 37.8975 030 7444026X-ray, male genital tract A 0.38 0.12 0.12 0.02 0.52 0.52 1XXX.00.00.0000000 37.8975 090 74445 X-ray exam of penis A 1.14 1.50 1.50 NA 0.13 2.77 2.77 1XXX.00.00.0000000 37.8975 090 74445TCX-ray exam of penis A 0.00 1.13 1.13 NA 0.06 1.19 1.19 1XXX.00.00.0000000 37.8975 030 7444526X-ray exam of penis A 1.14 0.37 0.37 0.07 1.58 1.58 1XXX.00.00.0000000 37.8975 090 74450 X-ray, urethra/bladder A 0.33 1.57 1.57 NA 0.10 2.00 2.00 1XXX.00.00.0000000 37.8975 090 74450TCX-ray, urethra/bladder A 0.00 1.46 1.46 NA 0.08 1.54 1.54 1XXX.00.00.0000000 37.8975 030 7445026X-ray, urethra/bladder A 0.33 0.11 0.11 0.02 0.46 0.46 1XXX.00.00.0000000 37.8975 090 74455 X-ray, urethra/bladder A 0.33 1.69 1.69 NA 0.12 2.14 2.14 1XXX.00.00.0000000 37.8975 090 74455TCX-ray, urethra/bladder A 0.00 1.58 1.58 NA 0.10 1.68 1.68 1XXX.00.00.0000000 37.8975 030 7445526X-ray, urethra/bladder A 0.33 0.11 0.11 0.02 0.46 0.46 1XXX.00.00.0000000 37.8975 090 74470 X-ray exam of kidney lesion A 0.54 1.43 1.43 NA 0.09 2.06 2.06 1XXX.00.00.0000000 37.8975 090 74470TCX-ray exam of kidney lesion A 0.00 1.25 1.25 NA 0.07 1.32 1.32 1XXX.00.00.0000000 37.8975 030 7447026X-ray exam of kidney lesion A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74475 X-ray control, cath insert A 0.54 4.25 4.25 NA 0.24 5.03 5.03 1XXX.00.00.0000000 37.8975 090 74475TCX-ray control, cath insert A 0.00 4.07 4.07 NA 0.22 4.29 4.29 1XXX.00.00.0000000 37.8975 030 7447526X-ray control, cath insert A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74480 X-ray control, cath insert A 0.54 4.25 4.25 NA 0.24 5.03 5.03 1XXX.00.00.0000000 37.8975 090 74480TCX-ray control, cath insert A 0.00 4.07 4.07 NA 0.22 4.29 4.29 1XXX.00.00.0000000 37.8975 030 7448026X-ray control, cath insert A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74485 X-ray guide, GU dilation A 0.54 3.32 3.32 NA 0.20 4.06 4.06 1XXX.00.00.0000000 37.8975 090 74485TCX-ray guide, GU dilation A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7448526X-ray guide, GU dilation A 0.54 0.17 0.17 0.03 0.74 0.74 1XXX.00.00.0000000 37.8975 090 74710 X-ray measurement of pelvis A 0.34 1.16 1.16 NA 0.08 1.58 1.58 1XXX.00.00.0000000 37.8975 090 74710TCX-ray measurement of pelvis A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 010 7471026X-ray measurement of pelvis A 0.34 0.11 0.11 0.02 0.47 0.47 1XXX.00.00.0000000 37.8975 090 74740 X-ray, female genital tract A 0.38 1.44 1.44 NA 0.09 1.91 1.91 1XXX.00.00.0000000 37.8975 090 74740TCX-ray, female genital tract A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7474026X-ray, female genital tract A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 74742 X-ray, fallopian tube A 0.61 3.35 3.35 NA 0.20 4.16 4.16 1XXX.00.00.0000000 37.8975 090 74742TCX-ray, fallopian tube A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7474226X-ray, fallopian tube A 0.61 0.20 0.20 0.03 0.84 0.84 1XXX.00.00.0000000 37.8975 090 74775 X-ray exam of perineum A 0.62 1.67 1.67 NA 0.11 2.40 2.40 1XXX.00.00.0000000 37.8975 090 74775TCX-ray exam of perineum A 0.00 1.46 1.46 NA 0.08 1.54 1.54 1XXX.00.00.0000000 37.8975 030 7477526X-ray exam of perineum A 0.62 0.21 0.21 0.03 0.86 0.86 1XXX.00.00.0000000 37.8975 090 75552 Heart mri for morph w/o dye A 1.60 11.73 11.73 NA 0.66 13.99 13.99 1XXX.00.00.0000000 37.8975 090 75552TCHeart mri for morph w/o dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7555226Heart mri for morph w/o dye A 1.60 0.53 0.53 0.07 2.20 2.20 1XXX.00.00.0000000 37.8975 090 75553 Heart mri for morph w/dye A 2.00 11.85 11.85 NA 0.66 14.51 14.51 1XXX.00.00.0000000 37.8975 090 75553TCHeart mri for morph w/dye A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 020 7555326Heart mri for morph w/dye A 2.00 0.65 0.65 0.07 2.72 2.72 1XXX.00.00.0000000 37.8975 090 75554 Cardiac MRI/function A 1.83 11.84 11.84 NA 0.66 14.33 14.33 1XXX.00.00.0000000 37.8975 090 75554TCCardiac MRI/function A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7555426Cardiac MRI/function A 1.83 0.64 0.64 0.07 2.54 2.54 1XXX.00.00.0000000 37.8975 090 75555 Cardiac MRI/limited study A 1.74 11.84 11.84 NA 0.66 14.24 14.24 1XXX.00.00.0000000 37.8975 090 75555TCCardiac MRI/limited study A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7555526Cardiac MRI/limited study A 1.74 0.64 0.64 0.07 2.45 2.45 1XXX.00.00.0000000 37.8975 090 75556 Cardiac MRI/flow mapping N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 75600 Contrast x-ray exam of aorta A 0.49 12.79 12.79 NA 0.67 13.95 13.95 1XXX.00.00.0000000 37.8975 090 75600TCContrast x-ray exam of aorta A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7560026Contrast x-ray exam of aorta A 0.49 0.19 0.19 0.02 0.70 0.70 1XXX.00.00.0000000 37.8975 090 75605 Contrast x-ray exam of aorta A 1.14 13.00 13.00 NA 0.70 14.84 14.84 1XXX.00.00.0000000 37.8975 090 75605TCContrast x-ray exam of aorta A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7560526Contrast x-ray exam of aorta A 1.14 0.40 0.40 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 75625 Contrast x-ray exam of aorta A 1.14 12.98 12.98 NA 0.71 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75625TCContrast x-ray exam of aorta A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7562526Contrast x-ray exam of aorta A 1.14 0.38 0.38 0.06 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75630 X-ray aorta, leg arteries A 1.79 13.74 13.74 NA 0.80 16.33 16.33 1XXX.00.00.0000000 37.8975 090 75630TCX-ray aorta, leg arteries A 0.00 13.13 13.13 NA 0.69 13.82 13.82 1XXX.00.00.0000000 37.8975 030 7563026X-ray aorta, leg arteries A 1.79 0.61 0.61 0.11 2.51 2.51 1XXX.00.00.0000000 37.8975 090 75635 Ct angio abdominal arteries A 2.40 16.70 16.70 NA 0.50 19.60 19.60 1XXX.00.00.0000000 37.8975 090 75635TCCt angio abdominal arteries A 0.00 15.91 15.91 NA 0.39 16.30 16.30 1XXX.00.00.0000000 37.8975 030 7563526Ct angio abdominal arteries A 2.40 0.79 0.79 0.11 3.30 3.30 1XXX.00.00.0000000 37.8975 090 75650 Artery x-rays, head & neck A 1.49 13.09 13.09 NA 0.73 15.31 15.31 1XXX.00.00.0000000 37.8975 090 75650TCArtery x-rays, head & neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7565026Artery x-rays, head & neck A 1.49 0.49 0.49 0.08 2.06 2.06 1XXX.00.00.0000000 37.8975 090 75658 Artery x-rays, arm A 1.31 13.07 13.07 NA 0.72 15.10 15.10 1XXX.00.00.0000000 37.8975 090 75658TCArtery x-rays, arm A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7565826Artery x-rays, arm A 1.31 0.47 0.47 0.07 1.85 1.85 1XXX.00.00.0000000 37.8975 090 75660 Artery x-rays, head & neck A 1.31 13.04 13.04 NA 0.73 15.08 15.08 1XXX.00.00.0000000 37.8975 090 75660TCArtery x-rays, head & neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7566026Artery x-rays, head & neck A 1.31 0.44 0.44 0.08 1.83 1.83 1XXX.00.00.0000000 37.8975 090 75662 Artery x-rays, head & neck A 1.66 13.19 13.19 NA 0.73 15.58 15.58 1XXX.00.00.0002000 37.8975 090 75662TCArtery x-rays, head & neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7566226Artery x-rays, head & neck A 1.66 0.59 0.59 0.08 2.33 2.33 1XXX.00.00.0002000 37.8975 090 75665 Artery x-rays, head & neck A 1.31 13.04 13.04 NA 0.74 15.09 15.09 1XXX.00.00.0000000 37.8975 090 75665TCArtery x-rays, head & neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7566526Artery x-rays, head & neck A 1.31 0.44 0.44 0.09 1.84 1.84 1XXX.00.00.0000000 37.8975 090 75671 Artery x-rays, head & neck A 1.66 13.15 13.15 NA 0.74 15.55 15.55 1XXX.00.00.0002000 37.8975 090 75671TCArtery x-rays, head & neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7567126Artery x-rays, head & neck A 1.66 0.55 0.55 0.09 2.30 2.30 1XXX.00.00.0002000 37.8975 090 75676 Artery x-rays, neck A 1.31 13.04 13.04 NA 0.74 15.09 15.09 1XXX.00.00.0000000 37.8975 090 75676TCArtery x-rays, neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7567626Artery x-rays, neck A 1.31 0.44 0.44 0.09 1.84 1.84 1XXX.00.00.0000000 37.8975 090 75680 Artery x-rays, neck A 1.66 13.15 13.15 NA 0.74 15.55 15.55 1XXX.00.00.0002000 37.8975 090 75680TCArtery x-rays, neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7568026Artery x-rays, neck A 1.66 0.55 0.55 0.09 2.30 2.30 1XXX.00.00.0002000 37.8975 090 75685 Artery x-rays, spine A 1.31 13.03 13.03 NA 0.72 15.06 15.06 1XXX.00.00.0003000 37.8975 090 75685TCArtery x-rays, spine A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0003000 37.8975 030 7568526Artery x-rays, spine A 1.31 0.43 0.43 0.07 1.81 1.81 1XXX.00.00.0003000 37.8975 090 75705 Artery x-rays, spine A 2.18 13.33 13.33 NA 0.78 16.29 16.29 1XXX.00.00.0000000 37.8975 090 75705TCArtery x-rays, spine A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7570526Artery x-rays, spine A 2.18 0.73 0.73 0.13 3.04 3.04 1XXX.00.00.0000000 37.8975 090 75710 Artery x-rays, arm/leg A 1.14 12.99 12.99 NA 0.72 14.85 14.85 1XXX.00.00.0000000 37.8975 090 75710TCArtery x-rays, arm/leg A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7571026Artery x-rays, arm/leg A 1.14 0.39 0.39 0.07 1.60 1.60 1XXX.00.00.0000000 37.8975 090 75716 Artery x-rays, arms/legs A 1.31 13.03 13.03 NA 0.72 15.06 15.06 1XXX.00.00.0002000 37.8975 090 75716TCArtery x-rays, arms/legs A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7571626Artery x-rays, arms/legs A 1.31 0.43 0.43 0.07 1.81 1.81 1XXX.00.00.0002000 37.8975 090 75722 Artery x-rays, kidney A 1.14 13.00 13.00 NA 0.71 14.85 14.85 1XXX.00.00.0000000 37.8975 090 75722TCArtery x-rays, kidney A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7572226Artery x-rays, kidney A 1.14 0.40 0.40 0.06 1.60 1.60 1XXX.00.00.0000000 37.8975 090 75724 Artery x-rays, kidneys A 1.49 13.16 13.16 NA 0.71 15.36 15.36 1XXX.00.00.0002000 37.8975 090 75724TCArtery x-rays, kidneys A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7572426Artery x-rays, kidneys A 1.49 0.56 0.56 0.06 2.11 2.11 1XXX.00.00.0002000 37.8975 090 75726 Artery x-rays, abdomen A 1.14 12.97 12.97 NA 0.70 14.81 14.81 1XXX.00.00.0000000 37.8975 090 75726TCArtery x-rays, abdomen A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7572626Artery x-rays, abdomen A 1.14 0.37 0.37 0.05 1.56 1.56 1XXX.00.00.0000000 37.8975 090 75731 Artery x-rays, adrenal gland A 1.14 12.97 12.97 NA 0.71 14.82 14.82 1XXX.00.00.0000000 37.8975 090 75731TCArtery x-rays, adrenal gland A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7573126Artery x-rays, adrenal gland A 1.14 0.37 0.37 0.06 1.57 1.57 1XXX.00.00.0000000 37.8975 090 75733 Artery x-rays, adrenals A 1.31 13.04 13.04 NA 0.71 15.06 15.06 1XXX.00.00.0002000 37.8975 090 75733TCArtery x-rays, adrenals A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7573326Artery x-rays, adrenals A 1.31 0.44 0.44 0.06 1.81 1.81 1XXX.00.00.0002000 37.8975 090 75736 Artery x-rays, pelvis A 1.14 12.98 12.98 NA 0.71 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75736TCArtery x-rays, pelvis A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7573626Artery x-rays, pelvis A 1.14 0.38 0.38 0.06 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75741 Artery x-rays, lung A 1.31 13.03 13.03 NA 0.71 15.05 15.05 1XXX.00.00.0000000 37.8975 090 75741TCArtery x-rays, lung A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7574126Artery x-rays, lung A 1.31 0.43 0.43 0.06 1.80 1.80 1XXX.00.00.0000000 37.8975 090 75743 Artery x-rays, lungs A 1.66 13.14 13.14 NA 0.72 15.52 15.52 1XXX.00.00.0002000 37.8975 090 75743TCArtery x-rays, lungs A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7574326Artery x-rays, lungs A 1.66 0.54 0.54 0.07 2.27 2.27 1XXX.00.00.0002000 37.8975 090 75746 Artery x-rays, lung A 1.14 12.98 12.98 NA 0.70 14.82 14.82 1XXX.00.00.0000000 37.8975 090 75746TCArtery x-rays, lung A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7574626Artery x-rays, lung A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 37.8975 090 75756 Artery x-rays, chest A 1.14 13.05 13.05 NA 0.69 14.88 14.88 1XXX.00.00.0000000 37.8975 090 75756TCArtery x-rays, chest A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7575626Artery x-rays, chest A 1.14 0.45 0.45 0.04 1.63 1.63 1XXX.00.00.0000000 37.8975 090 75774 Artery x-ray, each vessel A 0.36 12.72 12.72 NA 0.67 13.75 13.75 1ZZZ.00.00.0000000 37.8975 090 75774TCArtery x-ray, each vessel A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1ZZZ.00.00.0000000 37.8975 030 7577426Artery x-ray, each vessel A 0.36 0.12 0.12 0.02 0.50 0.50 1ZZZ.00.00.0000000 37.8975 090 75790 Visualize A-V shunt A 1.84 1.95 1.95 NA 0.18 3.97 3.97 1XXX.00.00.0000000 37.8975 090 75790TCVisualize A-V shunt A 0.00 1.35 1.35 NA 0.08 1.43 1.43 1XXX.00.00.0000000 37.8975 030 7579026Visualize A-V shunt A 1.84 0.60 0.60 0.10 2.54 2.54 1XXX.00.00.0000000 37.8975 090 75801 Lymph vessel x-ray, arm/leg A 0.81 5.68 5.68 NA 0.36 6.85 6.85 1XXX.00.00.0000000 37.8975 090 75801TCLymph vessel x-ray, arm/leg A 0.00 5.41 5.41 NA 0.29 5.70 5.70 1XXX.00.00.0000000 37.8975 030 7580126Lymph vessel x-ray, arm/leg A 0.81 0.27 0.27 0.07 1.15 1.15 1XXX.00.00.0000000 37.8975 090 75803 Lymph vessel x-ray,arms/legs A 1.17 5.79 5.79 NA 0.34 7.30 7.30 1XXX.00.00.0002000 37.8975 090 75803TCLymph vessel x-ray,arms/legs A 0.00 5.41 5.41 NA 0.29 5.70 5.70 1XXX.00.00.0002000 37.8975 030 7580326Lymph vessel x-ray,arms/legs A 1.17 0.38 0.38 0.05 1.60 1.60 1XXX.00.00.0002000 37.8975 090 75805 Lymph vessel x-ray, trunk A 0.81 6.37 6.37 NA 0.38 7.56 7.56 1XXX.00.00.0000000 37.8975 090 75805TCLymph vessel x-ray, trunk A 0.00 6.10 6.10 NA 0.33 6.43 6.43 1XXX.00.00.0000000 37.8975 030 7580526Lymph vessel x-ray, trunk A 0.81 0.27 0.27 0.05 1.13 1.13 1XXX.00.00.0000000 37.8975 090 75807 Lymph vessel x-ray, trunk A 1.17 6.48 6.48 NA 0.38 8.03 8.03 1XXX.00.00.0002000 37.8975 090 75807TCLymph vessel x-ray, trunk A 0.00 6.10 6.10 NA 0.33 6.43 6.43 1XXX.00.00.0002000 37.8975 030 7580726Lymph vessel x-ray, trunk A 1.17 0.38 0.38 0.05 1.60 1.60 1XXX.00.00.0002000 37.8975 090 75809 Nonvascular shunt, x-ray A 0.47 0.93 0.93 NA 0.07 1.47 1.47 1XXX.00.00.0000000 37.8975 090 75809TCNonvascular shunt, x-ray A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 030 7580926Nonvascular shunt, x-ray A 0.47 0.15 0.15 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 090 75810 Vein x-ray, spleen/liver A 1.14 12.97 12.97 NA 0.70 14.81 14.81 1XXX.00.00.0000000 37.8975 090 75810TCVein x-ray, spleen/liver A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7581026Vein x-ray, spleen/liver A 1.14 0.37 0.37 0.05 1.56 1.56 1XXX.00.00.0000000 37.8975 090 75820 Vein x-ray, arm/leg A 0.70 1.18 1.18 NA 0.10 1.98 1.98 1XXX.00.00.0000000 37.8975 090 75820TCVein x-ray, arm/leg A 0.00 0.95 0.95 NA 0.06 1.01 1.01 1XXX.00.00.0000000 37.8975 030 7582026Vein x-ray, arm/leg A 0.70 0.23 0.23 0.04 0.97 0.97 1XXX.00.00.0000000 37.8975 090 75822 Vein x-ray, arms/legs A 1.06 1.83 1.83 NA 0.13 3.02 3.02 1XXX.00.00.0002000 37.8975 090 75822TCVein x-ray, arms/legs A 0.00 1.48 1.48 NA 0.08 1.56 1.56 1XXX.00.00.0002000 37.8975 030 7582226Vein x-ray, arms/legs A 1.06 0.35 0.35 0.05 1.46 1.46 1XXX.00.00.0002000 37.8975 090 75825 Vein x-ray, trunk A 1.14 12.97 12.97 NA 0.72 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75825TCVein x-ray, trunk A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7582526Vein x-ray, trunk A 1.14 0.37 0.37 0.07 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75827 Vein x-ray, chest A 1.14 12.97 12.97 NA 0.71 14.82 14.82 1XXX.00.00.0000000 37.8975 090 75827TCVein x-ray, chest A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7582726Vein x-ray, chest A 1.14 0.37 0.37 0.06 1.57 1.57 1XXX.00.00.0000000 37.8975 090 75831 Vein x-ray, kidney A 1.14 12.97 12.97 NA 0.72 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75831TCVein x-ray, kidney A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7583126Vein x-ray, kidney A 1.14 0.37 0.37 0.07 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75833 Vein x-ray, kidneys A 1.49 13.09 13.09 NA 0.74 15.32 15.32 1XXX.00.00.0002000 37.8975 090 75833TCVein x-ray, kidneys A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7583326Vein x-ray, kidneys A 1.49 0.49 0.49 0.09 2.07 2.07 1XXX.00.00.0002000 37.8975 090 75840 Vein x-ray, adrenal gland A 1.14 12.98 12.98 NA 0.72 14.84 14.84 1XXX.00.00.0000000 37.8975 090 75840TCVein x-ray, adrenal gland A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7584026Vein x-ray, adrenal gland A 1.14 0.38 0.38 0.07 1.59 1.59 1XXX.00.00.0000000 37.8975 090 75842 Vein x-ray, adrenal glands A 1.49 13.08 13.08 NA 0.72 15.29 15.29 1XXX.00.00.0002000 37.8975 090 75842TCVein x-ray, adrenal glands A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0002000 37.8975 030 7584226Vein x-ray, adrenal glands A 1.49 0.48 0.48 0.07 2.04 2.04 1XXX.00.00.0002000 37.8975 090 75860 Vein x-ray, neck A 1.14 12.99 12.99 NA 0.70 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75860TCVein x-ray, neck A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7586026Vein x-ray, neck A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75870 Vein x-ray, skull A 1.14 12.99 12.99 NA 0.70 14.83 14.83 1XXX.00.00.0000000 37.8975 090 75870TCVein x-ray, skull A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7587026Vein x-ray, skull A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 37.8975 090 75872 Vein x-ray, skull A 1.14 12.97 12.97 NA 0.78 14.89 14.89 1XXX.00.00.0000000 37.8975 090 75872TCVein x-ray, skull A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7587226Vein x-ray, skull A 1.14 0.37 0.37 0.13 1.64 1.64 1XXX.00.00.0000000 37.8975 090 75880 Vein x-ray, eye socket A 0.70 1.18 1.18 NA 0.09 1.97 1.97 1XXX.00.00.0000000 37.8975 090 75880TCVein x-ray, eye socket A 0.00 0.95 0.95 NA 0.06 1.01 1.01 1XXX.00.00.0000000 37.8975 030 7588026Vein x-ray, eye socket A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 75885 Vein x-ray, liver A 1.44 13.07 13.07 NA 0.72 15.23 15.23 1XXX.00.00.0000000 37.8975 090 75885TCVein x-ray, liver A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7588526Vein x-ray, liver A 1.44 0.47 0.47 0.07 1.98 1.98 1XXX.00.00.0000000 37.8975 090 75887 Vein x-ray, liver A 1.44 13.07 13.07 NA 0.71 15.22 15.22 1XXX.00.00.0000000 37.8975 090 75887TCVein x-ray, liver A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7588726Vein x-ray, liver A 1.44 0.47 0.47 0.06 1.97 1.97 1XXX.00.00.0000000 37.8975 090 75889 Vein x-ray, liver A 1.14 12.97 12.97 NA 0.70 14.81 14.81 1XXX.00.00.0000000 37.8975 090 75889TCVein x-ray, liver A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7588926Vein x-ray, liver A 1.14 0.37 0.37 0.05 1.56 1.56 1XXX.00.00.0000000 37.8975 090 75891 Vein x-ray, liver A 1.14 12.97 12.97 NA 0.70 14.81 14.81 1XXX.00.00.0000000 37.8975 090 75891TCVein x-ray, liver A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7589126Vein x-ray, liver A 1.14 0.37 0.37 0.05 1.56 1.56 1XXX.00.00.0000000 37.8975 090 75893 Venous sampling by catheter A 0.54 12.78 12.78 NA 0.68 14.00 14.00 1XXX.00.00.0000000 37.8975 090 75893TCVenous sampling by catheter A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7589326Venous sampling by catheter A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0000000 37.8975 090 75894 X-rays, transcath therapy A 1.31 24.56 24.56 NA 1.35 27.22 27.22 1XXX.00.00.0000000 37.8975 090 75894TCX-rays, transcath therapy A 0.00 24.13 24.13 NA 1.27 25.40 25.40 1XXX.00.00.0000000 37.8975 030 7589426X-rays, transcath therapy A 1.31 0.43 0.43 0.08 1.82 1.82 1XXX.00.00.0000000 37.8975 090 75896 X-rays, transcath therapy A 1.31 21.44 21.44 NA 1.17 23.92 23.92 1XXX.00.00.0000000 37.8975 090 75896TCX-rays, transcath therapy A 0.00 20.99 20.99 NA 1.10 22.09 22.09 1XXX.00.00.0000000 37.8975 030 7589626X-rays, transcath therapy A 1.31 0.45 0.45 0.07 1.83 1.83 1XXX.00.00.0000000 37.8975 090 75898 Follow-up angiography A 1.65 1.60 1.60 NA 0.14 3.39 3.39 1XXX.00.00.0000000 37.8975 090 75898TCFollow-up angiography A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 030 7589826Follow-up angiography A 1.65 0.55 0.55 0.08 2.28 2.28 1XXX.00.00.0000000 37.8975 090 75900 Arterial catheter exchange A 0.49 21.13 21.13 NA 1.14 22.76 22.76 1XXX.00.00.0000000 37.8975 090 75900TCArterial catheter exchange A 0.00 20.97 20.97 NA 1.11 22.08 22.08 1XXX.00.00.0000000 37.8975 030 7590026Arterial catheter exchange A 0.49 0.16 0.16 0.03 0.68 0.68 1XXX.00.00.0000000 37.8975 090 75901 Remove cva device obstruct A 0.49 1.47 1.47 NA 0.85 2.81 2.81 1XXX.00.00.0000000 37.8975 030 75901TCRemove cva device obstruct A 0.00 1.31 1.31 NA 0.83 2.14 2.14 1XXX.00.00.0000000 37.8975 030 7590126Remove cva device obstruct A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 75902 Remove cva lumen obstruct A 0.39 1.44 1.44 NA 0.85 2.68 2.68 1XXX.00.00.0000000 37.8975 030 75902TCRemove cva lumen obstruct A 0.00 1.31 1.31 NA 0.83 2.14 2.14 1XXX.00.00.0000000 37.8975 030 7590226Remove cva lumen obstruct A 0.39 0.13 0.13 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 090 75940 X-ray placement, vein filter A 0.54 12.78 12.78 NA 0.69 14.01 14.01 1XXX.00.00.0000000 37.8975 090 75940TCX-ray placement, vein filter A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1XXX.00.00.0000000 37.8975 030 7594026X-ray placement, vein filter A 0.54 0.18 0.18 0.04 0.76 0.76 1XXX.00.00.0000000 37.8975 090 75945 Intravascular us A 0.40 4.70 4.70 NA 0.28 5.38 5.38 1XXX.00.00.0000000 37.8975 090 75945TCIntravascular us A 0.00 4.56 4.56 NA 0.24 4.80 4.80 1XXX.00.00.0000000 37.8975 030 7594526Intravascular us A 0.40 0.14 0.14 0.04 0.58 0.58 1XXX.00.00.0000000 37.8975 090 75946 Intravascular us add-on A 0.40 2.43 2.43 NA 0.18 3.01 3.01 1ZZZ.00.00.0000000 37.8975 090 75946TCIntravascular us add-on A 0.00 2.29 2.29 NA 0.13 2.42 2.42 1ZZZ.00.00.0000000 37.8975 030 7594626Intravascular us add-on A 0.40 0.14 0.14 0.05 0.59 0.59 1ZZZ.00.00.0000000 37.8975 090 75952 Endovasc repair abdom aorta C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 75952TCEndovasc repair abdom aorta C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7595226Endovasc repair abdom aorta A 4.49 1.49 1.49 0.44 6.42 6.42 1XXX.00.00.0000000 37.8975 090 75953 Abdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 75953TCAbdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7595326Abdom aneurysm endovas rpr A 1.36 0.45 0.45 0.13 1.94 1.94 1XXX.00.00.0000000 37.8975 090 75954 Iliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 75954TCIliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7595426Iliac aneurysm endovas rpr A 2.25 0.78 0.78 0.15 3.18 3.18 1XXX.00.00.0000000 37.8975 090 75960 Transcath iv stent rs&i A 0.82 15.18 15.18 NA 0.82 16.82 16.82 1XXX.00.00.0000000 37.8975 090 75960TCTranscath iv stent rs&i A 0.00 14.90 14.90 NA 0.77 15.67 15.67 1XXX.00.00.0000000 37.8975 030 7596026Transcath iv stent rs&i A 0.82 0.28 0.28 0.05 1.15 1.15 1XXX.00.00.0000000 37.8975 090 75961 Retrieval, broken catheter A 4.24 11.89 11.89 NA 0.77 16.90 16.90 1XXX.00.00.0000000 37.8975 090 75961TCRetrieval, broken catheter A 0.00 10.50 10.50 NA 0.55 11.05 11.05 1XXX.00.00.0000000 37.8975 030 7596126Retrieval, broken catheter A 4.24 1.39 1.39 0.22 5.85 5.85 1XXX.00.00.0000000 37.8975 090 75962 Repair arterial blockage A 0.54 15.92 15.92 NA 0.87 17.33 17.33 1XXX.00.00.0000000 37.8975 090 75962TCRepair arterial blockage A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7596226Repair arterial blockage A 0.54 0.18 0.18 0.04 0.76 0.76 1XXX.00.00.0000000 37.8975 090 75964 Repair artery blockage, each A 0.36 8.51 8.51 NA 0.46 9.33 9.33 1ZZZ.00.00.0000000 37.8975 090 75964TCRepair artery blockage, each A 0.00 8.39 8.39 NA 0.43 8.82 8.82 1ZZZ.00.00.0000000 37.8975 030 7596426Repair artery blockage, each A 0.36 0.12 0.12 0.03 0.51 0.51 1ZZZ.00.00.0000000 37.8975 090 75966 Repair arterial blockage A 1.31 16.20 16.20 NA 0.90 18.41 18.41 1XXX.00.00.0000000 37.8975 090 75966TCRepair arterial blockage A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7596626Repair arterial blockage A 1.31 0.46 0.46 0.07 1.84 1.84 1XXX.00.00.0000000 37.8975 090 75968 Repair artery blockage, each A 0.36 8.52 8.52 NA 0.45 9.33 9.33 1ZZZ.00.00.0000000 37.8975 090 75968TCRepair artery blockage, each A 0.00 8.39 8.39 NA 0.43 8.82 8.82 1ZZZ.00.00.0000000 37.8975 030 7596826Repair artery blockage, each A 0.36 0.13 0.13 0.02 0.51 0.51 1ZZZ.00.00.0000000 37.8975 090 75970 Vascular biopsy A 0.83 11.82 11.82 NA 0.64 13.29 13.29 1XXX.00.00.0000000 37.8975 090 75970TCVascular biopsy A 0.00 11.54 11.54 NA 0.60 12.14 12.14 1XXX.00.00.0000000 37.8975 030 7597026Vascular biopsy A 0.83 0.28 0.28 0.04 1.15 1.15 1XXX.00.00.0000000 37.8975 090 75978 Repair venous blockage A 0.54 15.92 15.92 NA 0.86 17.32 17.32 1XXX.00.00.0000000 37.8975 090 75978TCRepair venous blockage A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7597826Repair venous blockage A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0000000 37.8975 090 75980 Contrast xray exam bile duct A 1.44 5.88 5.88 NA 0.35 7.67 7.67 1XXX.00.00.0000000 37.8975 090 75980TCContrast xray exam bile duct A 0.00 5.41 5.41 NA 0.29 5.70 5.70 1XXX.00.00.0000000 37.8975 030 7598026Contrast xray exam bile duct A 1.44 0.47 0.47 0.06 1.97 1.97 1XXX.00.00.0000000 37.8975 090 75982 Contrast xray exam bile duct A 1.44 6.57 6.57 NA 0.39 8.40 8.40 1XXX.00.00.0000000 37.8975 090 75982TCContrast xray exam bile duct A 0.00 6.10 6.10 NA 0.33 6.43 6.43 1XXX.00.00.0000000 37.8975 030 7598226Contrast xray exam bile duct A 1.44 0.47 0.47 0.06 1.97 1.97 1XXX.00.00.0000000 37.8975 090 75984 Xray control catheter change A 0.72 2.18 2.18 NA 0.14 3.04 3.04 1XXX.00.00.0000000 37.8975 090 75984TCXray control catheter change A 0.00 1.95 1.95 NA 0.11 2.06 2.06 1XXX.00.00.0000000 37.8975 030 7598426Xray control catheter change A 0.72 0.23 0.23 0.03 0.98 0.98 1XXX.00.00.0000000 37.8975 090 75989 Abscess drainage under x-ray A 1.19 3.54 3.54 NA 0.22 4.95 4.95 1XXX.00.00.0000000 37.8975 090 75989TCAbscess drainage under x-ray A 0.00 3.15 3.15 NA 0.17 3.32 3.32 1XXX.00.00.0000000 37.8975 030 7598926Abscess drainage under x-ray A 1.19 0.39 0.39 0.05 1.63 1.63 1XXX.00.00.0000000 37.8975 090 75992 Atherectomy, x-ray exam A 0.54 15.93 15.93 NA 0.86 17.33 17.33 1XXX.00.00.0000000 37.8975 090 75992TCAtherectomy, x-ray exam A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7599226Atherectomy, x-ray exam A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0000000 37.8975 090 75993 Atherectomy, x-ray exam A 0.36 8.52 8.52 NA 0.45 9.33 9.33 1ZZZ.00.00.0000000 37.8975 090 75993TCAtherectomy, x-ray exam A 0.00 8.39 8.39 NA 0.43 8.82 8.82 1ZZZ.00.00.0000000 37.8975 030 7599326Atherectomy, x-ray exam A 0.36 0.13 0.13 0.02 0.51 0.51 1ZZZ.00.00.0000000 37.8975 090 75994 Atherectomy, x-ray exam A 1.31 16.20 16.20 NA 0.90 18.41 18.41 1XXX.00.00.0000000 37.8975 090 75994TCAtherectomy, x-ray exam A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7599426Atherectomy, x-ray exam A 1.31 0.46 0.46 0.07 1.84 1.84 1XXX.00.00.0000000 37.8975 090 75995 Atherectomy, x-ray exam A 1.31 16.21 16.21 NA 0.88 18.40 18.40 1XXX.00.00.0000000 37.8975 090 75995TCAtherectomy, x-ray exam A 0.00 15.74 15.74 NA 0.83 16.57 16.57 1XXX.00.00.0000000 37.8975 030 7599526Atherectomy, x-ray exam A 1.31 0.47 0.47 0.05 1.83 1.83 1XXX.00.00.0000000 37.8975 090 75996 Atherectomy, x-ray exam A 0.36 8.51 8.51 NA 0.45 9.32 9.32 1ZZZ.00.00.0000000 37.8975 090 75996TCAtherectomy, x-ray exam A 0.00 8.39 8.39 NA 0.43 8.82 8.82 1ZZZ.00.00.0000000 37.8975 030 7599626Atherectomy, x-ray exam A 0.36 0.12 0.12 0.02 0.50 0.50 1ZZZ.00.00.0000000 37.8975 090 75998 Fluoroguide for vein device A 0.38 1.44 1.44 NA 0.11 1.93 1.93 1ZZZ.00.00.0000000 37.8975 090 75998TCFluoroguide for vein device A 0.00 1.31 1.31 NA 0.10 1.41 1.41 1ZZZ.00.00.0000000 37.8975 030 7599826Fluoroguide for vein device A 0.38 0.13 0.13 0.01 0.52 0.52 1ZZZ.00.00.0000000 37.8975 090 76000 Fluoroscope examination A 0.17 1.36 1.36 NA 0.08 1.61 1.61 1XXX.00.00.0000000 37.8975 090 76000TCFluoroscope examination A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7600026Fluoroscope examination A 0.17 0.05 0.05 0.01 0.23 0.23 1XXX.00.00.0000000 37.8975 090 76001 Fluoroscope exam, extensive A 0.67 2.84 2.84 NA 0.19 3.70 3.70 1XXX.00.00.0000000 37.8975 090 76001TCFluoroscope exam, extensive A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7600126Fluoroscope exam, extensive A 0.67 0.22 0.22 0.05 0.94 0.94 1XXX.00.00.0000000 37.8975 090 76003 Needle localization by x-ray A 0.54 1.48 1.48 NA 0.10 2.12 2.12 1XXX.00.00.0000000 37.8975 090 76003TCNeedle localization by x-ray A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7600326Needle localization by x-ray A 0.54 0.17 0.17 0.03 0.74 0.74 1XXX.00.00.0000000 37.8975 090 76005 Fluoroguide for spine inject A 0.60 1.46 1.46 NA 0.11 2.17 2.17 1XXX.00.00.0099999 37.8975 090 76005TCFluoroguide for spine inject A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0099999 37.8975 030 7600526Fluoroguide for spine inject A 0.60 0.15 0.15 0.04 0.79 0.79 1XXX.00.00.0099999 37.8975 090 76006 X-ray stress view A 0.41 0.18 0.18 0.06 0.65 0.65 2XXX.00.00.0003000 37.8975 030 76010 X-ray, nose to rectum A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 37.8975 090 76010TCX-ray, nose to rectum A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7601026X-ray, nose to rectum A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 76012 Percut vertebroplasty fluor C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76012TCPercut vertebroplasty fluor C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7601226Percut vertebroplasty fluor A 1.31 0.47 0.47 0.10 1.88 1.88 1XXX.00.00.0000000 37.8975 090 76013 Percut vertebroplasty, ct C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76013TCPercut vertebroplasty, ct C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7601326Percut vertebroplasty, ct A 1.38 0.48 0.48 0.08 1.94 1.94 1XXX.00.00.0000000 37.8975 090 76020 X-rays for bone age A 0.19 0.58 0.58 NA 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 76020TCX-rays for bone age A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 010 7602026X-rays for bone age A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 37.8975 090 76040 X-rays, bone evaluation A 0.27 0.87 0.87 NA 0.06 1.20 1.20 1XXX.00.00.0000000 37.8975 090 76040TCX-rays, bone evaluation A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 37.8975 010 7604026X-rays, bone evaluation A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 37.8975 090 76061 X-rays, bone survey A 0.45 1.15 1.15 NA 0.08 1.68 1.68 1XXX.00.00.0000000 37.8975 090 76061TCX-rays, bone survey A 0.00 1.00 1.00 NA 0.06 1.06 1.06 1XXX.00.00.0000000 37.8975 010 7606126X-rays, bone survey A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 76062 X-rays, bone survey A 0.54 1.62 1.62 NA 0.10 2.26 2.26 1XXX.00.00.0000000 37.8975 090 76062TCX-rays, bone survey A 0.00 1.44 1.44 NA 0.08 1.52 1.52 1XXX.00.00.0000000 37.8975 010 7606226X-rays, bone survey A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 76065 X-rays, bone evaluation A 0.70 0.96 0.96 NA 0.08 1.74 1.74 1XXX.00.00.0000000 37.8975 090 76065TCX-rays, bone evaluation A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 37.8975 010 7606526X-rays, bone evaluation A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 76066 Joint survey, single view A 0.31 1.21 1.21 NA 0.08 1.60 1.60 1XXX.00.00.0000000 37.8975 090 76066TCJoint survey, single view A 0.00 1.11 1.11 NA 0.06 1.17 1.17 1XXX.00.00.0000000 37.8975 010 7606626Joint survey, single view A 0.31 0.10 0.10 0.02 0.43 0.43 1XXX.00.00.0000000 37.8975 090 76070 Ct bone density, axial A 0.25 3.03 3.03 NA 0.17 3.45 3.45 1XXX.00.00.0000000 37.8975 090 76070TCCt bone density, axial A 0.00 2.95 2.95 NA 0.16 3.11 3.11 1XXX.00.00.0000000 37.8975 010 7607026Ct bone density, axial A 0.25 0.08 0.08 0.01 0.34 0.34 1XXX.00.00.0000000 37.8975 090 76071 Ct bone density, peripheral A 0.22 3.02 3.02 NA 0.06 3.30 3.30 1XXX.00.00.0000000 37.8975 010 76071TCCt bone density, peripheral A 0.00 2.95 2.95 NA 0.05 3.00 3.00 1XXX.00.00.0000000 37.8975 010 7607126Ct bone density, peripheral A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 76075 Dxa bone density, axial A 0.30 3.19 3.19 NA 0.18 3.67 3.67 1XXX.00.00.0000000 37.8975 090 76075TCDxa bone density, axial A 0.00 3.09 3.09 NA 0.17 3.26 3.26 1XXX.00.00.0000000 37.8975 010 7607526Dxa bone density, axial A 0.30 0.10 0.10 0.01 0.41 0.41 1XXX.00.00.0000000 37.8975 090 76076 Dxa bone density/peripheral A 0.22 0.83 0.83 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 090 76076TCDxa bone density/peripheral A 0.00 0.75 0.75 NA 0.05 0.80 0.80 1XXX.00.00.0000000 37.8975 010 7607626Dxa bone density/peripheral A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 37.8975 090 76077 Dxa bone density/v-fracture A 0.17 0.81 0.81 NA 0.06 1.04 1.04 1XXX.00.00.0000000 37.8975 090 76077TCDxa bone density/v-fracture A 0.00 0.75 0.75 NA 0.05 0.80 0.80 1XXX.00.00.0000000 37.8975 010 7607726Dxa bone density/v-fracture A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 37.8975 090 76078 Radiographic absorptiometry A 0.20 0.82 0.82 NA 0.06 1.08 1.08 1XXX.00.00.0000000 37.8975 090 76078TCRadiographic absorptiometry A 0.00 0.75 0.75 NA 0.05 0.80 0.80 1XXX.00.00.0000000 37.8975 010 7607826Radiographic absorptiometry A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 76080 X-ray exam of fistula A 0.54 1.23 1.23 NA 0.08 1.85 1.85 1XXX.00.00.0000000 37.8975 090 76080TCX-ray exam of fistula A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 030 7608026X-ray exam of fistula A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 37.8975 090 76082 Computer mammogram add-on A 0.06 0.44 0.44 NA 0.02 0.52 0.52 1ZZZ.00.00.0000000 37.8975 090 76082TCComputer mammogram add-on A 0.00 0.42 0.42 NA 0.01 0.43 0.43 1ZZZ.00.00.0000000 37.8975 090 7608226Computer mammogram add-on A 0.06 0.02 0.02 0.01 0.09 0.09 1ZZZ.00.00.0000000 37.8975 090 76083 Computer mammogram add-on A 0.06 0.44 0.44 NA 0.02 0.52 0.52 1ZZZ.00.00.0000000 37.8975 090 76083TCComputer mammogram add-on A 0.00 0.42 0.42 NA 0.01 0.43 0.43 1ZZZ.00.00.0000000 37.8975 090 7608326Computer mammogram add-on A 0.06 0.02 0.02 0.01 0.09 0.09 1ZZZ.00.00.0000000 37.8975 090 76086 X-ray of mammary duct A 0.36 2.74 2.74 NA 0.16 3.26 3.26 1XXX.00.00.0000000 37.8975 090 76086TCX-ray of mammary duct A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7608626X-ray of mammary duct A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 76088 X-ray of mammary ducts A 0.45 3.81 3.81 NA 0.21 4.47 4.47 1XXX.00.00.0000000 37.8975 090 76088TCX-ray of mammary ducts A 0.00 3.66 3.66 NA 0.19 3.85 3.85 1XXX.00.00.0000000 37.8975 030 7608826X-ray of mammary ducts A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 76090 Mammogram, one breast A 0.70 1.28 1.28 NA 0.09 2.07 2.07 1XXX.00.00.0000000 37.8975 090 76090TCMammogram, one breast A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 090 7609026Mammogram, one breast A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 76091 Mammogram, both breasts A 0.87 1.59 1.59 NA 0.11 2.57 2.57 1XXX.00.00.0002000 37.8975 090 76091TCMammogram, both breasts A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0002000 37.8975 090 7609126Mammogram, both breasts A 0.87 0.28 0.28 0.04 1.19 1.19 1XXX.00.00.0002000 37.8975 090 76092 Mammogram, screening A 0.70 1.46 1.46 NA 0.10 2.26 2.26 1XXX.00.00.0002000 37.8975 090 76092TCMammogram, screening A 0.00 1.23 1.23 NA 0.07 1.30 1.30 1XXX.00.00.0002000 37.8975 090 7609226Mammogram, screening A 0.70 0.23 0.23 0.03 0.96 0.96 1XXX.00.00.0002000 37.8975 090 76093 Magnetic image, breast A 1.63 18.15 18.15 NA 0.99 20.77 20.77 1XXX.00.00.0000000 37.8975 090 76093TCMagnetic image, breast A 0.00 17.62 17.62 NA 0.92 18.54 18.54 1XXX.00.00.0000000 37.8975 020 7609326Magnetic image, breast A 1.63 0.53 0.53 0.07 2.23 2.23 1XXX.00.00.0000000 37.8975 090 76094 Magnetic image, both breasts A 1.63 24.44 24.44 NA 1.31 27.38 27.38 1XXX.00.00.0002000 37.8975 090 76094TCMagnetic image, both breasts A 0.00 23.91 23.91 NA 1.24 25.15 25.15 1XXX.00.00.0002000 37.8975 020 7609426Magnetic image, both breasts A 1.63 0.53 0.53 0.07 2.23 2.23 1XXX.00.00.0002000 37.8975 090 76095 Stereotactic breast biopsy A 1.59 7.68 7.68 NA 0.46 9.73 9.73 1XXX.00.00.0000000 37.8975 090 76095TCStereotactic breast biopsy A 0.00 7.16 7.16 NA 0.37 7.53 7.53 1XXX.00.00.0000000 37.8975 030 7609526Stereotactic breast biopsy A 1.59 0.52 0.52 0.09 2.20 2.20 1XXX.00.00.0000000 37.8975 090 76096 X-ray of needle wire, breast A 0.56 1.49 1.49 NA 0.10 2.15 2.15 1XXX.00.00.0000000 37.8975 090 76096TCX-ray of needle wire, breast A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 7609626X-ray of needle wire, breast A 0.56 0.18 0.18 0.03 0.77 0.77 1XXX.00.00.0000000 37.8975 090 76098 X-ray exam, breast specimen A 0.16 0.47 0.47 NA 0.03 0.66 0.66 1XXX.00.00.0000000 37.8975 090 76098TCX-ray exam, breast specimen A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 37.8975 010 7609826X-ray exam, breast specimen A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0000000 37.8975 090 76100 X-ray exam of body section A 0.58 1.44 1.44 NA 0.10 2.12 2.12 1XXX.00.00.0000000 37.8975 090 76100TCX-ray exam of body section A 0.00 1.25 1.25 NA 0.07 1.32 1.32 1XXX.00.00.0000000 37.8975 010 7610026X-ray exam of body section A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 76101 Complex body section x-ray A 0.58 1.61 1.61 NA 0.11 2.30 2.30 1XXX.00.00.0000000 37.8975 090 76101TCComplex body section x-ray A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 020 7610126Complex body section x-ray A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 76102 Complex body section x-rays A 0.58 1.92 1.92 NA 0.14 2.64 2.64 1XXX.00.00.0002000 37.8975 090 76102TCComplex body section x-rays A 0.00 1.73 1.73 NA 0.11 1.84 1.84 1XXX.00.00.0002000 37.8975 020 7610226Complex body section x-rays A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0002000 37.8975 090 76120 Cine/video x-rays A 0.38 1.18 1.18 NA 0.08 1.64 1.64 1XXX.00.00.0000000 37.8975 090 76120TCCine/video x-rays A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 020 7612026Cine/video x-rays A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 76125 Cine/video x-rays add-on A 0.27 0.87 0.87 NA 0.06 1.20 1.20 1ZZZ.00.00.0000000 37.8975 090 76125TCCine/video x-rays add-on A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1ZZZ.00.00.0000000 37.8975 020 7612526Cine/video x-rays add-on A 0.27 0.09 0.09 0.01 0.37 0.37 1ZZZ.00.00.0000000 37.8975 090 76140 X-ray consultation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 76150 X-ray exam, dry process A 0.00 0.42 0.42 NA 0.02 0.44 0.44 3XXX.00.00.0000000 37.8975 010 76350 Special x-ray contrast study C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 37.8975 020 76355 Ct scan for localization A 1.21 8.66 8.66 NA 0.48 10.35 10.35 1XXX.00.00.0000000 37.8975 090 76355TCCt scan for localization A 0.00 8.26 8.26 NA 0.42 8.68 8.68 1XXX.00.00.0000000 37.8975 030 7635526Ct scan for localization A 1.21 0.40 0.40 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 76360 Ct scan for needle biopsy A 1.16 8.64 8.64 NA 0.47 10.27 10.27 1XXX.00.00.0000000 37.8975 090 76360TCCt scan for needle biopsy A 0.00 8.26 8.26 NA 0.42 8.68 8.68 1XXX.00.00.0000000 37.8975 030 7636026Ct scan for needle biopsy A 1.16 0.38 0.38 0.05 1.59 1.59 1XXX.00.00.0000000 37.8975 090 76362 Ct guide for tissue ablation A 3.99 9.56 9.56 NA 1.65 15.20 15.20 1XXX.00.00.0000000 37.8975 090 76362TCCt guide for tissue ablation A 0.00 8.26 8.26 NA 1.46 9.72 9.72 1XXX.00.00.0000000 37.8975 090 7636226Ct guide for tissue ablation A 3.99 1.30 1.30 0.19 5.48 5.48 1XXX.00.00.0000000 37.8975 090 76370 Ct scan for therapy guide A 0.85 3.23 3.23 NA 0.20 4.28 4.28 1XXX.00.00.0000000 37.8975 090 76370TCCt scan for therapy guide A 0.00 2.95 2.95 NA 0.16 3.11 3.11 1XXX.00.00.0000000 37.8975 020 7637026Ct scan for therapy guide A 0.85 0.28 0.28 0.04 1.17 1.17 1XXX.00.00.0000000 37.8975 090 76375 3d/holograph reconstr add-on A 0.16 3.59 3.59 NA 0.19 3.94 3.94 1XXX.00.00.0000000 37.8975 090 76375TC3d/holograph reconstr add-on A 0.00 3.54 3.54 NA 0.18 3.72 3.72 1XXX.00.00.0000000 37.8975 010 76375263d/holograph reconstr add-on A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0000000 37.8975 090 76380 CAT scan follow-up study A 0.98 3.82 3.82 NA 0.22 5.02 5.02 1XXX.00.00.0000000 37.8975 090 76380TCCAT scan follow-up study A 0.00 3.50 3.50 NA 0.18 3.68 3.68 1XXX.00.00.0000000 37.8975 010 7638026CAT scan follow-up study A 0.98 0.32 0.32 0.04 1.34 1.34 1XXX.00.00.0000000 37.8975 090 76390 Mr spectroscopy N+ 1.40 11.48 11.48 0.66 13.54 13.54 1XXX.00.00.0099999 37.8975 090 76390TCMr spectroscopy N+ 0.00 11.01 11.01 0.59 11.60 11.60 1XXX.00.00.0099999 37.8975 010 7639026Mr spectroscopy N+ 1.40 0.47 0.47 0.07 1.94 1.94 1XXX.00.00.0099999 37.8975 090 76393 Mr guidance for needle place A 1.50 11.70 11.70 NA 0.64 13.84 13.84 1XXX.00.00.0000000 37.8975 090 76393TCMr guidance for needle place A 0.00 11.20 11.20 NA 0.55 11.75 11.75 1XXX.00.00.0000000 37.8975 030 7639326Mr guidance for needle place A 1.50 0.50 0.50 0.09 2.09 2.09 1XXX.00.00.0000000 37.8975 090 76394 Mri for tissue ablation A 4.24 12.58 12.58 NA 1.80 18.62 18.62 1XXX.00.00.0000000 37.8975 090 76394TCMri for tissue ablation A 0.00 11.20 11.20 NA 1.56 12.76 12.76 1XXX.00.00.0000000 37.8975 090 7639426Mri for tissue ablation A 4.24 1.38 1.38 0.24 5.86 5.86 1XXX.00.00.0000000 37.8975 090 76400 Magnetic image, bone marrow A 1.60 11.72 11.72 NA 0.66 13.98 13.98 1XXX.00.00.0000000 37.8975 090 76400TCMagnetic image, bone marrow A 0.00 11.20 11.20 NA 0.59 11.79 11.79 1XXX.00.00.0000000 37.8975 010 7640026Magnetic image, bone marrow A 1.60 0.52 0.52 0.07 2.19 2.19 1XXX.00.00.0000000 37.8975 090 76496 Fluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 76496TCFluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 7649626Fluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76497 Ct procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 76497TCCt procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 7649726Ct procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76498 Mri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 76498TCMri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 7649826Mri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76499 Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76506 Echo exam of head A 0.63 1.66 1.66 NA 0.13 2.42 2.42 1XXX.00.00.0000000 37.8975 090 76506TCEcho exam of head A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7650626Echo exam of head A 0.63 0.24 0.24 0.05 0.92 0.92 1XXX.00.00.0000000 37.8975 090 76510 Ophth us, b & quant a A 1.55 2.86 2.86 NA 0.10 4.51 4.51 1XXX.00.00.0003000 37.8975 090 76510TCOphth us, b & quant a A 0.00 2.18 2.18 NA 0.07 2.25 2.25 1XXX.00.00.0003000 37.8975 020 7651026Ophth us, b & quant a A 1.55 0.68 0.68 0.03 2.26 2.26 1XXX.00.00.0003000 37.8975 090 76511 Ophth us, quant a only A 0.94 2.43 2.43 NA 0.10 3.47 3.47 1XXX.00.00.0003000 37.8975 090 76511TCOphth us, quant a only A 0.00 2.03 2.03 NA 0.07 2.10 2.10 1XXX.00.00.0003000 37.8975 020 7651126Ophth us, quant a only A 0.94 0.40 0.40 0.03 1.37 1.37 1XXX.00.00.0003000 37.8975 090 76512 Ophth us, b w/non-quant a A 0.94 2.23 2.23 NA 0.12 3.29 3.29 1XXX.00.00.0003000 37.8975 090 76512TCOphth us, b w/non-quant a A 0.00 1.81 1.81 NA 0.10 1.91 1.91 1XXX.00.00.0003000 37.8975 020 7651226Ophth us, b w/non-quant a A 0.94 0.42 0.42 0.02 1.38 1.38 1XXX.00.00.0003000 37.8975 090 76513 Echo exam of eye, water bath A 0.66 1.81 1.81 NA 0.12 2.59 2.59 1XXX.00.00.0003000 37.8975 090 76513TCEcho exam of eye, water bath A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0003000 37.8975 020 7651326Echo exam of eye, water bath A 0.66 0.29 0.29 0.02 0.97 0.97 1XXX.00.00.0003000 37.8975 090 76514 Echo exam of eye, thickness A 0.17 0.13 0.13 NA 0.02 0.32 0.32 1XXX.00.00.0002000 37.8975 090 76514TCEcho exam of eye, thickness A 0.00 0.05 0.05 NA 0.01 0.06 0.06 1XXX.00.00.0002000 37.8975 010 7651426Echo exam of eye, thickness A 0.17 0.08 0.08 0.01 0.26 0.26 1XXX.00.00.0002000 37.8975 090 76516 Echo exam of eye A 0.54 1.46 1.46 NA 0.08 2.08 2.08 1XXX.00.00.0002000 37.8975 090 76516TCEcho exam of eye A 0.00 1.22 1.22 NA 0.07 1.29 1.29 1XXX.00.00.0002000 37.8975 010 7651626Echo exam of eye A 0.54 0.24 0.24 0.01 0.79 0.79 1XXX.00.00.0002000 37.8975 090 76519 Echo exam of eye A 0.54 1.55 1.55 NA 0.08 2.17 2.17 1XXX.00.00.0002000 37.8975 090 76519TCEcho exam of eye A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0002000 37.8975 010 7651926Echo exam of eye A 0.54 0.24 0.24 0.01 0.79 0.79 1XXX.00.00.0003000 37.8975 090 76529 Echo exam of eye A 0.57 1.37 1.37 NA 0.10 2.04 2.04 1XXX.00.00.0003000 37.8975 090 76529TCEcho exam of eye A 0.00 1.13 1.13 NA 0.08 1.21 1.21 1XXX.00.00.0003000 37.8975 010 7652926Echo exam of eye A 0.57 0.24 0.24 0.02 0.83 0.83 1XXX.00.00.0003000 37.8975 090 76536 Us exam of head and neck A 0.56 1.60 1.60 NA 0.11 2.27 2.27 1XXX.00.00.0000000 37.8975 090 76536TCUs exam of head and neck A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7653626Us exam of head and neck A 0.56 0.18 0.18 0.03 0.77 0.77 1XXX.00.00.0000000 37.8975 090 76604 Us exam, chest, b-scan A 0.55 1.49 1.49 NA 0.09 2.13 2.13 1XXX.00.00.0000000 37.8975 090 76604TCUs exam, chest, b-scan A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 010 7660426Us exam, chest, b-scan A 0.55 0.18 0.18 0.02 0.75 0.75 1XXX.00.00.0000000 37.8975 090 76645 Us exam, breast(s) A 0.54 1.23 1.23 NA 0.08 1.85 1.85 1XXX.00.00.0002000 37.8975 090 76645TCUs exam, breast(s) A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0002000 37.8975 010 7664526Us exam, breast(s) A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0002000 37.8975 090 76700 Us exam, abdom, complete A 0.81 2.24 2.24 NA 0.15 3.20 3.20 1XXX.00.00.0000000 37.8975 090 76700TCUs exam, abdom, complete A 0.00 1.97 1.97 NA 0.11 2.08 2.08 1XXX.00.00.0000000 37.8975 010 7670026Us exam, abdom, complete A 0.81 0.27 0.27 0.04 1.12 1.12 1XXX.00.00.0000000 37.8975 090 76705 Echo exam of abdomen A 0.59 1.61 1.61 NA 0.11 2.31 2.31 1XXX.00.00.0000000 37.8975 090 76705TCEcho exam of abdomen A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7670526Echo exam of abdomen A 0.59 0.19 0.19 0.03 0.81 0.81 1XXX.00.00.0000000 37.8975 090 76770 Us exam abdo back wall, comp A 0.74 2.21 2.21 NA 0.14 3.09 3.09 1XXX.00.00.0000000 37.8975 090 76770TCUs exam abdo back wall, comp A 0.00 1.97 1.97 NA 0.11 2.08 2.08 1XXX.00.00.0000000 37.8975 010 7677026Us exam abdo back wall, comp A 0.74 0.24 0.24 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 76775 Us exam abdo back wall, lim A 0.58 1.61 1.61 NA 0.11 2.30 2.30 1XXX.00.00.0000000 37.8975 090 76775TCUs exam abdo back wall, lim A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7677526Us exam abdo back wall, lim A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 76778 Us exam kidney transplant A 0.74 2.21 2.21 NA 0.14 3.09 3.09 1XXX.00.00.0000000 37.8975 090 76778TCUs exam kidney transplant A 0.00 1.97 1.97 NA 0.11 2.08 2.08 1XXX.00.00.0000000 37.8975 010 7677826Us exam kidney transplant A 0.74 0.24 0.24 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 76800 Us exam, spinal canal A 1.13 1.76 1.76 NA 0.13 3.02 3.02 1XXX.00.00.0000000 37.8975 090 76800TCUs exam, spinal canal A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7680026Us exam, spinal canal A 1.13 0.34 0.34 0.05 1.52 1.52 1XXX.00.00.0000000 37.8975 090 76801 Ob us < 14 wks, single fetus A 0.99 2.44 2.44 NA 0.16 3.59 3.59 1XXX.00.00.0000000 37.8975 030 76801TCOb us < 14 wks, single fetus A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0000000 37.8975 030 7680126Ob us < 14 wks, single fetus A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 37.8975 090 76802 Ob us < 14 wks, add’l fetus A 0.83 1.34 1.34 NA 0.16 2.33 2.33 1ZZZ.00.00.0000000 37.8975 030 76802TCOb us < 14 wks, add’l fetus A 0.00 1.05 1.05 NA 0.12 1.17 1.17 1ZZZ.00.00.0000000 37.8975 030 7680226Ob us < 14 wks, add’l fetus A 0.83 0.29 0.29 0.04 1.16 1.16 1ZZZ.00.00.0000000 37.8975 090 76805 Ob us >/= 14 wks, sngl fetus A 0.99 2.44 2.44 NA 0.16 3.59 3.59 1XXX.00.00.0000000 37.8975 090 76805TCOb us >/= 14 wks, sngl fetus A 0.00 2.10 2.10 NA 0.12 2.22 2.22 1XXX.00.00.0000000 37.8975 010 7680526Ob us >/= 14 wks, sngl fetus A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 37.8975 090 76810 Ob us >/= 14 wks, addl fetus A 0.98 1.39 1.39 NA 0.26 2.63 2.63 1ZZZ.00.00.0000000 37.8975 090 76810TCOb us >/= 14 wks, addl fetus A 0.00 1.05 1.05 NA 0.22 1.27 1.27 1ZZZ.00.00.0000000 37.8975 010 7681026Ob us >/= 14 wks, addl fetus A 0.98 0.34 0.34 0.04 1.36 1.36 1ZZZ.00.00.0000000 37.8975 090 76811 Ob us, detailed, sngl fetus A 1.90 4.24 4.24 NA 0.52 6.66 6.66 1XXX.00.00.0000000 37.8975 030 76811TCOb us, detailed, sngl fetus A 0.00 3.53 3.53 NA 0.43 3.96 3.96 1XXX.00.00.0000000 37.8975 030 7681126Ob us, detailed, sngl fetus A 1.90 0.71 0.71 0.09 2.70 2.70 1XXX.00.00.0000000 37.8975 090 76812 Ob us, detailed, addl fetus A 1.78 1.71 1.71 NA 0.49 3.98 3.98 1ZZZ.00.00.0000000 37.8975 030 76812TCOb us, detailed, addl fetus A 0.00 1.05 1.05 NA 0.41 1.46 1.46 1ZZZ.00.00.0000000 37.8975 030 7681226Ob us, detailed, addl fetus A 1.78 0.66 0.66 0.08 2.52 2.52 1ZZZ.00.00.0000000 37.8975 090 76815 Ob us, limited, fetus(s) A 0.65 1.65 1.65 NA 0.11 2.41 2.41 1XXX.00.00.0000000 37.8975 090 76815TCOb us, limited, fetus(s) A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7681526Ob us, limited, fetus(s) A 0.65 0.23 0.23 0.03 0.91 0.91 1XXX.00.00.0000000 37.8975 090 76816 Ob us, follow-up, per fetus A 0.85 1.43 1.43 NA 0.10 2.38 2.38 1XXX.00.00.0000000 37.8975 090 76816TCOb us, follow-up, per fetus A 0.00 1.11 1.11 NA 0.06 1.17 1.17 1XXX.00.00.0000000 37.8975 010 7681626Ob us, follow-up, per fetus A 0.85 0.32 0.32 0.04 1.21 1.21 1XXX.00.00.0000000 37.8975 090 76817 Transvaginal us, obstetric A 0.75 1.78 1.78 NA 0.09 2.62 2.62 1XXX.00.00.0000000 37.8975 030 76817TCTransvaginal us, obstetric A 0.00 1.52 1.52 NA 0.06 1.58 1.58 1XXX.00.00.0000000 37.8975 030 7681726Transvaginal us, obstetric A 0.75 0.26 0.26 0.03 1.04 1.04 1XXX.00.00.0000000 37.8975 090 76818 Fetal biophys profile w/nst A 1.05 2.00 2.00 NA 0.15 3.20 3.20 1XXX.00.00.0000000 37.8975 090 76818TCFetal biophys profile w/nst A 0.00 1.61 1.61 NA 0.10 1.71 1.71 1XXX.00.00.0000000 37.8975 010 7681826Fetal biophys profile w/nst A 1.05 0.39 0.39 0.05 1.49 1.49 1XXX.00.00.0000000 37.8975 090 76819 Fetal biophys profil w/o nst A 0.77 1.89 1.89 NA 0.13 2.79 2.79 1XXX.00.00.0000000 37.8975 090 76819TCFetal biophys profil w/o nst A 0.00 1.61 1.61 NA 0.10 1.71 1.71 1XXX.00.00.0000000 37.8975 010 7681926Fetal biophys profil w/o nst A 0.77 0.28 0.28 0.03 1.08 1.08 1XXX.00.00.0000000 37.8975 090 76820 Umbilical artery echo A 0.50 1.80 1.80 NA 0.15 2.45 2.45 1XXX.00.00.0000000 37.8975 090 76820TCUmbilical artery echo A 0.00 1.61 1.61 NA 0.12 1.73 1.73 1XXX.00.00.0000000 37.8975 010 7682026Umbilical artery echo A 0.50 0.19 0.19 0.03 0.72 0.72 1XXX.00.00.0000000 37.8975 090 76821 Middle cerebral artery echo A 0.70 1.88 1.88 NA 0.15 2.73 2.73 1XXX.00.00.0000000 37.8975 090 76821TCMiddle cerebral artery echo A 0.00 1.61 1.61 NA 0.12 1.73 1.73 1XXX.00.00.0000000 37.8975 010 7682126Middle cerebral artery echo A 0.70 0.27 0.27 0.03 1.00 1.00 1XXX.00.00.0000000 37.8975 090 76825 Echo exam of fetal heart A 1.67 2.57 2.57 NA 0.18 4.42 4.42 1XXX.00.00.0000000 37.8975 090 76825TCEcho exam of fetal heart A 0.00 1.97 1.97 NA 0.11 2.08 2.08 1XXX.00.00.0000000 37.8975 010 7682526Echo exam of fetal heart A 1.67 0.60 0.60 0.07 2.34 2.34 1XXX.00.00.0000000 37.8975 090 76826 Echo exam of fetal heart A 0.83 1.00 1.00 NA 0.08 1.91 1.91 1XXX.00.00.0000000 37.8975 090 76826TCEcho exam of fetal heart A 0.00 0.71 0.71 NA 0.05 0.76 0.76 1XXX.00.00.0000000 37.8975 010 7682626Echo exam of fetal heart A 0.83 0.29 0.29 0.03 1.15 1.15 1XXX.00.00.0000000 37.8975 090 76827 Echo exam of fetal heart A 0.58 1.93 1.93 NA 0.15 2.66 2.66 1XXX.00.00.0000000 37.8975 090 76827TCEcho exam of fetal heart A 0.00 1.72 1.72 NA 0.12 1.84 1.84 1XXX.00.00.0000000 37.8975 010 7682726Echo exam of fetal heart A 0.58 0.21 0.21 0.03 0.82 0.82 1XXX.00.00.0000000 37.8975 090 76828 Echo exam of fetal heart A 0.56 1.33 1.33 NA 0.11 2.00 2.00 1XXX.00.00.0000000 37.8975 090 76828TCEcho exam of fetal heart A 0.00 1.11 1.11 NA 0.08 1.19 1.19 1XXX.00.00.0000000 37.8975 010 7682826Echo exam of fetal heart A 0.56 0.22 0.22 0.03 0.81 0.81 1XXX.00.00.0000000 37.8975 090 76830 Transvaginal us, non-ob A 0.69 1.75 1.75 NA 0.13 2.57 2.57 1XXX.00.00.0000000 37.8975 090 76830TCTransvaginal us, non-ob A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 010 7683026Transvaginal us, non-ob A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 76831 Echo exam, uterus A 0.72 1.77 1.77 NA 0.13 2.62 2.62 1XXX.00.00.0000000 37.8975 090 76831TCEcho exam, uterus A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7683126Echo exam, uterus A 0.72 0.25 0.25 0.03 1.00 1.00 1XXX.00.00.0000000 37.8975 090 76856 Us exam, pelvic, complete A 0.69 1.75 1.75 NA 0.13 2.57 2.57 1XXX.00.00.0000000 37.8975 090 76856TCUs exam, pelvic, complete A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 010 7685626Us exam, pelvic, complete A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 37.8975 090 76857 Us exam, pelvic, limited A 0.38 1.83 1.83 NA 0.08 2.29 2.29 1XXX.00.00.0000000 37.8975 090 76857TCUs exam, pelvic, limited A 0.00 1.71 1.71 NA 0.06 1.77 1.77 1XXX.00.00.0000000 37.8975 010 7685726Us exam, pelvic, limited A 0.38 0.12 0.12 0.02 0.52 0.52 1XXX.00.00.0000000 37.8975 090 76870 Us exam, scrotum A 0.64 1.73 1.73 NA 0.13 2.50 2.50 1XXX.00.00.0000000 37.8975 090 76870TCUs exam, scrotum A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 010 7687026Us exam, scrotum A 0.64 0.21 0.21 0.03 0.88 0.88 1XXX.00.00.0000000 37.8975 090 76872 Us, transrectal A 0.69 2.24 2.24 NA 0.14 3.07 3.07 1XXX.00.00.0000000 37.8975 090 76872TCUs, transrectal A 0.00 2.02 2.02 NA 0.10 2.12 2.12 1XXX.00.00.0000000 37.8975 010 7687226Us, transrectal A 0.69 0.22 0.22 0.04 0.95 0.95 1XXX.00.00.0000000 37.8975 090 76873 Echograp trans r, pros study A 1.55 2.60 2.60 NA 0.25 4.40 4.40 1XXX.00.00.0099999 37.8975 090 76873TCEchograp trans r, pros study A 0.00 2.10 2.10 NA 0.16 2.26 2.26 1XXX.00.00.0099999 37.8975 020 7687326Echograp trans r, pros study A 1.55 0.50 0.50 0.09 2.14 2.14 1XXX.00.00.0099999 37.8975 090 76880 Us exam, extremity A 0.59 1.61 1.61 NA 0.11 2.31 2.31 1XXX.00.00.0000000 37.8975 090 76880TCUs exam, extremity A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7688026Us exam, extremity A 0.59 0.19 0.19 0.03 0.81 0.81 1XXX.00.00.0000000 37.8975 090 76885 Us exam infant hips, dynamic A 0.74 1.76 1.76 NA 0.13 2.63 2.63 1XXX.00.00.0000000 37.8975 090 76885TCUs exam infant hips, dynamic A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 010 7688526Us exam infant hips, dynamic A 0.74 0.24 0.24 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 76886 Us exam infant hips, static A 0.62 1.62 1.62 NA 0.11 2.35 2.35 1XXX.00.00.0000000 37.8975 090 76886TCUs exam infant hips, static A 0.00 1.42 1.42 NA 0.08 1.50 1.50 1XXX.00.00.0000000 37.8975 010 7688626Us exam infant hips, static A 0.62 0.20 0.20 0.03 0.85 0.85 1XXX.00.00.0000000 37.8975 090 76930 Echo guide, cardiocentesis A 0.67 1.77 1.77 NA 0.12 2.56 2.56 1XXX.00.00.0000000 37.8975 090 76930TCEcho guide, cardiocentesis A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7693026Echo guide, cardiocentesis A 0.67 0.25 0.25 0.02 0.94 0.94 1XXX.00.00.0000000 37.8975 090 76932 Echo guide for heart biopsy A 0.67 1.77 1.77 NA 0.12 2.56 2.56 1XXX.00.00.0000000 37.8975 090 76932TCEcho guide for heart biopsy A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7693226Echo guide for heart biopsy A 0.67 0.25 0.25 0.02 0.94 0.94 1XXX.00.00.0000000 37.8975 090 76936 Echo guide for artery repair A 1.99 6.95 6.95 NA 0.47 9.41 9.41 1XXX.00.00.0000000 37.8975 090 76936TCEcho guide for artery repair A 0.00 6.29 6.29 NA 0.34 6.63 6.63 1XXX.00.00.0000000 37.8975 030 7693626Echo guide for artery repair A 1.99 0.66 0.66 0.13 2.78 2.78 1XXX.00.00.0000000 37.8975 090 76937 Us guide, vascular access A 0.30 0.48 0.48 NA 0.13 0.91 0.91 1ZZZ.00.00.0000000 37.8975 090 76937TCUs guide, vascular access A 0.00 0.38 0.38 NA 0.10 0.48 0.48 1ZZZ.00.00.0000000 37.8975 030 7693726Us guide, vascular access A 0.30 0.10 0.10 0.03 0.43 0.43 1ZZZ.00.00.0000000 37.8975 090 76940 Us guide, tissue ablation A 2.00 2.17 2.17 NA 0.58 4.75 4.75 1XXX.00.00.0000000 37.8975 090 76940TCUs guide, tissue ablation A 0.00 1.52 1.52 NA 0.29 1.81 1.81 1XXX.00.00.0000000 37.8975 030 7694026Us guide, tissue ablation A 2.00 0.65 0.65 0.29 2.94 2.94 1XXX.00.00.0000000 37.8975 090 76941 Echo guide for transfusion A 1.34 2.00 2.00 NA 0.15 3.49 3.49 1XXX.00.00.0000000 37.8975 090 76941TCEcho guide for transfusion A 0.00 1.53 1.53 NA 0.08 1.61 1.61 1XXX.00.00.0000000 37.8975 030 7694126Echo guide for transfusion A 1.34 0.47 0.47 0.07 1.88 1.88 1XXX.00.00.0000000 37.8975 090 76942 Echo guide for biopsy A 0.67 3.03 3.03 NA 0.13 3.83 3.83 1XXX.00.00.0000000 37.8975 090 76942TCEcho guide for biopsy A 0.00 2.81 2.81 NA 0.10 2.91 2.91 1XXX.00.00.0000000 37.8975 030 7694226Echo guide for biopsy A 0.67 0.22 0.22 0.03 0.92 0.92 1XXX.00.00.0000000 37.8975 090 76945 Echo guide, villus sampling A 0.67 1.75 1.75 NA 0.12 2.54 2.54 1XXX.00.00.0000000 37.8975 090 76945TCEcho guide, villus sampling A 0.00 1.53 1.53 NA 0.08 1.61 1.61 1XXX.00.00.0000000 37.8975 030 7694526Echo guide, villus sampling A 0.67 0.22 0.22 0.04 0.93 0.93 1XXX.00.00.0000000 37.8975 090 76946 Echo guide for amniocentesis A 0.38 1.66 1.66 NA 0.12 2.16 2.16 1XXX.00.00.0000000 37.8975 090 76946TCEcho guide for amniocentesis A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7694626Echo guide for amniocentesis A 0.38 0.14 0.14 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 090 76948 Echo guide, ova aspiration A 0.38 1.65 1.65 NA 0.12 2.15 2.15 1XXX.00.00.0000000 37.8975 090 76948TCEcho guide, ova aspiration A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7694826Echo guide, ova aspiration A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 76950 Echo guidance radiotherapy A 0.58 1.50 1.50 NA 0.10 2.18 2.18 1XXX.00.00.0000000 37.8975 090 76950TCEcho guidance radiotherapy A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 010 7695026Echo guidance radiotherapy A 0.58 0.19 0.19 0.03 0.80 0.80 1XXX.00.00.0000000 37.8975 090 76965 Echo guidance radiotherapy A 1.34 6.00 6.00 NA 0.37 7.71 7.71 1XXX.00.00.0000000 37.8975 090 76965TCEcho guidance radiotherapy A 0.00 5.57 5.57 NA 0.29 5.86 5.86 1XXX.00.00.0000000 37.8975 030 7696526Echo guidance radiotherapy A 1.34 0.43 0.43 0.08 1.85 1.85 1XXX.00.00.0000000 37.8975 090 76970 Ultrasound exam follow-up A 0.40 1.18 1.18 NA 0.08 1.66 1.66 1XXX.00.00.0000000 37.8975 090 76970TCUltrasound exam follow-up A 0.00 1.05 1.05 NA 0.06 1.11 1.11 1XXX.00.00.0000000 37.8975 010 7697026Ultrasound exam follow-up A 0.40 0.13 0.13 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 76975 GI endoscopic ultrasound A 0.81 1.80 1.80 NA 0.14 2.75 2.75 1XXX.00.00.0000000 37.8975 090 76975TCGI endoscopic ultrasound A 0.00 1.52 1.52 NA 0.10 1.62 1.62 1XXX.00.00.0000000 37.8975 030 7697526GI endoscopic ultrasound A 0.81 0.28 0.28 0.04 1.13 1.13 1XXX.00.00.0000000 37.8975 090 76977 Us bone density measure A 0.05 0.84 0.84 NA 0.06 0.95 0.95 1XXX.00.00.0000000 37.8975 090 76977TCUs bone density measure A 0.00 0.82 0.82 NA 0.05 0.87 0.87 1XXX.00.00.0000000 37.8975 010 7697726Us bone density measure A 0.05 0.02 0.02 0.01 0.08 0.08 1XXX.00.00.0000000 37.8975 090 76986 Ultrasound guide intraoper A 1.20 3.02 3.02 NA 0.26 4.48 4.48 1XXX.00.00.0000000 37.8975 090 76986TCUltrasound guide intraoper A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 030 7698626Ultrasound guide intraoper A 1.20 0.40 0.40 0.12 1.72 1.72 1XXX.00.00.0000000 37.8975 090 76999 Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 76999TCEcho examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77261 Radiation therapy planning A 1.39 0.51 0.51 0.07 1.97 1.97 2XXX.00.00.0000000 37.8975 090 77262 Radiation therapy planning A 2.11 0.75 0.75 0.11 2.97 2.97 2XXX.00.00.0000000 37.8975 090 77263 Radiation therapy planning A 3.14 1.11 1.11 0.16 4.41 4.41 2XXX.00.00.0000000 37.8975 090 77280 Set radiation therapy field A 0.70 3.69 3.69 NA 0.22 4.61 4.61 1XXX.00.00.0000000 37.8975 090 77280TCSet radiation therapy field A 0.00 3.47 3.47 NA 0.18 3.65 3.65 1XXX.00.00.0000000 37.8975 090 7728026Set radiation therapy field A 0.70 0.22 0.22 0.04 0.96 0.96 1XXX.00.00.0000000 37.8975 090 77285 Set radiation therapy field A 1.05 5.91 5.91 NA 0.35 7.31 7.31 1XXX.00.00.0000000 37.8975 090 77285TCSet radiation therapy field A 0.00 5.57 5.57 NA 0.30 5.87 5.87 1XXX.00.00.0000000 37.8975 090 7728526Set radiation therapy field A 1.05 0.34 0.34 0.05 1.44 1.44 1XXX.00.00.0000000 37.8975 090 77290 Set radiation therapy field A 1.56 7.01 7.01 NA 0.43 9.00 9.00 1XXX.00.00.0000000 37.8975 090 77290TCSet radiation therapy field A 0.00 6.51 6.51 NA 0.35 6.86 6.86 1XXX.00.00.0000000 37.8975 090 7729026Set radiation therapy field A 1.56 0.50 0.50 0.08 2.14 2.14 1XXX.00.00.0000000 37.8975 090 77295 Set radiation therapy field A 4.56 29.39 29.39 NA 1.72 35.67 35.67 1XXX.00.00.0000000 37.8975 090 77295TCSet radiation therapy field A 0.00 27.93 27.93 NA 1.48 29.41 29.41 1XXX.00.00.0000000 37.8975 090 7729526Set radiation therapy field A 4.56 1.46 1.46 0.24 6.26 6.26 1XXX.00.00.0000000 37.8975 090 77299 Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77299TCRadiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7729926Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77300 Radiation therapy dose plan A 0.62 1.54 1.54 NA 0.10 2.26 2.26 1XXX.00.00.0000000 37.8975 090 77300TCRadiation therapy dose plan A 0.00 1.34 1.34 NA 0.07 1.41 1.41 1XXX.00.00.0000000 37.8975 090 7730026Radiation therapy dose plan A 0.62 0.20 0.20 0.03 0.85 0.85 1XXX.00.00.0000000 37.8975 090 77301 Radiotherapy dose plan, imrt A 7.99 30.49 30.49 NA 1.88 40.36 40.36 1XXX.00.00.0000000 37.8975 090 77301TCRadiotherapy dose plan, imrt A 0.00 27.93 27.93 NA 1.48 29.41 29.41 1XXX.00.00.0000000 37.8975 090 7730126Radiotherapy dose plan, imrt A 7.99 2.56 2.56 0.40 10.95 10.95 1XXX.00.00.0000000 37.8975 090 77305 Teletx isodose plan simple A 0.70 2.09 2.09 NA 0.15 2.94 2.94 1XXX.00.00.0000000 37.8975 090 77305TCTeletx isodose plan simple A 0.00 1.86 1.86 NA 0.11 1.97 1.97 1XXX.00.00.0000000 37.8975 090 7730526Teletx isodose plan simple A 0.70 0.23 0.23 0.04 0.97 0.97 1XXX.00.00.0000000 37.8975 090 77310 Teletx isodose plan intermed A 1.05 2.67 2.67 NA 0.18 3.90 3.90 1XXX.00.00.0000000 37.8975 090 77310TCTeletx isodose plan intermed A 0.00 2.33 2.33 NA 0.13 2.46 2.46 1XXX.00.00.0000000 37.8975 090 7731026Teletx isodose plan intermed A 1.05 0.34 0.34 0.05 1.44 1.44 1XXX.00.00.0000000 37.8975 090 77315 Teletx isodose plan complex A 1.56 3.16 3.16 NA 0.22 4.94 4.94 1XXX.00.00.0000000 37.8975 090 77315TCTeletx isodose plan complex A 0.00 2.66 2.66 NA 0.14 2.80 2.80 1XXX.00.00.0000000 37.8975 090 7731526Teletx isodose plan complex A 1.56 0.50 0.50 0.08 2.14 2.14 1XXX.00.00.0000000 37.8975 090 77321 Special teletx port plan A 0.95 4.34 4.34 NA 0.26 5.55 5.55 1XXX.00.00.0000000 37.8975 090 77321TCSpecial teletx port plan A 0.00 4.04 4.04 NA 0.21 4.25 4.25 1XXX.00.00.0000000 37.8975 090 7732126Special teletx port plan A 0.95 0.30 0.30 0.05 1.30 1.30 1XXX.00.00.0000000 37.8975 090 77326 Brachytx isodose calc simp A 0.93 2.66 2.66 NA 0.18 3.77 3.77 1XXX.00.00.0000000 37.8975 090 77326TCBrachytx isodose calc simp A 0.00 2.36 2.36 NA 0.13 2.49 2.49 1XXX.00.00.0000000 37.8975 090 7732626Brachytx isodose calc simp A 0.93 0.30 0.30 0.05 1.28 1.28 1XXX.00.00.0000000 37.8975 090 77327 Brachytx isodose calc interm A 1.39 3.91 3.91 NA 0.25 5.55 5.55 1XXX.00.00.0000000 37.8975 090 77327TCBrachytx isodose calc interm A 0.00 3.47 3.47 NA 0.18 3.65 3.65 1XXX.00.00.0000000 37.8975 090 7732726Brachytx isodose calc interm A 1.39 0.44 0.44 0.07 1.90 1.90 1XXX.00.00.0000000 37.8975 090 77328 Brachytx isodose plan compl A 2.09 5.63 5.63 NA 0.36 8.08 8.08 1XXX.00.00.0000000 37.8975 090 77328TCBrachytx isodose plan compl A 0.00 4.96 4.96 NA 0.25 5.21 5.21 1XXX.00.00.0000000 37.8975 090 7732826Brachytx isodose plan compl A 2.09 0.67 0.67 0.11 2.87 2.87 1XXX.00.00.0000000 37.8975 090 77331 Special radiation dosimetry A 0.87 0.78 0.78 NA 0.06 1.71 1.71 1XXX.00.00.0000000 37.8975 090 77331TCSpecial radiation dosimetry A 0.00 0.50 0.50 NA 0.02 0.52 0.52 1XXX.00.00.0000000 37.8975 090 7733126Special radiation dosimetry A 0.87 0.28 0.28 0.04 1.19 1.19 1XXX.00.00.0000000 37.8975 090 77332 Radiation treatment aid(s) A 0.54 1.51 1.51 NA 0.10 2.15 2.15 1XXX.00.00.0000000 37.8975 090 77332TCRadiation treatment aid(s) A 0.00 1.34 1.34 NA 0.07 1.41 1.41 1XXX.00.00.0000000 37.8975 090 7733226Radiation treatment aid(s) A 0.54 0.17 0.17 0.03 0.74 0.74 1XXX.00.00.0000000 37.8975 090 77333 Radiation treatment aid(s) A 0.84 2.16 2.16 NA 0.15 3.15 3.15 1XXX.00.00.0000000 37.8975 090 77333TCRadiation treatment aid(s) A 0.00 1.89 1.89 NA 0.11 2.00 2.00 1XXX.00.00.0000000 37.8975 090 7733326Radiation treatment aid(s) A 0.84 0.27 0.27 0.04 1.15 1.15 1XXX.00.00.0000000 37.8975 090 77334 Radiation treatment aid(s) A 1.24 3.65 3.65 NA 0.23 5.12 5.12 1XXX.00.00.0000000 37.8975 090 77334TCRadiation treatment aid(s) A 0.00 3.25 3.25 NA 0.17 3.42 3.42 1XXX.00.00.0000000 37.8975 090 7733426Radiation treatment aid(s) A 1.24 0.40 0.40 0.06 1.70 1.70 1XXX.00.00.0000000 37.8975 090 77336 Radiation physics consult A 0.00 2.98 2.98 NA 0.16 3.14 3.14 3XXX.00.00.0000000 37.8975 090 77370 Radiation physics consult A 0.00 3.49 3.49 NA 0.18 3.67 3.67 3XXX.00.00.0000000 37.8975 090 77399 External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77399TCExternal radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7739926External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77401 Radiation treatment delivery A 0.00 1.77 1.77 NA 0.11 1.88 1.88 3XXX.00.00.0000000 37.8975 090 77402 Radiation treatment delivery A 0.00 1.77 1.77 NA 0.11 1.88 1.88 3XXX.00.00.0000000 37.8975 090 77403 Radiation treatment delivery A 0.00 1.77 1.77 NA 0.11 1.88 1.88 3XXX.00.00.0000000 37.8975 090 77404 Radiation treatment delivery A 0.00 1.77 1.77 NA 0.11 1.88 1.88 3XXX.00.00.0000000 37.8975 090 77406 Radiation treatment delivery A 0.00 1.77 1.77 NA 0.11 1.88 1.88 3XXX.00.00.0000000 37.8975 090 77407 Radiation treatment delivery A 0.00 2.09 2.09 NA 0.12 2.21 2.21 3XXX.00.00.0000000 37.8975 090 77408 Radiation treatment delivery A 0.00 2.09 2.09 NA 0.12 2.21 2.21 3XXX.00.00.0000000 37.8975 090 77409 Radiation treatment delivery A 0.00 2.09 2.09 NA 0.12 2.21 2.21 3XXX.00.00.0000000 37.8975 090 77411 Radiation treatment delivery A 0.00 2.09 2.09 NA 0.12 2.21 2.21 3XXX.00.00.0000000 37.8975 090 77412 Radiation treatment delivery A 0.00 2.33 2.33 NA 0.13 2.46 2.46 3XXX.00.00.0000000 37.8975 090 77413 Radiation treatment delivery A 0.00 2.33 2.33 NA 0.13 2.46 2.46 3XXX.00.00.0000000 37.8975 090 77414 Radiation treatment delivery A 0.00 2.33 2.33 NA 0.13 2.46 2.46 3XXX.00.00.0000000 37.8975 090 77416 Radiation treatment delivery A 0.00 2.33 2.33 NA 0.13 2.46 2.46 3XXX.00.00.0000000 37.8975 090 77417 Radiology port film(s) A 0.00 0.59 0.59 NA 0.04 0.63 0.63 3XXX.00.00.0000000 37.8975 010 77418 Radiation tx delivery, imrt A 0.00 18.02 18.02 NA 0.13 18.15 18.15 3XXX.00.00.0000000 37.8975 090 77427 Radiation tx management, x5 A 3.31 1.06 1.06 0.17 4.54 4.54 2XXX.00.00.0099999 37.8975 090 77431 Radiation therapy management A 1.81 0.68 0.68 0.09 2.58 2.58 2XXX.00.00.0000000 37.8975 090 77432 Stereotactic radiation trmt A 7.92 2.90 2.90 0.41 11.23 11.23 2XXX.00.00.0000000 37.8975 090 77470 Special radiation treatment A 2.09 11.82 11.82 NA 0.70 14.61 14.61 1XXX.00.00.0000000 37.8975 090 77470TCSpecial radiation treatment A 0.00 11.15 11.15 NA 0.59 11.74 11.74 1XXX.00.00.0000000 37.8975 090 7747026Special radiation treatment A 2.09 0.67 0.67 0.11 2.87 2.87 1XXX.00.00.0000000 37.8975 090 77499 Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77499TCRadiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7749926Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77520 Proton trmt, simple w/o comp C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 37.8975 090 77522 Proton trmt, simple w/comp C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 37.8975 090 77523 Proton trmt, intermediate C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 37.8975 090 77525 Proton treatment, complex C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 37.8975 090 77600 Hyperthermia treatment R 1.56 3.55 3.55 NA 0.24 5.35 5.35 1XXX.00.00.0000000 37.8975 090 77600TCHyperthermia treatment R 0.00 3.05 3.05 NA 0.16 3.21 3.21 1XXX.00.00.0000000 37.8975 090 7760026Hyperthermia treatment R 1.56 0.50 0.50 0.08 2.14 2.14 1XXX.00.00.0000000 37.8975 090 77605 Hyperthermia treatment R 2.09 4.72 4.72 NA 0.38 7.19 7.19 1XXX.00.00.0000000 37.8975 090 77605TCHyperthermia treatment R 0.00 4.06 4.06 NA 0.22 4.28 4.28 1XXX.00.00.0000000 37.8975 090 7760526Hyperthermia treatment R 2.09 0.66 0.66 0.16 2.91 2.91 1XXX.00.00.0000000 37.8975 090 77610 Hyperthermia treatment R 1.56 3.56 3.56 NA 0.24 5.36 5.36 1XXX.00.00.0000000 37.8975 090 77610TCHyperthermia treatment R 0.00 3.05 3.05 NA 0.16 3.21 3.21 1XXX.00.00.0000000 37.8975 090 7761026Hyperthermia treatment R 1.56 0.51 0.51 0.08 2.15 2.15 1XXX.00.00.0000000 37.8975 090 77615 Hyperthermia treatment R 2.09 4.72 4.72 NA 0.33 7.14 7.14 1XXX.00.00.0000000 37.8975 090 77615TCHyperthermia treatment R 0.00 4.06 4.06 NA 0.22 4.28 4.28 1XXX.00.00.0000000 37.8975 090 7761526Hyperthermia treatment R 2.09 0.66 0.66 0.11 2.86 2.86 1XXX.00.00.0000000 37.8975 090 77620 Hyperthermia treatment R 1.56 3.57 3.57 NA 0.36 5.49 5.49 1XXX.00.00.0000000 37.8975 090 77620TCHyperthermia treatment R 0.00 3.05 3.05 NA 0.16 3.21 3.21 1XXX.00.00.0000000 37.8975 090 7762026Hyperthermia treatment R 1.56 0.52 0.52 0.20 2.28 2.28 1XXX.00.00.0000000 37.8975 090 77750 Infuse radioactive materials A 4.90 2.91 2.91 NA 0.32 8.13 8.13 1090.00.00.0000000 37.8975 090 77750TCInfuse radioactive materials A 0.00 1.33 1.33 NA 0.07 1.40 1.40 1090.00.00.0000000 37.8975 090 7775026Infuse radioactive materials A 4.90 1.58 1.58 0.25 6.73 6.73 1090.00.00.0000000 37.8975 090 77761 Apply intrcav radiat simple A 3.80 3.59 3.59 NA 0.33 7.72 7.72 1090.00.00.0000000 37.8975 090 77761TCApply intrcav radiat simple A 0.00 2.50 2.50 NA 0.14 2.64 2.64 1090.00.00.0000000 37.8975 090 7776126Apply intrcav radiat simple A 3.80 1.09 1.09 0.19 5.08 5.08 1090.00.00.0000000 37.8975 090 77762 Apply intrcav radiat interm A 5.71 5.44 5.44 NA 0.49 11.64 11.64 1090.00.00.0000000 37.8975 090 77762TCApply intrcav radiat interm A 0.00 3.61 3.61 NA 0.19 3.80 3.80 1090.00.00.0000000 37.8975 090 7776226Apply intrcav radiat interm A 5.71 1.83 1.83 0.30 7.84 7.84 1090.00.00.0000000 37.8975 090 77763 Apply intrcav radiat compl A 8.56 7.23 7.23 NA 0.68 16.47 16.47 1090.00.00.0000000 37.8975 090 77763TCApply intrcav radiat compl A 0.00 4.49 4.49 NA 0.23 4.72 4.72 1090.00.00.0000000 37.8975 090 7776326Apply intrcav radiat compl A 8.56 2.74 2.74 0.45 11.75 11.75 1090.00.00.0000000 37.8975 090 77776 Apply interstit radiat simpl A 4.65 3.13 3.13 NA 0.56 8.34 8.34 1090.00.00.0000000 37.8975 090 77776TCApply interstit radiat simpl A 0.00 2.18 2.18 NA 0.13 2.31 2.31 1090.00.00.0000000 37.8975 090 7777626Apply interstit radiat simpl A 4.65 0.95 0.95 0.43 6.03 6.03 1090.00.00.0000020 37.8975 090 77777 Apply interstit radiat inter A 7.47 6.60 6.60 NA 0.63 14.70 14.70 1090.00.00.0000000 37.8975 090 77777TCApply interstit radiat inter A 0.00 4.23 4.23 NA 0.22 4.45 4.45 1090.00.00.0000000 37.8975 090 7777726Apply interstit radiat inter A 7.47 2.37 2.37 0.41 10.25 10.25 1090.00.00.0000020 37.8975 090 77778 Apply interstit radiat compl A 11.17 8.70 8.70 NA 0.84 20.71 20.71 1090.00.00.0000000 37.8975 090 77778TCApply interstit radiat compl A 0.00 5.13 5.13 NA 0.27 5.40 5.40 1090.00.00.0000000 37.8975 090 7777826Apply interstit radiat compl A 11.17 3.57 3.57 0.57 15.31 15.31 1090.00.00.0000020 37.8975 090 77781 High intensity brachytherapy A 1.66 20.83 20.83 NA 1.14 23.63 23.63 1090.00.00.0000000 37.8975 090 77781TCHigh intensity brachytherapy A 0.00 20.30 20.30 NA 1.06 21.36 21.36 1090.00.00.0000000 37.8975 090 7778126High intensity brachytherapy A 1.66 0.53 0.53 0.08 2.27 2.27 1090.00.00.0000000 37.8975 090 77782 High intensity brachytherapy A 2.49 21.10 21.10 NA 1.19 24.78 24.78 1090.00.00.0000000 37.8975 090 77782TCHigh intensity brachytherapy A 0.00 20.30 20.30 NA 1.06 21.36 21.36 1090.00.00.0000000 37.8975 090 7778226High intensity brachytherapy A 2.49 0.80 0.80 0.13 3.42 3.42 1090.00.00.0000000 37.8975 090 77783 High intensity brachytherapy A 3.72 21.49 21.49 NA 1.25 26.46 26.46 1090.00.00.0000000 37.8975 090 77783TCHigh intensity brachytherapy A 0.00 20.30 20.30 NA 1.06 21.36 21.36 1090.00.00.0000000 37.8975 090 7778326High intensity brachytherapy A 3.72 1.19 1.19 0.19 5.10 5.10 1090.00.00.0000000 37.8975 090 77784 High intensity brachytherapy A 5.60 22.09 22.09 NA 1.35 29.04 29.04 1090.00.00.0000000 37.8975 090 77784TCHigh intensity brachytherapy A 0.00 20.30 20.30 NA 1.06 21.36 21.36 1090.00.00.0000000 37.8975 090 7778426High intensity brachytherapy A 5.60 1.79 1.79 0.29 7.68 7.68 1090.00.00.0000000 37.8975 090 77789 Apply surface radiation A 1.12 0.82 0.82 NA 0.07 2.01 2.01 1000.00.00.0000000 37.8975 090 77789TCApply surface radiation A 0.00 0.45 0.45 NA 0.02 0.47 0.47 1000.00.00.0000000 37.8975 090 7778926Apply surface radiation A 1.12 0.37 0.37 0.05 1.54 1.54 1000.00.00.0000000 37.8975 090 77790 Radiation handling A 1.05 0.84 0.84 NA 0.07 1.96 1.96 1XXX.00.00.0000000 37.8975 090 77790TCRadiation handling A 0.00 0.50 0.50 NA 0.02 0.52 0.52 1XXX.00.00.0000000 37.8975 090 7779026Radiation handling A 1.05 0.34 0.34 0.05 1.44 1.44 1XXX.00.00.0000000 37.8975 090 77799 Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 77799TCRadium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7779926Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78000 Thyroid, single uptake A 0.19 1.03 1.03 NA 0.07 1.29 1.29 1XXX.00.00.0000000 37.8975 090 78000TCThyroid, single uptake A 0.00 0.97 0.97 NA 0.06 1.03 1.03 1XXX.00.00.0000000 37.8975 010 7800026Thyroid, single uptake A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 37.8975 090 78001 Thyroid, multiple uptakes A 0.26 1.40 1.40 NA 0.08 1.74 1.74 1XXX.00.00.0000000 37.8975 090 78001TCThyroid, multiple uptakes A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 010 7800126Thyroid, multiple uptakes A 0.26 0.09 0.09 0.01 0.36 0.36 1XXX.00.00.0000000 37.8975 090 78003 Thyroid suppress/stimul A 0.33 1.08 1.08 NA 0.07 1.48 1.48 1XXX.00.00.0000000 37.8975 090 78003TCThyroid suppress/stimul A 0.00 0.97 0.97 NA 0.06 1.03 1.03 1XXX.00.00.0000000 37.8975 010 7800326Thyroid suppress/stimul A 0.33 0.11 0.11 0.01 0.45 0.45 1XXX.00.00.0000000 37.8975 090 78006 Thyroid imaging with uptake A 0.49 2.54 2.54 NA 0.15 3.18 3.18 1XXX.00.00.0000000 37.8975 090 78006TCThyroid imaging with uptake A 0.00 2.38 2.38 NA 0.13 2.51 2.51 1XXX.00.00.0000000 37.8975 010 7800626Thyroid imaging with uptake A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 78007 Thyroid image, mult uptakes A 0.50 2.74 2.74 NA 0.16 3.40 3.40 1XXX.00.00.0000000 37.8975 090 78007TCThyroid image, mult uptakes A 0.00 2.57 2.57 NA 0.14 2.71 2.71 1XXX.00.00.0000000 37.8975 010 7800726Thyroid image, mult uptakes A 0.50 0.17 0.17 0.02 0.69 0.69 1XXX.00.00.0000000 37.8975 090 78010 Thyroid imaging A 0.39 1.95 1.95 NA 0.13 2.47 2.47 1XXX.00.00.0000000 37.8975 090 78010TCThyroid imaging A 0.00 1.82 1.82 NA 0.11 1.93 1.93 1XXX.00.00.0000000 37.8975 010 7801026Thyroid imaging A 0.39 0.13 0.13 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 090 78011 Thyroid imaging with flow A 0.45 2.56 2.56 NA 0.15 3.16 3.16 1XXX.00.00.0000000 37.8975 090 78011TCThyroid imaging with flow A 0.00 2.41 2.41 NA 0.13 2.54 2.54 1XXX.00.00.0000000 37.8975 010 7801126Thyroid imaging with flow A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 78015 Thyroid met imaging A 0.67 2.80 2.80 NA 0.17 3.64 3.64 1XXX.00.00.0000000 37.8975 090 78015TCThyroid met imaging A 0.00 2.57 2.57 NA 0.14 2.71 2.71 1XXX.00.00.0000000 37.8975 010 7801526Thyroid met imaging A 0.67 0.23 0.23 0.03 0.93 0.93 1XXX.00.00.0000000 37.8975 090 78016 Thyroid met imaging/studies A 0.82 3.76 3.76 NA 0.22 4.80 4.80 1XXX.00.00.0000000 37.8975 090 78016TCThyroid met imaging/studies A 0.00 3.48 3.48 NA 0.18 3.66 3.66 1XXX.00.00.0000000 37.8975 010 7801626Thyroid met imaging/studies A 0.82 0.28 0.28 0.04 1.14 1.14 1XXX.00.00.0000000 37.8975 090 78018 Thyroid met imaging, body A 0.86 5.72 5.72 NA 0.33 6.91 6.91 1XXX.00.00.0000000 37.8975 090 78018TCThyroid met imaging, body A 0.00 5.42 5.42 NA 0.29 5.71 5.71 1XXX.00.00.0000000 37.8975 010 7801826Thyroid met imaging, body A 0.86 0.30 0.30 0.04 1.20 1.20 1XXX.00.00.0000000 37.8975 090 78020 Thyroid met uptake A 0.60 1.52 1.52 NA 0.16 2.28 2.28 1ZZZ.00.00.0000000 37.8975 090 78020TCThyroid met uptake A 0.00 1.31 1.31 NA 0.14 1.45 1.45 1ZZZ.00.00.0000000 37.8975 090 7802026Thyroid met uptake A 0.60 0.21 0.21 0.02 0.83 0.83 1ZZZ.00.00.0000000 37.8975 090 78070 Parathyroid nuclear imaging A 0.82 4.55 4.55 NA 0.15 5.52 5.52 1XXX.00.00.0000000 37.8975 090 78070TCParathyroid nuclear imaging A 0.00 4.27 4.27 NA 0.11 4.38 4.38 1XXX.00.00.0000000 37.8975 010 7807026Parathyroid nuclear imaging A 0.82 0.28 0.28 0.04 1.14 1.14 1XXX.00.00.0000000 37.8975 090 78075 Adrenal nuclear imaging A 0.74 5.68 5.68 NA 0.32 6.74 6.74 1XXX.00.00.0000000 37.8975 090 78075TCAdrenal nuclear imaging A 0.00 5.42 5.42 NA 0.29 5.71 5.71 1XXX.00.00.0000000 37.8975 010 7807526Adrenal nuclear imaging A 0.74 0.26 0.26 0.03 1.03 1.03 1XXX.00.00.0000000 37.8975 090 78099 Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78099TCEndocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7809926Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78102 Bone marrow imaging, ltd A 0.55 2.23 2.23 NA 0.14 2.92 2.92 1XXX.00.00.0000000 37.8975 090 78102TCBone marrow imaging, ltd A 0.00 2.04 2.04 NA 0.12 2.16 2.16 1XXX.00.00.0000000 37.8975 010 7810226Bone marrow imaging, ltd A 0.55 0.19 0.19 0.02 0.76 0.76 1XXX.00.00.0000000 37.8975 090 78103 Bone marrow imaging, mult A 0.75 3.43 3.43 NA 0.20 4.38 4.38 1XXX.00.00.0000000 37.8975 090 78103TCBone marrow imaging, mult A 0.00 3.17 3.17 NA 0.17 3.34 3.34 1XXX.00.00.0000000 37.8975 010 7810326Bone marrow imaging, mult A 0.75 0.26 0.26 0.03 1.04 1.04 1XXX.00.00.0000000 37.8975 090 78104 Bone marrow imaging, body A 0.80 4.34 4.34 NA 0.25 5.39 5.39 1XXX.00.00.0000000 37.8975 090 78104TCBone marrow imaging, body A 0.00 4.07 4.07 NA 0.22 4.29 4.29 1XXX.00.00.0000000 37.8975 010 7810426Bone marrow imaging, body A 0.80 0.27 0.27 0.03 1.10 1.10 1XXX.00.00.0000000 37.8975 090 78110 Plasma volume, single A 0.19 1.02 1.02 NA 0.07 1.28 1.28 1XXX.00.00.0000000 37.8975 090 78110TCPlasma volume, single A 0.00 0.95 0.95 NA 0.06 1.01 1.01 1XXX.00.00.0000000 37.8975 010 7811026Plasma volume, single A 0.19 0.07 0.07 0.01 0.27 0.27 1XXX.00.00.0000000 37.8975 090 78111 Plasma volume, multiple A 0.22 2.65 2.65 NA 0.15 3.02 3.02 1XXX.00.00.0000000 37.8975 090 78111TCPlasma volume, multiple A 0.00 2.57 2.57 NA 0.14 2.71 2.71 1XXX.00.00.0000000 37.8975 010 7811126Plasma volume, multiple A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 37.8975 090 78120 Red cell mass, single A 0.23 1.81 1.81 NA 0.12 2.16 2.16 1XXX.00.00.0000000 37.8975 090 78120TCRed cell mass, single A 0.00 1.73 1.73 NA 0.11 1.84 1.84 1XXX.00.00.0000000 37.8975 010 7812026Red cell mass, single A 0.23 0.08 0.08 0.01 0.32 0.32 1XXX.00.00.0000000 37.8975 090 78121 Red cell mass, multiple A 0.32 3.02 3.02 NA 0.15 3.49 3.49 1XXX.00.00.0000000 37.8975 090 78121TCRed cell mass, multiple A 0.00 2.91 2.91 NA 0.14 3.05 3.05 1XXX.00.00.0000000 37.8975 010 7812126Red cell mass, multiple A 0.32 0.11 0.11 0.01 0.44 0.44 1XXX.00.00.0000000 37.8975 090 78122 Blood volume A 0.45 4.76 4.76 NA 0.26 5.47 5.47 1XXX.00.00.0000000 37.8975 090 78122TCBlood volume A 0.00 4.60 4.60 NA 0.24 4.84 4.84 1XXX.00.00.0000000 37.8975 010 7812226Blood volume A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 37.8975 090 78130 Red cell survival study A 0.61 3.06 3.06 NA 0.17 3.84 3.84 1XXX.00.00.0000000 37.8975 090 78130TCRed cell survival study A 0.00 2.85 2.85 NA 0.14 2.99 2.99 1XXX.00.00.0000000 37.8975 010 7813026Red cell survival study A 0.61 0.21 0.21 0.03 0.85 0.85 1XXX.00.00.0000000 37.8975 090 78135 Red cell survival kinetics A 0.64 5.09 5.09 NA 0.28 6.01 6.01 1XXX.00.00.0000000 37.8975 090 78135TCRed cell survival kinetics A 0.00 4.87 4.87 NA 0.25 5.12 5.12 1XXX.00.00.0000000 37.8975 010 7813526Red cell survival kinetics A 0.64 0.22 0.22 0.03 0.89 0.89 1XXX.00.00.0000000 37.8975 090 78140 Red cell sequestration A 0.61 4.13 4.13 NA 0.24 4.98 4.98 1XXX.00.00.0000000 37.8975 090 78140TCRed cell sequestration A 0.00 3.93 3.93 NA 0.21 4.14 4.14 1XXX.00.00.0000000 37.8975 010 7814026Red cell sequestration A 0.61 0.20 0.20 0.03 0.84 0.84 1XXX.00.00.0000000 37.8975 090 78160 Plasma iron turnover A 0.33 3.78 3.78 NA 0.23 4.34 4.34 1XXX.00.00.0000000 37.8975 090 78160TCPlasma iron turnover A 0.00 3.66 3.66 NA 0.19 3.85 3.85 1XXX.00.00.0000000 37.8975 010 7816026Plasma iron turnover A 0.33 0.12 0.12 0.04 0.49 0.49 1XXX.00.00.0000000 37.8975 090 78162 Radioiron absorption exam A 0.45 3.39 3.39 NA 0.19 4.03 4.03 1XXX.00.00.0000000 37.8975 090 78162TCRadioiron absorption exam A 0.00 3.20 3.20 NA 0.17 3.37 3.37 1XXX.00.00.0000000 37.8975 010 7816226Radioiron absorption exam A 0.45 0.19 0.19 0.02 0.66 0.66 1XXX.00.00.0000000 37.8975 090 78170 Red cell iron utilization A 0.41 5.45 5.45 NA 0.30 6.16 6.16 1XXX.00.00.0000000 37.8975 090 78170TCRed cell iron utilization A 0.00 5.31 5.31 NA 0.28 5.59 5.59 1XXX.00.00.0000000 37.8975 010 7817026Red cell iron utilization A 0.41 0.14 0.14 0.02 0.57 0.57 1XXX.00.00.0000000 37.8975 090 78172 Total body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78172TCTotal body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7817226Total body iron estimation A 0.53 0.17 0.17 0.02 0.72 0.72 1XXX.00.00.0000000 37.8975 090 78185 Spleen imaging A 0.40 2.50 2.50 NA 0.15 3.05 3.05 1XXX.00.00.0000000 37.8975 090 78185TCSpleen imaging A 0.00 2.36 2.36 NA 0.13 2.49 2.49 1XXX.00.00.0000000 37.8975 010 7818526Spleen imaging A 0.40 0.14 0.14 0.02 0.56 0.56 1XXX.00.00.0000000 37.8975 090 78190 Platelet survival, kinetics A 1.09 6.10 6.10 NA 0.38 7.57 7.57 1XXX.00.00.0000000 37.8975 090 78190TCPlatelet survival, kinetics A 0.00 5.71 5.71 NA 0.30 6.01 6.01 1XXX.00.00.0000000 37.8975 010 7819026Platelet survival, kinetics A 1.09 0.39 0.39 0.08 1.56 1.56 1XXX.00.00.0000000 37.8975 090 78191 Platelet survival A 0.61 7.54 7.54 NA 0.40 8.55 8.55 1XXX.00.00.0000000 37.8975 090 78191TCPlatelet survival A 0.00 7.34 7.34 NA 0.37 7.71 7.71 1XXX.00.00.0000000 37.8975 010 7819126Platelet survival A 0.61 0.20 0.20 0.03 0.84 0.84 1XXX.00.00.0000000 37.8975 090 78195 Lymph system imaging A 1.20 4.48 4.48 NA 0.28 5.96 5.96 1XXX.00.00.0000000 37.8975 090 78195TCLymph system imaging A 0.00 4.07 4.07 NA 0.22 4.29 4.29 1XXX.00.00.0000000 37.8975 010 7819526Lymph system imaging A 1.20 0.41 0.41 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 78199 Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78199TCBlood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7819926Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78201 Liver imaging A 0.44 2.51 2.51 NA 0.15 3.10 3.10 1XXX.00.00.0000000 37.8975 090 78201TCLiver imaging A 0.00 2.36 2.36 NA 0.13 2.49 2.49 1XXX.00.00.0000000 37.8975 010 7820126Liver imaging A 0.44 0.15 0.15 0.02 0.61 0.61 1XXX.00.00.0000000 37.8975 090 78202 Liver imaging with flow A 0.51 3.05 3.05 NA 0.16 3.72 3.72 1XXX.00.00.0000000 37.8975 090 78202TCLiver imaging with flow A 0.00 2.88 2.88 NA 0.14 3.02 3.02 1XXX.00.00.0000000 37.8975 010 7820226Liver imaging with flow A 0.51 0.17 0.17 0.02 0.70 0.70 1XXX.00.00.0000000 37.8975 090 78205 Liver imaging (3D) A 0.71 6.15 6.15 NA 0.34 7.20 7.20 1XXX.00.00.0000000 37.8975 090 78205TCLiver imaging (3D) A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7820526Liver imaging (3D) A 0.71 0.24 0.24 0.03 0.98 0.98 1XXX.00.00.0000000 37.8975 090 78206 Liver image (3d) with flow A 0.96 6.24 6.24 NA 0.15 7.35 7.35 1XXX.00.00.0000000 37.8975 090 78206TCLiver image (3d) with flow A 0.00 5.91 5.91 NA 0.11 6.02 6.02 1XXX.00.00.0000000 37.8975 010 7820626Liver image (3d) with flow A 0.96 0.33 0.33 0.04 1.33 1.33 1XXX.00.00.0000000 37.8975 090 78215 Liver and spleen imaging A 0.49 3.10 3.10 NA 0.16 3.75 3.75 1XXX.00.00.0000000 37.8975 090 78215TCLiver and spleen imaging A 0.00 2.94 2.94 NA 0.14 3.08 3.08 1XXX.00.00.0000000 37.8975 010 7821526Liver and spleen imaging A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 78216 Liver & spleen image/flow A 0.57 3.67 3.67 NA 0.20 4.44 4.44 1XXX.00.00.0000000 37.8975 090 78216TCLiver & spleen image/flow A 0.00 3.48 3.48 NA 0.18 3.66 3.66 1XXX.00.00.0000000 37.8975 010 7821626Liver & spleen image/flow A 0.57 0.19 0.19 0.02 0.78 0.78 1XXX.00.00.0000000 37.8975 090 78220 Liver function study A 0.49 3.88 3.88 NA 0.21 4.58 4.58 1XXX.00.00.0000000 37.8975 090 78220TCLiver function study A 0.00 3.72 3.72 NA 0.19 3.91 3.91 1XXX.00.00.0000000 37.8975 010 7822026Liver function study A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 78223 Hepatobiliary imaging A 0.84 3.94 3.94 NA 0.23 5.01 5.01 1XXX.00.00.0000000 37.8975 090 78223TCHepatobiliary imaging A 0.00 3.66 3.66 NA 0.19 3.85 3.85 1XXX.00.00.0000000 37.8975 010 7822326Hepatobiliary imaging A 0.84 0.28 0.28 0.04 1.16 1.16 1XXX.00.00.0000000 37.8975 090 78230 Salivary gland imaging A 0.45 2.33 2.33 NA 0.15 2.93 2.93 1XXX.00.00.0000000 37.8975 090 78230TCSalivary gland imaging A 0.00 2.18 2.18 NA 0.13 2.31 2.31 1XXX.00.00.0000000 37.8975 010 7823026Salivary gland imaging A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 78231 Serial salivary imaging A 0.52 3.35 3.35 NA 0.19 4.06 4.06 1XXX.00.00.0000000 37.8975 090 78231TCSerial salivary imaging A 0.00 3.17 3.17 NA 0.17 3.34 3.34 1XXX.00.00.0000000 37.8975 010 7823126Serial salivary imaging A 0.52 0.18 0.18 0.02 0.72 0.72 1XXX.00.00.0000000 37.8975 090 78232 Salivary gland function exam A 0.47 3.70 3.70 NA 0.20 4.37 4.37 1XXX.00.00.0000000 37.8975 090 78232TCSalivary gland function exam A 0.00 3.54 3.54 NA 0.18 3.72 3.72 1XXX.00.00.0000000 37.8975 010 7823226Salivary gland function exam A 0.47 0.16 0.16 0.02 0.65 0.65 1XXX.00.00.0000000 37.8975 090 78258 Esophageal motility study A 0.74 3.13 3.13 NA 0.17 4.04 4.04 1XXX.00.00.0000000 37.8975 090 78258TCEsophageal motility study A 0.00 2.88 2.88 NA 0.14 3.02 3.02 1XXX.00.00.0000000 37.8975 010 7825826Esophageal motility study A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 37.8975 090 78261 Gastric mucosa imaging A 0.69 4.34 4.34 NA 0.25 5.28 5.28 1XXX.00.00.0000000 37.8975 090 78261TCGastric mucosa imaging A 0.00 4.10 4.10 NA 0.22 4.32 4.32 1XXX.00.00.0000000 37.8975 010 7826126Gastric mucosa imaging A 0.69 0.24 0.24 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 78262 Gastroesophageal reflux exam A 0.68 4.48 4.48 NA 0.25 5.41 5.41 1XXX.00.00.0000000 37.8975 090 78262TCGastroesophageal reflux exam A 0.00 4.25 4.25 NA 0.22 4.47 4.47 1XXX.00.00.0000000 37.8975 010 7826226Gastroesophageal reflux exam A 0.68 0.23 0.23 0.03 0.94 0.94 1XXX.00.00.0000000 37.8975 090 78264 Gastric emptying study A 0.78 4.39 4.39 NA 0.25 5.42 5.42 1XXX.00.00.0000000 37.8975 090 78264TCGastric emptying study A 0.00 4.13 4.13 NA 0.22 4.35 4.35 1XXX.00.00.0000000 37.8975 010 7826426Gastric emptying study A 0.78 0.26 0.26 0.03 1.07 1.07 1XXX.00.00.0000000 37.8975 090 78267 Breath tst attain/anal c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 78268 Breath test analysis, c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 78270 Vit B-12 absorption exam A 0.20 1.62 1.62 NA 0.11 1.93 1.93 1XXX.00.00.0000000 37.8975 090 78270TCVit B-12 absorption exam A 0.00 1.55 1.55 NA 0.10 1.65 1.65 1XXX.00.00.0000000 37.8975 010 7827026Vit B-12 absorption exam A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 78271 Vit b-12 absrp exam, int fac A 0.20 1.71 1.71 NA 0.11 2.02 2.02 1XXX.00.00.0000000 37.8975 090 78271TCVit b-12 absrp exam, int fac A 0.00 1.64 1.64 NA 0.10 1.74 1.74 1XXX.00.00.0000000 37.8975 010 7827126Vit b-12 absrp exam, int fac A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 37.8975 090 78272 Vit B-12 absorp, combined A 0.27 2.41 2.41 NA 0.14 2.82 2.82 1XXX.00.00.0000000 37.8975 090 78272TCVit B-12 absorp, combined A 0.00 2.32 2.32 NA 0.13 2.45 2.45 1XXX.00.00.0000000 37.8975 010 7827226Vit B-12 absorp, combined A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 37.8975 090 78278 Acute GI blood loss imaging A 0.99 5.20 5.20 NA 0.29 6.48 6.48 1XXX.00.00.0000000 37.8975 090 78278TCAcute GI blood loss imaging A 0.00 4.87 4.87 NA 0.25 5.12 5.12 1XXX.00.00.0000000 37.8975 010 7827826Acute GI blood loss imaging A 0.99 0.33 0.33 0.04 1.36 1.36 1XXX.00.00.0000000 37.8975 090 78282 GI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78282TCGI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7828226GI protein loss exam A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 78290 Meckel’s divert exam A 0.68 3.28 3.28 NA 0.19 4.15 4.15 1XXX.00.00.0000000 37.8975 090 78290TCMeckel’s divert exam A 0.00 3.05 3.05 NA 0.16 3.21 3.21 1XXX.00.00.0000000 37.8975 010 7829026Meckel’s divert exam A 0.68 0.23 0.23 0.03 0.94 0.94 1XXX.00.00.0000000 37.8975 090 78291 Leveen/shunt patency exam A 0.88 3.36 3.36 NA 0.20 4.44 4.44 1XXX.00.00.0000000 37.8975 090 78291TCLeveen/shunt patency exam A 0.00 3.06 3.06 NA 0.16 3.22 3.22 1XXX.00.00.0000000 37.8975 010 7829126Leveen/shunt patency exam A 0.88 0.30 0.30 0.04 1.22 1.22 1XXX.00.00.0000000 37.8975 090 78299 GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78299TCGI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7829926GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78300 Bone imaging, limited area A 0.62 2.69 2.69 NA 0.17 3.48 3.48 1XXX.00.00.0000000 37.8975 090 78300TCBone imaging, limited area A 0.00 2.48 2.48 NA 0.14 2.62 2.62 1XXX.00.00.0000000 37.8975 010 7830026Bone imaging, limited area A 0.62 0.21 0.21 0.03 0.86 0.86 1XXX.00.00.0000000 37.8975 090 78305 Bone imaging, multiple areas A 0.83 3.94 3.94 NA 0.23 5.00 5.00 1XXX.00.00.0000000 37.8975 090 78305TCBone imaging, multiple areas A 0.00 3.66 3.66 NA 0.19 3.85 3.85 1XXX.00.00.0000000 37.8975 010 7830526Bone imaging, multiple areas A 0.83 0.28 0.28 0.04 1.15 1.15 1XXX.00.00.0000000 37.8975 090 78306 Bone imaging, whole body A 0.86 4.56 4.56 NA 0.26 5.68 5.68 1XXX.00.00.0000000 37.8975 090 78306TCBone imaging, whole body A 0.00 4.27 4.27 NA 0.22 4.49 4.49 1XXX.00.00.0000000 37.8975 010 7830626Bone imaging, whole body A 0.86 0.29 0.29 0.04 1.19 1.19 1XXX.00.00.0000000 37.8975 090 78315 Bone imaging, 3 phase A 1.02 5.12 5.12 NA 0.29 6.43 6.43 1XXX.00.00.0000000 37.8975 090 78315TCBone imaging, 3 phase A 0.00 4.78 4.78 NA 0.25 5.03 5.03 1XXX.00.00.0000000 37.8975 010 7831526Bone imaging, 3 phase A 1.02 0.34 0.34 0.04 1.40 1.40 1XXX.00.00.0000000 37.8975 090 78320 Bone imaging (3D) A 1.04 6.27 6.27 NA 0.35 7.66 7.66 1XXX.00.00.0000000 37.8975 090 78320TCBone imaging (3D) A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7832026Bone imaging (3D) A 1.04 0.36 0.36 0.04 1.44 1.44 1XXX.00.00.0000000 37.8975 090 78350 Bone mineral, single photon A 0.22 0.82 0.82 NA 0.06 1.10 1.10 1XXX.00.00.0000000 37.8975 090 78350TCBone mineral, single photon A 0.00 0.75 0.75 NA 0.05 0.80 0.80 1XXX.00.00.0000000 37.8975 010 7835026Bone mineral, single photon A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 37.8975 090 78351 Bone mineral, dual photon N+ 0.30 1.72 0.12 0.01 2.03 0.43 9XXX.00.00.0099999 37.8975 090 78399 Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78399TCMusculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7839926Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78414 Non-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78414TCNon-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7841426Non-imaging heart function A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 37.8975 090 78428 Cardiac shunt imaging A 0.78 2.54 2.54 NA 0.16 3.48 3.48 1XXX.00.00.0000000 37.8975 090 78428TCCardiac shunt imaging A 0.00 2.25 2.25 NA 0.13 2.38 2.38 1XXX.00.00.0000000 37.8975 010 7842826Cardiac shunt imaging A 0.78 0.29 0.29 0.03 1.10 1.10 1XXX.00.00.0000000 37.8975 090 78445 Vascular flow imaging A 0.49 2.03 2.03 NA 0.13 2.65 2.65 1XXX.00.00.0000000 37.8975 090 78445TCVascular flow imaging A 0.00 1.86 1.86 NA 0.11 1.97 1.97 1XXX.00.00.0000000 37.8975 010 7844526Vascular flow imaging A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 37.8975 090 78455 Venous thrombosis study A 0.73 4.23 4.23 NA 0.24 5.20 5.20 1XXX.00.00.0000000 37.8975 090 78455TCVenous thrombosis study A 0.00 3.98 3.98 NA 0.21 4.19 4.19 1XXX.00.00.0000000 37.8975 010 7845526Venous thrombosis study A 0.73 0.25 0.25 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 78456 Acute venous thrombus image A 1.00 4.32 4.32 NA 0.33 5.65 5.65 1XXX.00.00.0099999 37.8975 090 78456TCAcute venous thrombus image A 0.00 3.98 3.98 NA 0.29 4.27 4.27 1XXX.00.00.0099999 37.8975 090 7845626Acute venous thrombus image A 1.00 0.34 0.34 0.04 1.38 1.38 1XXX.00.00.0099999 37.8975 090 78457 Venous thrombosis imaging A 0.77 2.92 2.92 NA 0.18 3.87 3.87 1XXX.00.00.0000000 37.8975 090 78457TCVenous thrombosis imaging A 0.00 2.66 2.66 NA 0.14 2.80 2.80 1XXX.00.00.0000000 37.8975 010 7845726Venous thrombosis imaging A 0.77 0.26 0.26 0.04 1.07 1.07 1XXX.00.00.0000000 37.8975 090 78458 Ven thrombosis images, bilat A 0.90 4.34 4.34 NA 0.25 5.49 5.49 1XXX.00.00.0002000 37.8975 090 78458TCVen thrombosis images, bilat A 0.00 4.02 4.02 NA 0.21 4.23 4.23 1XXX.00.00.0002000 37.8975 010 7845826Ven thrombosis images, bilat A 0.90 0.32 0.32 0.04 1.26 1.26 1XXX.00.00.0002000 37.8975 090 78459 Heart muscle imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78459TCHeart muscle imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7845926Heart muscle imaging (PET) A 1.50 0.57 0.57 0.05 2.12 2.12 1XXX.00.00.0000000 37.8975 090 78460 Heart muscle blood, single A 0.86 2.65 2.65 NA 0.17 3.68 3.68 1XXX.00.00.0000000 37.8975 090 78460TCHeart muscle blood, single A 0.00 2.36 2.36 NA 0.13 2.49 2.49 1XXX.00.00.0000000 37.8975 010 7846026Heart muscle blood, single A 0.86 0.29 0.29 0.04 1.19 1.19 1XXX.00.00.0000000 37.8975 090 78461 Heart muscle blood, multiple A 1.23 5.15 5.15 NA 0.30 6.68 6.68 1XXX.00.00.0000000 37.8975 090 78461TCHeart muscle blood, multiple A 0.00 4.72 4.72 NA 0.25 4.97 4.97 1XXX.00.00.0000000 37.8975 010 7846126Heart muscle blood, multiple A 1.23 0.43 0.43 0.05 1.71 1.71 1XXX.00.00.0000000 37.8975 090 78464 Heart image (3d), single A 1.09 7.45 7.45 NA 0.41 8.95 8.95 1XXX.00.00.0000000 37.8975 090 78464TCHeart image (3d), single A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 010 7846426Heart image (3d), single A 1.09 0.38 0.38 0.04 1.51 1.51 1XXX.00.00.0000000 37.8975 090 78465 Heart image (3d), multiple A 1.46 12.31 12.31 NA 0.68 14.45 14.45 1XXX.00.00.0000000 37.8975 090 78465TCHeart image (3d), multiple A 0.00 11.79 11.79 NA 0.62 12.41 12.41 1XXX.00.00.0000000 37.8975 010 7846526Heart image (3d), multiple A 1.46 0.52 0.52 0.06 2.04 2.04 1XXX.00.00.0000000 37.8975 090 78466 Heart infarct image A 0.69 2.86 2.86 NA 0.17 3.72 3.72 1XXX.00.00.0000000 37.8975 090 78466TCHeart infarct image A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 010 7846626Heart infarct image A 0.69 0.24 0.24 0.03 0.96 0.96 1XXX.00.00.0000000 37.8975 090 78468 Heart infarct image (ef) A 0.80 3.93 3.93 NA 0.22 4.95 4.95 1XXX.00.00.0000000 37.8975 090 78468TCHeart infarct image (ef) A 0.00 3.66 3.66 NA 0.19 3.85 3.85 1XXX.00.00.0000000 37.8975 010 7846826Heart infarct image (ef) A 0.80 0.27 0.27 0.03 1.10 1.10 1XXX.00.00.0000000 37.8975 090 78469 Heart infarct image (3D) A 0.92 5.53 5.53 NA 0.31 6.76 6.76 1XXX.00.00.0000000 37.8975 090 78469TCHeart infarct image (3D) A 0.00 5.22 5.22 NA 0.28 5.50 5.50 1XXX.00.00.0000000 37.8975 010 7846926Heart infarct image (3D) A 0.92 0.31 0.31 0.03 1.26 1.26 1XXX.00.00.0000000 37.8975 090 78472 Gated heart, planar, single A 0.98 5.85 5.85 NA 0.34 7.17 7.17 1XXX.00.00.0000000 37.8975 090 78472TCGated heart, planar, single A 0.00 5.51 5.51 NA 0.30 5.81 5.81 1XXX.00.00.0000000 37.8975 010 7847226Gated heart, planar, single A 0.98 0.34 0.34 0.04 1.36 1.36 1XXX.00.00.0000000 37.8975 090 78473 Gated heart, multiple A 1.47 8.77 8.77 NA 0.48 10.72 10.72 1XXX.00.00.0000000 37.8975 090 78473TCGated heart, multiple A 0.00 8.26 8.26 NA 0.42 8.68 8.68 1XXX.00.00.0000000 37.8975 010 7847326Gated heart, multiple A 1.47 0.51 0.51 0.06 2.04 2.04 1XXX.00.00.0000000 37.8975 090 78478 Heart wall motion add-on A 0.62 1.79 1.79 NA 0.12 2.53 2.53 1XXX.00.00.0000000 37.8975 090 78478TCHeart wall motion add-on A 0.00 1.56 1.56 NA 0.10 1.66 1.66 1XXX.00.00.0000000 37.8975 010 7847826Heart wall motion add-on A 0.62 0.23 0.23 0.02 0.87 0.87 1XXX.00.00.0000000 37.8975 090 78480 Heart function add-on A 0.62 1.78 1.78 NA 0.12 2.52 2.52 1XXX.00.00.0000000 37.8975 090 78480TCHeart function add-on A 0.00 1.56 1.56 NA 0.10 1.66 1.66 1XXX.00.00.0000000 37.8975 010 7848026Heart function add-on A 0.62 0.22 0.22 0.02 0.86 0.86 1XXX.00.00.0000000 37.8975 090 78481 Heart first pass, single A 0.98 5.58 5.58 NA 0.32 6.88 6.88 1XXX.00.00.0000000 37.8975 090 78481TCHeart first pass, single A 0.00 5.22 5.22 NA 0.28 5.50 5.50 1XXX.00.00.0000000 37.8975 010 7848126Heart first pass, single A 0.98 0.36 0.36 0.04 1.38 1.38 1XXX.00.00.0000000 37.8975 090 78483 Heart first pass, multiple A 1.47 8.41 8.41 NA 0.46 10.34 10.34 1XXX.00.00.0000000 37.8975 090 78483TCHeart first pass, multiple A 0.00 7.87 7.87 NA 0.41 8.28 8.28 1XXX.00.00.0000000 37.8975 010 7848326Heart first pass, multiple A 1.47 0.54 0.54 0.05 2.06 2.06 1XXX.00.00.0000000 37.8975 090 78491 Heart image (pet), single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78491TCHeart image (pet), single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7849126Heart image (pet), single A+ 1.50 0.59 0.59 0.06 2.15 2.15 1XXX.00.00.0000000 37.8975 090 78492 Heart image (pet), multiple C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78492TCHeart image (pet), multiple C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7849226Heart image (pet), multiple A+ 1.87 0.74 0.74 0.07 2.68 2.68 1XXX.00.00.0000000 37.8975 090 78494 Heart image, spect A 1.19 7.49 7.49 NA 0.35 9.03 9.03 1XXX.00.00.0000000 37.8975 090 78494TCHeart image, spect A 0.00 7.07 7.07 NA 0.30 7.37 7.37 1XXX.00.00.0000000 37.8975 010 7849426Heart image, spect A 1.19 0.42 0.42 0.05 1.66 1.66 1XXX.00.00.0000000 37.8975 090 78496 Heart first pass add-on A 0.50 7.25 7.25 NA 0.32 8.07 8.07 1ZZZ.00.00.0000000 37.8975 090 78496TCHeart first pass add-on A 0.00 7.07 7.07 NA 0.30 7.37 7.37 1ZZZ.00.00.0000000 37.8975 010 7849626Heart first pass add-on A 0.50 0.18 0.18 0.02 0.70 0.70 1ZZZ.00.00.0000000 37.8975 090 78499 Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78499TCCardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7849926Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78580 Lung perfusion imaging A 0.74 3.68 3.68 NA 0.21 4.63 4.63 1XXX.00.00.0000000 37.8975 090 78580TCLung perfusion imaging A 0.00 3.43 3.43 NA 0.18 3.61 3.61 1XXX.00.00.0000000 37.8975 010 7858026Lung perfusion imaging A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 37.8975 090 78584 Lung V/Q image single breath A 0.99 3.53 3.53 NA 0.21 4.73 4.73 1XXX.00.00.0000000 37.8975 090 78584TCLung V/Q image single breath A 0.00 3.20 3.20 NA 0.17 3.37 3.37 1XXX.00.00.0000000 37.8975 010 7858426Lung V/Q image single breath A 0.99 0.33 0.33 0.04 1.36 1.36 1XXX.00.00.0000000 37.8975 090 78585 Lung V/Q imaging A 1.09 6.00 6.00 NA 0.35 7.44 7.44 1XXX.00.00.0000000 37.8975 090 78585TCLung V/Q imaging A 0.00 5.64 5.64 NA 0.30 5.94 5.94 1XXX.00.00.0000000 37.8975 010 7858526Lung V/Q imaging A 1.09 0.36 0.36 0.05 1.50 1.50 1XXX.00.00.0000000 37.8975 090 78586 Aerosol lung image, single A 0.40 2.72 2.72 NA 0.16 3.28 3.28 1XXX.00.00.0000000 37.8975 090 78586TCAerosol lung image, single A 0.00 2.59 2.59 NA 0.14 2.73 2.73 1XXX.00.00.0000000 37.8975 010 7858626Aerosol lung image, single A 0.40 0.13 0.13 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 78587 Aerosol lung image, multiple A 0.49 2.97 2.97 NA 0.16 3.62 3.62 1XXX.00.00.0000000 37.8975 090 78587TCAerosol lung image, multiple A 0.00 2.80 2.80 NA 0.14 2.94 2.94 1XXX.00.00.0000000 37.8975 010 7858726Aerosol lung image, multiple A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 37.8975 090 78588 Perfusion lung image A 1.09 3.56 3.56 NA 0.23 4.88 4.88 1XXX.00.00.0000000 37.8975 090 78588TCPerfusion lung image A 0.00 3.20 3.20 NA 0.18 3.38 3.38 1XXX.00.00.0000000 37.8975 010 7858826Perfusion lung image A 1.09 0.36 0.36 0.05 1.50 1.50 1XXX.00.00.0000000 37.8975 090 78591 Vent image, 1 breath, 1 proj A 0.40 2.98 2.98 NA 0.16 3.54 3.54 1XXX.00.00.0000000 37.8975 090 78591TCVent image, 1 breath, 1 proj A 0.00 2.85 2.85 NA 0.14 2.99 2.99 1XXX.00.00.0000000 37.8975 010 7859126Vent image, 1 breath, 1 proj A 0.40 0.13 0.13 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 78593 Vent image, 1 proj, gas A 0.49 3.61 3.61 NA 0.20 4.30 4.30 1XXX.00.00.0000000 37.8975 090 78593TCVent image, 1 proj, gas A 0.00 3.45 3.45 NA 0.18 3.63 3.63 1XXX.00.00.0000000 37.8975 010 7859326Vent image, 1 proj, gas A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 78594 Vent image, mult proj, gas A 0.53 5.16 5.16 NA 0.27 5.96 5.96 1XXX.00.00.0000000 37.8975 090 78594TCVent image, mult proj, gas A 0.00 4.98 4.98 NA 0.25 5.23 5.23 1XXX.00.00.0000000 37.8975 010 7859426Vent image, mult proj, gas A 0.53 0.18 0.18 0.02 0.73 0.73 1XXX.00.00.0000000 37.8975 090 78596 Lung differential function A 1.27 7.49 7.49 NA 0.42 9.18 9.18 1XXX.00.00.0000000 37.8975 090 78596TCLung differential function A 0.00 7.07 7.07 NA 0.37 7.44 7.44 1XXX.00.00.0000000 37.8975 010 7859626Lung differential function A 1.27 0.42 0.42 0.05 1.74 1.74 1XXX.00.00.0000000 37.8975 090 78599 Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78599TCRespiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7859926Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78600 Brain imaging, ltd static A 0.44 3.03 3.03 NA 0.16 3.63 3.63 1XXX.00.00.0000000 37.8975 090 78600TCBrain imaging, ltd static A 0.00 2.88 2.88 NA 0.14 3.02 3.02 1XXX.00.00.0000000 37.8975 010 7860026Brain imaging, ltd static A 0.44 0.15 0.15 0.02 0.61 0.61 1XXX.00.00.0000000 37.8975 090 78601 Brain imaging, ltd w/flow A 0.51 3.57 3.57 NA 0.20 4.28 4.28 1XXX.00.00.0000000 37.8975 090 78601TCBrain imaging, ltd w/flow A 0.00 3.40 3.40 NA 0.18 3.58 3.58 1XXX.00.00.0000000 37.8975 010 7860126Brain imaging, ltd w/flow A 0.51 0.17 0.17 0.02 0.70 0.70 1XXX.00.00.0000000 37.8975 090 78605 Brain imaging, complete A 0.53 3.58 3.58 NA 0.20 4.31 4.31 1XXX.00.00.0000000 37.8975 090 78605TCBrain imaging, complete A 0.00 3.40 3.40 NA 0.18 3.58 3.58 1XXX.00.00.0000000 37.8975 010 7860526Brain imaging, complete A 0.53 0.18 0.18 0.02 0.73 0.73 1XXX.00.00.0000000 37.8975 090 78606 Brain imaging, compl w/flow A 0.64 4.08 4.08 NA 0.24 4.96 4.96 1XXX.00.00.0000000 37.8975 090 78606TCBrain imaging, compl w/flow A 0.00 3.87 3.87 NA 0.21 4.08 4.08 1XXX.00.00.0000000 37.8975 010 7860626Brain imaging, compl w/flow A 0.64 0.21 0.21 0.03 0.88 0.88 1XXX.00.00.0000000 37.8975 090 78607 Brain imaging (3D) A 1.23 6.98 6.98 NA 0.40 8.61 8.61 1XXX.00.00.0000000 37.8975 090 78607TCBrain imaging (3D) A 0.00 6.55 6.55 NA 0.35 6.90 6.90 1XXX.00.00.0000000 37.8975 010 7860726Brain imaging (3D) A 1.23 0.43 0.43 0.05 1.71 1.71 1XXX.00.00.0000000 37.8975 090 78608 Brain imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78608TCBrain imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7860826Brain imaging (PET) A 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0000000 37.8975 090 78609 Brain imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78609TCBrain imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7860926Brain imaging (PET) A 1.50 0.51 0.51 0.06 2.07 2.07 1XXX.00.00.0000000 37.8975 090 78610 Brain flow imaging only A 0.30 1.69 1.69 NA 0.11 2.10 2.10 1XXX.00.00.0000000 37.8975 090 78610TCBrain flow imaging only A 0.00 1.58 1.58 NA 0.10 1.68 1.68 1XXX.00.00.0000000 37.8975 010 7861026Brain flow imaging only A 0.30 0.11 0.11 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 78615 Cerebral vascular flow image A 0.42 4.00 4.00 NA 0.23 4.65 4.65 1XXX.00.00.0000000 37.8975 090 78615TCCerebral vascular flow image A 0.00 3.85 3.85 NA 0.21 4.06 4.06 1XXX.00.00.0000000 37.8975 010 7861526Cerebral vascular flow image A 0.42 0.15 0.15 0.02 0.59 0.59 1XXX.00.00.0000000 37.8975 090 78630 Cerebrospinal fluid scan A 0.68 5.27 5.27 NA 0.30 6.25 6.25 1XXX.00.00.0000000 37.8975 090 78630TCCerebrospinal fluid scan A 0.00 5.04 5.04 NA 0.27 5.31 5.31 1XXX.00.00.0000000 37.8975 010 7863026Cerebrospinal fluid scan A 0.68 0.23 0.23 0.03 0.94 0.94 1XXX.00.00.0000000 37.8975 090 78635 CSF ventriculography A 0.61 2.77 2.77 NA 0.16 3.54 3.54 1XXX.00.00.0000000 37.8975 090 78635TCCSF ventriculography A 0.00 2.54 2.54 NA 0.14 2.68 2.68 1XXX.00.00.0000000 37.8975 010 7863526CSF ventriculography A 0.61 0.23 0.23 0.02 0.86 0.86 1XXX.00.00.0000000 37.8975 090 78645 CSF shunt evaluation A 0.57 3.62 3.62 NA 0.20 4.39 4.39 1XXX.00.00.0000000 37.8975 090 78645TCCSF shunt evaluation A 0.00 3.43 3.43 NA 0.18 3.61 3.61 1XXX.00.00.0000000 37.8975 010 7864526CSF shunt evaluation A 0.57 0.19 0.19 0.02 0.78 0.78 1XXX.00.00.0000000 37.8975 090 78647 Cerebrospinal fluid scan A 0.90 6.22 6.22 NA 0.35 7.47 7.47 1XXX.00.00.0000000 37.8975 090 78647TCCerebrospinal fluid scan A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7864726Cerebrospinal fluid scan A 0.90 0.31 0.31 0.04 1.25 1.25 1XXX.00.00.0000000 37.8975 090 78650 CSF leakage imaging A 0.61 4.85 4.85 NA 0.27 5.73 5.73 1XXX.00.00.0000000 37.8975 090 78650TCCSF leakage imaging A 0.00 4.64 4.64 NA 0.24 4.88 4.88 1XXX.00.00.0000000 37.8975 010 7865026CSF leakage imaging A 0.61 0.21 0.21 0.03 0.85 0.85 1XXX.00.00.0000000 37.8975 090 78660 Nuclear exam of tear flow A 0.53 2.30 2.30 NA 0.14 2.97 2.97 1XXX.00.00.0000000 37.8975 090 78660TCNuclear exam of tear flow A 0.00 2.12 2.12 NA 0.12 2.24 2.24 1XXX.00.00.0000000 37.8975 010 7866026Nuclear exam of tear flow A 0.53 0.18 0.18 0.02 0.73 0.73 1XXX.00.00.0000000 37.8975 090 78699 Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78699TCNervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7869926Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78700 Kidney imaging, static A 0.45 3.20 3.20 NA 0.18 3.83 3.83 1XXX.00.00.0000000 37.8975 090 78700TCKidney imaging, static A 0.00 3.05 3.05 NA 0.16 3.21 3.21 1XXX.00.00.0000000 37.8975 010 7870026Kidney imaging, static A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 78701 Kidney imaging with flow A 0.49 3.72 3.72 NA 0.20 4.41 4.41 1XXX.00.00.0000000 37.8975 090 78701TCKidney imaging with flow A 0.00 3.56 3.56 NA 0.18 3.74 3.74 1XXX.00.00.0000000 37.8975 010 7870126Kidney imaging with flow A 0.49 0.16 0.16 0.02 0.67 0.67 1XXX.00.00.0000000 37.8975 090 78704 Imaging renogram A 0.74 4.20 4.20 NA 0.24 5.18 5.18 1XXX.00.00.0000000 37.8975 090 78704TCImaging renogram A 0.00 3.95 3.95 NA 0.21 4.16 4.16 1XXX.00.00.0000000 37.8975 010 7870426Imaging renogram A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 37.8975 090 78707 Kidney flow/function image A 0.96 4.79 4.79 NA 0.27 6.02 6.02 1XXX.00.00.0000000 37.8975 090 78707TCKidney flow/function image A 0.00 4.47 4.47 NA 0.23 4.70 4.70 1XXX.00.00.0000000 37.8975 010 7870726Kidney flow/function image A 0.96 0.32 0.32 0.04 1.32 1.32 1XXX.00.00.0000000 37.8975 090 78708 Kidney flow/function image A 1.21 4.88 4.88 NA 0.28 6.37 6.37 1XXX.00.00.0000000 37.8975 090 78708TCKidney flow/function image A 0.00 4.47 4.47 NA 0.23 4.70 4.70 1XXX.00.00.0000000 37.8975 010 7870826Kidney flow/function image A 1.21 0.41 0.41 0.05 1.67 1.67 1XXX.00.00.0000000 37.8975 090 78709 Kidney flow/function image A 1.41 4.94 4.94 NA 0.29 6.64 6.64 1XXX.00.00.0000000 37.8975 090 78709TCKidney flow/function image A 0.00 4.47 4.47 NA 0.23 4.70 4.70 1XXX.00.00.0000000 37.8975 010 7870926Kidney flow/function image A 1.41 0.47 0.47 0.06 1.94 1.94 1XXX.00.00.0000000 37.8975 090 78710 Kidney imaging (3D) A 0.66 6.13 6.13 NA 0.34 7.13 7.13 1XXX.00.00.0000000 37.8975 090 78710TCKidney imaging (3D) A 0.00 5.91 5.91 NA 0.31 6.22 6.22 1XXX.00.00.0000000 37.8975 010 7871026Kidney imaging (3D) A 0.66 0.22 0.22 0.03 0.91 0.91 1XXX.00.00.0000000 37.8975 090 78715 Renal vascular flow exam A 0.30 1.69 1.69 NA 0.11 2.10 2.10 1XXX.00.00.0000000 37.8975 090 78715TCRenal vascular flow exam A 0.00 1.58 1.58 NA 0.10 1.68 1.68 1XXX.00.00.0000000 37.8975 010 7871526Renal vascular flow exam A 0.30 0.11 0.11 0.01 0.42 0.42 1XXX.00.00.0000000 37.8975 090 78725 Kidney function study A 0.38 1.91 1.91 NA 0.13 2.42 2.42 1XXX.00.00.0000000 37.8975 090 78725TCKidney function study A 0.00 1.78 1.78 NA 0.11 1.89 1.89 1XXX.00.00.0000000 37.8975 010 7872526Kidney function study A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 090 78730 Urinary bladder retention A 0.36 1.58 1.58 NA 0.10 2.04 2.04 1XXX.00.00.0000000 37.8975 090 78730TCUrinary bladder retention A 0.00 1.46 1.46 NA 0.08 1.54 1.54 1XXX.00.00.0000000 37.8975 010 7873026Urinary bladder retention A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 37.8975 090 78740 Ureteral reflux study A 0.57 2.31 2.31 NA 0.15 3.03 3.03 1XXX.00.00.0000000 37.8975 090 78740TCUreteral reflux study A 0.00 2.12 2.12 NA 0.12 2.24 2.24 1XXX.00.00.0000000 37.8975 010 7874026Ureteral reflux study A 0.57 0.19 0.19 0.03 0.79 0.79 1XXX.00.00.0000000 37.8975 090 78760 Testicular imaging A 0.66 2.90 2.90 NA 0.17 3.73 3.73 1XXX.00.00.0000000 37.8975 090 78760TCTesticular imaging A 0.00 2.68 2.68 NA 0.14 2.82 2.82 1XXX.00.00.0000000 37.8975 010 7876026Testicular imaging A 0.66 0.22 0.22 0.03 0.91 0.91 1XXX.00.00.0000000 37.8975 090 78761 Testicular imaging/flow A 0.71 3.44 3.44 NA 0.20 4.35 4.35 1XXX.00.00.0000000 37.8975 090 78761TCTesticular imaging/flow A 0.00 3.20 3.20 NA 0.17 3.37 3.37 1XXX.00.00.0000000 37.8975 010 7876126Testicular imaging/flow A 0.71 0.24 0.24 0.03 0.98 0.98 1XXX.00.00.0000000 37.8975 090 78799 Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78799TCGenitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7879926Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78800 Tumor imaging, limited area A 0.66 3.62 3.62 NA 0.22 4.50 4.50 1XXX.00.00.0000000 37.8975 090 78800TCTumor imaging, limited area A 0.00 3.40 3.40 NA 0.18 3.58 3.58 1XXX.00.00.0000000 37.8975 010 7880026Tumor imaging, limited area A 0.66 0.22 0.22 0.04 0.92 0.92 1XXX.00.00.0000000 37.8975 090 78801 Tumor imaging, mult areas A 0.79 4.49 4.49 NA 0.27 5.55 5.55 1XXX.00.00.0000000 37.8975 090 78801TCTumor imaging, mult areas A 0.00 4.22 4.22 NA 0.22 4.44 4.44 1XXX.00.00.0000000 37.8975 010 7880126Tumor imaging, mult areas A 0.79 0.27 0.27 0.05 1.11 1.11 1XXX.00.00.0000000 37.8975 090 78802 Tumor imaging, whole body A 0.86 5.82 5.82 NA 0.34 7.02 7.02 1XXX.00.00.0020000 37.8975 090 78802TCTumor imaging, whole body A 0.00 5.53 5.53 NA 0.30 5.83 5.83 1XXX.00.00.0020000 37.8975 010 7880226Tumor imaging, whole body A 0.86 0.29 0.29 0.04 1.19 1.19 1XXX.00.00.0020000 37.8975 090 78803 Tumor imaging (3D) A 1.09 6.93 6.93 NA 0.40 8.42 8.42 1XXX.00.00.0020000 37.8975 090 78803TCTumor imaging (3D) A 0.00 6.55 6.55 NA 0.35 6.90 6.90 1XXX.00.00.0020000 37.8975 010 7880326Tumor imaging (3D) A 1.09 0.38 0.38 0.05 1.52 1.52 1XXX.00.00.0020000 37.8975 090 78804 Tumor imaging, whole body A 1.07 11.43 11.43 NA 0.34 12.84 12.84 1XXX.00.00.0000000 37.8975 090 78804TCTumor imaging, whole body A 0.00 11.06 11.06 NA 0.30 11.36 11.36 1XXX.00.00.0000000 37.8975 010 7880426Tumor imaging, whole body A 1.07 0.37 0.37 0.04 1.48 1.48 1XXX.00.00.0000000 37.8975 090 78805 Abscess imaging, ltd area A 0.73 3.65 3.65 NA 0.21 4.59 4.59 1XXX.00.00.0000000 37.8975 090 78805TCAbscess imaging, ltd area A 0.00 3.40 3.40 NA 0.18 3.58 3.58 1XXX.00.00.0000000 37.8975 010 7880526Abscess imaging, ltd area A 0.73 0.25 0.25 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 78806 Abscess imaging, whole body A 0.86 6.72 6.72 NA 0.39 7.97 7.97 1XXX.00.00.0020000 37.8975 090 78806TCAbscess imaging, whole body A 0.00 6.43 6.43 NA 0.35 6.78 6.78 1XXX.00.00.0020000 37.8975 010 7880626Abscess imaging, whole body A 0.86 0.29 0.29 0.04 1.19 1.19 1XXX.00.00.0020000 37.8975 090 78807 Nuclear localization/abscess A 1.09 6.94 6.94 NA 0.39 8.42 8.42 1XXX.00.00.0020000 37.8975 090 78807TCNuclear localization/abscess A 0.00 6.55 6.55 NA 0.35 6.90 6.90 1XXX.00.00.0020000 37.8975 010 7880726Nuclear localization/abscess A 1.09 0.39 0.39 0.04 1.52 1.52 1XXX.00.00.0020000 37.8975 090 78811 Tumor imaging (pet), limited C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78811TCTumor imaging (pet), limited C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881126Tumor imaging (pet), limited A+ 1.54 0.53 0.53 0.11 2.18 2.18 1XXX.00.00.0000000 37.8975 090 78812 Tumor image (pet)/skul-thigh C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78812TCTumor image (pet)/skul-thigh C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881226Tumor image (pet)/skul-thigh A+ 1.93 0.66 0.66 0.11 2.70 2.70 1XXX.00.00.0000000 37.8975 090 78813 Tumor image (pet) full body C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78813TCTumor image (pet) full body C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881326Tumor image (pet) full body A+ 2.00 0.69 0.69 0.11 2.80 2.80 1XXX.00.00.0000000 37.8975 090 78814 Tumor image pet/ct, limited C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78814TCTumor image pet/ct, limited C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881426Tumor image pet/ct, limited A+ 2.20 0.76 0.76 0.11 3.07 3.07 1XXX.00.00.0000000 37.8975 090 78815 Tumorimage pet/ct skul-thigh C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78815TCTumorimage pet/ct skul-thigh C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881526Tumorimage pet/ct skul-thigh A+ 2.44 0.84 0.84 0.11 3.39 3.39 1XXX.00.00.0000000 37.8975 090 78816 Tumor image pet/ct full body C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78816TCTumor image pet/ct full body C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 7881626Tumor image pet/ct full body A+ 2.50 0.86 0.86 0.11 3.47 3.47 1XXX.00.00.0000000 37.8975 090 78890 Nuclear medicine data proc B+ 0.05 1.33 1.33 NA 0.07 1.45 1.45 1XXX.00.00.0099999 37.8975 090 78890TCNuclear medicine data proc B+ 0.00 1.31 1.31 NA 0.06 1.37 1.37 1XXX.00.00.0099999 37.8975 090 7889026Nuclear medicine data proc B+ 0.05 0.02 0.02 0.01 0.08 0.08 1XXX.00.00.0099999 37.8975 090 78891 Nuclear med data proc B+ 0.10 2.66 2.66 NA 0.14 2.90 2.90 1XXX.00.00.0099999 37.8975 090 78891TCNuclear med data proc B+ 0.00 2.62 2.62 NA 0.13 2.75 2.75 1XXX.00.00.0099999 37.8975 090 7889126Nuclear med data proc B+ 0.10 0.04 0.04 0.01 0.15 0.15 1XXX.00.00.0099999 37.8975 090 78999 Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 78999TCNuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7899926Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 79005 Nuclear rx, oral admin A 1.80 3.22 3.22 NA 0.22 5.24 5.24 1XXX.00.00.0000000 37.8975 090 79005TCNuclear rx, oral admin A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 090 7900526Nuclear rx, oral admin A 1.80 0.60 0.60 0.08 2.48 2.48 1XXX.00.00.0000000 37.8975 090 79101 Nuclear rx, iv admin A 1.96 3.29 3.29 NA 0.22 5.47 5.47 1XXX.00.00.0000000 37.8975 090 79101TCNuclear rx, iv admin A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 090 7910126Nuclear rx, iv admin A 1.96 0.67 0.67 0.08 2.71 2.71 1XXX.00.00.0000000 37.8975 090 79200 Nuclear rx, intracav admin A 1.99 3.31 3.31 NA 0.23 5.53 5.53 1XXX.00.00.0000000 37.8975 090 79200TCNuclear rx, intracav admin A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 090 7920026Nuclear rx, intracav admin A 1.99 0.69 0.69 0.09 2.77 2.77 1XXX.00.00.0000000 37.8975 090 79300 Nuclr rx, interstit colloid C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 79300TCNuclr rx, interstit colloid C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7930026Nuclr rx, interstit colloid A 1.60 0.56 0.56 0.13 2.29 2.29 1XXX.00.00.0000000 37.8975 090 79403 Hematopoietic nuclear tx A 2.25 5.16 5.16 NA 0.24 7.65 7.65 1XXX.00.00.0000000 37.8975 090 79403TCHematopoietic nuclear tx A 0.00 4.27 4.27 NA 0.14 4.41 4.41 1XXX.00.00.0000000 37.8975 090 7940326Hematopoietic nuclear tx A 2.25 0.89 0.89 0.10 3.24 3.24 1XXX.00.00.0000000 37.8975 090 79440 Nuclear rx, intra-articular A 1.99 3.34 3.34 NA 0.22 5.55 5.55 1XXX.00.00.0000000 37.8975 090 79440TCNuclear rx, intra-articular A 0.00 2.62 2.62 NA 0.14 2.76 2.76 1XXX.00.00.0000000 37.8975 090 7944026Nuclear rx, intra-articular A 1.99 0.72 0.72 0.08 2.79 2.79 1XXX.00.00.0000000 37.8975 090 79445 Nuclear rx, intra-arterial A 2.40 3.44 3.44 NA 0.28 6.12 6.12 1XXX.00.00.0000000 37.8975 090 79445TCNuclear rx, intra-arterial A 0.00 2.62 2.62 NA 0.16 2.78 2.78 1XXX.00.00.0000000 37.8975 090 7944526Nuclear rx, intra-arterial A 2.40 0.82 0.82 0.12 3.34 3.34 1XXX.00.00.0000000 37.8975 090 79999 Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 79999TCNuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 7999926Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 80048 Basic metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80050 General health panel N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80053 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80055 Obstetric panel I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80069 Renal function panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80074 Acute hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80076 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80100 Drug screen, qualitate/multi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80101 Drug screen, single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80102 Drug confirmation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80103 Drug analysis, tissue prep X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80150 Assay of amikacin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80152 Assay of amitriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80154 Assay of benzodiazepines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80156 Assay, carbamazepine, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80157 Assay, carbamazepine, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80158 Assay of cyclosporine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80160 Assay of desipramine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80162 Assay of digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80164 Assay, dipropylacetic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80166 Assay of doxepin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80168 Assay of ethosuximide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80170 Assay of gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80172 Assay of gold X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80173 Assay of haloperidol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80174 Assay of imipramine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80176 Assay of lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80178 Assay of lithium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80182 Assay of nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80184 Assay of phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80185 Assay of phenytoin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80186 Assay of phenytoin, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80188 Assay of primidone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80190 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80192 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80194 Assay of quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80196 Assay of salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80197 Assay of tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80198 Assay of theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80200 Assay of tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80201 Assay of topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80202 Assay of vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80299 Quantitative assay, drug X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80400 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80402 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80406 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80408 Aldosterone suppression eval X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80410 Calcitonin stimul panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80412 CRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80414 Testosterone response X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80415 Estradiol response panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80416 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80417 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80418 Pituitary evaluation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80422 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80424 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80426 Gonadotropin hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80428 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80430 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80432 Insulin suppression panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80434 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80435 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80438 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80439 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80440 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 80500 Lab pathology consultation A 0.37 0.21 0.16 0.01 0.59 0.54 0XXX.00.00.0000000 37.8975 090 80502 Lab pathology consultation A 1.33 0.54 0.54 0.06 1.93 1.93 0XXX.00.00.0000000 37.8975 090 81000 Urinalysis, nonauto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81001 Urinalysis, auto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81002 Urinalysis nonauto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81003 Urinalysis, auto, w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81007 Urine screen for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81015 Microscopic exam of urine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81020 Urinalysis, glass test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81025 Urine pregnancy test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81050 Urinalysis, volume measure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 81099 Urinalysis test procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82000 Assay of blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82003 Assay of acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82009 Test for acetone/ketones X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82010 Acetone assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82016 Acylcarnitines, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82017 Acylcarnitines, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82024 Assay of acth X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82030 Assay of adp & amp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82040 Assay of serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82042 Assay of urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82043 Microalbumin, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82044 Microalbumin, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82045 Albumin, ischemia modified X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82055 Assay of ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82075 Assay of breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82085 Assay of aldolase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82088 Assay of aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82101 Assay of urine alkaloids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82103 Alpha-1-antitrypsin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82104 Alpha-1-antitrypsin, pheno X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82105 Alpha-fetoprotein, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82106 Alpha-fetoprotein, amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82108 Assay of aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82120 Amines, vaginal fluid qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82127 Amino acid, single qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82128 Amino acids, mult qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82131 Amino acids, single quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82135 Assay, aminolevulinic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82136 Amino acids, quant, 2-5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82139 Amino acids, quan, 6 or more X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82140 Assay of ammonia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82143 Amniotic fluid scan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82145 Assay of amphetamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82150 Assay of amylase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82157 Assay of androstenedione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82160 Assay of androsterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82163 Assay of angiotensin II X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82164 Angiotensin I enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82172 Assay of apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82175 Assay of arsenic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82180 Assay of ascorbic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82205 Assay of barbiturates X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82232 Assay of beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82239 Bile acids, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82240 Bile acids, cholylglycine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82247 Bilirubin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82248 Bilirubin, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82252 Fecal bilirubin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82261 Assay of biotinidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82270 Test for blood, feces X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82273 Test for blood, other source X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82274 Assay test for blood, fecal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82286 Assay of bradykinin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82300 Assay of cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82306 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82307 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82308 Assay of calcitonin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82310 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82330 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82331 Calcium infusion test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82340 Assay of calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82355 Calculus analysis, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82360 Calculus assay, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82365 Calculus spectroscopy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82370 X-ray assay, calculus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82373 Assay, c-d transfer measure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82374 Assay, blood carbon dioxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82375 Assay, blood carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82376 Test for carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82379 Assay of carnitine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82380 Assay of carotene X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82382 Assay, urine catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82383 Assay, blood catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82384 Assay, three catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82387 Assay of cathepsin-d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82390 Assay of ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82415 Assay of chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82435 Assay of blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82436 Assay of urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82438 Assay, other fluid chlorides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82441 Test for chlorohydrocarbons X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82465 Assay, bld/serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82480 Assay, serum cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82482 Assay, rbc cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82485 Assay, chondroitin sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82486 Gas/liquid chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82487 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82488 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82489 Thin layer chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82491 Chromotography, quant, sing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82492 Chromotography, quant, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82495 Assay of chromium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82507 Assay of citrate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82520 Assay of cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82525 Assay of copper X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82528 Assay of corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82530 Cortisol, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82540 Assay of creatine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82541 Column chromotography, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82542 Column chromotography, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82543 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82544 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82550 Assay of ck (cpk) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82552 Assay of cpk in blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82553 Creatine, MB fraction X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82554 Creatine, isoforms X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82565 Assay of creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82570 Assay of urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82575 Creatinine clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82585 Assay of cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82595 Assay of cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82600 Assay of cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82607 Vitamin B-12 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82608 B-12 binding capacity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82615 Test for urine cystines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82638 Assay of dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82646 Assay of dihydrocodeinone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82649 Assay of dihydromorphinone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82651 Assay of dihydrotestosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82652 Assay of dihydroxyvitamin d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82654 Assay of dimethadione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82656 Pancreatic elastase, fecal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82657 Enzyme cell activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82658 Enzyme cell activity, ra X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82666 Assay of epiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82668 Assay of erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82670 Assay of estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82671 Assay of estrogens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82672 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82677 Assay of estriol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82679 Assay of estrone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82690 Assay of ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82693 Assay of ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82696 Assay of etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82705 Fats/lipids, feces, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82710 Fats/lipids, feces, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82715 Assay of fecal fat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82725 Assay of blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82726 Long chain fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82728 Assay of ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82731 Assay of fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82735 Assay of fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82742 Assay of flurazepam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82746 Blood folic acid serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82747 Assay of folic acid, rbc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82757 Assay of semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82759 Assay of rbc galactokinase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82760 Assay of galactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82775 Assay galactose transferase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82776 Galactose transferase test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82784 Assay of gammaglobulin igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82785 Assay of gammaglobulin ige X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82787 Igg 1, 2, 3 or 4, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82800 Blood pH X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82803 Blood gases: pH, pO2 & pCO2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82805 Blood gases W/02 saturation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82810 Blood gases, O2 sat only X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82820 Hemoglobin-oxygen affinity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82926 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82928 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82941 Assay of gastrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82943 Assay of glucagon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82945 Glucose other fluid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82946 Glucagon tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82947 Assay, glucose, blood quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82948 Reagent strip/blood glucose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82951 Glucose tolerance test (GTT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82952 GTT-added samples X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82953 Glucose-tolbutamide test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82955 Assay of g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82960 Test for G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82962 Glucose blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82963 Assay of glucosidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82965 Assay of gdh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82975 Assay of glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82977 Assay of GGT X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82978 Assay of glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82979 Assay, rbc glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82980 Assay of glutethimide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 82985 Glycated protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83001 Gonadotropin (FSH) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83002 Gonadotropin (LH) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83003 Assay, growth hormone (hgh) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83008 Assay of guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83009 H pylori (c-13), blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83010 Assay of haptoglobin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83012 Assay of haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83013 H pylori (c-13), breath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83014 H pylori drug admin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83015 Heavy metal screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83018 Quantitative screen, metals X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83020 Hemoglobin electrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8302026Hemoglobin electrophoresis A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 37.8975 090 83021 Hemoglobin chromotography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83026 Hemoglobin, copper sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83030 Fetal hemoglobin, chemical X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83033 Fetal hemoglobin assay, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83036 Glycated hemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83045 Blood methemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83050 Blood methemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83051 Assay of plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83055 Blood sulfhemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83060 Blood sulfhemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83065 Assay of hemoglobin heat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83068 Hemoglobin stability screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83069 Assay of urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83070 Assay of hemosiderin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83071 Assay of hemosiderin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83080 Assay of b hexosaminidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83088 Assay of histamine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83090 Assay of homocystine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83150 Assay of for hva X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83491 Assay of corticosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83497 Assay of 5-hiaa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83498 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83499 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83500 Assay, free hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83505 Assay, total hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83516 Immunoassay, nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83518 Immunoassay, dipstick X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83519 Immunoassay, nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83520 Immunoassay, RIA X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83525 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83527 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83528 Assay of intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83540 Assay of iron X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83550 Iron binding test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83570 Assay of idh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83582 Assay of ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83586 Assay 17- ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83593 Fractionation, ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83605 Assay of lactic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83615 Lactate (LD) (LDH) enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83625 Assay of ldh enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83630 Lactoferrin, fecal (qual) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83633 Test urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83634 Assay of urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83655 Assay of lead X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83661 L/s ratio, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83662 Foam stability, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83663 Fluoro polarize, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83664 Lamellar bdy, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83670 Assay of lap enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83690 Assay of lipase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83715 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83716 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83718 Assay of lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83719 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83721 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83727 Assay of lrh hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83735 Assay of magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83775 Assay of md enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83785 Assay of manganese X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83788 Mass spectrometry qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83789 Mass spectrometry quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83805 Assay of meprobamate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83825 Assay of mercury X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83835 Assay of metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83840 Assay of methadone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83857 Assay of methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83858 Assay of methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83866 Mucopolysaccharides screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83872 Assay synovial fluid mucin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83873 Assay of csf protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83874 Assay of myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83880 Natriuretic peptide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83883 Assay, nephelometry not spec X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83885 Assay of nickel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83887 Assay of nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83890 Molecule isolate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83891 Molecule isolate nucleic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83892 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83893 Molecule dot/slot/blot X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83894 Molecule gel electrophor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83896 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83897 Molecule nucleic transfer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83898 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83901 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83902 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83903 Molecule mutation scan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83904 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83905 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83906 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83912 Genetic examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8391226Genetic examination A 0.37 0.12 0.12 0.01 0.50 0.50 6XXX.00.00.0000000 37.8975 090 83915 Assay of nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83918 Organic acids, total, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83919 Organic acids, qual, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83921 Organic acid, single, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83925 Assay of opiates X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83930 Assay of blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83935 Assay of urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83937 Assay of osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83945 Assay of oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83950 Oncoprotein, her-2/neu X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83970 Assay of parathormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83986 Assay of body fluid acidity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 83992 Assay for phencyclidine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84022 Assay of phenothiazine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84030 Assay of blood pku X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84035 Assay of phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84060 Assay acid phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84061 Phosphatase, forensic exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84066 Assay prostate phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84075 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84078 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84080 Assay alkaline phosphatases X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84081 Amniotic fluid enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84085 Assay of rbc pg6d enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84087 Assay phosphohexose enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84100 Assay of phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84105 Assay of urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84106 Test for porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84110 Assay of porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84119 Test urine for porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84120 Assay of urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84126 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84127 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84132 Assay of serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84133 Assay of urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84134 Assay of prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84135 Assay of pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84138 Assay of pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84140 Assay of pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84143 Assay of 17-hydroxypregneno X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84144 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84146 Assay of prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84150 Assay of prostaglandin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84152 Assay of psa, complexed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84153 Assay of psa, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84154 Assay of psa, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84155 Assay of protein, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84156 Assay of protein, urine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84157 Assay of protein, other X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84160 Assay of protein, any source X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84163 Pappa, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84165 Protein e-phoresis, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8416526Protein e-phoresis, serum A 0.37 0.14 0.14 0.01 0.52 0.52 6XXX.00.00.0000000 37.8975 090 84166 Protein e-phoresis/urine/csf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8416626Protein e-phoresis/urine/csf A 0.37 0.14 0.14 0.01 0.52 0.52 6XXX.00.00.0000000 37.8975 090 84181 Western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8418126Western blot test A 0.37 0.14 0.14 0.01 0.52 0.52 6XXX.00.00.0000000 37.8975 090 84182 Protein, western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8418226Protein, western blot test A 0.37 0.16 0.16 0.02 0.55 0.55 6XXX.00.00.0000000 37.8975 090 84202 Assay RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84203 Test RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84206 Assay of proinsulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84207 Assay of vitamin b-6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84210 Assay of pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84220 Assay of pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84228 Assay of quinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84233 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84234 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84235 Assay of endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84238 Assay, nonendocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84244 Assay of renin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84252 Assay of vitamin b-2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84255 Assay of selenium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84260 Assay of serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84270 Assay of sex hormone globul X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84275 Assay of sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84285 Assay of silica X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84295 Assay of serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84300 Assay of urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84302 Assay of sweat sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84305 Assay of somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84307 Assay of somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84315 Body fluid specific gravity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84375 Chromatogram assay, sugars X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84376 Sugars, single, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84377 Sugars, multiple, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84378 Sugars, single, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84379 Sugars multiple quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84392 Assay of urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84402 Assay of testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84403 Assay of total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84425 Assay of vitamin b-1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84430 Assay of thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84432 Assay of thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84436 Assay of total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84437 Assay of neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84439 Assay of free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84442 Assay of thyroid activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84443 Assay thyroid stim hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84445 Assay of tsi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84446 Assay of vitamin e X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84449 Assay of transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84450 Transferase (AST) (SGOT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84460 Alanine amino (ALT) (SGPT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84466 Assay of transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84478 Assay of triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84479 Assay of thyroid (t3 or t4) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84480 Assay, triiodothyronine (t3) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84481 Free assay (FT-3) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84482 T3 reverse X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84484 Assay of troponin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84485 Assay duodenal fluid trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84488 Test feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84490 Assay of feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84510 Assay of tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84512 Assay of troponin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84520 Assay of urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84525 Urea nitrogen semi-quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84540 Assay of urine/urea-n X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84545 Urea-N clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84550 Assay of blood/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84560 Assay of urine/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84577 Assay of feces/urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84578 Test urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84580 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84583 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84585 Assay of urine vma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84586 Assay of vip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84588 Assay of vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84590 Assay of vitamin a X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84591 Assay of nos vitamin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84597 Assay of vitamin k X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84600 Assay of volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84620 Xylose tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84630 Assay of zinc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84681 Assay of c-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84702 Chorionic gonadotropin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84703 Chorionic gonadotropin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84830 Ovulation tests X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 84999 Clinical chemistry test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85002 Bleeding time test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85004 Automated diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85007 Bl smear w/diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85008 Bl smear w/o diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85009 Manual diff wbc count b-coat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85013 Spun microhematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85025 Complete cbc w/auto diff wbc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85027 Complete cbc, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85032 Manual cell count, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85041 Automated rbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85044 Manual reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85045 Automated reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85046 Reticyte/hgb concentrate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85048 Automated leukocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85049 Automated platelet count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85055 Reticulated platelet assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85060 Blood smear interpretation A 0.45 0.18 0.18 0.02 0.65 0.65 8XXX.00.00.0000000 37.8975 090 85097 Bone marrow interpretation A 0.94 1.91 0.41 0.04 2.89 1.39 0XXX.00.00.0000000 37.8975 090 85130 Chromogenic substrate assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85170 Blood clot retraction X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85175 Blood clot lysis time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85210 Blood clot factor II test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85220 Blood clot factor V test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85230 Blood clot factor VII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85240 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85244 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85245 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85246 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85247 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85250 Blood clot factor IX test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85260 Blood clot factor X test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85270 Blood clot factor XI test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85280 Blood clot factor XII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85290 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85291 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85292 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85293 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85300 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85301 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85302 Blood clot inhibitor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85303 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85305 Blood clot inhibitor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85306 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85307 Assay activated protein c X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85335 Factor inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85345 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85347 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85348 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85360 Euglobulin lysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85362 Fibrin degradation products X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85366 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85370 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85378 Fibrin degrade, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85379 Fibrin degradation, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85380 Fibrin degradation, vte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85390 Fibrinolysins screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8539026Fibrinolysins screen A 0.37 0.13 0.13 0.01 0.51 0.51 6XXX.00.00.0000000 37.8975 090 85396 Clotting assay, whole blood A 0.37 0.16NA 0.16 0.04 0.57 0.57 0XXX.00.00.0000000 37.8975 090 85400 Fibrinolytic plasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85410 Fibrinolytic antiplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85415 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85420 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85421 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85441 Heinz bodies, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85445 Heinz bodies, induced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85460 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85461 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85520 Heparin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85525 Heparin neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85530 Heparin-protamine tolerance X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85536 Iron stain peripheral blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85540 Wbc alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85547 RBC mechanical fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85555 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85557 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85576 Blood platelet aggregation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8557626Blood platelet aggregation A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 37.8975 090 85597 Platelet neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85610 Prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85611 Prothrombin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85612 Viper venom prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85613 Russell viper venom, diluted X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85635 Reptilase test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85651 Rbc sed rate, nonautomated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85652 Rbc sed rate, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85660 RBC sickle cell test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85670 Thrombin time, plasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85675 Thrombin time, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85705 Thromboplastin inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85730 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85732 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85810 Blood viscosity examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 85999 Hematology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86000 Agglutinins, febrile X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86001 Allergen specific igg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86003 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86005 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86021 WBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86022 Platelet antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86023 Immunoglobulin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86038 Antinuclear antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86039 Antinuclear antibodies (ANA) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86060 Antistreptolysin o, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86063 Antistreptolysin o, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86064 B cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86077 Physician blood bank service A 0.94 0.39 0.39 0.04 1.37 1.37 0XXX.00.00.0000000 37.8975 090 86078 Physician blood bank service A 0.94 0.46 0.40 0.04 1.44 1.38 0XXX.00.00.0000000 37.8975 090 86079 Physician blood bank service A 0.94 0.45 0.41 0.03 1.42 1.38 0XXX.00.00.0000000 37.8975 090 86140 C-reactive protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86141 C-reactive protein, hs X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86146 Glycoprotein antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86147 Cardiolipin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86148 Phospholipid antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86155 Chemotaxis assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86156 Cold agglutinin, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86157 Cold agglutinin, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86160 Complement, antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86161 Complement/function activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86162 Complement, total (CH50) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86171 Complement fixation, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86215 Deoxyribonuclease, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86225 DNA antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86226 DNA antibody, single strand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86235 Nuclear antigen antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86243 Fc receptor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86255 Fluorescent antibody, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8625526Fluorescent antibody, screen A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 37.8975 090 86256 Fluorescent antibody, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8625626Fluorescent antibody, titer A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 37.8975 090 86277 Growth hormone antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86280 Hemagglutination inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86294 Immunoassay, tumor, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86300 Immunoassay, tumor, ca 15-3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86301 Immunoassay, tumor, ca 19-9 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86304 Immunoassay, tumor, ca 125 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86308 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86309 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86310 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86316 Immunoassay, tumor other X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86317 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86318 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86320 Serum immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8632026Serum immunoelectrophoresis A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 37.8975 090 86325 Other immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8632526Other immunoelectrophoresis A 0.37 0.13 0.13 0.01 0.51 0.51 6XXX.00.00.0000000 37.8975 090 86327 Immunoelectrophoresis assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8632726Immunoelectrophoresis assay A 0.42 0.18 0.18 0.02 0.62 0.62 6XXX.00.00.0000000 37.8975 090 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86331 Immunodiffusion ouchterlony X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86332 Immune complex assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86334 Immunofix e-phoresis, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8633426Immunofix e-phoresis, serum A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 37.8975 090 86335 Immunfix e-phorsis/urine/csf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8633526Immunfix e-phorsis/urine/csf A 0.37 0.14 0.14 0.01 0.52 0.52 6XXX.00.00.0000000 37.8975 090 86336 Inhibin A X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86337 Insulin antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86340 Intrinsic factor antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86341 Islet cell antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86343 Leukocyte histamine release X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86344 Leukocyte phagocytosis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86353 Lymphocyte transformation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86359 T cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86360 T cell, absolute count/ratio X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86361 T cell, absolute count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86376 Microsomal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86378 Migration inhibitory factor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86379 Nk cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86382 Neutralization test, viral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86384 Nitroblue tetrazolium dye X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86403 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86406 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86430 Rheumatoid factor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86431 Rheumatoid factor, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86485 Skin test, candida C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 37.8975 090 86490 Coccidioidomycosis skin test A 0.00 0.29 0.29 NA 0.02 0.31 0.31 3XXX.00.00.0000000 37.8975 090 86510 Histoplasmosis skin test A 0.00 0.32 0.32 NA 0.02 0.34 0.34 3XXX.00.00.0000000 37.8975 090 86580 TB intradermal test A 0.00 0.25 0.25 NA 0.02 0.27 0.27 3XXX.00.00.0000000 37.8975 090 86585 TB tine test A 0.00 0.20 0.20 NA 0.01 0.21 0.21 3XXX.00.00.0000000 37.8975 090 86586 Skin test, unlisted C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 37.8975 090 86587 Stem cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86590 Streptokinase, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86592 Blood serology, qualitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86593 Blood serology, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86602 Antinomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86603 Adenovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86606 Aspergillus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86609 Bacterium antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86611 Bartonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86612 Blastomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86615 Bordetella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86617 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86618 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86619 Borrelia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86622 Brucella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86625 Campylobacter antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86628 Candida antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86631 Chlamydia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86632 Chlamydia igm antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86635 Coccidioides antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86638 Q fever antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86641 Cryptococcus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86644 CMV antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86645 CMV antibody, IgM X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86648 Diphtheria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86651 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86652 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86653 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86654 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86658 Enterovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86663 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86664 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86665 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86666 Ehrlichia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86668 Francisella tularensis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86671 Fungus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86674 Giardia lamblia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86677 Helicobacter pylori X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86682 Helminth antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86684 Hemophilus influenza X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86687 Htlv-i antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86688 Htlv-ii antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86689 HTLV/HIV confirmatory test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86692 Hepatitis, delta agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86694 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86695 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86696 Herpes simplex type 2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86701 HIV-1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86702 HIV-2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86703 HIV-1/HIV-2, single assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86704 Hep b core antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86705 Hep b core antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86706 Hep b surface antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86707 Hep be antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86708 Hep a antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86709 Hep a antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86710 Influenza virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86713 Legionella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86717 Leishmania antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86720 Leptospira antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86723 Listeria monocytogenes ab X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86727 Lymph choriomeningitis ab X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86729 Lympho venereum antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86732 Mucormycosis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86735 Mumps antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86738 Mycoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86741 Neisseria meningitidis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86744 Nocardia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86747 Parvovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86750 Malaria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86753 Protozoa antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86756 Respiratory virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86757 Rickettsia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86759 Rotavirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86762 Rubella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86765 Rubeola antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86768 Salmonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86771 Shigella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86774 Tetanus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86777 Toxoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86778 Toxoplasma antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86781 Treponema pallidum, confirm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86784 Trichinella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86787 Varicella-zoster antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86790 Virus antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86793 Yersinia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86800 Thyroglobulin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86803 Hepatitis c ab test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86804 Hep c ab test, confirm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86805 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86806 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86807 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86808 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86812 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86813 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86816 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86817 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86821 Lymphocyte culture, mixed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86822 Lymphocyte culture, primed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86849 Immunology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86850 RBC antibody screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86860 RBC antibody elution X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86870 RBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86880 Coombs test, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86885 Coombs test, indirect, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86886 Coombs test, indirect, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86890 Autologous blood process X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86891 Autologous blood, op salvage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86900 Blood typing, ABO X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86901 Blood typing, Rh (D) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86903 Blood typing, antigen screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86904 Blood typing, patient serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86905 Blood typing, RBC antigens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86906 Blood typing, Rh phenotype X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86910 Blood typing, paternity test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86911 Blood typing, antigen system N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86920 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86921 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86922 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86927 Plasma, fresh frozen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86930 Frozen blood prep X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86931 Frozen blood thaw X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86932 Frozen blood freeze/thaw X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86940 Hemolysins/agglutinins, auto X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86941 Hemolysins/agglutinins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86945 Blood product/irradiation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86950 Leukacyte transfusion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86965 Pooling blood platelets X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86970 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86971 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86972 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86975 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86976 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86977 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86978 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86985 Split blood or products X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 86999 Transfusion procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87001 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87003 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87015 Specimen concentration X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87040 Blood culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87045 Feces culture, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87046 Stool cultr, bacteria, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87070 Culture, bacteria, other X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87071 Culture bacteri aerobic othr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87073 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87075 Cultr bacteria, except blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87076 Culture anaerobe ident, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87077 Culture aerobic identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87081 Culture screen only X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87084 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87086 Urine culture/colony count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87088 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87101 Skin fungi culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87102 Fungus isolation culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87103 Blood fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87106 Fungi identification, yeast X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87107 Fungi identification, mold X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87109 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87110 Chlamydia culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87116 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87118 Mycobacteric identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87140 Culture type immunofluoresc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87143 Culture typing, glc/hplc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87147 Culture type, immunologic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87149 Culture type, nucleic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87152 Culture type pulse field gel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87158 Culture typing, added method X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87164 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8716426Dark field examination A 0.37 0.12 0.12 0.01 0.50 0.50 6XXX.00.00.0000000 37.8975 090 87166 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87168 Macroscopic exam arthropod X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87169 Macroscopic exam parasite X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87172 Pinworm exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87176 Tissue homogenization, cultr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87177 Ova and parasites smears X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87181 Microbe susceptible, diffuse X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87184 Microbe susceptible, disk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87185 Microbe susceptible, enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87186 Microbe susceptible, mic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87187 Microbe susceptible, mlc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87188 Microbe suscept, macrobroth X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87190 Microbe suscept, mycobacteri X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87197 Bactericidal level, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87205 Smear, gram stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87206 Smear, fluorescent/acid stai X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87207 Smear, special stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8720726Smear, special stain A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 37.8975 090 87210 Smear, wet mount, saline/ink X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87220 Tissue exam for fungi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87230 Assay, toxin or antitoxin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87250 Virus inoculate, eggs/animal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87252 Virus inoculation, tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87253 Virus inoculate tissue, addl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87254 Virus inoculation, shell via X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87255 Genet virus isolate, hsv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87260 Adenovirus ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87265 Pertussis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87267 Enterovirus antibody, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87269 Giardia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87270 Chlamydia trachomatis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87271 Cryptosporidum/gardia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87272 Cryptosporidium ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87273 Herpes simplex 2, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87274 Herpes simplex 1, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87275 Influenza b, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87276 Influenza a, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87277 Legionella micdadei, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87278 Legion pneumophilia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87279 Parainfluenza, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87280 Respiratory syncytial ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87281 Pneumocystis carinii, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87283 Rubeola, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87285 Treponema pallidum, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87290 Varicella zoster, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87299 Antibody detection, nos, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87300 Ag detection, polyval, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87301 Adenovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87320 Chylmd trach ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87324 Clostridium ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87327 Cryptococcus neoform ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87328 Cryptosporidium ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87329 Giardia ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87332 Cytomegalovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87335 E coli 0157 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87336 Entamoeb hist dispr, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87337 Entamoeb hist group, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87338 Hpylori, stool, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87339 H pylori ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87340 Hepatitis b surface ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87341 Hepatitis b surface, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87350 Hepatitis be ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87380 Hepatitis delta ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87385 Histoplasma capsul ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87390 Hiv-1 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87391 Hiv-2 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87400 Influenza a/b, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87420 Resp syncytial ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87425 Rotavirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87427 Shiga-like toxin ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87430 Strep a ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87449 Ag detect nos, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87450 Ag detect nos, eia, single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87451 Ag detect polyval, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87470 Bartonella, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87471 Bartonella, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87472 Bartonella, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87475 Lyme dis, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87476 Lyme dis, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87477 Lyme dis, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87480 Candida, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87481 Candida, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87482 Candida, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87485 Chylmd pneum, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87486 Chylmd pneum, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87487 Chylmd pneum, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87490 Chylmd trach, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87491 Chylmd trach, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87492 Chylmd trach, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87495 Cytomeg, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87496 Cytomeg, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87497 Cytomeg, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87510 Gardner vag, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87511 Gardner vag, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87512 Gardner vag, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87515 Hepatitis b, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87516 Hepatitis b, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87517 Hepatitis b, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87520 Hepatitis c, rna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87521 Hepatitis c, rna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87522 Hepatitis c, rna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87525 Hepatitis g, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87526 Hepatitis g, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87527 Hepatitis g, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87528 Hsv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87529 Hsv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87530 Hsv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87531 Hhv-6, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87532 Hhv-6, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87533 Hhv-6, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87534 Hiv-1, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87535 Hiv-1, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87536 Hiv-1, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87537 Hiv-2, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87538 Hiv-2, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87539 Hiv-2, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87540 Legion pneumo, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87541 Legion pneumo, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87542 Legion pneumo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87550 Mycobacteria, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87551 Mycobacteria, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87552 Mycobacteria, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87555 M.tuberculo, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87556 M.tuberculo, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87557 M.tuberculo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87560 M.avium-intra, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87561 M.avium-intra, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87562 M.avium-intra, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87580 M.pneumon, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87581 M.pneumon, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87582 M.pneumon, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87590 N.gonorrhoeae, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87591 N.gonorrhoeae, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87592 N.gonorrhoeae, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87620 Hpv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87621 Hpv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87622 Hpv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87650 Strep a, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87651 Strep a, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87652 Strep a, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87660 Trichomonas vagin, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87797 Detect agent nos, dna, dir X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87798 Detect agent nos, dna, amp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87799 Detect agent nos, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87800 Detect agnt mult, dna, direc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87801 Detect agnt mult, dna, ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87802 Strep b assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87803 Clostridium toxin a w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87804 Influenza assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87807 Rsv assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87810 Chylmd trach assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87850 N. gonorrhoeae assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87880 Strep a assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87899 Agent nos assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87901 Genotype, dna, hiv reverse t X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87902 Genotype, dna, hepatitis C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87903 Phenotype, dna hiv w/culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87904 Phenotype, dna hiv w/clt add X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 87999 Microbiology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88000 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88005 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88007 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88012 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88014 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88016 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88020 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88025 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88027 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88028 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88029 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88036 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88037 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88040 Forensic autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88045 Coroner’s autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88099 Necropsy (autopsy) procedure N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88104 Cytopathology, fluids A 0.56 0.85 0.85 NA 0.04 1.45 1.45 1XXX.00.00.0000000 37.8975 090 88104TCCytopathology, fluids A 0.00 0.61 0.61 NA 0.02 0.63 0.63 1XXX.00.00.0000000 37.8975 090 8810426Cytopathology, fluids A 0.56 0.24 0.24 0.02 0.82 0.82 1XXX.00.00.0000000 37.8975 090 88106 Cytopathology, fluids A 0.56 1.35 1.35 NA 0.04 1.95 1.95 1XXX.00.00.0000000 37.8975 090 88106TCCytopathology, fluids A 0.00 1.11 1.11 NA 0.02 1.13 1.13 1XXX.00.00.0000000 37.8975 090 8810626Cytopathology, fluids A 0.56 0.24 0.24 0.02 0.82 0.82 1XXX.00.00.0000000 37.8975 090 88107 Cytopathology, fluids A 0.76 1.54 1.54 NA 0.05 2.35 2.35 1XXX.00.00.0000000 37.8975 090 88107TCCytopathology, fluids A 0.00 1.21 1.21 NA 0.02 1.23 1.23 1XXX.00.00.0000000 37.8975 090 8810726Cytopathology, fluids A 0.76 0.33 0.33 0.03 1.12 1.12 1XXX.00.00.0000000 37.8975 090 88108 Cytopath, concentrate tech A 0.56 1.21 1.21 NA 0.04 1.81 1.81 1XXX.00.00.0000000 37.8975 090 88108TCCytopath, concentrate tech A 0.00 0.97 0.97 NA 0.02 0.99 0.99 1XXX.00.00.0000000 37.8975 090 8810826Cytopath, concentrate tech A 0.56 0.24 0.24 0.02 0.82 0.82 1XXX.00.00.0000000 37.8975 090 88112 Cytopath, cell enhance tech A 1.18 1.97 1.97 NA 0.04 3.19 3.19 1XXX.00.00.0000000 37.8975 090 88112TCCytopath, cell enhance tech A 0.00 1.46 1.46 NA 0.02 1.48 1.48 1XXX.00.00.0000000 37.8975 090 8811226Cytopath, cell enhance tech A 1.18 0.51 0.51 0.02 1.71 1.71 1XXX.00.00.0000000 37.8975 090 88125 Forensic cytopathology A 0.26 0.27 0.27 NA 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 88125TCForensic cytopathology A 0.00 0.16 0.16 NA 0.01 0.17 0.17 1XXX.00.00.0000000 37.8975 090 8812526Forensic cytopathology A 0.26 0.11 0.11 0.01 0.38 0.38 1XXX.00.00.0000000 37.8975 090 88130 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88140 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88141 Cytopath, c/v, interpret A 0.42 0.15 0.15 0.02 0.59 0.59 2XXX.00.00.0000000 37.8975 090 88142 Cytopath, c/v, thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88143 Cytopath c/v thin layer redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88147 Cytopath, c/v, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88148 Cytopath, c/v, auto rescreen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88150 Cytopath, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88152 Cytopath, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88153 Cytopath, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88154 Cytopath, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88155 Cytopath, c/v, index add-on X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88160 Cytopath smear, other source A 0.50 0.83 0.83 NA 0.04 1.37 1.37 1XXX.00.00.0000000 37.8975 090 88160TCCytopath smear, other source A 0.00 0.62 0.62 NA 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 090 8816026Cytopath smear, other source A 0.50 0.21 0.21 0.02 0.73 0.73 1XXX.00.00.0000000 37.8975 090 88161 Cytopath smear, other source A 0.50 0.94 0.94 NA 0.04 1.48 1.48 1XXX.00.00.0000000 37.8975 090 88161TCCytopath smear, other source A 0.00 0.73 0.73 NA 0.02 0.75 0.75 1XXX.00.00.0000000 37.8975 090 8816126Cytopath smear, other source A 0.50 0.21 0.21 0.02 0.73 0.73 1XXX.00.00.0000000 37.8975 090 88162 Cytopath smear, other source A 0.76 1.02 1.02 NA 0.05 1.83 1.83 1XXX.00.00.0000000 37.8975 090 88162TCCytopath smear, other source A 0.00 0.69 0.69 NA 0.02 0.71 0.71 1XXX.00.00.0000000 37.8975 090 8816226Cytopath smear, other source A 0.76 0.33 0.33 0.03 1.12 1.12 1XXX.00.00.0000000 37.8975 090 88164 Cytopath tbs, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88165 Cytopath tbs, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88166 Cytopath tbs, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88167 Cytopath tbs, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88172 Cytopathology eval of fna A 0.60 0.73 0.73 NA 0.04 1.37 1.37 1XXX.00.00.0000000 37.8975 090 88172TCCytopathology eval of fna A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0000000 37.8975 090 8817226Cytopathology eval of fna A 0.60 0.26 0.26 0.02 0.88 0.88 1XXX.00.00.0000000 37.8975 090 88173 Cytopath eval, fna, report A 1.39 2.14 2.14 NA 0.07 3.60 3.60 1XXX.00.00.0000000 37.8975 090 88173TCCytopath eval, fna, report A 0.00 1.55 1.55 NA 0.02 1.57 1.57 1XXX.00.00.0000000 37.8975 090 8817326Cytopath eval, fna, report A 1.39 0.59 0.59 0.05 2.03 2.03 1XXX.00.00.0000000 37.8975 090 88174 Cytopath, c/v auto, in fluid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88175 Cytopath c/v auto fluid redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88182 Cell marker study A 0.77 1.98 1.98 NA 0.07 2.82 2.82 1XXX.00.00.0000000 37.8975 090 88182TCCell marker study A 0.00 1.65 1.65 NA 0.04 1.69 1.69 1XXX.00.00.0000000 37.8975 090 8818226Cell marker study A 0.77 0.33 0.33 0.03 1.13 1.13 1XXX.00.00.0000000 37.8975 090 88184 Flowcytometry/ tc, 1 marker A 0.00 1.32 1.32 NA 0.02 1.34 1.34 3XXX.00.00.0000000 37.8975 090 88185 Flowcytometry/tc, add-on A 0.00 0.64 0.64 NA 0.02 0.66 0.66 3ZZZ.00.00.0000000 37.8975 090 88187 Flowcytometry/read, 2-8 A 1.36 0.45 0.45 0.01 1.82 1.82 2XXX.00.00.0000000 37.8975 090 88188 Flowcytometry/read, 9-15 A 1.69 0.57 0.57 0.01 2.27 2.27 2XXX.00.00.0000000 37.8975 090 88189 Flowcytometry/read, 16 & > A 2.23 0.75 0.75 0.01 2.99 2.99 2XXX.00.00.0000000 37.8975 090 88199 Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88230 Tissue culture, lymphocyte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88233 Tissue culture, skin/biopsy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88235 Tissue culture, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88237 Tissue culture, bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88239 Tissue culture, tumor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88240 Cell cryopreserve/storage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88241 Frozen cell preparation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88245 Chromosome analysis, 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88248 Chromosome analysis, 50-100 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88249 Chromosome analysis, 100 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88261 Chromosome analysis, 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88262 Chromosome analysis, 15-20 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88263 Chromosome analysis, 45 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88264 Chromosome analysis, 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88267 Chromosome analys, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88269 Chromosome analys, amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88271 Cytogenetics, dna probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88272 Cytogenetics, 3-5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88273 Cytogenetics, 10-30 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88274 Cytogenetics, 25-99 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88275 Cytogenetics, 100-300 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88280 Chromosome karyotype study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88283 Chromosome banding study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88285 Chromosome count, additional X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88289 Chromosome study, additional X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 88291 Cyto/molecular report A 0.52 0.17 0.17 0.02 0.71 0.71 2XXX.00.00.0000000 37.8975 090 88299 Cytogenetic study C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 88300 Surgical path, gross A 0.08 0.45 0.45 NA 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 88300TCSurgical path, gross A 0.00 0.42 0.42 NA 0.01 0.43 0.43 1XXX.00.00.0000000 37.8975 090 8830026Surgical path, gross A 0.08 0.03 0.03 0.01 0.12 0.12 1XXX.00.00.0000000 37.8975 090 88302 Tissue exam by pathologist A 0.13 1.03 1.03 NA 0.03 1.19 1.19 1XXX.00.00.0000000 37.8975 090 88302TCTissue exam by pathologist A 0.00 0.97 0.97 NA 0.02 0.99 0.99 1XXX.00.00.0000000 37.8975 090 8830226Tissue exam by pathologist A 0.13 0.06 0.06 0.01 0.20 0.20 1XXX.00.00.0000000 37.8975 090 88304 Tissue exam by pathologist A 0.22 1.32 1.32 NA 0.03 1.57 1.57 1XXX.00.00.0000000 37.8975 090 88304TCTissue exam by pathologist A 0.00 1.23 1.23 NA 0.02 1.25 1.25 1XXX.00.00.0000000 37.8975 090 8830426Tissue exam by pathologist A 0.22 0.09 0.09 0.01 0.32 0.32 1XXX.00.00.0000000 37.8975 090 88305 Tissue exam by pathologist A 0.75 1.91 1.91 NA 0.07 2.73 2.73 1XXX.00.00.0000000 37.8975 090 88305TCTissue exam by pathologist A 0.00 1.58 1.58 NA 0.04 1.62 1.62 1XXX.00.00.0000000 37.8975 090 8830526Tissue exam by pathologist A 0.75 0.33 0.33 0.03 1.11 1.11 1XXX.00.00.0000000 37.8975 090 88307 Tissue exam by pathologist A 1.59 3.15 3.15 NA 0.12 4.86 4.86 1XXX.00.00.0000000 37.8975 090 88307TCTissue exam by pathologist A 0.00 2.47 2.47 NA 0.06 2.53 2.53 1XXX.00.00.0000000 37.8975 090 8830726Tissue exam by pathologist A 1.59 0.68 0.68 0.06 2.33 2.33 1XXX.00.00.0000000 37.8975 090 88309 Tissue exam by pathologist A 2.28 4.39 4.39 NA 0.14 6.81 6.81 1XXX.00.00.0000000 37.8975 090 88309TCTissue exam by pathologist A 0.00 3.42 3.42 NA 0.06 3.48 3.48 1XXX.00.00.0000000 37.8975 090 8830926Tissue exam by pathologist A 2.28 0.97 0.97 0.08 3.33 3.33 1XXX.00.00.0000000 37.8975 090 88311 Decalcify tissue A 0.24 0.23 0.23 NA 0.02 0.49 0.49 1XXX.00.00.0000000 37.8975 090 88311TCDecalcify tissue A 0.00 0.13 0.13 NA 0.01 0.14 0.14 1XXX.00.00.0000000 37.8975 090 8831126Decalcify tissue A 0.24 0.10 0.10 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 88312 Special stains A 0.54 1.52 1.52 NA 0.03 2.09 2.09 1XXX.00.00.0000000 37.8975 090 88312TCSpecial stains A 0.00 1.29 1.29 NA 0.01 1.30 1.30 1XXX.00.00.0000000 37.8975 090 8831226Special stains A 0.54 0.23 0.23 0.02 0.79 0.79 1XXX.00.00.0000000 37.8975 090 88313 Special stains A 0.24 1.25 1.25 NA 0.02 1.51 1.51 1XXX.00.00.0000000 37.8975 090 88313TCSpecial stains A 0.00 1.15 1.15 NA 0.01 1.16 1.16 1XXX.00.00.0000000 37.8975 090 8831326Special stains A 0.24 0.10 0.10 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 88314 Histochemical stain A 0.45 2.06 2.06 NA 0.04 2.55 2.55 1XXX.00.00.0000000 37.8975 090 88314TCHistochemical stain A 0.00 1.87 1.87 NA 0.02 1.89 1.89 1XXX.00.00.0000000 37.8975 090 8831426Histochemical stain A 0.45 0.19 0.19 0.02 0.66 0.66 1XXX.00.00.0000000 37.8975 090 88318 Chemical histochemistry A 0.42 1.65 1.65 NA 0.03 2.10 2.10 1XXX.00.00.0000000 37.8975 090 88318TCChemical histochemistry A 0.00 1.47 1.47 NA 0.01 1.48 1.48 1XXX.00.00.0000000 37.8975 090 8831826Chemical histochemistry A 0.42 0.18 0.18 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 88319 Enzyme histochemistry A 0.53 3.41 3.41 NA 0.04 3.98 3.98 1XXX.00.00.0000000 37.8975 090 88319TCEnzyme histochemistry A 0.00 3.19 3.19 NA 0.02 3.21 3.21 1XXX.00.00.0000000 37.8975 090 8831926Enzyme histochemistry A 0.53 0.22 0.22 0.02 0.77 0.77 1XXX.00.00.0000000 37.8975 090 88321 Microslide consultation A 1.30 0.79 0.56 0.05 2.14 1.91 0XXX.00.00.0000000 37.8975 090 88323 Microslide consultation A 1.35 1.78 1.78 NA 0.07 3.20 3.20 1XXX.00.00.0000000 37.8975 090 88323TCMicroslide consultation A 0.00 1.21 1.21 NA 0.02 1.23 1.23 1XXX.00.00.0000000 37.8975 090 8832326Microslide consultation A 1.35 0.57 0.57 0.05 1.97 1.97 1XXX.00.00.0000000 37.8975 090 88325 Comprehensive review of data A 2.22 2.93 0.95 0.09 5.24 3.26 0XXX.00.00.0000000 37.8975 090 88329 Path consult introp A 0.67 0.65 0.29 0.03 1.35 0.99 0XXX.00.00.0000000 37.8975 090 88331 Path consult intraop, 1 bloc A 1.19 1.10 1.10 NA 0.08 2.37 2.37 1XXX.00.00.0000000 37.8975 090 88331TCPath consult intraop, 1 bloc A 0.00 0.59 0.59 NA 0.04 0.63 0.63 1XXX.00.00.0000000 37.8975 090 8833126Path consult intraop, 1 bloc A 1.19 0.51 0.51 0.04 1.74 1.74 1XXX.00.00.0000000 37.8975 090 88332 Path consult intraop, add’l A 0.59 0.46 0.46 NA 0.04 1.09 1.09 1XXX.00.00.0000000 37.8975 090 88332TCPath consult intraop, add’l A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0000000 37.8975 090 8833226Path consult intraop, add’l A 0.59 0.25 0.25 0.02 0.86 0.86 1XXX.00.00.0000000 37.8975 090 88342 Immunohistochemistry A 0.85 1.46 1.46 NA 0.05 2.36 2.36 1XXX.00.00.0000000 37.8975 090 88342TCImmunohistochemistry A 0.00 1.10 1.10 NA 0.02 1.12 1.12 1XXX.00.00.0000000 37.8975 090 8834226Immunohistochemistry A 0.85 0.36 0.36 0.03 1.24 1.24 1XXX.00.00.0000000 37.8975 090 88346 Immunofluorescent study A 0.86 1.57 1.57 NA 0.05 2.48 2.48 1XXX.00.00.0000000 37.8975 090 88346TCImmunofluorescent study A 0.00 1.21 1.21 NA 0.02 1.23 1.23 1XXX.00.00.0000000 37.8975 090 8834626Immunofluorescent study A 0.86 0.36 0.36 0.03 1.25 1.25 1XXX.00.00.0000000 37.8975 090 88347 Immunofluorescent study A 0.86 1.26 1.26 NA 0.05 2.17 2.17 1XXX.00.00.0000000 37.8975 090 88347TCImmunofluorescent study A 0.00 0.91 0.91 NA 0.02 0.93 0.93 1XXX.00.00.0000000 37.8975 090 8834726Immunofluorescent study A 0.86 0.35 0.35 0.03 1.24 1.24 1XXX.00.00.0000000 37.8975 090 88348 Electron microscopy A 1.51 9.35 9.35 NA 0.13 10.99 10.99 1XXX.00.00.0000000 37.8975 090 88348TCElectron microscopy A 0.00 8.71 8.71 NA 0.07 8.78 8.78 1XXX.00.00.0000000 37.8975 090 8834826Electron microscopy A 1.51 0.64 0.64 0.06 2.21 2.21 1XXX.00.00.0000000 37.8975 090 88349 Scanning electron microscopy A 0.76 3.56 3.56 NA 0.09 4.41 4.41 1XXX.00.00.0000000 37.8975 090 88349TCScanning electron microscopy A 0.00 3.23 3.23 NA 0.06 3.29 3.29 1XXX.00.00.0000000 37.8975 090 8834926Scanning electron microscopy A 0.76 0.33 0.33 0.03 1.12 1.12 1XXX.00.00.0000000 37.8975 090 88355 Analysis, skeletal muscle A 1.85 8.77 8.77 NA 0.13 10.75 10.75 1XXX.00.00.0000000 37.8975 090 88355TCAnalysis, skeletal muscle A 0.00 7.98 7.98 NA 0.06 8.04 8.04 1XXX.00.00.0000000 37.8975 090 8835526Analysis, skeletal muscle A 1.85 0.79 0.79 0.07 2.71 2.71 1XXX.00.00.0000000 37.8975 090 88356 Analysis, nerve A 3.02 4.18 4.18 NA 0.19 7.39 7.39 1XXX.00.00.0000000 37.8975 090 88356TCAnalysis, nerve A 0.00 2.92 2.92 NA 0.07 2.99 2.99 1XXX.00.00.0000000 37.8975 090 8835626Analysis, nerve A 3.02 1.26 1.26 0.12 4.40 4.40 1XXX.00.00.0000000 37.8975 090 88358 Analysis, tumor A 0.95 0.84 0.84 NA 0.18 1.97 1.97 1XXX.00.00.0000000 37.8975 090 88358TCAnalysis, tumor A 0.00 0.44 0.44 NA 0.07 0.51 0.51 1XXX.00.00.0000000 37.8975 090 8835826Analysis, tumor A 0.95 0.40 0.40 0.11 1.46 1.46 1XXX.00.00.0000000 37.8975 090 88360 Tumor immunohistochem/manual A 1.10 1.73 1.73 NA 0.08 2.91 2.91 1XXX.00.00.0000000 37.8975 090 88360TCTumor immunohistochem/manual A 0.00 1.26 1.26 NA 0.02 1.28 1.28 1XXX.00.00.0000000 37.8975 090 8836026Tumor immunohistochem/manual A 1.10 0.47 0.47 0.06 1.63 1.63 1XXX.00.00.0000000 37.8975 090 88361 Tumor immunohistochem/comput A 1.18 3.02 3.02 NA 0.18 4.38 4.38 1XXX.00.00.0000000 37.8975 090 88361TCTumor immunohistochem/comput A 0.00 2.53 2.53 NA 0.07 2.60 2.60 1XXX.00.00.0000000 37.8975 090 8836126Tumor immunohistochem/comput A 1.18 0.49 0.49 0.11 1.78 1.78 1XXX.00.00.0000000 37.8975 090 88362 Nerve teasing preparations A 2.17 4.69 4.69 NA 0.16 7.02 7.02 1XXX.00.00.0000000 37.8975 090 88362TCNerve teasing preparations A 0.00 3.77 3.77 NA 0.06 3.83 3.83 1XXX.00.00.0000000 37.8975 090 8836226Nerve teasing preparations A 2.17 0.92 0.92 0.10 3.19 3.19 1XXX.00.00.0000000 37.8975 090 88365 Insitu hybridization (fish) A 1.20 2.13 2.13 NA 0.05 3.38 3.38 1XXX.00.00.0000000 37.8975 090 88365TCInsitu hybridization (fish) A 0.00 1.62 1.62 NA 0.02 1.64 1.64 1XXX.00.00.0000000 37.8975 090 8836526Insitu hybridization (fish) A 1.20 0.51 0.51 0.03 1.74 1.74 1XXX.00.00.0000000 37.8975 090 88367 Insitu hybridization, auto A 1.30 4.03 4.03 NA 0.12 5.45 5.45 1XXX.00.00.0000000 37.8975 090 88367TCInsitu hybridization, auto A 0.00 3.49 3.49 NA 0.06 3.55 3.55 1XXX.00.00.0000000 37.8975 090 8836726Insitu hybridization, auto A 1.30 0.54 0.54 0.06 1.90 1.90 1XXX.00.00.0000000 37.8975 090 88368 Insitu hybridization, manual A 1.40 2.39 2.39 NA 0.12 3.91 3.91 1XXX.00.00.0000000 37.8975 090 88368TCInsitu hybridization, manual A 0.00 1.79 1.79 NA 0.06 1.85 1.85 1XXX.00.00.0000000 37.8975 090 8836826Insitu hybridization, manual A 1.40 0.60 0.60 0.06 2.06 2.06 1XXX.00.00.0000000 37.8975 090 88371 Protein, western blot tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8837126Protein, western blot tissue A 0.37 0.13 0.13 0.01 0.51 0.51 6XXX.00.00.0000000 37.8975 090 88372 Protein analysis w/probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8837226Protein analysis w/probe A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 37.8975 090 88380 Microdissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88380TCMicrodissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 8838026Microdissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88399 Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88399TCSurgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 8839926Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 88400 Bilirubin total transcut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89050 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89051 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89055 Leukocyte assessment, fecal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89060 Exam,synovial fluid crystals X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 8906026Exam,synovial fluid crystals A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 37.8975 090 89100 Sample intestinal contents A 0.60 1.83 0.21 0.03 2.46 0.84 0XXX.00.00.0000000 37.8975 090 89105 Sample intestinal contents A 0.50 2.22 0.17 0.02 2.74 0.69 0XXX.00.00.0000000 37.8975 090 89125 Specimen fat stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89130 Sample stomach contents A 0.45 1.74 0.13 0.02 2.21 0.60 0XXX.00.00.0000000 37.8975 090 89132 Sample stomach contents A 0.19 1.55 0.06 0.01 1.75 0.26 0XXX.00.00.0000000 37.8975 090 89135 Sample stomach contents A 0.79 1.89 0.25 0.04 2.72 1.08 0XXX.00.00.0000000 37.8975 090 89136 Sample stomach contents A 0.21 1.73 0.09 0.01 1.95 0.31 0XXX.00.00.0000000 37.8975 090 89140 Sample stomach contents A 0.94 2.08 0.27 0.04 3.06 1.25 0XXX.00.00.0000000 37.8975 090 89141 Sample stomach contents A 0.85 2.79 0.33 0.03 3.67 1.21 0XXX.00.00.0000000 37.8975 090 89160 Exam feces for meat fibers X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89190 Nasal smear for eosinophils X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89220 Sputum specimen collection A 0.00 0.43 0.43 NA 0.02 0.45 0.45 3XXX.00.00.0000000 37.8975 090 89225 Starch granules, feces X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89230 Collect sweat for test A 0.00 0.11 0.11 NA 0.02 0.13 0.13 3XXX.00.00.0000000 37.8975 090 89235 Water load test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89240 Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 89250 Cultr oocyte/embryo <4 days X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89251 Cultr oocyte/embryo <4 days X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89253 Embryo hatching X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89254 Oocyte identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89255 Prepare embryo for transfer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89257 Sperm identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89258 Cryopreservation; embryo(s) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89259 Cryopreservation, sperm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89260 Sperm isolation, simple X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89261 Sperm isolation, complex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89264 Identify sperm tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89268 Insemination of oocytes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89272 Extended culture of oocytes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89280 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89281 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89290 Biopsy, oocyte polar body X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89291 Biopsy, oocyte polar body X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89300 Semen analysis w/huhner X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89310 Semen analysis w/count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89320 Semen analysis, complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89321 Semen analysis & motility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89325 Sperm antibody test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89329 Sperm evaluation test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89330 Evaluation, cervical mucus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89335 Cryopreserve testicular tiss X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89342 Storage/year; embryo(s) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89343 Storage/year; sperm/semen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89344 Storage/year; reprod tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89346 Storage/year; oocyte(s) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89352 Thawing cryopresrved; embryo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89353 Thawing cryopresrved; sperm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89354 Thaw cryoprsvrd; reprod tiss X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 89356 Thawing cryopresrved; oocyte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90281 Human ig, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90283 Human ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90287 Botulinum antitoxin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90288 Botulism ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90291 Cmv ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90296 Diphtheria antitoxin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90371 Hep b ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90375 Rabies ig, im/sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90376 Rabies ig, heat treated E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90378 Rsv ig, im, 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90379 Rsv ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90384 Rh ig, full-dose, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90385 Rh ig, minidose, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90386 Rh ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90389 Tetanus ig, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90393 Vaccina ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90396 Varicella-zoster ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90399 Immune globulin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90465 Immune admin 1 inj, < 8 yrs A 0.17 0.31 0.31 NA 0.01 0.49 0.49 0XXX.00.00.0000000 37.8975 090 90466 Immune admin addl inj, < 8 y A 0.15 0.13 0.13 NA 0.01 0.29 0.29 0ZZZ.00.00.0000000 37.8975 090 90467 Immune admin o or n, < 8 yrs R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90468 Immune admin o/n, addl < 8 y R 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 90471 Immunization admin A 0.17 0.31 0.31 NA 0.01 0.49 0.49 5XXX.00.00.0000000 37.8975 090 90472 Immunization admin, each add A 0.15 0.13 0.13 NA 0.01 0.29 0.29 5ZZZ.00.00.0000000 37.8975 090 90473 Immune admin oral/nasal R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90474 Immune admin oral/nasal addl R 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 90476 Adenovirus vaccine, type 4 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90477 Adenovirus vaccine, type 7 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90581 Anthrax vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90585 Bcg vaccine, percut E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90586 Bcg vaccine, intravesical E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90632 Hep a vaccine, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90633 Hep a vacc, ped/adol, 2 dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90634 Hep a vacc, ped/adol, 3 dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90636 Hep a/hep b vacc, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90645 Hib vaccine, hboc, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90646 Hib vaccine, prp-d, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90647 Hib vaccine, prp-omp, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90648 Hib vaccine, prp-t, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90655 Flu vaccine no preserv 6-35m X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90656 Flu vaccine no preserv 3 & > X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90657 Flu vaccine, 3 yrs, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90658 Flu vaccine, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90660 Flu vaccine, nasal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90665 Lyme disease vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90669 Pneumococcal vacc, ped <5 N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90675 Rabies vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90676 Rabies vaccine, id E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90680 Rotovirus vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90690 Typhoid vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90691 Typhoid vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90692 Typhoid vaccine, h-p, sc/id E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90693 Typhoid vaccine, akd, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90698 Dtap-hib-ip vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90700 Dtap vaccine, < 7 yrs, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90701 Dtp vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90702 Dt vaccine < 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90703 Tetanus vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90704 Mumps vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90705 Measles vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90706 Rubella vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90707 Mmr vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90708 Measles-rubella vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90710 Mmrv vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90712 Oral poliovirus vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90713 Poliovirus, ipv, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90715 Tdap vaccine >7 im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90716 Chicken pox vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90717 Yellow fever vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90718 Td vaccine > 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90719 Diphtheria vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90720 Dtp/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90721 Dtap/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90723 Dtap-hep b-ipv vaccine, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90725 Cholera vaccine, injectable E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90727 Plague vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90732 Pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90733 Meningococcal vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90734 Meningococcal vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90735 Encephalitis vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90740 Hepb vacc, ill pat 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90743 Hep b vacc, adol, 2 dose, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90744 Hepb vacc ped/adol 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90746 Hep b vaccine, adult, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90747 Hepb vacc, ill pat 4 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90748 Hep b/hib vaccine, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90749 Vaccine toxoid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90780 IV infusion therapy, 1 hour I+ 0.17 2.15 2.15 0.07 2.39 2.39 5XXX.00.00.0000000 37.8975 091 90781 IV infusion, additional hour I+ 0.17 0.46 0.46 0.04 0.67 0.67 5ZZZ.00.00.0000000 37.8975 091 90782 Injection, sc/im I+ 0.17 0.32 0.32 0.01 0.50 0.50 5XXX.00.00.0000000 37.8975 091 90783 Injection, ia A 0.17 0.31 0.31 NA 0.02 0.50 0.50 5XXX.00.00.0000000 37.8975 091 90784 Injection, iv I+ 0.17 0.80 0.80 0.04 1.01 1.01 5XXX.00.00.0000000 37.8975 091 90788 Injection of antibiotic A 0.17 0.26 0.26 NA 0.01 0.44 0.44 5XXX.00.00.0000000 37.8975 091 90799 Ther/prophylactic/dx inject C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 90801 Psy dx interview A 2.80 1.17 0.93 0.07 4.04 3.80 0XXX.00.00.0000000 37.8975 090 90802 Intac psy dx interview A 3.01 1.20 0.98 0.08 4.29 4.07 0XXX.00.00.0000000 37.8975 090 90804 Psytx, office, 20-30 min A 1.21 0.49 0.38 0.03 1.73 1.62 0XXX.00.00.0000000 37.8975 090 90805 Psytx, off, 20-30 min w/e&m A 1.37 0.50 0.42 0.03 1.90 1.82 0XXX.00.00.0000000 37.8975 090 90806 Psytx, off, 45-50 min A 1.86 0.70 0.60 0.05 2.61 2.51 0XXX.00.00.0000000 37.8975 090 90807 Psytx, off, 45-50 min w/e&m A 2.02 0.70 0.63 0.05 2.77 2.70 0XXX.00.00.0000000 37.8975 090 90808 Psytx, office, 75-80 min A 2.79 1.03 0.90 0.07 3.89 3.76 0XXX.00.00.0000000 37.8975 090 90809 Psytx, off, 75-80, w/e&m A 2.95 1.00 0.92 0.08 4.03 3.95 0XXX.00.00.0000000 37.8975 090 90810 Intac psytx, off, 20-30 min A 1.32 0.51 0.42 0.04 1.87 1.78 0XXX.00.00.0000000 37.8975 090 90811 Intac psytx, 20-30, w/e&m A 1.48 0.57 0.46 0.04 2.09 1.98 0XXX.00.00.0000000 37.8975 090 90812 Intac psytx, off, 45-50 min A 1.97 0.79 0.64 0.05 2.81 2.66 0XXX.00.00.0000000 37.8975 090 90813 Intac psytx, 45-50 min w/e&m A 2.13 0.77 0.67 0.05 2.95 2.85 0XXX.00.00.0000000 37.8975 090 90814 Intac psytx, off, 75-80 min A 2.90 1.10 0.98 0.07 4.07 3.95 0XXX.00.00.0000000 37.8975 090 90815 Intac psytx, 75-80 w/e&m A 3.06 1.05 0.95 0.08 4.19 4.09 0XXX.00.00.0000000 37.8975 090 90816 Psytx, hosp, 20-30 min A 1.25 0.46NA 0.46 0.03 1.74 1.74 0XXX.00.00.0000000 37.8975 090 90817 Psytx, hosp, 20-30 min w/e&m A 1.41 0.46NA 0.46 0.04 1.91 1.91 0XXX.00.00.0000000 37.8975 090 90818 Psytx, hosp, 45-50 min A 1.89 0.69NA 0.69 0.05 2.63 2.63 0XXX.00.00.0000000 37.8975 090 90819 Psytx, hosp, 45-50 min w/e&m A 2.05 0.65NA 0.65 0.05 2.75 2.75 0XXX.00.00.0000000 37.8975 090 90821 Psytx, hosp, 75-80 min A 2.83 1.01NA 1.01 0.07 3.91 3.91 0XXX.00.00.0000000 37.8975 090 90822 Psytx, hosp, 75-80 min w/e&m A 2.99 0.95NA 0.95 0.08 4.02 4.02 0XXX.00.00.0000000 37.8975 090 90823 Intac psytx, hosp, 20-30 min A 1.36 0.48NA 0.48 0.03 1.87 1.87 0XXX.00.00.0000000 37.8975 090 90824 Intac psytx, hsp 20-30 w/e&m A 1.52 0.49NA 0.49 0.04 2.05 2.05 0XXX.00.00.0000000 37.8975 090 90826 Intac psytx, hosp, 45-50 min A 2.01 0.72NA 0.72 0.05 2.78 2.78 0XXX.00.00.0000000 37.8975 090 90827 Intac psytx, hsp 45-50 w/e&m A 2.16 0.68NA 0.68 0.05 2.89 2.89 0XXX.00.00.0000000 37.8975 090 90828 Intac psytx, hosp, 75-80 min A 2.94 1.06NA 1.06 0.07 4.07 4.07 0XXX.00.00.0000000 37.8975 090 90829 Intac psytx, hsp 75-80 w/e&m A 3.10 0.98NA 0.98 0.08 4.16 4.16 0XXX.00.00.0000000 37.8975 090 90845 Psychoanalysis A 1.79 0.58 0.55 0.04 2.41 2.38 0XXX.00.00.0000000 37.8975 090 90846 Family psytx w/o patient R 1.83 0.65 0.65 0.05 2.53 2.53 0XXX.00.00.0000000 37.8975 090 90847 Family psytx w/patient R 2.21 0.82 0.76 0.05 3.08 3.02 0XXX.00.00.0000000 37.8975 090 90849 Multiple family group psytx R 0.59 0.27 0.24 0.02 0.88 0.85 0XXX.00.00.0000000 37.8975 090 90853 Group psychotherapy A 0.59 0.25 0.23 0.02 0.86 0.84 0XXX.00.00.0000000 37.8975 090 90857 Intac group psytx A 0.63 0.29 0.25 0.02 0.94 0.90 0XXX.00.00.0000000 37.8975 090 90862 Medication management A 0.95 0.40 0.32 0.02 1.37 1.29 0XXX.00.00.0000000 37.8975 090 90865 Narcosynthesis A 2.84 1.36 0.91 0.11 4.31 3.86 0XXX.00.00.0000000 37.8975 090 90870 Electroconvulsive therapy A 1.88 1.93 0.59 0.05 3.86 2.52 0000.00.00.0000000 37.8975 090 90871 Electroconvulsive therapy N+ 2.72 1.07 1.07 0.07 3.86 3.86 9000.00.00.0099999 37.8975 090 90875 Psychophysiological therapy N+ 1.20 0.90 0.46 0.04 2.14 1.70 9XXX.00.00.0099999 37.8975 090 90876 Psychophysiological therapy N+ 1.90 1.16 0.73 0.05 3.11 2.68 9XXX.00.00.0099999 37.8975 090 90880 Hypnotherapy A 2.19 1.04 0.69 0.06 3.29 2.94 0XXX.00.00.0000000 37.8975 090 90882 Environmental manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90885 Psy evaluation of records B+ 0.97 0.37 0.37 0.02 1.36 1.36 9XXX.00.00.0099999 37.8975 090 90887 Consultation with family B+ 1.48 0.82 0.56 0.04 2.34 2.08 9XXX.00.00.0099999 37.8975 090 90889 Preparation of report B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90899 Psychiatric service/therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 90901 Biofeedback train, any meth A 0.41 0.65 0.14 0.02 1.08 0.57 0000.00.00.0000000 37.8975 090 90911 Biofeedback peri/uro/rectal A 0.89 1.56 0.31 0.05 2.50 1.25 0000.00.00.0000000 37.8975 090 90918 ESRD related services, month I+ 11.16 6.11 6.11 0.36 17.63 17.63 0XXX.00.00.0099999 37.8975 090 90919 ESRD related services, month I+ 8.53 4.00 4.00 0.29 12.82 12.82 0XXX.00.00.0099999 37.8975 090 90920 ESRD related services, month I+ 7.26 3.75 3.75 0.23 11.24 11.24 0XXX.00.00.0099999 37.8975 090 90921 ESRD related services, month I+ 4.46 2.44 2.44 0.14 7.04 7.04 0XXX.00.00.0099999 37.8975 090 90922 ESRD related services, day I+ 0.37 0.21 0.21 0.01 0.59 0.59 0XXX.00.00.0099999 37.8975 090 90923 Esrd related services, day I+ 0.28 0.13 0.13 0.01 0.42 0.42 0XXX.00.00.0099999 37.8975 090 90924 Esrd related services, day I+ 0.24 0.12 0.12 0.01 0.37 0.37 0XXX.00.00.0099999 37.8975 090 90925 Esrd related services, day I+ 0.15 0.08 0.08 0.01 0.24 0.24 0XXX.00.00.0099999 37.8975 090 90935 Hemodialysis, one evaluation A 1.22 0.67NA 0.67 0.04 1.93 1.93 0000.00.00.0000000 37.8975 090 90937 Hemodialysis, repeated eval A 2.11 0.97NA 0.97 0.07 3.15 3.15 0000.00.00.0000000 37.8975 090 90939 Hemodialysis study, transcut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90940 Hemodialysis access study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90945 Dialysis, one evaluation A 1.28 0.69NA 0.69 0.04 2.01 2.01 0000.00.00.0000000 37.8975 090 90947 Dialysis, repeated eval A 2.16 0.99NA 0.99 0.07 3.22 3.22 0000.00.00.0000000 37.8975 090 90989 Dialysis training, complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90993 Dialysis training, incompl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 90997 Hemoperfusion A 1.84 0.66NA 0.66 0.06 2.56 2.56 0000.00.00.0000000 37.8975 090 90999 Dialysis procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 91000 Esophageal intubation A 0.73 0.33 0.33 NA 0.04 1.10 1.10 1000.00.00.0000000 37.8975 090 91000TCEsophageal intubation A 0.00 0.08 0.08 NA 0.01 0.09 0.09 1000.00.00.0000000 37.8975 020 9100026Esophageal intubation A 0.73 0.25 0.25 0.03 1.01 1.01 1000.00.00.0000000 37.8975 090 91010 Esophagus motility study A 1.25 4.41 4.41 NA 0.12 5.78 5.78 1000.00.00.0000000 37.8975 090 91010TCEsophagus motility study A 0.00 3.97 3.97 NA 0.06 4.03 4.03 1000.00.00.0000000 37.8975 020 9101026Esophagus motility study A 1.25 0.44 0.44 0.06 1.75 1.75 1000.00.00.0000000 37.8975 090 91011 Esophagus motility study A 1.50 5.23 5.23 NA 0.13 6.86 6.86 1000.00.00.0000000 37.8975 090 91011TCEsophagus motility study A 0.00 4.70 4.70 NA 0.06 4.76 4.76 1000.00.00.0000000 37.8975 020 9101126Esophagus motility study A 1.50 0.53 0.53 0.07 2.10 2.10 1000.00.00.0000000 37.8975 090 91012 Esophagus motility study A 1.46 5.75 5.75 NA 0.14 7.35 7.35 1000.00.00.0000000 37.8975 090 91012TCEsophagus motility study A 0.00 5.24 5.24 NA 0.07 5.31 5.31 1000.00.00.0000000 37.8975 020 9101226Esophagus motility study A 1.46 0.51 0.51 0.07 2.04 2.04 1000.00.00.0000000 37.8975 090 91020 Gastric motility A 1.44 4.52 4.52 NA 0.13 6.09 6.09 1000.00.00.0000000 37.8975 090 91020TCGastric motility A 0.00 4.03 4.03 NA 0.06 4.09 4.09 1000.00.00.0000000 37.8975 020 9102026Gastric motility A 1.44 0.49 0.49 0.07 2.00 2.00 1000.00.00.0000000 37.8975 090 91030 Acid perfusion of esophagus A 0.91 2.43 2.43 NA 0.06 3.40 3.40 1000.00.00.0000000 37.8975 090 91030TCAcid perfusion of esophagus A 0.00 2.11 2.11 NA 0.02 2.13 2.13 1000.00.00.0000000 37.8975 020 9103026Acid perfusion of esophagus A 0.91 0.32 0.32 0.04 1.27 1.27 1000.00.00.0000000 37.8975 090 91034 Gastroesophageal reflux test A 0.97 5.24 5.24 NA 0.12 6.33 6.33 1000.00.00.0000000 37.8975 090 91034TCGastroesophageal reflux test A 0.00 4.90 4.90 NA 0.06 4.96 4.96 1000.00.00.0000000 37.8975 020 9103426Gastroesophageal reflux test A 0.97 0.34 0.34 0.06 1.37 1.37 1000.00.00.0000000 37.8975 090 91035 G-esoph reflx tst w/electrod A 1.59 10.80 10.80 NA 0.12 12.51 12.51 1000.00.00.0000000 37.8975 090 91035TCG-esoph reflx tst w/electrod A 0.00 10.24 10.24 NA 0.06 10.30 10.30 1000.00.00.0000000 37.8975 020 9103526G-esoph reflx tst w/electrod A 1.59 0.56 0.56 0.06 2.21 2.21 1000.00.00.0000000 37.8975 090 91037 Esoph imped function test A 0.97 2.93 2.93 NA 0.12 4.02 4.02 1000.00.00.0000000 37.8975 090 91037TCEsoph imped function test A 0.00 2.59 2.59 NA 0.06 2.65 2.65 1000.00.00.0000000 37.8975 020 9103726Esoph imped function test A 0.97 0.34 0.34 0.06 1.37 1.37 1000.00.00.0000000 37.8975 090 91038 Esoph imped funct test > 1h A 1.10 2.22 2.22 NA 0.12 3.44 3.44 1000.00.00.0000000 37.8975 090 91038TCEsoph imped funct test > 1h A 0.00 1.83 1.83 NA 0.06 1.89 1.89 1000.00.00.0000000 37.8975 020 9103826Esoph imped funct test > 1h A 1.10 0.39 0.39 0.06 1.55 1.55 1000.00.00.0000000 37.8975 090 91040 Esoph balloon distension tst A 0.97 11.13 11.13 NA 0.12 12.22 12.22 1000.00.00.0000000 37.8975 090 91040TCEsoph balloon distension tst A 0.00 10.79 10.79 NA 0.06 10.85 10.85 1000.00.00.0000000 37.8975 020 9104026Esoph balloon distension tst A 0.97 0.34 0.34 0.06 1.37 1.37 1000.00.00.0000000 37.8975 090 91052 Gastric analysis test A 0.79 2.45 2.45 NA 0.06 3.30 3.30 1000.00.00.0000000 37.8975 090 91052TCGastric analysis test A 0.00 2.17 2.17 NA 0.02 2.19 2.19 1000.00.00.0000000 37.8975 020 9105226Gastric analysis test A 0.79 0.28 0.28 0.04 1.11 1.11 1000.00.00.0000000 37.8975 090 91055 Gastric intubation for smear A 0.94 2.94 2.94 NA 0.07 3.95 3.95 1000.00.00.0000000 37.8975 090 91055TCGastric intubation for smear A 0.00 2.67 2.67 NA 0.02 2.69 2.69 1000.00.00.0000000 37.8975 020 9105526Gastric intubation for smear A 0.94 0.27 0.27 0.05 1.26 1.26 1000.00.00.0000000 37.8975 090 91060 Gastric saline load test A 0.45 1.96 1.96 NA 0.05 2.46 2.46 1000.00.00.0000000 37.8975 090 91060TCGastric saline load test A 0.00 1.82 1.82 NA 0.02 1.84 1.84 1000.00.00.0000000 37.8975 020 9106026Gastric saline load test A 0.45 0.14 0.14 0.03 0.62 0.62 1000.00.00.0000000 37.8975 090 91065 Breath hydrogen test A 0.20 1.46 1.46 NA 0.03 1.69 1.69 1000.00.00.0000000 37.8975 090 91065TCBreath hydrogen test A 0.00 1.39 1.39 NA 0.02 1.41 1.41 1000.00.00.0000000 37.8975 020 9106526Breath hydrogen test A 0.20 0.07 0.07 0.01 0.28 0.28 1000.00.00.0000000 37.8975 090 91100 Pass intestine bleeding tube A 1.08 2.79 0.28 0.07 3.94 1.43 0000.00.00.0000000 37.8975 090 91105 Gastric intubation treatment A 0.37 2.10 0.09 0.03 2.50 0.49 0000.00.00.0000000 37.8975 090 91110 Gi tract capsule endoscopy A 3.64 22.18 22.18 NA 0.16 25.98 25.98 1XXX.00.00.0000000 37.8975 090 91110TCGi tract capsule endoscopy A 0.00 20.90 20.90 NA 0.07 20.97 20.97 1XXX.00.00.0000000 37.8975 090 9111026Gi tract capsule endoscopy A 3.64 1.28 1.28 0.09 5.01 5.01 1XXX.00.00.0000000 37.8975 090 91120 Rectal sensation test A 0.97 10.98 10.98 NA 0.11 12.06 12.06 1XXX.00.00.0000000 37.8975 090 91120TCRectal sensation test A 0.00 10.64 10.64 NA 0.04 10.68 10.68 1XXX.00.00.0000000 37.8975 020 9112026Rectal sensation test A 0.97 0.34 0.34 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 090 91122 Anal pressure record A 1.77 5.10 5.10 NA 0.20 7.07 7.07 1000.00.00.0000000 37.8975 090 91122TCAnal pressure record A 0.00 4.50 4.50 NA 0.08 4.58 4.58 1000.00.00.0000000 37.8975 020 9112226Anal pressure record A 1.77 0.60 0.60 0.12 2.49 2.49 1000.00.00.0000000 37.8975 090 91123 Irrigate fecal impaction B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 91132 Electrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 91132TCElectrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 9113226Electrogastrography A 0.52 0.18 0.18 0.03 0.73 0.73 1XXX.00.00.0000000 37.8975 090 91133 Electrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 91133TCElectrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 9113326Electrogastrography w/test A 0.66 0.23 0.23 0.03 0.92 0.92 1XXX.00.00.0000000 37.8975 090 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 92002 Eye exam, new patient A 0.88 0.97 0.34 0.02 1.87 1.24 0XXX.00.00.0002000 37.8975 090 92004 Eye exam, new patient A 1.67 1.70 0.68 0.04 3.41 2.39 0XXX.00.00.0002000 37.8975 090 92012 Eye exam established pat A 0.67 1.03 0.29 0.02 1.72 0.98 0XXX.00.00.0002000 37.8975 090 92014 Eye exam & treatment A 1.10 1.41 0.47 0.03 2.54 1.60 0XXX.00.00.0002000 37.8975 090 92015 Refraction N+ 0.38 1.49 0.15 0.01 1.88 0.54 9XXX.00.00.0099999 37.8975 090 92018 New eye exam & treatment A 2.50 1.07NA 1.07 0.07 3.64 3.64 0XXX.00.00.0000000 37.8975 090 92019 Eye exam & treatment A 1.31 0.56NA 0.56 0.03 1.90 1.90 0XXX.00.00.0000000 37.8975 090 92020 Special eye evaluation A 0.37 0.34 0.16 0.01 0.72 0.54 0XXX.00.00.0002000 37.8975 090 92060 Special eye evaluation A 0.69 0.73 0.73 NA 0.03 1.45 1.45 1XXX.00.00.0002000 37.8975 090 92060TCSpecial eye evaluation A 0.00 0.44 0.44 NA 0.01 0.45 0.45 1XXX.00.00.0002000 37.8975 010 9206026Special eye evaluation A 0.69 0.29 0.29 0.02 1.00 1.00 1XXX.00.00.0002000 37.8975 090 92065 Orthoptic/pleoptic training A 0.37 0.53 0.53 NA 0.02 0.92 0.92 1XXX.00.00.0002000 37.8975 090 92065TCOrthoptic/pleoptic training A 0.00 0.38 0.38 NA 0.01 0.39 0.39 1XXX.00.00.0002000 37.8975 010 9206526Orthoptic/pleoptic training A 0.37 0.15 0.15 0.01 0.53 0.53 1XXX.00.00.0002000 37.8975 090 92070 Fitting of contact lens A 0.70 1.07 0.32 0.02 1.79 1.04 0XXX.00.00.0003000 37.8975 090 92081 Visual field examination(s) A 0.36 0.94 0.94 NA 0.02 1.32 1.32 1XXX.00.00.0002000 37.8975 090 92081TCVisual field examination(s) A 0.00 0.79 0.79 NA 0.01 0.80 0.80 1XXX.00.00.0002000 37.8975 010 9208126Visual field examination(s) A 0.36 0.15 0.15 0.01 0.52 0.52 1XXX.00.00.0002000 37.8975 090 92082 Visual field examination(s) A 0.44 1.23 1.23 NA 0.02 1.69 1.69 1XXX.00.00.0002000 37.8975 090 92082TCVisual field examination(s) A 0.00 1.04 1.04 NA 0.01 1.05 1.05 1XXX.00.00.0002000 37.8975 010 9208226Visual field examination(s) A 0.44 0.19 0.19 0.01 0.64 0.64 1XXX.00.00.0002000 37.8975 090 92083 Visual field examination(s) A 0.50 1.43 1.43 NA 0.02 1.95 1.95 1XXX.00.00.0002000 37.8975 090 92083TCVisual field examination(s) A 0.00 1.21 1.21 NA 0.01 1.22 1.22 1XXX.00.00.0002000 37.8975 010 9208326Visual field examination(s) A 0.50 0.22 0.22 0.01 0.73 0.73 1XXX.00.00.0002000 37.8975 090 92100 Serial tonometry exam(s) A 0.92 1.35 0.36 0.02 2.29 1.30 0XXX.00.00.0002000 37.8975 090 92120 Tonography & eye evaluation A 0.81 1.07 0.32 0.02 1.90 1.15 0XXX.00.00.0002000 37.8975 090 92130 Water provocation tonography A 0.81 1.28 0.37 0.02 2.11 1.20 0XXX.00.00.0002000 37.8975 090 92135 Opthalmic dx imaging A 0.35 0.79 0.79 NA 0.02 1.16 1.16 1XXX.00.00.0003100 37.8975 090 92135TCOpthalmic dx imaging A 0.00 0.64 0.64 NA 0.01 0.65 0.65 1XXX.00.00.0003100 37.8975 010 9213526Opthalmic dx imaging A 0.35 0.15 0.15 0.01 0.51 0.51 1XXX.00.00.0003100 37.8975 090 92136 Ophthalmic biometry A 0.54 1.65 1.65 NA 0.08 2.27 2.27 1XXX.00.00.0002000 37.8975 090 92136TCOphthalmic biometry A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0002000 37.8975 090 9213626Ophthalmic biometry A 0.54 0.24 0.24 0.01 0.79 0.79 1XXX.00.00.0003000 37.8975 090 92140 Glaucoma provocative tests A 0.50 0.99 0.21 0.01 1.50 0.72 0XXX.00.00.0002000 37.8975 090 92225 Special eye exam, initial A 0.38 0.22 0.16 0.01 0.61 0.55 0XXX.00.00.0003000 37.8975 090 92226 Special eye exam, subsequent A 0.33 0.21 0.14 0.01 0.55 0.48 0XXX.00.00.0003000 37.8975 090 92230 Eye exam with photos A 0.60 1.53 0.20 0.02 2.15 0.82 0XXX.00.00.0003000 37.8975 090 92235 Eye exam with photos A 0.81 2.61 2.61 NA 0.08 3.50 3.50 1XXX.00.00.0003000 37.8975 090 92235TCEye exam with photos A 0.00 2.24 2.24 NA 0.06 2.30 2.30 1XXX.00.00.0003000 37.8975 020 9223526Eye exam with photos A 0.81 0.37 0.37 0.02 1.20 1.20 1XXX.00.00.0003000 37.8975 090 92240 Icg angiography A 1.10 6.10 6.10 NA 0.09 7.29 7.29 1XXX.00.00.0003000 37.8975 090 92240TCIcg angiography A 0.00 5.60 5.60 NA 0.06 5.66 5.66 1XXX.00.00.0003000 37.8975 020 9224026Icg angiography A 1.10 0.50 0.50 0.03 1.63 1.63 1XXX.00.00.0003000 37.8975 090 92250 Eye exam with photos A 0.44 1.53 1.53 NA 0.02 1.99 1.99 1XXX.00.00.0002000 37.8975 090 92250TCEye exam with photos A 0.00 1.34 1.34 NA 0.01 1.35 1.35 1XXX.00.00.0002000 37.8975 010 9225026Eye exam with photos A 0.44 0.19 0.19 0.01 0.64 0.64 1XXX.00.00.0002000 37.8975 090 92260 Ophthalmoscopy/dynamometry A 0.20 0.26 0.09 0.01 0.47 0.30 0XXX.00.00.0002000 37.8975 090 92265 Eye muscle evaluation A 0.81 1.49 1.49 NA 0.06 2.36 2.36 1XXX.00.00.0002000 37.8975 090 92265TCEye muscle evaluation A 0.00 1.21 1.21 NA 0.02 1.23 1.23 1XXX.00.00.0002000 37.8975 030 9226526Eye muscle evaluation A 0.81 0.28 0.28 0.04 1.13 1.13 1XXX.00.00.0002000 37.8975 090 92270 Electro-oculography A 0.81 1.53 1.53 NA 0.05 2.39 2.39 1XXX.00.00.0002000 37.8975 010 92270TCElectro-oculography A 0.00 1.20 1.20 NA 0.02 1.22 1.22 1XXX.00.00.0002000 37.8975 010 9227026Electro-oculography A 0.81 0.33 0.33 0.03 1.17 1.17 1XXX.00.00.0002000 37.8975 090 92275 Electroretinography A 1.01 1.94 1.94 NA 0.05 3.00 3.00 1XXX.00.00.0002000 37.8975 010 92275TCElectroretinography A 0.00 1.51 1.51 NA 0.02 1.53 1.53 1XXX.00.00.0002000 37.8975 010 9227526Electroretinography A 1.01 0.43 0.43 0.03 1.47 1.47 1XXX.00.00.0002000 37.8975 090 92283 Color vision examination A 0.17 0.84 0.84 NA 0.02 1.03 1.03 1XXX.00.00.0002000 37.8975 090 92283TCColor vision examination A 0.00 0.77 0.77 NA 0.01 0.78 0.78 1XXX.00.00.0002000 37.8975 010 9228326Color vision examination A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0002000 37.8975 090 92284 Dark adaptation eye exam A 0.24 1.88 1.88 NA 0.02 2.14 2.14 1XXX.00.00.0002000 37.8975 090 92284TCDark adaptation eye exam A 0.00 1.80 1.80 NA 0.01 1.81 1.81 1XXX.00.00.0002000 37.8975 010 9228426Dark adaptation eye exam A 0.24 0.08 0.08 0.01 0.33 0.33 1XXX.00.00.0002000 37.8975 090 92285 Eye photography A 0.20 0.99 0.99 NA 0.02 1.21 1.21 1XXX.00.00.0002000 37.8975 010 92285TCEye photography A 0.00 0.90 0.90 NA 0.01 0.91 0.91 1XXX.00.00.0002000 37.8975 010 9228526Eye photography A 0.20 0.09 0.09 0.01 0.30 0.30 1XXX.00.00.0002000 37.8975 090 92286 Internal eye photography A 0.66 3.05 3.05 NA 0.04 3.75 3.75 1XXX.00.00.0002000 37.8975 010 92286TCInternal eye photography A 0.00 2.76 2.76 NA 0.02 2.78 2.78 1XXX.00.00.0002000 37.8975 010 9228626Internal eye photography A 0.66 0.29 0.29 0.02 0.97 0.97 1XXX.00.00.0002000 37.8975 090 92287 Internal eye photography A 0.81 2.38 0.31 0.02 3.21 1.14 0XXX.00.00.0002000 37.8975 090 92310 Contact lens fitting N+ 1.17 1.12 0.45 0.04 2.33 1.66 9XXX.00.00.0099999 37.8975 090 92311 Contact lens fitting A 1.08 1.09 0.35 0.03 2.20 1.46 0XXX.00.00.0000000 37.8975 090 92312 Contact lens fitting A 1.26 1.08 0.50 0.03 2.37 1.79 0XXX.00.00.0002000 37.8975 090 92313 Contact lens fitting A 0.92 1.06 0.29 0.02 2.00 1.23 0XXX.00.00.0000000 37.8975 090 92314 Prescription of contact lens N+ 0.69 0.94 0.27 0.01 1.64 0.97 9XXX.00.00.0099999 37.8975 090 92315 Prescription of contact lens A 0.45 0.85 0.16 0.01 1.31 0.62 0XXX.00.00.0000000 37.8975 090 92316 Prescription of contact lens A 0.68 0.91 0.29 0.02 1.61 0.99 0XXX.00.00.0002000 37.8975 090 92317 Prescription of contact lens A 0.45 0.94 0.15 0.01 1.40 0.61 0XXX.00.00.0000000 37.8975 090 92325 Modification of contact lens A 0.00 0.40 0.40 NA 0.01 0.41 0.41 5XXX.00.00.0000000 37.8975 090 92326 Replacement of contact lens A 0.00 1.63 1.63 NA 0.06 1.69 1.69 5XXX.00.00.0000000 37.8975 090 92330 Fitting of artificial eye A 1.08 0.99 0.32 0.03 2.10 1.43 0XXX.00.00.0000000 37.8975 090 92335 Fitting of artificial eye A 0.45 0.90 0.16 0.01 1.36 0.62 0XXX.00.00.0000000 37.8975 090 92340 Fitting of spectacles N+ 0.37 0.70 0.14 0.01 1.08 0.52 9XXX.00.00.0099999 37.8975 090 92341 Fitting of spectacles N+ 0.47 0.74 0.18 0.01 1.22 0.66 9XXX.00.00.0099999 37.8975 090 92342 Fitting of spectacles N+ 0.53 0.76 0.21 0.01 1.30 0.75 9XXX.00.00.0099999 37.8975 090 92352 Special spectacles fitting B+ 0.37 0.68 0.14 0.01 1.06 0.52 9XXX.00.00.0099999 37.8975 090 92353 Special spectacles fitting B+ 0.50 0.73 0.19 0.02 1.25 0.71 9XXX.00.00.0099999 37.8975 090 92354 Special spectacles fitting B+ 0.00 8.86 8.86 NA 0.10 8.96 8.96 9XXX.00.00.0099999 37.8975 090 92355 Special spectacles fitting B+ 0.00 4.33 4.33 NA 0.01 4.34 4.34 9XXX.00.00.0099999 37.8975 090 92358 Eye prosthesis service B+ 0.00 0.97 0.97 NA 0.05 1.02 1.02 9XXX.00.00.0099999 37.8975 090 92370 Repair & adjust spectacles N+ 0.32 0.55 0.13 0.02 0.89 0.47 9XXX.00.00.0099999 37.8975 090 92371 Repair & adjust spectacles B+ 0.00 0.62 0.62 NA 0.02 0.64 0.64 9XXX.00.00.0099999 37.8975 090 92390 Supply of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92391 Supply of contact lenses N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92392 Supply of low vision aids I+ 0.00 3.79 3.79 0.02 3.81 3.81 9XXX.00.00.0099999 37.8975 090 92393 Supply of artificial eye I+ 0.00 11.76 11.76 0.57 12.33 12.33 9XXX.00.00.0099999 37.8975 090 92395 Supply of spectacles I+ 0.00 1.28 1.28 0.10 1.38 1.38 9XXX.00.00.0099999 37.8975 090 92396 Supply of contact lenses I+ 0.00 2.16 2.16 0.07 2.23 2.23 9XXX.00.00.0099999 37.8975 090 92499 Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 92499TCEye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9249926Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 92502 Ear and throat examination A 1.51 1.11NA 1.11 0.05 2.67 2.67 0000.00.00.0000000 37.8975 090 92504 Ear microscopy examination A 0.18 0.50 0.09 0.01 0.69 0.28 0XXX.00.00.0000000 37.8975 090 92506 Speech/hearing evaluation A 0.86 2.59 0.40 0.03 3.48 1.29 0XXX.00.00.0000000 37.8975 090 92507 Speech/hearing therapy A 0.52 1.11 0.23 0.02 1.65 0.77 0XXX.00.00.0000000 37.8975 090 92508 Speech/hearing therapy A 0.26 0.51 0.12 0.01 0.78 0.39 0XXX.00.00.0000000 37.8975 090 92510 Rehab for ear implant I+ 1.50 2.08 0.82 0.07 3.65 2.39 9XXX.00.00.0099999 37.8975 090 92511 Nasopharyngoscopy A 0.84 3.31 0.78 0.03 4.18 1.65 0000.00.00.0000000 37.8975 090 92512 Nasal function studies A 0.55 1.14 0.18 0.02 1.71 0.75 0XXX.00.00.0000000 37.8975 090 92516 Facial nerve function test A 0.43 1.20 0.22 0.01 1.64 0.66 0XXX.00.00.0000000 37.8975 090 92520 Laryngeal function studies A 0.76 0.51 0.39 0.03 1.30 1.18 0XXX.00.00.0000000 37.8975 090 92526 Oral function therapy A 0.55 1.64 0.20 0.02 2.21 0.77 0XXX.00.00.0000000 37.8975 090 92531 Spontaneous nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92532 Positional nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92533 Caloric vestibular test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92534 Optokinetic nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92541 Spontaneous nystagmus test A 0.40 1.03 1.03 NA 0.04 1.47 1.47 1XXX.00.00.0000000 37.8975 090 92541TCSpontaneous nystagmus test A 0.00 0.84 0.84 NA 0.02 0.86 0.86 1XXX.00.00.0000000 37.8975 050 9254126Spontaneous nystagmus test A 0.40 0.19 0.19 0.02 0.61 0.61 1XXX.00.00.0000000 37.8975 090 92542 Positional nystagmus test A 0.33 1.14 1.14 NA 0.03 1.50 1.50 1XXX.00.00.0000000 37.8975 090 92542TCPositional nystagmus test A 0.00 0.98 0.98 NA 0.02 1.00 1.00 1XXX.00.00.0000000 37.8975 050 9254226Positional nystagmus test A 0.33 0.16 0.16 0.01 0.50 0.50 1XXX.00.00.0000000 37.8975 090 92543 Caloric vestibular test A 0.10 0.57 0.57 NA 0.02 0.69 0.69 1XXX.00.00.0000000 37.8975 090 92543TCCaloric vestibular test A 0.00 0.52 0.52 NA 0.01 0.53 0.53 1XXX.00.00.0000000 37.8975 050 9254326Caloric vestibular test A 0.10 0.05 0.05 0.01 0.16 0.16 1XXX.00.00.0000000 37.8975 090 92544 Optokinetic nystagmus test A 0.26 0.90 0.90 NA 0.03 1.19 1.19 1XXX.00.00.0000000 37.8975 090 92544TCOptokinetic nystagmus test A 0.00 0.78 0.78 NA 0.02 0.80 0.80 1XXX.00.00.0000000 37.8975 050 9254426Optokinetic nystagmus test A 0.26 0.12 0.12 0.01 0.39 0.39 1XXX.00.00.0000000 37.8975 090 92545 Oscillating tracking test A 0.23 0.80 0.80 NA 0.03 1.06 1.06 1XXX.00.00.0000000 37.8975 090 92545TCOscillating tracking test A 0.00 0.69 0.69 NA 0.02 0.71 0.71 1XXX.00.00.0000000 37.8975 050 9254526Oscillating tracking test A 0.23 0.11 0.11 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 92546 Sinusoidal rotational test A 0.29 1.98 1.98 NA 0.03 2.30 2.30 1XXX.00.00.0000000 37.8975 090 92546TCSinusoidal rotational test A 0.00 1.85 1.85 NA 0.02 1.87 1.87 1XXX.00.00.0000000 37.8975 050 9254626Sinusoidal rotational test A 0.29 0.13 0.13 0.01 0.43 0.43 1XXX.00.00.0000000 37.8975 090 92547 Supplemental electrical test A 0.00 0.08 0.08 NA 0.06 0.14 0.14 3ZZZ.00.00.0000000 37.8975 050 92548 Posturography A 0.50 2.25 2.25 NA 0.15 2.90 2.90 1XXX.00.00.0000000 37.8975 090 92548TCPosturography A 0.00 1.99 1.99 NA 0.13 2.12 2.12 1XXX.00.00.0000000 37.8975 050 9254826Posturography A 0.50 0.26 0.26 0.02 0.78 0.78 1XXX.00.00.0000000 37.8975 090 92551 Pure tone hearing test, air N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92552 Pure tone audiometry, air A 0.00 0.44 0.44 NA 0.04 0.48 0.48 3XXX.00.00.0002000 37.8975 050 92553 Audiometry, air & bone A 0.00 0.66 0.66 NA 0.06 0.72 0.72 3XXX.00.00.0002000 37.8975 050 92555 Speech threshold audiometry A 0.00 0.38 0.38 NA 0.04 0.42 0.42 3XXX.00.00.0002000 37.8975 050 92556 Speech audiometry, complete A 0.00 0.57 0.57 NA 0.06 0.63 0.63 3XXX.00.00.0002000 37.8975 050 92557 Comprehensive hearing test A 0.00 1.19 1.19 NA 0.12 1.31 1.31 3XXX.00.00.0002000 37.8975 050 92559 Group audiometric testing N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92560 Bekesy audiometry, screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92561 Bekesy audiometry, diagnosis A 0.00 0.72 0.72 NA 0.06 0.78 0.78 3XXX.00.00.0002000 37.8975 050 92562 Loudness balance test A 0.00 0.41 0.41 NA 0.04 0.45 0.45 3XXX.00.00.0002000 37.8975 050 92563 Tone decay hearing test A 0.00 0.38 0.38 NA 0.04 0.42 0.42 3XXX.00.00.0002000 37.8975 050 92564 Sisi hearing test A 0.00 0.47 0.47 NA 0.05 0.52 0.52 3XXX.00.00.0002000 37.8975 050 92565 Stenger test, pure tone A 0.00 0.40 0.40 NA 0.04 0.44 0.44 3XXX.00.00.0002000 37.8975 050 92567 Tympanometry A 0.00 0.52 0.52 NA 0.06 0.58 0.58 3XXX.00.00.0002000 37.8975 050 92568 Acoustic reflex testing A 0.00 0.38 0.38 NA 0.04 0.42 0.42 3XXX.00.00.0002000 37.8975 050 92569 Acoustic reflex decay test A 0.00 0.41 0.41 NA 0.04 0.45 0.45 3XXX.00.00.0002000 37.8975 050 92571 Filtered speech hearing test A 0.00 0.39 0.39 NA 0.04 0.43 0.43 3XXX.00.00.0002000 37.8975 050 92572 Staggered spondaic word test A 0.00 0.09 0.09 NA 0.01 0.10 0.10 3XXX.00.00.0002000 37.8975 050 92573 Lombard test A 0.00 0.35 0.35 NA 0.04 0.39 0.39 3XXX.00.00.0002000 37.8975 050 92575 Sensorineural acuity test A 0.00 0.30 0.30 NA 0.02 0.32 0.32 3XXX.00.00.0002000 37.8975 050 92576 Synthetic sentence test A 0.00 0.44 0.44 NA 0.05 0.49 0.49 3XXX.00.00.0002000 37.8975 050 92577 Stenger test, speech A 0.00 0.72 0.72 NA 0.07 0.79 0.79 3XXX.00.00.0002000 37.8975 050 92579 Visual audiometry (vra) A 0.00 0.73 0.73 NA 0.06 0.79 0.79 3XXX.00.00.0002000 37.8975 050 92582 Conditioning play audiometry A 0.00 0.73 0.73 NA 0.06 0.79 0.79 3XXX.00.00.0002000 37.8975 050 92583 Select picture audiometry A 0.00 0.89 0.89 NA 0.08 0.97 0.97 3XXX.00.00.0002000 37.8975 050 92584 Electrocochleography A 0.00 2.47 2.47 NA 0.21 2.68 2.68 3XXX.00.00.0002000 37.8975 050 92585 Auditor evoke potent, compre A 0.50 2.06 2.06 NA 0.17 2.73 2.73 1XXX.00.00.0002000 37.8975 090 92585TCAuditor evoke potent, compre A 0.00 1.85 1.85 NA 0.14 1.99 1.99 1XXX.00.00.0002000 37.8975 050 9258526Auditor evoke potent, compre A 0.50 0.21 0.21 0.03 0.74 0.74 1XXX.00.00.0002000 37.8975 090 92586 Auditor evoke potent, limit A 0.00 1.85 1.85 NA 0.14 1.99 1.99 3XXX.00.00.0002000 37.8975 090 92587 Evoked auditory test A 0.13 1.37 1.37 NA 0.12 1.62 1.62 1XXX.00.00.0002000 37.8975 090 92587TCEvoked auditory test A 0.00 1.31 1.31 NA 0.11 1.42 1.42 1XXX.00.00.0002000 37.8975 050 9258726Evoked auditory test A 0.13 0.06 0.06 0.01 0.20 0.20 1XXX.00.00.0002000 37.8975 090 92588 Evoked auditory test A 0.36 1.63 1.63 NA 0.14 2.13 2.13 1XXX.00.00.0002000 37.8975 090 92588TCEvoked auditory test A 0.00 1.47 1.47 NA 0.13 1.60 1.60 1XXX.00.00.0002000 37.8975 050 9258826Evoked auditory test A 0.36 0.16 0.16 0.01 0.53 0.53 1XXX.00.00.0002000 37.8975 090 92590 Hearing aid exam, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92591 Hearing aid exam, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92592 Hearing aid check, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92593 Hearing aid check, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92594 Electro hearng aid test, one N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92595 Electro hearng aid tst, both N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92596 Ear protector evaluation A 0.00 0.59 0.59 NA 0.06 0.65 0.65 3XXX.00.00.0002000 37.8975 050 92597 Oral speech device eval A 0.86 1.69 0.45 0.03 2.58 1.34 0XXX.00.00.0000000 37.8975 090 92601 Cochlear implt f/up exam < 7 A 0.00 3.50 3.50 NA 0.07 3.57 3.57 0XXX.00.00.0000000 37.8975 050 92602 Reprogram cochlear implt < 7 A 0.00 2.38 2.38 NA 0.07 2.45 2.45 0XXX.00.00.0000000 37.8975 050 92603 Cochlear implt f/up exam 7 > A 0.00 2.14 2.14 NA 0.07 2.21 2.21 0XXX.00.00.0000000 37.8975 050 92604 Reprogram cochlear implt 7 > A 0.00 1.35 1.35 NA 0.07 1.42 1.42 0XXX.00.00.0000000 37.8975 050 92605 Eval for nonspeech device rx B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92606 Non-speech device service B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 92607 Ex for speech device rx, 1hr A 0.00 3.08 3.08 NA 0.05 3.13 3.13 0XXX.00.00.0000000 37.8975 090 92608 Ex for speech device rx addl A 0.00 0.55 0.55 NA 0.05 0.60 0.60 0XXX.00.00.0000000 37.8975 090 92609 Use of speech device service A 0.00 1.59 1.59 NA 0.04 1.63 1.63 0XXX.00.00.0000000 37.8975 090 92610 Evaluate swallowing function A 0.00 3.43 3.43 NA 0.08 3.51 3.51 0XXX.00.00.0000000 37.8975 090 92611 Motion fluoroscopy/swallow A 0.00 3.43 3.43 NA 0.08 3.51 3.51 0XXX.00.00.0000000 37.8975 090 92612 Endoscopy swallow tst (fees) A 1.27 2.74 0.66 0.04 4.05 1.97 0XXX.00.00.0000000 37.8975 090 92613 Endoscopy swallow tst (fees) A 0.71 0.40 0.39 0.05 1.16 1.15 0XXX.00.00.0000000 37.8975 090 92614 Laryngoscopic sensory test A 1.27 2.50 0.66 0.04 3.81 1.97 0XXX.00.00.0000000 37.8975 090 92615 Eval laryngoscopy sense tst A 0.63 0.35 0.35 0.05 1.03 1.03 0XXX.00.00.0000000 37.8975 090 92616 Fees w/laryngeal sense test A 1.88 3.39 0.99 0.06 5.33 2.93 0XXX.00.00.0000000 37.8975 090 92617 Interprt fees/laryngeal test A 0.79 0.44 0.44 0.05 1.28 1.28 0XXX.00.00.0000000 37.8975 090 92620 Auditory function, 60 min A 0.00 1.14 1.14 NA 0.06 1.20 1.20 3XXX.00.00.0002000 37.8975 050 92621 Auditory function, + 15 min A 0.00 0.25 0.25 NA 0.06 0.31 0.31 3ZZZ.00.00.0002000 37.8975 050 92625 Tinnitus assessment A 0.00 1.12 1.12 NA 0.06 1.18 1.18 3XXX.00.00.0002000 37.8975 050 92700 Ent procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 92950 Heart/lung resuscitation cpr A 3.79 4.20 0.97 0.26 8.25 5.02 0000.00.00.0000000 37.8975 090 92953 Temporary external pacing A 0.23 0.07NA 0.07 0.02 0.32 0.32 0000.00.00.0000000 37.8975 090 92960 Cardioversion electric, ext A 2.25 6.31 1.17 0.08 8.64 3.50 0000.00.00.0000000 37.8975 090 92961 Cardioversion, electric, int A 4.59 2.08NA 2.08 0.29 6.96 6.96 0000.00.00.0099999 37.8975 090 92970 Cardioassist, internal A 3.51 1.06NA 1.06 0.19 4.76 4.76 0000.00.00.0000000 37.8975 090 92971 Cardioassist, external A 1.77 0.85NA 0.85 0.06 2.68 2.68 0000.00.00.0000000 37.8975 090 92973 Percut coronary thrombectomy A 3.28 1.29NA 1.29 0.23 4.80 4.80 0ZZZ.00.00.0000000 37.8975 090 92974 Cath place, cardio brachytx A 3.00 1.18NA 1.18 0.21 4.39 4.39 0ZZZ.00.00.0000000 37.8975 090 92975 Dissolve clot, heart vessel A 7.24 2.81NA 2.81 0.23 10.28 10.28 0000.00.00.0020000 37.8975 090 92977 Dissolve clot, heart vessel A 0.00 8.05 8.05 NA 0.46 8.51 8.51 5XXX.00.00.0000000 37.8975 090 92978 Intravasc us, heart add-on A 1.80 5.27 5.27 NA 0.30 7.37 7.37 1ZZZ.00.00.0000000 37.8975 090 92978TCIntravasc us, heart add-on A 0.00 4.56 4.56 NA 0.24 4.80 4.80 1ZZZ.00.00.0000000 37.8975 030 9297826Intravasc us, heart add-on A 1.80 0.71 0.71 0.06 2.57 2.57 1ZZZ.00.00.0000000 37.8975 090 92979 Intravasc us, heart add-on A 1.44 2.85 2.85 NA 0.19 4.48 4.48 1ZZZ.00.00.0000000 37.8975 090 92979TCIntravasc us, heart add-on A 0.00 2.29 2.29 NA 0.13 2.42 2.42 1ZZZ.00.00.0000000 37.8975 030 9297926Intravasc us, heart add-on A 1.44 0.56 0.56 0.06 2.06 2.06 1ZZZ.00.00.0000000 37.8975 090 92980 Insert intracoronary stent A 14.82 6.05NA 6.05 0.48 21.35 21.35 0000.00.00.0020000 37.8975 090 92981 Insert intracoronary stent A 4.16 1.63NA 1.63 0.13 5.92 5.92 0ZZZ.00.00.0000000 37.8975 090 92982 Coronary artery dilation A 10.96 4.53NA 4.53 0.35 15.84 15.84 0000.00.00.0020000 37.8975 090 92984 Coronary artery dilation A 2.97 1.16NA 1.16 0.09 4.22 4.22 0ZZZ.00.00.0000000 37.8975 090 92986 Revision of aortic valve A 21.77 11.83NA 11.83 0.70 34.30 34.30 0090.09.84.0720000 37.8975 090 92987 Revision of mitral valve A 22.67 12.21NA 12.21 0.72 35.60 35.60 0090.09.84.0720000 37.8975 090 92990 Revision of pulmonary valve A 17.31 9.79NA 9.79 0.79 27.89 27.89 0090.09.84.0720000 37.8975 090 92992 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 37.8975 090 92993 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 37.8975 090 92995 Coronary atherectomy A 12.07 4.96NA 4.96 0.39 17.42 17.42 0000.00.00.0020000 37.8975 090 92996 Coronary atherectomy add-on A 3.26 1.27NA 1.27 0.10 4.63 4.63 0ZZZ.00.00.0000000 37.8975 090 92997 Pul art balloon repr, percut A 11.98 4.82NA 4.82 0.46 17.26 17.26 0000.00.00.0020000 37.8975 090 92998 Pul art balloon repr, percut A 5.99 2.20NA 2.20 0.28 8.47 8.47 0ZZZ.00.00.0000000 37.8975 090 93000 Electrocardiogram, complete A 0.17 0.51 0.51 NA 0.03 0.71 0.71 4XXX.00.00.0000000 37.8975 010 93005 Electrocardiogram, tracing A 0.00 0.45 0.45 NA 0.02 0.47 0.47 3XXX.00.00.0000000 37.8975 010 93010 Electrocardiogram report A 0.17 0.06 0.06 0.01 0.24 0.24 2XXX.00.00.0000000 37.8975 090 93012 Transmission of ecg A 0.00 6.01 6.01 NA 0.18 6.19 6.19 3XXX.00.00.0000000 37.8975 010 93014 Report on transmitted ecg A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 37.8975 090 93015 Cardiovascular stress test A 0.75 1.96 1.96 NA 0.14 2.85 2.85 4XXX.00.00.0000000 37.8975 020 93016 Cardiovascular stress test A 0.45 0.17 0.17 0.02 0.64 0.64 2XXX.00.00.0000000 37.8975 020 93017 Cardiovascular stress test A 0.00 1.68 1.68 NA 0.11 1.79 1.79 3XXX.00.00.0000000 37.8975 020 93018 Cardiovascular stress test A 0.30 0.11 0.11 0.01 0.42 0.42 2XXX.00.00.0000000 37.8975 090 93024 Cardiac drug stress test A 1.17 1.57 1.57 NA 0.13 2.87 2.87 1XXX.00.00.0000000 37.8975 090 93024TCCardiac drug stress test A 0.00 1.12 1.12 NA 0.08 1.20 1.20 1XXX.00.00.0000000 37.8975 030 9302426Cardiac drug stress test A 1.17 0.45 0.45 0.05 1.67 1.67 1XXX.00.00.0000000 37.8975 090 93025 Microvolt t-wave assess A 0.75 7.59 7.59 NA 0.14 8.48 8.48 1XXX.00.00.0000000 37.8975 020 93025TCMicrovolt t-wave assess A 0.00 7.30 7.30 NA 0.11 7.41 7.41 1XXX.00.00.0000000 37.8975 020 9302526Microvolt t-wave assess A 0.75 0.29 0.29 0.03 1.07 1.07 1XXX.00.00.0000000 37.8975 020 93040 Rhythm ECG with report A 0.16 0.20 0.20 NA 0.02 0.38 0.38 4XXX.00.00.0000000 37.8975 010 93041 Rhythm ECG, tracing A 0.00 0.15 0.15 NA 0.01 0.16 0.16 3XXX.00.00.0000000 37.8975 010 93042 Rhythm ECG, report A 0.16 0.05 0.05 0.01 0.22 0.22 2XXX.00.00.0000000 37.8975 090 93224 ECG monitor/report, 24 hrs A 0.52 3.61 3.61 NA 0.24 4.37 4.37 4XXX.00.00.0000000 37.8975 010 93225 ECG monitor/record, 24 hrs A 0.00 1.24 1.24 NA 0.08 1.32 1.32 3XXX.00.00.0000000 37.8975 010 93226 ECG monitor/report, 24 hrs A 0.00 2.18 2.18 NA 0.14 2.32 2.32 3XXX.00.00.0000000 37.8975 010 93227 ECG monitor/review, 24 hrs A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 37.8975 090 93230 ECG monitor/report, 24 hrs A 0.52 3.89 3.89 NA 0.26 4.67 4.67 4XXX.00.00.0000000 37.8975 010 93231 Ecg monitor/record, 24 hrs A 0.00 1.52 1.52 NA 0.11 1.63 1.63 3XXX.00.00.0000000 37.8975 010 93232 ECG monitor/report, 24 hrs A 0.00 2.18 2.18 NA 0.13 2.31 2.31 3XXX.00.00.0000000 37.8975 010 93233 ECG monitor/review, 24 hrs A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 37.8975 090 93235 ECG monitor/report, 24 hrs A 0.45 2.78 2.78 NA 0.16 3.39 3.39 4XXX.00.00.0000000 37.8975 010 93236 ECG monitor/report, 24 hrs A 0.00 2.62 2.62 NA 0.14 2.76 2.76 3XXX.00.00.0000000 37.8975 010 93237 ECG monitor/review, 24 hrs A 0.45 0.16 0.16 0.02 0.63 0.63 2XXX.00.00.0000000 37.8975 090 93268 ECG record/review A 0.52 7.44 7.44 NA 0.28 8.24 8.24 4XXX.00.00.0000000 37.8975 010 93270 ECG recording A 0.00 1.24 1.24 NA 0.08 1.32 1.32 3XXX.00.00.0000000 37.8975 010 93271 Ecg/monitoring and analysis A 0.00 6.01 6.01 NA 0.18 6.19 6.19 3XXX.00.00.0000000 37.8975 010 93272 Ecg/review, interpret only A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 37.8975 090 93278 ECG/signal-averaged A 0.25 1.25 1.25 NA 0.12 1.62 1.62 1XXX.00.00.0000000 37.8975 090 93278TCECG/signal-averaged A 0.00 1.15 1.15 NA 0.11 1.26 1.26 1XXX.00.00.0000000 37.8975 010 9327826ECG/signal-averaged A 0.25 0.10 0.10 0.01 0.36 0.36 1XXX.00.00.0000000 37.8975 090 93303 Echo transthoracic A 1.30 4.34 4.34 NA 0.27 5.91 5.91 1XXX.00.00.0000000 37.8975 090 93303TCEcho transthoracic A 0.00 3.86 3.86 NA 0.23 4.09 4.09 1XXX.00.00.0000000 37.8975 010 9330326Echo transthoracic A 1.30 0.48 0.48 0.04 1.82 1.82 1XXX.00.00.0000000 37.8975 090 93304 Echo transthoracic A 0.75 2.22 2.22 NA 0.16 3.13 3.13 1XXX.00.00.0000000 37.8975 090 93304TCEcho transthoracic A 0.00 1.94 1.94 NA 0.13 2.07 2.07 1XXX.00.00.0000000 37.8975 010 9330426Echo transthoracic A 0.75 0.28 0.28 0.03 1.06 1.06 1XXX.00.00.0000000 37.8975 090 93307 Echo exam of heart A 0.92 4.21 4.21 NA 0.26 5.39 5.39 1XXX.00.00.0000000 37.8975 090 93307TCEcho exam of heart A 0.00 3.86 3.86 NA 0.23 4.09 4.09 1XXX.00.00.0000000 37.8975 010 9330726Echo exam of heart A 0.92 0.35 0.35 0.03 1.30 1.30 1XXX.00.00.0000000 37.8975 090 93308 Echo exam of heart A 0.53 2.14 2.14 NA 0.15 2.82 2.82 1XXX.00.00.0000000 37.8975 090 93308TCEcho exam of heart A 0.00 1.94 1.94 NA 0.13 2.07 2.07 1XXX.00.00.0000000 37.8975 010 9330826Echo exam of heart A 0.53 0.20 0.20 0.02 0.75 0.75 1XXX.00.00.0000000 37.8975 090 93312 Echo transesophageal A 2.20 4.57 4.57 NA 0.37 7.14 7.14 1XXX.00.00.0000000 37.8975 090 93312TCEcho transesophageal A 0.00 3.78 3.78 NA 0.29 4.07 4.07 1XXX.00.00.0000000 37.8975 030 9331226Echo transesophageal A 2.20 0.79 0.79 0.08 3.07 3.07 1XXX.00.00.0000000 37.8975 090 93313 Echo transesophageal A 0.95 0.21NA 0.21 0.06 1.22 1.22 0XXX.00.00.0000000 37.8975 030 93314 Echo transesophageal A 1.25 4.25 4.25 NA 0.34 5.84 5.84 1XXX.00.00.0000000 37.8975 090 93314TCEcho transesophageal A 0.00 3.78 3.78 NA 0.29 4.07 4.07 1XXX.00.00.0000000 37.8975 030 9331426Echo transesophageal A 1.25 0.47 0.47 0.05 1.77 1.77 1XXX.00.00.0000000 37.8975 090 93315 Echo transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93315TCEcho transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 9331526Echo transesophageal A 2.78 1.01 1.01 0.11 3.90 3.90 1XXX.00.00.0000000 37.8975 090 93316 Echo transesophageal A 0.95 0.24NA 0.24 0.05 1.24 1.24 0XXX.00.00.0000000 37.8975 030 93317 Echo transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93317TCEcho transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 030 9331726Echo transesophageal A 1.83 0.67 0.67 0.08 2.58 2.58 1XXX.00.00.0000000 37.8975 090 93318 Echo transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93318TCEcho transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9331826Echo transesophageal intraop A 2.20 0.48 0.48 0.14 2.82 2.82 1XXX.00.00.0000000 37.8975 090 93320 Doppler echo exam, heart A 0.38 1.86 1.86 NA 0.13 2.37 2.37 1ZZZ.00.00.0000000 37.8975 090 93320TCDoppler echo exam, heart A 0.00 1.71 1.71 NA 0.12 1.83 1.83 1ZZZ.00.00.0000000 37.8975 010 9332026Doppler echo exam, heart A 0.38 0.15 0.15 0.01 0.54 0.54 1ZZZ.00.00.0000000 37.8975 090 93321 Doppler echo exam, heart A 0.15 1.17 1.17 NA 0.09 1.41 1.41 1ZZZ.00.00.0000000 37.8975 090 93321TCDoppler echo exam, heart A 0.00 1.11 1.11 NA 0.08 1.19 1.19 1ZZZ.00.00.0000000 37.8975 010 9332126Doppler echo exam, heart A 0.15 0.06 0.06 0.01 0.22 0.22 1ZZZ.00.00.0000000 37.8975 090 93325 Doppler color flow add-on A 0.07 2.93 2.93 NA 0.22 3.22 3.22 1ZZZ.00.00.0000000 37.8975 090 93325TCDoppler color flow add-on A 0.00 2.90 2.90 NA 0.21 3.11 3.11 1ZZZ.00.00.0000000 37.8975 010 9332526Doppler color flow add-on A 0.07 0.03 0.03 0.01 0.11 0.11 1ZZZ.00.00.0000000 37.8975 090 93350 Echo transthoracic A 1.48 2.33 2.33 NA 0.18 3.99 3.99 1XXX.00.00.0000000 37.8975 090 93350TCEcho transthoracic A 0.00 1.76 1.76 NA 0.13 1.89 1.89 1XXX.00.00.0000000 37.8975 020 9335026Echo transthoracic A 1.48 0.57 0.57 0.05 2.10 2.10 1XXX.00.00.0000000 37.8975 090 93501 Right heart catheterization A 3.02 18.05 18.05 NA 1.26 22.33 22.33 1000.00.00.0020000 37.8975 090 93501TCRight heart catheterization A 0.00 16.90 16.90 NA 1.05 17.95 17.95 1000.00.00.0000000 37.8975 030 9350126Right heart catheterization A 3.02 1.15 1.15 0.21 4.38 4.38 1000.00.00.0020000 37.8975 090 93503 Insert/place heart catheter A 2.91 0.68NA 0.68 0.20 3.79 3.79 0000.00.00.0000000 37.8975 090 93505 Biopsy of heart lining A 4.37 3.66 3.66 NA 0.48 8.51 8.51 1000.00.00.0020000 37.8975 090 93505TCBiopsy of heart lining A 0.00 1.98 1.98 NA 0.16 2.14 2.14 1000.00.00.0000000 37.8975 030 9350526Biopsy of heart lining A 4.37 1.68 1.68 0.32 6.37 6.37 1000.00.00.0020000 37.8975 090 93508 Cath placement, angiography A 4.09 14.68 14.68 NA 0.93 19.70 19.70 1000.00.00.0020000 37.8975 090 93508TCCath placement, angiography A 0.00 12.60 12.60 NA 0.65 13.25 13.25 1000.00.00.0000000 37.8975 030 9350826Cath placement, angiography A 4.09 2.08 2.08 0.28 6.45 6.45 1000.00.00.0020000 37.8975 090 93510 Left heart catheterization A 4.32 39.12 39.12 NA 2.60 46.04 46.04 1000.00.00.0020000 37.8975 090 93510TCLeft heart catheterization A 0.00 36.95 36.95 NA 2.30 39.25 39.25 1000.00.00.0000000 37.8975 030 9351026Left heart catheterization A 4.32 2.17 2.17 0.30 6.79 6.79 1000.00.00.0020000 37.8975 090 93511 Left heart catheterization A 5.02 38.41 38.41 NA 2.58 46.01 46.01 1000.00.00.0020000 37.8975 090 93511TCLeft heart catheterization A 0.00 35.97 35.97 NA 2.23 38.20 38.20 1000.00.00.0000000 37.8975 030 9351126Left heart catheterization A 5.02 2.44 2.44 0.35 7.81 7.81 1000.00.00.0020000 37.8975 090 93514 Left heart catheterization A 7.04 39.09 39.09 NA 2.72 48.85 48.85 1000.00.00.0020000 37.8975 090 93514TCLeft heart catheterization A 0.00 35.97 35.97 NA 2.23 38.20 38.20 1000.00.00.0000000 37.8975 030 9351426Left heart catheterization A 7.04 3.12 3.12 0.49 10.65 10.65 1000.00.00.0020000 37.8975 090 93524 Left heart catheterization A 6.94 50.17 50.17 NA 3.41 60.52 60.52 1000.00.00.0020000 37.8975 090 93524TCLeft heart catheterization A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9352426Left heart catheterization A 6.94 3.17 3.17 0.48 10.59 10.59 1000.00.00.0020000 37.8975 090 93526 Rt & Lt heart catheters A 5.98 51.10 51.10 NA 3.43 60.51 60.51 1000.00.00.0020000 37.8975 090 93526TCRt & Lt heart catheters A 0.00 48.29 48.29 NA 3.02 51.31 51.31 1000.00.00.0000000 37.8975 030 9352626Rt & Lt heart catheters A 5.98 2.81 2.81 0.41 9.20 9.20 1000.00.00.0020000 37.8975 090 93527 Rt & Lt heart catheters A 7.27 50.31 50.31 NA 3.43 61.01 61.01 1000.00.00.0020000 37.8975 090 93527TCRt & Lt heart catheters A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9352726Rt & Lt heart catheters A 7.27 3.31 3.31 0.50 11.08 11.08 1000.00.00.0020000 37.8975 090 93528 Rt & Lt heart catheters A 8.99 51.03 51.03 NA 3.55 63.57 63.57 1000.00.00.0020000 37.8975 090 93528TCRt & Lt heart catheters A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9352826Rt & Lt heart catheters A 8.99 4.03 4.03 0.62 13.64 13.64 1000.00.00.0020000 37.8975 090 93529 Rt, lt heart catheterization A 4.79 49.27 49.27 NA 3.26 57.32 57.32 1000.00.00.0020000 37.8975 090 93529TCRt, lt heart catheterization A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9352926Rt, lt heart catheterization A 4.79 2.27 2.27 0.33 7.39 7.39 1000.00.00.0020000 37.8975 090 93530 Rt heart cath, congenital A 4.22 18.83 18.83 NA 1.34 24.39 24.39 1000.00.00.0020000 37.8975 090 93530TCRt heart cath, congenital A 0.00 16.90 16.90 NA 1.05 17.95 17.95 1000.00.00.0000000 37.8975 030 9353026Rt heart cath, congenital A 4.22 1.93 1.93 0.29 6.44 6.44 1000.00.00.0020000 37.8975 090 93531 R & l heart cath, congenital A 8.34 51.87 51.87 NA 3.60 63.81 63.81 1000.00.00.0020000 37.8975 090 93531TCR & l heart cath, congenital A 0.00 48.29 48.29 NA 3.02 51.31 51.31 1000.00.00.0000000 37.8975 030 9353126R & l heart cath, congenital A 8.34 3.58 3.58 0.58 12.50 12.50 1000.00.00.0020000 37.8975 090 93532 R & l heart cath, congenital A 9.99 51.25 51.25 NA 3.62 64.86 64.86 1000.00.00.0020000 37.8975 090 93532TCR & l heart cath, congenital A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9353226R & l heart cath, congenital A 9.99 4.25 4.25 0.69 14.93 14.93 1000.00.00.0020000 37.8975 090 93533 R & l heart cath, congenital A 6.69 49.79 49.79 NA 3.39 59.87 59.87 1000.00.00.0020000 37.8975 090 93533TCR & l heart cath, congenital A 0.00 47.00 47.00 NA 2.93 49.93 49.93 1000.00.00.0000000 37.8975 030 9353326R & l heart cath, congenital A 6.69 2.79 2.79 0.46 9.94 9.94 1000.00.00.0020000 37.8975 090 93539 Injection, cardiac cath A 0.40 0.16NA 0.16 0.01 0.57 0.57 0000.00.00.0000000 37.8975 090 93540 Injection, cardiac cath A 0.43 0.17NA 0.17 0.01 0.61 0.61 0000.00.00.0000000 37.8975 090 93541 Injection for lung angiogram A 0.29 0.11NA 0.11 0.01 0.41 0.41 0000.00.00.0000000 37.8975 090 93542 Injection for heart x-rays A 0.29 0.11NA 0.11 0.01 0.41 0.41 0000.00.00.0000000 37.8975 090 93543 Injection for heart x-rays A 0.29 0.11NA 0.11 0.01 0.41 0.41 0000.00.00.0000000 37.8975 090 93544 Injection for aortography A 0.25 0.10NA 0.10 0.01 0.36 0.36 0000.00.00.0000000 37.8975 090 93545 Inject for coronary x-rays A 0.40 0.16NA 0.16 0.01 0.57 0.57 0000.00.00.0000000 37.8975 090 93555 Imaging, cardiac cath A 0.81 6.59 6.59 NA 0.37 7.77 7.77 1XXX.00.00.0000000 37.8975 090 93555TCImaging, cardiac cath A 0.00 6.27 6.27 NA 0.34 6.61 6.61 1XXX.00.00.0000000 37.8975 030 9355526Imaging, cardiac cath A 0.81 0.32 0.32 0.03 1.16 1.16 1XXX.00.00.0000000 37.8975 090 93556 Imaging, cardiac cath A 0.83 10.21 10.21 NA 0.54 11.58 11.58 1XXX.00.00.0000000 37.8975 090 93556TCImaging, cardiac cath A 0.00 9.89 9.89 NA 0.51 10.40 10.40 1XXX.00.00.0000000 37.8975 030 9355626Imaging, cardiac cath A 0.83 0.32 0.32 0.03 1.18 1.18 1XXX.00.00.0000000 37.8975 090 93561 Cardiac output measurement A 0.50 0.68 0.68 NA 0.09 1.27 1.27 1000.00.00.0000000 37.8975 090 93561TCCardiac output measurement A 0.00 0.52 0.52 NA 0.06 0.58 0.58 1000.00.00.0000000 37.8975 030 9356126Cardiac output measurement A 0.50 0.16 0.16 0.03 0.69 0.69 1000.00.00.0000000 37.8975 090 93562 Cardiac output measurement A 0.16 0.37 0.37 NA 0.05 0.58 0.58 1000.00.00.0000000 37.8975 090 93562TCCardiac output measurement A 0.00 0.32 0.32 NA 0.04 0.36 0.36 1000.00.00.0000000 37.8975 030 9356226Cardiac output measurement A 0.16 0.05 0.05 0.01 0.22 0.22 1000.00.00.0000000 37.8975 090 93571 Heart flow reserve measure A 1.80 5.24 5.24 NA 0.30 7.34 7.34 1ZZZ.00.00.0000000 37.8975 090 93571TCHeart flow reserve measure A 0.00 4.56 4.56 NA 0.24 4.80 4.80 1ZZZ.00.00.0000000 37.8975 030 9357126Heart flow reserve measure A 1.80 0.68 0.68 0.06 2.54 2.54 1ZZZ.00.00.0000000 37.8975 090 93572 Heart flow reserve measure A 1.44 2.79 2.79 NA 0.18 4.41 4.41 1ZZZ.00.00.0000000 37.8975 090 93572TCHeart flow reserve measure A 0.00 2.29 2.29 NA 0.13 2.42 2.42 1ZZZ.00.00.0000000 37.8975 030 9357226Heart flow reserve measure A 1.44 0.50 0.50 0.05 1.99 1.99 1ZZZ.00.00.0000000 37.8975 090 93580 Transcath closure of asd A 17.97 7.38NA 7.38 1.25 26.60 26.60 0000.00.00.0020000 37.8975 090 93581 Transcath closure of vsd A 24.39 9.39NA 9.39 1.69 35.47 35.47 0000.00.00.0020000 37.8975 090 93600 Bundle of His recording A 2.12 2.78 2.78 NA 0.29 5.19 5.19 1000.00.00.0000000 37.8975 090 93600TCBundle of His recording A 0.00 1.95 1.95 NA 0.13 2.08 2.08 1000.00.00.0000000 37.8975 030 9360026Bundle of His recording A 2.12 0.83 0.83 0.16 3.11 3.11 1000.00.00.0000000 37.8975 090 93602 Intra-atrial recording A 2.12 1.93 1.93 NA 0.24 4.29 4.29 1000.00.00.0000000 37.8975 090 93602TCIntra-atrial recording A 0.00 1.11 1.11 NA 0.07 1.18 1.18 1000.00.00.0000000 37.8975 030 9360226Intra-atrial recording A 2.12 0.82 0.82 0.17 3.11 3.11 1000.00.00.0000000 37.8975 090 93603 Right ventricular recording A 2.12 2.49 2.49 NA 0.29 4.90 4.90 1000.00.00.0000000 37.8975 090 93603TCRight ventricular recording A 0.00 1.68 1.68 NA 0.11 1.79 1.79 1000.00.00.0000000 37.8975 030 9360326Right ventricular recording A 2.12 0.81 0.81 0.18 3.11 3.11 1000.00.00.0000000 37.8975 090 93609 Map tachycardia, add-on A 4.99 4.67 4.67 NA 0.52 10.18 10.18 1ZZZ.00.00.0000000 37.8975 090 93609TCMap tachycardia, add-on A 0.00 2.72 2.72 NA 0.17 2.89 2.89 1ZZZ.00.00.0000000 37.8975 030 9360926Map tachycardia, add-on A 4.99 1.95 1.95 0.35 7.29 7.29 1ZZZ.00.00.0000000 37.8975 090 93610 Intra-atrial pacing A 3.02 2.51 2.51 NA 0.35 5.88 5.88 1000.00.00.0000000 37.8975 090 93610TCIntra-atrial pacing A 0.00 1.35 1.35 NA 0.10 1.45 1.45 1000.00.00.0000000 37.8975 030 9361026Intra-atrial pacing A 3.02 1.16 1.16 0.25 4.43 4.43 1000.00.00.0000000 37.8975 090 93612 Intraventricular pacing A 3.02 2.77 2.77 NA 0.36 6.15 6.15 1000.00.00.0000000 37.8975 090 93612TCIntraventricular pacing A 0.00 1.61 1.61 NA 0.11 1.72 1.72 1000.00.00.0000000 37.8975 030 9361226Intraventricular pacing A 3.02 1.16 1.16 0.25 4.43 4.43 1000.00.00.0000000 37.8975 090 93613 Electrophys map 3d, add-on A 6.99 2.76NA 2.76 0.48 10.23 10.23 0ZZZ.00.00.0000000 37.8975 090 93615 Esophageal recording A 0.99 0.59 0.59 NA 0.05 1.63 1.63 1000.00.00.0000000 37.8975 090 93615TCEsophageal recording A 0.00 0.32 0.32 NA 0.02 0.34 0.34 1000.00.00.0000000 37.8975 030 9361526Esophageal recording A 0.99 0.27 0.27 0.03 1.29 1.29 1000.00.00.0000000 37.8975 090 93616 Esophageal recording A 1.49 0.75 0.75 NA 0.11 2.35 2.35 1000.00.00.0000000 37.8975 090 93616TCEsophageal recording A 0.00 0.32 0.32 NA 0.02 0.34 0.34 1000.00.00.0000000 37.8975 030 9361626Esophageal recording A 1.49 0.43 0.43 0.09 2.01 2.01 1000.00.00.0000000 37.8975 090 93618 Heart rhythm pacing A 4.25 5.63 5.63 NA 0.38 10.26 10.26 1000.00.00.0000000 37.8975 090 93618TCHeart rhythm pacing A 0.00 3.96 3.96 NA 0.24 4.20 4.20 1000.00.00.0000000 37.8975 030 9361826Heart rhythm pacing A 4.25 1.67 1.67 0.14 6.06 6.06 1000.00.00.0000000 37.8975 090 93619 Electrophysiology evaluation A 7.31 10.88 10.88 NA 0.71 18.90 18.90 1000.00.00.0000000 37.8975 090 93619TCElectrophysiology evaluation A 0.00 7.70 7.70 NA 0.47 8.17 8.17 1000.00.00.0000000 37.8975 030 9361926Electrophysiology evaluation A 7.31 3.18 3.18 0.24 10.73 10.73 1000.00.00.0000000 37.8975 090 93620 Electrophysiology evaluation C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1000.00.00.0000000 37.8975 090 93620TCElectrophysiology evaluation C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1000.00.00.0000000 37.8975 030 9362026Electrophysiology evaluation A 11.57 4.84 4.84 0.38 16.79 16.79 1000.00.00.0000000 37.8975 090 93621 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 030 9362126Electrophysiology evaluation A 2.10 0.82 0.82 0.07 2.99 2.99 1ZZZ.00.00.0000000 37.8975 090 93622 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 030 9362226Electrophysiology evaluation A 3.10 1.21 1.21 0.10 4.41 4.41 1ZZZ.00.00.0000000 37.8975 090 93623 Stimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 93623TCStimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 030 9362326Stimulation, pacing heart A 2.85 1.11 1.11 0.09 4.05 4.05 1ZZZ.00.00.0000000 37.8975 090 93624 Electrophysiologic study A 4.80 4.17 4.17 NA 0.28 9.25 9.25 1000.00.00.0000000 37.8975 090 93624TCElectrophysiologic study A 0.00 1.98 1.98 NA 0.13 2.11 2.11 1000.00.00.0000000 37.8975 030 9362426Electrophysiologic study A 4.80 2.19 2.19 0.15 7.14 7.14 1000.00.00.0000000 37.8975 090 93631 Heart pacing, mapping A 7.59 8.92 8.92 NA 1.49 18.00 18.00 1000.00.00.0000000 37.8975 090 93631TCHeart pacing, mapping A 0.00 6.15 6.15 NA 0.62 6.77 6.77 1000.00.00.0000000 37.8975 030 9363126Heart pacing, mapping A 7.59 2.77 2.77 0.87 11.23 11.23 1000.00.00.0000000 37.8975 090 93640 Evaluation heart device A 3.51 8.53 8.53 NA 0.54 12.58 12.58 1000.00.00.0000000 37.8975 090 93640TCEvaluation heart device A 0.00 7.17 7.17 NA 0.42 7.59 7.59 1000.00.00.0000000 37.8975 030 9364026Evaluation heart device A 3.51 1.36 1.36 0.12 4.99 4.99 1000.00.00.0000000 37.8975 090 93641 Electrophysiology evaluation A 5.92 9.48 9.48 NA 0.62 16.02 16.02 1000.00.00.0000000 37.8975 090 93641TCElectrophysiology evaluation A 0.00 7.17 7.17 NA 0.42 7.59 7.59 1000.00.00.0000000 37.8975 030 9364126Electrophysiology evaluation A 5.92 2.31 2.31 0.20 8.43 8.43 1000.00.00.0000000 37.8975 090 93642 Electrophysiology evaluation A 4.88 9.38 9.38 NA 0.58 14.84 14.84 1000.00.00.0000000 37.8975 090 93642TCElectrophysiology evaluation A 0.00 7.17 7.17 NA 0.42 7.59 7.59 1000.00.00.0000000 37.8975 030 9364226Electrophysiology evaluation A 4.88 2.21 2.21 0.16 7.25 7.25 1000.00.00.0000000 37.8975 090 93650 Ablate heart dysrhythm focus A 10.49 4.43NA 4.43 0.73 15.65 15.65 0000.00.00.0000000 37.8975 090 93651 Ablate heart dysrhythm focus A 16.23 6.32NA 6.32 1.12 23.67 23.67 0000.00.00.0000000 37.8975 090 93652 Ablate heart dysrhythm focus A 17.65 6.88NA 6.88 1.22 25.75 25.75 0000.00.00.0000000 37.8975 090 93660 Tilt table evaluation A 1.89 2.42 2.42 NA 0.08 4.39 4.39 1000.00.00.0000000 37.8975 090 93660TCTilt table evaluation A 0.00 1.68 1.68 NA 0.02 1.70 1.70 1000.00.00.0000000 37.8975 020 9366026Tilt table evaluation A 1.89 0.74 0.74 0.06 2.69 2.69 1000.00.00.0000000 37.8975 090 93662 Intracardiac ecg (ice) C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 93662TCIntracardiac ecg (ice) C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 030 9366226Intracardiac ecg (ice) A 2.80 1.11 1.11 0.09 4.00 4.00 1ZZZ.00.00.0000000 37.8975 090 93668 Peripheral vascular rehab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 93701 Bioimpedance, thoracic A 0.17 0.98 0.98 NA 0.02 1.17 1.17 1XXX.00.00.0000000 37.8975 090 93701TCBioimpedance, thoracic A 0.00 0.91 0.91 NA 0.01 0.92 0.92 1XXX.00.00.0000000 37.8975 090 9370126Bioimpedance, thoracic A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 93720 Total body plethysmography A 0.17 0.76 0.76 NA 0.07 1.00 1.00 4XXX.00.00.0000000 37.8975 010 93721 Plethysmography tracing A 0.00 0.71 0.71 NA 0.06 0.77 0.77 3XXX.00.00.0000000 37.8975 010 93722 Plethysmography report A 0.17 0.05 0.05 0.01 0.23 0.23 2XXX.00.00.0000000 37.8975 090 93724 Analyze pacemaker system A 4.88 5.87 5.87 NA 0.40 11.15 11.15 1000.00.00.0000000 37.8975 090 93724TCAnalyze pacemaker system A 0.00 3.96 3.96 NA 0.24 4.20 4.20 1000.00.00.0000000 37.8975 030 9372426Analyze pacemaker system A 4.88 1.91 1.91 0.16 6.95 6.95 1000.00.00.0000000 37.8975 090 93727 Analyze ilr system A 0.52 0.20 0.20 0.02 0.74 0.74 2XXX.00.00.0099999 37.8975 030 93731 Analyze pacemaker system A 0.45 0.66 0.66 NA 0.06 1.17 1.17 1XXX.00.00.0000000 37.8975 090 93731TCAnalyze pacemaker system A 0.00 0.49 0.49 NA 0.04 0.53 0.53 1XXX.00.00.0000000 37.8975 020 9373126Analyze pacemaker system A 0.45 0.17 0.17 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 090 93732 Analyze pacemaker system A 0.92 0.86 0.86 NA 0.07 1.85 1.85 1XXX.00.00.0000000 37.8975 090 93732TCAnalyze pacemaker system A 0.00 0.51 0.51 NA 0.04 0.55 0.55 1XXX.00.00.0000000 37.8975 020 9373226Analyze pacemaker system A 0.92 0.35 0.35 0.03 1.30 1.30 1XXX.00.00.0000000 37.8975 090 93733 Telephone analy, pacemaker A 0.17 0.80 0.80 NA 0.07 1.04 1.04 1XXX.00.00.0000000 37.8975 090 93733TCTelephone analy, pacemaker A 0.00 0.73 0.73 NA 0.06 0.79 0.79 1XXX.00.00.0000000 37.8975 010 9373326Telephone analy, pacemaker A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 37.8975 090 93734 Analyze pacemaker system A 0.38 0.50 0.50 NA 0.03 0.91 0.91 1XXX.00.00.0000000 37.8975 090 93734TCAnalyze pacemaker system A 0.00 0.35 0.35 NA 0.02 0.37 0.37 1XXX.00.00.0000000 37.8975 020 9373426Analyze pacemaker system A 0.38 0.15 0.15 0.01 0.54 0.54 1XXX.00.00.0000000 37.8975 090 93735 Analyze pacemaker system A 0.74 0.72 0.72 NA 0.07 1.53 1.53 1XXX.00.00.0000000 37.8975 090 93735TCAnalyze pacemaker system A 0.00 0.44 0.44 NA 0.04 0.48 0.48 1XXX.00.00.0000000 37.8975 020 9373526Analyze pacemaker system A 0.74 0.28 0.28 0.03 1.05 1.05 1XXX.00.00.0000000 37.8975 090 93736 Telephonic analy, pacemaker A 0.15 0.69 0.69 NA 0.07 0.91 0.91 1XXX.00.00.0000000 37.8975 090 93736TCTelephonic analy, pacemaker A 0.00 0.63 0.63 NA 0.06 0.69 0.69 1XXX.00.00.0000000 37.8975 010 9373626Telephonic analy, pacemaker A 0.15 0.06 0.06 0.01 0.22 0.22 1XXX.00.00.0000000 37.8975 090 93740 Temperature gradient studies B+ 0.16 0.19 0.19 NA 0.02 0.37 0.37 1XXX.00.00.0099999 37.8975 090 93740TCTemperature gradient studies B+ 0.00 0.15 0.15 NA 0.01 0.16 0.16 1XXX.00.00.0099999 37.8975 010 9374026Temperature gradient studies B+ 0.16 0.04 0.04 0.01 0.21 0.21 1XXX.00.00.0099999 37.8975 090 93741 Analyze ht pace device sngl A 0.80 0.98 0.98 NA 0.07 1.85 1.85 1XXX.00.00.0099999 37.8975 090 93741TCAnalyze ht pace device sngl A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0099999 37.8975 020 9374126Analyze ht pace device sngl A 0.80 0.31 0.31 0.03 1.14 1.14 1XXX.00.00.0099999 37.8975 090 93742 Analyze ht pace device sngl A 0.91 1.03 1.03 NA 0.07 2.01 2.01 1XXX.00.00.0099999 37.8975 090 93742TCAnalyze ht pace device sngl A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0099999 37.8975 020 9374226Analyze ht pace device sngl A 0.91 0.36 0.36 0.03 1.30 1.30 1XXX.00.00.0099999 37.8975 090 93743 Analyze ht pace device dual A 1.03 1.13 1.13 NA 0.08 2.24 2.24 1XXX.00.00.0099999 37.8975 090 93743TCAnalyze ht pace device dual A 0.00 0.73 0.73 NA 0.04 0.77 0.77 1XXX.00.00.0099999 37.8975 020 9374326Analyze ht pace device dual A 1.03 0.40 0.40 0.04 1.47 1.47 1XXX.00.00.0099999 37.8975 090 93744 Analyze ht pace device dual A 1.18 1.13 1.13 NA 0.08 2.39 2.39 1XXX.00.00.0099999 37.8975 090 93744TCAnalyze ht pace device dual A 0.00 0.67 0.67 NA 0.04 0.71 0.71 1XXX.00.00.0099999 37.8975 020 9374426Analyze ht pace device dual A 1.18 0.46 0.46 0.04 1.68 1.68 1XXX.00.00.0099999 37.8975 090 93745 Set-up cardiovert-defibrill C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93745TCSet-up cardiovert-defibrill C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 020 9374526Set-up cardiovert-defibrill C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93760 Cephalic thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 93762 Peripheral thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 93770 Measure venous pressure B+ 0.16 0.08 0.08 NA 0.02 0.26 0.26 1XXX.00.00.0099999 37.8975 090 93770TCMeasure venous pressure B+ 0.00 0.03 0.03 NA 0.01 0.04 0.04 1XXX.00.00.0099999 37.8975 010 9377026Measure venous pressure B+ 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0099999 37.8975 090 93784 Ambulatory BP monitoring A 0.38 1.55 1.55 NA 0.03 1.96 1.96 4XXX.00.00.0000000 37.8975 010 93786 Ambulatory BP recording A 0.00 0.91 0.91 NA 0.01 0.92 0.92 3XXX.00.00.0000000 37.8975 010 93788 Ambulatory BP analysis A 0.00 0.51 0.51 NA 0.01 0.52 0.52 3XXX.00.00.0000000 37.8975 090 93790 Review/report BP recording A 0.38 0.13 0.13 0.01 0.52 0.52 2XXX.00.00.0000000 37.8975 090 93797 Cardiac rehab A 0.18 0.30 0.07 0.01 0.49 0.26 0000.00.00.0000000 37.8975 090 93798 Cardiac rehab/monitor A 0.28 0.46 0.11 0.01 0.75 0.40 0000.00.00.0000000 37.8975 090 93799 Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 93875 Extracranial study A 0.22 2.33 2.33 NA 0.12 2.67 2.67 1XXX.00.00.0002000 37.8975 090 93875TCExtracranial study A 0.00 2.25 2.25 NA 0.11 2.36 2.36 1XXX.00.00.0002000 37.8975 010 9387526Extracranial study A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0002000 37.8975 090 93880 Extracranial study A 0.60 5.55 5.55 NA 0.39 6.54 6.54 1XXX.00.00.0002000 37.8975 090 93880TCExtracranial study A 0.00 5.35 5.35 NA 0.35 5.70 5.70 1XXX.00.00.0002000 37.8975 010 9388026Extracranial study A 0.60 0.20 0.20 0.04 0.84 0.84 1XXX.00.00.0002000 37.8975 090 93882 Extracranial study A 0.40 3.50 3.50 NA 0.26 4.16 4.16 1XXX.00.00.0000000 37.8975 090 93882TCExtracranial study A 0.00 3.36 3.36 NA 0.22 3.58 3.58 1XXX.00.00.0000000 37.8975 010 9388226Extracranial study A 0.40 0.14 0.14 0.04 0.58 0.58 1XXX.00.00.0000000 37.8975 090 93886 Intracranial study A 0.94 6.74 6.74 NA 0.45 8.13 8.13 1XXX.00.00.0000000 37.8975 090 93886TCIntracranial study A 0.00 6.37 6.37 NA 0.39 6.76 6.76 1XXX.00.00.0000000 37.8975 010 9388626Intracranial study A 0.94 0.37 0.37 0.06 1.37 1.37 1XXX.00.00.0000000 37.8975 090 93888 Intracranial study A 0.62 4.24 4.24 NA 0.32 5.18 5.18 1XXX.00.00.0000000 37.8975 090 93888TCIntracranial study A 0.00 4.01 4.01 NA 0.27 4.28 4.28 1XXX.00.00.0000000 37.8975 010 9388826Intracranial study A 0.62 0.23 0.23 0.05 0.90 0.90 1XXX.00.00.0000000 37.8975 090 93890 Tcd, vasoreactivity study A 1.00 4.90 4.90 NA 0.45 6.35 6.35 1XXX.00.00.0000000 37.8975 090 93890TCTcd, vasoreactivity study A 0.00 4.50 4.50 NA 0.39 4.89 4.89 1XXX.00.00.0000000 37.8975 010 9389026Tcd, vasoreactivity study A 1.00 0.40 0.40 0.06 1.46 1.46 1XXX.00.00.0000000 37.8975 090 93892 Tcd, emboli detect w/o inj A 1.15 5.16 5.16 NA 0.45 6.76 6.76 1XXX.00.00.0000000 37.8975 090 93892TCTcd, emboli detect w/o inj A 0.00 4.70 4.70 NA 0.39 5.09 5.09 1XXX.00.00.0000000 37.8975 010 9389226Tcd, emboli detect w/o inj A 1.15 0.46 0.46 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 93893 Tcd, emboli detect w/inj A 1.15 5.03 5.03 NA 0.45 6.63 6.63 1XXX.00.00.0000000 37.8975 090 93893TCTcd, emboli detect w/inj A 0.00 4.57 4.57 NA 0.39 4.96 4.96 1XXX.00.00.0000000 37.8975 010 9389326Tcd, emboli detect w/inj A 1.15 0.46 0.46 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 93922 Extremity study A 0.25 2.68 2.68 NA 0.15 3.08 3.08 1XXX.00.00.0002000 37.8975 090 93922TCExtremity study A 0.00 2.60 2.60 NA 0.13 2.73 2.73 1XXX.00.00.0002000 37.8975 010 9392226Extremity study A 0.25 0.08 0.08 0.02 0.35 0.35 1XXX.00.00.0002000 37.8975 090 93923 Extremity study A 0.45 4.03 4.03 NA 0.26 4.74 4.74 1XXX.00.00.0002000 37.8975 090 93923TCExtremity study A 0.00 3.88 3.88 NA 0.22 4.10 4.10 1XXX.00.00.0002000 37.8975 010 9392326Extremity study A 0.45 0.15 0.15 0.04 0.64 0.64 1XXX.00.00.0002000 37.8975 090 93924 Extremity study A 0.50 4.79 4.79 NA 0.30 5.59 5.59 1XXX.00.00.0002000 37.8975 090 93924TCExtremity study A 0.00 4.62 4.62 NA 0.25 4.87 4.87 1XXX.00.00.0002000 37.8975 010 9392426Extremity study A 0.50 0.17 0.17 0.05 0.72 0.72 1XXX.00.00.0002000 37.8975 090 93925 Lower extremity study A 0.58 6.78 6.78 NA 0.39 7.75 7.75 1XXX.00.00.0002000 37.8975 090 93925TCLower extremity study A 0.00 6.58 6.58 NA 0.35 6.93 6.93 1XXX.00.00.0002000 37.8975 010 9392526Lower extremity study A 0.58 0.20 0.20 0.04 0.82 0.82 1XXX.00.00.0002000 37.8975 090 93926 Lower extremity study A 0.39 4.05 4.05 NA 0.27 4.71 4.71 1XXX.00.00.0000000 37.8975 090 93926TCLower extremity study A 0.00 3.92 3.92 NA 0.23 4.15 4.15 1XXX.00.00.0000000 37.8975 010 9392626Lower extremity study A 0.39 0.13 0.13 0.04 0.56 0.56 1XXX.00.00.0000000 37.8975 090 93930 Upper extremity study A 0.46 5.35 5.35 NA 0.41 6.22 6.22 1XXX.00.00.0002000 37.8975 090 93930TCUpper extremity study A 0.00 5.19 5.19 NA 0.37 5.56 5.56 1XXX.00.00.0002000 37.8975 010 9393026Upper extremity study A 0.46 0.16 0.16 0.04 0.66 0.66 1XXX.00.00.0002000 37.8975 090 93931 Upper extremity study A 0.31 3.48 3.48 NA 0.27 4.06 4.06 1XXX.00.00.0000000 37.8975 090 93931TCUpper extremity study A 0.00 3.38 3.38 NA 0.24 3.62 3.62 1XXX.00.00.0000000 37.8975 010 9393126Upper extremity study A 0.31 0.10 0.10 0.03 0.44 0.44 1XXX.00.00.0000000 37.8975 090 93965 Extremity study A 0.35 2.79 2.79 NA 0.14 3.28 3.28 1XXX.00.00.0002000 37.8975 090 93965TCExtremity study A 0.00 2.67 2.67 NA 0.12 2.79 2.79 1XXX.00.00.0002000 37.8975 010 9396526Extremity study A 0.35 0.12 0.12 0.02 0.49 0.49 1XXX.00.00.0002000 37.8975 090 93970 Extremity study A 0.68 5.25 5.25 NA 0.45 6.38 6.38 1XXX.00.00.0002000 37.8975 090 93970TCExtremity study A 0.00 5.02 5.02 NA 0.40 5.42 5.42 1XXX.00.00.0002000 37.8975 010 9397026Extremity study A 0.68 0.23 0.23 0.05 0.96 0.96 1XXX.00.00.0002000 37.8975 090 93971 Extremity study A 0.45 3.59 3.59 NA 0.30 4.34 4.34 1XXX.00.00.0000000 37.8975 090 93971TCExtremity study A 0.00 3.44 3.44 NA 0.27 3.71 3.71 1XXX.00.00.0000000 37.8975 010 9397126Extremity study A 0.45 0.15 0.15 0.03 0.63 0.63 1XXX.00.00.0000000 37.8975 090 93975 Vascular study A 1.80 7.63 7.63 NA 0.56 9.99 9.99 1XXX.00.00.0000000 37.8975 090 93975TCVascular study A 0.00 7.03 7.03 NA 0.43 7.46 7.46 1XXX.00.00.0000000 37.8975 010 9397526Vascular study A 1.80 0.60 0.60 0.13 2.53 2.53 1XXX.00.00.0000000 37.8975 090 93976 Vascular study A 1.21 4.33 4.33 NA 0.36 5.90 5.90 1XXX.00.00.0000000 37.8975 090 93976TCVascular study A 0.00 3.93 3.93 NA 0.30 4.23 4.23 1XXX.00.00.0000000 37.8975 010 9397626Vascular study A 1.21 0.40 0.40 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 93978 Vascular study A 0.65 4.51 4.51 NA 0.43 5.59 5.59 1XXX.00.00.0000000 37.8975 090 93978TCVascular study A 0.00 4.29 4.29 NA 0.37 4.66 4.66 1XXX.00.00.0000000 37.8975 010 9397826Vascular study A 0.65 0.22 0.22 0.06 0.93 0.93 1XXX.00.00.0000000 37.8975 090 93979 Vascular study A 0.44 3.21 3.21 NA 0.27 3.92 3.92 1XXX.00.00.0000000 37.8975 090 93979TCVascular study A 0.00 3.06 3.06 NA 0.24 3.30 3.30 1XXX.00.00.0000000 37.8975 010 9397926Vascular study A 0.44 0.15 0.15 0.03 0.62 0.62 1XXX.00.00.0000000 37.8975 090 93980 Penile vascular study A 1.25 2.85 2.85 NA 0.42 4.52 4.52 1XXX.00.00.0000000 37.8975 090 93980TCPenile vascular study A 0.00 2.44 2.44 NA 0.34 2.78 2.78 1XXX.00.00.0000000 37.8975 010 9398026Penile vascular study A 1.25 0.41 0.41 0.08 1.74 1.74 1XXX.00.00.0000000 37.8975 090 93981 Penile vascular study A 0.44 2.87 2.87 NA 0.33 3.64 3.64 1XXX.00.00.0000000 37.8975 090 93981TCPenile vascular study A 0.00 2.73 2.73 NA 0.31 3.04 3.04 1XXX.00.00.0000000 37.8975 010 9398126Penile vascular study A 0.44 0.14 0.14 0.02 0.60 0.60 1XXX.00.00.0000000 37.8975 090 93990 Doppler flow testing A 0.25 3.99 3.99 NA 0.26 4.50 4.50 1XXX.00.00.0000000 37.8975 090 93990TCDoppler flow testing A 0.00 3.90 3.90 NA 0.23 4.13 4.13 1XXX.00.00.0000000 37.8975 010 9399026Doppler flow testing A 0.25 0.09 0.09 0.03 0.37 0.37 1XXX.00.00.0000000 37.8975 090 94010 Breathing capacity test A 0.17 0.67 0.67 NA 0.03 0.87 0.87 1XXX.00.00.0000000 37.8975 090 94010TCBreathing capacity test A 0.00 0.62 0.62 NA 0.02 0.64 0.64 1XXX.00.00.0000000 37.8975 010 9401026Breathing capacity test A 0.17 0.05 0.05 0.01 0.23 0.23 1XXX.00.00.0000000 37.8975 090 94014 Patient recorded spirometry A 0.52 0.76 0.76 NA 0.03 1.31 1.31 4XXX.00.00.0000000 37.8975 010 94015 Patient recorded spirometry A 0.00 0.59 0.59 NA 0.01 0.60 0.60 3XXX.00.00.0000000 37.8975 010 94016 Review patient spirometry A 0.52 0.17 0.17 0.02 0.71 0.71 2XXX.00.00.0000000 37.8975 090 94060 Evaluation of wheezing A 0.31 1.07 1.07 NA 0.07 1.45 1.45 1XXX.00.00.0000000 37.8975 090 94060TCEvaluation of wheezing A 0.00 0.98 0.98 NA 0.06 1.04 1.04 1XXX.00.00.0000000 37.8975 020 9406026Evaluation of wheezing A 0.31 0.09 0.09 0.01 0.41 0.41 1XXX.00.00.0000000 37.8975 090 94070 Evaluation of wheezing A 0.60 0.82 0.82 NA 0.13 1.55 1.55 1XXX.00.00.0000000 37.8975 090 94070TCEvaluation of wheezing A 0.00 0.64 0.64 NA 0.10 0.74 0.74 1XXX.00.00.0000000 37.8975 020 9407026Evaluation of wheezing A 0.60 0.18 0.18 0.03 0.81 0.81 1XXX.00.00.0000000 37.8975 090 94150 Vital capacity test B+ 0.07 0.47 0.47 NA 0.02 0.56 0.56 1XXX.00.00.0099999 37.8975 090 94150TCVital capacity test B+ 0.00 0.44 0.44 NA 0.01 0.45 0.45 1XXX.00.00.0099999 37.8975 010 9415026Vital capacity test B+ 0.07 0.03 0.03 0.01 0.11 0.11 1XXX.00.00.0099999 37.8975 090 94200 Lung function test (MBC/MVV) A 0.11 0.44 0.44 NA 0.03 0.58 0.58 1XXX.00.00.0000000 37.8975 090 94200TCLung function test (MBC/MVV) A 0.00 0.41 0.41 NA 0.02 0.43 0.43 1XXX.00.00.0000000 37.8975 010 9420026Lung function test (MBC/MVV) A 0.11 0.03 0.03 0.01 0.15 0.15 1XXX.00.00.0000000 37.8975 090 94240 Residual lung capacity A 0.26 0.66 0.66 NA 0.06 0.98 0.98 1XXX.00.00.0000000 37.8975 090 94240TCResidual lung capacity A 0.00 0.58 0.58 NA 0.05 0.63 0.63 1XXX.00.00.0000000 37.8975 010 9424026Residual lung capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94250 Expired gas collection A 0.11 0.64 0.64 NA 0.02 0.77 0.77 1XXX.00.00.0000000 37.8975 090 94250TCExpired gas collection A 0.00 0.61 0.61 NA 0.01 0.62 0.62 1XXX.00.00.0000000 37.8975 010 9425026Expired gas collection A 0.11 0.03 0.03 0.01 0.15 0.15 1XXX.00.00.0000000 37.8975 090 94260 Thoracic gas volume A 0.13 0.58 0.58 NA 0.05 0.76 0.76 1XXX.00.00.0000000 37.8975 090 94260TCThoracic gas volume A 0.00 0.54 0.54 NA 0.04 0.58 0.58 1XXX.00.00.0000000 37.8975 010 9426026Thoracic gas volume A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0000000 37.8975 090 94350 Lung nitrogen washout curve A 0.26 0.76 0.76 NA 0.05 1.07 1.07 1XXX.00.00.0000000 37.8975 090 94350TCLung nitrogen washout curve A 0.00 0.68 0.68 NA 0.04 0.72 0.72 1XXX.00.00.0000000 37.8975 010 9435026Lung nitrogen washout curve A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94360 Measure airflow resistance A 0.26 0.70 0.70 NA 0.07 1.03 1.03 1XXX.00.00.0000000 37.8975 090 94360TCMeasure airflow resistance A 0.00 0.62 0.62 NA 0.06 0.68 0.68 1XXX.00.00.0000000 37.8975 010 9436026Measure airflow resistance A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94370 Breath airway closing volume A 0.26 0.72 0.72 NA 0.03 1.01 1.01 1XXX.00.00.0000000 37.8975 090 94370TCBreath airway closing volume A 0.00 0.64 0.64 NA 0.02 0.66 0.66 1XXX.00.00.0000000 37.8975 010 9437026Breath airway closing volume A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94375 Respiratory flow volume loop A 0.31 0.60 0.60 NA 0.03 0.94 0.94 1XXX.00.00.0000000 37.8975 090 94375TCRespiratory flow volume loop A 0.00 0.51 0.51 NA 0.02 0.53 0.53 1XXX.00.00.0000000 37.8975 010 9437526Respiratory flow volume loop A 0.31 0.09 0.09 0.01 0.41 0.41 1XXX.00.00.0000000 37.8975 090 94400 CO2 breathing response curve A 0.40 0.84 0.84 NA 0.09 1.33 1.33 1XXX.00.00.0000000 37.8975 090 94400TCCO2 breathing response curve A 0.00 0.72 0.72 NA 0.06 0.78 0.78 1XXX.00.00.0000000 37.8975 020 9440026CO2 breathing response curve A 0.40 0.12 0.12 0.03 0.55 0.55 1XXX.00.00.0000000 37.8975 090 94450 Hypoxia response curve A 0.40 0.85 0.85 NA 0.04 1.29 1.29 1XXX.00.00.0000000 37.8975 090 94450TCHypoxia response curve A 0.00 0.73 0.73 NA 0.02 0.75 0.75 1XXX.00.00.0000000 37.8975 020 9445026Hypoxia response curve A 0.40 0.12 0.12 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 090 94452 Hast w/report A 0.31 1.02 1.02 NA 0.04 1.37 1.37 1XXX.00.00.0000000 37.8975 090 94452TCHast w/report A 0.00 0.93 0.93 NA 0.02 0.95 0.95 1XXX.00.00.0000000 37.8975 020 9445226Hast w/report A 0.31 0.09 0.09 0.02 0.42 0.42 1XXX.00.00.0000000 37.8975 090 94453 Hast w/oxygen titrate A 0.40 1.51 1.51 NA 0.04 1.95 1.95 1XXX.00.00.0000000 37.8975 090 94453TCHast w/oxygen titrate A 0.00 1.39 1.39 NA 0.02 1.41 1.41 1XXX.00.00.0000000 37.8975 020 9445326Hast w/oxygen titrate A 0.40 0.12 0.12 0.02 0.54 0.54 1XXX.00.00.0000000 37.8975 090 94620 Pulmonary stress test/simple A 0.64 2.49 2.49 NA 0.13 3.26 3.26 1XXX.00.00.0000000 37.8975 090 94620TCPulmonary stress test/simple A 0.00 2.29 2.29 NA 0.10 2.39 2.39 1XXX.00.00.0000000 37.8975 010 9462026Pulmonary stress test/simple A 0.64 0.20 0.20 0.03 0.87 0.87 1XXX.00.00.0000000 37.8975 090 94621 Pulm stress test/complex A 1.42 2.20 2.20 NA 0.16 3.78 3.78 1XXX.00.00.0000000 37.8975 090 94621TCPulm stress test/complex A 0.00 1.76 1.76 NA 0.10 1.86 1.86 1XXX.00.00.0000000 37.8975 020 9462126Pulm stress test/complex A 1.42 0.44 0.44 0.06 1.92 1.92 1XXX.00.00.0000000 37.8975 090 94640 Airway inhalation treatment A 0.00 0.30 0.30 NA 0.02 0.32 0.32 5XXX.00.00.0000000 37.8975 090 94642 Aerosol inhalation treatment C 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.0000000 37.8975 090 94656 Initial ventilator mgmt A 1.22 1.16 0.32 0.07 2.45 1.61 0XXX.00.00.0000000 37.8975 090 94657 Continued ventilator mgmt A 0.83 0.98 0.25 0.04 1.85 1.12 0XXX.00.00.0000000 37.8975 090 94660 Pos airway pressure, CPAP A 0.76 0.65 0.23 0.04 1.45 1.03 0XXX.00.00.0000000 37.8975 090 94662 Neg press ventilation, cnp A 0.76 0.23NA 0.23 0.03 1.02 1.02 0XXX.00.00.0000000 37.8975 090 94664 Evaluate pt use of inhaler A 0.00 0.31 0.31 NA 0.04 0.35 0.35 5XXX.00.00.0000000 37.8975 020 94667 Chest wall manipulation A 0.00 0.52 0.52 NA 0.05 0.57 0.57 5XXX.00.00.0000000 37.8975 090 94668 Chest wall manipulation A 0.00 0.45 0.45 NA 0.02 0.47 0.47 5XXX.00.00.0000000 37.8975 090 94680 Exhaled air analysis, o2 A 0.26 1.86 1.86 NA 0.07 2.19 2.19 1XXX.00.00.0000000 37.8975 090 94680TCExhaled air analysis, o2 A 0.00 1.78 1.78 NA 0.06 1.84 1.84 1XXX.00.00.0000000 37.8975 020 9468026Exhaled air analysis, o2 A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94681 Exhaled air analysis, o2/co2 A 0.20 2.52 2.52 NA 0.13 2.85 2.85 1XXX.00.00.0000000 37.8975 090 94681TCExhaled air analysis, o2/co2 A 0.00 2.46 2.46 NA 0.12 2.58 2.58 1XXX.00.00.0000000 37.8975 020 9468126Exhaled air analysis, o2/co2 A 0.20 0.06 0.06 0.01 0.27 0.27 1XXX.00.00.0000000 37.8975 090 94690 Exhaled air analysis A 0.07 1.99 1.99 NA 0.05 2.11 2.11 1XXX.00.00.0000000 37.8975 090 94690TCExhaled air analysis A 0.00 1.97 1.97 NA 0.04 2.01 2.01 1XXX.00.00.0000000 37.8975 010 9469026Exhaled air analysis A 0.07 0.02 0.02 0.01 0.10 0.10 1XXX.00.00.0000000 37.8975 090 94720 Monoxide diffusing capacity A 0.26 1.00 1.00 NA 0.07 1.33 1.33 1XXX.00.00.0000000 37.8975 090 94720TCMonoxide diffusing capacity A 0.00 0.92 0.92 NA 0.06 0.98 0.98 1XXX.00.00.0000000 37.8975 010 9472026Monoxide diffusing capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94725 Membrane diffusion capacity A 0.26 2.91 2.91 NA 0.13 3.30 3.30 1XXX.00.00.0000000 37.8975 090 94725TCMembrane diffusion capacity A 0.00 2.83 2.83 NA 0.12 2.95 2.95 1XXX.00.00.0000000 37.8975 010 9472526Membrane diffusion capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 37.8975 090 94750 Pulmonary compliance study A 0.23 1.34 1.34 NA 0.05 1.62 1.62 1XXX.00.00.0000000 37.8975 090 94750TCPulmonary compliance study A 0.00 1.27 1.27 NA 0.04 1.31 1.31 1XXX.00.00.0000000 37.8975 010 9475026Pulmonary compliance study A 0.23 0.07 0.07 0.01 0.31 0.31 1XXX.00.00.0000000 37.8975 090 94760 Measure blood oxygen level T 0.00 0.04 0.04 NA 0.02 0.06 0.06 3XXX.00.00.0000000 37.8975 010 94761 Measure blood oxygen level T 0.00 0.07 0.07 NA 0.06 0.13 0.13 3XXX.00.00.0000000 37.8975 010 94762 Measure blood oxygen level A 0.00 0.47 0.47 NA 0.10 0.57 0.57 3XXX.00.00.0000000 37.8975 010 94770 Exhaled carbon dioxide test A 0.15 0.75 0.75 NA 0.08 0.98 0.98 1XXX.00.00.0000000 37.8975 090 94770TCExhaled carbon dioxide test A 0.00 0.71 0.71 NA 0.07 0.78 0.78 1XXX.00.00.0000000 37.8975 010 9477026Exhaled carbon dioxide test A 0.15 0.04 0.04 0.01 0.20 0.20 1XXX.00.00.0000000 37.8975 090 94772 Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 94772TCBreath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 9477226Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 94799 Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 94799TCPulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9479926Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 95004 Percut allergy skin tests A 0.00 0.10 0.10 NA 0.01 0.11 0.11 5XXX.00.00.0000000 37.8975 020 95010 Percut allergy titrate test A 0.15 0.32 0.06 0.01 0.48 0.22 0XXX.00.00.0000000 37.8975 090 95015 Id allergy titrate-drug/bug A 0.15 0.14 0.06 0.01 0.30 0.22 0XXX.00.00.0000000 37.8975 090 95024 Id allergy test, drug/bug A 0.00 0.15 0.15 NA 0.01 0.16 0.16 5XXX.00.00.0000000 37.8975 020 95027 Id allergy titrate-airborne A 0.00 0.15 0.15 NA 0.01 0.16 0.16 3XXX.00.00.0000000 37.8975 020 95028 Id allergy test-delayed type A 0.00 0.23 0.23 NA 0.01 0.24 0.24 3XXX.00.00.0000000 37.8975 020 95044 Allergy patch tests A 0.00 0.20 0.20 NA 0.01 0.21 0.21 5XXX.00.00.0000000 37.8975 020 95052 Photo patch test A 0.00 0.25 0.25 NA 0.01 0.26 0.26 5XXX.00.00.0000000 37.8975 020 95056 Photosensitivity tests A 0.00 0.17 0.17 NA 0.01 0.18 0.18 5XXX.00.00.0000000 37.8975 020 95060 Eye allergy tests A 0.00 0.35 0.35 NA 0.02 0.37 0.37 3XXX.00.00.0000000 37.8975 030 95065 Nose allergy test A 0.00 0.20 0.20 NA 0.01 0.21 0.21 3XXX.00.00.0000000 37.8975 030 95070 Bronchial allergy tests A 0.00 2.28 2.28 NA 0.02 2.30 2.30 3XXX.00.00.0000000 37.8975 020 95071 Bronchial allergy tests A 0.00 2.92 2.92 NA 0.02 2.94 2.94 3XXX.00.00.0000000 37.8975 020 95075 Ingestion challenge test A 0.95 0.82 0.38 0.03 1.80 1.36 0XXX.00.00.0000000 37.8975 090 95078 Provocative testing A 0.00 0.25 0.25 NA 0.02 0.27 0.27 3XXX.00.00.0000000 37.8975 030 95115 Immunotherapy, one injection A 0.00 0.39 0.39 NA 0.02 0.41 0.41 5000.00.00.0000000 37.8975 090 95117 Immunotherapy injections A 0.00 0.50 0.50 NA 0.02 0.52 0.52 5000.00.00.0000000 37.8975 090 95120 Immunotherapy, one injection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95125 Immunotherapy, many antigens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95130 Immunotherapy, insect venom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95131 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95132 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95133 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95134 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 95144 Antigen therapy services A 0.06 0.19 0.02 0.01 0.26 0.09 0000.00.00.0000000 37.8975 090 95145 Antigen therapy services A 0.06 0.32 0.02 0.01 0.39 0.09 0000.00.00.0000000 37.8975 090 95146 Antigen therapy services A 0.06 0.44 0.03 0.01 0.51 0.10 0000.00.00.0000000 37.8975 090 95147 Antigen therapy services A 0.06 0.42 0.02 0.01 0.49 0.09 0000.00.00.0000000 37.8975 090 95148 Antigen therapy services A 0.06 0.58 0.03 0.01 0.65 0.10 0000.00.00.0000000 37.8975 090 95149 Antigen therapy services A 0.06 0.80 0.03 0.01 0.87 0.10 0000.00.00.0000000 37.8975 090 95165 Antigen therapy services A 0.06 0.19 0.02 0.01 0.26 0.09 0000.00.00.0000000 37.8975 090 95170 Antigen therapy services A 0.06 0.13 0.03 0.01 0.20 0.10 0000.00.00.0000000 37.8975 090 95180 Rapid desensitization A 2.01 2.03 0.93 0.05 4.09 2.99 0000.00.00.0000000 37.8975 090 95199 Allergy immunology services C 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0000000 37.8975 090 95250 Glucose monitoring, cont A 0.00 4.10 4.10 NA 0.01 4.11 4.11 3XXX.00.00.0000000 37.8975 090 95805 Multiple sleep latency test A 1.88 17.26 17.26 NA 0.43 19.57 19.57 1XXX.00.00.0000000 37.8975 090 95805TCMultiple sleep latency test A 0.00 16.60 16.60 NA 0.34 16.94 16.94 1XXX.00.00.0000000 37.8975 010 9580526Multiple sleep latency test A 1.88 0.66 0.66 0.09 2.63 2.63 1XXX.00.00.0000000 37.8975 090 95806 Sleep study, unattended A 1.66 3.33 3.33 NA 0.38 5.37 5.37 1XXX.00.00.0000000 37.8975 090 95806TCSleep study, unattended A 0.00 2.79 2.79 NA 0.31 3.10 3.10 1XXX.00.00.0000000 37.8975 010 9580626Sleep study, unattended A 1.66 0.54 0.54 0.07 2.27 2.27 1XXX.00.00.0000000 37.8975 090 95807 Sleep study, attended A 1.66 11.85 11.85 NA 0.50 14.01 14.01 1XXX.00.00.0000000 37.8975 090 95807TCSleep study, attended A 0.00 11.32 11.32 NA 0.42 11.74 11.74 1XXX.00.00.0000000 37.8975 010 9580726Sleep study, attended A 1.66 0.53 0.53 0.08 2.27 2.27 1XXX.00.00.0000000 37.8975 090 95808 Polysomnography, 1-3 A 2.65 13.19 13.19 NA 0.55 16.39 16.39 1XXX.00.00.0000000 37.8975 090 95808TCPolysomnography, 1-3 A 0.00 12.27 12.27 NA 0.42 12.69 12.69 1XXX.00.00.0000000 37.8975 010 9580826Polysomnography, 1-3 A 2.65 0.92 0.92 0.13 3.70 3.70 1XXX.00.00.0000000 37.8975 090 95810 Polysomnography, 4 or more A 3.52 17.49 17.49 NA 0.59 21.60 21.60 1XXX.00.00.0000000 37.8975 090 95810TCPolysomnography, 4 or more A 0.00 16.31 16.31 NA 0.42 16.73 16.73 1XXX.00.00.0000000 37.8975 010 9581026Polysomnography, 4 or more A 3.52 1.18 1.18 0.17 4.87 4.87 1XXX.00.00.0000000 37.8975 090 95811 Polysomnography w/cpap A 3.79 19.19 19.19 NA 0.61 23.59 23.59 1XXX.00.00.0000000 37.8975 090 95811TCPolysomnography w/cpap A 0.00 17.92 17.92 NA 0.43 18.35 18.35 1XXX.00.00.0000000 37.8975 010 9581126Polysomnography w/cpap A 3.79 1.27 1.27 0.18 5.24 5.24 1XXX.00.00.0000000 37.8975 090 95812 Eeg, 41-60 minutes A 1.08 4.03 4.03 NA 0.17 5.28 5.28 1XXX.00.00.0000000 37.8975 090 95812TCEeg, 41-60 minutes A 0.00 3.58 3.58 NA 0.11 3.69 3.69 1XXX.00.00.0000000 37.8975 010 9581226Eeg, 41-60 minutes A 1.08 0.45 0.45 0.06 1.59 1.59 1XXX.00.00.0000000 37.8975 090 95813 Eeg, over 1 hour A 1.73 5.02 5.02 NA 0.21 6.96 6.96 1XXX.00.00.0000000 37.8975 090 95813TCEeg, over 1 hour A 0.00 4.32 4.32 NA 0.11 4.43 4.43 1XXX.00.00.0000000 37.8975 010 9581326Eeg, over 1 hour A 1.73 0.70 0.70 0.10 2.53 2.53 1XXX.00.00.0000000 37.8975 090 95816 Eeg, awake and drowsy A 1.08 3.71 3.71 NA 0.16 4.95 4.95 1XXX.00.00.0000000 37.8975 090 95816TCEeg, awake and drowsy A 0.00 3.25 3.25 NA 0.10 3.35 3.35 1XXX.00.00.0000000 37.8975 010 9581626Eeg, awake and drowsy A 1.08 0.46 0.46 0.06 1.60 1.60 1XXX.00.00.0000000 37.8975 090 95819 Eeg, awake and asleep A 1.08 2.98 2.98 NA 0.16 4.22 4.22 1XXX.00.00.0000000 37.8975 090 95819TCEeg, awake and asleep A 0.00 2.52 2.52 NA 0.10 2.62 2.62 1XXX.00.00.0000000 37.8975 010 9581926Eeg, awake and asleep A 1.08 0.46 0.46 0.06 1.60 1.60 1XXX.00.00.0000000 37.8975 090 95822 Eeg, coma or sleep only A 1.08 4.60 4.60 NA 0.19 5.87 5.87 1XXX.00.00.0000000 37.8975 090 95822TCEeg, coma or sleep only A 0.00 4.14 4.14 NA 0.13 4.27 4.27 1XXX.00.00.0000000 37.8975 010 9582226Eeg, coma or sleep only A 1.08 0.46 0.46 0.06 1.60 1.60 1XXX.00.00.0000000 37.8975 090 95824 Eeg, cerebral death only C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 95824TCEeg, cerebral death only C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 9582426Eeg, cerebral death only A 0.74 0.31 0.31 0.04 1.09 1.09 1XXX.00.00.0000000 37.8975 090 95827 Eeg, all night recording A 1.08 2.70 2.70 NA 0.19 3.97 3.97 1XXX.00.00.0000000 37.8975 090 95827TCEeg, all night recording A 0.00 2.29 2.29 NA 0.14 2.43 2.43 1XXX.00.00.0000000 37.8975 010 9582726Eeg, all night recording A 1.08 0.41 0.41 0.05 1.54 1.54 1XXX.00.00.0000000 37.8975 090 95829 Surgery electrocorticogram A 6.20 31.00 31.00 NA 0.50 37.70 37.70 1XXX.00.00.0000000 37.8975 090 95829TCSurgery electrocorticogram A 0.00 28.69 28.69 NA 0.02 28.71 28.71 1XXX.00.00.0000000 37.8975 010 9582926Surgery electrocorticogram A 6.20 2.31 2.31 0.48 8.99 8.99 1XXX.00.00.0000000 37.8975 090 95830 Insert electrodes for EEG A 1.70 3.29 0.73 0.11 5.10 2.54 0XXX.00.00.0000000 37.8975 090 95831 Limb muscle testing, manual A 0.28 0.46 0.13 0.01 0.75 0.42 0XXX.00.00.0000000 37.8975 090 95832 Hand muscle testing, manual A 0.29 0.33 0.12 0.02 0.64 0.43 0XXX.00.00.0000000 37.8975 090 95833 Body muscle testing, manual A 0.47 0.58 0.23 0.02 1.07 0.72 0XXX.00.00.0000000 37.8975 090 95834 Body muscle testing, manual A 0.60 0.63 0.28 0.03 1.26 0.91 0XXX.00.00.0000000 37.8975 090 95851 Range of motion measurements A 0.16 0.36 0.08 0.01 0.53 0.25 0XXX.00.00.0000000 37.8975 090 95852 Range of motion measurements A 0.11 0.26 0.05 0.01 0.38 0.17 0XXX.00.00.0000000 37.8975 090 95857 Tensilon test A 0.53 0.60 0.23 0.02 1.15 0.78 0XXX.00.00.0000000 37.8975 090 95858 Tensilon test & myogram A 1.56 1.07 1.07 NA 0.12 2.75 2.75 1XXX.00.00.0000000 37.8975 090 95858TCTensilon test & myogram A 0.00 0.40 0.40 NA 0.04 0.44 0.44 1XXX.00.00.0000000 37.8975 030 9585826Tensilon test & myogram A 1.56 0.67 0.67 0.08 2.31 2.31 1XXX.00.00.0000000 37.8975 090 95860 Muscle test, one limb A 0.96 1.42 1.42 NA 0.07 2.45 2.45 1XXX.00.00.0000000 37.8975 090 95860TCMuscle test, one limb A 0.00 1.00 1.00 NA 0.02 1.02 1.02 1XXX.00.00.0000000 37.8975 6A0 9586026Muscle test, one limb A 0.96 0.42 0.42 0.05 1.43 1.43 1XXX.00.00.0000000 37.8975 090 95861 Muscle test, 2 limbs A 1.54 1.41 1.41 NA 0.14 3.09 3.09 1XXX.00.00.0000000 37.8975 090 95861TCMuscle test, 2 limbs A 0.00 0.73 0.73 NA 0.06 0.79 0.79 1XXX.00.00.0000000 37.8975 6A0 9586126Muscle test, 2 limbs A 1.54 0.68 0.68 0.08 2.30 2.30 1XXX.00.00.0000000 37.8975 090 95863 Muscle test, 3 limbs A 1.87 1.74 1.74 NA 0.15 3.76 3.76 1XXX.00.00.0000000 37.8975 090 95863TCMuscle test, 3 limbs A 0.00 0.94 0.94 NA 0.06 1.00 1.00 1XXX.00.00.0000000 37.8975 6A0 9586326Muscle test, 3 limbs A 1.87 0.80 0.80 0.09 2.76 2.76 1XXX.00.00.0000000 37.8975 090 95864 Muscle test, 4 limbs A 1.99 2.65 2.65 NA 0.22 4.86 4.86 1XXX.00.00.0000000 37.8975 090 95864TCMuscle test, 4 limbs A 0.00 1.78 1.78 NA 0.12 1.90 1.90 1XXX.00.00.0000000 37.8975 6A0 9586426Muscle test, 4 limbs A 1.99 0.87 0.87 0.10 2.96 2.96 1XXX.00.00.0000000 37.8975 090 95867 Muscle test cran nerv unilat A 0.79 0.93 0.93 NA 0.07 1.79 1.79 1XXX.00.00.0000000 37.8975 090 95867TCMuscle test cran nerv unilat A 0.00 0.58 0.58 NA 0.04 0.62 0.62 1XXX.00.00.0000000 37.8975 6A0 9586726Muscle test cran nerv unilat A 0.79 0.35 0.35 0.03 1.17 1.17 1XXX.00.00.0000000 37.8975 090 95868 Muscle test cran nerve bilat A 1.18 1.21 1.21 NA 0.11 2.50 2.50 1XXX.00.00.0002000 37.8975 090 95868TCMuscle test cran nerve bilat A 0.00 0.70 0.70 NA 0.05 0.75 0.75 1XXX.00.00.0002000 37.8975 6A0 9586826Muscle test cran nerve bilat A 1.18 0.51 0.51 0.06 1.75 1.75 1XXX.00.00.0002000 37.8975 090 95869 Muscle test, thor paraspinal A 0.37 0.37 0.37 NA 0.04 0.78 0.78 1XXX.00.00.0000000 37.8975 090 95869TCMuscle test, thor paraspinal A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0000000 37.8975 6A0 9586926Muscle test, thor paraspinal A 0.37 0.16 0.16 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 95870 Muscle test, nonparaspinal A 0.37 0.37 0.37 NA 0.04 0.78 0.78 1XXX.00.00.0000000 37.8975 090 95870TCMuscle test, nonparaspinal A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0000000 37.8975 6A0 9587026Muscle test, nonparaspinal A 0.37 0.16 0.16 0.02 0.55 0.55 1XXX.00.00.0000000 37.8975 090 95872 Muscle test, one fiber A 1.50 1.23 1.23 NA 0.13 2.86 2.86 1XXX.00.00.0000000 37.8975 090 95872TCMuscle test, one fiber A 0.00 0.60 0.60 NA 0.05 0.65 0.65 1XXX.00.00.0000000 37.8975 660 9587226Muscle test, one fiber A 1.50 0.63 0.63 0.08 2.21 2.21 1XXX.00.00.0000000 37.8975 090 95875 Limb exercise test A 1.10 1.45 1.45 NA 0.11 2.66 2.66 1XXX.00.00.0000000 37.8975 090 95875TCLimb exercise test A 0.00 0.98 0.98 NA 0.06 1.04 1.04 1XXX.00.00.0000000 37.8975 030 9587526Limb exercise test A 1.10 0.47 0.47 0.05 1.62 1.62 1XXX.00.00.0000000 37.8975 090 95900 Motor nerve conduction test A 0.42 1.26 1.26 NA 0.04 1.72 1.72 1XXX.00.00.0000000 37.8975 090 95900TCMotor nerve conduction test A 0.00 1.08 1.08 NA 0.02 1.10 1.10 1XXX.00.00.0000000 37.8975 7A0 9590026Motor nerve conduction test A 0.42 0.18 0.18 0.02 0.62 0.62 1XXX.00.00.0000000 37.8975 090 95903 Motor nerve conduction test A 0.60 1.19 1.19 NA 0.05 1.84 1.84 1XXX.00.00.0000000 37.8975 090 95903TCMotor nerve conduction test A 0.00 0.93 0.93 NA 0.02 0.95 0.95 1XXX.00.00.0000000 37.8975 7A0 9590326Motor nerve conduction test A 0.60 0.26 0.26 0.03 0.89 0.89 1XXX.00.00.0000000 37.8975 090 95904 Sense nerve conduction test A 0.34 1.09 1.09 NA 0.04 1.47 1.47 1XXX.00.00.0000000 37.8975 090 95904TCSense nerve conduction test A 0.00 0.94 0.94 NA 0.02 0.96 0.96 1XXX.00.00.0000000 37.8975 7A0 9590426Sense nerve conduction test A 0.34 0.15 0.15 0.02 0.51 0.51 1XXX.00.00.0000000 37.8975 090 95920 Intraop nerve test add-on A 2.11 2.24 2.24 NA 0.23 4.58 4.58 1ZZZ.00.00.0000000 37.8975 090 95920TCIntraop nerve test add-on A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1ZZZ.00.00.0000000 37.8975 220 9592026Intraop nerve test add-on A 2.11 0.93 0.93 0.16 3.20 3.20 1ZZZ.00.00.0000000 37.8975 090 95921 Autonomic nerv function test A 0.90 0.71 0.71 NA 0.06 1.67 1.67 1XXX.00.00.0000000 37.8975 090 95921TCAutonomic nerv function test A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 37.8975 020 9592126Autonomic nerv function test A 0.90 0.33 0.33 0.04 1.27 1.27 1XXX.00.00.0000000 37.8975 090 95922 Autonomic nerv function test A 0.96 0.78 0.78 NA 0.07 1.81 1.81 1XXX.00.00.0000000 37.8975 090 95922TCAutonomic nerv function test A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 37.8975 030 9592226Autonomic nerv function test A 0.96 0.40 0.40 0.05 1.41 1.41 1XXX.00.00.0000000 37.8975 090 95923 Autonomic nerv function test A 0.90 1.94 1.94 NA 0.07 2.91 2.91 1XXX.00.00.0000000 37.8975 090 95923TCAutonomic nerv function test A 0.00 1.56 1.56 NA 0.02 1.58 1.58 1XXX.00.00.0000000 37.8975 030 9592326Autonomic nerv function test A 0.90 0.38 0.38 0.05 1.33 1.33 1XXX.00.00.0000000 37.8975 090 95925 Somatosensory testing A 0.54 1.13 1.13 NA 0.10 1.77 1.77 1XXX.00.00.0002000 37.8975 090 95925TCSomatosensory testing A 0.00 0.91 0.91 NA 0.06 0.97 0.97 1XXX.00.00.0002000 37.8975 210 9592526Somatosensory testing A 0.54 0.22 0.22 0.04 0.80 0.80 1XXX.00.00.0002000 37.8975 090 95926 Somatosensory testing A 0.54 1.14 1.14 NA 0.09 1.77 1.77 1XXX.00.00.0002000 37.8975 090 95926TCSomatosensory testing A 0.00 0.91 0.91 NA 0.06 0.97 0.97 1XXX.00.00.0002000 37.8975 210 9592626Somatosensory testing A 0.54 0.23 0.23 0.03 0.80 0.80 1XXX.00.00.0002000 37.8975 090 95927 Somatosensory testing A 0.54 1.16 1.16 NA 0.09 1.79 1.79 1XXX.00.00.0000000 37.8975 090 95927TCSomatosensory testing A 0.00 0.91 0.91 NA 0.06 0.97 0.97 1XXX.00.00.0000000 37.8975 210 9592726Somatosensory testing A 0.54 0.25 0.25 0.03 0.82 0.82 1XXX.00.00.0000000 37.8975 090 95928 C motor evoked, uppr limbs A 1.50 3.02 3.02 NA 0.09 4.61 4.61 1XXX.00.00.0000000 37.8975 090 95928TCC motor evoked, uppr limbs A 0.00 2.37 2.37 NA 0.03 2.40 2.40 1XXX.00.00.0000000 37.8975 210 9592826C motor evoked, uppr limbs A 1.50 0.65 0.65 0.06 2.21 2.21 1XXX.00.00.0000000 37.8975 090 95929 C motor evoked, lwr limbs A 1.50 3.21 3.21 NA 0.09 4.80 4.80 1XXX.00.00.0000000 37.8975 090 95929TCC motor evoked, lwr limbs A 0.00 2.56 2.56 NA 0.03 2.59 2.59 1XXX.00.00.0000000 37.8975 210 9592926C motor evoked, lwr limbs A 1.50 0.65 0.65 0.06 2.21 2.21 1XXX.00.00.0000000 37.8975 090 95930 Visual evoked potential test A 0.35 2.24 2.24 NA 0.03 2.62 2.62 1XXX.00.00.0002000 37.8975 090 95930TCVisual evoked potential test A 0.00 2.09 2.09 NA 0.01 2.10 2.10 1XXX.00.00.0002000 37.8975 210 9593026Visual evoked potential test A 0.35 0.15 0.15 0.02 0.52 0.52 1XXX.00.00.0002000 37.8975 090 95933 Blink reflex test A 0.59 1.02 1.02 NA 0.10 1.71 1.71 1XXX.00.00.0000000 37.8975 090 95933TCBlink reflex test A 0.00 0.78 0.78 NA 0.06 0.84 0.84 1XXX.00.00.0000000 37.8975 7A0 9593326Blink reflex test A 0.59 0.24 0.24 0.04 0.87 0.87 1XXX.00.00.0000000 37.8975 090 95934 H-reflex test A 0.51 0.43 0.43 NA 0.04 0.98 0.98 1XXX.00.00.0001000 37.8975 090 95934TCH-reflex test A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0001000 37.8975 7A0 9593426H-reflex test A 0.51 0.22 0.22 0.02 0.75 0.75 1XXX.00.00.0001000 37.8975 090 95936 H-reflex test A 0.55 0.45 0.45 NA 0.05 1.05 1.05 1XXX.00.00.0001000 37.8975 090 95936TCH-reflex test A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0001000 37.8975 7A0 9593626H-reflex test A 0.55 0.24 0.24 0.03 0.82 0.82 1XXX.00.00.0001000 37.8975 090 95937 Neuromuscular junction test A 0.65 0.61 0.61 NA 0.09 1.35 1.35 1XXX.00.00.0000000 37.8975 090 95937TCNeuromuscular junction test A 0.00 0.34 0.34 NA 0.02 0.36 0.36 1XXX.00.00.0000000 37.8975 7A0 9593726Neuromuscular junction test A 0.65 0.27 0.27 0.07 0.99 0.99 1XXX.00.00.0000000 37.8975 090 95950 Ambulatory eeg monitoring A 1.51 3.93 3.93 NA 0.51 5.95 5.95 1XXX.00.00.0000000 37.8975 090 95950TCAmbulatory eeg monitoring A 0.00 3.29 3.29 NA 0.43 3.72 3.72 1XXX.00.00.0000000 37.8975 010 9595026Ambulatory eeg monitoring A 1.51 0.64 0.64 0.08 2.23 2.23 1XXX.00.00.0000000 37.8975 090 95951 EEG monitoring/videorecord C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 95951TCEEG monitoring/videorecord C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 010 9595126EEG monitoring/videorecord A 5.99 2.55 2.55 0.33 8.87 8.87 1XXX.00.00.0000000 37.8975 090 95953 EEG monitoring/computer A 3.08 7.62 7.62 NA 0.60 11.30 11.30 1XXX.00.00.0000000 37.8975 090 95953TCEEG monitoring/computer A 0.00 6.33 6.33 NA 0.43 6.76 6.76 1XXX.00.00.0000000 37.8975 010 9595326EEG monitoring/computer A 3.08 1.29 1.29 0.17 4.54 4.54 1XXX.00.00.0000000 37.8975 090 95954 EEG monitoring/giving drugs A 2.45 4.22 4.22 NA 0.19 6.86 6.86 1XXX.00.00.0000000 37.8975 090 95954TCEEG monitoring/giving drugs A 0.00 3.18 3.18 NA 0.06 3.24 3.24 1XXX.00.00.0000000 37.8975 030 9595426EEG monitoring/giving drugs A 2.45 1.04 1.04 0.13 3.62 3.62 1XXX.00.00.0000000 37.8975 090 95955 EEG during surgery A 1.01 2.32 2.32 NA 0.23 3.56 3.56 1XXX.00.00.0000000 37.8975 090 95955TCEEG during surgery A 0.00 1.96 1.96 NA 0.17 2.13 2.13 1XXX.00.00.0000000 37.8975 020 9595526EEG during surgery A 1.01 0.36 0.36 0.06 1.43 1.43 1XXX.00.00.0000000 37.8975 090 95956 Eeg monitoring, cable/radio A 3.08 15.41 15.41 NA 0.59 19.08 19.08 1XXX.00.00.0000000 37.8975 090 95956TCEeg monitoring, cable/radio A 0.00 14.11 14.11 NA 0.43 14.54 14.54 1XXX.00.00.0000000 37.8975 010 9595626Eeg monitoring, cable/radio A 3.08 1.30 1.30 0.16 4.54 4.54 1XXX.00.00.0000000 37.8975 090 95957 EEG digital analysis A 1.98 2.55 2.55 NA 0.23 4.76 4.76 1XXX.00.00.0000000 37.8975 090 95957TCEEG digital analysis A 0.00 1.70 1.70 NA 0.12 1.82 1.82 1XXX.00.00.0000000 37.8975 010 9595726EEG digital analysis A 1.98 0.85 0.85 0.11 2.94 2.94 1XXX.00.00.0000000 37.8975 090 95958 EEG monitoring/function test A 4.24 3.48 3.48 NA 0.37 8.09 8.09 1XXX.00.00.0000000 37.8975 090 95958TCEEG monitoring/function test A 0.00 1.74 1.74 NA 0.13 1.87 1.87 1XXX.00.00.0000000 37.8975 030 9595826EEG monitoring/function test A 4.24 1.74 1.74 0.24 6.22 6.22 1XXX.00.00.0000000 37.8975 090 95961 Electrode stimulation, brain A 2.97 2.63 2.63 NA 0.54 6.14 6.14 1XXX.00.00.0000000 37.8975 090 95961TCElectrode stimulation, brain A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1XXX.00.00.0000000 37.8975 030 9596126Electrode stimulation, brain A 2.97 1.32 1.32 0.47 4.76 4.76 1XXX.00.00.0000000 37.8975 090 95962 Electrode stim, brain add-on A 3.21 2.70 2.70 NA 0.39 6.30 6.30 1ZZZ.00.00.0000000 37.8975 090 95962TCElectrode stim, brain add-on A 0.00 1.31 1.31 NA 0.07 1.38 1.38 1ZZZ.00.00.0000000 37.8975 030 9596226Electrode stim, brain add-on A 3.21 1.39 1.39 0.32 4.92 4.92 1ZZZ.00.00.0000000 37.8975 090 95965 Meg, spontaneous C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 95965TCMeg, spontaneous C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9596526Meg, spontaneous A 7.99 3.42 3.42 0.45 11.86 11.86 1XXX.00.00.0000000 37.8975 090 95966 Meg, evoked, single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 95966TCMeg, evoked, single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 37.8975 090 9596626Meg, evoked, single A 3.99 1.71 1.71 0.19 5.89 5.89 1XXX.00.00.0000000 37.8975 090 95967 Meg, evoked, each add’l C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 95967TCMeg, evoked, each add’l C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 37.8975 090 9596726Meg, evoked, each add’l A 3.49 1.18 1.18 0.15 4.82 4.82 1ZZZ.00.00.0000000 37.8975 090 95970 Analyze neurostim, no prog A 0.45 0.85 0.14 0.03 1.33 0.62 0XXX.00.00.0000000 37.8975 090 95971 Analyze neurostim, simple A 0.78 0.68 0.22 0.07 1.53 1.07 0XXX.00.00.0000000 37.8975 090 95972 Analyze neurostim, complex A 1.50 1.21 0.49 0.14 2.85 2.13 0XXX.00.00.0000000 37.8975 090 95973 Analyze neurostim, complex A 0.92 0.62 0.34 0.07 1.61 1.33 0ZZZ.00.00.0000000 37.8975 090 95974 Cranial neurostim, complex A 3.00 1.70 1.30 0.17 4.87 4.47 0XXX.00.00.0000000 37.8975 090 95975 Cranial neurostim, complex A 1.70 0.89 0.73 0.12 2.71 2.55 0ZZZ.00.00.0000000 37.8975 090 95978 Analyze neurostim brain/1h A 3.50 1.93 1.30 0.18 5.61 4.98 0XXX.00.00.0000000 37.8975 090 95979 Analyz neurostim brain addon A 1.64 0.87 0.69 0.08 2.59 2.41 0ZZZ.00.00.0000000 37.8975 090 95990 Spin/brain pump refil & main A 0.00 1.50 1.50 NA 0.06 1.56 1.56 5XXX.00.00.0000000 37.8975 090 95991 Spin/brain pump refil & main A 0.77 1.46 0.17 0.06 2.29 1.00 0XXX.00.00.0000000 37.8975 090 95999 Neurological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 96000 Motion analysis, video/3d A 1.80 0.53NA 0.53 0.11 2.44 2.44 7XXX.00.00.0002000 37.8975 090 96001 Motion test w/ft press meas A 2.15 0.66NA 0.66 0.10 2.91 2.91 7XXX.00.00.0002000 37.8975 090 96002 Dynamic surface emg A 0.41 0.15NA 0.15 0.02 0.58 0.58 0XXX.00.00.0002000 37.8975 090 96003 Dynamic fine wire emg A 0.37 0.12NA 0.12 0.02 0.51 0.51 0XXX.00.00.0002000 37.8975 090 96004 Phys review of motion tests A 2.14 0.94 0.94 0.11 3.19 3.19 2XXX.00.00.0002000 37.8975 090 96100 Psychological testing A 0.00 1.76 1.76 NA 0.18 1.94 1.94 0XXX.00.00.0000000 37.8975 040 96105 Assessment of aphasia A 0.00 1.76 1.76 NA 0.18 1.94 1.94 0XXX.00.00.0000000 37.8975 040 96110 Developmental test, lim A 0.00 0.18 0.18 NA 0.18 0.36 0.36 5XXX.00.00.0000000 37.8975 040 96111 Developmental test, extend A 2.60 1.05 1.05 NA 0.18 3.83 3.83 0XXX.00.00.0000000 37.8975 040 96115 Neurobehavior status exam A 0.00 1.76 1.76 NA 0.18 1.94 1.94 0XXX.00.00.0000000 37.8975 040 96117 Neuropsych test battery A 0.00 1.76 1.76 NA 0.18 1.94 1.94 0XXX.00.00.0000000 37.8975 040 96150 Assess hlth/behave, init A 0.50 0.18 0.18 0.01 0.69 0.69 0XXX.00.00.0000000 37.8975 090 96151 Assess hlth/behave, subseq A 0.48 0.18 0.17 0.01 0.67 0.66 0XXX.00.00.0000000 37.8975 090 96152 Intervene hlth/behave, indiv A 0.46 0.17 0.16 0.01 0.64 0.63 0XXX.00.00.0000000 37.8975 090 96153 Intervene hlth/behave, group A 0.10 0.04 0.03 0.01 0.15 0.14 0XXX.00.00.0000000 37.8975 090 96154 Interv hlth/behav, fam w/pt A 0.45 0.17 0.16 0.01 0.63 0.62 0XXX.00.00.0000000 37.8975 090 96155 Interv hlth/behav fam no pt N+ 0.44 0.18 0.17 0.02 0.64 0.63 9XXX.00.00.0099999 37.8975 090 96400 Chemotherapy, sc/im I+ 0.17 1.12 1.12 0.01 1.30 1.30 5XXX.00.00.0000000 37.8975 091 96405 Intralesional chemo admin A 0.52 2.30 0.24 0.03 2.85 0.79 0000.00.00.0020100 37.8975 090 96406 Intralesional chemo admin A 0.80 3.01 0.29 0.03 3.84 1.12 0000.00.00.0020100 37.8975 090 96408 Chemotherapy, push technique I+ 0.17 2.91 2.91 0.06 3.14 3.14 5XXX.00.00.0000000 37.8975 091 96410 Chemotherapy,infusion method I+ 0.17 4.16 4.16 0.08 4.41 4.41 5XXX.00.00.0000000 37.8975 091 96412 Chemo, infuse method add-on I+ 0.17 0.74 0.74 0.07 0.98 0.98 5ZZZ.00.00.0000000 37.8975 091 96414 Chemo, infuse method add-on I+ 0.17 5.22 5.22 0.08 5.47 5.47 5XXX.00.00.0000000 37.8975 091 96420 Chemotherapy, push technique A 0.17 2.65 2.65 NA 0.08 2.90 2.90 5XXX.00.00.0000000 37.8975 091 96422 Chemotherapy,infusion method A 0.17 4.83 4.83 NA 0.08 5.08 5.08 5XXX.00.00.0000000 37.8975 091 96423 Chemo, infuse method add-on A 0.17 1.88 1.88 NA 0.02 2.07 2.07 5ZZZ.00.00.0000000 37.8975 091 96425 Chemotherapy,infusion method A 0.17 4.47 4.47 NA 0.08 4.72 4.72 5XXX.00.00.0000000 37.8975 091 96440 Chemotherapy, intracavitary A 2.37 7.93 1.23 0.16 10.46 3.76 0000.00.00.0000000 37.8975 090 96445 Chemotherapy, intracavitary A 2.20 8.03 1.18 0.14 10.37 3.52 0000.00.00.0000000 37.8975 090 96450 Chemotherapy, into CNS A 1.89 6.94 1.09 0.09 8.92 3.07 0000.00.00.0000000 37.8975 090 96520 Port pump refill & main A 0.21 3.76 3.76 NA 0.06 4.03 4.03 5XXX.00.00.0000000 37.8975 091 96530 Syst pump refill & main A 0.21 2.64 2.64 NA 0.06 2.91 2.91 5XXX.00.00.0000000 37.8975 091 96542 Chemotherapy injection A 1.42 4.23 0.66 0.07 5.72 2.15 0XXX.00.00.0000000 37.8975 090 96545 Provide chemotherapy agent B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 96549 Chemotherapy, unspecified C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 96567 Photodynamic tx, skin A 0.00 1.95 1.95 NA 0.04 1.99 1.99 5XXX.00.00.0000000 37.8975 090 96570 Photodynamic tx, 30 min A 1.10 0.37NA 0.37 0.11 1.58 1.58 0ZZZ.00.00.0000100 37.8975 090 96571 Photodynamic tx, addl 15 min A 0.55 0.19NA 0.19 0.03 0.77 0.77 0ZZZ.00.00.0000100 37.8975 090 96900 Ultraviolet light therapy A 0.00 0.44 0.44 NA 0.02 0.46 0.46 5XXX.00.00.0000000 37.8975 090 96902 Trichogram B+ 0.41 0.18 0.16 0.01 0.60 0.58 9XXX.00.00.0099999 37.8975 090 96910 Photochemotherapy with UV-B A 0.00 0.99 0.99 NA 0.04 1.03 1.03 5XXX.00.00.0000000 37.8975 090 96912 Photochemotherapy with UV-A A 0.00 1.26 1.26 NA 0.05 1.31 1.31 5XXX.00.00.0000000 37.8975 090 96913 Photochemotherapy, UV-A or B A 0.00 1.68 1.68 NA 0.10 1.78 1.78 5XXX.00.00.0000000 37.8975 090 96920 Laser tx, skin < 250 sq cm A 1.15 2.53 0.56 0.03 3.71 1.74 0000.00.00.0020100 37.8975 090 96921 Laser tx, skin 250-500 sq cm A 1.17 2.60 0.57 0.03 3.80 1.77 0000.00.00.0020100 37.8975 090 96922 Laser tx, skin > 500 sq cm A 2.10 3.48 0.62 0.05 5.63 2.77 0000.00.00.0020100 37.8975 090 96999 Dermatological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 97001 Pt evaluation A 1.20 0.75 0.45 0.05 2.00 1.70 7XXX.00.00.0000000 37.8975 090 97002 Pt re-evaluation A 0.60 0.44 0.23 0.02 1.06 0.85 7XXX.00.00.0000000 37.8975 090 97003 Ot evaluation A 1.20 0.88 0.40 0.06 2.14 1.66 7XXX.00.00.0000000 37.8975 090 97004 Ot re-evaluation A 0.60 0.67 0.19 0.02 1.29 0.81 7XXX.00.00.0000000 37.8975 090 97005 Athletic train eval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 97006 Athletic train reeval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 97010 Hot or cold packs therapy B+ 0.06 0.05 0.05 NA 0.01 0.12 0.12 9XXX.00.00.0099999 37.8975 090 97012 Mechanical traction therapy A 0.25 0.13 0.13 NA 0.01 0.39 0.39 7XXX.00.00.0000000 37.8975 090 97014 Electric stimulation therapy I+ 0.18 0.19 0.19 0.01 0.38 0.38 9XXX.00.00.0099999 37.8975 090 97016 Vasopneumatic device therapy A 0.18 0.18 0.18 NA 0.01 0.37 0.37 7XXX.00.00.0000000 37.8975 090 97018 Paraffin bath therapy A 0.06 0.10 0.10 NA 0.01 0.17 0.17 7XXX.00.00.0000000 37.8975 090 97020 Microwave therapy A 0.06 0.06 0.06 NA 0.01 0.13 0.13 7XXX.00.00.0000000 37.8975 090 97022 Whirlpool therapy A 0.17 0.21 0.21 NA 0.01 0.39 0.39 7XXX.00.00.0000000 37.8975 090 97024 Diathermy treatment A 0.06 0.07 0.07 NA 0.01 0.14 0.14 7XXX.00.00.0000000 37.8975 090 97026 Infrared therapy A 0.06 0.06 0.06 NA 0.01 0.13 0.13 7XXX.00.00.0000000 37.8975 090 97028 Ultraviolet therapy A 0.08 0.07 0.07 NA 0.01 0.16 0.16 7XXX.00.00.0000000 37.8975 090 97032 Electrical stimulation A 0.25 0.16 0.16 NA 0.01 0.42 0.42 7XXX.00.00.0000000 37.8975 090 97033 Electric current therapy A 0.26 0.27 0.27 NA 0.01 0.54 0.54 7XXX.00.00.0000000 37.8975 090 97034 Contrast bath therapy A 0.21 0.15 0.15 NA 0.01 0.37 0.37 7XXX.00.00.0000000 37.8975 090 97035 Ultrasound therapy A 0.21 0.10 0.10 NA 0.01 0.32 0.32 7XXX.00.00.0000000 37.8975 090 97036 Hydrotherapy A 0.28 0.32 0.32 NA 0.01 0.61 0.61 7XXX.00.00.0000000 37.8975 090 97039 Physical therapy treatment A 0.20 0.10 0.10 NA 0.01 0.31 0.31 7XXX.00.00.0000000 37.8975 090 97110 Therapeutic exercises A 0.45 0.27 0.27 NA 0.02 0.74 0.74 7XXX.00.00.0000000 37.8975 090 97112 Neuromuscular reeducation A 0.45 0.31 0.31 NA 0.02 0.78 0.78 7XXX.00.00.0000000 37.8975 090 97113 Aquatic therapy/exercises A 0.44 0.39 0.39 NA 0.02 0.85 0.85 7XXX.00.00.0000000 37.8975 090 97116 Gait training therapy A 0.40 0.24 0.24 NA 0.01 0.65 0.65 7XXX.00.00.0000000 37.8975 090 97124 Massage therapy A 0.35 0.23 0.23 NA 0.01 0.59 0.59 7XXX.00.00.0000000 37.8975 090 97139 Physical medicine procedure A 0.21 0.20 0.20 NA 0.01 0.42 0.42 7XXX.00.00.0000000 37.8975 090 97140 Manual therapy A 0.43 0.25 0.25 NA 0.02 0.70 0.70 7XXX.00.00.0000000 37.8975 090 97150 Group therapeutic procedures A 0.27 0.18 0.18 NA 0.01 0.46 0.46 7XXX.00.00.0000000 37.8975 090 97504 Orthotic training A 0.45 0.33 0.33 NA 0.03 0.81 0.81 7XXX.00.00.0000000 37.8975 090 97520 Prosthetic training A 0.45 0.27 0.27 NA 0.02 0.74 0.74 7XXX.00.00.0000000 37.8975 090 97530 Therapeutic activities A 0.44 0.32 0.32 NA 0.02 0.78 0.78 7XXX.00.00.0000000 37.8975 090 97532 Cognitive skills development A 0.44 0.20 0.20 NA 0.01 0.65 0.65 7XXX.00.00.0000000 37.8975 090 97533 Sensory integration A 0.44 0.24 0.24 NA 0.01 0.69 0.69 7XXX.00.00.0000000 37.8975 090 97535 Self care mngment training A 0.45 0.33 0.33 NA 0.01 0.79 0.79 7XXX.00.00.0000000 37.8975 090 97537 Community/work reintegration A 0.45 0.26 0.26 NA 0.01 0.72 0.72 7XXX.00.00.0000000 37.8975 090 97542 Wheelchair mngment training A 0.45 0.28 0.28 NA 0.01 0.74 0.74 7XXX.00.00.0000000 37.8975 090 97545 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 37.8975 090 97546 Work hardening add-on R 0.00 0.00 0.00 0.00 0.00 0.00 7ZZZ.00.00.0000000 37.8975 090 97597 Active wound care/20 cm or < A 0.58 0.66 0.66 NA 0.05 1.29 1.29 0XXX.00.00.0000000 37.8975 090 97598 Active wound care > 20 cm A 0.80 0.79 0.79 NA 0.05 1.64 1.64 0XXX.00.00.0000000 37.8975 090 97602 Wound(s) care non-selective B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 97605 Neg press wound tx, < 50 cm B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 97606 Neg press wound tx, > 50 cm B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 97703 Prosthetic checkout A 0.25 0.41 0.41 NA 0.02 0.68 0.68 7XXX.00.00.0000000 37.8975 090 97750 Physical performance test A 0.45 0.32 0.32 NA 0.02 0.79 0.79 7XXX.00.00.0000000 37.8975 090 97755 Assistive technology assess A 0.62 0.28 0.28 NA 0.02 0.92 0.92 7XXX.00.00.0000000 37.8975 090 97799 Physical medicine procedure C 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 37.8975 090 97802 Medical nutrition, indiv, in A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 37.8975 090 97803 Med nutrition, indiv, subseq A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 37.8975 090 97804 Medical nutrition, group A 0.00 0.18 0.18 NA 0.01 0.19 0.19 0XXX.00.00.0000000 37.8975 090 97810 Acupunct w/o stimul 15 min N+ 0.60 0.38 0.23 0.03 1.01 0.86 9XXX.00.00.0099999 37.8975 090 97811 Acupunct w/o stimul addl 15m N+ 0.50 0.25 0.19 0.03 0.78 0.72 9ZZZ.00.00.0099999 37.8975 090 97813 Acupunct w/stimul 15 min N+ 0.65 0.40 0.25 0.03 1.08 0.93 9XXX.00.00.0099999 37.8975 090 97814 Acupunct w/stimul addl 15m N+ 0.55 0.30 0.21 0.03 0.88 0.79 9ZZZ.00.00.0099999 37.8975 090 98925 Osteopathic manipulation A 0.45 0.32 0.14 0.02 0.79 0.61 0000.00.00.0000000 37.8975 090 98926 Osteopathic manipulation A 0.65 0.41 0.25 0.03 1.09 0.93 0000.00.00.0000000 37.8975 090 98927 Osteopathic manipulation A 0.87 0.50 0.29 0.03 1.40 1.19 0000.00.00.0000000 37.8975 090 98928 Osteopathic manipulation A 1.03 0.59 0.34 0.04 1.66 1.41 0000.00.00.0000000 37.8975 090 98929 Osteopathic manipulation A 1.19 0.67 0.37 0.05 1.91 1.61 0000.00.00.0000000 37.8975 090 98940 Chiropractic manipulation A 0.45 0.23 0.12 0.01 0.69 0.58 0000.00.00.0000000 37.8975 090 98941 Chiropractic manipulation A 0.65 0.30 0.17 0.02 0.97 0.84 0000.00.00.0000000 37.8975 090 98942 Chiropractic manipulation A 0.87 0.36 0.23 0.02 1.25 1.12 0000.00.00.0000000 37.8975 090 98943 Chiropractic manipulation N+ 0.40 0.24 0.16 0.01 0.65 0.57 9XXX.00.00.0099999 37.8975 090 99000 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99001 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99002 Device handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99024 Postop follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99026 In-hospital on call service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99027 Out-of-hosp on call service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99050 Medical services after hrs B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99052 Medical services at night B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99054 Medical servcs, unusual hrs B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99056 Non-office medical services B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99058 Office emergency care B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99070 Special supplies B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99071 Patient education materials B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99075 Medical testimony N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99078 Group health education B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99080 Special reports or forms B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99082 Unusual physician travel C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 99090 Computer data analysis B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99091 Collect/review data from pt B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99100 Special anesthesia service B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99116 Anesthesia with hypothermia B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99135 Special anesthesia procedure B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99140 Emergency anesthesia B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99141 Sedation, iv/im or inhalant B+ 0.80 1.87 0.38 0.05 2.72 1.23 9XXX.00.00.0099999 37.8975 090 99142 Sedation, oral/rectal/nasal B+ 0.60 0.95 0.30 0.04 1.59 0.94 9XXX.00.00.0099999 37.8975 090 99170 Anogenital exam, child A 1.75 1.76 0.55 0.08 3.59 2.38 0000.00.00.0020100 37.8975 090 99172 Ocular function screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99173 Visual acuity screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99175 Induction of vomiting A 0.00 1.39 1.39 NA 0.10 1.49 1.49 5XXX.00.00.0000000 37.8975 090 99183 Hyperbaric oxygen therapy A 2.34 3.24 0.72 0.16 5.74 3.22 0XXX.00.00.0000000 37.8975 090 99185 Regional hypothermia A 0.00 0.64 0.64 NA 0.04 0.68 0.68 5XXX.00.00.0000000 37.8975 090 99186 Total body hypothermia A 0.00 1.78 1.78 NA 0.45 2.23 2.23 5XXX.00.00.0000000 37.8975 090 99190 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99191 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99192 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99195 Phlebotomy A 0.00 0.44 0.44 NA 0.02 0.46 0.46 5XXX.00.00.0000000 37.8975 090 99199 Special service/proc/report C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 99201 Office/outpatient visit, new A 0.45 0.49 0.15 0.03 0.97 0.63 0XXX.00.00.0000000 37.8975 090 99202 Office/outpatient visit, new A 0.88 0.79 0.31 0.05 1.72 1.24 0XXX.00.00.0000000 37.8975 090 99203 Office/outpatient visit, new A 1.34 1.13 0.48 0.09 2.56 1.91 0XXX.00.00.0000000 37.8975 090 99204 Office/outpatient visit, new A 2.00 1.50 0.71 0.12 3.62 2.83 0XXX.00.00.0000000 37.8975 090 99205 Office/outpatient visit, new A 2.67 1.77 0.95 0.14 4.58 3.76 0XXX.00.00.0000000 37.8975 090 99211 Office/outpatient visit, est A 0.17 0.39 0.06 0.01 0.57 0.24 0XXX.00.00.0000000 37.8975 090 99212 Office/outpatient visit, est A 0.45 0.54 0.16 0.03 1.02 0.64 0XXX.00.00.0000000 37.8975 090 99213 Office/outpatient visit, est A 0.67 0.69 0.24 0.03 1.39 0.94 0XXX.00.00.0000000 37.8975 090 99214 Office/outpatient visit, est A 1.10 1.03 0.41 0.05 2.18 1.56 0XXX.00.00.0000000 37.8975 090 99215 Office/outpatient visit, est A 1.77 1.32 0.65 0.08 3.17 2.50 0XXX.00.00.0000000 37.8975 090 99217 Observation care discharge A 1.28 0.53NA 0.53 0.06 1.87 1.87 0XXX.00.00.0000000 37.8975 090 99218 Observation care A 1.28 0.44NA 0.44 0.06 1.78 1.78 0XXX.00.00.0000000 37.8975 090 99219 Observation care A 2.14 0.72NA 0.72 0.10 2.96 2.96 0XXX.00.00.0000000 37.8975 090 99220 Observation care A 2.99 1.03NA 1.03 0.14 4.16 4.16 0XXX.00.00.0000000 37.8975 090 99221 Initial hospital care A 1.28 0.45NA 0.45 0.07 1.80 1.80 0XXX.00.00.0000000 37.8975 090 99222 Initial hospital care A 2.14 0.74NA 0.74 0.10 2.98 2.98 0XXX.00.00.0000000 37.8975 090 99223 Initial hospital care A 2.99 1.03NA 1.03 0.13 4.15 4.15 0XXX.00.00.0000000 37.8975 090 99231 Subsequent hospital care A 0.64 0.23NA 0.23 0.03 0.90 0.90 0XXX.00.00.0000000 37.8975 090 99232 Subsequent hospital care A 1.06 0.37NA 0.37 0.04 1.47 1.47 0XXX.00.00.0000000 37.8975 090 99233 Subsequent hospital care A 1.51 0.52NA 0.52 0.06 2.09 2.09 0XXX.00.00.0000000 37.8975 090 99234 Observ/hosp same date A 2.56 0.89NA 0.89 0.13 3.58 3.58 0XXX.00.00.0000000 37.8975 090 99235 Observ/hosp same date A 3.41 1.15NA 1.15 0.16 4.72 4.72 0XXX.00.00.0000000 37.8975 090 99236 Observ/hosp same date A 4.26 1.44NA 1.44 0.19 5.89 5.89 0XXX.00.00.0000000 37.8975 090 99238 Hospital discharge day A 1.28 0.54NA 0.54 0.05 1.87 1.87 0XXX.00.00.0000000 37.8975 090 99239 Hospital discharge day A 1.75 0.73NA 0.73 0.07 2.55 2.55 0XXX.00.00.0000000 37.8975 090 99241 Office consultation A 0.64 0.64 0.22 0.05 1.33 0.91 0XXX.00.00.0000000 37.8975 090 99242 Office consultation A 1.29 1.04 0.46 0.10 2.43 1.85 0XXX.00.00.0000000 37.8975 090 99243 Office consultation A 1.72 1.39 0.63 0.13 3.24 2.48 0XXX.00.00.0000000 37.8975 090 99244 Office consultation A 2.58 1.82 0.92 0.16 4.56 3.66 0XXX.00.00.0000000 37.8975 090 99245 Office consultation A 3.42 2.27 1.24 0.21 5.90 4.87 0XXX.00.00.0000000 37.8975 090 99251 Initial inpatient consult A 0.66 0.24NA 0.24 0.05 0.95 0.95 0XXX.00.00.0000000 37.8975 090 99252 Initial inpatient consult A 1.32 0.50NA 0.50 0.09 1.91 1.91 0XXX.00.00.0000000 37.8975 090 99253 Initial inpatient consult A 1.82 0.68NA 0.68 0.11 2.61 2.61 0XXX.00.00.0000000 37.8975 090 99254 Initial inpatient consult A 2.64 0.98NA 0.98 0.13 3.75 3.75 0XXX.00.00.0000000 37.8975 090 99255 Initial inpatient consult A 3.64 1.35NA 1.35 0.18 5.17 5.17 0XXX.00.00.0000000 37.8975 090 99261 Follow-up inpatient consult A 0.42 0.15NA 0.15 0.02 0.59 0.59 0XXX.00.00.0000000 37.8975 090 99262 Follow-up inpatient consult A 0.85 0.31NA 0.31 0.04 1.20 1.20 0XXX.00.00.0000000 37.8975 090 99263 Follow-up inpatient consult A 1.27 0.45NA 0.45 0.06 1.78 1.78 0XXX.00.00.0000000 37.8975 090 99271 Confirmatory consultation A 0.45 0.55 0.16 0.03 1.03 0.64 0XXX.00.00.0000000 37.8975 090 99272 Confirmatory consultation A 0.84 0.83 0.31 0.06 1.73 1.21 0XXX.00.00.0000000 37.8975 090 99273 Confirmatory consultation A 1.19 1.11 0.45 0.10 2.40 1.74 0XXX.00.00.0000000 37.8975 090 99274 Confirmatory consultation A 1.73 1.37 0.64 0.12 3.22 2.49 0XXX.00.00.0000000 37.8975 090 99275 Confirmatory consultation A 2.31 1.65 0.84 0.14 4.10 3.29 0XXX.00.00.0000000 37.8975 090 99281 Emergency dept visit A 0.33 0.09NA 0.09 0.02 0.44 0.44 0XXX.00.00.0000000 37.8975 090 99282 Emergency dept visit A 0.55 0.14NA 0.14 0.04 0.73 0.73 0XXX.00.00.0000000 37.8975 090 99283 Emergency dept visit A 1.24 0.31NA 0.31 0.09 1.64 1.64 0XXX.00.00.0000000 37.8975 090 99284 Emergency dept visit A 1.95 0.47NA 0.47 0.14 2.56 2.56 0XXX.00.00.0000000 37.8975 090 99285 Emergency dept visit A 3.06 0.72NA 0.72 0.23 4.01 4.01 0XXX.00.00.0000000 37.8975 090 99288 Direct advanced life support B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99289 Ped crit care transport A 4.79 1.45NA 1.45 0.24 6.48 6.48 0XXX.00.00.0000000 37.8975 090 99290 Ped crit care transport addl A 2.40 0.81NA 0.81 0.12 3.33 3.33 0ZZZ.00.00.0000000 37.8975 090 99291 Critical care, first hour A 3.99 2.57 1.28 0.21 6.77 5.48 0XXX.00.00.0000000 37.8975 090 99292 Critical care, addl 30 min A 2.00 0.90 0.64 0.10 3.00 2.74 0ZZZ.00.00.0000000 37.8975 090 99293 Ped critical care, initial A 15.98 4.75NA 4.75 1.09 21.82 21.82 0XXX.00.00.0000000 37.8975 090 99294 Ped critical care, subseq A 7.99 2.40NA 2.40 0.45 10.84 10.84 0XXX.00.00.0000000 37.8975 090 99295 Neonate crit care, initial A 18.46 5.37NA 5.37 1.15 24.98 24.98 0XXX.00.00.0000000 37.8975 090 99296 Neonate critical care subseq A 7.99 2.54NA 2.54 0.32 10.85 10.85 0XXX.00.00.0000000 37.8975 090 99298 Ic for lbw infant < 1500 gm A 2.75 0.93NA 0.93 0.16 3.84 3.84 0XXX.00.00.0000000 37.8975 090 99299 Ic, lbw infant 1500-2500 gm A 2.50 0.86NA 0.86 0.16 3.52 3.52 0XXX.00.00.0000000 37.8975 090 99301 Nursing facility care A 1.20 0.50 0.50 0.05 1.75 1.75 0XXX.00.00.0000000 37.8975 090 99302 Nursing facility care A 1.61 0.64 0.64 0.07 2.32 2.32 0XXX.00.00.0000000 37.8975 090 99303 Nursing facility care A 2.01 0.76 0.76 0.09 2.86 2.86 0XXX.00.00.0000000 37.8975 090 99311 Nursing fac care, subseq A 0.60 0.27 0.27 0.03 0.90 0.90 0XXX.00.00.0000000 37.8975 090 99312 Nursing fac care, subseq A 1.00 0.45 0.45 0.04 1.49 1.49 0XXX.00.00.0000000 37.8975 090 99313 Nursing fac care, subseq A 1.42 0.62 0.62 0.06 2.10 2.10 0XXX.00.00.0000000 37.8975 090 99315 Nursing fac discharge day A 1.13 0.45 0.45 0.05 1.63 1.63 0XXX.00.00.0000000 37.8975 090 99316 Nursing fac discharge day A 1.50 0.59 0.59 0.07 2.16 2.16 0XXX.00.00.0000000 37.8975 090 99321 Rest home visit, new patient A 0.71 0.34 0.34 NA 0.03 1.08 1.08 0XXX.00.00.0000000 37.8975 090 99322 Rest home visit, new patient A 1.01 0.46 0.46 NA 0.05 1.52 1.52 0XXX.00.00.0000000 37.8975 090 99323 Rest home visit, new patient A 1.28 0.55 0.55 NA 0.05 1.88 1.88 0XXX.00.00.0000000 37.8975 090 99331 Rest home visit, est pat A 0.60 0.32 0.32 NA 0.03 0.95 0.95 0XXX.00.00.0000000 37.8975 090 99332 Rest home visit, est pat A 0.80 0.38 0.38 NA 0.03 1.21 1.21 0XXX.00.00.0000000 37.8975 090 99333 Rest home visit, est pat A 1.00 0.46 0.46 NA 0.04 1.50 1.50 0XXX.00.00.0000000 37.8975 090 99341 Home visit, new patient A 1.01 0.48 0.48 NA 0.05 1.54 1.54 0XXX.00.00.0000000 37.8975 090 99342 Home visit, new patient A 1.52 0.68 0.68 NA 0.07 2.27 2.27 0XXX.00.00.0000000 37.8975 090 99343 Home visit, new patient A 2.27 0.94 0.94 NA 0.10 3.31 3.31 0XXX.00.00.0000000 37.8975 090 99344 Home visit, new patient A 3.03 1.18 1.18 NA 0.13 4.34 4.34 0XXX.00.00.0000000 37.8975 090 99345 Home visit, new patient A 3.78 1.43 1.43 NA 0.16 5.37 5.37 0XXX.00.00.0000000 37.8975 090 99347 Home visit, est patient A 0.76 0.40 0.40 NA 0.04 1.20 1.20 0XXX.00.00.0000000 37.8975 090 99348 Home visit, est patient A 1.26 0.58 0.58 NA 0.06 1.90 1.90 0XXX.00.00.0000000 37.8975 090 99349 Home visit, est patient A 2.02 0.83 0.83 NA 0.09 2.94 2.94 0XXX.00.00.0000000 37.8975 090 99350 Home visit, est patient A 3.03 1.18 1.18 NA 0.13 4.34 4.34 0XXX.00.00.0000000 37.8975 090 99354 Prolonged service, office A 1.77 0.77 0.66 0.08 2.62 2.51 0ZZZ.00.00.0000000 37.8975 090 99355 Prolonged service, office A 1.77 0.75 0.62 0.07 2.59 2.46 0ZZZ.00.00.0000000 37.8975 090 99356 Prolonged service, inpatient A 1.71 0.62NA 0.62 0.07 2.40 2.40 0ZZZ.00.00.0000000 37.8975 090 99357 Prolonged service, inpatient A 1.71 0.63NA 0.63 0.08 2.42 2.42 0ZZZ.00.00.0000000 37.8975 090 99358 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99359 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 37.8975 090 99360 Physician standby services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99361 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99362 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99371 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99372 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99373 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99374 Home health care supervision B+ 1.10 0.70 0.42 0.05 1.85 1.57 9XXX.00.00.0099999 37.8975 090 99375 Home health care supervision I+ 1.73 1.55 1.55 0.07 3.35 3.35 9XXX.00.00.0099999 37.8975 090 99377 Hospice care supervision B+ 1.10 0.70 0.42 0.05 1.85 1.57 9XXX.00.00.0099999 37.8975 090 99378 Hospice care supervision I+ 1.73 1.94 1.94 0.07 3.74 3.74 9XXX.00.00.0099999 37.8975 090 99379 Nursing fac care supervision B+ 1.10 0.70 0.42 0.04 1.84 1.56 9XXX.00.00.0099999 37.8975 090 99380 Nursing fac care supervision B+ 1.73 0.99 0.66 0.06 2.78 2.45 9XXX.00.00.0099999 37.8975 090 99381 Prev visit, new, infant N+ 1.19 1.50 0.45 0.05 2.74 1.69 9XXX.00.00.0099999 37.8975 090 99382 Prev visit, new, age 1-4 N+ 1.36 1.54 0.52 0.05 2.95 1.93 9XXX.00.00.0099999 37.8975 090 99383 Prev visit, new, age 5-11 N+ 1.36 1.48 0.52 0.05 2.89 1.93 9XXX.00.00.0099999 37.8975 090 99384 Prev visit, new, age 12-17 N+ 1.53 1.55 0.59 0.06 3.14 2.18 9XXX.00.00.0099999 37.8975 090 99385 Prev visit, new, age 18-39 N+ 1.53 1.55 0.59 0.06 3.14 2.18 9XXX.00.00.0099999 37.8975 090 99386 Prev visit, new, age 40-64 N+ 1.88 1.74 0.72 0.07 3.69 2.67 9XXX.00.00.0099999 37.8975 090 99387 Prev visit, new, 65 & over N+ 2.06 1.87 0.79 0.07 4.00 2.92 9XXX.00.00.0099999 37.8975 090 99391 Prev visit, est, infant N+ 1.02 1.02 0.39 0.04 2.08 1.45 9XXX.00.00.0099999 37.8975 090 99392 Prev visit, est, age 1-4 N+ 1.19 1.09 0.45 0.05 2.33 1.69 9XXX.00.00.0099999 37.8975 090 99393 Prev visit, est, age 5-11 N+ 1.19 1.06 0.45 0.05 2.30 1.69 9XXX.00.00.0099999 37.8975 090 99394 Prev visit, est, age 12-17 N+ 1.36 1.13 0.52 0.05 2.54 1.93 9XXX.00.00.0099999 37.8975 090 99395 Prev visit, est, age 18-39 N+ 1.36 1.16 0.52 0.05 2.57 1.93 9XXX.00.00.0099999 37.8975 090 99396 Prev visit, est, age 40-64 N+ 1.53 1.25 0.59 0.06 2.84 2.18 9XXX.00.00.0099999 37.8975 090 99397 Prev visit, est, 65 & over N+ 1.71 1.36 0.66 0.06 3.13 2.43 9XXX.00.00.0099999 37.8975 090 99401 Preventive counseling, indiv N+ 0.48 0.62 0.19 0.01 1.11 0.68 9XXX.00.00.0099999 37.8975 090 99402 Preventive counseling, indiv N+ 0.98 0.87 0.37 0.02 1.87 1.37 9XXX.00.00.0099999 37.8975 090 99403 Preventive counseling, indiv N+ 1.46 1.09 0.56 0.04 2.59 2.06 9XXX.00.00.0099999 37.8975 090 99404 Preventive counseling, indiv N+ 1.95 1.32 0.75 0.05 3.32 2.75 9XXX.00.00.0099999 37.8975 090 99411 Preventive counseling, group N+ 0.15 0.18 0.06 0.01 0.34 0.22 9XXX.00.00.0099999 37.8975 090 99412 Preventive counseling, group N+ 0.25 0.25 0.10 0.01 0.51 0.36 9XXX.00.00.0099999 37.8975 090 99420 Health risk assessment test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99429 Unlisted preventive service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99431 Initial care, normal newborn A 1.17 0.38NA 0.38 0.05 1.60 1.60 0XXX.00.00.0000000 37.8975 090 99432 Newborn care, not in hosp A 1.26 0.93 0.40 0.07 2.26 1.73 0XXX.00.00.0000000 37.8975 090 99433 Normal newborn care/hospital A 0.62 0.20NA 0.20 0.02 0.84 0.84 0XXX.00.00.0000000 37.8975 090 99435 Newborn discharge day hosp A 1.50 0.59NA 0.59 0.06 2.15 2.15 0XXX.00.00.0000000 37.8975 090 99436 Attendance, birth A 1.50 0.47NA 0.47 0.06 2.03 2.03 0XXX.00.00.0000000 37.8975 090 99440 Newborn resuscitation A 2.93 0.93NA 0.93 0.12 3.98 3.98 0XXX.00.00.0000000 37.8975 090 99450 Life/disability evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99455 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 99456 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 99499 Unlisted e&m service C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 37.8975 090 99500 Home visit, prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99501 Home visit, postnatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99502 Home visit, nb care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99503 Home visit, resp therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99504 Home visit mech ventilator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99505 Home visit, stoma care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99506 Home visit, im injection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99507 Home visit, cath maintain I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99509 Home visit day life activity I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99510 Home visit, sing/m/fam couns I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99511 Home visit, fecal/enema mgmt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99512 Home visit for hemodialysis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99600 Home visit nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99601 Home infusion/visit, 2 hrs I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090 99602 Home infusion, each addtl hr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 37.8975 090