HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 1997 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 1994 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 99XXX.00.00.009999999 0.0000 .917 A0030 Air ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0040 Helicopter ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0050 Water amb service emergency X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0080 Noninterest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0090 Interest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0100 Nonemergency transport taxi I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0110 Nonemergency transport bus I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0120 Noner transport mini-bus I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0130 Noner transport wheelch van I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0140 Nonemergency transport air I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0160 Noner transport case worker I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0170 Noner transport parking fees I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0180 Noner transport lodgng recip I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0190 Noner transport meals recip I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0200 Noner transport lodgng escrt I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0210 Noner transport meals escort I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0225 Neonatal emergency transport X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0300 Ambulance basic non-emer all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0302 Ambulance basic emergeny all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0304 Amb adv non-er no serv all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0306 Amb adv non-er spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0308 Amb adv er no spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0310 Amb adv er spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0320 Amb basic non-er + supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0322 Amb basic emerg + supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0324 Adv non-er serv sep mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0326 Adv non-er no serv sep mile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0328 Adv er no serv sep mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0330 Adv er spec serv sep mile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0340 Amb basic non-er + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0342 Ambul basic emer + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0344 Amb adv non-er no serv +mile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0346 Amb adv non-er serv + mile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0348 Adv emer no spec serv + mile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0350 Adv emer spec serv + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0360 Basic non-er sep mile & supp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0362 Basic emer sep mile & supply X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0364 Adv non-er no serv sep mi&su X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0366 Adv non-er serv sep mil&supp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0368 Adv er no serv sep mile&supp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0370 Adv er spec serv sep mi&supp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0380 Basic life support mileage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0382 Basic support routine suppls X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0384 Bls defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0390 Advanced life support mileag X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0392 Als defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0394 Als IV drug therapy supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0396 Als esophageal intub suppls X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0398 Als routine disposble suppls X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0420 Ambulance waiting 1/2 hr X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0422 Ambulance 02 life sustaining X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0424 Extra ambulance attendant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0888 Noncovered ambulance mileage N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A0999 Unlisted ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A2000 Chiropractor manip of spine D 0.45 0.29 0.29 0.01 0.75 0.75 99XXX.00.00.009999999 0.0000 .917 A4206 1 CC sterile syringe&needle P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4207 2 CC sterile syringe&needle P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4208 3 CC sterile syringe&needle P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4209 5+ CC sterile syringe&needle P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4210 Nonneedle injection device N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4211 Supp for self-adm injections P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4212 Non coring needle or stylet P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4213 20+ CC syringe only P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4214 30 CC sterile water/saline P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4215 Sterile needle P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4220 Infusion pump refill kit P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4221 Maint drug infus cath per wk X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4222 Drug infusion pump supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4230 Infus insulin pump non needl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4231 Infusion insulin pump needle N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4232 Syringe w/needle insulin 3cc N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4244 Alcohol or peroxide per pint P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4245 Alcohol wipes per box P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4246 Betadine/phisohex solution P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4247 Betadine/iodine swabs/wipes P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4250 Urine reagent strips/tablets N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4253 Blood glucose/reagent strips P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4254 Battery for glucose monitor X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4255 Glucose monitor platforms X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4256 Calibrator solution/chips P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4258 Lancet device each P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4259 Lancets per box P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4260 Levonorgestrel implant N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4262 Temporary tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4263 Permanent tear duct plug A 0.00 0.95 0.95 0.00 0.95 0.95 09XXX.00.00.009999999 36.6873 .917 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4270 Disposable endoscope sheath B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4300 Cath impl vasc access portal A 0.00 0.95 0.95 0.00 0.95 0.95 09XXX.00.00.009999999 36.6873 .917 A4301 Implantable access syst perc P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4305 Drug delivery system >=50 ML P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4306 Drug delivery system <=5 ML P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4310 Insert tray w/o bag/cath P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4311 Catheter w/o bag 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4312 Cath w/o bag 2-way silicone P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4313 Catheter w/bag 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4314 Cath w/drainage 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4315 Cath w/drainage 2-way silcne P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4316 Cath w/drainage 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4320 Irrigation tray P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4321 Cath therapeutic irrig agent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4322 Irrigation syringe P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4323 Saline irrigation solution P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4326 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4327 Fem urinary collect dev cup P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4328 Fem urinary collect pouch P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4329 External catheter start set P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4330 Stool collection pouch P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4335 Incontinence supply P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4338 Indwelling catheter latex P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4340 Indwelling catheter special P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4344 Cath indw foley 2 way silicn P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4346 Cath indw foley 3 way P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4347 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4351 Straight tip urine catheter P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4352 Coude tip urinary catheter P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4353 Intermittent urinary cath X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4354 Cath insertion tray w/bag P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4355 Bladder irrigation tubing P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4356 Ext ureth clmp or compr dvc P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4357 Bedside drainage bag P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4358 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4359 Urinary suspensory w/o leg b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4361 Ostomy face plate P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4362 Solid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4363 Liquid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4364 Ostomy/cath adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4365 Ostomy adhesive remover wipe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4367 Ostomy belt P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4368 Ostomy filter X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4397 Irrigation supply sleeve P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4398 Ostomy irrigation bag P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4399 Ostomy irrig cone/cath w brs P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4400 Ostomy irrigation set P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4402 Lubricant per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4404 Ostomy ring each P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4421 Ostomy supply misc P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4454 Tape all types all sizes P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4455 Adhesive remover per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4460 Elastic compression bandage P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4462 Abdmnl drssng holder/binder X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4465 Non-elastic extremity binder P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4470 Gravlee jet washer P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4480 Vabra aspirator P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4481 Tracheostoma filter X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4490 Above knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4495 Thigh length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4500 Below knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4510 Full length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4550 Surgical trays A 0.00 0.95 0.95 0.00 0.95 0.95 09XXX.00.00.009999999 36.6873 .917 A4554 Disposable underpads N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4556 Electrodes P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4557 Lead wires P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4558 Conductive paste or gel P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4560 Pessary X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4570 Splint X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4572 Rib belt X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4575 Hyperbaric o2 chamber disps N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4580 Cast supplies (plaster) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4590 Special casting material X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4595 TENS suppl 2 lead per month X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4611 Heavy duty battery X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4612 Battery cables X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4613 Battery charger X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4615 Cannula nasal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4616 Tubing (oxygen) per foot X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4617 Mouth piece X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4618 Breathing circuits X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4619 Face tent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4620 Variable concentration mask X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4621 Tracheotomy mask or collar X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4622 Tracheostomy or larngectomy X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4623 Tracheostomy inner cannula X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4624 Tracheal suction tube X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4625 Trach care kit for new trach X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4626 Tracheostomy cleaning brush X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4627 Spacer bag/reservoir N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4628 Oropharyngeal suction cath X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4629 Tracheostomy care kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4630 Repl bat t.e.n.s. own by pt X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4631 Wheelchair battery X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4635 Underarm crutch pad X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4636 Handgrip for cane etc X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4637 Repl tip cane/crutch/walker X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4640 Alternating pressure pad X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4641 Diagnostic imaging agent E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4642 Satumomab pendetide per dose E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4643 High dose contrast MRI E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4644 Contrast 100-199 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4645 Contrast 200-299 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4646 Contrast 300-399 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4647 Supp- paramagnetic contr mat B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4649 Surgical supplies P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4650 Supp esrd centrifuge X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4655 Esrd syringe/needle X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4660 Esrd blood pressure device X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4663 Esrd blood pressure cuff X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4670 Auto blood pressure monitor N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4680 Activated carbon filters X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4690 Dialyzers X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4700 Standard dialysate solution X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4705 Bicarb dialysate solution X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4712 Sterile water X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4714 Treated water for dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4730 Fistula cannulation set dial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4735 Local/topical anesthetics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4740 Esrd shunt accessory X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4750 Arterial or venous tubing X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4755 Arterial and venous tubing X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4760 Standard testing solution X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4765 Dialysate concentrate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4770 Blood testing supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4771 Blood clotting time tube X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4772 Dextrostick/glucose strips X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4773 Hemostix X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4774 Ammonia test paper X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4780 Esrd sterilizing agent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4790 Esrd cleansing agents X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4800 Heparin/antidote dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4820 Supplies hemodialysis kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4850 Rubber tipped hemostats X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4860 Disposable catheter caps X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4870 Plumbing/electrical work X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4880 Water storage tanks X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4890 Contracts/repair/maintenance R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 A4900 Capd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4901 Ccpd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4905 Ipd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4910 Esrd nonmedical supplies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4912 Gomco drain bottle X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4913 Esrd supply X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4914 Preparation kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4918 Venous pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4919 Supp dialysis dialyzer holde X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4920 Harvard pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4921 Measuring cylinder X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A4927 Gloves X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5051 Pouch clsd w barr attached P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5052 Clsd ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5053 Clsd ostomy pouch faceplate P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5054 Clsd ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5055 Stoma cap P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5061 Pouch drainable w barrier at P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5062 Drnble ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5063 Drain ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5064 Drain ostomy pouch w/fceplte I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5065 Drain ostomy pouch on fcplte I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5071 Urinary pouch w/barrier P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5072 Urinary pouch w/o barrier P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5073 Urinary pouch on barr w/flng P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5074 Urinary pouch w/faceplate I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5075 Urinary pouch on faceplate I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5081 Continent stoma plug P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5082 Continent stoma catheter P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5093 Ostomy accessory convex inse P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5102 Bedside drain btl w/wo tube P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5105 Urinary suspensory P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5112 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5113 Latex leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5114 Foam/fabric leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5119 Skin barrier wipes box pr 50 P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5121 Solid skin barrier 6x6 P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5122 Solid skin barrier 8x8 P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5123 Skin barrier with flange P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5126 Adhesive disc/foam pad P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5131 Appliance cleaner P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5149 Incontinence/ostomy supply P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5500 Diab shoe for density insert X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5501 Diabetic custom molded shoe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5502 Diabetic shoe density insert X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5503 Diabetic shoe w/roller/rockr X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5504 Diabetic shoe with wedge X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5505 Diab shoe w/metatarsal bar X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5506 Diabetic shoe w/off set heel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A5507 Modification diabetic shoe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6020 Collagen dressing cover ea P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6025 Silicone gel sheet, each I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6154 Wound pouch each P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6196 Alginate dressing <=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6197 Alginate drsg >16 <=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6198 alginate dressing > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6199 Alginate drsg wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6203 Composite drsg <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6204 Composite drsg >16<=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6205 Composite drsg > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6206 Contact layer <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6207 Contact layer >16<= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6208 Contact layer > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6209 Foam drsg <=16 sq in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6210 Foam drg >16<=48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6211 Foam drg > 48 sq in w/o brdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6212 Foam drg <=16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6213 Foam drg >16<=48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6214 Foam drg > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6215 Foam dressing wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6216 Non-sterile gauze<=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6217 Non-sterile gauze>16<=48 sq P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6218 Non-sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6219 Gauze <= 16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6220 Gauze >16 <=48 sq in w/bordr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6221 Gauze > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6222 Gauze <=16 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6223 Gauze >16<=48 no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6224 Gauze > 48 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6228 Gauze <= 16 sq in water/sal P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6229 Gauze >16<=48 sq in watr/sal P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6230 Gauze > 48 sq in water/salne P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6234 Hydrocolld drg <=16 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6235 Hydrocolld drg >16<=48 w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6236 Hydrocolld drg > 48 in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6237 Hydrocolld drg <=16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6238 Hydrocolld drg >16<=48 w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6239 Hydrocolld drg > 48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6240 Hydrocolld drg filler paste P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6241 Hydrocolloid drg filler dry P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6242 Hydrogel drg <=16 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6243 Hydrogel drg >16<=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6244 Hydrogel drg >48 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6245 Hydrogel drg <= 16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6246 Hydrogel drg >16<=48 in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6247 Hydrogel drg > 48 sq in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6248 Hydrogel drsg gel filler P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6250 Skin seal protect moisturizr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6251 Absorpt drg <=16 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6252 Absorpt drg >16 <=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6253 Absorpt drg > 48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6254 Absorpt drg <=16 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6255 Absorpt drg >16<=48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6256 Absorpt drg > 48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6257 Transparent film <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6258 Transparent film >16<=48 in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6259 Transparent film > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6260 Wound cleanser any type/size P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6261 Wound filler gel/paste /oz P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6262 Wound filler dry form / gram P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6263 Non-sterile elastic gauze/yd P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6264 Non-sterile no elastic gauze P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6265 Tape per 18 sq inches P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6266 Impreg gauze no h20/sal/yard P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6402 Sterile gauze <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6403 Sterile gauze>16 <= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6404 Sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6405 Sterile elastic gauze /yd P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A6406 Sterile non-elastic gauze/yd P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9150 Misc/exper non-prescript dru E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9160 Podiatrist non-covered servi N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9170 Chiropractor non-covered ser N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9190 Misc/expe personal comfort i N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9270 Non-covered item or service N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9300 Exercise equipment N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9500 Technetium TC 99m sestamibi E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9502 Technetium TC99M tetrofosmin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9503 Technetium TC 99m medronate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9505 Thallous chloride TL 201/mci E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 A9600 Strontium-89 chloride X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0120 Periodic oral evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0140 Limit oral eval problm focus N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0150 Comprehensve oral evaluation R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0160 Extensv oral eval prob focus N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0210 Intraor complete film series I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0220 Intraoral periapical first f I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0230 Intraoral periapical ea add I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0240 Intraoral occlusal film R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0250 Extraoral first film R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0260 Extraoral ea additional film R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0270 Dental bitewing single film R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0272 Dental bitewings two films R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0274 Dental bitewings four films R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0290 Dental film skull/facial bon I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0310 Dental saliography I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0320 Dental tmj arthrogram incl i I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0321 Dental other tmj films I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0322 Dental tomographic survey I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0330 Dental panoramic film I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0340 Dental cephalometric film I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0415 Bacteriologic study N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0425 Caries susceptibility test N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0460 Pulp vitality test R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0470 Diagnostic casts N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D0471 Diagnostic photographs R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0501 Histopathologic examinations R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0502 Other oral pathology procedu R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D0999 Unspecified diagnostic proce R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D1110 Dental prophylaxis adult N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1120 Dental prophylaxis child N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1201 Topical fluor w prophy child N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1203 Topical fluor w/o prophy chi N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1204 Topical fluor w/o prophy adu N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1205 Topical fluoride w/ prophy a N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1310 Nutri counsel-control caries N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1320 Tobacco counseling N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1330 Oral hygiene instruction N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1351 Dental sealant per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D1510 Space maintainer fxd unilat R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D1515 Fixed bilat space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D1520 Remove unilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D1525 Remove bilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D1550 Recement space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D2110 Amalgam one surface primary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2120 Amalgam two surfaces primary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2130 Amalgam three surfaces prima N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2131 Amalgam four/more surf prima N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2140 Amalgam one surface permanen N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2150 Amalgam two surfaces permane N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2160 Amalgam three surfaces perma N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2161 Amalgam 4 or > surfaces perm N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2210 Silcate cement per restorat N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2330 Resin one surface-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2331 Resin two surfaces-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2332 Resin three surfaces-anterio N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2335 Resin 4/> surf or w incis an N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2336 Composite resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2380 Resin one surf poster primar N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2381 Resin two surf poster primar N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2382 Resin three/more surf post p N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2385 Resin one surf poster perman N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2386 Resin two surf poster perman N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2387 Resin three/more surf post p N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2410 Dental gold foil one surface N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2420 Dental gold foil two surface N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2430 Dental gold foil three surfa N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2510 Dental inlay metalic 1 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2520 Dental inlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2530 Dental inlay metl 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2543 Dental onlay metallic 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2544 Dental onlay metl 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2610 Inlay porcelain/ceramic 1 su N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2620 Inlay porcelain/ceramic 2 su N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2630 Dental onlay porc 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2642 Dental onlay porcelin 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2643 Dental onlay porcelin 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2644 Dental onlay porc 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2650 Inlay composite/resin one su N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2651 Inlay composite/resin two su N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2652 Dental inlay resin 3/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2662 Dental onlay resin 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2663 Dental onlay resin 3 surface N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2664 Dental onlay resin 4/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2710 Crown resin laboratory N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2720 Crown resin w/ high noble me N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2721 Crown resin w/ base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2722 Crown resin w/ noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2740 Crown porcelain/ceramic subs N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2750 Crown porcelain w/ h noble m N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2751 Crown porcelain fused base m N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2752 Crown porcelain w/ noble met N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2790 Crown full cast high noble m N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2791 Crown full cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2792 Crown full cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2810 Crown 3/4 cast metallic N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2910 Dental recement inlay N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2920 Dental recement crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2930 Prefab stnlss steel crwn pri N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2931 Prefab stnlss steel crown pe N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2932 Prefabricated resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2933 Prefab stainless steel crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2940 Dental sedative filling N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2950 Core build-up incl any pins N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2951 Tooth pin retention N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2952 Post and core cast + crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2954 Prefab post/core + crown N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2955 Post removal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2960 Laminate labial veneer N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2961 Lab labial veneer resin N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2962 Lab labial veneer porcelain N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2970 Temporary- fractured tooth R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D2980 Crown repair N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D2999 Dental unspec restorative pr R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D3110 Pulp cap direct N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3120 Pulp cap indirect N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3220 Therapeutic pulpotomy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3230 Pulpal therapy anterior prim N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3240 Pulpal therapy posterior pri N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3310 Anterior N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3320 Root canal therapy 2 canals N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3330 Root canal therapy 3 canals N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3346 Retreat root canal anterior N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3347 Retreat root canal bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3348 Retreat root canal molar N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3351 Apexification/recalc initial N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3352 Apexification/recalc interim N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3353 Apexification/recalc final N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3410 Apicoect/perirad surg anter N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3421 Root surgery bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3425 Root surgery molar N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3426 Root surgery ea add root N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3430 Retrograde filling N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3450 Root amputation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3460 Endodontic endosseous implan R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D3470 Intentional replantation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3910 Isolation- tooth w rubb dam N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3920 Tooth splitting N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3950 Canal prep/fitting of dowel N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3960 Bleaching of discolored toot N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D3999 Endodontic procedure R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4210 Gingivectomy/plasty per quad I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4211 Gingivectomy/plasty per toot I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4220 Gingival curettage per quadr N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4240 Gingival flap proc w/ planin N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4249 Crown lengthen hard tissue N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4250 Mucogingival surg per quadra R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4260 Osseous surgery per quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4263 Bone replce graft first site R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4264 Bone replce graft each add R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4266 Guided tiss regen resorble N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4267 Guided tiss regen nonresorb N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4270 Pedicle soft tissue graft pr R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4271 Free soft tissue graft proc R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4273 Subepithelial tissue graft R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4274 Distal/proximal wedge proc N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4320 Provision splnt intracoronal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4321 Provisional splint extracoro N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4341 Periodontal scaling & root N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4355 Full mouth debridement R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4381 Localized chemo delivery R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D4910 Periodontal maint procedures N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4920 Unscheduled dressing change N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D4999 Unspecified periodontal proc N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5110 Dentures complete maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5120 Dentures complete mandible N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5130 Dentures immediat maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5140 Dentures immediat mandible N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5211 Dentures maxill part resin N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5212 Dentures mand part resin N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5213 Dentures maxill part metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5214 Dentures mandibl part metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5281 Removable partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5410 Dentures adjust cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5411 Dentures adjust cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5421 Dentures adjust part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5422 Dentures adjust part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5510 Dentur repr broken compl bas N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5520 Replace denture teeth complt N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5610 Dentures repair resin base N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5620 Rep part denture cast frame N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5630 Rep partial denture clasp N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5640 Replace part denture teeth N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5650 Add tooth to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5660 Add clasp to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5710 Dentures rebase cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5711 Dentures rebase cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5720 Dentures rebase part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5721 Dentures rebase part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5730 Denture reln cmplt maxil ch N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5731 Denture reln cmplt mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5740 Denture reln part maxil chr N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5741 Denture reln part mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5750 Denture reln cmplt max lab N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5751 Denture reln cmplt mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5760 Denture reln part maxil lab N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5761 Denture reln part mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5810 Denture interm cmplt maxill N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5811 Denture interm cmplt mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5820 Denture interm part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5821 Denture interm part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5850 Denture tiss conditn maxill N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5851 Denture tiss condtin mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5860 Overdenture complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5861 Overdenture partial N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5862 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5899 Removable prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5911 Facial moulage sectional R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5912 Facial moulage complete R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5913 Nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5914 Auricular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5915 Orbital prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5916 Ocular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5919 Facial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5922 Nasal septal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5923 Ocular prosthesis interim I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5924 Cranial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5925 Facial augmentation implant I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5926 Replacement nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5927 Auricular replacement I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5928 Orbital replacement I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5929 Facial replacement I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5931 Surgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5932 Postsurgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5933 Refitting of obturator I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5934 Mandibular flange prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5935 Mandibular denture prosth I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5936 Temp obturator prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5937 Trismus appliance I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5951 Feeding aid R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5952 Pediatric speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5953 Adult speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5954 Superimposed prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5955 Palatal lift prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5958 Intraoral con def inter plt I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5959 Intraoral con def mod palat I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5960 Modify speech aid prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5982 Surgical stent I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5983 Radiation applicator R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5984 Radiation shield R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5985 Radiation cone locator R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5986 Fluoride applicator N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5987 Commissure splint R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D5988 Surgical splint I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D5999 Maxillofacial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6010 Odontics endosteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6020 Odontics abutment placement I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6040 Odontics eposteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6050 Odontics transosteal implnt I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6055 Implant connecting bar I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6080 Implant maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6090 Repair implant I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6095 Odontics repr abutment I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6100 Removal of implant I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6199 Implant procedure I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6210 Prosthodont high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6211 Bridge base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6212 Bridge noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6240 Bridge porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6241 Bridge porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6242 Bridge porcelain nobel metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6250 Bridge resin w/high noble N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6251 Bridge resin base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6252 Bridge resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6520 Dental retainer two surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6530 Retainer metallic 3+ surface N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6543 Dental retainr onlay 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6544 Dental retainr onlay 4/more N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6545 Dental retainr cast metl N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6720 Retain crown resin w hi nble N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6721 Crown resin w/base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6722 Crown resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6750 Crown porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6751 Crown porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6752 Crown porcelain noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6780 Crown 3/4 high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6790 Crown full high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6791 Crown full base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6792 Crown full noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6920 Dental connector bar R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D6930 Dental recement bridge N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6940 Stress breaker N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6950 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6970 Post & core plus retainer N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6971 Cast post bridge retainer N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6972 Prefab post & core plus reta N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6973 Core build up for retainer N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6975 Coping metal N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6980 Bridge repair N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D6999 Fixed prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7110 Oral surgery single tooth R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7120 Each add tooth extraction R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7130 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7210 Rem imp tooth w mucoper flp R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7220 Impact tooth remov soft tiss R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7230 Impact tooth remov part bony R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7240 Impact tooth remov comp bony R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7241 Impact tooth rem bony w/comp R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7250 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7260 Oral antral fistula closure R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7270 Tooth reimplantation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7272 Tooth transplantation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7280 Exposure impact tooth orthod N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7281 Exposure tooth aid eruption N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7285 Biopsy of oral tissue hard I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7286 Biopsy of oral tissue soft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7290 Repositioning of teeth N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7291 Transseptal fiberotomy R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7310 Alveoplasty w/ extraction I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7320 Alveoplasty w/o extraction I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7340 Vestibuloplasty ridge extens I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7350 Vestibuloplasty exten graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7410 Rad exc lesion up to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7420 Lesion > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7430 Exc benign tumor to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7431 Benign tumor exc > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7440 Malig tumor exc to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7441 Malig tumor > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7450 Rem odontogen cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7451 Rem odontogen cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7460 Rem nonodonto cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7461 Rem nonodonto cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7465 Lesion destruction I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7470 Rem exostosis maxilla/mandib I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7480 Partial ostectomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7490 Mandible resection I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7510 I&d absc intraoral soft tiss I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7520 I&d abscess extraoral I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7530 Removal fb skin/areolar tiss I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7540 Removal of fb reaction I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7550 Removal of sloughed off bone I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7560 Maxillary sinusotomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7610 Maxilla open reduct simple I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7620 Clsd reduct simpl maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7630 Open red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7640 Clsd red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7650 Open red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7660 Clsd red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7670 Open red simple alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7680 Reduct simple facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7710 Maxilla open reduct compound I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7720 Clsd reduct compd maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7730 Open reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7740 Clsd reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7750 Open red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7760 Clsd red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7770 Open reduc compd alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7780 Reduct compnd facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7810 Tmj open reduct-dislocation I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7820 Closed tmp manipulation I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7830 Tmj manipulation under anest I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7840 Removal of tmj condyle I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7850 Tmj meniscectomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7852 Tmj repair of joint disc I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7854 Tmj excisn of joint membrane I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7856 Tmj cutting of a muscle I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7858 Tmj reconstruction I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7860 Tmj cutting into joint I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7865 Tmj reshaping components I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7870 Tmj aspiration joint fluid I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7872 Tmj diagnostic arthroscopy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7873 Tmj arthroscopy lysis adhesn I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7874 Tmj arthroscopy disc reposit I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7875 Tmj arthroscopy synovectomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7876 Tmj arthroscopy discectomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7877 Tmj arthroscopy debridement I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7880 Occlusal orthotic appliance I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7899 Tmj unspecified therapy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7910 Dent sutur recent wnd to 5cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7911 Dental suture wound to 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7912 Suture complicate wnd > 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7920 Dental skin graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7940 Reshaping bone orthognathic R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D7941 Bone cutting ramus closed I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7942 Bone cutting ramus open I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7943 Cutting ramus open w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7944 Bone cutting segmented I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7945 Bone cutting body mandible I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7946 Reconstruction maxilla total I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7947 Reconstruct maxilla segment I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7948 Reconstruct midface no graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7949 Reconstruct midface w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7950 Mandible graft I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7955 Repair maxillofacial defects I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7960 Frenulectomy/frenulotomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7970 Excision hyperplastic tissue I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7971 Excision pericoronal gingiva I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7981 Excision of salivary gland I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7983 Closure of salivary fistula I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7990 Emergency tracheotomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7991 Dental coronoidectomy I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7995 Synthetic graft facial bones I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7996 Implant mandible for augment I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D7999 Oral surgery procedure I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8010 Limited dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8020 Limited dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8030 Limited dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8040 Limited dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8050 Intercep dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8060 Intercep dental tx transitn N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8070 Compre dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8080 Compre dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8090 Compre dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8210 Orthodontic rem appliance tx N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8220 Fixed appliance therapy habt N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8660 Preorthodontic tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8670 Periodic orthodontc tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8680 Orthodontic retention N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8690 Orthodontic treatment N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D8999 Orthodontic procedure N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9110 Tx dental pain minor proc R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9210 Dent anesthesia w/o surgery I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9211 Regional block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9212 Trigeminal block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9215 Local anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9220 General anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9221 General anesthesia ea ad 15m I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9240 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9310 Dental consultation I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9410 Dental house call I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9420 Hospital call I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9430 Office visit during hours I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9440 Office visit after hours I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9610 Dent therapeutic drug inject I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9630 Other drugs/medicaments R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9910 Dent appl desensitizing med N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9920 Behavior management N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9930 Treatment of complications R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9940 Dental occlusal guard R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9941 Fabrication athletic guard N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9950 Occlusion analysis R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9951 Limited occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9952 Complete occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.000000090 36.6873 .917 D9970 Enamel microabrasion N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 D9999 Adjunctive procedure I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0001 Drawing blood for specimen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0002 Temporary urinary catheter A 0.50 0.70 0.70 0.02 1.22 1.22 00000.00.00.002010090 36.6873 .917 G0004 ECG transm phys review & int A 0.52 7.31 7.31 0.65 8.48 8.48 04XXX.00.00.000000010 36.6873 .917 G0005 ECG 24 hour recording A 0.00 1.18 1.18 0.09 1.27 1.27 03XXX.00.00.000000010 36.6873 .917 G0006 ECG transmission & analysis A 0.00 5.73 5.73 0.51 6.24 6.24 03XXX.00.00.000000010 36.6873 .917 G0007 ECG phy review & interpret A 0.52 0.40 0.40 0.05 0.97 0.97 02XXX.00.00.000000090 36.6873 .917 G0008 Admin influenza virus vac X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0009 Admin pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0010 Admin hepatitis b vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0015 Post symptom ECG tracing A 0.00 5.73 5.73 0.51 6.24 6.24 03XXX.00.00.000000010 36.6873 .917 G0016 Post symptom ECG md review A 0.52 0.40 0.40 0.05 0.97 0.97 02XXX.00.00.000000090 36.6873 .917 G0025 Collagen skin test kit A 0.00 0.95 0.95 0.00 0.95 0.95 09XXX.00.00.009999990 36.6873 .917 G0026 Fecal leukocyte examination X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0027 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0030 PET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0030TCPET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003026PET imaging prev PET single A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0031 PET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0031TCPET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003126PET imaging prev PET multple A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0032 PET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0032TCPET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003226PET follow SPECT 78464 singl A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0033 PET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0033TCPET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003326PET follow SPECT 78464 mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0034 PET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0034TCPET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003426PET follow SPECT 76865 singl A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0035 PET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0035TCPET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003526PET follow SPECT 78465 mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0036 PET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0036TCPET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003626PET follow cornry angio sing A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0037 PET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0037TCPET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003726PET follow cornry angio mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0038 PET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0038TCPET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003826PET follow myocard perf sing A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0039 PET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0039TCPET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G003926PET follow myocard perf mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0040 PET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0040TCPET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004026PET follow stress echo singl A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0041 PET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0041TCPET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004126PET follow stress echo mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0042 PET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0042TCPET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004226PET follow ventriculogm sing A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0043 PET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0043TCPET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004326PET follow ventriculogm mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0044 PET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0044TCPET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004426PET following rest ECG singl A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0045 PET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0045TCPET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004526PET following rest ECG mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0046 PET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0046TCPET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004626PET follow stress ECG singl A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0047 PET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G0047TCPET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 G004726PET follow stress ECG mult A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0050 Residual urine by ultrasound A 0.00 0.81 0.81 0.05 0.86 0.86 05XXX.00.00.000000010 36.6873 .917 G0051 Destroy benign/premal lesion D 0.55 0.41 0.41 0.04 1.00 1.00 10010.10.80.102010090 36.6873 .917 G0052 Destruction of add’l lesions D 0.18 0.13 0.13 0.01 0.32 0.32 10ZZZ.00.00.000010090 36.6873 .917 G0053 Destruction of add’l lesions D 3.05 2.25 2.25 0.20 5.50 5.50 10010.10.80.102010090 36.6873 .917 G0058 Auto multichannel 20 tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0059 Auto multichannel 21 tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0060 Auto multichannel 22 tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0062 peripheral bone densitometry D 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000090 36.6873 .917 G0062TCperipheral bone densitometry D 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000090 36.6873 .917 G006226peripheral bone densitometry D 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 G0063 central bone densitometry D 0.30 3.07 3.07 0.21 3.58 3.58 01XXX.00.00.000000090 36.6873 .917 G0063TCcentral bone densitometry D 0.00 2.95 2.95 0.19 3.14 3.14 01XXX.00.00.000000090 36.6873 .917 G006326central bone densitometry D 0.30 0.12 0.12 0.02 0.44 0.44 01XXX.00.00.000000090 36.6873 .917 G0064 care plan oversight,hme hlth D 1.73 0.51 0.51 0.04 2.28 2.28 00XXX.00.00.000000090 36.6873 .917 G0065 care plan oversight,hospice D 1.73 0.51 0.51 0.04 2.28 2.28 00XXX.00.00.000000090 36.6873 .917 G0066 care plan oversight nurs fac D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0071 Psychotherapy,office,no E/M D 1.11 0.35 0.35 0.05 1.51 1.51 00XXX.00.00.000000090 36.6873 .917 G0072 Psychotherapy,office,wth E/M D 1.47 0.35 0.35 0.05 1.87 1.87 00XXX.00.00.000000090 36.6873 .917 G0073 Psychotherapy,office,no E/M D 1.73 0.54 0.54 0.08 2.35 2.35 00XXX.00.00.000000090 36.6873 .917 G0074 Psychotherapy,office,wth E/M D 2.00 0.54 0.54 0.08 2.62 2.62 00XXX.00.00.000000090 36.6873 .917 G0075 Psychotherapy,office,no E/M D 2.76 1.05 1.05 0.15 3.96 3.96 00XXX.00.00.000000090 36.6873 .917 G0076 Psychotherapy,office,wth E/M D 3.15 1.05 1.05 0.15 4.35 4.35 00XXX.00.00.000000090 36.6873 .917 G0077 Psychotherapy,office, no E/M D 1.19 0.59 0.59 0.09 1.87 1.87 00XXX.00.00.000000090 36.6873 .917 G0078 Psychotherapy,office,wth E/M D 1.58 0.59 0.59 0.09 2.26 2.26 00XXX.00.00.000000090 36.6873 .917 G0079 Psychotherapy,office, no E/M D 1.86 0.59 0.59 0.09 2.54 2.54 00XXX.00.00.000000090 36.6873 .917 G0080 Psychotherapy,office,wth E/M D 2.15 0.59 0.59 0.09 2.83 2.83 00XXX.00.00.000000090 36.6873 .917 G0081 Psychotherapy,office, no E/M D 2.97 0.59 0.59 0.09 3.65 3.65 00XXX.00.00.000000090 36.6873 .917 G0082 Psychotherapy,office,wth E/M D 3.39 0.59 0.59 0.09 4.07 4.07 00XXX.00.00.000000090 36.6873 .917 G0083 Psychotherapy, inpt, no E/M D 1.24 0.35 0.35 0.05 1.64 1.64 00XXX.00.00.000000090 36.6873 .917 G0084 Psychotherapy,inpt, with E/M D 1.65 0.35 0.35 0.05 2.05 2.05 00XXX.00.00.000000090 36.6873 .917 G0085 Psychotherapy, inpt, no E/M D 1.94 0.54 0.54 0.08 2.56 2.56 00XXX.00.00.000000090 36.6873 .917 G0086 Psychotherapy,inpt, with E/M D 2.24 0.54 0.54 0.08 2.86 2.86 00XXX.00.00.000000090 36.6873 .917 G0087 Psychotherapy, inpt, no E/M D 3.09 1.05 1.05 0.15 4.29 4.29 00XXX.00.00.000000090 36.6873 .917 G0088 Psychotherapy,inpt, with E/M D 3.53 1.05 1.05 0.15 4.73 4.73 00XXX.00.00.000000090 36.6873 .917 G0089 Psychotherapy, inpt, no E/M D 1.33 0.59 0.59 0.09 2.01 2.01 00XXX.00.00.000000090 36.6873 .917 G0090 Psychotherapy,inpt,with E/M D 1.77 0.59 0.59 0.09 2.45 2.45 00XXX.00.00.000000090 36.6873 .917 G0091 Psychotherapy, inpt, no E/M D 2.08 0.59 0.59 0.09 2.76 2.76 00XXX.00.00.000000090 36.6873 .917 G0092 Psychotherapy,inpt,with E/M D 2.41 0.59 0.59 0.09 3.09 3.09 00XXX.00.00.000000090 36.6873 .917 G0093 Psychotherapy, inpt, no E/M D 3.32 0.59 0.59 0.09 4.00 4.00 00XXX.00.00.000000090 36.6873 .917 G0094 Psychotherapy,inpt, with E/M D 3.80 0.59 0.59 0.09 4.48 4.48 00XXX.00.00.000000090 36.6873 .917 G0100 Hiv-1, viral load, quant D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0101 CA screen;pelvic/breast exam A 0.45 0.28 0.28 0.02 0.75 0.75 00XXX.00.00.000000090 36.6873 .917 G0104 CA screen;flexi sigmoidscope A 0.96 1.23 1.06 0.12 2.31 2.14 30000.00.00.002010090 36.6873 .917 G0105 Colorectal scrn; hi risk ind A 3.70 4.13 4.07 0.39 8.22 8.16 20000.00.00.002010091A4550 36.6873 .917 G0106 Colon CA screen;barium enema A 0.99 2.58 2.58 0.21 3.78 3.78 01XXX.00.00.000000090 36.6873 .917 G0106TCColon CA screen;barium enema A 0.00 2.13 2.13 0.14 2.27 2.27 01XXX.00.00.000000090 36.6873 .917 G010626Colon CA screen;barium enema A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 G0107 CA screen; fecal blood test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0108 Diabetes management, indiv. A 0.00 1.51 1.51 0.01 1.52 1.52 00XXX.00.00.000000090 36.6873 .917 G0109 Diabetes management, group A 0.00 0.89 0.89 0.01 0.90 0.90 00XXX.00.00.000000090 36.6873 .917 G0110 Nett pulm-rehab educ; ind R 0.90 0.26 0.26 0.04 1.20 1.20 00XXX.00.00.000000090 36.6873 .917 G0111 Nett pulm-rehab educ; group R 0.27 0.20 0.20 0.02 0.49 0.49 00XXX.00.00.000000090 36.6873 .917 G0112 Nett;nutrition guid, initial R 1.72 0.97 0.97 0.10 2.79 2.79 00XXX.00.00.000000090 36.6873 .917 G0113 Nett;nutrition guid,subseqnt R 1.29 0.77 0.77 0.09 2.15 2.15 00XXX.00.00.000000090 36.6873 .917 G0114 Nett; psychosocial consult R 1.20 0.35 0.35 0.11 1.66 1.66 00XXX.00.00.000000090 36.6873 .917 G0115 Nett; psychological testing R 1.20 0.35 0.35 0.11 1.66 1.66 00XXX.00.00.000000090 36.6873 .917 G0116 Nett; psychosocial counsel R 1.11 0.35 0.35 0.05 1.51 1.51 00XXX.00.00.000000090 36.6873 .917 G0120 Colon ca scrn; barium enema A 0.99 2.58 2.58 0.21 3.78 3.78 01XXX.00.00.000000090 36.6873 .917 G0120TCColon ca scrn; barium enema A 0.00 2.13 2.13 0.14 2.27 2.27 01XXX.00.00.000000090 36.6873 .917 G012026Colon ca scrn; barium enema A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 G0121 Colon ca scrn; barium enema N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0122 Colon ca scrn; barium enema N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 G0122TCColon ca scrn; barium enema N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 G012226Colon ca scrn; barium enema N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 G0123 Screen cerv/vag thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0124 Screen c/v thin layer by MD X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G012426Screen c/v thin layer by MD A 0.42 0.32 0.32 0.04 0.78 0.78 08XXX.00.00.000000090 36.6873 .917 G0125 Lung image (PET) A 1.50 51.74 51.74 2.77 56.01 56.01 01XXX.00.00.000000020 36.6873 .917 G0125TCLung image (PET) A 0.00 51.26 51.26 2.70 53.96 53.96 01XXX.00.00.000000020 36.6873 .917 G012526Lung image (PET) A 1.50 0.48 0.48 0.07 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 G0126 Lung image (PET), staging A 1.87 51.91 51.91 2.80 56.58 56.58 01XXX.00.00.000000020 36.6873 .917 G0126TCLung image (PET), staging A 0.00 51.26 51.26 2.70 53.96 53.96 01XXX.00.00.000000020 36.6873 .917 G012626Lung image (PET), staging A 1.87 0.65 0.65 0.10 2.62 2.62 01XXX.00.00.000000090 36.6873 .917 G0127 Trim nail(s) R 0.11 0.24 0.12 0.02 0.37 0.25 30000.00.00.002010090 36.6873 .917 G0128 CORF direct skilled nursing X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0129 Part. hosp. prog. occupa TX. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 G0130 Single energy x-ray study A 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000010 36.6873 .917 G0130TCSingle energy x-ray study A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000010 36.6873 .917 G013026Single energy x-ray study A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 G0131 CT scan, Axial skeleton A 0.25 2.93 2.93 0.20 3.38 3.38 01XXX.00.00.000000010 36.6873 .917 G0131TCCT scan, Axial skeleton A 0.00 2.81 2.81 0.18 2.99 2.99 01XXX.00.00.000000010 36.6873 .917 G013126CT scan, Axial skeleton A 0.25 0.12 0.12 0.02 0.39 0.39 01XXX.00.00.000000090 36.6873 .917 G0132 CT scan, appendicular skelet A 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000010 36.6873 .917 G0132TCCT scan, appendicular skelet A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000010 36.6873 .917 G013226CT scan, appendicular skelet A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 G0133 U-S scan,appendicular skelet A 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000010 36.6873 .917 G0133TCU-S scan,appendicular skelet A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000010 36.6873 .917 G013326U-S scan,appendicular skelet A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 H5300 Occupational therapy D 0.32 0.24 0.24 0.03 0.59 0.59 99XXX.00.00.009999999 0.0000 .917 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0150 Injection adenosine 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0170 Adrenalin epinephrin inject E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0190 Inj biperiden lactate/5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0205 Alglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0210 Methyldopate hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0256 Alpha 1-proteinase 500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0270 Alprostadil for injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0280 Aminophyllin 250 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0290 Ampicillin 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0295 Ampicillin sodium per 1.5 gm E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0300 Amobarbital 125 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0330 Succinycholine chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0340 Nandrolon phenpropionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0350 Injection anistreplase 30 u E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0360 Hydralazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0380 Inj metaraminol bitartrate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0390 Chloroquine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0400 Inj trimethaphan camsylate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0460 Atropine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0470 Dimecaprol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0475 Baclofen 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0500 Dicyclomine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0510 Benzquinamide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0515 Inj benztropine mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0520 Bethanechol chloride inject E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0530 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0540 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0550 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0560 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0570 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0580 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0585 Botulinum toxin a per unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0590 Ethylnorepinephrine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0600 Edetate calcium disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0610 Calcium gluconate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0620 Calcium glycer & lact/10 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0630 Calcitonin salmon injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0635 Calcitriol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0640 Leucovorin calcium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0670 Inj mepivacaine HCL/10 ml E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0690 Cefazolin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0694 Cefoxitin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0695 Cefonocid sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0696 Ceftriaxone sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0697 Sterile cefuroxime injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0698 Cefotaxime sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0702 Betamethasone acet&sod phosp E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0704 Betamethasone sod phosp/4 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0710 Cephapirin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0713 Inj ceftazidime per 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0715 Ceftizoxime sodium / 500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0720 Chloramphenicol sodium injec E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0725 Chorionic gonadotropin/1000u E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0730 Chlorpheniramin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0735 Clonidine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0740 Cidofovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0743 Cilastatin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0745 Inj codeine phosphate /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0760 Colchicine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0770 Colistimethate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0780 Prochlorperazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0800 Corticotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0810 Cortisone injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0835 Inj cosyntropin per 0.25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0850 Cytomegalovirus imm IV /vial E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0895 Deferoxamine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0900 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0945 Brompheniramine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J0970 Estradiol valerate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1000 Depo-estradiol cypionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1020 Methylprednisolone 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1030 Methylprednisolone 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1040 Methylprednisolone 80 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1050 Medroxyprogesterone inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1055 Medrxyprogester acetate inj N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1060 Testosterone cypionate 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1070 Testosterone cypionat 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1080 Testosterone cypionat 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1090 Testosterone cypionate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1095 Inj dexamethasone acetate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1100 Dexamethosone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1110 Inj dihydroergotamine mesylt E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1120 Acetazolamid sodium injectio E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1160 Digoxin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1165 Phenytoin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1170 Hydromorphone injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1180 Dyphylline injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1190 Dexrazoxane HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1200 Diphenhydramine hcl injectio E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1205 Chlorothiazide sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1212 Dimethyl sulfoxide 50% 50 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1230 Methadone injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1240 Dimenhydrinate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1245 Dipyridamole injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1250 Inj dobutamine HCL/250 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1320 Amitriptyline injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1325 Epoprostenol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1330 Ergonovine maleate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1362 Erythromycin glucep / 250 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1364 Erythro lactobionate /500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1380 Estradiol valerate 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1390 Estradiol valerate 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1410 Inj estrogen conjugate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1435 Injection estrone per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1436 Etidronate disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1440 Filgrastim 300 mcg injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1441 Filgrastim 480 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1455 Foscarnet sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1460 Gamma globulin 1 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1470 Gamma globulin 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1480 Gamma globulin 3 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1490 Gamma globulin 4 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1500 Gamma globulin 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1510 Gamma globulin 6 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1520 Gamma globulin 7 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1530 Gamma globulin 8 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1540 Gamma globulin 9 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1550 Gamma globulin 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1560 Gamma globulin > 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1561 Immune globulin 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1562 Immune globulin 5 gms E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1565 RSV-ivig E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1570 Ganciclovir sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1580 Garamycin gentamicin inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1600 Gold sodium thiomaleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1610 Glucagon hydrochloride/1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1620 Gonadorelin hydroch/ 100 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1625 Granisetron hydrochlor/1 MG D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1626 Granisetron HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1630 Haloperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1631 Haloperidol decanoate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1642 Inj heparin sodium per 10 u E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1644 Inj heparin sodium per 1000u E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1645 Dalteparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1650 Inj enoxaparin sodium 30 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1670 Tetanus immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1690 Prednisolone tebutate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1700 Hydrocortisone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1710 Hydrocortisone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1720 Hydrocortisone sodium succ i E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1730 Diazoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1739 Hydroxyprogesterone cap 125 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1741 Hydroxyprogesterone cap 250 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1742 Ibutilide fumarate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1760 Iron dextran 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1770 Iron dextran 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1780 Iron dextran 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1785 Injection imiglucerase /unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1790 Droperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1800 Propranolol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1810 Droperidol/fentanyl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1820 Insulin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1825 Interferon beta-1a E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1830 Interferon beta-1b / .25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1840 Kanamycin sulfate 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1850 Kanamycin sulfate 75 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1885 Ketorolac tromethamine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1890 Cephalothin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1910 Kutapressin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1930 Propiomazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1940 Furosemide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1950 Leuprolide acetate /3.75 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1955 Inj levocarnitine per 1 gm E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1960 Levorphanol tartrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1970 Methotrimeprazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1980 Hyoscyamine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J1990 Chlordiazepoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2000 Lidocaine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2010 Lincomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2060 Lorazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2150 Mannitol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2175 Meperidine hydrochl /100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2180 Meperidine/promethazine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2210 Methylergonovin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2240 Metocurine iodide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2250 Inj midazolam hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2260 Inj milrinone lactate / 5 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2270 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2275 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2300 Inj nalbuphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2310 Inj naloxone hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2320 Nandrolone decanoate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2321 Nandrolone decanoate 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2322 Nandrolone decanoate 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2330 Thiothixene injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2350 Niacinamide/niacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2360 Orphenadrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2370 Phenylephrine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2400 Chloroprocaine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2405 Ondansetron hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2410 Oxymorphone hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2430 Pamidronate disodium /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2440 Papaverin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2460 Oxytetracycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2480 Hydrochlorides of opium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2510 Penicillin g procaine inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2512 Inj pentagastrin per 2 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2515 Pentobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2540 Penicillin g potassium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2545 Pentamidine isethionte/300mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2550 Promethazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2560 Phenobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2590 Oxytocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2597 Inj desmopressin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2640 Prednisolone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2650 Prednisolone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2670 Totazoline hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2675 Inj progesterone per 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2680 Fluphenazine decanoate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2690 Procainamide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2700 Oxacillin sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2710 Neostigmine methylslfte inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2720 Inj protamine sulfate/10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2725 Inj protirelin per 250 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2730 Pralidoxime chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2760 Phentolaine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2765 Metoclopramide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2790 Rho d immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2800 Methocarbamol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2810 Inj theophylline per 40 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2820 Sargramostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2860 Secobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2910 Aurothioglucose injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2912 Sodium chloride injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2920 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2930 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2950 Promazine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2970 Methicillin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2995 Inj streptokinase /250000 IU E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J2996 Alteplase recombinant inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3000 Streptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3005 Strontium-89 chloride /10 ML D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3010 Fentanyl citrate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3030 Sumatriptan succinate / 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3070 Pentazocine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3080 Chlorprothixene injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3105 Terbutaline sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3120 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3130 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3140 Testosterone suspension inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3150 Testosteron propionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3230 Chlorpromazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3240 Thyrotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3250 Trimethobenzamide hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3260 Tobramycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3265 Injection torsemide 10 mg/ml E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3270 Imipramine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3280 Thiethylperazine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3301 Triamcinolone acetonide inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3302 Triamcinolone diacetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3303 Triamcinolone hexacetonl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3305 Inj trimetrexate glucoronate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3310 Perphenazine injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3320 Spectinomycn di-hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3350 Urea injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3360 Diazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3364 Urokinase 5000 IU injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3365 Urokinase 250,000 IU inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3370 Vancomycin hcl injeciton R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 J3390 Methoxamine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3400 Triflupromazine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3410 Hydroxyzine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3420 Vitamin b12 injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3430 Vitamin k phytonadione inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3450 Mephentermine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3470 Hyaluronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3475 Inj magnesium sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3480 Inj potassium chloride E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3490 Drugs unclassified injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3520 Edetate disodium per 150 mg N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3530 Nasal vaccine inhalation E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3535 Metered dose inhaler drug N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J3570 Laetrile amygdalin vit B17 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7030 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7040 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7042 5% dextrose/normal saline E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7050 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7051 Sterile saline/water E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7060 5% dextrose/water E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7070 D5w infusion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7100 Dextran 40 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7110 Dextran 75 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7120 Ringers lactate infusion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7130 Hypertonic saline solution E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7190 Factor viii X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7191 Factor VIII (porcine) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7192 Factor viii recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7194 Factor ix complex X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7196 Othr hemophilia clot factors X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7197 Antithrombin iii injection X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7300 Intraut copper contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7310 Ganciclovir long act implant E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7500 Azathiop po tab 50mg 100s ea X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7501 Azathioprine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7503 Cyclosporine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7504 Lymphocyte immune globulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7505 Monoclonal antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7506 Prednisone oral X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7507 Tacrolimus oral per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7508 Tacrolimus oral per 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7509 Methylprednisolone oral X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7510 Prednisolone oral per 5 mg X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7599 Immunosuppressive drug noc X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7610 Acetylcysteine 10% injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7615 Acetylcysteine 20% injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7620 Albuterol sulfate .083%/ml E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7625 Albuterol sulfate .5% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7627 Bitolterolmesylate inhal sol E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7630 Cromolyn sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7640 Epinephrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7645 Ipratropium bromide .02%/ml E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7650 Isoetharine hcl .1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7651 Isoetharine hcl .125% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7652 Isoetharine hcl .167% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7653 Isoetharine hcl .2%/ inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7654 Isoetharine hcl .25% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7655 Isoetharine hcl 1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7660 Isoproterenol hcl .5% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7665 Isoproterenol hcl 1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7670 Metaproterenol sulfate .4% E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7672 Metaproterenol sulfate .6% E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7675 Metaproterenol sulfate 5% E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7699 Inhalation solution for DME E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J7799 Non-inhalation drug for DME E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8499 Oral prescrip drug non chemo N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8530 Cyclophosphamide oral 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8560 Etoposide oral 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8600 Melphalan oral 2 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8610 Methotrexate oral 2.5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J8999 Oral prescription drug chemo E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9000 Doxorubic hcl 10 MG vl chemo E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9015 Aldesleukin/single use vial E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9020 Asparaginase injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9031 Bcg live intravesical vac E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9040 Bleomycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9045 Carboplatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9050 Carmus bischl nitro inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9060 Cisplatin 10 MG injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9062 Cisplatin 50 MG injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9065 Inj cladribine per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9070 Cyclophosphamide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9080 Cyclophosphamide 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9090 Cyclophosphamide 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9091 Cyclophosphamide 1.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9092 Cyclophosphamide 2.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9093 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9094 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9095 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9096 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9097 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9100 Cytarabine hcl 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9110 Cytarabine hcl 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9120 Dactinomycin actinomycin d E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9130 Dacarbazine 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9140 Dacarbazine 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9150 Daunorubicin E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9165 Diethylstilbestrol injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9170 Docetaxel E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9181 Etoposide 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9182 Etoposide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9185 Fludarabine phosphate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9190 Fluorouracil injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9200 Floxuridine injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9201 Gemcitabine HCl E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9202 Goserelin acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9206 Irinotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9208 Ifosfomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9209 Mesna injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9211 Idarubicin hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9213 Interferon alfa-2a inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9214 Interferon alfa-2b inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9215 Interferon alfa-n3 inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9216 Interferon gamma 1-b inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9217 Leuprolide acetate suspnsion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9218 Leuprolide acetate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9230 Mechlorethamine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9245 Inj melphalan hydrochl 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9250 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9260 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9265 Paclitaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9266 Pegaspargase/singl dose vial E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9268 Pentostatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9270 Plicamycin (mithramycin) inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9280 Mitomycin 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9290 Mitomycin 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9291 Mitomycin 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9293 Mitoxantrone hydrochl / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9320 Streptozocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9340 Thiotepa injection E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9350 Topotecan E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9360 Vinblastine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9370 Vincristine sulfate 1 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9375 Vincristine sulfate 2 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9380 Vincristine sulfate 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9390 Vinorelbine tartrate/10 mg E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9600 Porfimer sodium E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 J9999 Chemotherapy drug E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0005 Off visit 2/more modalities D 0.76 0.31 0.31 0.03 1.10 1.10 99XXX.00.00.009999999 0.0000 .917 M0006 One phys therapy modality D 0.50 0.15 0.15 0.02 0.67 0.67 99XXX.00.00.009999999 0.0000 .917 M0007 Combined phys ther mod & tx D 1.01 0.35 0.35 0.04 1.40 1.40 99XXX.00.00.009999999 0.0000 .917 M0008 Combined phys ther mod & tx D 0.50 0.11 0.11 0.01 0.62 0.62 99XXX.00.00.009999999 0.0000 .917 M0064 Visit for drug monitoring A 0.37 0.19 0.19 0.03 0.59 0.59 00XXX.00.00.000000090 36.6873 .917 M0075 Cellular therapy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0100 Intragastric hypothermia N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0101 Foot care hygienic/pm G 0.43 0.35 0.35 0.03 0.81 0.81 10XXX.00.00.000000090 36.6873 .917 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0301 Fabric wrapping of aneurysm N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 M0302 Assessment of cardiac output N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P2028 Cephalin floculation test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P2029 Congo red blood test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P2031 Hair analysis N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P2033 Blood thymol turbidity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P2038 Blood mucoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P3000 Screen pap by tech w md supv X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P3001 Screening pap smear by phys X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P300126Screening pap smear by phys A 0.42 0.32 0.32 0.04 0.78 0.78 08XXX.00.00.000000090 36.6873 .917 P7001 Culture bacterial urine I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9010 Whole blood for transfusion E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9011 Blood split unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9012 Cryoprecipitate each unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9013 Unit/s blood fibrinogen E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9014 Gamma globulin 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9015 Rh immune globulin 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9016 Leukocyte poor blood, unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9017 One donor fresh frozn plasma E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9018 Plasma protein fract, unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9019 Platelet concentrate unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9020 Plaelet rich plasma unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9021 Red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9022 Washed red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9603 One-way allow prorated miles X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9604 One-way allow prorated trip X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9610 Urine specimen collect singl X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 P9615 Urine specimen collect mult X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0034 Admin of influenza vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0035 Cardiokymography A 0.17 0.49 0.49 0.04 0.70 0.70 01XXX.00.00.000000010 36.6873 .917 Q0035TCCardiokymography A 0.00 0.37 0.37 0.03 0.40 0.40 01XXX.00.00.000000090 36.6873 .917 Q003526Cardiokymography A 0.17 0.12 0.12 0.01 0.30 0.30 01XXX.00.00.000000090 36.6873 .917 Q0068 Extracorpeal plasmapheresis A 1.67 1.27 1.27 0.16 3.10 3.10 00000.00.00.000000090 36.6873 .917 Q0091 Obtaining screen pap smear A 0.37 0.28 0.28 0.03 0.68 0.68 00XXX.00.00.000000010 36.6873 .917 Q0092 Set up port xray equipment A 0.00 0.30 0.30 0.01 0.31 0.31 03XXX.00.00.000000090 36.6873 .917 Q0103 Physical therapy evaluation D 1.01 0.35 0.35 0.11 1.47 1.47 07XXX.00.00.000000090 36.6873 .917 Q0104 Phys therapy re-evaluation D 0.50 0.04 0.04 0.01 0.55 0.55 07XXX.00.00.000000090 36.6873 .917 Q0109 Occupational therapy eval D 1.01 0.35 0.35 0.11 1.47 1.47 07XXX.00.00.000000090 36.6873 .917 Q0110 Occupational therap re-eval D 0.50 0.04 0.04 0.01 0.55 0.55 07XXX.00.00.000000090 36.6873 .917 Q0111 Wet mounts/ w preparations X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0112 Potassium hydroxide preps X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0113 Pinworm examinations X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0114 Fern test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0115 Post-coital mucous exam X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0132 Dispensing fee DME neb drug X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0136 Non esrd epoetin alpha inj X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0144 Azithromycin dihydrate, oral N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0156 Human albumin 5% X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0157 Human albumin 25% X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q0158 Combined hib & hep B vaccine D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9920 Epoetin with hct <= 20 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9921 Epoetin with hct = 21 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9922 Epoetin with hct = 22 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9923 Epoetin with hct = 23 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9924 Epoetin with hct = 24 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9925 Epoetin with hct = 25 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9926 Epoetin with hct = 26 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9927 Epoetin with hct = 27 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9928 Epoetin with hct = 28 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9929 Epoetin with hct = 29 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9930 Epoetin with hct = 30 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9931 Epoetin with hct = 31 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9932 Epoetin with hct = 32 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9933 Epoetin with hct = 33 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9934 Epoetin with hct = 34 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9935 Epoetin with hct = 35 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9936 Epoetin with hct = 36 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9937 Epoetin with hct = 37 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9938 Epoetin with hct = 38 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9939 Epoetin with hct = 39 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 Q9940 Epoetin with hct >= 40 E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 R0070 Transport portable x-ray C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 R0075 Transport port x-ray multipl C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 R0076 Transport portable EKG C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 V2020 Vision svcs frames purchases X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2025 Eyeglasses delux frames N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2100 Lens spher single plano 4.00 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2101 Single visn sphere 4.12-7.00 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2102 Singl visn sphere 7.12-20.00 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2103 Spherocylindr 4.00d/12-2.00d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2104 Spherocylindr 4.00d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2105 Spherocylinder 4.00d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2106 Spherocylinder 4.00d/>6.00d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2107 Spherocylinder 4.25d/12-2d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2108 Spherocylinder 4.25d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2109 Spherocylinder 4.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2110 Spherocylinder 4.25d/over 6d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2111 Spherocylindr 7.25d/.25-2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2112 Spherocylindr 7.25d/2.25-4d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2113 Spherocylindr 7.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2114 Spherocylinder over 12.00d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2115 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2116 Nonaspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2117 Aspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2118 Lens aniseikonic single X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2199 Lens single vision not oth c X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2200 Lens spher bifoc plano 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2201 Lens sphere bifocal 4.12-7.0 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2202 Lens sphere bifocal 7.12-20. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2203 Lens sphcyl bifocal 4.00d/.1 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2204 Lens sphcy bifocal 4.00d/2.1 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2205 Lens sphcy bifocal 4.00d/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2206 Lens sphcy bifocal 4.00d/ove X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2207 Lens sphcy bifocal 4.25-7d/. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2208 Lens sphcy bifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2209 Lens sphcy bifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2210 Lens sphcy bifocal 4.25-7/ov X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2211 Lens sphcy bifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2212 Lens sphcyl bifo 7.25-12/2.2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2213 Lens sphcyl bifo 7.25-12/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2214 Lens sphcyl bifocal over 12. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2215 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2216 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2217 Lens lenticular aspheric bif X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2218 Lens aniseikonic bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2219 Lens bifocal seg width over X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2220 Lens bifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2299 Lens bifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2300 Lens sphere trifocal 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2301 Lens sphere trifocal 4.12-7. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2302 Lens sphere trifocal 7.12-20 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2303 Lens sphcy trifocal 4.0/.12- X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2304 Lens sphcy trifocal 4.0/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2305 Lens sphcy trifocal 4.0/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2306 Lens sphcyl trifocal 4.00/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2307 Lens sphcy trifocal 4.25-7/. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2308 Lens sphc trifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2309 Lens sphc trifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2310 Lens sphc trifocal 4.25-7/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2311 Lens sphc trifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2312 Lens sphc trifo 7.25-12/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2313 Lens sphc trifo 7.25-12/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2314 Lens sphcyl trifocal over 12 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2315 Lens lenticular trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2316 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2317 Lens lenticular aspheric tri X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2318 Lens aniseikonic trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2319 Lens trifocal seg width > 28 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2320 Lens trifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2399 Lens trifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2410 Lens variab asphericity sing X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2430 Lens variable asphericity bi X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2499 Variable asphericity lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2500 Contact lens pmma spherical X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2501 Cntct lens pmma-toric/prism X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2502 Contact lens pmma bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2503 Cntct lens pmma color vision X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2510 Cntct gas permeable sphericl X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2511 Cntct toric prism ballast X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2512 Cntct lens gas permbl bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2513 Contact lens extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2520 Contact lens hydrophilic P 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2521 Cntct lens hydrophilic toric X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2522 Cntct lens hydrophil bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2523 Cntct lens hydrophil extend X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2530 Contact lens gas impermeable X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2531 Contact lens gas permeable X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2599 Contact lens/es other type X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2600 Hand held low vision aids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2610 Single lens spectacle mount X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2615 Telescop/othr compound lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2623 Plastic eye prosth custom X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2624 Polishing artifical eye X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2625 Enlargemnt of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2626 Reduction of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2627 Scleral cover shell X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2628 Fabrication & fitting X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2629 Prosthetic eye other type X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2630 Anter chamber intraocul lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2631 Iris support intraoclr lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2632 Post chmbr intraocular lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2700 Balance lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2710 Glass/plastic slab off prism X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2715 Prism lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2718 Fresnell prism press-on lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2730 Special base curve X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2740 Rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2741 Non-rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2742 Rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2743 Non-rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2744 Tint photochromatic lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2750 Anti-reflective coating X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2755 UV lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2760 Scratch resistant coating X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2770 Occluder lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2780 Oversize lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2781 Progressive lens per lens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2785 Corneal tissue processing X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V2799 Miscellaneous vision service X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5008 Hearing screening N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5010 Assessment for hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5011 Hearing aid fitting/checking N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5014 Hearing aid repair/modifying N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5020 Conformity evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5030 Body-worn hearing aid air N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5040 Body-worn hearing aid bone N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5050 Body-worn hearing aid in ear N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5060 Behind ear hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5070 Glasses air conduction N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5080 Glasses bone conduction N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5090 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5100 Body-worn bilat hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5110 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5120 Body-worn binaur hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5130 In ear binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5140 Behind ear binaur hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5150 Glasses binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5160 Dispensing fee binaural N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5170 Within ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5180 Behind ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5190 Glasses cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5200 Cros hearing aid dispens fee N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5210 In ear bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5220 Behind ear bicros hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5230 Glasses bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5240 Dispensing fee bicros N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5299 Hearing service R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 V5336 Repair communication device N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 V5362 Speech screening R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 V5363 Language screening R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000020 36.6873 .917 V5364 Dysphagia screening R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000020 36.6873 .917 10040 Acne surgery of skin abscess A 1.18 0.32 0.32 0.03 1.53 1.53 10010.10.80.102010090 36.6873 .917 10060 Drainage of skin abscess A 1.17 0.44 0.44 0.04 1.65 1.65 10010.10.80.102010090 36.6873 .917 10061 Drainage of skin abscess A 2.40 0.64 0.64 0.06 3.10 3.10 10010.10.80.102010090 36.6873 .917 10080 Drainage of pilonidal cyst A 1.17 0.50 0.50 0.05 1.72 1.72 10010.10.80.102010090 36.6873 .917 10081 Drainage of pilonidal cyst A 2.45 1.11 1.11 0.16 3.72 3.72 10010.10.80.102010090 36.6873 .917 10120 Remove foreign body A 1.22 0.46 0.46 0.05 1.73 1.73 10010.10.80.102010090 36.6873 .917 10121 Remove foreign body A 2.69 1.00 1.00 0.12 3.81 3.81 10010.10.80.102010090 36.6873 .917 10140 Drainage of hematoma/fluid A 1.53 0.48 0.48 0.05 2.06 2.06 10010.10.80.102010090 36.6873 .917 10160 Puncture drainage of lesion A 1.20 0.38 0.38 0.05 1.63 1.63 10010.10.80.102010090 36.6873 .917 10180 Complex drainage, wound A 2.25 1.05 1.05 0.18 3.48 3.48 00010.10.80.102010090 36.6873 .917 11000 Debride infected skin A 0.60 0.40 0.40 0.04 1.04 1.04 10000.00.00.002010090 36.6873 .917 11001 Debride infect skin add A 0.30 0.26 0.26 0.02 0.58 0.58 10ZZZ.00.00.000010090 36.6873 .917 11010 Debride skin, fx A 4.20 3.96 3.96 0.65 8.81 8.81 00010.10.80.102220090 36.6873 .917 11011 Debride skin/muscle, fx A 4.95 4.72 4.72 0.77 10.44 10.44 00000.00.00.002220090 36.6873 .917 11012 Debride skin/muscle/bone, fx A 6.88 6.56 6.56 1.07 14.51 14.51 00000.00.00.002220090 36.6873 .917 11040 Debride skin partial A 0.50 0.40 0.40 0.04 0.94 0.94 10000.00.00.002010090 36.6873 .917 11041 Debride skin full A 0.82 0.56 0.56 0.06 1.44 1.44 10000.00.00.002010090 36.6873 .917 11042 Debride skin/tissue A 1.12 0.65 0.65 0.08 1.85 1.85 10000.00.00.002010090 36.6873 .917 11043 Debride tissue/muscle A 2.38 1.81 1.81 0.34 4.53 4.53 00010.10.80.102010090 36.6873 .917 11044 Debride tissue/muscle/bone A 3.06 2.82 2.82 0.49 6.37 6.37 00010.10.80.102010090 36.6873 .917 11050 Trim skin lesion D 0.43 0.37 0.37 0.03 0.83 0.83 10000.00.00.002010090 36.6873 .917 11051 Trim 2 to 4 skin lesions D 0.66 0.50 0.50 0.05 1.21 1.21 10000.00.00.002010090 36.6873 .917 11052 Trim over 4 skin lesions D 0.86 0.41 0.41 0.04 1.31 1.31 10000.00.00.002010090 36.6873 .917 11055 Trim skin lesion R 0.27 0.26 0.26 0.02 0.55 0.55 10000.00.00.002010090 36.6873 .917 11056 Trim 2 to 4 skin lesions R 0.39 0.35 0.35 0.03 0.77 0.77 10000.00.00.002010090 36.6873 .917 11057 Trim over 4 skin lesions R 0.50 0.28 0.28 0.03 0.81 0.81 10000.00.00.002010090 36.6873 .917 11100 Biopsy of skin lesion A 0.81 0.51 0.51 0.04 1.36 1.36 10000.00.00.002010090 36.6873 .917 11101 Biopsy, each added lesion A 0.41 0.29 0.29 0.02 0.72 0.72 10ZZZ.00.00.000010090 36.6873 .917 11200 Removal of skin tags A 0.77 0.43 0.43 0.04 1.24 1.24 10010.10.80.102010090 36.6873 .917 11201 Removal of added skin tags A 0.29 0.17 0.17 0.02 0.48 0.48 10ZZZ.00.00.000010090 36.6873 .917 11300 Shave skin lesion A 0.51 0.53 0.53 0.05 1.09 1.09 10000.00.00.002000090 36.6873 .917 11301 Shave skin lesion A 0.85 0.67 0.67 0.06 1.58 1.58 10000.00.00.002000090 36.6873 .917 11302 Shave skin lesion A 1.05 0.89 0.89 0.09 2.03 2.03 10000.00.00.002000090 36.6873 .917 11303 Shave skin lesion A 1.24 1.36 1.36 0.17 2.77 2.77 10000.00.00.002002090 36.6873 .917 11305 Shave skin lesion A 0.67 0.52 0.52 0.05 1.24 1.24 10000.00.00.002000090 36.6873 .917 11306 Shave skin lesion A 0.99 0.71 0.71 0.07 1.77 1.77 10000.00.00.002000090 36.6873 .917 11307 Shave skin lesion A 1.14 0.94 0.94 0.10 2.18 2.18 10000.00.00.002000090 36.6873 .917 11308 Shave skin lesion A 1.41 1.40 1.40 0.17 2.98 2.98 10000.00.00.002000090 36.6873 .917 11310 Shave skin lesion A 0.73 0.69 0.69 0.06 1.48 1.48 10000.00.00.002000090 36.6873 .917 11311 Shave skin lesion A 1.05 0.85 0.85 0.08 1.98 1.98 10000.00.00.002000090 36.6873 .917 11312 Shave skin lesion A 1.20 1.12 1.12 0.11 2.43 2.43 10000.00.00.002000090 36.6873 .917 11313 Shave skin lesion A 1.62 1.49 1.49 0.15 3.26 3.26 10000.00.00.002000090 36.6873 .917 11400 Removal of skin lesion A 0.91 0.53 0.53 0.05 1.49 1.49 10010.10.80.102010090 36.6873 .917 11401 Removal of skin lesion A 1.32 0.67 0.67 0.06 2.05 2.05 10010.10.80.102010090 36.6873 .917 11402 Removal of skin lesion A 1.61 0.89 0.89 0.09 2.59 2.59 10010.10.80.102010090 36.6873 .917 11403 Removal of skin lesion A 1.92 1.17 1.17 0.13 3.22 3.22 10010.10.80.102010090 36.6873 .917 11404 Removal of skin lesion A 2.20 1.38 1.38 0.17 3.75 3.75 10010.10.80.102010090 36.6873 .917 11406 Removal of skin lesion A 2.76 1.88 1.88 0.33 4.97 4.97 00010.10.80.102010090 36.6873 .917 11420 Removal of skin lesion A 1.06 0.52 0.52 0.05 1.63 1.63 10010.10.80.102010090 36.6873 .917 11421 Removal of skin lesion A 1.53 0.71 0.71 0.07 2.31 2.31 10010.10.80.102010090 36.6873 .917 11422 Removal of skin lesion A 1.76 0.94 0.94 0.10 2.80 2.80 10010.10.80.102010090 36.6873 .917 11423 Removal of skin lesion A 2.17 1.31 1.31 0.15 3.63 3.63 10010.10.80.102010090 36.6873 .917 11424 Removal of skin lesion A 2.62 1.39 1.39 0.16 4.17 4.17 10010.10.80.102010090 36.6873 .917 11426 Removal of skin lesion A 3.78 1.83 1.83 0.29 5.90 5.90 00010.10.80.102010090 36.6873 .917 11440 Removal of skin lesion A 1.15 0.69 0.69 0.06 1.90 1.90 10010.10.80.102010090 36.6873 .917 11441 Removal of skin lesion A 1.61 0.85 0.85 0.08 2.54 2.54 10010.10.80.102010090 36.6873 .917 11442 Removal of skin lesion A 1.87 1.12 1.12 0.11 3.10 3.10 10010.10.80.102010090 36.6873 .917 11443 Removal of skin lesion A 2.49 1.45 1.45 0.15 4.09 4.09 10010.10.80.102010090 36.6873 .917 11444 Removal of skin lesion A 3.42 1.47 1.47 0.14 5.03 5.03 10010.10.80.102010090 36.6873 .917 11446 Removal of skin lesion A 4.49 1.78 1.78 0.18 6.45 6.45 10010.10.80.102010090 36.6873 .917 11450 Removal, sweat gland lesion A 2.73 2.68 2.68 0.44 5.85 5.85 00090.10.71.192010090 36.6873 .917 11451 Removal, sweat gland lesion A 3.95 2.90 2.90 0.46 7.31 7.31 00090.10.71.192000090 36.6873 .917 11462 Removal, sweat gland lesion A 2.51 2.41 2.41 0.36 5.28 5.28 00090.10.71.192000090 36.6873 .917 11463 Removal, sweat gland lesion A 3.95 2.00 2.00 0.34 6.29 6.29 00090.10.71.192000090 36.6873 .917 11470 Removal, sweat gland lesion A 3.25 2.78 2.78 0.45 6.48 6.48 00090.10.71.192010090 36.6873 .917 11471 Removal, sweat gland lesion A 4.41 2.46 2.46 0.48 7.35 7.35 00090.10.71.192000090 36.6873 .917 11600 Removal of skin lesion A 1.41 1.13 1.13 0.10 2.64 2.64 10010.10.80.102010090 36.6873 .917 11601 Removal of skin lesion A 1.93 1.39 1.39 0.12 3.44 3.44 10010.10.80.102010090 36.6873 .917 11602 Removal of skin lesion A 2.09 1.82 1.82 0.16 4.07 4.07 10010.10.80.102010090 36.6873 .917 11603 Removal of skin lesion A 2.35 2.25 2.25 0.21 4.81 4.81 10010.10.80.102010090 36.6873 .917 11604 Removal of skin lesion A 2.58 2.59 2.59 0.26 5.43 5.43 10010.10.80.102010090 36.6873 .917 11606 Removal of skin lesion A 3.43 3.11 3.11 0.49 7.03 7.03 00010.10.80.102010090 36.6873 .917 11620 Removal of skin lesion A 1.34 1.34 1.34 0.12 2.80 2.80 10010.10.80.102010090 36.6873 .917 11621 Removal of skin lesion A 1.97 1.75 1.75 0.16 3.88 3.88 10010.10.80.102010090 36.6873 .917 11622 Removal of skin lesion A 2.34 2.20 2.20 0.19 4.73 4.73 10010.10.80.102010090 36.6873 .917 11623 Removal of skin lesion A 2.93 2.58 2.58 0.25 5.76 5.76 10010.10.80.102010090 36.6873 .917 11624 Removal of skin lesion A 3.43 3.21 3.21 0.32 6.96 6.96 10010.10.80.102010090 36.6873 .917 11626 Removal of skin lesion A 4.30 3.41 3.41 0.51 8.22 8.22 00010.10.80.102010090 36.6873 .917 11640 Removal of skin lesion A 1.53 1.65 1.65 0.15 3.33 3.33 10010.10.80.102010090 36.6873 .917 11641 Removal of skin lesion A 2.44 2.09 2.09 0.18 4.71 4.71 10010.10.80.102010090 36.6873 .917 11642 Removal of skin lesion A 2.93 2.57 2.57 0.23 5.73 5.73 10010.10.80.102010090 36.6873 .917 11643 Removal of skin lesion A 3.50 3.01 3.01 0.28 6.79 6.79 10010.10.80.102010090 36.6873 .917 11644 Removal of skin lesion A 4.55 3.51 3.51 0.33 8.39 8.39 10010.10.80.102010090 36.6873 .917 11646 Removal of skin lesion A 5.95 4.32 4.32 0.60 10.87 10.87 00010.10.80.102010090 36.6873 .917 11719 Trim nail(s) R 0.11 0.24 0.12 0.02 0.37 0.25 30000.00.00.002010090 36.6873 .917 11720 Debride nail, 1-5 A 0.32 0.32 0.32 0.03 0.67 0.67 10000.00.00.000010090 36.6873 .917 11721 Debride nail, 6 or more A 0.54 0.54 0.54 0.05 1.13 1.13 10000.00.00.000010090 36.6873 .917 11730 Removal of nail plate A 1.13 0.45 0.45 0.04 1.62 1.62 10000.00.00.002010090 36.6873 .917 11731 Removal of second nail plate A 0.57 0.51 0.51 0.05 1.13 1.13 10ZZZ.00.00.000010090 36.6873 .917 11732 Remove additional nail plate A 0.57 0.25 0.25 0.02 0.84 0.84 10ZZZ.00.00.000010090 36.6873 .917 11740 Drain blood from under nail A 0.37 0.39 0.39 0.04 0.80 0.80 10000.00.00.002010090 36.6873 .917 11750 Removal of nail bed A 1.86 2.10 2.10 0.19 4.15 4.15 10010.10.80.102010090 36.6873 .917 11752 Remove nail bed/finger tip A 2.67 2.82 2.82 0.36 5.85 5.85 10010.10.80.102010090 36.6873 .917 11755 Biopsy, nail unit A 1.31 0.99 0.99 0.12 2.42 2.42 00000.00.00.002000090 36.6873 .917 11760 Reconstruction of nail bed A 1.58 0.93 0.93 0.09 2.60 2.60 10010.10.80.102010090 36.6873 .917 11762 Reconstruction of nail bed A 2.89 2.57 2.57 0.24 5.70 5.70 10010.10.80.102010090 36.6873 .917 11765 Excision of nail fold, toe A 0.69 0.51 0.51 0.05 1.25 1.25 10010.10.80.102010090 36.6873 .917 11770 Removal of pilonidal lesion A 2.61 2.67 2.67 0.44 5.72 5.72 00010.10.80.102010090 36.6873 .917 11771 Removal of pilonidal lesion A 5.74 4.52 4.52 0.92 11.18 11.18 00090.10.71.192010090 36.6873 .917 11772 Removal of pilonidal lesion A 6.98 4.82 4.82 1.01 12.81 12.81 00090.10.71.192010090 36.6873 .917 11900 Injection into skin lesions A 0.52 0.25 0.25 0.02 0.79 0.79 10000.00.00.002010090 36.6873 .917 11901 Added skin lesions injection A 0.80 0.41 0.41 0.03 1.24 1.24 10000.00.00.002010090 36.6873 .917 11920 Correct skin color defects R 1.61 1.18 1.18 0.23 3.02 3.02 00000.00.00.002000090 36.6873 .917 11921 Correct skin color defects R 1.93 1.40 1.40 0.28 3.61 3.61 00000.00.00.002000090 36.6873 .917 11922 Correct skin color defects R 0.49 0.36 0.36 0.07 0.92 0.92 00ZZZ.00.00.000000090 36.6873 .917 11950 Therapy for contour defects R 0.84 1.19 1.19 0.11 2.14 2.14 00000.00.00.002000090 36.6873 .917 11951 Therapy for contour defects R 1.19 1.19 1.19 0.11 2.49 2.49 00000.00.00.002000090 36.6873 .917 11952 Therapy for contour defects R 1.69 1.19 1.19 0.11 2.99 2.99 00000.00.00.002000090 36.6873 .917 11954 Therapy for contour defects R 1.85 1.19 1.19 0.11 3.15 3.15 00000.00.00.002000090 36.6873 .917 11960 Insert tissue expander(s) A 9.08 7.73 7.73 1.48 18.29 18.29 00090.10.71.192010090 36.6873 .917 11970 Replace tissue expander A 7.06 7.77 7.77 1.61 16.44 16.44 00090.10.71.192010090 36.6873 .917 11971 Remove tissue expander(s) A 2.13 2.30 2.30 0.82 5.25 5.25 00090.10.71.192000090 36.6873 .917 11975 Insert contraceptive cap N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 11976 Removal of contraceptive cap R 1.78 1.28 1.28 0.30 3.36 3.36 00XXX.00.00.002000090 36.6873 .917 11977 Removal/reinsert contra cap N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 12001 Repair superficial wound(s) A 1.70 0.57 0.57 0.05 2.32 2.32 00010.10.80.102010090 36.6873 .917 12002 Repair superficial wound(s) A 1.86 0.79 0.79 0.07 2.72 2.72 00010.10.80.102010090 36.6873 .917 12004 Repair superficial wound(s) A 2.24 1.14 1.14 0.10 3.48 3.48 00010.10.80.102010090 36.6873 .917 12005 Repair superficial wound(s) A 2.86 1.47 1.47 0.14 4.47 4.47 00010.10.80.102010090 36.6873 .917 12006 Repair superficial wound(s) A 3.67 1.78 1.78 0.19 5.64 5.64 00010.10.80.102010090 36.6873 .917 12007 Repair superficial wound(s) A 4.12 1.80 1.80 0.19 6.11 6.11 00010.10.80.102011090 36.6873 .917 12011 Repair superficial wound(s) A 1.76 0.74 0.74 0.06 2.56 2.56 00010.10.80.102010090 36.6873 .917 12013 Repair superficial wound(s) A 1.99 1.03 1.03 0.08 3.10 3.10 00010.10.80.102010090 36.6873 .917 12014 Repair superficial wound(s) A 2.46 1.19 1.19 0.10 3.75 3.75 00010.10.80.102010090 36.6873 .917 12015 Repair superficial wound(s) A 3.19 1.62 1.62 0.14 4.95 4.95 00010.10.80.102010090 36.6873 .917 12016 Repair superficial wound(s) A 3.93 2.26 2.26 0.19 6.38 6.38 00010.10.80.102010090 36.6873 .917 12017 Repair superficial wound(s) A 4.71 3.36 3.36 0.31 8.38 8.38 00010.10.80.102000090 36.6873 .917 12018 Repair superficial wound(s) A 5.53 5.15 5.15 0.48 11.16 11.16 00010.10.80.102021090 36.6873 .917 12020 Closure of split wound A 2.62 1.19 1.19 0.18 3.99 3.99 00010.10.80.102010090 36.6873 .917 12021 Closure of split wound A 1.84 0.62 0.62 0.11 2.57 2.57 10010.10.80.102010090 36.6873 .917 12031 Layer closure of wound(s) A 2.15 0.72 0.72 0.07 2.94 2.94 10010.10.80.102010090 36.6873 .917 12032 Layer closure of wound(s) A 2.47 1.05 1.05 0.10 3.62 3.62 10010.10.80.102010090 36.6873 .917 12034 Layer closure of wound(s) A 2.92 1.47 1.47 0.15 4.54 4.54 00010.10.80.102010090 36.6873 .917 12035 Layer closure of wound(s) A 3.43 1.92 1.92 0.23 5.58 5.58 00010.10.80.102010090 36.6873 .917 12036 Layer closure of wound(s) A 4.05 2.32 2.32 0.37 6.74 6.74 00010.10.80.102010090 36.6873 .917 12037 Layer closure of wound(s) A 4.67 3.09 3.09 0.48 8.24 8.24 00010.10.80.102001090 36.6873 .917 12041 Layer closure of wound(s) A 2.37 0.84 0.84 0.08 3.29 3.29 10010.10.80.102010090 36.6873 .917 12042 Layer closure of wound(s) A 2.74 1.17 1.17 0.12 4.03 4.03 10010.10.80.102010090 36.6873 .917 12044 Layer closure of wound(s) A 3.14 1.62 1.62 0.17 4.93 4.93 00010.10.80.102010090 36.6873 .917 12045 Layer closure of wound(s) A 3.64 2.13 2.13 0.23 6.00 6.00 00010.10.80.102010090 36.6873 .917 12046 Layer closure of wound(s) A 4.25 2.82 2.82 0.37 7.44 7.44 00010.10.80.102000090 36.6873 .917 12047 Layer closure of wound(s) A 4.65 4.02 4.02 0.56 9.23 9.23 00010.10.80.102021090 36.6873 .917 12051 Layer closure of wound(s) A 2.47 1.01 1.01 0.10 3.58 3.58 10010.10.80.102010090 36.6873 .917 12052 Layer closure of wound(s) A 2.77 1.47 1.47 0.14 4.38 4.38 10010.10.80.102010090 36.6873 .917 12053 Layer closure of wound(s) A 3.12 1.76 1.76 0.17 5.05 5.05 00010.10.80.102010090 36.6873 .917 12054 Layer closure of wound(s) A 3.46 2.60 2.60 0.25 6.31 6.31 00010.10.80.102010090 36.6873 .917 12055 Layer closure of wound(s) A 4.43 3.24 3.24 0.37 8.04 8.04 00010.10.80.102010090 36.6873 .917 12056 Layer closure of wound(s) A 5.24 4.74 4.74 0.52 10.50 10.50 00010.10.80.102000090 36.6873 .917 12057 Layer closure of wound(s) A 5.96 5.57 5.57 0.48 12.01 12.01 00010.10.80.102021090 36.6873 .917 13100 Repair of wound or lesion A 3.12 1.14 1.14 0.13 4.39 4.39 10010.10.80.102010090 36.6873 .917 13101 Repair of wound or lesion A 3.92 2.08 2.08 0.21 6.21 6.21 10010.10.80.102010090 36.6873 .917 13120 Repair of wound or lesion A 3.30 1.35 1.35 0.17 4.82 4.82 10010.10.80.102010090 36.6873 .917 13121 Repair of wound or lesion A 4.33 2.65 2.65 0.33 7.31 7.31 10010.10.80.102010090 36.6873 .917 13131 Repair of wound or lesion A 3.79 1.98 1.98 0.23 6.00 6.00 10010.10.80.102010090 36.6873 .917 13132 Repair of wound or lesion A 5.95 4.57 4.57 0.44 10.96 10.96 10010.10.80.102010090 36.6873 .917 13150 Repair of wound or lesion A 3.81 1.76 1.76 0.23 5.80 5.80 00010.10.80.102010090 36.6873 .917 13151 Repair of wound or lesion A 4.45 2.45 2.45 0.35 7.25 7.25 10010.10.80.102010090 36.6873 .917 13152 Repair of wound or lesion A 6.33 5.13 5.13 0.68 12.14 12.14 10010.10.80.102010090 36.6873 .917 13160 Late closure of wound A 10.48 3.33 3.33 0.58 14.39 14.39 00090.10.71.192010090 36.6873 .917 13300 Repair of wound or lesion A 5.27 5.71 5.71 0.86 11.84 11.84 00010.10.80.102010090 36.6873 .917 14000 Skin tissue rearrangement A 5.89 3.41 3.41 0.38 9.68 9.68 10090.10.71.192010090 36.6873 .917 14001 Skin tissue rearrangement A 8.47 4.75 4.75 0.76 13.98 13.98 00090.10.71.192010090 36.6873 .917 14020 Skin tissue rearrangement A 6.59 4.90 4.90 0.49 11.98 11.98 00090.10.71.192010090 36.6873 .917 14021 Skin tissue rearrangement A 10.06 6.21 6.21 0.94 17.21 17.21 00090.10.71.192010090 36.6873 .917 14040 Skin tissue rearrangement A 7.87 6.77 6.77 0.65 15.29 15.29 10090.10.71.192010090 36.6873 .917 14041 Skin tissue rearrangement A 11.49 7.88 7.88 1.02 20.39 20.39 10090.10.71.192010090 36.6873 .917 14060 Skin tissue rearrangement A 8.50 7.75 7.75 1.04 17.29 17.29 00090.10.71.192010090 36.6873 .917 14061 Skin tissue rearrangement A 12.29 10.49 10.49 1.27 24.05 24.05 10090.10.71.192010090 36.6873 .917 14300 Skin tissue rearrangement A 11.76 11.31 11.31 1.84 24.91 24.91 00090.10.71.192010090 36.6873 .917 14350 Skin tissue rearrangement A 9.61 6.07 6.07 1.05 16.73 16.73 00090.10.71.192000090 36.6873 .917 15000 Skin graft procedure A 1.95 2.15 2.15 0.53 4.63 4.63 00ZZZ.00.00.000010090 36.6873 .917 15050 Skin pinch graft procedure A 4.30 1.79 1.79 0.30 6.39 6.39 00090.10.71.192010090 36.6873 .917 15100 Skin split graft procedure A 9.05 4.54 4.54 0.89 14.48 14.48 00090.10.71.192010090 36.6873 .917 15101 Skin split graft procedure A 1.72 1.59 1.59 0.33 3.64 3.64 00ZZZ.00.00.000010090 36.6873 .917 15120 Skin split graft procedure A 9.83 6.05 6.05 0.94 16.82 16.82 00090.10.71.192010090 36.6873 .917 15121 Skin split graft procedure A 2.67 2.91 2.91 0.53 6.11 6.11 00ZZZ.00.00.000011090 36.6873 .917 15200 Skin full graft procedure A 8.03 4.13 4.13 0.69 12.85 12.85 00090.10.71.192010090 36.6873 .917 15201 Skin full graft procedure A 1.32 1.68 1.45 0.50 3.50 3.27 20ZZZ.00.00.000000090 36.6873 .917 15220 Skin full graft procedure A 7.87 4.84 4.84 0.85 13.56 13.56 00090.10.71.192010090 36.6873 .917 15221 Skin full graft procedure A 1.19 1.59 1.31 0.50 3.28 3.00 20ZZZ.00.00.000010090 36.6873 .917 15240 Skin full graft procedure A 9.04 6.10 6.10 1.03 16.17 16.17 00090.10.71.192010090 36.6873 .917 15241 Skin full graft procedure A 1.86 2.38 2.05 0.58 4.82 4.49 20ZZZ.00.00.000010090 36.6873 .917 15260 Skin full graft procedure A 10.06 7.46 7.46 0.99 18.51 18.51 00090.10.71.192010090 36.6873 .917 15261 Skin full graft procedure A 2.23 2.85 2.45 0.60 5.68 5.28 20ZZZ.00.00.000010090 36.6873 .917 15350 Skin homograft procedure A 4.36 2.15 2.15 0.42 6.93 6.93 00090.10.71.192010090 36.6873 .917 15400 Skin heterograft procedure A 5.78 1.06 1.06 0.17 7.01 7.01 00090.10.71.192010090 36.6873 .917 15570 Form skin pedicle flap A 9.21 5.50 5.50 2.08 16.79 16.79 00090.10.71.192010090 36.6873 .917 15572 Form skin pedicle flap A 9.27 5.38 5.38 1.86 16.51 16.51 00090.10.71.192010090 36.6873 .917 15574 Form skin pedicle flap A 9.88 5.40 5.40 1.66 16.94 16.94 00090.10.71.192010090 36.6873 .917 15576 Form skin pedicle flap A 8.69 3.12 3.12 0.60 12.41 12.41 00090.10.71.192010090 36.6873 .917 15580 Attach skin pedicle graft A 9.46 4.31 4.31 1.30 15.07 15.07 00090.10.71.192000090 36.6873 .917 15600 Skin graft procedure A 1.91 2.51 2.10 0.88 5.30 4.89 20090.10.71.192000090 36.6873 .917 15610 Skin graft procedure A 2.42 2.82 2.66 0.80 6.04 5.88 20090.10.71.192000090 36.6873 .917 15620 Skin graft procedure A 2.94 3.44 3.23 0.86 7.24 7.03 20090.10.71.192010090 36.6873 .917 15625 Skin graft procedure A 1.91 2.10 2.10 0.78 4.79 4.79 00090.10.71.192000090 36.6873 .917 15630 Skin graft procedure A 3.27 3.60 3.60 0.90 7.77 7.77 00090.10.71.192010090 36.6873 .917 15650 Transfer skin pedicle flap A 3.97 4.37 4.37 0.93 9.27 9.27 00090.10.71.192000090 36.6873 .917 15732 Muscle-skin graft, head/neck A 17.84 15.48 15.48 3.46 36.78 36.78 00090.10.71.192021090 36.6873 .917 15734 Muscle-skin graft, trunk A 17.79 19.01 19.01 3.24 40.04 40.04 00090.10.71.192021090 36.6873 .917 15736 Muscle-skin graft, arm A 16.27 16.21 16.21 3.02 35.50 35.50 00090.10.71.192011090 36.6873 .917 15738 Muscle-skin graft, leg A 17.92 12.89 12.89 3.29 34.10 34.10 00090.10.71.192021090 36.6873 .917 15740 Island pedicle flap graft A 10.25 10.39 10.39 1.62 22.26 22.26 00090.10.71.192010090 36.6873 .917 15750 Neurovascular pedicle graft A 11.41 11.96 11.96 2.03 25.40 25.40 00090.10.71.192020090 36.6873 .917 15756 Free muscle flap, microvasc A 35.23 30.09 30.09 5.33 70.65 70.65 00090.10.71.192022090 36.6873 .917 15757 Free skin flap, microvasc A 35.23 30.09 30.09 5.33 70.65 70.65 00090.10.71.192022090 36.6873 .917 15758 Free fascial flap, microvasc A 35.10 30.09 30.09 5.33 70.52 70.52 00090.10.71.192022090 36.6873 .917 15760 Composite skin graft A 8.74 7.29 7.29 1.11 17.14 17.14 00090.10.71.192010090 36.6873 .917 15770 Derma-fat-fascia graft A 7.52 7.46 7.46 0.95 15.93 15.93 00090.10.71.192021090 36.6873 .917 15775 Hair transplant punch grafts R 3.96 2.88 2.88 0.56 7.40 7.40 00000.00.00.002000090 36.6873 .917 15776 Hair transplant punch grafts R 5.54 4.03 4.03 0.79 10.36 10.36 00000.00.00.002000090 36.6873 .917 15780 Abrasion treatment of skin A 7.29 1.53 1.53 0.13 8.95 8.95 10090.10.71.192000090 36.6873 .917 15781 Abrasion treatment of skin A 4.85 3.77 3.77 0.39 9.01 9.01 10090.10.71.192010090 36.6873 .917 15782 Abrasion treatment of skin A 4.32 1.19 1.19 0.13 5.64 5.64 10090.10.71.192000090 36.6873 .917 15783 Abrasion treatment of skin A 4.29 1.85 1.85 0.19 6.33 6.33 10090.10.71.192000090 36.6873 .917 15786 Abrasion treatment of lesion A 2.03 0.62 0.62 0.06 2.71 2.71 10010.10.80.102010090 36.6873 .917 15787 Abrasion, added skin lesions A 0.33 0.23 0.23 0.03 0.59 0.59 10ZZZ.00.00.000010090 36.6873 .917 15788 Chemical peel, face, epiderm R 2.09 1.48 1.48 0.12 3.69 3.69 00090.10.71.192010090 36.6873 .917 15789 Chemical peel, face, dermal R 4.92 1.48 1.48 0.12 6.52 6.52 00090.10.71.192010090 36.6873 .917 15792 Chemical peel, nonfacial R 1.86 0.50 0.50 0.05 2.41 2.41 00090.10.71.192000090 36.6873 .917 15793 Chemical peel, nonfacial A 3.74 0.50 0.50 0.05 4.29 4.29 00090.10.71.192000090 36.6873 .917 15810 Salabrasion A 4.74 3.80 3.80 0.29 8.83 8.83 00090.10.71.192000090 36.6873 .917 15811 Salabrasion A 5.39 3.74 3.74 0.73 9.86 9.86 00090.10.71.192000090 36.6873 .917 15819 Plastic surgery, neck A 9.38 8.01 8.01 0.87 18.26 18.26 00090.10.71.192000090 36.6873 .917 15820 Revision of lower eyelid A 5.15 5.67 5.67 0.64 11.46 11.46 00090.10.71.192100090 36.6873 .917 15821 Revision of lower eyelid A 5.72 6.29 6.29 0.68 12.69 12.69 00090.10.71.192100090 36.6873 .917 15822 Revision of upper eyelid A 4.45 4.90 4.90 0.56 9.91 9.91 00090.10.71.192110090 36.6873 .917 15823 Revision of upper eyelid A 7.05 7.71 7.71 0.61 15.37 15.37 00090.10.71.192110090 36.6873 .917 15824 Removal of forehead wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15825 Removal of neck wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15826 Removal of brow wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15828 Removal of face wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15829 Removal of skin wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15831 Excise excessive skin tissue A 12.40 9.84 9.84 2.01 24.25 24.25 00090.10.71.192021090 36.6873 .917 15832 Excise excessive skin tissue A 11.59 8.29 8.29 1.33 21.21 21.21 00090.10.71.192021090 36.6873 .917 15833 Excise excessive skin tissue A 10.64 6.22 6.22 1.12 17.98 17.98 00090.10.71.192000090 36.6873 .917 15834 Excise excessive skin tissue A 10.85 7.18 7.18 1.22 19.25 19.25 00090.10.71.192000090 36.6873 .917 15835 Excise excessive skin tissue A 11.67 7.00 7.00 1.22 19.89 19.89 00090.10.71.192000090 36.6873 .917 15836 Excise excessive skin tissue A 9.34 5.80 5.80 1.10 16.24 16.24 00090.10.71.192000090 36.6873 .917 15837 Excise excessive skin tissue A 8.43 5.97 5.97 0.85 15.25 15.25 00090.10.71.192000090 36.6873 .917 15838 Excise excessive skin tissue A 7.13 5.88 5.88 0.73 13.74 13.74 00090.10.71.192000090 36.6873 .917 15839 Excise excessive skin tissue A 9.38 2.44 2.44 0.46 12.28 12.28 00090.10.71.192000090 36.6873 .917 15840 Graft for face nerve palsy A 13.26 14.59 14.59 2.28 30.13 30.13 00090.10.71.192010090 36.6873 .917 15841 Graft for face nerve palsy A 23.26 16.87 16.87 2.76 42.89 42.89 00090.10.71.192021090 36.6873 .917 15842 Graft for face nerve palsy A 37.96 29.00 29.00 2.68 69.64 69.64 00090.10.71.192021090 36.6873 .917 15845 Skin and muscle repair, face A 12.57 13.83 13.83 2.54 28.94 28.94 00090.10.71.192020090 36.6873 .917 15850 Removal of sutures B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 15851 Removal of sutures A 0.86 0.30 0.30 0.03 1.19 1.19 10000.00.00.002010090 36.6873 .917 15852 Dressing change,not for burn A 0.86 0.44 0.44 0.07 1.37 1.37 10000.00.00.002010090 36.6873 .917 15860 Test for blood flow in graft A 1.95 1.35 1.35 0.25 3.55 3.55 00000.00.00.002000090 36.6873 .917 15876 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15877 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15878 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15879 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 15920 Removal of tail bone ulcer A 7.95 2.95 2.95 0.63 11.53 11.53 00090.10.71.192000090 36.6873 .917 15922 Removal of tail bone ulcer A 9.90 5.98 5.98 1.19 17.07 17.07 00090.10.71.192021090 36.6873 .917 15931 Remove sacrum pressure sore A 9.24 2.93 2.93 0.55 12.72 12.72 00090.10.71.192010090 36.6873 .917 15933 Remove sacrum pressure sore A 10.85 6.92 6.92 1.43 19.20 19.20 00090.10.71.192000090 36.6873 .917 15934 Remove sacrum pressure sore A 12.69 7.46 7.46 1.50 21.65 21.65 00090.10.71.192010090 36.6873 .917 15935 Remove sacrum pressure sore A 14.57 11.24 11.24 2.27 28.08 28.08 00090.10.71.192021090 36.6873 .917 15936 Remove sacrum pressure sore A 12.38 10.27 10.27 2.05 24.70 24.70 00090.10.71.192011090 36.6873 .917 15937 Remove sacrum pressure sore A 14.21 13.47 13.47 2.67 30.35 30.35 00090.10.71.192021090 36.6873 .917 15940 Removal of pressure sore A 9.34 3.55 3.55 0.73 13.62 13.62 00090.10.71.192010090 36.6873 .917 15941 Removal of pressure sore A 11.43 7.05 7.05 1.39 19.87 19.87 00090.10.71.192000090 36.6873 .917 15944 Removal of pressure sore A 11.46 9.26 9.26 1.82 22.54 22.54 00090.10.71.192000090 36.6873 .917 15945 Removal of pressure sore A 12.69 11.14 11.14 2.09 25.92 25.92 00090.10.71.192000090 36.6873 .917 15946 Removal of pressure sore A 21.57 16.61 16.61 3.24 41.42 41.42 00090.10.71.192021090 36.6873 .917 15950 Remove thigh pressure sore A 7.54 3.01 3.01 0.58 11.13 11.13 00090.10.71.192010090 36.6873 .917 15951 Remove thigh pressure sore A 10.72 7.65 7.65 1.58 19.95 19.95 00090.10.71.192001090 36.6873 .917 15952 Remove thigh pressure sore A 11.39 7.13 7.13 1.37 19.89 19.89 00090.10.71.192021090 36.6873 .917 15953 Remove thigh pressure sore A 12.63 9.08 9.08 1.87 23.58 23.58 00090.10.71.192011090 36.6873 .917 15956 Remove thigh pressure sore A 15.52 17.07 17.07 3.39 35.98 35.98 00090.10.71.192021090 36.6873 .917 15958 Remove thigh pressure sore A 15.48 17.03 17.03 3.76 36.27 36.27 00090.10.71.192021090 36.6873 .917 15999 Removal of pressure sore C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 16000 Initial treatment of burn(s) A 0.89 0.35 0.35 0.03 1.27 1.27 10000.00.00.002010090 36.6873 .917 16010 Treatment of burn(s) A 0.87 0.32 0.32 0.03 1.22 1.22 10000.00.00.002010090 36.6873 .917 16015 Treatment of burn(s) A 2.35 2.04 2.04 0.38 4.77 4.77 00000.00.00.002010090 36.6873 .917 16020 Treatment of burn(s) A 0.80 0.34 0.34 0.03 1.17 1.17 10000.00.00.002010090 36.6873 .917 16025 Treatment of burn(s) A 1.85 0.45 0.45 0.05 2.35 2.35 10000.00.00.002010090 36.6873 .917 16030 Treatment of burn(s) A 2.08 0.52 0.52 0.08 2.68 2.68 00000.00.00.002010090 36.6873 .917 16035 Incision of burn scab A 4.82 1.88 1.88 0.34 7.04 7.04 00090.10.71.192010090 36.6873 .917 16040 Burn wound excision A 1.02 1.56 1.12 0.53 3.11 2.67 20000.00.00.002000090 36.6873 .917 16041 Burn wound excision A 2.70 2.97 2.97 0.53 6.20 6.20 00000.00.00.002000090 36.6873 .917 16042 Burn wound excision A 2.35 2.59 2.59 0.53 5.47 5.47 00000.00.00.002000090 36.6873 .917 17000 Destroy benign/premal lesion A 0.60 0.42 0.42 0.03 1.05 1.05 10010.10.80.102010090 36.6873 .917 17001 Destruction of add’l lesions D 0.19 0.19 0.19 0.02 0.40 0.40 10ZZZ.00.00.000010090 36.6873 .917 17002 Destruction of add’l lesions D 0.19 0.10 0.10 0.01 0.30 0.30 10ZZZ.00.00.000010090 36.6873 .917 17003 Destroy 2-14 lesions A 0.15 0.13 0.13 0.01 0.29 0.29 10ZZZ.00.00.000010090 36.6873 .917 17004 Destroy 15 & more lesions A 2.79 2.25 2.25 0.20 5.24 5.24 10010.10.80.100010090 36.6873 .917 17010 Destruction skin lesion(s) D 1.06 0.48 0.48 0.04 1.58 1.58 10010.10.80.102010090 36.6873 .917 17100 Destruction of skin lesion D 0.56 0.37 0.37 0.03 0.96 0.96 10010.10.80.102010090 36.6873 .917 17101 Destruction of 2nd lesion D 0.11 0.12 0.12 0.02 0.25 0.25 10ZZZ.00.00.000010090 36.6873 .917 17102 Destruction of add’l lesions D 0.11 0.08 0.08 0.01 0.20 0.20 10ZZZ.00.00.000010090 36.6873 .917 17104 Destruction of skin lesions D 2.04 0.07 0.07 0.01 2.12 2.12 10010.10.80.102010090 36.6873 .917 17105 Destruction of skin lesions D 0.79 0.31 0.31 0.03 1.13 1.13 10010.10.80.102010090 36.6873 .917 17106 Destruction of skin lesions A 4.59 1.93 1.93 0.18 6.70 6.70 10090.10.71.192010090 36.6873 .917 17107 Destruction of skin lesions A 9.16 3.70 3.70 0.39 13.25 13.25 10090.10.71.192010090 36.6873 .917 17108 Destruction of skin lesions A 13.20 9.32 9.32 0.69 23.21 23.21 00090.10.71.192000090 36.6873 .917 17110 Destruct lesion, 1-14 A 0.65 0.40 0.40 0.03 1.08 1.08 10010.10.80.102010090 36.6873 .917 17111 Destruct lesion, 15 or more A 0.92 0.60 0.60 0.05 1.57 1.57 10010.10.80.102010090 36.6873 .917 17200 Electrocautery of skin tags D 0.64 0.41 0.41 0.04 1.09 1.09 10010.10.80.102010090 36.6873 .917 17201 Electrocautery added lesions D 0.38 0.15 0.15 0.01 0.54 0.54 10ZZZ.00.00.000010090 36.6873 .917 17250 Chemical cautery, tissue A 0.50 0.34 0.34 0.04 0.88 0.88 10000.00.00.002010090 36.6873 .917 17260 Destruction of skin lesions A 0.91 1.13 1.13 0.10 2.14 2.14 10010.10.80.102010090 36.6873 .917 17261 Destruction of skin lesions A 1.17 1.39 1.39 0.12 2.68 2.68 10010.10.80.102010090 36.6873 .917 17262 Destruction of skin lesions A 1.58 1.82 1.82 0.16 3.56 3.56 10010.10.80.102010090 36.6873 .917 17263 Destruction of skin lesions A 1.79 2.25 2.25 0.21 4.25 4.25 10010.10.80.102010090 36.6873 .917 17264 Destruction of skin lesions A 1.94 2.59 2.59 0.26 4.79 4.79 10010.10.80.102010090 36.6873 .917 17266 Destruction of skin lesions A 2.34 3.11 3.11 0.49 5.94 5.94 10010.10.80.102010090 36.6873 .917 17270 Destruction of skin lesions A 1.32 1.34 1.34 0.12 2.78 2.78 10010.10.80.102010090 36.6873 .917 17271 Destruction of skin lesions A 1.49 1.75 1.75 0.16 3.40 3.40 10010.10.80.102010090 36.6873 .917 17272 Destruction of skin lesions A 1.77 2.20 2.20 0.19 4.16 4.16 10010.10.80.102010090 36.6873 .917 17273 Destruction of skin lesions A 2.05 2.58 2.58 0.25 4.88 4.88 10010.10.80.102010090 36.6873 .917 17274 Destruction of skin lesions A 2.59 3.21 3.21 0.32 6.12 6.12 10010.10.80.102010090 36.6873 .917 17276 Destruction of skin lesions A 3.20 3.41 3.41 0.51 7.12 7.12 10010.10.80.102010090 36.6873 .917 17280 Destruction of skin lesions A 1.17 1.65 1.65 0.15 2.97 2.97 10010.10.80.102010090 36.6873 .917 17281 Destruction of skin lesions A 1.72 2.09 2.09 0.18 3.99 3.99 10010.10.80.102010090 36.6873 .917 17282 Destruction of skin lesions A 2.04 2.57 2.57 0.23 4.84 4.84 10010.10.80.102010090 36.6873 .917 17283 Destruction of skin lesions A 2.64 3.01 3.01 0.28 5.93 5.93 10010.10.80.102010090 36.6873 .917 17284 Destruction of skin lesions A 3.21 3.51 3.51 0.33 7.05 7.05 10010.10.80.102010090 36.6873 .917 17286 Destruction of skin lesions A 4.44 4.32 4.32 0.60 9.36 9.36 10010.10.80.102010090 36.6873 .917 17304 Chemosurgery of skin lesion A 7.60 4.02 4.02 0.31 11.93 11.93 10000.00.00.000010090 36.6873 .917 17305 2nd stage chemosurgery A 2.85 2.26 2.26 0.17 5.28 5.28 10000.00.00.000010090 36.6873 .917 17306 3rd stage chemosurgery A 2.85 1.40 1.40 0.11 4.36 4.36 10000.00.00.000010090 36.6873 .917 17307 Followup skin lesion therapy A 2.85 1.47 1.47 0.12 4.44 4.44 10000.00.00.000010090 36.6873 .917 17310 Extensive skin chemosurgery A 0.95 0.13 0.13 0.01 1.09 1.09 10000.00.00.000010090 36.6873 .917 17340 Cryotherapy of skin A 0.76 0.28 0.28 0.02 1.06 1.06 10010.10.80.102010090 36.6873 .917 17360 Skin peel therapy A 1.43 0.27 0.27 0.02 1.72 1.72 10010.10.80.102010090 36.6873 .917 17380 Hair removal by electrolysis R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 17999 Skin tissue procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 19000 Drainage of breast lesion A 0.84 0.38 0.38 0.07 1.29 1.29 10000.00.00.002110090 36.6873 .917 19001 Drain added breast lesion A 0.42 0.24 0.24 0.05 0.71 0.71 10ZZZ.00.00.000110090 36.6873 .917 19020 Incision of breast lesion A 3.57 1.40 1.40 0.28 5.25 5.25 00090.10.71.192110090 36.6873 .917 19030 Injection for breast x-ray A 1.53 0.49 0.49 0.04 2.06 2.06 00000.00.00.002110090 36.6873 .917 19100 Biopsy of breast A 1.27 0.64 0.64 0.13 2.04 2.04 10000.00.00.002110090 36.6873 .917 19101 Biopsy of breast A 3.18 2.34 2.34 0.45 5.97 5.97 00010.10.80.102110091A4550 36.6873 .917 19110 Nipple exploration A 4.30 2.46 2.46 0.51 7.27 7.27 00090.10.71.192110090 36.6873 .917 19112 Excise breast duct fistula A 3.67 2.34 2.34 0.35 6.36 6.36 00090.10.71.192100090 36.6873 .917 19120 Removal of breast lesion A 5.56 2.90 2.90 0.60 9.06 9.06 00090.10.71.192110091A4550 36.6873 .917 19125 Excision, breast lesion A 6.06 2.90 2.90 0.60 9.56 9.56 00090.10.71.192111091A4550 36.6873 .917 19126 Excision,add’l breast lesion A 2.93 1.45 1.45 0.31 4.69 4.69 00ZZZ.00.00.000011091A4550 36.6873 .917 19140 Removal of breast tissue A 5.14 4.29 4.29 0.91 10.34 10.34 00090.10.71.192110090 36.6873 .917 19160 Removal of breast tissue A 5.99 4.13 4.13 0.88 11.00 11.00 00090.10.71.192100090 36.6873 .917 19162 Remove breast tissue, nodes A 13.53 9.38 9.38 1.96 24.87 24.87 00090.10.71.192121090 36.6873 .917 19180 Removal of breast A 8.80 5.61 5.61 1.17 15.58 15.58 00090.10.71.192121090 36.6873 .917 19182 Removal of breast A 7.73 6.07 6.07 1.27 15.07 15.07 00090.10.71.192121090 36.6873 .917 19200 Removal of breast A 15.49 10.22 10.22 2.15 27.86 27.86 00090.10.71.192121090 36.6873 .917 19220 Removal of breast A 15.72 10.73 10.73 2.38 28.83 28.83 00090.10.71.192121090 36.6873 .917 19240 Removal of breast A 16.00 9.44 9.44 1.99 27.43 27.43 00090.10.71.192121090 36.6873 .917 19260 Removal of chest wall lesion A 15.44 5.05 5.05 1.04 21.53 21.53 00090.10.71.192021090 36.6873 .917 19271 Revision of chest wall A 18.90 13.95 13.95 2.77 35.62 35.62 00090.10.71.192021090 36.6873 .917 19272 Extensive chest wall surgery A 21.55 12.60 12.60 2.56 36.71 36.71 00090.10.71.192021090 36.6873 .917 19290 Place needle wire, breast A 1.27 0.44 0.44 0.07 1.78 1.78 00000.00.00.002112090 36.6873 .917 19291 Place needle wire, breast A 0.63 0.25 0.25 0.04 0.92 0.92 00ZZZ.00.00.000002090 36.6873 .917 19316 Suspension of breast A 10.69 11.76 11.76 2.43 24.88 24.88 00090.10.71.192121090 36.6873 .917 19318 Reduction of large breast A 15.62 14.18 14.18 3.23 33.03 33.03 00090.10.71.192121090 36.6873 .917 19324 Enlarge breast A 5.85 3.29 3.29 0.67 9.81 9.81 00090.10.71.192100090 36.6873 .917 19325 Enlarge breast with implant A 8.45 5.87 5.87 1.13 15.45 15.45 00090.10.71.192100090 36.6873 .917 19328 Removal of breast implant A 5.68 3.76 3.76 0.73 10.17 10.17 00090.10.71.192110090 36.6873 .917 19330 Removal of implant material A 7.59 3.88 3.88 0.75 12.22 12.22 00090.10.71.192110090 36.6873 .917 19340 Immediate breast prosthesis A 6.33 6.96 6.96 2.06 15.35 15.35 00ZZZ.00.00.000111090 36.6873 .917 19342 Delayed breast prosthesis A 11.20 10.81 10.81 2.03 24.04 24.04 00090.10.71.192101090 36.6873 .917 19350 Breast reconstruction A 8.92 7.08 7.08 1.38 17.38 17.38 00090.10.71.192110090 36.6873 .917 19355 Correct inverted nipple(s) A 7.57 4.93 4.93 1.00 13.50 13.50 00090.10.71.192100090 36.6873 .917 19357 Breast reconstruction A 18.16 12.15 12.15 2.37 32.68 32.68 00090.10.71.192121090 36.6873 .917 19361 Breast reconstruction A 19.26 20.13 20.13 3.88 43.27 43.27 00090.10.71.192121090 36.6873 .917 19364 Breast reconstruction A 29.04 16.68 16.68 3.58 49.30 49.30 00090.10.71.192121090 36.6873 .917 19366 Breast reconstruction A 21.28 16.40 16.40 3.18 40.86 40.86 00090.10.71.192121090 36.6873 .917 19367 Breast reconstruction A 25.73 20.13 20.13 3.88 49.74 49.74 00090.10.71.192121090 36.6873 .917 19368 Breast reconstruction A 32.42 20.13 20.13 3.88 56.43 56.43 00090.10.71.192121090 36.6873 .917 19369 Breast reconstruction A 29.82 20.13 20.13 3.88 53.83 53.83 00090.10.71.192121090 36.6873 .917 19370 Surgery of breast capsule A 8.05 6.17 6.17 1.19 15.41 15.41 00090.10.71.192110090 36.6873 .917 19371 Removal of breast capsule A 9.35 7.91 7.91 1.54 18.80 18.80 00090.10.71.192110090 36.6873 .917 19380 Revise breast reconstruction A 9.14 8.11 8.11 1.57 18.82 18.82 00090.10.71.192110090 36.6873 .917 19396 Design custom breast implant A 2.17 1.57 1.57 0.31 4.05 4.05 00000.00.00.002100090 36.6873 .917 19499 Breast surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 20000 Incision of abscess A 2.12 0.85 0.85 0.08 3.05 3.05 10010.10.80.102010090 36.6873 .917 20005 Incision of deep abscess A 3.42 1.83 1.83 0.28 5.53 5.53 00010.10.80.102010090 36.6873 .917 20100 Explore wound, neck A 10.08 4.97 4.97 1.16 16.21 16.21 00010.10.80.102120090 36.6873 .917 20101 Explore wound, chest A 3.22 1.57 1.57 0.37 5.16 5.16 00010.10.80.102020090 36.6873 .917 20102 Explore wound, abdomen A 3.94 1.92 1.92 0.45 6.31 6.31 00010.10.80.102020090 36.6873 .917 20103 Explore wound, extremity A 5.30 2.59 2.59 0.60 8.49 8.49 00010.10.80.102000090 36.6873 .917 20150 Excise epiphyseal bar A 13.69 12.40 12.40 2.03 28.12 28.12 00090.10.69.212121090 36.6873 .917 20200 Muscle biopsy A 1.46 1.12 1.12 0.18 2.76 2.76 00000.00.00.002010091A4550 36.6873 .917 20205 Deep muscle biopsy A 2.35 1.88 1.88 0.33 4.56 4.56 00000.00.00.002010091A4550 36.6873 .917 20206 Needle biopsy, muscle A 0.99 0.96 0.96 0.14 2.09 2.09 00000.00.00.002010090 36.6873 .917 20220 Bone biopsy, trocar/needle A 1.27 1.31 1.31 0.09 2.67 2.67 00000.00.00.002010091A4550 36.6873 .917 20225 Bone biopsy, trocar/needle A 1.87 2.39 2.06 0.28 4.54 4.21 20000.00.00.002010091A4550 36.6873 .917 20240 Bone biopsy, excisional A 3.23 1.88 1.88 0.18 5.29 5.29 00010.10.80.102010091A4550 36.6873 .917 20245 Bone biopsy, excisional A 3.95 3.58 3.58 0.44 7.97 7.97 00010.10.80.102010090 36.6873 .917 20250 Open bone biopsy A 5.03 5.07 5.07 0.76 10.86 10.86 00010.10.80.102010090 36.6873 .917 20251 Open bone biopsy A 5.56 5.84 5.84 0.92 12.32 12.32 00010.10.80.102020090 36.6873 .917 20500 Injection of sinus tract A 1.23 0.36 0.36 0.04 1.63 1.63 10010.10.80.102010090 36.6873 .917 20501 Inject sinus tract for x-ray A 0.76 0.30 0.30 0.02 1.08 1.08 00000.00.00.002010090 36.6873 .917 20520 Removal of foreign body A 1.85 0.71 0.71 0.08 2.64 2.64 10010.10.80.102010090 36.6873 .917 20525 Removal of foreign body A 3.50 2.23 2.23 0.33 6.06 6.06 00010.10.80.102010090 36.6873 .917 20550 Inj tendon/ligament/cyst A 0.86 0.38 0.38 0.04 1.28 1.28 10000.00.00.002010090 36.6873 .917 20600 Drain/inject joint/bursa A 0.66 0.47 0.47 0.05 1.18 1.18 10000.00.00.002110090 36.6873 .917 20605 Drain/inject joint/bursa A 0.68 0.45 0.45 0.05 1.18 1.18 10000.00.00.002110090 36.6873 .917 20610 Drain/inject joint/bursa A 0.79 0.45 0.45 0.05 1.29 1.29 10000.00.00.002110090 36.6873 .917 20615 Treatment of bone cyst A 2.28 0.49 0.49 0.06 2.83 2.83 10010.10.80.102010090 36.6873 .917 20650 Insert and remove bone pin A 2.23 1.08 1.08 0.14 3.45 3.45 00010.10.80.102011090 36.6873 .917 20660 Apply,remove fixation device A 2.51 1.56 1.56 0.21 4.28 4.28 00000.00.00.000010090 36.6873 .917 20661 Application of head brace A 4.89 3.82 3.82 0.65 9.36 9.36 00090.10.69.212010090 36.6873 .917 20662 Application of pelvis brace A 6.07 6.54 6.54 1.03 13.64 13.64 00090.10.69.212000090 36.6873 .917 20663 Application of thigh brace A 5.43 4.64 4.64 0.76 10.83 10.83 00090.10.69.212000090 36.6873 .917 20664 Halo brace application A 8.06 3.82 3.82 0.65 12.53 12.53 00090.10.69.212010090 36.6873 .917 20665 Removal of fixation device A 1.31 0.50 0.50 0.07 1.88 1.88 00010.10.80.102000090 36.6873 .917 20670 Removal of support implant A 1.74 0.74 0.74 0.11 2.59 2.59 10010.10.80.102010090 36.6873 .917 20680 Removal of support implant A 3.35 3.33 3.33 0.51 7.19 7.19 00090.10.69.212000090 36.6873 .917 20690 Apply bone fixation device A 3.52 3.66 3.66 0.58 7.76 7.76 00ZZZ.00.00.000010090 36.6873 .917 20692 Apply bone fixation device A 6.41 5.51 5.51 0.89 12.81 12.81 00ZZZ.00.00.000021090 36.6873 .917 20693 Adjust bone fixation device A 5.86 2.49 2.49 0.42 8.77 8.77 00090.10.69.212010090 36.6873 .917 20694 Remove bone fixation device A 4.16 2.60 2.60 0.41 7.17 7.17 00090.10.69.212010090 36.6873 .917 20802 Replantation, arm, complete A 41.15 37.72 37.72 6.17 85.04 85.04 00090.10.69.212121090 36.6873 .917 20805 Replant forearm, complete A 50.00 46.17 46.17 7.56 103.73 103.73 00090.10.69.212121090 36.6873 .917 20808 Replantation, hand, complete A 61.65 57.40 57.40 9.40 128.45 128.45 00090.10.69.212121090 36.6873 .917 20816 Replantation digit, complete A 30.94 28.30 28.30 4.63 63.87 63.87 00090.10.69.212021090 36.6873 .917 20822 Replantation digit, complete A 25.59 23.39 23.39 3.83 52.81 52.81 00090.10.69.212021090 36.6873 .917 20824 Replantation thumb, complete A 30.94 28.30 28.30 4.63 63.87 63.87 00090.10.69.212121090 36.6873 .917 20827 Replantation thumb, complete A 26.41 24.05 24.05 3.94 54.40 54.40 00090.10.69.212121090 36.6873 .917 20838 Replantation, foot, complete A 41.41 37.72 37.72 6.17 85.30 85.30 00090.10.69.212121090 36.6873 .917 20900 Removal of bone for graft A 5.58 2.80 2.80 0.45 8.83 8.83 00090.10.69.212021090 36.6873 .917 20902 Removal of bone for graft A 7.55 4.95 4.95 0.80 13.30 13.30 00090.10.69.212021090 36.6873 .917 20910 Remove cartilage for graft A 5.34 0.79 0.79 0.09 6.22 6.22 00090.10.69.212000090 36.6873 .917 20912 Remove cartilage for graft A 6.35 4.62 4.62 0.64 11.61 11.61 00090.10.69.212000090 36.6873 .917 20920 Removal of fascia for graft A 5.31 3.93 3.93 0.50 9.74 9.74 00090.10.69.212011090 36.6873 .917 20922 Removal of fascia for graft A 6.61 4.39 4.39 0.71 11.71 11.71 00090.10.69.212021090 36.6873 .917 20924 Removal of tendon for graft A 6.48 5.45 5.45 0.85 12.78 12.78 00090.10.69.212021090 36.6873 .917 20926 Removal of tissue for graft A 5.53 2.59 2.59 0.39 8.51 8.51 00090.10.69.212010090 36.6873 .917 20930 Spinal bone allograft B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 20931 Spinal bone allograft A 1.81 1.73 1.73 0.28 3.82 3.82 00ZZZ.00.00.000111090 36.6873 .917 20936 Spinal bone autograft B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 20937 Spinal bone autograft A 2.79 2.66 2.66 0.44 5.89 5.89 00ZZZ.00.00.000121090 36.6873 .917 20938 Spinal bone autograft A 3.02 2.88 2.88 0.47 6.37 6.37 00ZZZ.00.00.000121090 36.6873 .917 20950 Record fluid pressure,muscle A 1.26 1.09 1.09 0.17 2.52 2.52 00000.00.00.002000090 36.6873 .917 20955 Fibula bone graft, microvasc A 39.21 35.84 35.84 5.87 80.92 80.92 00090.10.69.212021090 36.6873 .917 20956 Iliac bone graft, microvasc A 39.27 26.90 26.90 5.26 71.43 71.43 00090.10.69.212021090 36.6873 .917 20957 Mt bone graft, microvasc A 40.65 27.87 27.87 5.45 73.97 73.97 00090.10.69.212021090 36.6873 .917 20962 Other bone graft, microvasc A 39.27 26.90 26.90 5.26 71.43 71.43 00090.10.69.212021090 36.6873 .917 20969 Bone/skin graft, microvasc A 43.92 40.13 40.13 6.57 90.62 90.62 00090.10.69.212021090 36.6873 .917 20970 Bone/skin graft, iliac crest A 43.06 39.31 39.31 6.44 88.81 88.81 00090.10.69.212021090 36.6873 .917 20972 Bone-skin graft, metatarsal A 42.99 39.61 39.61 6.49 89.09 89.09 00090.10.69.212020090 36.6873 .917 20973 Bone-skin graft, great toe A 45.76 42.25 42.25 6.91 94.92 94.92 00090.10.69.212021090 36.6873 .917 20974 Electrical bone stimulation A 0.62 3.42 3.42 0.53 4.57 4.57 10000.00.00.000010090 36.6873 .917 20975 Electrical bone stimulation A 2.60 2.86 2.86 0.56 6.02 6.02 00ZZZ.00.00.000021090 36.6873 .917 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 21010 Incision of jaw joint A 10.14 10.24 10.24 0.93 21.31 21.31 00090.10.69.212100090 36.6873 .917 21015 Resection of facial tumor A 5.29 5.82 5.82 1.13 12.24 12.24 00090.10.69.212010090 36.6873 .917 21025 Excision of bone, lower jaw A 10.06 4.14 4.14 0.38 14.58 14.58 10090.10.69.212010090 36.6873 .917 21026 Excision of facial bone(s) A 4.85 3.14 3.14 0.28 8.27 8.27 10090.10.69.212010090 36.6873 .917 21029 Contour of face bone lesion A 7.71 8.48 8.48 0.78 16.97 16.97 10090.10.69.212000090 36.6873 .917 21030 Removal of face bone lesion A 6.46 3.35 3.35 0.29 10.10 10.10 10090.10.69.212010090 36.6873 .917 21031 Remove exostosis, mandible A 3.24 3.68 3.68 0.32 7.24 7.24 10090.10.69.212010090 36.6873 .917 21032 Remove exostosis, maxilla A 3.24 3.88 3.88 0.35 7.47 7.47 10090.10.69.212010090 36.6873 .917 21034 Removal of face bone lesion A 16.17 6.98 6.98 0.89 24.04 24.04 00090.10.69.212021090 36.6873 .917 21040 Removal of jaw bone lesion A 2.11 2.76 2.76 0.24 5.11 5.11 10090.10.69.212010090 36.6873 .917 21041 Removal of jaw bone lesion A 6.71 5.76 5.76 0.50 12.97 12.97 10090.10.69.212010090 36.6873 .917 21044 Removal of jaw bone lesion A 11.86 9.55 9.55 1.11 22.52 22.52 00090.10.69.212021090 36.6873 .917 21045 Extensive jaw surgery A 16.17 13.83 13.83 1.58 31.58 31.58 00090.10.69.212021090 36.6873 .917 21050 Removal of jaw joint A 10.77 11.85 11.85 1.08 23.70 23.70 00090.10.69.212100090 36.6873 .917 21060 Remove jaw joint cartilage A 10.23 11.25 11.25 1.04 22.52 22.52 00090.10.69.212121090 36.6873 .917 21070 Remove coronoid process A 8.20 6.81 6.81 0.82 15.83 15.83 00090.10.69.212100090 36.6873 .917 21076 Prepare face/oral prosthesis A 13.42 14.76 14.76 1.35 29.53 29.53 10010.10.80.102000090 36.6873 .917 21077 Prepare face/oral prosthesis A 33.75 37.13 37.13 3.39 74.27 74.27 10090.10.69.212100090 36.6873 .917 21079 Prepare face/oral prosthesis A 22.34 27.93 27.93 2.25 52.52 52.52 10090.10.69.212010090 36.6873 .917 21080 Prepare face/oral prosthesis A 25.10 31.38 31.38 2.52 59.00 59.00 10090.10.69.212010090 36.6873 .917 21081 Prepare face/oral prosthesis A 22.88 28.59 28.59 2.30 53.77 53.77 10090.10.69.212000090 36.6873 .917 21082 Prepare face/oral prosthesis A 20.87 22.96 22.96 2.10 45.93 45.93 10090.10.69.212000090 36.6873 .917 21083 Prepare face/oral prosthesis A 19.30 24.13 24.13 1.94 45.37 45.37 10090.10.69.212000090 36.6873 .917 21084 Prepare face/oral prosthesis A 22.51 28.14 28.14 2.28 52.93 52.93 10090.10.69.212000090 36.6873 .917 21085 Prepare face/oral prosthesis A 9.00 9.90 9.90 0.90 19.80 19.80 10010.10.80.102000090 36.6873 .917 21086 Prepare face/oral prosthesis A 24.92 31.15 31.15 2.51 58.58 58.58 10090.10.69.212100090 36.6873 .917 21087 Prepare face/oral prosthesis A 24.92 27.41 27.41 2.51 54.84 54.84 10090.10.69.212000090 36.6873 .917 21088 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 10090.10.69.210000090 36.6873 .917 21089 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 10090.10.69.210010090 36.6873 .917 21100 Maxillofacial fixation A 4.22 1.06 1.06 0.11 5.39 5.39 00090.10.69.212000090 36.6873 .917 21110 Interdental fixation A 5.21 5.53 5.53 0.46 11.20 11.20 10090.10.69.212010090 36.6873 .917 21116 Injection, jaw joint x-ray A 0.81 0.73 0.73 0.06 1.60 1.60 00000.00.00.002010090 36.6873 .917 21120 Reconstruction of chin A 4.93 3.59 3.59 0.42 8.94 8.94 00090.10.69.212011090 36.6873 .917 21121 Reconstruction of chin A 7.64 5.65 5.65 0.66 13.95 13.95 00090.10.69.212020090 36.6873 .917 21122 Reconstruction of chin A 8.52 6.23 6.23 0.73 15.48 15.48 00090.10.69.212020090 36.6873 .917 21123 Reconstruction of chin A 11.16 8.14 8.14 0.95 20.25 20.25 00090.10.69.212021090 36.6873 .917 21125 Augmentation lower jaw bone A 10.62 4.72 4.72 0.54 15.88 15.88 00090.10.69.212020090 36.6873 .917 21127 Augmentation lower jaw bone A 11.12 7.91 7.91 0.92 19.95 19.95 00090.10.69.212021090 36.6873 .917 21137 Reduction of forehead A 9.82 7.11 7.11 0.83 17.76 17.76 00090.10.69.212020090 36.6873 .917 21138 Reduction of forehead A 12.19 8.86 8.86 1.04 22.09 22.09 00090.10.69.212021090 36.6873 .917 21139 Reduction of forehead A 14.61 10.64 10.64 1.25 26.50 26.50 00090.10.69.212021090 36.6873 .917 21141 Reconstruct midface, lefort A 18.10 14.34 14.34 1.68 34.12 34.12 00090.10.69.212021090 36.6873 .917 21142 Reconstruct midface, lefort A 18.81 14.84 14.84 1.74 35.39 35.39 00090.10.69.212021090 36.6873 .917 21143 Reconstruct midface, lefort A 19.58 15.40 15.40 1.81 36.79 36.79 00090.10.69.212021090 36.6873 .917 21145 Reconstruct midface, lefort A 19.94 14.34 14.34 1.68 35.96 35.96 00090.10.69.212020090 36.6873 .917 21146 Reconstruct midface, lefort A 20.71 14.84 14.84 1.74 37.29 37.29 00090.10.69.212021090 36.6873 .917 21147 Reconstruct midface, lefort A 21.77 15.40 15.40 1.81 38.98 38.98 00090.10.69.212020090 36.6873 .917 21150 Reconstruct midface, lefort A 25.24 18.46 18.46 2.17 45.87 45.87 00090.10.69.212020090 36.6873 .917 21151 Reconstruct midface, lefort A 28.30 20.68 20.68 2.42 51.40 51.40 00090.10.69.212020090 36.6873 .917 21154 Reconstruct midface, lefort A 30.52 22.15 22.15 2.59 55.26 55.26 00090.10.69.212021090 36.6873 .917 21155 Reconstruct midface, lefort A 34.45 25.11 25.11 2.94 62.50 62.50 00090.10.69.212020090 36.6873 .917 21159 Reconstruct midface, lefort A 42.38 31.02 31.02 3.63 77.03 77.03 00090.10.69.212021090 36.6873 .917 21160 Reconstruct midface, lefort A 46.44 33.96 33.96 3.98 84.38 84.38 00090.10.69.212020090 36.6873 .917 21172 Reconstruct orbit/forehead A 27.80 20.30 20.30 2.37 50.47 50.47 00090.10.69.212021090 36.6873 .917 21175 Reconstruct orbit/forehead A 33.17 24.37 24.37 2.85 60.39 60.39 00090.10.69.212020090 36.6873 .917 21179 Reconstruct entire forehead A 22.25 16.24 16.24 1.90 40.39 40.39 00090.10.69.212020090 36.6873 .917 21180 Reconstruct entire forehead A 25.19 18.46 18.46 2.17 45.82 45.82 00090.10.69.212021090 36.6873 .917 21181 Contour cranial bone lesion A 9.90 7.11 7.11 0.83 17.84 17.84 00090.10.69.212000090 36.6873 .917 21182 Reconstruct cranial bone A 32.19 23.63 23.63 2.77 58.59 58.59 00090.10.69.212021090 36.6873 .917 21183 Reconstruct cranial bone A 35.31 25.85 25.85 3.03 64.19 64.19 00090.10.69.212021090 36.6873 .917 21184 Reconstruct cranial bone A 38.24 28.06 28.06 3.28 69.58 69.58 00090.10.69.212020090 36.6873 .917 21188 Reconstruction of midface A 22.46 16.24 16.24 1.90 40.60 40.60 00090.10.69.212020090 36.6873 .917 21193 Reconstruct lower jaw bone A 17.15 12.31 12.31 1.44 30.90 30.90 00090.10.69.212221090 36.6873 .917 21194 Reconstruct lower jaw bone A 19.84 14.26 14.26 1.67 35.77 35.77 00090.10.69.212220090 36.6873 .917 21195 Reconstruct lower jaw bone A 17.24 12.34 12.34 1.44 31.02 31.02 00090.10.69.212220090 36.6873 .917 21196 Reconstruct lower jaw bone A 18.91 13.61 13.61 1.58 34.10 34.10 00090.10.69.212221090 36.6873 .917 21198 Reconstruct lower jaw bone A 14.16 14.82 14.82 1.74 30.72 30.72 00090.10.69.212021090 36.6873 .917 21206 Reconstruct upper jaw bone A 14.10 10.14 10.14 1.19 25.43 25.43 00090.10.69.212021090 36.6873 .917 21208 Augmentation of facial bones A 10.23 11.25 11.25 1.07 22.55 22.55 00090.10.69.212000090 36.6873 .917 21209 Reduction of facial bones A 6.72 4.59 4.59 0.76 12.07 12.07 00090.10.69.212020090 36.6873 .917 21210 Face bone graft A 10.23 11.25 11.25 1.29 22.77 22.77 10090.10.69.212010090 36.6873 .917 21215 Lower jaw bone graft A 10.77 11.85 11.85 1.42 24.04 24.04 10090.10.69.212011090 36.6873 .917 21230 Rib cartilage graft A 10.77 10.37 10.37 1.69 22.83 22.83 00090.10.69.212000090 36.6873 .917 21235 Ear cartilage graft A 6.72 7.39 7.39 1.09 15.20 15.20 00090.10.69.212010090 36.6873 .917 21240 Reconstruction of jaw joint A 14.05 15.46 15.46 2.09 31.60 31.60 00090.10.69.212121090 36.6873 .917 21242 Reconstruction of jaw joint A 12.95 14.25 14.25 2.25 29.45 29.45 00090.10.69.212121090 36.6873 .917 21243 Reconstruction of jaw joint A 20.79 14.40 14.40 1.68 36.87 36.87 00090.10.69.212121090 36.6873 .917 21244 Reconstruction of lower jaw A 11.86 13.05 13.05 1.93 26.84 26.84 00090.10.69.212021090 36.6873 .917 21245 Reconstruction of jaw A 11.86 11.47 11.47 1.31 24.64 24.64 00090.10.69.212020090 36.6873 .917 21246 Reconstruction of jaw A 12.47 8.83 8.83 1.04 22.34 22.34 00090.10.69.212020090 36.6873 .917 21247 Reconstruct lower jaw bone A 22.63 24.89 24.89 2.27 49.79 49.79 00090.10.69.212021090 36.6873 .917 21248 Reconstruction of jaw A 11.48 12.63 12.63 1.75 25.86 25.86 10090.10.69.212010090 36.6873 .917 21249 Reconstruction of jaw A 17.52 19.27 19.27 3.29 40.08 40.08 10090.10.69.212000090 36.6873 .917 21255 Reconstruct lower jaw bone A 16.72 18.39 18.39 1.68 36.79 36.79 00090.10.69.212021090 36.6873 .917 21256 Reconstruction of orbit A 16.19 17.81 17.81 1.63 35.63 35.63 00090.10.69.212021090 36.6873 .917 21260 Revise eye sockets A 16.52 18.17 18.17 1.66 36.35 36.35 00090.10.69.212021090 36.6873 .917 21261 Revise eye sockets A 31.49 17.78 17.78 1.65 50.92 50.92 00090.10.69.212021090 36.6873 .917 21263 Revise eye sockets A 28.42 31.26 31.26 2.86 62.54 62.54 00090.10.69.212021090 36.6873 .917 21267 Revise eye sockets A 18.90 14.61 14.61 2.13 35.64 35.64 00090.10.69.212021090 36.6873 .917 21268 Revise eye sockets A 24.48 15.35 15.35 3.13 42.96 42.96 00090.10.69.212021090 36.6873 .917 21270 Augmentation cheek bone A 10.23 9.60 9.60 1.41 21.24 21.24 00090.10.69.212021090 36.6873 .917 21275 Revision orbitofacial bones A 11.24 8.95 8.95 1.26 21.45 21.45 00090.10.69.212021090 36.6873 .917 21280 Revision of eyelid A 6.03 6.63 6.63 0.61 13.27 13.27 00090.10.69.212100090 36.6873 .917 21282 Revision of eyelid A 3.49 3.84 3.84 0.79 8.12 8.12 00090.10.69.212110090 36.6873 .917 21295 Revision of jaw muscle/bone A 1.53 0.96 0.96 0.13 2.62 2.62 00090.10.69.212000090 36.6873 .917 21296 Revision of jaw muscle/bone A 4.25 3.62 3.62 0.22 8.09 8.09 00090.10.69.212000090 36.6873 .917 21299 Cranio/maxillofacial surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 21300 Treatment of skull fracture A 0.72 0.92 0.79 0.11 1.75 1.62 20000.00.00.002000090 36.6873 .917 21310 Treatment of nose fracture A 0.58 0.75 0.64 0.09 1.42 1.31 20000.00.00.002010090 36.6873 .917 21315 Treatment of nose fracture A 1.51 1.81 1.66 0.21 3.53 3.38 20010.10.80.102010090 36.6873 .917 21320 Treatment of nose fracture A 1.85 2.33 2.04 0.34 4.52 4.23 20010.10.80.102010090 36.6873 .917 21325 Repair of nose fracture A 3.77 4.09 4.09 0.52 8.38 8.38 00090.10.69.212000090 36.6873 .917 21330 Repair of nose fracture A 5.38 5.92 5.92 0.86 12.16 12.16 00090.10.69.212000090 36.6873 .917 21335 Repair of nose fracture A 8.61 9.47 9.47 1.56 19.64 19.64 00090.10.69.212010090 36.6873 .917 21336 Repair nasal septal fracture A 5.72 4.09 4.09 0.52 10.33 10.33 00090.10.69.212000090 36.6873 .917 21337 Repair nasal septal fracture A 2.70 2.82 2.82 0.38 5.90 5.90 00090.10.69.212000090 36.6873 .917 21338 Repair nasoethmoid fracture A 6.46 5.01 5.01 0.66 12.13 12.13 00090.10.69.212000090 36.6873 .917 21339 Repair nasoethmoid fracture A 8.09 7.09 7.09 0.70 15.88 15.88 00090.10.69.212021090 36.6873 .917 21340 Repair of nose fracture A 10.77 8.91 8.91 1.04 20.72 20.72 00090.10.69.212000090 36.6873 .917 21343 Repair of sinus fracture A 12.95 9.17 9.17 1.08 23.20 23.20 00090.10.69.212021090 36.6873 .917 21344 Repair of sinus fracture A 19.72 9.17 9.17 1.08 29.97 29.97 00090.10.69.212022090 36.6873 .917 21345 Repair of nose/jaw fracture A 8.16 7.90 7.90 0.81 16.87 16.87 00090.10.69.212000090 36.6873 .917 21346 Repair of nose/jaw fracture A 10.61 9.40 9.40 1.04 21.05 21.05 00090.10.69.212011090 36.6873 .917 21347 Repair of nose/jaw fracture A 12.69 10.36 10.36 1.36 24.41 24.41 00090.10.69.212021090 36.6873 .917 21348 Repair of nose/jaw fracture A 16.69 11.34 11.34 2.22 30.25 30.25 00090.10.69.212022090 36.6873 .917 21355 Repair cheek bone fracture A 3.77 1.56 1.56 0.17 5.50 5.50 00010.10.80.102000090 36.6873 .917 21356 Repair cheek bone fracture A 4.15 4.57 4.57 0.89 9.61 9.61 00010.10.80.102000090 36.6873 .917 21360 Repair cheek bone fracture A 6.46 7.11 7.11 0.89 14.46 14.46 00090.10.69.212020090 36.6873 .917 21365 Repair cheek bone fracture A 14.95 12.35 12.35 1.63 28.93 28.93 00090.10.69.212021090 36.6873 .917 21366 Repair cheek bone fracture A 17.77 12.08 12.08 2.36 32.21 32.21 00090.10.69.212022090 36.6873 .917 21385 Repair eye socket fracture A 9.16 9.59 9.59 1.13 19.88 19.88 00090.10.69.212021090 36.6873 .917 21386 Repair eye socket fracture A 9.16 9.07 9.07 1.25 19.48 19.48 00090.10.69.212020090 36.6873 .917 21387 Repair eye socket fracture A 9.70 7.45 7.45 0.96 18.11 18.11 00090.10.69.212020090 36.6873 .917 21390 Repair eye socket fracture A 10.13 11.14 11.14 1.37 22.64 22.64 00090.10.69.212021090 36.6873 .917 21395 Repair eye socket fracture A 12.68 9.63 9.63 1.37 23.68 23.68 00090.10.69.212021090 36.6873 .917 21400 Treat eye socket fracture A 1.40 1.67 1.54 0.17 3.24 3.11 20090.10.69.212000090 36.6873 .917 21401 Repair eye socket fracture A 3.26 2.58 2.58 0.32 6.16 6.16 00090.10.69.212020090 36.6873 .917 21406 Repair eye socket fracture A 7.01 5.21 5.21 0.74 12.96 12.96 00090.10.69.212021090 36.6873 .917 21407 Repair eye socket fracture A 8.61 7.09 7.09 0.78 16.48 16.48 00090.10.69.212021090 36.6873 .917 21408 Repair eye socket fracture A 12.38 8.49 8.49 0.99 21.86 21.86 00090.10.69.212022090 36.6873 .917 21421 Treat mouth roof fracture A 5.14 6.14 5.65 0.62 11.90 11.41 20090.10.69.212000090 36.6873 .917 21422 Repair mouth roof fracture A 8.32 9.15 9.15 1.19 18.66 18.66 00090.10.69.212021090 36.6873 .917 21423 Repair mouth roof fracture A 10.40 9.80 9.80 1.19 21.39 21.39 00090.10.69.212022090 36.6873 .917 21431 Treat craniofacial fracture A 7.05 6.02 6.02 0.71 13.78 13.78 00090.10.69.212020090 36.6873 .917 21432 Repair craniofacial fracture A 8.61 6.76 6.76 0.84 16.21 16.21 00090.10.69.212020090 36.6873 .917 21433 Repair craniofacial fracture A 25.35 17.96 17.96 2.10 45.41 45.41 00090.10.69.212021090 36.6873 .917 21435 Repair craniofacial fracture A 17.25 13.25 13.25 1.88 32.38 32.38 00090.10.69.212020090 36.6873 .917 21436 Repair craniofacial fracture A 28.04 14.65 14.65 2.08 44.77 44.77 00090.10.69.212022090 36.6873 .917 21440 Repair dental ridge fracture A 2.70 3.07 2.97 0.28 6.05 5.95 20090.10.69.212000090 36.6873 .917 21445 Repair dental ridge fracture A 5.38 6.11 5.92 0.56 12.05 11.86 20090.10.69.212020090 36.6873 .917 21450 Treat lower jaw fracture A 2.97 2.84 2.84 0.26 6.07 6.07 00090.10.69.212000090 36.6873 .917 21451 Treat lower jaw fracture A 4.87 5.83 5.36 0.74 11.44 10.97 20090.10.69.212000090 36.6873 .917 21452 Treat lower jaw fracture A 1.98 1.39 1.39 0.17 3.54 3.54 00090.10.69.212000090 36.6873 .917 21453 Treat lower jaw fracture A 5.54 6.64 6.09 0.55 12.73 12.18 20090.10.69.212000090 36.6873 .917 21454 Treat lower jaw fracture A 6.46 7.11 7.11 1.42 14.99 14.99 00090.10.69.212001090 36.6873 .917 21461 Repair lower jaw fracture A 8.09 8.90 8.90 1.30 18.29 18.29 00090.10.69.212021090 36.6873 .917 21462 Repair lower jaw fracture A 9.79 10.77 10.77 1.34 21.90 21.90 00090.10.69.212021090 36.6873 .917 21465 Repair lower jaw fracture A 11.91 8.44 8.44 0.99 21.34 21.34 00090.10.69.212021090 36.6873 .917 21470 Repair lower jaw fracture A 15.34 16.87 16.87 1.74 33.95 33.95 00090.10.69.212021090 36.6873 .917 21480 Reset dislocated jaw A 0.61 0.78 0.67 0.09 1.48 1.37 20000.00.00.002110090 36.6873 .917 21485 Reset dislocated jaw A 3.99 2.19 2.19 0.20 6.38 6.38 10090.10.69.212100090 36.6873 .917 21490 Repair dislocated jaw A 11.86 6.31 6.31 0.52 18.69 18.69 00090.10.69.212121090 36.6873 .917 21493 Treat hyoid bone fracture A 1.27 1.52 1.40 0.13 2.92 2.80 20090.10.69.212011090 36.6873 .917 21494 Repair hyoid bone fracture A 6.28 7.52 7.52 0.63 14.43 14.43 00090.10.69.212021090 36.6873 .917 21495 Repair hyoid bone fracture A 5.69 4.82 4.82 0.51 11.02 11.02 00090.10.69.212020090 36.6873 .917 21497 Interdental wiring A 3.86 3.97 3.97 0.38 8.21 8.21 00090.10.69.212000090 36.6873 .917 21499 Head surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 21501 Drain neck/chest lesion A 3.81 1.82 1.82 0.26 5.89 5.89 00090.10.69.212010090 36.6873 .917 21502 Drain chest lesion A 7.12 4.22 4.22 0.75 12.09 12.09 00090.10.69.212020090 36.6873 .917 21510 Drainage of bone lesion A 5.74 3.82 3.82 0.50 10.06 10.06 00090.10.69.212000090 36.6873 .917 21550 Biopsy of neck/chest A 2.06 0.85 0.85 0.12 3.03 3.03 10010.10.80.102010090 36.6873 .917 21555 Remove lesion neck/chest A 4.35 1.60 1.60 0.25 6.20 6.20 00090.10.69.212010090 36.6873 .917 21556 Remove lesion neck/chest A 5.57 3.80 3.80 0.64 10.01 10.01 00090.10.69.212010090 36.6873 .917 21557 Remove tumor, neck or chest A 8.88 8.50 8.50 1.41 18.79 18.79 00090.10.69.212021090 36.6873 .917 21600 Partial removal of rib A 6.89 4.50 4.50 0.88 12.27 12.27 00090.10.69.212021090 36.6873 .917 21610 Partial removal of rib A 14.61 5.17 5.17 0.76 20.54 20.54 00090.10.69.212020090 36.6873 .917 21615 Removal of rib A 9.87 10.13 10.13 1.96 21.96 21.96 00090.10.69.212121090 36.6873 .917 21616 Removal of rib and nerves A 12.04 7.26 7.26 1.50 20.80 20.80 00090.10.69.212120090 36.6873 .917 21620 Partial removal of sternum A 6.79 6.85 6.85 1.23 14.87 14.87 00090.10.69.212021090 36.6873 .917 21627 Sternal debridement A 6.81 5.03 5.03 0.90 12.74 12.74 00090.10.69.212020090 36.6873 .917 21630 Extensive sternum surgery A 17.38 12.89 12.89 2.40 32.67 32.67 00090.10.69.212021090 36.6873 .917 21632 Extensive sternum surgery A 18.14 11.54 11.54 2.22 31.90 31.90 00090.10.69.212021090 36.6873 .917 21700 Revision of neck muscle A 6.19 4.16 4.16 0.50 10.85 10.85 00090.10.69.212020090 36.6873 .917 21705 Revision of neck muscle/rib A 9.60 4.85 4.85 0.96 15.41 15.41 00090.10.69.212020090 36.6873 .917 21720 Revision of neck muscle A 5.68 3.84 3.84 0.52 10.04 10.04 00090.10.69.212020090 36.6873 .917 21725 Revision of neck muscle A 6.99 4.84 4.84 0.74 12.57 12.57 00090.10.69.212021090 36.6873 .917 21740 Reconstruction of sternum A 16.50 8.99 8.99 1.64 27.13 27.13 00090.10.69.212021090 36.6873 .917 21750 Repair of sternum separation A 10.77 7.33 7.33 1.43 19.53 19.53 00090.10.69.212021090 36.6873 .917 21800 Treatment of rib fracture A 0.96 0.77 0.77 0.07 1.80 1.80 00090.10.69.212010090 36.6873 .917 21805 Treatment of rib fracture A 2.75 1.35 1.35 0.17 4.27 4.27 00090.10.69.212000090 36.6873 .917 21810 Treatment of rib fracture(s) A 6.86 7.33 7.33 0.61 14.80 14.80 00090.10.69.212020090 36.6873 .917 21820 Treat sternum fracture A 1.28 1.36 1.36 0.17 2.81 2.81 00090.10.69.212010090 36.6873 .917 21825 Repair sternum fracture A 7.41 6.90 6.90 1.12 15.43 15.43 00090.10.69.212021090 36.6873 .917 21899 Neck/chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 21920 Biopsy soft tissue of back A 2.06 0.79 0.79 0.11 2.96 2.96 10010.10.80.102010090 36.6873 .917 21925 Biopsy soft tissue of back A 4.49 1.95 1.95 0.32 6.76 6.76 00090.10.69.212010090 36.6873 .917 21930 Remove lesion, back or flank A 5.00 2.72 2.72 0.49 8.21 8.21 00090.10.69.212010090 36.6873 .917 21935 Remove tumor of back A 17.96 6.59 6.59 1.30 25.85 25.85 00090.10.69.212011090 36.6873 .917 22100 Remove part of neck vertebra A 9.73 7.64 7.64 1.09 18.46 18.46 00090.10.69.212021090 36.6873 .917 22101 Remove part, thorax vertebra A 9.81 8.01 8.01 1.38 19.20 19.20 00090.10.69.212021090 36.6873 .917 22102 Remove part, lumbar vertebra A 9.81 4.50 4.50 0.67 14.98 14.98 00090.10.69.212021090 36.6873 .917 22103 Remove extra spine segment A 2.34 2.23 2.23 0.37 4.94 4.94 00ZZZ.00.00.000021090 36.6873 .917 22110 Remove part of neck vertebra A 12.74 9.72 9.72 1.64 24.10 24.10 00090.10.69.212021090 36.6873 .917 22112 Remove part, thorax vertebra A 12.81 9.90 9.90 1.63 24.34 24.34 00090.10.69.212021090 36.6873 .917 22114 Remove part, lumbar vertebra A 12.81 7.25 7.25 1.17 21.23 21.23 00090.10.69.212021090 36.6873 .917 22116 Remove extra spine segment A 2.32 2.21 2.21 0.36 4.89 4.89 00ZZZ.00.00.000021090 36.6873 .917 22210 Revision of neck spine A 23.82 13.83 13.83 2.43 40.08 40.08 00090.10.69.212021090 36.6873 .917 22212 Revision of thorax spine A 19.42 17.29 17.29 2.83 39.54 39.54 00090.10.69.212000090 36.6873 .917 22214 Revision of lumbar spine A 19.45 15.11 15.11 2.68 37.24 37.24 00090.10.69.212021090 36.6873 .917 22216 Revise, extra spine segment A 6.04 5.07 5.07 0.89 12.00 12.00 00ZZZ.00.00.000121090 36.6873 .917 22220 Revision of neck spine A 21.37 16.64 16.64 2.63 40.64 40.64 00090.10.69.212021090 36.6873 .917 22222 Revision of thorax spine A 21.52 13.61 13.61 1.58 36.71 36.71 00090.10.69.212000090 36.6873 .917 22224 Revision of lumbar spine A 21.52 14.68 14.68 2.66 38.86 38.86 00090.10.69.212021090 36.6873 .917 22226 Revise, extra spine segment A 6.04 5.07 5.07 0.89 12.00 12.00 00ZZZ.00.00.000121090 36.6873 .917 22305 Treat spine process fracture A 2.05 2.26 2.26 0.37 4.68 4.68 00090.10.69.212010090 36.6873 .917 22310 Treat spine fracture A 2.61 2.52 2.52 0.69 5.82 5.82 00090.10.69.212010090 36.6873 .917 22315 Treat spine fracture A 8.84 5.51 5.51 0.86 15.21 15.21 00090.10.69.212010090 36.6873 .917 22325 Repair of spine fracture A 18.30 8.32 8.32 1.34 27.96 27.96 00090.10.69.212021090 36.6873 .917 22326 Repair neck spine fracture A 19.59 15.93 15.93 2.74 38.26 38.26 00090.10.69.212021090 36.6873 .917 22327 Repair thorax spine fracture A 19.20 15.95 15.95 2.35 37.50 37.50 00090.10.69.212021090 36.6873 .917 22328 Repair each add spine fx A 4.61 4.40 4.40 0.72 9.73 9.73 00ZZZ.00.00.000021090 36.6873 .917 22505 Manipulation of spine A 1.87 1.31 1.31 0.17 3.35 3.35 00010.10.80.102010090 36.6873 .917 22548 Neck spine fusion A 25.82 22.74 22.74 3.82 52.38 52.38 00090.10.69.212022090 36.6873 .917 22554 Neck spine fusion A 18.62 19.81 19.81 3.52 41.95 41.95 00090.10.69.212022090 36.6873 .917 22556 Thorax spine fusion A 23.46 21.68 21.68 3.58 48.72 48.72 00090.10.69.212022090 36.6873 .917 22558 Lumbar spine fusion A 22.28 20.17 20.17 3.38 45.83 45.83 00090.10.69.212022090 36.6873 .917 22585 Additional spinal fusion A 5.53 5.40 5.40 0.93 11.86 11.86 00ZZZ.00.00.000022090 36.6873 .917 22590 Spine & skull spinal fusion A 20.51 21.57 21.57 3.44 45.52 45.52 00090.10.69.212022090 36.6873 .917 22595 Neck spinal fusion A 19.39 21.33 21.33 3.87 44.59 44.59 00090.10.69.212022090 36.6873 .917 22600 Neck spine fusion A 16.14 17.75 17.75 3.32 37.21 37.21 00090.10.69.212022090 36.6873 .917 22610 Thorax spine fusion A 16.02 17.62 17.62 2.75 36.39 36.39 00090.10.69.212022090 36.6873 .917 22612 Lumbar spine fusion A 21.00 20.60 20.60 3.33 44.93 44.93 00090.10.69.212022090 36.6873 .917 22614 Spine fusion, extra segment A 6.44 5.65 5.65 0.92 13.01 13.01 00ZZZ.00.00.000022090 36.6873 .917 22630 Lumbar spine fusion A 20.84 18.44 18.44 3.15 42.43 42.43 00090.10.69.212022090 36.6873 .917 22632 Spine fusion, extra segment A 5.23 4.99 4.99 0.82 11.04 11.04 00ZZZ.00.00.000022090 36.6873 .917 22800 Fusion of spine A 18.25 20.08 20.08 3.58 41.91 41.91 00090.10.69.212021090 36.6873 .917 22802 Fusion of spine A 30.88 28.32 28.32 4.61 63.81 63.81 00090.10.69.212021090 36.6873 .917 22804 Fusion of spine A 36.27 28.32 28.32 4.61 69.20 69.20 00090.10.69.212021090 36.6873 .917 22808 Fusion of spine A 26.27 18.41 18.41 3.15 47.83 47.83 00090.10.69.212021090 36.6873 .917 22810 Fusion of spine A 30.27 18.41 18.41 3.15 51.83 51.83 00090.10.69.212021090 36.6873 .917 22812 Fusion of spine A 32.70 25.93 25.93 4.24 62.87 62.87 00090.10.69.212021090 36.6873 .917 22818 Kyphectomy, 1-2 segments A 31.83 28.25 28.25 4.85 64.93 64.93 00090.11.76.132022290 36.6873 .917 22819 Kyphectomy, 3 & more segment A 36.44 28.25 28.25 4.85 69.54 69.54 00090.11.76.132022290 36.6873 .917 22830 Exploration of spinal fusion A 10.85 11.94 11.94 2.18 24.97 24.97 00090.10.69.212021090 36.6873 .917 22840 Insert spine fixation device A 12.54 5.98 5.98 0.98 19.50 19.50 00ZZZ.00.00.000021090 36.6873 .917 22841 Insert spine fixation device B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 22842 Insert spine fixation device A 12.58 6.86 6.86 1.12 20.56 20.56 00ZZZ.00.00.000022090 36.6873 .917 22843 Insert spine fixation device A 13.46 8.55 8.55 1.40 23.41 23.41 00ZZZ.00.00.000022090 36.6873 .917 22844 Insert spine fixation device A 16.44 10.45 10.45 1.71 28.60 28.60 00ZZZ.00.00.000022090 36.6873 .917 22845 Insert spine fixation device A 11.96 5.70 5.70 0.93 18.59 18.59 00ZZZ.00.00.000022090 36.6873 .917 22846 Insert spine fixation device A 12.42 7.90 7.90 1.29 21.61 21.61 00ZZZ.00.00.000022090 36.6873 .917 22847 Insert spine fixation device A 13.80 8.77 8.77 1.44 24.01 24.01 00ZZZ.00.00.000022090 36.6873 .917 22848 Insert pelvic fixationdevice A 6.00 5.72 5.72 0.94 12.66 12.66 00ZZZ.00.00.000022090 36.6873 .917 22849 Reinsert spinal fixation A 18.51 11.76 11.76 1.97 32.24 32.24 00090.10.69.212021090 36.6873 .917 22850 Remove spine fixation device A 9.52 9.17 9.17 1.50 20.19 20.19 00090.10.69.212021090 36.6873 .917 22851 Apply spine prosth device A 6.71 6.40 6.40 1.05 14.16 14.16 00ZZZ.00.00.000022090 36.6873 .917 22852 Remove spine fixation device A 9.01 9.80 9.80 1.57 20.38 20.38 00090.10.69.212021090 36.6873 .917 22855 Remove spine fixation device A 15.13 7.46 7.46 1.25 23.84 23.84 00090.10.69.212021090 36.6873 .917 22899 Spine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 22900 Remove abdominal wall lesion A 5.80 3.03 3.03 0.60 9.43 9.43 00090.10.69.212021090 36.6873 .917 22999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 23000 Removal of calcium deposits A 4.36 3.24 3.24 0.47 8.07 8.07 00090.10.69.212021090 36.6873 .917 23020 Release shoulder joint A 8.93 7.27 7.27 1.09 17.29 17.29 00090.10.69.212120090 36.6873 .917 23030 Drain shoulder lesion A 3.43 2.16 2.16 0.35 5.94 5.94 00010.10.80.102010090 36.6873 .917 23031 Drain shoulder bursa A 2.74 0.50 0.50 0.05 3.29 3.29 10010.10.80.102110090 36.6873 .917 23035 Drain shoulder bone lesion A 8.61 6.22 6.22 1.04 15.87 15.87 00090.10.69.212120090 36.6873 .917 23040 Exploratory shoulder surgery A 9.20 9.27 9.27 1.47 19.94 19.94 00090.10.69.212121090 36.6873 .917 23044 Exploratory shoulder surgery A 7.12 6.91 6.91 1.18 15.21 15.21 00090.10.69.212111090 36.6873 .917 23065 Biopsy shoulder tissues A 2.27 0.66 0.66 0.09 3.02 3.02 00010.10.80.102110090 36.6873 .917 23066 Biopsy shoulder tissues A 4.16 1.18 1.18 0.10 5.44 5.44 00090.10.69.212110090 36.6873 .917 23075 Removal of shoulder lesion A 2.39 1.68 1.68 0.29 4.36 4.36 00010.10.80.102110090 36.6873 .917 23076 Removal of shoulder lesion A 7.63 3.54 3.54 0.65 11.82 11.82 00090.10.69.212110090 36.6873 .917 23077 Remove tumor of shoulder A 16.09 7.38 7.38 1.38 24.85 24.85 00090.10.69.212121090 36.6873 .917 23100 Biopsy of shoulder joint A 6.03 6.63 6.63 1.24 13.90 13.90 00090.10.69.212121090 36.6873 .917 23101 Shoulder joint surgery A 5.58 6.14 6.14 1.21 12.93 12.93 00090.10.69.212111090 36.6873 .917 23105 Remove shoulder joint lining A 8.23 9.05 9.05 1.73 19.01 19.01 00090.10.69.212121090 36.6873 .917 23106 Incision of collarbone joint A 5.96 4.75 4.75 0.80 11.51 11.51 00090.10.69.212111090 36.6873 .917 23107 Explore,treat shoulder joint A 8.62 9.48 9.48 1.60 19.70 19.70 00090.10.69.212121090 36.6873 .917 23120 Partial removal, collar bone A 7.11 4.61 4.61 0.74 12.46 12.46 00090.10.69.212021090 36.6873 .917 23125 Removal of collarbone A 9.39 8.49 8.49 1.27 19.15 19.15 00090.10.69.212121090 36.6873 .917 23130 Partial removal,shoulderbone A 7.55 7.05 7.05 1.14 15.74 15.74 00090.10.69.212111090 36.6873 .917 23140 Removal of bone lesion A 6.89 4.16 4.16 0.73 11.78 11.78 00090.10.69.212110090 36.6873 .917 23145 Removal of bone lesion A 9.09 8.13 8.13 1.33 18.55 18.55 00090.10.69.212121090 36.6873 .917 23146 Removal of bone lesion A 7.83 5.23 5.23 1.01 14.07 14.07 00090.10.69.212100090 36.6873 .917 23150 Removal of humerus lesion A 8.48 6.64 6.64 1.01 16.13 16.13 00090.10.69.212121090 36.6873 .917 23155 Removal of humerus lesion A 10.35 8.80 8.80 1.37 20.52 20.52 00090.10.69.212121090 36.6873 .917 23156 Removal of humerus lesion A 8.68 7.64 7.64 1.25 17.57 17.57 00090.10.69.212120090 36.6873 .917 23170 Remove collarbone lesion A 6.86 4.81 4.81 0.78 12.45 12.45 00090.10.69.212110090 36.6873 .917 23172 Remove shoulder blade lesion A 6.90 5.16 5.16 0.73 12.79 12.79 00090.10.69.212120090 36.6873 .917 23174 Remove humerus lesion A 9.51 8.55 8.55 1.21 19.27 19.27 00090.10.69.212121090 36.6873 .917 23180 Remove collar bone lesion A 8.53 4.30 4.30 0.67 13.50 13.50 00090.10.69.212111090 36.6873 .917 23182 Remove shoulder blade lesion A 8.15 6.57 6.57 1.13 15.85 15.85 00090.10.69.212120090 36.6873 .917 23184 Remove humerus lesion A 9.38 8.83 8.83 1.48 19.69 19.69 00090.10.69.212121090 36.6873 .917 23190 Partial removal of scapula A 7.24 6.07 6.07 0.98 14.29 14.29 00090.10.69.212121090 36.6873 .917 23195 Removal of head of humerus A 9.81 8.91 8.91 1.45 20.17 20.17 00090.10.69.212121090 36.6873 .917 23200 Removal of collar bone A 12.08 9.17 9.17 1.26 22.51 22.51 00090.10.69.212121090 36.6873 .917 23210 Removal of shoulderblade A 12.49 9.01 9.01 1.41 22.91 22.91 00090.10.69.212121090 36.6873 .917 23220 Partial removal of humerus A 14.56 12.05 12.05 2.03 28.64 28.64 00090.10.69.212121090 36.6873 .917 23221 Partial removal of humerus A 17.74 18.13 18.13 1.19 37.06 37.06 00090.10.69.212120090 36.6873 .917 23222 Partial removal of humerus A 23.92 15.02 15.02 2.30 41.24 41.24 00090.10.69.212121090 36.6873 .917 23330 Remove shoulder foreign body A 1.85 0.55 0.55 0.07 2.47 2.47 10010.10.80.102100090 36.6873 .917 23331 Remove shoulder foreign body A 7.38 2.26 2.26 0.38 10.02 10.02 00090.10.69.212100090 36.6873 .917 23332 Remove shoulder foreign body A 11.62 9.72 9.72 1.57 22.91 22.91 00090.10.69.212121090 36.6873 .917 23350 Injection for shoulder x-ray A 1.00 0.52 0.52 0.05 1.57 1.57 00000.00.00.002110090 36.6873 .917 23395 Muscle transfer,shoulder/arm A 16.85 11.13 11.13 1.84 29.82 29.82 00090.10.69.212021090 36.6873 .917 23397 Muscle transfers A 16.13 13.97 13.97 2.34 32.44 32.44 00090.10.69.212021090 36.6873 .917 23400 Fixation of shoulder blade A 13.54 9.84 9.84 1.68 25.06 25.06 00090.10.69.212121090 36.6873 .917 23405 Incision of tendon & muscle A 8.37 7.49 7.49 0.99 16.85 16.85 00090.10.69.212021090 36.6873 .917 23406 Incise tendon(s) & muscle(s) A 10.79 9.41 9.41 1.58 21.78 21.78 00090.10.69.212020090 36.6873 .917 23410 Repair of tendon(s) A 12.45 10.94 10.94 1.75 25.14 25.14 00090.10.69.212021090 36.6873 .917 23412 Repair of tendon(s) A 13.31 13.37 13.37 2.16 28.84 28.84 00090.10.69.212121090 36.6873 .917 23415 Release of shoulder ligament A 9.97 5.18 5.18 0.83 15.98 15.98 00090.10.69.212111090 36.6873 .917 23420 Repair of shoulder A 13.30 14.63 14.63 2.34 30.27 30.27 00090.10.69.212121090 36.6873 .917 23430 Repair biceps tendon A 9.98 7.34 7.34 1.19 18.51 18.51 00090.10.69.212121090 36.6873 .917 23440 Removal/transplant tendon A 10.48 7.17 7.17 1.17 18.82 18.82 00090.10.69.212121090 36.6873 .917 23450 Repair shoulder capsule A 13.40 12.75 12.75 2.04 28.19 28.19 00090.10.69.212121090 36.6873 .917 23455 Repair shoulder capsule A 14.37 15.56 15.56 2.50 32.43 32.43 00090.10.69.212121090 36.6873 .917 23460 Repair shoulder capsule A 15.37 14.07 14.07 2.24 31.68 31.68 00090.10.69.212121090 36.6873 .917 23462 Repair shoulder capsule A 15.30 15.13 15.13 2.48 32.91 32.91 00090.10.69.212121090 36.6873 .917 23465 Repair shoulder capsule A 15.85 14.15 14.15 2.27 32.27 32.27 00090.10.69.212121090 36.6873 .917 23466 Repair shoulder capsule A 14.22 15.64 15.64 2.67 32.53 32.53 00090.10.69.212121090 36.6873 .917 23470 Reconstruct shoulder joint A 17.15 16.76 16.76 2.65 36.56 36.56 00090.10.69.212121090 36.6873 .917 23472 Reconstruct shoulder joint A 16.92 18.61 18.61 4.89 40.42 40.42 00090.10.69.212121090 36.6873 .917 23480 Revision of collarbone A 11.18 6.59 6.59 1.02 18.79 18.79 00090.10.69.212111090 36.6873 .917 23485 Revision of collar bone A 13.43 11.35 11.35 1.87 26.65 26.65 00090.10.69.212121090 36.6873 .917 23490 Reinforce clavicle A 11.86 9.98 9.98 0.80 22.64 22.64 00090.10.69.212120090 36.6873 .917 23491 Reinforce shoulder bones A 14.21 12.70 12.70 2.11 29.02 29.02 00090.10.69.212121090 36.6873 .917 23500 Treat clavicle fracture A 2.08 1.65 1.65 0.21 3.94 3.94 00090.10.69.212110090 36.6873 .917 23505 Treat clavicle fracture A 3.69 2.57 2.57 0.38 6.64 6.64 00090.10.69.212110090 36.6873 .917 23515 Repair clavicle fracture A 7.41 6.93 6.93 1.12 15.46 15.46 00090.10.69.212121090 36.6873 .917 23520 Treat clavicle dislocation A 2.16 1.38 1.38 0.19 3.73 3.73 00090.10.69.212100090 36.6873 .917 23525 Treat clavicle dislocation A 3.60 1.98 1.98 0.27 5.85 5.85 00090.10.69.212100090 36.6873 .917 23530 Repair clavicle dislocation A 7.31 6.58 6.58 0.91 14.80 14.80 00090.10.69.212120090 36.6873 .917 23532 Repair clavicle dislocation A 8.01 7.23 7.23 1.19 16.43 16.43 00090.10.69.212120090 36.6873 .917 23540 Treat clavicle dislocation A 2.23 1.55 1.55 0.19 3.97 3.97 00090.10.69.212110090 36.6873 .917 23545 Treat clavicle dislocation A 3.25 1.98 1.98 0.29 5.52 5.52 00090.10.69.212100090 36.6873 .917 23550 Repair clavicle dislocation A 7.24 7.96 7.96 1.46 16.66 16.66 00090.10.69.212121090 36.6873 .917 23552 Repair clavicle dislocation A 8.45 7.29 7.29 1.17 16.91 16.91 00090.10.69.212121090 36.6873 .917 23570 Treat shoulderblade fracture A 2.23 1.70 1.70 0.25 4.18 4.18 00090.10.69.212110090 36.6873 .917 23575 Treat shoulderblade fracture A 4.06 2.75 2.75 0.43 7.24 7.24 00090.10.69.212100090 36.6873 .917 23585 Repair scapula fracture A 8.96 7.70 7.70 1.29 17.95 17.95 00090.10.69.212121090 36.6873 .917 23600 Treat humerus fracture A 2.93 2.90 2.90 0.43 6.26 6.26 00090.10.69.212110090 36.6873 .917 23605 Treat humerus fracture A 4.87 4.76 4.76 0.76 10.39 10.39 00090.10.69.212110090 36.6873 .917 23615 Repair humerus fracture A 9.35 10.29 10.29 1.78 21.42 21.42 00090.10.69.212121090 36.6873 .917 23616 Repair humerus fracture A 21.27 22.32 22.32 3.54 47.13 47.13 00090.10.69.212122090 36.6873 .917 23620 Treat humerus fracture A 2.40 2.88 2.64 0.46 5.74 5.50 30090.10.69.212110090 36.6873 .917 23625 Treat humerus fracture A 3.93 3.82 3.82 0.60 8.35 8.35 00090.10.69.212110090 36.6873 .917 23630 Repair humerus fracture A 7.35 8.09 8.09 1.40 16.84 16.84 00090.10.69.212121090 36.6873 .917 23650 Treat shoulder dislocation A 3.39 2.10 2.10 0.24 5.73 5.73 00090.10.69.212110090 36.6873 .917 23655 Treat shoulder dislocation A 4.57 2.93 2.93 0.44 7.94 7.94 00090.10.69.212110090 36.6873 .917 23660 Repair shoulder dislocation A 7.49 8.24 8.24 1.40 17.13 17.13 00090.10.69.212121090 36.6873 .917 23665 Treat dislocation/fracture A 4.47 3.35 3.35 0.51 8.33 8.33 00090.10.69.212110090 36.6873 .917 23670 Repair dislocation/fracture A 7.90 8.69 8.69 1.85 18.44 18.44 00090.10.69.212121090 36.6873 .917 23675 Treat dislocation/fracture A 6.05 3.93 3.93 0.61 10.59 10.59 00090.10.69.212110090 36.6873 .917 23680 Repair dislocation/fracture A 10.06 11.07 11.07 2.13 23.26 23.26 00090.10.69.212121090 36.6873 .917 23700 Fixation of shoulder A 2.52 2.09 2.09 0.34 4.95 4.95 00010.10.80.102010090 36.6873 .917 23800 Fusion of shoulder joint A 14.16 15.58 15.58 2.63 32.37 32.37 00090.10.69.212121090 36.6873 .917 23802 Fusion of shoulder joint A 16.60 14.07 14.07 2.24 32.91 32.91 00090.10.69.212021090 36.6873 .917 23900 Amputation of arm & girdle A 19.72 12.57 12.57 2.40 34.69 34.69 00090.10.69.212020090 36.6873 .917 23920 Amputation at shoulder joint A 14.61 13.85 13.85 2.54 31.00 31.00 00090.10.69.212021090 36.6873 .917 23921 Amputation follow-up surgery A 5.49 4.27 4.27 0.74 10.50 10.50 00090.10.69.212010090 36.6873 .917 23929 Shoulder surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 23930 Drainage of arm lesion A 2.94 1.61 1.61 0.24 4.79 4.79 00010.10.80.102110090 36.6873 .917 23931 Drainage of arm bursa A 1.79 0.75 0.75 0.11 2.65 2.65 10010.10.80.102110090 36.6873 .917 23935 Drain arm/elbow bone lesion A 6.09 4.69 4.69 0.78 11.56 11.56 00090.10.69.212100090 36.6873 .917 24000 Exploratory elbow surgery A 5.82 6.40 6.40 1.44 13.66 13.66 00090.10.69.212101090 36.6873 .917 24006 Release elbow joint A 9.31 7.14 7.14 1.17 17.62 17.62 00090.10.69.212122090 36.6873 .917 24065 Biopsy arm/elbow soft tissue A 2.08 0.79 0.79 0.10 2.97 2.97 10010.10.80.102110090 36.6873 .917 24066 Biopsy arm/elbow soft tissue A 5.21 2.71 2.71 0.41 8.33 8.33 00090.10.69.212110090 36.6873 .917 24075 Remove arm/elbow lesion A 3.92 1.98 1.98 0.35 6.25 6.25 00090.10.69.212110090 36.6873 .917 24076 Remove arm/elbow lesion A 6.30 3.68 3.68 0.67 10.65 10.65 00090.10.69.212110090 36.6873 .917 24077 Remove tumor of arm/elbow A 11.76 9.79 9.79 1.87 23.42 23.42 00090.10.69.212121090 36.6873 .917 24100 Biopsy elbow joint lining A 4.93 4.23 4.23 0.69 9.85 9.85 00090.10.69.212121090 36.6873 .917 24101 Explore/treat elbow joint A 6.13 6.74 6.74 1.41 14.28 14.28 00090.10.69.212120090 36.6873 .917 24102 Remove elbow joint lining A 8.03 8.83 8.83 1.81 18.67 18.67 00090.10.69.212121090 36.6873 .917 24105 Removal of elbow bursa A 3.61 3.77 3.77 0.63 8.01 8.01 00090.10.69.212110090 36.6873 .917 24110 Remove humerus lesion A 7.39 7.69 7.69 1.22 16.30 16.30 00090.10.69.212111090 36.6873 .917 24115 Remove/graft bone lesion A 9.63 7.68 7.68 1.33 18.64 18.64 00090.10.69.212121090 36.6873 .917 24116 Remove/graft bone lesion A 11.81 9.72 9.72 1.47 23.00 23.00 00090.10.69.212120090 36.6873 .917 24120 Remove elbow lesion A 6.65 6.02 6.02 0.98 13.65 13.65 00090.10.69.212100090 36.6873 .917 24125 Remove/graft bone lesion A 7.89 5.79 5.79 0.61 14.29 14.29 00090.10.69.212121090 36.6873 .917 24126 Remove/graft bone lesion A 8.31 7.40 7.40 1.21 16.92 16.92 00090.10.69.212120090 36.6873 .917 24130 Removal of head of radius A 6.25 6.72 6.72 1.08 14.05 14.05 00090.10.69.212111090 36.6873 .917 24134 Removal of arm bone lesion A 9.73 8.69 8.69 1.24 19.66 19.66 00090.10.69.212120090 36.6873 .917 24136 Remove radius bone lesion A 7.99 8.78 8.78 0.92 17.69 17.69 00090.10.69.212110090 36.6873 .917 24138 Remove elbow bone lesion A 8.05 6.39 6.39 1.06 15.50 15.50 00090.10.69.212120090 36.6873 .917 24140 Partial removal of arm bone A 9.18 8.77 8.77 1.45 19.40 19.40 00090.10.69.212120090 36.6873 .917 24145 Partial removal of radius A 7.58 6.38 6.38 1.03 14.99 14.99 00090.10.69.212111090 36.6873 .917 24147 Partial removal of elbow A 7.54 6.61 6.61 1.08 15.23 15.23 00090.10.69.212111090 36.6873 .917 24149 Radical resection of elbow A 14.20 12.64 12.64 2.07 28.91 28.91 00090.10.69.212121090 36.6873 .917 24150 Extensive humerus surgery A 13.27 14.08 14.08 2.24 29.59 29.59 00090.10.69.212121090 36.6873 .917 24151 Extensive humerus surgery A 15.58 13.83 13.83 2.11 31.52 31.52 00090.10.69.212121090 36.6873 .917 24152 Extensive radius surgery A 10.06 6.80 6.80 1.16 18.02 18.02 00090.10.69.212121090 36.6873 .917 24153 Extensive radius surgery A 11.54 10.44 10.44 1.71 23.69 23.69 00090.10.69.212100090 36.6873 .917 24155 Removal of elbow joint A 11.73 10.75 10.75 1.72 24.20 24.20 00090.10.69.212121090 36.6873 .917 24160 Remove elbow joint implant A 7.83 4.84 4.84 0.80 13.47 13.47 00090.10.69.212111090 36.6873 .917 24164 Remove radius head implant A 6.23 5.53 5.53 0.90 12.66 12.66 00090.10.69.212111090 36.6873 .917 24200 Removal of arm foreign body A 1.76 0.56 0.56 0.06 2.38 2.38 10010.10.80.102100090 36.6873 .917 24201 Removal of arm foreign body A 4.56 3.06 3.06 0.49 8.11 8.11 00090.10.69.212110090 36.6873 .917 24220 Injection for elbow x-ray A 1.31 0.51 0.51 0.05 1.87 1.87 00000.00.00.002100090 36.6873 .917 24301 Muscle/tendon transfer A 10.20 7.90 7.90 1.23 19.33 19.33 00090.10.69.212021090 36.6873 .917 24305 Arm tendon lengthening A 7.45 3.08 3.08 0.29 10.82 10.82 00090.10.69.212000090 36.6873 .917 24310 Revision of arm tendon A 5.98 2.95 2.95 0.48 9.41 9.41 00090.10.69.212000090 36.6873 .917 24320 Repair of arm tendon A 10.56 9.20 9.20 1.29 21.05 21.05 00090.10.69.212021090 36.6873 .917 24330 Revision of arm muscles A 9.60 8.74 8.74 1.43 19.77 19.77 00090.10.69.212120090 36.6873 .917 24331 Revision of arm muscles A 10.65 9.62 9.62 1.57 21.84 21.84 00090.10.69.212120090 36.6873 .917 24340 Repair of biceps tendon A 7.89 7.00 7.00 1.13 16.02 16.02 00090.10.69.212121090 36.6873 .917 24341 Repair tendon/muscle arm A 7.90 6.99 6.99 1.14 16.03 16.03 00090.10.69.212121090 36.6873 .917 24342 Repair of ruptured tendon A 10.62 10.38 10.38 1.76 22.76 22.76 00090.10.69.212121090 36.6873 .917 24350 Repair of tennis elbow A 5.25 4.23 4.23 0.69 10.17 10.17 00090.10.69.212100090 36.6873 .917 24351 Repair of tennis elbow A 5.91 4.57 4.57 0.73 11.21 11.21 00090.10.69.212100090 36.6873 .917 24352 Repair of tennis elbow A 6.43 5.69 5.69 0.93 13.05 13.05 00090.10.69.212121090 36.6873 .917 24354 Repair of tennis elbow A 6.48 5.61 5.61 0.94 13.03 13.03 00090.10.69.212110090 36.6873 .917 24356 Revision of tennis elbow A 6.68 7.28 7.28 1.18 15.14 15.14 00090.10.69.212100090 36.6873 .917 24360 Reconstruct elbow joint A 12.34 13.57 13.57 2.47 28.38 28.38 00090.10.69.212121090 36.6873 .917 24361 Reconstruct elbow joint A 14.08 13.13 13.13 2.00 29.21 29.21 00090.10.69.212121090 36.6873 .917 24362 Reconstruct elbow joint A 14.99 13.14 13.14 0.80 28.93 28.93 10090.10.69.212120090 36.6873 .917 24363 Replace elbow joint A 18.49 20.34 20.34 4.13 42.96 42.96 00090.10.69.212120090 36.6873 .917 24365 Reconstruct head of radius A 8.39 7.52 7.52 1.19 17.10 17.10 00090.10.69.212121090 36.6873 .917 24366 Reconstruct head of radius A 9.13 10.04 10.04 1.80 20.97 20.97 00090.10.69.212121090 36.6873 .917 24400 Revision of humerus A 11.06 8.43 8.43 1.37 20.86 20.86 00090.10.69.212121090 36.6873 .917 24410 Revision of humerus A 14.82 14.04 14.04 2.06 30.92 30.92 00090.10.69.212121090 36.6873 .917 24420 Revision of humerus A 13.44 12.30 12.30 2.01 27.75 27.75 00090.10.69.212121090 36.6873 .917 24430 Repair of humerus A 12.81 14.09 14.09 2.34 29.24 29.24 00090.10.69.212121090 36.6873 .917 24435 Repair humerus with graft A 13.17 14.49 14.49 2.84 30.50 30.50 00090.10.69.212121090 36.6873 .917 24470 Revision of elbow joint A 8.74 7.92 7.92 1.30 17.96 17.96 00090.10.69.212120090 36.6873 .917 24495 Decompression of forearm A 8.12 5.75 5.75 1.10 14.97 14.97 00090.10.69.212100090 36.6873 .917 24498 Reinforce humerus A 11.92 10.37 10.37 1.62 23.91 23.91 00090.10.69.212121090 36.6873 .917 24500 Treat humerus fracture A 3.21 2.54 2.54 0.36 6.11 6.11 00090.10.69.212110090 36.6873 .917 24505 Treat humerus fracture A 5.17 4.50 4.50 0.71 10.38 10.38 00090.10.69.212110090 36.6873 .917 24515 Repair humerus fracture A 11.65 9.65 9.65 1.54 22.84 22.84 00090.10.69.212121090 36.6873 .917 24516 Repair humerus fracture A 11.65 9.65 9.65 1.54 22.84 22.84 00090.10.69.212122090 36.6873 .917 24530 Treat humerus fracture A 3.50 2.73 2.73 0.42 6.65 6.65 00090.10.69.212110090 36.6873 .917 24535 Treat humerus fracture A 6.87 4.85 4.85 0.78 12.50 12.50 00090.10.69.212110090 36.6873 .917 24538 Treat humerus fracture A 9.43 7.98 7.98 1.26 18.67 18.67 00090.10.69.212110090 36.6873 .917 24545 Repair humerus fracture A 10.46 9.97 9.97 1.59 22.02 22.02 00090.10.69.212121090 36.6873 .917 24546 Repair humerus fracture A 15.69 9.97 9.97 1.59 27.25 27.25 00090.10.69.212122090 36.6873 .917 24560 Treat humerus fracture A 2.80 2.16 2.16 0.30 5.26 5.26 00090.10.69.212110090 36.6873 .917 24565 Treat humerus fracture A 5.56 3.45 3.45 0.54 9.55 9.55 00090.10.69.212110090 36.6873 .917 24566 Treat humerus fracture A 7.79 6.06 6.06 0.96 14.81 14.81 00090.10.69.212110090 36.6873 .917 24575 Repair humerus fracture A 10.66 7.79 7.79 1.24 19.69 19.69 00090.10.69.212121090 36.6873 .917 24576 Treat humerus fracture A 2.86 2.16 2.16 0.33 5.35 5.35 00090.10.69.212110090 36.6873 .917 24577 Treat humerus fracture A 5.79 4.00 4.00 0.61 10.40 10.40 00090.10.69.212110090 36.6873 .917 24579 Repair humerus fracture A 11.60 8.37 8.37 1.35 21.32 21.32 00090.10.69.212121090 36.6873 .917 24582 Treat humerus fracture A 8.55 6.62 6.62 1.06 16.23 16.23 00090.10.69.212110090 36.6873 .917 24586 Repair elbow fracture A 15.21 14.72 14.72 2.36 32.29 32.29 00090.10.69.212121090 36.6873 .917 24587 Repair elbow fracture A 15.16 13.72 13.72 2.17 31.05 31.05 00090.10.69.212121090 36.6873 .917 24600 Treat elbow dislocation A 4.23 1.95 1.95 0.26 6.44 6.44 00090.10.69.212110090 36.6873 .917 24605 Treat elbow dislocation A 5.42 2.29 2.29 0.37 8.08 8.08 00090.10.69.212110090 36.6873 .917 24615 Repair elbow dislocation A 9.42 9.29 9.29 1.48 20.19 20.19 00090.10.69.212121090 36.6873 .917 24620 Treat elbow fracture A 6.98 3.78 3.78 0.57 11.33 11.33 00090.10.69.212100090 36.6873 .917 24635 Repair elbow fracture A 13.19 11.06 11.06 1.78 26.03 26.03 00090.10.69.212121090 36.6873 .917 24640 Treat elbow dislocation A 1.20 1.01 1.01 0.08 2.29 2.29 00010.10.80.102100090 36.6873 .917 24650 Treat radius fracture A 2.16 2.25 2.25 0.33 4.74 4.74 10090.10.69.212110090 36.6873 .917 24655 Treat radius fracture A 4.40 3.01 3.01 0.45 7.86 7.86 00090.10.69.212110090 36.6873 .917 24665 Repair radius fracture A 8.14 7.13 7.13 1.14 16.41 16.41 00090.10.69.212121090 36.6873 .917 24666 Repair radius fracture A 9.49 10.27 10.27 1.60 21.36 21.36 00090.10.69.212121090 36.6873 .917 24670 Treatment of ulna fracture A 2.54 1.95 1.95 0.27 4.76 4.76 00090.10.69.212110090 36.6873 .917 24675 Treatment of ulna fracture A 4.72 3.51 3.51 0.54 8.77 8.77 00090.10.69.212110090 36.6873 .917 24685 Repair ulna fracture A 8.80 8.40 8.40 1.34 18.54 18.54 00090.10.69.212121090 36.6873 .917 24800 Fusion of elbow joint A 11.20 10.59 10.59 1.55 23.34 23.34 00090.10.69.212121090 36.6873 .917 24802 Fusion/graft of elbow joint A 13.69 12.18 12.18 1.99 27.86 27.86 00090.10.69.212120090 36.6873 .917 24900 Amputation of upper arm A 9.60 7.68 7.68 1.39 18.67 18.67 00090.10.69.212121090 36.6873 .917 24920 Amputation of upper arm A 9.54 6.78 6.78 1.19 17.51 17.51 00090.10.69.212121090 36.6873 .917 24925 Amputation follow-up surgery A 7.07 6.27 6.27 0.75 14.09 14.09 00090.10.69.212120090 36.6873 .917 24930 Amputation follow-up surgery A 10.25 8.16 8.16 1.17 19.58 19.58 00090.10.69.212120090 36.6873 .917 24931 Amputate upper arm & implant A 12.72 11.17 11.17 1.84 25.73 25.73 00090.10.69.212120090 36.6873 .917 24935 Revision of amputation A 15.56 13.70 13.70 2.24 31.50 31.50 00090.10.69.212100090 36.6873 .917 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.00 00090.10.69.212120090 36.6873 .917 24999 Upper arm/elbow surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 25000 Incision of tendon sheath A 3.38 3.72 3.72 0.62 7.72 7.72 00090.10.69.212110090 36.6873 .917 25020 Decompression of forearm A 5.92 4.35 4.35 0.77 11.04 11.04 00090.10.69.212110090 36.6873 .917 25023 Decompression of forearm A 12.96 5.44 5.44 0.94 19.34 19.34 00090.10.69.212100090 36.6873 .917 25028 Drainage of forearm lesion A 5.25 2.06 2.06 0.36 7.67 7.67 00090.10.69.212110090 36.6873 .917 25031 Drainage of forearm bursa A 4.14 0.66 0.66 0.09 4.89 4.89 00090.10.69.212100090 36.6873 .917 25035 Treat forearm bone lesion A 7.36 6.30 6.30 1.01 14.67 14.67 00090.10.69.212100090 36.6873 .917 25040 Explore/treat wrist joint A 7.18 5.69 5.69 0.90 13.77 13.77 00090.10.69.212100090 36.6873 .917 25065 Biopsy forearm soft tissues A 1.99 0.75 0.75 0.09 2.83 2.83 10010.10.80.102110090 36.6873 .917 25066 Biopsy forearm soft tissues A 4.13 1.54 1.54 0.22 5.89 5.89 00090.10.69.212110090 36.6873 .917 25075 Removal of forearm lesion A 3.74 2.19 2.19 0.37 6.30 6.30 00090.10.69.212110090 36.6873 .917 25076 Removal of forearm lesion A 4.92 3.77 3.77 0.67 9.36 9.36 00090.10.69.212110090 36.6873 .917 25077 Remove tumor, forearm/wrist A 9.76 8.48 8.48 1.67 19.91 19.91 00090.10.69.212110090 36.6873 .917 25085 Incision of wrist capsule A 5.50 4.62 4.62 0.71 10.83 10.83 00090.10.69.212120090 36.6873 .917 25100 Biopsy of wrist joint A 3.90 4.29 4.29 0.79 8.98 8.98 00090.10.69.212100090 36.6873 .917 25101 Explore/treat wrist joint A 4.69 5.16 5.16 0.98 10.83 10.83 00090.10.69.212100090 36.6873 .917 25105 Remove wrist joint lining A 5.85 6.44 6.44 1.19 13.48 13.48 00090.10.69.212101090 36.6873 .917 25107 Remove wrist joint cartilage A 6.43 5.28 5.28 0.89 12.60 12.60 00090.10.69.212121090 36.6873 .917 25110 Remove wrist tendon lesion A 3.92 2.80 2.80 0.46 7.18 7.18 00090.10.69.212110090 36.6873 .917 25111 Remove wrist tendon lesion A 3.39 3.22 3.22 0.55 7.16 7.16 00090.10.69.212110091A4550 36.6873 .917 25112 Reremove wrist tendon lesion A 4.53 3.72 3.72 0.66 8.91 8.91 00090.10.69.212110090 36.6873 .917 25115 Remove wrist/forearm lesion A 8.82 7.14 7.14 1.23 17.19 17.19 00090.10.69.212110090 36.6873 .917 25116 Remove wrist/forearm lesion A 7.11 7.82 7.82 1.38 16.31 16.31 00090.10.69.212101090 36.6873 .917 25118 Excise wrist tendon sheath A 4.37 4.81 4.81 1.02 10.20 10.20 00090.10.69.212110090 36.6873 .917 25119 Partial removal of ulna A 6.04 6.64 6.64 1.32 14.00 14.00 00090.10.69.212121090 36.6873 .917 25120 Removal of forearm lesion A 6.10 6.53 6.53 1.14 13.77 13.77 00090.10.69.212101090 36.6873 .917 25125 Remove/graft forearm lesion A 7.48 6.84 6.84 1.04 15.36 15.36 00090.10.69.212100090 36.6873 .917 25126 Remove/graft forearm lesion A 7.55 6.80 6.80 1.12 15.47 15.47 00090.10.69.212120090 36.6873 .917 25130 Removal of wrist lesion A 5.26 4.21 4.21 0.67 10.14 10.14 00090.10.69.212100090 36.6873 .917 25135 Remove & graft wrist lesion A 6.89 5.46 5.46 0.97 13.32 13.32 00090.10.69.212121090 36.6873 .917 25136 Remove & graft wrist lesion A 5.97 4.74 4.74 0.85 11.56 11.56 00090.10.69.212121090 36.6873 .917 25145 Remove forearm bone lesion A 6.37 5.95 5.95 0.75 13.07 13.07 00090.10.69.212120090 36.6873 .917 25150 Partial removal of ulna A 7.09 6.67 6.67 1.12 14.88 14.88 00090.10.69.212111090 36.6873 .917 25151 Partial removal of radius A 7.39 5.75 5.75 1.02 14.16 14.16 00090.10.69.212121090 36.6873 .917 25170 Extensive forearm surgery A 11.09 9.79 9.79 1.51 22.39 22.39 00090.10.69.212121090 36.6873 .917 25210 Removal of wrist bone A 5.95 4.88 4.88 0.80 11.63 11.63 00090.10.69.212001090 36.6873 .917 25215 Removal of wrist bones A 7.89 8.68 8.68 1.42 17.99 17.99 00090.10.69.212021090 36.6873 .917 25230 Partial removal of radius A 5.23 5.57 5.57 0.85 11.65 11.65 00090.10.69.212111090 36.6873 .917 25240 Partial removal of ulna A 5.17 5.30 5.30 0.86 11.33 11.33 00090.10.69.212101090 36.6873 .917 25246 Injection for wrist x-ray A 1.45 0.50 0.50 0.05 2.00 2.00 00000.00.00.002110090 36.6873 .917 25248 Remove forearm foreign body A 5.14 2.18 2.18 0.37 7.69 7.69 00090.10.69.212110090 36.6873 .917 25250 Removal of wrist prosthesis A 6.60 5.63 5.63 0.91 13.14 13.14 00090.10.69.212120090 36.6873 .917 25251 Removal of wrist prosthesis A 9.57 8.25 8.25 1.39 19.21 19.21 00090.10.69.212020090 36.6873 .917 25260 Repair forearm tendon/muscle A 7.80 4.61 4.61 0.78 13.19 13.19 00090.10.69.212010090 36.6873 .917 25263 Repair forearm tendon/muscle A 7.82 5.77 5.77 1.03 14.62 14.62 00090.10.69.212020090 36.6873 .917 25265 Repair forearm tendon/muscle A 9.88 7.93 7.93 1.41 19.22 19.22 00090.10.69.212020090 36.6873 .917 25270 Repair forearm tendon/muscle A 6.00 3.36 3.36 0.55 9.91 9.91 00090.10.69.212000090 36.6873 .917 25272 Repair forearm tendon/muscle A 7.04 3.44 3.44 0.54 11.02 11.02 00090.10.69.212000090 36.6873 .917 25274 Repair forearm tendon/muscle A 8.75 6.62 6.62 1.13 16.50 16.50 00090.10.69.212001090 36.6873 .917 25280 Revise wrist/forearm tendon A 7.22 4.22 4.22 0.69 12.13 12.13 00090.10.69.212001090 36.6873 .917 25290 Incise wrist/forearm tendon A 5.29 2.47 2.47 0.41 8.17 8.17 00090.10.69.212010090 36.6873 .917 25295 Release wrist/forearm tendon A 6.55 3.05 3.05 0.52 10.12 10.12 00090.10.69.212010090 36.6873 .917 25300 Fusion of tendons at wrist A 8.80 7.36 7.36 1.19 17.35 17.35 00090.10.69.212120090 36.6873 .917 25301 Fusion of tendons at wrist A 8.40 6.77 6.77 1.18 16.35 16.35 00090.10.69.212120090 36.6873 .917 25310 Transplant forearm tendon A 8.14 7.14 7.14 1.17 16.45 16.45 00090.10.69.212021090 36.6873 .917 25312 Transplant forearm tendon A 9.57 7.63 7.63 1.31 18.51 18.51 00090.10.69.212021090 36.6873 .917 25315 Revise palsy hand tendon(s) A 10.20 8.06 8.06 1.34 19.60 19.60 00090.10.69.212120090 36.6873 .917 25316 Revise palsy hand tendon(s) A 12.33 10.58 10.58 1.78 24.69 24.69 00090.10.69.212120090 36.6873 .917 25320 Repair/revise wrist joint A 10.77 8.60 8.60 1.45 20.82 20.82 00090.10.69.212120090 36.6873 .917 25332 Revise wrist joint A 11.41 9.98 9.98 1.61 23.00 23.00 00090.10.69.212120090 36.6873 .917 25335 Realignment of hand A 12.88 11.41 11.41 1.56 25.85 25.85 00090.10.69.212120090 36.6873 .917 25337 Reconstruct ulna/radioulnar A 10.17 8.60 8.60 1.45 20.22 20.22 00090.10.69.212110090 36.6873 .917 25350 Revision of radius A 8.78 7.61 7.61 1.26 17.65 17.65 00090.10.69.212120090 36.6873 .917 25355 Revision of radius A 10.17 9.12 9.12 1.49 20.78 20.78 00090.10.69.212120090 36.6873 .917 25360 Revision of ulna A 8.43 6.41 6.41 0.99 15.83 15.83 00090.10.69.212121090 36.6873 .917 25365 Revise radius & ulna A 12.40 10.31 10.31 1.57 24.28 24.28 00090.10.69.212120090 36.6873 .917 25370 Revise radius or ulna A 13.36 11.76 11.76 1.92 27.04 27.04 00090.10.69.212120090 36.6873 .917 25375 Revise radius & ulna A 13.04 13.38 13.38 0.87 27.29 27.29 00090.10.69.212121090 36.6873 .917 25390 Shorten radius/ulna A 10.40 8.82 8.82 1.50 20.72 20.72 00090.10.69.212121090 36.6873 .917 25391 Lengthen radius/ulna A 13.65 11.25 11.25 1.93 26.83 26.83 00090.10.69.212121090 36.6873 .917 25392 Shorten radius & ulna A 13.95 12.44 12.44 2.04 28.43 28.43 00090.10.69.212120090 36.6873 .917 25393 Lengthen radius & ulna A 15.87 14.21 14.21 2.32 32.40 32.40 00090.10.69.212120090 36.6873 .917 25400 Repair radius or ulna A 10.92 10.78 10.78 1.75 23.45 23.45 00090.10.69.212121090 36.6873 .917 25405 Repair/graft radius or ulna A 14.38 12.42 12.42 2.02 28.82 28.82 00090.10.69.212121090 36.6873 .917 25415 Repair radius & ulna A 13.35 11.42 11.42 1.92 26.69 26.69 00090.10.69.212121090 36.6873 .917 25420 Repair/graft radius & ulna A 16.33 14.70 14.70 2.28 33.31 33.31 00090.10.69.212121090 36.6873 .917 25425 Repair/graft radius or ulna A 13.21 12.02 12.02 1.87 27.10 27.10 00090.10.69.212121090 36.6873 .917 25426 Repair/graft radius & ulna A 15.82 11.72 11.72 2.13 29.67 29.67 00090.10.69.212121090 36.6873 .917 25440 Repair/graft wrist bone A 10.44 9.05 9.05 1.50 20.99 20.99 00090.10.69.212121090 36.6873 .917 25441 Reconstruct wrist joint A 12.90 11.36 11.36 1.89 26.15 26.15 00090.10.69.212121090 36.6873 .917 25442 Reconstruct wrist joint A 10.85 7.06 7.06 1.22 19.13 19.13 00090.10.69.212121090 36.6873 .917 25443 Reconstruct wrist joint A 10.39 9.38 9.38 1.52 21.29 21.29 00090.10.69.212121090 36.6873 .917 25444 Reconstruct wrist joint A 11.15 10.14 10.14 1.66 22.95 22.95 00090.10.69.212120090 36.6873 .917 25445 Reconstruct wrist joint A 9.69 10.36 10.36 1.72 21.77 21.77 00090.10.69.212111090 36.6873 .917 25446 Wrist replacement A 16.55 18.21 18.21 3.49 38.25 38.25 00090.10.69.212121090 36.6873 .917 25447 Repair wrist joint(s) A 10.37 9.65 9.65 1.56 21.58 21.58 00090.10.69.212121090 36.6873 .917 25449 Remove wrist joint implant A 14.49 7.84 7.84 1.16 23.49 23.49 00090.10.69.212121090 36.6873 .917 25450 Revision of wrist joint A 7.87 7.31 7.31 1.19 16.37 16.37 00090.10.69.212110090 36.6873 .917 25455 Revision of wrist joint A 9.49 8.71 8.71 1.42 19.62 19.62 00090.10.69.212110090 36.6873 .917 25490 Reinforce radius A 9.54 8.69 8.69 1.42 19.65 19.65 00090.10.69.212120090 36.6873 .917 25491 Reinforce ulna A 9.96 9.10 9.10 1.49 20.55 20.55 00090.10.69.212120090 36.6873 .917 25492 Reinforce radius and ulna A 12.33 11.20 11.20 1.84 25.37 25.37 00090.10.69.212120090 36.6873 .917 25500 Treat fracture of radius A 2.45 2.33 2.33 0.29 5.07 5.07 10090.10.69.212110090 36.6873 .917 25505 Treat fracture of radius A 5.21 3.57 3.57 0.51 9.29 9.29 00090.10.69.212110090 36.6873 .917 25515 Repair fracture of radius A 9.18 7.63 7.63 1.22 18.03 18.03 00090.10.69.212121090 36.6873 .917 25520 Repair fracture of radius A 6.26 5.74 5.74 0.94 12.94 12.94 00090.10.69.212112090 36.6873 .917 25525 Repair fracture of radius A 12.24 11.15 11.15 1.83 25.22 25.22 00090.10.69.212122090 36.6873 .917 25526 Repair fracture of radius A 12.98 11.85 11.85 1.94 26.77 26.77 00090.10.69.212122090 36.6873 .917 25530 Treat fracture of ulna A 2.09 2.44 2.30 0.35 4.88 4.74 30090.10.69.212110090 36.6873 .917 25535 Treat fracture of ulna A 5.14 3.57 3.57 0.54 9.25 9.25 00090.10.69.212110090 36.6873 .917 25545 Repair fracture of ulna A 8.90 7.58 7.58 1.20 17.68 17.68 00090.10.69.212121090 36.6873 .917 25560 Treat fracture radius & ulna A 2.44 2.27 2.27 0.27 4.98 4.98 00090.10.69.212110090 36.6873 .917 25565 Treat fracture radius & ulna A 5.63 4.66 4.66 0.70 10.99 10.99 00090.10.69.212110090 36.6873 .917 25574 Treat fracture radius & ulna A 7.01 7.71 7.71 1.73 16.45 16.45 00090.10.69.212122090 36.6873 .917 25575 Repair fracture radius/ulna A 10.45 10.70 10.70 1.73 22.88 22.88 00090.10.69.212121090 36.6873 .917 25600 Treat fracture radius/ulna A 2.63 2.84 2.84 0.42 5.89 5.89 10090.10.69.212110090 36.6873 .917 25605 Treat fracture radius/ulna A 5.81 3.95 3.95 0.61 10.37 10.37 00090.10.69.212110090 36.6873 .917 25611 Repair fracture radius/ulna A 7.77 6.01 6.01 0.97 14.75 14.75 00090.10.69.212110090 36.6873 .917 25620 Repair fracture radius/ulna A 8.55 7.13 7.13 1.14 16.82 16.82 00090.10.69.212120090 36.6873 .917 25622 Treat wrist bone fracture A 2.61 2.28 2.28 0.33 5.22 5.22 10090.10.69.212110090 36.6873 .917 25624 Treat wrist bone fracture A 4.53 3.67 3.67 0.57 8.77 8.77 10090.10.69.212100090 36.6873 .917 25628 Repair wrist bone fracture A 8.43 7.13 7.13 1.16 16.72 16.72 00090.10.69.212120090 36.6873 .917 25630 Treat wrist bone fracture A 2.88 2.19 2.19 0.30 5.37 5.37 10090.10.69.212110090 36.6873 .917 25635 Treat wrist bone fracture A 4.39 3.36 3.36 0.50 8.25 8.25 10090.10.69.212100090 36.6873 .917 25645 Repair wrist bone fracture A 7.25 6.68 6.68 0.95 14.88 14.88 00090.10.69.212120090 36.6873 .917 25650 Repair wrist bone fracture A 3.05 2.66 2.66 0.36 6.07 6.07 10090.10.69.212110090 36.6873 .917 25660 Treat wrist dislocation A 4.76 1.82 1.82 0.26 6.84 6.84 00090.10.69.212100090 36.6873 .917 25670 Repair wrist dislocation A 7.92 7.08 7.08 1.12 16.12 16.12 00090.10.69.212121090 36.6873 .917 25675 Treat wrist dislocation A 4.67 2.28 2.28 0.34 7.29 7.29 00090.10.69.212100090 36.6873 .917 25676 Repair wrist dislocation A 8.04 7.32 7.32 1.11 16.47 16.47 00090.10.69.212120090 36.6873 .917 25680 Treat wrist fracture A 5.99 2.44 2.44 0.36 8.79 8.79 00090.10.69.212100090 36.6873 .917 25685 Repair wrist fracture A 9.78 8.79 8.79 1.44 20.01 20.01 00090.10.69.212120090 36.6873 .917 25690 Treat wrist dislocation A 5.50 4.89 4.89 0.73 11.12 11.12 00090.10.69.212100090 36.6873 .917 25695 Repair wrist dislocation A 8.34 7.04 7.04 1.17 16.55 16.55 00090.10.69.212121090 36.6873 .917 25800 Fusion of wrist joint A 9.76 10.74 10.74 1.80 22.30 22.30 00090.10.69.212121090 36.6873 .917 25805 Fusion/graft of wrist joint A 11.28 12.41 12.41 2.09 25.78 25.78 00090.10.69.212121090 36.6873 .917 25810 Fusion/graft of wrist joint A 10.57 11.63 11.63 2.06 24.26 24.26 00090.10.69.212121090 36.6873 .917 25820 Fusion of hand bones A 7.45 8.20 8.20 1.48 17.13 17.13 00090.10.69.212121090 36.6873 .917 25825 Fusion hand bones with graft A 9.27 10.20 10.20 1.99 21.46 21.46 00090.10.69.212121090 36.6873 .917 25830 Fusion radioulnar jnt/ulna A 10.06 8.60 8.60 1.45 20.11 20.11 00090.10.69.212121090 36.6873 .917 25900 Amputation of forearm A 9.01 7.08 7.08 1.31 17.40 17.40 00090.10.69.212100090 36.6873 .917 25905 Amputation of forearm A 9.12 7.11 7.11 1.15 17.38 17.38 00090.10.69.212120090 36.6873 .917 25907 Amputation follow-up surgery A 7.80 5.74 5.74 1.00 14.54 14.54 00090.10.69.212120090 36.6873 .917 25909 Amputation follow-up surgery A 8.96 5.55 5.55 1.06 15.57 15.57 00090.10.69.212120090 36.6873 .917 25915 Amputation of forearm A 17.08 15.83 15.83 2.59 35.50 35.50 00090.10.69.212120090 36.6873 .917 25920 Amputate hand at wrist A 8.68 7.00 7.00 1.20 16.88 16.88 00090.10.69.212100090 36.6873 .917 25922 Amputate hand at wrist A 7.42 5.55 5.55 1.02 13.99 13.99 00090.10.69.212120090 36.6873 .917 25924 Amputation follow-up surgery A 8.46 7.50 7.50 1.22 17.18 17.18 00090.10.69.212120090 36.6873 .917 25927 Amputation of hand A 8.80 6.29 6.29 1.22 16.31 16.31 00090.10.69.212100090 36.6873 .917 25929 Amputation follow-up surgery A 7.59 4.74 4.74 0.96 13.29 13.29 00090.10.69.212120090 36.6873 .917 25931 Amputation follow-up surgery A 7.81 4.54 4.54 0.90 13.25 13.25 00090.10.69.212110090 36.6873 .917 25999 Forearm or wrist surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 26010 Drainage of finger abscess A 1.54 0.48 0.48 0.05 2.07 2.07 10010.10.80.102010090 36.6873 .917 26011 Drainage of finger abscess A 2.19 1.54 1.54 0.24 3.97 3.97 00010.10.80.102010090 36.6873 .917 26020 Drain hand tendon sheath A 4.67 3.72 3.72 0.63 9.02 9.02 00090.10.69.212010090 36.6873 .917 26025 Drainage of palm bursa A 4.82 4.51 4.51 0.76 10.09 10.09 00090.10.69.212000090 36.6873 .917 26030 Drainage of palm bursa(s) A 5.93 5.73 5.73 0.98 12.64 12.64 00090.10.69.212000090 36.6873 .917 26034 Treat hand bone lesion A 6.23 4.23 4.23 0.71 11.17 11.17 00090.10.69.212010090 36.6873 .917 26035 Decompress fingers/hand A 9.51 5.17 5.17 0.86 15.54 15.54 00090.10.69.212000090 36.6873 .917 26037 Decompress fingers/hand A 7.25 6.37 6.37 1.05 14.67 14.67 00090.10.69.212000090 36.6873 .917 26040 Release palm contracture A 3.33 2.86 2.86 0.49 6.68 6.68 00090.10.69.212110090 36.6873 .917 26045 Release palm contracture A 5.56 4.83 4.83 0.81 11.20 11.20 00090.10.69.212110090 36.6873 .917 26055 Incise finger tendon sheath A 2.69 3.28 3.28 0.56 6.53 6.53 00090.10.69.212010090 36.6873 .917 26060 Incision of finger tendon A 2.81 1.13 1.13 0.17 4.11 4.11 00090.10.69.212000090 36.6873 .917 26070 Explore/treat hand joint A 3.69 2.76 2.76 0.42 6.87 6.87 10090.10.69.212110090 36.6873 .917 26075 Explore/treat finger joint A 3.79 3.78 3.78 0.62 8.19 8.19 00090.10.69.212110090 36.6873 .917 26080 Explore/treat finger joint A 4.24 3.14 3.14 0.51 7.89 7.89 00090.10.69.212010090 36.6873 .917 26100 Biopsy hand joint lining A 3.67 2.99 2.99 0.45 7.11 7.11 00090.10.69.212100090 36.6873 .917 26105 Biopsy finger joint lining A 3.71 4.17 4.17 0.67 8.55 8.55 00090.10.69.212100090 36.6873 .917 26110 Biopsy finger joint lining A 3.53 2.93 2.93 0.50 6.96 6.96 00090.10.69.212010090 36.6873 .917 26115 Removal of hand lesion A 3.86 2.01 2.01 0.34 6.21 6.21 00090.10.69.212010090 36.6873 .917 26116 Removal of hand lesion A 5.53 3.71 3.71 0.62 9.86 9.86 00090.10.69.212010090 36.6873 .917 26117 Remove tumor, hand/finger A 8.55 5.07 5.07 0.91 14.53 14.53 00090.10.69.212010090 36.6873 .917 26121 Release palm contracture A 7.54 8.29 8.29 1.61 17.44 17.44 00090.10.69.212110090 36.6873 .917 26123 Release palm contracture A 9.29 9.10 9.10 1.53 19.92 19.92 00090.10.69.212110090 36.6873 .917 26125 Release palm contracture A 4.61 2.62 2.62 0.45 7.68 7.68 00ZZZ.00.00.000010090 36.6873 .917 26130 Remove wrist joint lining A 5.42 5.01 5.01 0.86 11.29 11.29 00090.10.69.212110090 36.6873 .917 26135 Revise finger joint, each A 6.96 4.86 4.86 0.82 12.64 12.64 00090.10.69.212000090 36.6873 .917 26140 Revise finger joint, each A 6.17 4.40 4.40 0.75 11.32 11.32 00090.10.69.212010090 36.6873 .917 26145 Tendon excision, palm/finger A 6.32 4.71 4.71 0.80 11.83 11.83 00090.10.69.212010090 36.6873 .917 26160 Remove tendon sheath lesion A 3.15 2.32 2.32 0.40 5.87 5.87 00090.10.69.212010090 36.6873 .917 26170 Removal of palm tendon, each A 4.77 2.83 2.83 0.45 8.05 8.05 00090.10.69.212000090 36.6873 .917 26180 Removal of finger tendon A 5.18 4.01 4.01 0.71 9.90 9.90 00090.10.69.212000090 36.6873 .917 26185 Remove finger bone A 5.25 4.24 4.24 0.41 9.90 9.90 00090.10.69.212121090 36.6873 .917 26200 Remove hand bone lesion A 5.51 4.48 4.48 0.72 10.71 10.71 00090.10.69.212000090 36.6873 .917 26205 Remove/graft bone lesion A 7.70 6.40 6.40 1.03 15.13 15.13 00090.10.69.212010090 36.6873 .917 26210 Removal of finger lesion A 5.15 3.90 3.90 0.64 9.69 9.69 00090.10.69.212010090 36.6873 .917 26215 Remove/graft finger lesion A 7.10 5.55 5.55 0.94 13.59 13.59 00090.10.69.212010090 36.6873 .917 26230 Partial removal of hand bone A 6.33 4.26 4.26 0.69 11.28 11.28 00090.10.69.212000090 36.6873 .917 26235 Partial removal, finger bone A 6.19 4.17 4.17 0.71 11.07 11.07 00090.10.69.212000090 36.6873 .917 26236 Partial removal, finger bone A 5.32 3.86 3.86 0.66 9.84 9.84 00090.10.69.212010090 36.6873 .917 26250 Extensive hand surgery A 7.55 6.00 6.00 1.07 14.62 14.62 00090.10.69.212000090 36.6873 .917 26255 Extensive hand surgery A 12.43 8.94 8.94 1.54 22.91 22.91 00090.10.69.212021090 36.6873 .917 26260 Extensive finger surgery A 7.03 5.73 5.73 0.97 13.73 13.73 00090.10.69.212020090 36.6873 .917 26261 Extensive finger surgery A 9.09 7.70 7.70 1.31 18.10 18.10 00090.10.69.212020090 36.6873 .917 26262 Partial removal of finger A 5.67 4.75 4.75 0.76 11.18 11.18 00090.10.69.212020090 36.6873 .917 26320 Removal of implant from hand A 3.98 3.54 3.54 0.57 8.09 8.09 00090.10.69.212010090 36.6873 .917 26350 Repair finger/hand tendon A 5.99 5.74 5.74 0.99 12.72 12.72 00090.10.69.212010090 36.6873 .917 26352 Repair/graft hand tendon A 7.68 6.60 6.60 1.10 15.38 15.38 00090.10.69.212021090 36.6873 .917 26356 Repair finger/hand tendon A 8.07 7.21 7.21 1.24 16.52 16.52 00090.10.69.212010090 36.6873 .917 26357 Repair finger/hand tendon A 8.58 6.58 6.58 1.19 16.35 16.35 00090.10.69.212020090 36.6873 .917 26358 Repair/graft hand tendon A 9.14 7.40 7.40 1.27 17.81 17.81 00090.10.69.212020090 36.6873 .917 26370 Repair finger/hand tendon A 7.11 6.71 6.71 1.13 14.95 14.95 00090.10.69.212000090 36.6873 .917 26372 Repair/graft hand tendon A 8.76 6.39 6.39 1.15 16.30 16.30 00090.10.69.212020090 36.6873 .917 26373 Repair finger/hand tendon A 8.16 6.85 6.85 1.11 16.12 16.12 00090.10.69.212020090 36.6873 .917 26390 Revise hand/finger tendon A 9.19 7.95 7.95 1.23 18.37 18.37 00090.10.69.212021090 36.6873 .917 26392 Repair/graft hand tendon A 10.26 8.61 8.61 1.26 20.13 20.13 00090.10.69.212021090 36.6873 .917 26410 Repair hand tendon A 4.63 3.29 3.29 0.51 8.43 8.43 00090.10.69.212010090 36.6873 .917 26412 Repair/graft hand tendon A 6.31 6.01 6.01 0.97 13.29 13.29 00090.10.69.212000090 36.6873 .917 26415 Excision, hand/finger tendon A 8.34 6.75 6.75 0.90 15.99 15.99 00090.10.69.212000090 36.6873 .917 26416 Graft hand or finger tendon A 9.37 8.64 8.64 1.41 19.42 19.42 00090.10.69.212010090 36.6873 .917 26418 Repair finger tendon A 4.25 3.58 3.58 0.59 8.42 8.42 00090.10.69.212010090 36.6873 .917 26420 Repair/graft finger tendon A 6.77 5.68 5.68 0.96 13.41 13.41 00090.10.69.212020090 36.6873 .917 26426 Repair finger/hand tendon A 6.15 6.31 6.31 1.07 13.53 13.53 00090.10.69.212010090 36.6873 .917 26428 Repair/graft finger tendon A 7.21 5.50 5.50 1.00 13.71 13.71 00090.10.69.212000090 36.6873 .917 26432 Repair finger tendon A 4.02 3.15 3.15 0.51 7.68 7.68 10090.10.69.212010090 36.6873 .917 26433 Repair finger tendon A 4.56 3.94 3.94 0.66 9.16 9.16 00090.10.69.212010090 36.6873 .917 26434 Repair/graft finger tendon A 6.09 4.95 4.95 0.84 11.88 11.88 00090.10.69.212020090 36.6873 .917 26437 Realignment of tendons A 5.82 4.05 4.05 0.68 10.55 10.55 00090.10.69.212010090 36.6873 .917 26440 Release palm/finger tendon A 5.02 3.57 3.57 0.59 9.18 9.18 00090.10.69.212010090 36.6873 .917 26442 Release palm & finger tendon A 8.16 3.37 3.37 0.59 12.12 12.12 00090.10.69.212010090 36.6873 .917 26445 Release hand/finger tendon A 4.31 3.25 3.25 0.54 8.10 8.10 00090.10.69.212010090 36.6873 .917 26449 Release forearm/hand tendon A 7.00 5.57 5.57 0.96 13.53 13.53 00090.10.69.212000090 36.6873 .917 26450 Incision of palm tendon A 3.67 2.28 2.28 0.36 6.31 6.31 00090.10.69.212000090 36.6873 .917 26455 Incision of finger tendon A 3.64 1.89 1.89 0.33 5.86 5.86 00090.10.69.212000090 36.6873 .917 26460 Incise hand/finger tendon A 3.46 1.72 1.72 0.30 5.48 5.48 00090.10.69.212010090 36.6873 .917 26471 Fusion of finger tendons A 5.73 4.15 4.15 0.67 10.55 10.55 00090.10.69.212000090 36.6873 .917 26474 Fusion of finger tendons A 5.32 4.61 4.61 0.75 10.68 10.68 00090.10.69.212020090 36.6873 .917 26476 Tendon lengthening A 5.18 2.89 2.89 0.27 8.34 8.34 00090.10.69.212010090 36.6873 .917 26477 Tendon shortening A 5.15 3.99 3.99 0.73 9.87 9.87 00090.10.69.212011090 36.6873 .917 26478 Lengthening of hand tendon A 5.80 4.30 4.30 0.72 10.82 10.82 00090.10.69.212000090 36.6873 .917 26479 Shortening of hand tendon A 5.74 5.29 5.29 0.86 11.89 11.89 00090.10.69.212020090 36.6873 .917 26480 Transplant hand tendon A 6.69 6.53 6.53 1.11 14.33 14.33 00090.10.69.212000090 36.6873 .917 26483 Transplant/graft hand tendon A 8.29 8.50 8.50 1.40 18.19 18.19 00090.10.69.212021090 36.6873 .917 26485 Transplant palm tendon A 7.70 6.50 6.50 1.08 15.28 15.28 00090.10.69.212021090 36.6873 .917 26489 Transplant/graft palm tendon A 9.55 3.40 3.40 0.51 13.46 13.46 00090.10.69.212000090 36.6873 .917 26490 Revise thumb tendon A 8.41 7.80 7.80 1.28 17.49 17.49 00090.10.69.212000090 36.6873 .917 26492 Tendon transfer with graft A 9.62 8.75 8.75 1.21 19.58 19.58 00090.10.69.212021090 36.6873 .917 26494 Hand tendon/muscle transfer A 8.47 7.28 7.28 1.23 16.98 16.98 00090.10.69.212021090 36.6873 .917 26496 Revise thumb tendon A 9.59 8.73 8.73 1.53 19.85 19.85 00090.10.69.212000090 36.6873 .917 26497 Finger tendon transfer A 9.57 8.02 8.02 1.38 18.97 18.97 00090.10.69.212020090 36.6873 .917 26498 Finger tendon transfer A 14.00 11.78 11.78 2.04 27.82 27.82 00090.10.69.212021090 36.6873 .917 26499 Revision of finger A 8.98 7.75 7.75 1.25 17.98 17.98 00090.10.69.212021090 36.6873 .917 26500 Hand tendon reconstruction A 5.96 3.49 3.49 0.60 10.05 10.05 00090.10.69.212000090 36.6873 .917 26502 Hand tendon reconstruction A 7.14 5.27 5.27 0.95 13.36 13.36 00090.10.69.212020090 36.6873 .917 26504 Hand tendon reconstruction A 7.47 6.72 6.72 1.11 15.30 15.30 00090.10.69.212020090 36.6873 .917 26508 Release thumb contracture A 6.01 4.15 4.15 0.72 10.88 10.88 00090.10.69.212000090 36.6873 .917 26510 Thumb tendon transfer A 5.43 4.15 4.15 0.68 10.26 10.26 00090.10.69.212000090 36.6873 .917 26516 Fusion of knuckle joint A 7.15 4.16 4.16 0.67 11.98 11.98 00090.10.69.212000090 36.6873 .917 26517 Fusion of knuckle joints A 8.83 7.07 7.07 1.23 17.13 17.13 00090.10.69.212020090 36.6873 .917 26518 Fusion of knuckle joints A 9.02 6.51 6.51 1.22 16.75 16.75 00090.10.69.212021090 36.6873 .917 26520 Release knuckle contracture A 5.30 4.48 4.48 0.71 10.49 10.49 00090.10.69.212010090 36.6873 .917 26525 Release finger contracture A 5.33 3.64 3.64 0.62 9.59 9.59 00090.10.69.212011090 36.6873 .917 26530 Revise knuckle joint A 6.69 5.16 5.16 0.85 12.70 12.70 00090.10.69.212020090 36.6873 .917 26531 Revise knuckle with implant A 7.91 6.65 6.65 1.11 15.67 15.67 00090.10.69.212021090 36.6873 .917 26535 Revise finger joint A 5.24 4.84 4.84 0.58 10.66 10.66 00090.10.69.212010090 36.6873 .917 26536 Revise/implant finger joint A 6.37 7.01 7.01 1.19 14.57 14.57 00090.10.69.212000090 36.6873 .917 26540 Repair hand joint A 6.43 6.64 6.64 1.12 14.19 14.19 00090.10.69.212001090 36.6873 .917 26541 Repair hand joint with graft A 8.62 8.94 8.94 1.47 19.03 19.03 00090.10.69.212021090 36.6873 .917 26542 Repair hand joint with graft A 6.78 5.67 5.67 0.97 13.42 13.42 00090.10.69.212000090 36.6873 .917 26545 Reconstruct finger joint A 6.92 5.27 5.27 0.94 13.13 13.13 00090.10.69.212000090 36.6873 .917 26546 Repair non-union hand A 8.92 8.11 8.11 1.33 18.36 18.36 00090.10.69.212120090 36.6873 .917 26548 Reconstruct finger joint A 8.03 5.79 5.79 1.00 14.82 14.82 00090.10.69.212000090 36.6873 .917 26550 Construct thumb replacement A 21.24 19.81 19.81 3.24 44.29 44.29 00090.10.69.212020090 36.6873 .917 26551 Great toe-hand transfer A 46.58 42.25 42.25 6.92 95.75 95.75 00090.10.69.212020090 36.6873 .917 26553 Single toe-hand transfer A 46.27 41.96 41.96 6.87 95.10 95.10 00090.10.69.212021090 36.6873 .917 26554 Double toe-hand transfer A 54.95 50.06 50.06 8.20 113.21 113.21 00090.10.69.212021090 36.6873 .917 26555 Positional change of finger A 16.63 15.41 15.41 2.52 34.56 34.56 00090.10.69.212020090 36.6873 .917 26556 Toe joint transfer A 47.26 42.67 42.67 6.99 96.92 96.92 00090.10.69.212021090 36.6873 .917 26560 Repair of web finger A 5.38 4.65 4.65 0.66 10.69 10.69 00090.10.69.212020090 36.6873 .917 26561 Repair of web finger A 10.92 8.89 8.89 1.56 21.37 21.37 00090.10.69.212021090 36.6873 .917 26562 Repair of web finger A 9.68 10.65 10.65 0.82 21.15 21.15 00090.10.69.212020090 36.6873 .917 26565 Correct metacarpal flaw A 6.74 5.82 5.82 0.85 13.41 13.41 00090.10.69.212020090 36.6873 .917 26567 Correct finger deformity A 6.82 4.28 4.28 0.67 11.77 11.77 00090.10.69.212000090 36.6873 .917 26568 Lengthen metacarpal/finger A 9.08 8.45 8.45 1.06 18.59 18.59 00090.10.69.212020090 36.6873 .917 26580 Repair hand deformity A 18.18 16.89 16.89 2.76 37.83 37.83 00090.10.69.212020090 36.6873 .917 26585 Repair finger deformity A 14.05 12.95 12.95 2.12 29.12 29.12 00090.10.69.212020090 36.6873 .917 26587 Reconstruct extra finger C 0.00 0.00 0.00 0.00 0.00 0.00 00090.10.69.212020090 36.6873 .917 26590 Repair finger deformity A 17.96 16.63 16.63 2.72 37.31 37.31 00090.10.69.212020090 36.6873 .917 26591 Repair muscles of hand A 3.25 2.29 2.29 0.39 5.93 5.93 00090.10.69.212000090 36.6873 .917 26593 Release muscles of hand A 5.31 4.12 4.12 0.70 10.13 10.13 00090.10.69.212010090 36.6873 .917 26596 Excision constricting tissue A 8.95 8.24 8.24 1.35 18.54 18.54 00090.10.69.212020090 36.6873 .917 26597 Release of scar contracture A 9.82 8.02 8.02 1.37 19.21 19.21 00090.10.69.212000090 36.6873 .917 26600 Treat metacarpal fracture A 1.96 1.54 1.54 0.22 3.72 3.72 10090.10.69.212010090 36.6873 .917 26605 Treat metacarpal fracture A 2.85 2.29 2.29 0.36 5.50 5.50 10090.10.69.212010090 36.6873 .917 26607 Treat metacarpal fracture A 5.36 3.55 3.55 0.57 9.48 9.48 00090.10.69.212000090 36.6873 .917 26608 Treat metacarpal fracture A 5.36 3.55 3.55 0.57 9.48 9.48 00090.10.69.212000090 36.6873 .917 26615 Repair metacarpal fracture A 5.33 4.87 4.87 0.80 11.00 11.00 00090.10.69.212010090 36.6873 .917 26641 Treat thumb dislocation A 3.94 1.11 1.11 0.14 5.19 5.19 00090.10.69.212000090 36.6873 .917 26645 Treat thumb fracture A 4.41 2.20 2.20 0.33 6.94 6.94 00090.10.69.212000090 36.6873 .917 26650 Repair thumb fracture A 5.72 4.01 4.01 0.64 10.37 10.37 00090.10.69.212010090 36.6873 .917 26665 Repair thumb fracture A 7.60 6.39 6.39 1.09 15.08 15.08 00090.10.69.212011090 36.6873 .917 26670 Treat hand dislocation A 3.69 0.96 0.96 0.10 4.75 4.75 00090.10.69.212000090 36.6873 .917 26675 Treat hand dislocation A 4.64 4.34 4.34 0.60 9.58 9.58 00090.10.69.212000090 36.6873 .917 26676 Pin hand dislocation A 5.52 4.86 4.86 0.67 11.05 11.05 00090.10.69.212010090 36.6873 .917 26685 Repair hand dislocation A 6.98 5.76 5.76 0.91 13.65 13.65 00090.10.69.212011090 36.6873 .917 26686 Repair hand dislocation A 7.94 6.31 6.31 1.04 15.29 15.29 00090.10.69.212020090 36.6873 .917 26700 Treat knuckle dislocation A 3.69 0.88 0.88 0.10 4.67 4.67 00090.10.69.212010090 36.6873 .917 26705 Treat knuckle dislocation A 4.19 1.78 1.78 0.27 6.24 6.24 00090.10.69.212000090 36.6873 .917 26706 Pin knuckle dislocation A 5.12 4.68 4.68 0.75 10.55 10.55 00090.10.69.212010090 36.6873 .917 26715 Repair knuckle dislocation A 5.74 4.13 4.13 0.66 10.53 10.53 00090.10.69.212000090 36.6873 .917 26720 Treat finger fracture, each A 1.66 1.10 1.10 0.15 2.91 2.91 10090.10.69.212010090 36.6873 .917 26725 Treat finger fracture, each A 3.33 1.54 1.54 0.23 5.10 5.10 10090.10.69.212010090 36.6873 .917 26727 Treat finger fracture, each A 5.23 2.45 2.45 0.38 8.06 8.06 00090.10.69.212010090 36.6873 .917 26735 Repair finger fracture, each A 5.98 3.73 3.73 0.61 10.32 10.32 00090.10.69.212010090 36.6873 .917 26740 Treat finger fracture, each A 1.94 1.16 1.16 0.16 3.26 3.26 10090.10.69.212010090 36.6873 .917 26742 Treat finger fracture, each A 3.85 1.98 1.98 0.32 6.15 6.15 00090.10.69.212010090 36.6873 .917 26746 Repair finger fracture, each A 5.81 4.75 4.75 0.80 11.36 11.36 00090.10.69.212010090 36.6873 .917 26750 Treat finger fracture, each A 1.70 0.83 0.83 0.10 2.63 2.63 00090.10.69.212010090 36.6873 .917 26755 Treat finger fracture, each A 3.10 1.08 1.08 0.15 4.33 4.33 00090.10.69.212010090 36.6873 .917 26756 Pin finger fracture, each A 4.39 1.90 1.90 0.33 6.62 6.62 00090.10.69.212000090 36.6873 .917 26765 Repair finger fracture, each A 4.17 2.66 2.66 0.45 7.28 7.28 00090.10.69.212010090 36.6873 .917 26770 Treat finger dislocation A 3.02 0.76 0.76 0.08 3.86 3.86 00090.10.69.212010090 36.6873 .917 26775 Treat finger dislocation A 3.71 1.13 1.13 0.17 5.01 5.01 00090.10.69.212010090 36.6873 .917 26776 Pin finger dislocation A 4.80 2.08 2.08 0.35 7.23 7.23 00090.10.69.212010090 36.6873 .917 26785 Repair finger dislocation A 4.21 2.97 2.97 0.48 7.66 7.66 00090.10.69.212010090 36.6873 .917 26820 Thumb fusion with graft A 8.26 6.65 6.65 1.05 15.96 15.96 00090.10.69.212021090 36.6873 .917 26841 Fusion of thumb A 7.13 6.17 6.17 1.00 14.30 14.30 00090.10.69.212001090 36.6873 .917 26842 Thumb fusion with graft A 8.24 8.58 8.58 1.37 18.19 18.19 00090.10.69.212021090 36.6873 .917 26843 Fusion of hand joint A 7.61 6.37 6.37 1.10 15.08 15.08 00090.10.69.212021090 36.6873 .917 26844 Fusion/graft of hand joint A 8.73 7.35 7.35 1.19 17.27 17.27 00090.10.69.212021090 36.6873 .917 26850 Fusion of knuckle A 6.97 4.63 4.63 0.76 12.36 12.36 00090.10.69.212000090 36.6873 .917 26852 Fusion of knuckle with graft A 8.46 5.72 5.72 1.00 15.18 15.18 00090.10.69.212021090 36.6873 .917 26860 Fusion of finger joint A 4.69 4.30 4.30 0.68 9.67 9.67 00090.10.69.212010090 36.6873 .917 26861 Fusion of finger joint,added A 1.74 1.91 1.91 0.43 4.08 4.08 00ZZZ.00.00.000010090 36.6873 .917 26862 Fusion/graft of finger joint A 7.37 5.16 5.16 0.85 13.38 13.38 00090.10.69.212021090 36.6873 .917 26863 Fuse/graft added joint A 3.90 3.37 3.37 0.57 7.84 7.84 00ZZZ.00.00.000020090 36.6873 .917 26910 Amputate metacarpal bone A 7.60 5.16 5.16 0.93 13.69 13.69 00090.10.69.212010090 36.6873 .917 26951 Amputation of finger/thumb A 4.59 2.87 2.87 0.49 7.95 7.95 00090.10.69.212010090 36.6873 .917 26952 Amputation of finger/thumb A 6.31 4.00 4.00 0.69 11.00 11.00 00090.10.69.212010090 36.6873 .917 26989 Hand/finger surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002010190 36.6873 .917 26990 Drainage of pelvis lesion A 7.48 3.10 3.10 0.51 11.09 11.09 00090.10.69.212010090 36.6873 .917 26991 Drainage of pelvis bursa A 6.68 1.81 1.81 0.29 8.78 8.78 00090.10.69.212000090 36.6873 .917 26992 Drainage of bone lesion A 13.02 6.38 6.38 1.05 20.45 20.45 00090.10.69.212000090 36.6873 .917 27000 Incision of hip tendon A 5.62 1.85 1.85 0.24 7.71 7.71 00090.10.69.212111090 36.6873 .917 27001 Incision of hip tendon A 6.94 2.34 2.34 0.38 9.66 9.66 00090.10.69.212121090 36.6873 .917 27003 Incision of hip tendon A 7.34 6.77 6.77 1.08 15.19 15.19 00090.10.69.212121090 36.6873 .917 27005 Incision of hip tendon A 9.66 3.37 3.37 0.54 13.57 13.57 00090.10.69.212121090 36.6873 .917 27006 Incision of hip tendons A 9.68 4.64 4.64 0.77 15.09 15.09 00090.10.69.212121090 36.6873 .917 27025 Incision of hip/thigh fascia A 11.16 6.12 6.12 1.02 18.30 18.30 00090.10.69.212101090 36.6873 .917 27030 Drainage of hip joint A 13.01 11.42 11.42 1.86 26.29 26.29 00090.10.69.212121090 36.6873 .917 27033 Exploration of hip joint A 13.39 11.52 11.52 1.85 26.76 26.76 00090.10.69.212121090 36.6873 .917 27035 Denervation of hip joint A 16.69 11.86 11.86 2.21 30.76 30.76 00090.10.69.212121090 36.6873 .917 27036 Excision of hip joint/muscle A 12.88 11.44 11.44 1.87 26.19 26.19 00090.10.69.212121090 36.6873 .917 27040 Biopsy of soft tissues A 2.87 0.72 0.72 0.11 3.70 3.70 00010.10.80.102110090 36.6873 .917 27041 Biopsy of soft tissues A 9.89 2.67 2.67 0.44 13.00 13.00 00090.10.69.212110090 36.6873 .917 27047 Remove hip/pelvis lesion A 7.45 1.89 1.89 0.32 9.66 9.66 00090.10.69.212110090 36.6873 .917 27048 Remove hip/pelvis lesion A 6.25 4.33 4.33 0.82 11.40 11.40 00090.10.69.212121090 36.6873 .917 27049 Remove tumor, hip/pelvis A 13.66 10.14 10.14 1.87 25.67 25.67 00090.10.69.212121090 36.6873 .917 27050 Biopsy of sacroiliac joint A 4.36 4.78 4.78 0.90 10.04 10.04 00090.10.69.212101090 36.6873 .917 27052 Biopsy of hip joint A 6.23 6.85 6.85 1.59 14.67 14.67 00090.10.69.212121090 36.6873 .917 27054 Removal of hip joint lining A 8.54 9.39 9.39 2.26 20.19 20.19 00090.10.69.212121090 36.6873 .917 27060 Removal of ischial bursa A 5.43 3.93 3.93 0.68 10.04 10.04 00090.10.69.212120090 36.6873 .917 27062 Remove femur lesion/bursa A 5.37 4.23 4.23 0.70 10.30 10.30 00090.10.69.212111090 36.6873 .917 27065 Removal of hip bone lesion A 5.90 5.59 5.59 0.90 12.39 12.39 00090.10.69.212121090 36.6873 .917 27066 Removal of hip bone lesion A 10.33 7.90 7.90 1.30 19.53 19.53 00090.10.69.212121090 36.6873 .917 27067 Remove/graft hip bone lesion A 13.83 11.63 11.63 1.93 27.39 27.39 00090.10.69.212120090 36.6873 .917 27070 Partial removal of hip bone A 10.72 7.41 7.41 1.21 19.34 19.34 00090.10.69.212121090 36.6873 .917 27071 Partial removal of hip bone A 11.46 8.50 8.50 1.45 21.41 21.41 00090.10.69.212121090 36.6873 .917 27075 Extensive hip surgery A 17.23 13.54 13.54 2.32 33.09 33.09 00090.10.69.212021090 36.6873 .917 27076 Extensive hip surgery A 22.12 16.37 16.37 2.61 41.10 41.10 00090.10.69.212021090 36.6873 .917 27077 Extensive hip surgery A 23.13 18.98 18.98 3.24 45.35 45.35 00090.10.69.212021090 36.6873 .917 27078 Extensive hip surgery A 13.44 9.20 9.20 1.67 24.31 24.31 00090.10.69.212021090 36.6873 .917 27079 Extensive hip surgery A 13.75 8.64 8.64 1.66 24.05 24.05 00090.10.69.212021090 36.6873 .917 27080 Removal of tail bone A 6.39 4.78 4.78 0.87 12.04 12.04 00090.10.69.212021090 36.6873 .917 27086 Remove hip foreign body A 1.87 0.58 0.58 0.07 2.52 2.52 10010.10.80.102100090 36.6873 .917 27087 Remove hip foreign body A 8.54 3.62 3.62 0.60 12.76 12.76 00090.10.69.212121090 36.6873 .917 27090 Removal of hip prosthesis A 11.15 9.09 9.09 1.46 21.70 21.70 00090.10.69.212121090 36.6873 .917 27091 Removal of hip prosthesis A 22.14 19.81 19.81 3.16 45.11 45.11 00090.10.69.212121090 36.6873 .917 27093 Injection for hip x-ray A 1.30 0.82 0.82 0.11 2.23 2.23 00000.00.00.002110090 36.6873 .917 27095 Injection for hip x-ray A 1.50 0.93 0.93 0.13 2.56 2.56 00000.00.00.002110090 36.6873 .917 27097 Revision of hip tendon A 8.80 7.71 7.71 1.26 17.77 17.77 00090.10.69.212120090 36.6873 .917 27098 Transfer tendon to pelvis A 8.83 7.71 7.71 1.26 17.80 17.80 00090.10.69.212120090 36.6873 .917 27100 Transfer of abdominal muscle A 11.08 7.68 7.68 1.42 20.18 20.18 00090.10.69.212121090 36.6873 .917 27105 Transfer of spinal muscle A 11.77 5.89 5.89 1.36 19.02 19.02 00090.10.69.212120090 36.6873 .917 27110 Transfer of iliopsoas muscle A 13.26 10.61 10.61 1.86 25.73 25.73 00090.10.69.212121090 36.6873 .917 27111 Transfer of iliopsoas muscle A 12.15 11.63 11.63 1.65 25.43 25.43 00090.10.69.212121090 36.6873 .917 27120 Reconstruction of hip socket A 18.01 18.10 18.10 2.95 39.06 39.06 00090.10.69.212121090 36.6873 .917 27122 Reconstruction of hip socket A 14.98 16.48 16.48 2.94 34.40 34.40 00090.10.69.212121090 36.6873 .917 27125 Partial hip replacement A 14.69 16.16 16.16 3.01 33.86 33.86 00090.10.69.212121090 36.6873 .917 27130 Total hip replacement A 20.12 22.13 22.13 4.58 46.83 46.83 00090.10.69.212121090 36.6873 .917 27132 Total hip replacement A 23.30 25.63 25.63 5.09 54.02 54.02 00090.10.69.212121090 36.6873 .917 27134 Revise hip joint replacement A 28.52 31.37 31.37 5.96 65.85 65.85 00090.10.69.212121090 36.6873 .917 27137 Revise hip joint replacement A 21.17 23.29 23.29 4.82 49.28 49.28 00090.10.69.212121090 36.6873 .917 27138 Revise hip joint replacement A 22.17 24.23 24.23 4.58 50.98 50.98 00090.10.69.212121090 36.6873 .917 27140 Transplant of femur ridge A 12.24 11.05 11.05 1.71 25.00 25.00 00090.10.69.212121090 36.6873 .917 27146 Incision of hip bone A 17.43 10.88 10.88 1.35 29.66 29.66 00090.10.69.212121090 36.6873 .917 27147 Revision of hip bone A 20.58 16.97 16.97 2.76 40.31 40.31 00090.10.69.212121090 36.6873 .917 27151 Incision of hip bones A 22.51 17.71 17.71 2.90 43.12 43.12 00090.10.69.212121090 36.6873 .917 27156 Revision of hip bones A 24.63 18.32 18.32 3.08 46.03 46.03 00090.10.69.212121090 36.6873 .917 27158 Revision of pelvis A 19.74 14.42 14.42 2.64 36.80 36.80 00090.10.69.212220090 36.6873 .917 27161 Incision of neck of femur A 16.71 14.31 14.31 2.31 33.33 33.33 00090.10.69.212121090 36.6873 .917 27165 Incision/fixation of femur A 17.91 16.76 16.76 2.63 37.30 37.30 00090.10.69.212021090 36.6873 .917 27170 Repair/graft femur head/neck A 16.07 16.41 16.41 2.65 35.13 35.13 00090.10.69.212121090 36.6873 .917 27175 Treat slipped epiphysis A 8.46 1.18 1.18 0.18 9.82 9.82 00090.10.69.212100090 36.6873 .917 27176 Treat slipped epiphysis A 12.05 10.39 10.39 1.70 24.14 24.14 00090.10.69.212121090 36.6873 .917 27177 Repair slipped epiphysis A 15.08 12.39 12.39 2.05 29.52 29.52 00090.10.69.212121090 36.6873 .917 27178 Repair slipped epiphysis A 11.99 10.46 10.46 1.55 24.00 24.00 00090.10.69.212121090 36.6873 .917 27179 Revise head/neck of femur A 12.98 11.15 11.15 1.83 25.96 25.96 00090.10.69.212120090 36.6873 .917 27181 Repair slipped epiphysis A 14.68 13.14 13.14 2.16 29.98 29.98 00090.10.69.212120090 36.6873 .917 27185 Revision of femur epiphysis A 9.18 2.77 2.77 0.87 12.82 12.82 00090.10.69.212111090 36.6873 .917 27187 Reinforce hip bones A 13.54 14.89 14.89 2.76 31.19 31.19 00090.10.69.212121090 36.6873 .917 27193 Treat pelvic ring fracture A 5.56 2.41 2.41 0.39 8.36 8.36 00090.10.69.212112090 36.6873 .917 27194 Treat pelvic ring fracture A 9.65 3.90 3.90 0.50 14.05 14.05 00090.10.69.212002090 36.6873 .917 27200 Treat tail bone fracture A 1.84 1.49 1.49 0.17 3.50 3.50 00090.10.69.212010090 36.6873 .917 27202 Repair tail bone fracture A 7.04 6.15 6.15 0.89 14.08 14.08 00090.10.69.212020090 36.6873 .917 27215 Pelvic fracture(s) treatment A 10.05 11.06 11.06 2.33 23.44 23.44 00090.10.69.212022090 36.6873 .917 27216 Treat pelvic ring fracture A 15.19 4.30 4.30 0.66 20.15 20.15 00090.10.69.212022090 36.6873 .917 27217 Treat pelvic ring fracture A 14.11 14.55 14.55 2.33 30.99 30.99 00090.10.69.212022090 36.6873 .917 27218 Treat pelvic ring fracture A 20.15 14.55 14.55 2.33 37.03 37.03 00090.10.69.212022090 36.6873 .917 27220 Treat hip socket fracture A 6.18 4.26 4.26 0.64 11.08 11.08 00090.10.69.212110090 36.6873 .917 27222 Treat hip socket fracture A 12.70 6.37 6.37 1.03 20.10 20.10 00090.10.69.212110090 36.6873 .917 27226 Treat hip wall fracture A 14.91 15.78 15.78 2.52 33.21 33.21 00090.10.69.212122090 36.6873 .917 27227 Treat hip fracture(s) A 23.45 19.70 19.70 3.20 46.35 46.35 00090.10.69.212122090 36.6873 .917 27228 Treat hip fracture(s) A 27.16 19.95 19.95 3.20 50.31 50.31 00090.10.69.212122090 36.6873 .917 27230 Treat fracture of thigh A 5.50 3.30 3.30 0.41 9.21 9.21 00090.10.69.212110090 36.6873 .917 27232 Treat fracture of thigh A 10.68 8.98 8.98 1.46 21.12 21.12 00090.10.69.212110090 36.6873 .917 27235 Repair of thigh fracture A 12.16 13.38 13.38 2.60 28.14 28.14 00090.10.69.212111090 36.6873 .917 27236 Repair of thigh fracture A 15.60 16.91 16.91 2.71 35.22 35.22 00090.10.69.212121090 36.6873 .917 27238 Treatment of thigh fracture A 5.52 4.91 4.91 0.71 11.14 11.14 00090.10.69.212110090 36.6873 .917 27240 Treatment of thigh fracture A 12.50 9.70 9.70 1.53 23.73 23.73 00090.10.69.212110090 36.6873 .917 27244 Repair of thigh fracture A 15.94 16.30 16.30 2.62 34.86 34.86 00090.10.69.212121090 36.6873 .917 27245 Repair of thigh fracture A 20.31 16.30 16.30 2.62 39.23 39.23 00090.10.69.212122090 36.6873 .917 27246 Treatment of thigh fracture A 4.71 3.87 3.87 0.60 9.18 9.18 00090.10.69.212110090 36.6873 .917 27248 Repair of thigh fracture A 10.45 11.50 11.50 2.11 24.06 24.06 00090.10.69.212121090 36.6873 .917 27250 Treat hip dislocation A 6.95 3.19 3.19 0.45 10.59 10.59 00090.10.69.212110090 36.6873 .917 27252 Treat hip dislocation A 10.39 4.34 4.34 0.68 15.41 15.41 00090.10.69.212110090 36.6873 .917 27253 Repair of hip dislocation A 12.92 13.14 13.14 2.11 28.17 28.17 00090.10.69.212121090 36.6873 .917 27254 Repair of hip dislocation A 18.26 13.47 13.47 2.27 34.00 34.00 00090.10.69.212121090 36.6873 .917 27256 Treatment of hip dislocation A 4.12 1.88 1.88 0.31 6.31 6.31 00010.10.80.102100090 36.6873 .917 27257 Treatment of hip dislocation A 5.22 4.62 4.62 0.73 10.57 10.57 00010.10.80.102100090 36.6873 .917 27258 Repair of hip dislocation A 15.43 13.73 13.73 2.25 31.41 31.41 00090.10.69.212121090 36.6873 .917 27259 Repair of hip dislocation A 21.55 17.20 17.20 2.82 41.57 41.57 00090.10.69.212120090 36.6873 .917 27265 Treatment of hip dislocation A 5.05 3.46 3.46 0.54 9.05 9.05 00090.10.69.212110090 36.6873 .917 27266 Treatment of hip dislocation A 7.49 4.45 4.45 0.71 12.65 12.65 00090.10.69.212110090 36.6873 .917 27275 Manipulation of hip joint A 2.27 1.88 1.88 0.30 4.45 4.45 00010.10.80.102010090 36.6873 .917 27280 Fusion of sacroiliac joint A 13.39 10.06 10.06 1.77 25.22 25.22 00090.10.69.212121090 36.6873 .917 27282 Fusion of pubic bones A 11.34 9.01 9.01 1.69 22.04 22.04 00090.10.69.212021090 36.6873 .917 27284 Fusion of hip joint A 16.76 14.50 14.50 2.40 33.66 33.66 00090.10.69.212121090 36.6873 .917 27286 Fusion of hip joint A 16.79 15.20 15.20 2.26 34.25 34.25 00090.10.69.212121090 36.6873 .917 27290 Amputation of leg at hip A 23.28 25.40 25.40 4.70 53.38 53.38 00090.10.69.212021090 36.6873 .917 27295 Amputation of leg at hip A 18.65 16.54 16.54 2.95 38.14 38.14 00090.10.69.212021090 36.6873 .917 27299 Pelvis/hip joint surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002121190 36.6873 .917 27301 Drain thigh/knee lesion A 6.49 2.46 2.46 0.40 9.35 9.35 00090.10.69.212110090 36.6873 .917 27303 Drainage of bone lesion A 8.28 5.86 5.86 0.96 15.10 15.10 00090.10.69.212121090 36.6873 .917 27305 Incise thigh tendon & fascia A 5.92 3.80 3.80 0.68 10.40 10.40 00090.10.69.212121090 36.6873 .917 27306 Incision of thigh tendon A 4.62 1.99 1.99 0.32 6.93 6.93 00090.10.69.212120090 36.6873 .917 27307 Incision of thigh tendons A 5.80 3.01 3.01 0.48 9.29 9.29 00090.10.69.212101090 36.6873 .917 27310 Exploration of knee joint A 9.27 9.60 9.60 1.51 20.38 20.38 00090.10.69.212121090 36.6873 .917 27315 Partial removal, thigh nerve A 6.97 5.38 5.38 0.96 13.31 13.31 00090.10.69.212120090 36.6873 .917 27320 Partial removal, thigh nerve A 6.30 5.18 5.18 0.73 12.21 12.21 00090.10.69.212121090 36.6873 .917 27323 Biopsy thigh soft tissues A 2.28 0.91 0.91 0.13 3.32 3.32 10010.10.80.102110090 36.6873 .917 27324 Biopsy thigh soft tissues A 4.90 2.63 2.63 0.45 7.98 7.98 00090.10.69.212110090 36.6873 .917 27327 Removal of thigh lesion A 4.47 2.29 2.29 0.40 7.16 7.16 00090.10.69.212110090 36.6873 .917 27328 Removal of thigh lesion A 5.57 4.07 4.07 0.73 10.37 10.37 00090.10.69.212110090 36.6873 .917 27329 Remove tumor, thigh/knee A 14.14 11.69 11.69 2.14 27.97 27.97 00090.10.69.212121090 36.6873 .917 27330 Biopsy knee joint lining A 4.97 5.47 5.47 1.19 11.63 11.63 00090.10.69.212111090 36.6873 .917 27331 Explore/treat knee joint A 5.88 6.47 6.47 1.49 13.84 13.84 00090.10.69.212121090 36.6873 .917 27332 Removal of knee cartilage A 8.27 9.10 9.10 1.73 19.10 19.10 00090.10.69.212121090 36.6873 .917 27333 Removal of knee cartilage A 7.30 8.03 8.03 2.52 17.85 17.85 00090.10.69.212121090 36.6873 .917 27334 Remove knee joint lining A 8.70 9.57 9.57 1.77 20.04 20.04 00090.10.69.212121090 36.6873 .917 27335 Remove knee joint lining A 10.00 11.00 11.00 2.05 23.05 23.05 00090.10.69.212121090 36.6873 .917 27340 Removal of kneecap bursa A 4.18 3.85 3.85 0.62 8.65 8.65 00090.10.69.212110090 36.6873 .917 27345 Removal of knee cyst A 5.92 5.63 5.63 0.95 12.50 12.50 00090.10.69.212121090 36.6873 .917 27350 Removal of kneecap A 8.17 8.99 8.99 1.54 18.70 18.70 00090.10.69.212121090 36.6873 .917 27355 Remove femur lesion A 7.65 7.58 7.58 1.23 16.46 16.46 00090.10.69.212121090 36.6873 .917 27356 Remove femur lesion/graft A 9.48 8.20 8.20 1.34 19.02 19.02 00090.10.69.212121090 36.6873 .917 27357 Remove femur lesion/graft A 10.53 8.80 8.80 1.43 20.76 20.76 00090.10.69.212121090 36.6873 .917 27358 Remove femur lesion/fixation A 4.74 4.55 4.55 0.72 10.01 10.01 00ZZZ.00.00.000120090 36.6873 .917 27360 Partial removal leg bone(s) A 10.50 8.56 8.56 1.40 20.46 20.46 00090.10.69.212121090 36.6873 .917 27365 Extensive leg surgery A 16.27 13.94 13.94 2.43 32.64 32.64 00090.10.69.212121090 36.6873 .917 27370 Injection for knee x-ray A 0.96 0.60 0.60 0.05 1.61 1.61 00000.00.00.002110090 36.6873 .917 27372 Removal of foreign body A 5.07 3.42 3.42 0.54 9.03 9.03 00090.10.69.212100090 36.6873 .917 27380 Repair of kneecap tendon A 7.16 7.88 7.88 1.29 16.33 16.33 00090.10.69.212121090 36.6873 .917 27381 Repair/graft kneecap tendon A 10.34 11.27 11.27 1.82 23.43 23.43 00090.10.69.212121090 36.6873 .917 27385 Repair of thigh muscle A 7.76 8.54 8.54 1.42 17.72 17.72 00090.10.69.212121090 36.6873 .917 27386 Repair/graft of thigh muscle A 10.56 11.62 11.62 2.02 24.20 24.20 00090.10.69.212121090 36.6873 .917 27390 Incision of thigh tendon A 5.33 4.36 4.36 0.71 10.40 10.40 00090.10.69.212020090 36.6873 .917 27391 Incision of thigh tendons A 7.20 5.42 5.42 0.90 13.52 13.52 00090.10.69.212001090 36.6873 .917 27392 Incision of thigh tendons A 9.20 7.67 7.67 1.28 18.15 18.15 00090.10.69.212221090 36.6873 .917 27393 Lengthening of thigh tendon A 6.39 5.67 5.67 0.93 12.99 12.99 00090.10.69.212021090 36.6873 .917 27394 Lengthening of thigh tendons A 8.50 5.73 5.73 0.94 15.17 15.17 00090.10.69.212020090 36.6873 .917 27395 Lengthening of thigh tendons A 11.73 10.48 10.48 1.65 23.86 23.86 00090.10.69.212221090 36.6873 .917 27396 Transplant of thigh tendon A 7.86 7.06 7.06 1.11 16.03 16.03 00090.10.69.212021090 36.6873 .917 27397 Transplants of thigh tendons A 11.28 8.88 8.88 1.45 21.61 21.61 00090.10.69.212020090 36.6873 .917 27400 Revise thigh muscles/tendons A 9.02 7.89 7.89 1.24 18.15 18.15 00090.10.69.212121090 36.6873 .917 27403 Repair of knee cartilage A 8.33 8.79 8.79 1.44 18.56 18.56 00090.10.69.212121090 36.6873 .917 27405 Repair of knee ligament A 8.65 9.52 9.52 1.67 19.84 19.84 00090.10.69.212121090 36.6873 .917 27407 Repair of knee ligament A 10.28 8.87 8.87 1.42 20.57 20.57 00090.10.69.212121090 36.6873 .917 27409 Repair of knee ligaments A 12.90 14.19 14.19 2.48 29.57 29.57 00090.10.69.212121090 36.6873 .917 27418 Repair degenerated kneecap A 10.85 11.94 11.94 1.85 24.64 24.64 00090.10.69.212121090 36.6873 .917 27420 Revision of unstable kneecap A 9.83 10.81 10.81 1.74 22.38 22.38 00090.10.69.212121090 36.6873 .917 27422 Revision of unstable kneecap A 9.78 10.76 10.76 1.83 22.37 22.37 00090.10.69.212121090 36.6873 .917 27424 Revision/removal of kneecap A 9.81 10.79 10.79 1.89 22.49 22.49 00090.10.69.212121090 36.6873 .917 27425 Lateral retinacular release A 5.22 5.74 5.74 1.08 12.04 12.04 00090.10.69.212111090 36.6873 .917 27427 Reconstruction, knee A 9.36 10.30 10.30 2.25 21.91 21.91 00090.10.69.212121090 36.6873 .917 27428 Reconstruction, knee A 14.00 13.67 13.67 2.71 30.38 30.38 00090.10.69.212121090 36.6873 .917 27429 Reconstruction, knee A 15.52 11.27 11.27 1.83 28.62 28.62 00090.10.69.212121090 36.6873 .917 27430 Revision of thigh muscles A 9.67 9.36 9.36 1.50 20.53 20.53 00090.10.69.212121090 36.6873 .917 27435 Incision of knee joint A 9.49 7.03 7.03 1.13 17.65 17.65 00090.10.69.212121090 36.6873 .917 27437 Revise kneecap A 8.46 9.31 9.31 1.55 19.32 19.32 00090.10.69.212111090 36.6873 .917 27438 Revise kneecap with implant A 11.23 12.35 12.35 2.14 25.72 25.72 00090.10.69.212121090 36.6873 .917 27440 Revision of knee joint A 10.43 11.47 11.47 2.10 24.00 24.00 00090.10.69.212121090 36.6873 .917 27441 Revision of knee joint A 10.82 9.14 9.14 1.51 21.47 21.47 00090.10.69.212121090 36.6873 .917 27442 Revision of knee joint A 11.89 13.08 13.08 3.05 28.02 28.02 00090.10.69.212121090 36.6873 .917 27443 Revision of knee joint A 10.93 12.02 12.02 3.34 26.29 26.29 00090.10.69.212121090 36.6873 .917 27445 Revision of knee joint A 17.68 19.45 19.45 4.21 41.34 41.34 00090.10.69.212121090 36.6873 .917 27446 Revision of knee joint A 15.84 17.42 17.42 3.87 37.13 37.13 00090.10.69.212121090 36.6873 .917 27447 Total knee replacement A 21.48 23.63 23.63 4.95 50.06 50.06 00090.10.69.212121090 36.6873 .917 27448 Incision of thigh A 11.06 12.17 12.17 2.09 25.32 25.32 00090.10.69.212121090 36.6873 .917 27450 Incision of thigh A 13.98 14.84 14.84 2.36 31.18 31.18 00090.10.69.212121090 36.6873 .917 27454 Realignment of thigh bone A 17.56 15.70 15.70 2.82 36.08 36.08 00090.10.69.212121090 36.6873 .917 27455 Realignment of knee A 12.82 12.01 12.01 1.95 26.78 26.78 00090.10.69.212121090 36.6873 .917 27457 Realignment of knee A 13.45 13.30 13.30 2.14 28.89 28.89 00090.10.69.212121090 36.6873 .917 27465 Shortening of thigh bone A 13.87 12.24 12.24 2.00 28.11 28.11 00090.10.69.212121090 36.6873 .917 27466 Lengthening of thigh bone A 16.33 13.43 13.43 2.27 32.03 32.03 00090.10.69.212121090 36.6873 .917 27468 Shorten/lengthen thighs A 18.97 16.84 16.84 2.75 38.56 38.56 00090.10.69.212121090 36.6873 .917 27470 Repair of thigh A 16.07 16.67 16.67 2.60 35.34 35.34 00090.10.69.212121090 36.6873 .917 27472 Repair/graft of thigh A 17.72 19.49 19.49 3.16 40.37 40.37 00090.10.69.212121090 36.6873 .917 27475 Surgery to stop leg growth A 8.64 7.74 7.74 1.27 17.65 17.65 00090.10.69.212111090 36.6873 .917 27477 Surgery to stop leg growth A 9.85 10.84 10.84 2.57 23.26 23.26 00090.10.69.212111090 36.6873 .917 27479 Surgery to stop leg growth A 12.80 11.63 11.63 1.89 26.32 26.32 00090.10.69.212120090 36.6873 .917 27485 Surgery to stop leg growth A 8.84 7.91 7.91 1.30 18.05 18.05 00090.10.69.212110090 36.6873 .917 27486 Revise knee joint replace A 19.27 21.20 21.20 4.26 44.73 44.73 00090.10.69.212121090 36.6873 .917 27487 Revise knee joint replace A 25.27 27.76 27.76 5.97 59.00 59.00 00090.10.69.212121090 36.6873 .917 27488 Removal of knee prosthesis A 15.74 16.16 16.16 2.58 34.48 34.48 00090.10.69.212121090 36.6873 .917 27495 Reinforce thigh A 15.55 17.11 17.11 2.82 35.48 35.48 00090.10.69.212121090 36.6873 .917 27496 Decompression of thigh/knee A 6.11 4.53 4.53 0.74 11.38 11.38 00090.10.69.212112090 36.6873 .917 27497 Decompression of thigh/knee A 7.17 5.55 5.55 0.91 13.63 13.63 00090.10.69.212102090 36.6873 .917 27498 Decompression of thigh/knee A 7.99 6.32 6.32 1.04 15.35 15.35 00090.10.69.212122090 36.6873 .917 27499 Decompression of thigh/knee A 9.00 7.28 7.28 1.19 17.47 17.47 00090.10.69.212122090 36.6873 .917 27500 Treatment of thigh fracture A 5.92 5.41 5.41 0.82 12.15 12.15 00090.10.69.212110090 36.6873 .917 27501 Treatment of thigh fracture A 5.92 5.41 5.41 0.82 12.15 12.15 00090.10.69.212100090 36.6873 .917 27502 Treatment of thigh fracture A 10.58 7.67 7.67 1.21 19.46 19.46 00090.10.69.212110090 36.6873 .917 27503 Treatment of thigh fracture A 10.58 7.67 7.67 1.21 19.46 19.46 00090.10.69.212100090 36.6873 .917 27506 Repair of thigh fracture A 17.45 16.02 16.02 2.56 36.03 36.03 00090.10.69.212121090 36.6873 .917 27507 Treatment of thigh fracture A 13.99 15.39 15.39 2.56 31.94 31.94 00090.10.69.212122090 36.6873 .917 27508 Treatment of thigh fracture A 5.83 4.22 4.22 0.65 10.70 10.70 00090.10.69.212110090 36.6873 .917 27509 Treatment of thigh fracture A 7.71 4.22 4.22 0.65 12.58 12.58 00090.10.69.212100090 36.6873 .917 27510 Treatment of thigh fracture A 9.13 6.82 6.82 1.09 17.04 17.04 00090.10.69.212110090 36.6873 .917 27511 Treatment of thigh fracture A 13.64 15.00 15.00 2.56 31.20 31.20 00090.10.69.212122090 36.6873 .917 27513 Treatment of thigh fracture A 17.92 16.02 16.02 2.56 36.50 36.50 00090.10.69.212122090 36.6873 .917 27514 Repair of thigh fracture A 17.30 15.76 15.76 2.53 35.59 35.59 00090.10.69.212121090 36.6873 .917 27516 Repair of thigh growth plate A 5.37 4.82 4.82 0.71 10.90 10.90 00090.10.69.212110090 36.6873 .917 27517 Repair of thigh growth plate A 8.78 7.82 7.82 1.28 17.88 17.88 00090.10.69.212100090 36.6873 .917 27519 Repair of thigh growth plate A 15.02 12.68 12.68 2.05 29.75 29.75 00090.10.69.212121090 36.6873 .917 27520 Treat kneecap fracture A 2.86 3.04 3.04 0.45 6.35 6.35 10090.10.69.212110090 36.6873 .917 27524 Repair of kneecap fracture A 10.00 10.34 10.34 1.65 21.99 21.99 00090.10.69.212121090 36.6873 .917 27530 Treatment of knee fracture A 3.78 3.40 3.40 0.51 7.69 7.69 00090.10.69.212110090 36.6873 .917 27532 Treatment of knee fracture A 7.30 5.68 5.68 0.91 13.89 13.89 00090.10.69.212110090 36.6873 .917 27535 Treatment of knee fracture A 11.50 11.69 11.69 1.88 25.07 25.07 00090.10.69.212122090 36.6873 .917 27536 Repair of knee fracture A 15.65 11.69 11.69 1.88 29.22 29.22 00090.10.69.212121090 36.6873 .917 27538 Treat knee fracture(s) A 4.87 3.37 3.37 0.51 8.75 8.75 00090.10.69.212100090 36.6873 .917 27540 Repair of knee fracture A 13.10 10.95 10.95 1.74 25.79 25.79 00090.10.69.212121090 36.6873 .917 27550 Treat knee dislocation A 5.76 2.57 2.57 0.36 8.69 8.69 00090.10.69.212100090 36.6873 .917 27552 Treat knee dislocation A 7.90 3.43 3.43 0.53 11.86 11.86 00090.10.69.212100090 36.6873 .917 27556 Repair of knee dislocation A 14.41 12.48 12.48 1.95 28.84 28.84 00090.10.69.212121090 36.6873 .917 27557 Repair of knee dislocation A 16.77 14.60 14.60 2.43 33.80 33.80 00090.10.69.212121090 36.6873 .917 27558 Repair of knee dislocation A 17.72 14.60 14.60 2.43 34.75 34.75 00090.10.69.212122090 36.6873 .917 27560 Treat kneecap dislocation A 3.82 1.43 1.43 0.16 5.41 5.41 00090.10.69.212110090 36.6873 .917 27562 Treat kneecap dislocation A 5.79 5.18 5.18 0.76 11.73 11.73 00090.10.69.212100090 36.6873 .917 27566 Repair kneecap dislocation A 12.23 10.58 10.58 1.67 24.48 24.48 00090.10.69.212121090 36.6873 .917 27570 Fixation of knee joint A 1.74 1.72 1.72 0.28 3.74 3.74 00010.10.80.102010090 36.6873 .917 27580 Fusion of knee A 19.37 15.70 15.70 2.56 37.63 37.63 00090.10.69.212121090 36.6873 .917 27590 Amputate leg at thigh A 12.03 9.11 9.11 1.80 22.94 22.94 00090.10.69.212121090 36.6873 .917 27591 Amputate leg at thigh A 12.68 11.77 11.77 2.11 26.56 26.56 00090.10.69.212121090 36.6873 .917 27592 Amputate leg at thigh A 10.02 8.11 8.11 1.61 19.74 19.74 00090.10.69.212121090 36.6873 .917 27594 Amputation follow-up surgery A 6.92 3.65 3.65 0.68 11.25 11.25 00090.10.69.212110090 36.6873 .917 27596 Amputation follow-up surgery A 10.60 7.37 7.37 1.42 19.39 19.39 00090.10.69.212111090 36.6873 .917 27598 Amputate lower leg at knee A 10.53 10.04 10.04 1.78 22.35 22.35 00090.10.69.212121090 36.6873 .917 27599 Leg surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002121190 36.6873 .917 27600 Decompression of lower leg A 5.65 3.39 3.39 0.64 9.68 9.68 00090.10.69.212111090 36.6873 .917 27601 Decompression of lower leg A 5.64 3.38 3.38 0.67 9.69 9.69 00090.10.69.212110090 36.6873 .917 27602 Decompression of lower leg A 7.35 4.05 4.05 0.77 12.17 12.17 00090.10.69.212121090 36.6873 .917 27603 Drain lower leg lesion A 4.94 2.38 2.38 0.41 7.73 7.73 00090.10.69.212110090 36.6873 .917 27604 Drain lower leg bursa A 4.47 1.02 1.02 0.14 5.63 5.63 10090.10.69.212100090 36.6873 .917 27605 Incision of achilles tendon A 2.87 1.18 1.18 0.14 4.19 4.19 00010.10.80.102100090 36.6873 .917 27606 Incision of achilles tendon A 4.14 2.12 2.12 0.35 6.61 6.61 00010.10.80.102111090 36.6873 .917 27607 Treat lower leg bone lesion A 7.97 6.01 6.01 0.98 14.96 14.96 00090.10.69.212110090 36.6873 .917 27610 Explore/treat ankle joint A 8.34 7.43 7.43 1.13 16.90 16.90 00090.10.69.212110090 36.6873 .917 27612 Exploration of ankle joint A 7.33 7.97 7.97 1.30 16.60 16.60 00090.10.69.212121090 36.6873 .917 27613 Biopsy lower leg soft tissue A 2.17 0.67 0.67 0.10 2.94 2.94 10010.10.80.102110090 36.6873 .917 27614 Biopsy lower leg soft tissue A 5.66 2.26 2.26 0.38 8.30 8.30 00090.10.69.212110090 36.6873 .917 27615 Remove tumor, lower leg A 12.56 8.23 8.23 1.42 22.21 22.21 00090.10.69.212101090 36.6873 .917 27618 Remove lower leg lesion A 5.09 2.10 2.10 0.32 7.51 7.51 00090.10.69.212110090 36.6873 .917 27619 Remove lower leg lesion A 8.40 4.13 4.13 0.67 13.20 13.20 00090.10.69.212110090 36.6873 .917 27620 Explore, treat ankle joint A 5.98 6.03 6.03 0.96 12.97 12.97 00090.10.69.212121090 36.6873 .917 27625 Remove ankle joint lining A 8.30 8.71 8.71 1.27 18.28 18.28 00090.10.69.212121090 36.6873 .917 27626 Remove ankle joint lining A 8.91 9.80 9.80 1.25 19.96 19.96 00090.10.69.212120090 36.6873 .917 27630 Removal of tendon lesion A 4.80 3.10 3.10 0.46 8.36 8.36 00090.10.69.212110090 36.6873 .917 27635 Remove lower leg bone lesion A 7.78 8.04 8.04 1.27 17.09 17.09 00090.10.69.212111090 36.6873 .917 27637 Remove/graft leg bone lesion A 9.85 8.47 8.47 1.40 19.72 19.72 00090.10.69.212121090 36.6873 .917 27638 Remove/graft leg bone lesion A 10.57 9.15 9.15 1.52 21.24 21.24 00090.10.69.212121090 36.6873 .917 27640 Partial removal of tibia A 11.37 9.81 9.81 1.57 22.75 22.75 00090.10.69.212111090 36.6873 .917 27641 Partial removal of fibula A 9.24 7.13 7.13 1.18 17.55 17.55 00090.10.69.212111090 36.6873 .917 27645 Extensive lower leg surgery A 14.17 11.64 11.64 1.98 27.79 27.79 00090.10.69.212121090 36.6873 .917 27646 Extensive lower leg surgery A 12.66 10.75 10.75 1.71 25.12 25.12 00090.10.69.212121090 36.6873 .917 27647 Extensive ankle/heel surgery A 12.24 9.95 9.95 1.35 23.54 23.54 00090.10.69.212120090 36.6873 .917 27648 Injection for ankle x-ray A 0.96 0.52 0.52 0.05 1.53 1.53 00000.00.00.002100090 36.6873 .917 27650 Repair achilles tendon A 9.69 8.98 8.98 1.41 20.08 20.08 00090.10.69.212121090 36.6873 .917 27652 Repair/graft achilles tendon A 10.33 10.41 10.41 1.56 22.30 22.30 00090.10.69.212111090 36.6873 .917 27654 Repair of achilles tendon A 10.02 10.93 10.93 1.65 22.60 22.60 00090.10.69.212121090 36.6873 .917 27656 Repair leg fascia defect A 4.57 3.18 3.18 0.54 8.29 8.29 00090.10.69.212120090 36.6873 .917 27658 Repair of leg tendon, each A 4.98 4.02 4.02 0.60 9.60 9.60 00090.10.69.212021090 36.6873 .917 27659 Repair of leg tendon, each A 6.81 5.87 5.87 0.86 13.54 13.54 00090.10.69.212021090 36.6873 .917 27664 Repair of leg tendon, each A 4.59 3.41 3.41 0.52 8.52 8.52 00090.10.69.212000090 36.6873 .917 27665 Repair of leg tendon, each A 5.40 4.95 4.95 0.76 11.11 11.11 00090.10.69.212021090 36.6873 .917 27675 Repair lower leg tendons A 7.18 6.40 6.40 0.94 14.52 14.52 00090.10.69.212121090 36.6873 .917 27676 Repair lower leg tendons A 8.42 7.56 7.56 1.14 17.12 17.12 00090.10.69.212120090 36.6873 .917 27680 Release of lower leg tendon A 5.74 4.12 4.12 0.61 10.47 10.47 00090.10.69.212011090 36.6873 .917 27681 Release of lower leg tendons A 6.82 5.97 5.97 0.86 13.65 13.65 00090.10.69.212011090 36.6873 .917 27685 Revision of lower leg tendon A 6.50 3.83 3.83 0.41 10.74 10.74 00090.10.69.212021090 36.6873 .917 27686 Revise lower leg tendons A 7.46 6.56 6.56 0.90 14.92 14.92 00090.10.69.212011090 36.6873 .917 27687 Revision of calf tendon A 6.24 5.45 5.45 0.76 12.45 12.45 00090.10.69.212121090 36.6873 .917 27690 Revise lower leg tendon A 8.71 6.74 6.74 0.88 16.33 16.33 00090.10.69.212121090 36.6873 .917 27691 Revise lower leg tendon A 9.96 7.89 7.89 1.23 19.08 19.08 00090.10.69.212121090 36.6873 .917 27692 Revise additional leg tendon A 1.87 2.03 2.03 0.29 4.19 4.19 00ZZZ.00.00.000121090 36.6873 .917 27695 Repair of ankle ligament A 6.51 7.16 7.16 1.32 14.99 14.99 00090.10.69.212111090 36.6873 .917 27696 Repair of ankle ligaments A 8.27 7.06 7.06 1.16 16.49 16.49 00090.10.69.212111090 36.6873 .917 27698 Repair of ankle ligament A 9.36 10.30 10.30 1.86 21.52 21.52 00090.10.69.212121090 36.6873 .917 27700 Revision of ankle joint A 9.29 10.22 10.22 1.51 21.02 21.02 00090.10.69.212121090 36.6873 .917 27702 Reconstruct ankle joint A 13.67 15.04 15.04 3.99 32.70 32.70 00090.10.69.212121090 36.6873 .917 27703 Reconstruction, ankle joint A 15.87 13.82 13.82 2.25 31.94 31.94 00090.10.69.212120090 36.6873 .917 27704 Removal of ankle implant A 7.62 5.84 5.84 0.98 14.44 14.44 00090.10.69.212121090 36.6873 .917 27705 Incision of tibia A 10.38 10.74 10.74 1.76 22.88 22.88 00090.10.69.212121090 36.6873 .917 27707 Incision of fibula A 4.37 4.75 4.75 0.79 9.91 9.91 00090.10.69.212111090 36.6873 .917 27709 Incision of tibia & fibula A 9.95 10.95 10.95 2.14 23.04 23.04 00090.10.69.212121090 36.6873 .917 27712 Realignment of lower leg A 14.25 10.99 10.99 1.63 26.87 26.87 00090.10.69.212121090 36.6873 .917 27715 Revision of lower leg A 14.39 12.61 12.61 1.88 28.88 28.88 00090.10.69.212121090 36.6873 .917 27720 Repair of tibia A 11.79 12.97 12.97 2.25 27.01 27.01 00090.10.69.212121090 36.6873 .917 27722 Repair/graft of tibia A 11.82 10.50 10.50 1.64 23.96 23.96 00090.10.69.212121090 36.6873 .917 27724 Repair/graft of tibia A 14.99 15.50 15.50 2.87 33.36 33.36 00090.10.69.212121090 36.6873 .917 27725 Repair of lower leg A 15.59 10.43 10.43 1.53 27.55 27.55 00090.10.69.212121090 36.6873 .917 27727 Repair of lower leg A 14.01 9.38 9.38 1.84 25.23 25.23 00090.10.69.212121090 36.6873 .917 27730 Repair of tibia epiphysis A 7.41 3.59 3.59 0.84 11.84 11.84 00090.10.69.212111090 36.6873 .917 27732 Repair of fibula epiphysis A 5.32 4.84 4.84 0.79 10.95 10.95 00090.10.69.212110090 36.6873 .917 27734 Repair lower leg epiphyses A 8.48 7.54 7.54 1.23 17.25 17.25 00090.10.69.212110090 36.6873 .917 27740 Repair of leg epiphyses A 9.30 8.36 8.36 1.36 19.02 19.02 00090.10.69.212120090 36.6873 .917 27742 Repair of leg epiphyses A 10.30 9.29 9.29 1.52 21.11 21.11 00090.10.69.212121090 36.6873 .917 27745 Reinforce tibia A 10.07 8.97 8.97 1.39 20.43 20.43 00090.10.69.212121090 36.6873 .917 27750 Treatment of tibia fracture A 3.19 3.45 3.45 0.50 7.14 7.14 00090.10.69.212110090 36.6873 .917 27752 Treatment of tibia fracture A 5.84 5.09 5.09 0.81 11.74 11.74 00090.10.69.212110090 36.6873 .917 27756 Repair of tibia fracture A 6.78 7.46 7.46 1.70 15.94 15.94 00090.10.69.212121090 36.6873 .917 27758 Repair of tibia fracture A 11.67 12.84 12.84 2.22 26.73 26.73 00090.10.69.212121090 36.6873 .917 27759 Repair of tibia fracture A 13.76 13.74 13.74 2.22 29.72 29.72 00090.10.69.212122090 36.6873 .917 27760 Treatment of ankle fracture A 3.01 2.58 2.58 0.37 5.96 5.96 10090.10.69.212110090 36.6873 .917 27762 Treatment of ankle fracture A 5.25 3.36 3.36 0.50 9.11 9.11 00090.10.69.212110090 36.6873 .917 27766 Repair of ankle fracture A 8.36 7.87 7.87 1.26 17.49 17.49 00090.10.69.212111090 36.6873 .917 27780 Treatment of fibula fracture A 2.65 1.97 1.97 0.26 4.88 4.88 10090.10.69.212110090 36.6873 .917 27781 Treatment of fibula fracture A 4.40 3.29 3.29 0.49 8.18 8.18 00090.10.69.212110090 36.6873 .917 27784 Repair of fibula fracture A 7.11 5.59 5.59 0.87 13.57 13.57 00090.10.69.212111090 36.6873 .917 27786 Treatment of ankle fracture A 2.84 2.52 2.52 0.38 5.74 5.74 10090.10.69.212110090 36.6873 .917 27788 Treatment of ankle fracture A 4.45 3.27 3.27 0.50 8.22 8.22 10090.10.69.212110090 36.6873 .917 27792 Repair of ankle fracture A 7.66 7.38 7.38 1.17 16.21 16.21 00090.10.69.212111090 36.6873 .917 27808 Treatment of ankle fracture A 2.83 2.79 2.79 0.39 6.01 6.01 00090.10.69.212110090 36.6873 .917 27810 Treatment of ankle fracture A 5.13 5.05 5.05 0.80 10.98 10.98 00090.10.69.212110090 36.6873 .917 27814 Repair of ankle fracture A 10.68 10.00 10.00 1.60 22.28 22.28 00090.10.69.212121090 36.6873 .917 27816 Treatment of ankle fracture A 2.89 3.47 3.18 0.55 6.91 6.62 20090.10.69.212110090 36.6873 .917 27818 Treatment of ankle fracture A 5.50 6.05 6.05 1.06 12.61 12.61 00090.10.69.212110090 36.6873 .917 27822 Repair of ankle fracture A 9.20 10.12 10.12 1.88 21.20 21.20 00090.10.69.212121090 36.6873 .917 27823 Repair of ankle fracture A 11.80 12.79 12.79 2.05 26.64 26.64 00090.10.69.212121090 36.6873 .917 27824 Treat lower leg fracture A 2.89 3.47 3.18 0.55 6.91 6.62 20090.10.69.212110090 36.6873 .917 27825 Treat lower leg fracture A 6.19 6.51 6.51 1.06 13.76 13.76 00090.10.69.212100090 36.6873 .917 27826 Treat lower leg fracture A 8.54 9.39 9.39 1.88 19.81 19.81 00090.10.69.212122090 36.6873 .917 27827 Treat lower leg fracture A 14.06 11.71 11.71 1.88 27.65 27.65 00090.10.69.212122090 36.6873 .917 27828 Treat lower leg fracture A 16.23 12.79 12.79 2.05 31.07 31.07 00090.10.69.212122090 36.6873 .917 27829 Treat lower leg joint A 5.49 6.04 6.04 1.37 12.90 12.90 00090.10.69.212122090 36.6873 .917 27830 Treat lower leg dislocation A 3.79 3.25 3.25 0.46 7.50 7.50 00090.10.69.212100090 36.6873 .917 27831 Treat lower leg dislocation A 4.56 3.98 3.98 0.59 9.13 9.13 00090.10.69.212100090 36.6873 .917 27832 Repair lower leg dislocation A 6.49 5.70 5.70 0.89 13.08 13.08 00090.10.69.212121090 36.6873 .917 27840 Treat ankle dislocation A 4.58 1.87 1.87 0.21 6.66 6.66 00090.10.69.212110090 36.6873 .917 27842 Treat ankle dislocation A 6.21 2.22 2.22 0.34 8.77 8.77 00090.10.69.212110090 36.6873 .917 27846 Repair ankle dislocation A 9.79 8.59 8.59 1.37 19.75 19.75 00090.10.69.212121090 36.6873 .917 27848 Repair ankle dislocation A 11.20 8.36 8.36 1.32 20.88 20.88 00090.10.69.212121090 36.6873 .917 27860 Fixation of ankle joint A 2.34 1.39 1.39 0.23 3.96 3.96 00010.10.80.102000090 36.6873 .917 27870 Fusion of ankle joint A 13.91 13.34 13.34 2.22 29.47 29.47 00090.10.69.212121090 36.6873 .917 27871 Fusion of tibiofibular joint A 9.17 7.79 7.79 1.21 18.17 18.17 00090.10.69.212121090 36.6873 .917 27880 Amputation of lower leg A 11.85 8.36 8.36 1.60 21.81 21.81 00090.10.69.212121090 36.6873 .917 27881 Amputation of lower leg A 12.34 10.82 10.82 1.87 25.03 25.03 00090.10.69.212121090 36.6873 .917 27882 Amputation of lower leg A 8.94 7.36 7.36 1.42 17.72 17.72 00090.10.69.212101090 36.6873 .917 27884 Amputation follow-up surgery A 8.21 3.37 3.37 0.61 12.19 12.19 00090.10.69.212110090 36.6873 .917 27886 Amputation follow-up surgery A 9.32 7.17 7.17 1.34 17.83 17.83 00090.10.69.212111090 36.6873 .917 27888 Amputation of foot at ankle A 9.67 9.49 9.49 1.65 20.81 20.81 00090.10.69.212121090 36.6873 .917 27889 Amputation of foot at ankle A 9.98 8.43 8.43 1.55 19.96 19.96 00090.10.69.212121090 36.6873 .917 27892 Decompression of leg A 7.39 3.39 3.39 0.64 11.42 11.42 00090.10.69.212102090 36.6873 .917 27893 Decompression of leg A 7.35 3.38 3.38 0.67 11.40 11.40 00090.10.69.212100090 36.6873 .917 27894 Decompression of leg A 10.49 4.05 4.05 0.77 15.31 15.31 00090.10.69.212122090 36.6873 .917 27899 Leg/ankle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 28001 Drainage of bursa of foot A 2.73 0.52 0.52 0.05 3.30 3.30 10010.10.80.102010090 36.6873 .917 28002 Treatment of foot infection A 4.62 2.25 2.25 0.33 7.20 7.20 00010.10.80.102010090 36.6873 .917 28003 Treatment of foot infection A 8.41 3.50 3.50 0.59 12.50 12.50 10090.10.69.212010090 36.6873 .917 28005 Treat foot bone lesion A 8.68 4.08 4.08 0.61 13.37 13.37 00090.10.69.212010090 36.6873 .917 28008 Incision of foot fascia A 4.45 2.68 2.68 0.29 7.42 7.42 00090.10.69.212010090 36.6873 .917 28010 Incision of toe tendon A 2.84 3.62 3.62 0.33 6.79 6.79 10090.10.69.212010090 36.6873 .917 28011 Incision of toe tendons A 4.14 1.77 1.77 0.19 6.10 6.10 10090.10.69.212010090 36.6873 .917 28020 Exploration of a foot joint A 5.01 4.40 4.40 0.56 9.97 9.97 00090.10.69.212011090 36.6873 .917 28022 Exploration of a foot joint A 4.67 2.74 2.74 0.31 7.72 7.72 10090.10.69.212010090 36.6873 .917 28024 Exploration of a toe joint A 4.38 2.39 2.39 0.24 7.01 7.01 10090.10.69.212010090 36.6873 .917 28030 Removal of foot nerve A 6.15 3.93 3.93 0.42 10.50 10.50 00090.10.69.212000090 36.6873 .917 28035 Decompression of tibia nerve A 5.09 6.18 5.60 0.90 12.17 11.59 20090.10.69.212011090 36.6873 .917 28043 Excision of foot lesion A 3.54 1.73 1.73 0.20 5.47 5.47 00090.10.69.212110090 36.6873 .917 28045 Excision of foot lesion A 4.72 3.99 3.99 0.46 9.17 9.17 00090.10.69.212100090 36.6873 .917 28046 Resection of tumor, foot A 10.18 5.35 5.35 0.79 16.32 16.32 00090.10.69.212111090 36.6873 .917 28050 Biopsy of foot joint lining A 4.25 3.84 3.84 0.53 8.62 8.62 00090.10.69.212111090 36.6873 .917 28052 Biopsy of foot joint lining A 3.94 3.82 3.82 0.43 8.19 8.19 10090.10.69.212111090 36.6873 .917 28054 Biopsy of toe joint lining A 3.45 2.24 2.24 0.28 5.97 5.97 00090.10.69.212100090 36.6873 .917 28060 Partial removal foot fascia A 5.23 4.22 4.22 0.53 9.98 9.98 00090.10.69.212110090 36.6873 .917 28062 Removal of foot fascia A 6.52 7.06 7.06 0.86 14.44 14.44 00090.10.69.212011090 36.6873 .917 28070 Removal of foot joint lining A 5.10 4.48 4.48 0.48 10.06 10.06 00090.10.69.212010090 36.6873 .917 28072 Removal of foot joint lining A 4.58 3.21 3.21 0.42 8.21 8.21 00090.10.69.212010090 36.6873 .917 28080 Removal of foot lesion A 3.58 4.07 4.07 0.45 8.10 8.10 00090.10.69.212000090 36.6873 .917 28086 Excise foot tendon sheath A 4.78 3.12 3.12 0.46 8.36 8.36 00090.10.69.212121090 36.6873 .917 28088 Excise foot tendon sheath A 3.86 3.62 3.62 0.40 7.88 7.88 00090.10.69.212100090 36.6873 .917 28090 Removal of foot lesion A 4.41 3.02 3.02 0.29 7.72 7.72 00090.10.69.212110090 36.6873 .917 28092 Removal of toe lesions A 3.64 2.03 2.03 0.25 5.92 5.92 00090.10.69.212010090 36.6873 .917 28100 Removal of ankle/heel lesion A 5.66 4.58 4.58 0.56 10.80 10.80 00090.10.69.212121090 36.6873 .917 28102 Remove/graft foot lesion A 7.73 6.84 6.84 0.85 15.42 15.42 00090.10.69.212120090 36.6873 .917 28103 Remove/graft foot lesion A 6.50 5.61 5.61 0.69 12.80 12.80 00090.10.69.212120090 36.6873 .917 28104 Removal of foot lesion A 5.12 4.33 4.33 0.49 9.94 9.94 00090.10.69.212021090 36.6873 .917 28106 Remove/graft foot lesion A 7.16 6.42 6.42 0.79 14.37 14.37 00090.10.69.212021090 36.6873 .917 28107 Remove/graft foot lesion A 5.56 4.86 4.86 0.48 10.90 10.90 00090.10.69.212020090 36.6873 .917 28108 Removal of toe lesions A 4.16 4.20 4.20 0.38 8.74 8.74 10090.10.69.212010090 36.6873 .917 28110 Part removal of metatarsal A 4.08 3.48 3.48 0.39 7.95 7.95 00090.10.69.212111090 36.6873 .917 28111 Part removal of metatarsal A 5.01 5.04 5.04 0.65 10.70 10.70 00090.10.69.212111090 36.6873 .917 28112 Part removal of metatarsal A 4.49 3.96 3.96 0.45 8.90 8.90 00090.10.69.212111090 36.6873 .917 28113 Part removal of metatarsal A 4.79 4.44 4.44 0.48 9.71 9.71 00090.10.69.212100090 36.6873 .917 28114 Removal of metatarsal heads A 9.79 9.17 9.17 1.42 20.38 20.38 00090.10.69.212121090 36.6873 .917 28116 Revision of foot A 7.75 5.48 5.48 0.57 13.80 13.80 00090.10.69.212110090 36.6873 .917 28118 Removal of heel bone A 5.96 5.71 5.71 0.66 12.33 12.33 00090.10.69.212121090 36.6873 .917 28119 Removal of heel spur A 5.39 5.44 5.44 0.57 11.40 11.40 00090.10.69.212111090 36.6873 .917 28120 Part removal of ankle/heel A 5.40 5.04 5.04 0.67 11.11 11.11 00090.10.69.212111090 36.6873 .917 28122 Partial removal of foot bone A 7.29 4.48 4.48 0.54 12.31 12.31 00090.10.69.212121090 36.6873 .917 28124 Partial removal of toe A 4.81 4.11 4.11 0.37 9.29 9.29 10090.10.69.212110090 36.6873 .917 28126 Partial removal of toe A 3.52 3.98 3.98 0.36 7.86 7.86 10090.10.69.212010090 36.6873 .917 28130 Removal of ankle bone A 8.11 7.03 7.03 0.88 16.02 16.02 00090.10.69.212121090 36.6873 .917 28140 Removal of metatarsal A 6.91 4.93 4.93 0.62 12.46 12.46 00090.10.69.212011090 36.6873 .917 28150 Removal of toe A 4.09 3.29 3.29 0.38 7.76 7.76 00090.10.69.212010090 36.6873 .917 28153 Partial removal of toe A 3.66 3.99 3.99 0.36 8.01 8.01 10090.10.69.212010090 36.6873 .917 28160 Partial removal of toe A 3.74 4.12 4.12 0.38 8.24 8.24 10090.10.69.212010090 36.6873 .917 28171 Extensive foot surgery A 9.60 7.99 7.99 0.88 18.47 18.47 00090.10.69.212020090 36.6873 .917 28173 Extensive foot surgery A 8.80 5.74 5.74 0.74 15.28 15.28 00090.10.69.212011090 36.6873 .917 28175 Extensive foot surgery A 6.05 5.38 5.38 0.58 12.01 12.01 00090.10.69.212011090 36.6873 .917 28190 Removal of foot foreign body A 1.96 0.52 0.52 0.05 2.53 2.53 10010.10.80.102110090 36.6873 .917 28192 Removal of foot foreign body A 4.64 1.95 1.95 0.24 6.83 6.83 00090.10.69.212110090 36.6873 .917 28193 Removal of foot foreign body A 5.73 2.38 2.38 0.30 8.41 8.41 00090.10.69.212110090 36.6873 .917 28200 Repair of foot tendon A 4.60 5.06 5.06 0.50 10.16 10.16 00090.10.69.212011090 36.6873 .917 28202 Repair/graft of foot tendon A 6.84 5.82 5.82 0.77 13.43 13.43 00090.10.69.212021090 36.6873 .917 28208 Repair of foot tendon A 4.37 2.81 2.81 0.28 7.46 7.46 00090.10.69.212011090 36.6873 .917 28210 Repair/graft of foot tendon A 6.35 5.60 5.60 0.60 12.55 12.55 00090.10.69.212020090 36.6873 .917 28220 Release of foot tendon A 4.53 3.87 3.87 0.43 8.83 8.83 10090.10.69.212010090 36.6873 .917 28222 Release of foot tendons A 5.62 6.40 6.40 0.63 12.65 12.65 10090.10.69.212010090 36.6873 .917 28225 Release of foot tendon A 3.66 2.37 2.37 0.25 6.28 6.28 00090.10.69.212011090 36.6873 .917 28226 Release of foot tendons A 4.53 3.38 3.38 0.40 8.31 8.31 00090.10.69.212010090 36.6873 .917 28230 Incision of foot tendon(s) A 4.24 2.43 2.43 0.22 6.89 6.89 10090.10.69.212010090 36.6873 .917 28232 Incision of toe tendon A 3.39 1.60 1.60 0.15 5.14 5.14 10090.10.69.212010090 36.6873 .917 28234 Incision of foot tendon A 3.37 1.53 1.53 0.14 5.04 5.04 10090.10.69.212010090 36.6873 .917 28238 Revision of foot tendon A 7.73 7.23 7.23 0.85 15.81 15.81 00090.10.69.212121090 36.6873 .917 28240 Release of big toe A 4.36 2.13 2.13 0.23 6.72 6.72 00090.10.69.212110090 36.6873 .917 28250 Revision of foot fascia A 5.92 4.46 4.46 0.50 10.88 10.88 00090.10.69.212121090 36.6873 .917 28260 Release of midfoot joint A 7.96 4.43 4.43 0.48 12.87 12.87 00090.10.69.212121090 36.6873 .917 28261 Revision of foot tendon A 11.73 5.91 5.91 0.58 18.22 18.22 00090.10.69.212100090 36.6873 .917 28262 Revision of foot and ankle A 15.83 11.91 11.91 1.44 29.18 29.18 00090.10.69.212121090 36.6873 .917 28264 Release of midfoot joint A 10.35 9.56 9.56 1.17 21.08 21.08 00090.10.69.212120090 36.6873 .917 28270 Release of foot contracture A 4.76 2.63 2.63 0.23 7.62 7.62 10090.10.69.212110090 36.6873 .917 28272 Release of toe joint, each A 3.80 2.04 2.04 0.18 6.02 6.02 10090.10.69.212110090 36.6873 .917 28280 Fusion of toes A 5.19 2.22 2.22 0.30 7.71 7.71 00090.10.69.212100090 36.6873 .917 28285 Repair of hammertoe A 4.59 4.37 4.37 0.39 9.35 9.35 00090.10.69.212011090 36.6873 .917 28286 Repair of hammertoe A 4.56 3.58 3.58 0.38 8.52 8.52 00090.10.69.212010090 36.6873 .917 28288 Partial removal of foot bone A 4.74 3.75 3.75 0.43 8.92 8.92 00090.10.69.212010090 36.6873 .917 28290 Correction of bunion A 5.66 5.36 5.36 0.63 11.65 11.65 00090.10.69.212110091A4550 36.6873 .917 28292 Correction of bunion A 7.04 7.05 7.05 0.74 14.83 14.83 00090.10.69.212121091A4550 36.6873 .917 28293 Correction of bunion A 9.15 9.55 9.55 0.98 19.68 19.68 00090.10.69.212121091A4550 36.6873 .917 28294 Correction of bunion A 8.56 9.16 9.16 0.86 18.58 18.58 00090.10.69.212121091A4550 36.6873 .917 28296 Correction of bunion A 9.18 8.81 8.81 0.98 18.97 18.97 00090.10.69.212121091A4550 36.6873 .917 28297 Correction of bunion A 9.18 9.02 9.02 1.05 19.25 19.25 00090.10.69.212121091A4550 36.6873 .917 28298 Correction of bunion A 7.94 8.73 8.73 0.79 17.46 17.46 00090.10.69.212121091A4550 36.6873 .917 28299 Correction of bunion A 8.88 9.77 9.77 1.08 19.73 19.73 00090.10.69.212121091A4550 36.6873 .917 28300 Incision of heel bone A 9.54 6.52 6.52 0.79 16.85 16.85 00090.10.69.212121090 36.6873 .917 28302 Incision of ankle bone A 9.55 8.89 8.89 1.12 19.56 19.56 00090.10.69.212121090 36.6873 .917 28304 Incision of midfoot bones A 9.16 6.44 6.44 0.70 16.30 16.30 00090.10.69.212021090 36.6873 .917 28305 Incise/graft midfoot bones A 10.50 9.85 9.85 1.03 21.38 21.38 00090.10.69.212021090 36.6873 .917 28306 Incision of metatarsal A 5.86 4.57 4.57 0.47 10.90 10.90 00090.10.69.212021090 36.6873 .917 28307 Incision of metatarsal A 6.33 5.87 5.87 0.76 12.96 12.96 00090.10.69.212000090 36.6873 .917 28308 Incision of metatarsal A 5.29 5.71 5.71 0.50 11.50 11.50 00090.10.69.212021090 36.6873 .917 28309 Incision of metatarsals A 12.78 6.87 6.87 1.00 20.65 20.65 00090.10.69.212000090 36.6873 .917 28310 Revision of big toe A 5.43 4.17 4.17 0.42 10.02 10.02 00090.10.69.212011090 36.6873 .917 28312 Revision of toe A 4.55 4.56 4.56 0.45 9.56 9.56 00090.10.69.212011090 36.6873 .917 28313 Repair deformity of toe A 5.01 2.57 2.57 0.31 7.89 7.89 10090.10.69.212010090 36.6873 .917 28315 Removal of sesamoid bone A 4.86 4.24 4.24 0.41 9.51 9.51 00090.10.69.212111090 36.6873 .917 28320 Repair of foot bones A 9.18 8.69 8.69 1.03 18.90 18.90 00090.10.69.212021090 36.6873 .917 28322 Repair of metatarsals A 8.34 4.67 4.67 0.52 13.53 13.53 00090.10.69.212021090 36.6873 .917 28340 Resect enlarged toe tissue A 6.98 6.34 6.34 0.91 14.23 14.23 00090.10.69.212010090 36.6873 .917 28341 Resect enlarged toe A 8.41 7.66 7.66 0.96 17.03 17.03 00090.10.69.212010090 36.6873 .917 28344 Repair extra toe(s) A 4.26 3.70 3.70 0.60 8.56 8.56 00090.10.69.212011090 36.6873 .917 28345 Repair webbed toe(s) A 5.92 5.34 5.34 0.73 11.99 11.99 00090.10.69.212000090 36.6873 .917 28360 Reconstruct cleft foot A 13.34 11.91 11.91 1.95 27.20 27.20 00090.10.69.212020090 36.6873 .917 28400 Treatment of heel fracture A 2.16 2.57 2.57 0.40 5.13 5.13 10090.10.69.212110090 36.6873 .917 28405 Treatment of heel fracture A 4.57 3.90 3.90 0.58 9.05 9.05 00090.10.69.212100090 36.6873 .917 28406 Treatment of heel fracture A 6.31 6.09 6.09 0.93 13.33 13.33 00090.10.69.212100090 36.6873 .917 28415 Repair of heel fracture A 15.97 9.02 9.02 1.39 26.38 26.38 00090.10.69.212121090 36.6873 .917 28420 Repair/graft heel fracture A 16.64 10.89 10.89 1.63 29.16 29.16 00090.10.69.212121090 36.6873 .917 28430 Treatment of ankle fracture A 2.09 2.45 2.45 0.35 4.89 4.89 10090.10.69.212110090 36.6873 .917 28435 Treatment of ankle fracture A 3.40 3.36 3.36 0.50 7.26 7.26 00090.10.69.212100090 36.6873 .917 28436 Treatment of ankle fracture A 4.71 4.19 4.19 0.68 9.58 9.58 00090.10.69.212110090 36.6873 .917 28445 Repair of ankle fracture A 9.33 8.80 8.80 1.40 19.53 19.53 00090.10.69.212121090 36.6873 .917 28450 Treat midfoot fracture, each A 1.90 1.87 1.87 0.25 4.02 4.02 10090.10.69.212010090 36.6873 .917 28455 Treat midfoot fracture, each A 3.09 2.54 2.54 0.34 5.97 5.97 10090.10.69.212000090 36.6873 .917 28456 Repair midfoot fracture A 2.68 2.27 2.27 0.38 5.33 5.33 00090.10.69.212010090 36.6873 .917 28465 Repair midfoot fracture,each A 7.01 5.54 5.54 0.81 13.36 13.36 00090.10.69.212010090 36.6873 .917 28470 Treat metatarsal fracture A 1.99 1.80 1.80 0.23 4.02 4.02 10090.10.69.212010090 36.6873 .917 28475 Treat metatarsal fracture A 2.97 2.34 2.34 0.30 5.61 5.61 10090.10.69.212010090 36.6873 .917 28476 Repair metatarsal fracture A 3.38 3.37 3.37 0.45 7.20 7.20 00090.10.69.212000090 36.6873 .917 28485 Repair metatarsal fracture A 5.71 4.68 4.68 0.60 10.99 10.99 00090.10.69.212011090 36.6873 .917 28490 Treat big toe fracture A 1.09 0.90 0.90 0.10 2.09 2.09 10090.10.69.212010090 36.6873 .917 28495 Treat big toe fracture A 1.58 1.12 1.12 0.13 2.83 2.83 10090.10.69.212010090 36.6873 .917 28496 Repair big toe fracture A 2.33 2.07 2.07 0.31 4.71 4.71 00090.10.69.212010090 36.6873 .917 28505 Repair big toe fracture A 3.81 2.99 2.99 0.43 7.23 7.23 00090.10.69.212010090 36.6873 .917 28510 Treatment of toe fracture A 1.09 0.89 0.89 0.09 2.07 2.07 10090.10.69.212010090 36.6873 .917 28515 Treatment of toe fracture A 1.46 1.12 1.12 0.11 2.69 2.69 10090.10.69.212010090 36.6873 .917 28525 Repair of toe fracture A 3.32 2.06 2.06 0.29 5.67 5.67 00090.10.69.212000090 36.6873 .917 28530 Treat sesamoid bone fracture A 1.06 1.00 1.00 0.10 2.16 2.16 10090.10.69.212000090 36.6873 .917 28531 Treat sesamoid bone fracture A 2.35 1.91 1.91 0.32 4.58 4.58 00090.10.69.212012090 36.6873 .917 28540 Treat foot dislocation A 2.04 0.60 0.60 0.06 2.70 2.70 10090.10.69.212000090 36.6873 .917 28545 Treat foot dislocation A 2.45 1.31 1.31 0.14 3.90 3.90 00090.10.69.212000090 36.6873 .917 28546 Treat foot dislocation A 3.20 2.74 2.74 0.45 6.39 6.39 00090.10.69.212000090 36.6873 .917 28555 Repair foot dislocation A 6.30 5.58 5.58 0.73 12.61 12.61 00090.10.69.212021090 36.6873 .917 28570 Treat foot dislocation A 1.66 1.59 1.59 0.17 3.42 3.42 10090.10.69.212000090 36.6873 .917 28575 Treat foot dislocation A 3.31 2.77 2.77 0.42 6.50 6.50 00090.10.69.212000090 36.6873 .917 28576 Treat foot dislocation A 4.17 2.77 2.77 0.42 7.36 7.36 00090.10.69.212000090 36.6873 .917 28585 Repair foot dislocation A 7.99 4.96 4.96 0.55 13.50 13.50 00090.10.69.212021090 36.6873 .917 28600 Treat foot dislocation A 1.89 0.68 0.68 0.08 2.65 2.65 10090.10.69.212000090 36.6873 .917 28605 Treat foot dislocation A 2.71 2.26 2.26 0.34 5.31 5.31 00090.10.69.212000090 36.6873 .917 28606 Treat foot dislocation A 4.90 3.49 3.49 0.55 8.94 8.94 00090.10.69.212010090 36.6873 .917 28615 Repair foot dislocation A 7.77 4.96 4.96 0.78 13.51 13.51 00090.10.69.212021090 36.6873 .917 28630 Treat toe dislocation A 1.70 1.03 1.03 0.11 2.84 2.84 10010.10.80.102000090 36.6873 .917 28635 Treat toe dislocation A 1.91 1.45 1.45 0.18 3.54 3.54 10010.10.80.102000090 36.6873 .917 28636 Treat toe dislocation A 2.77 2.56 2.56 0.42 5.75 5.75 00010.10.80.102012090 36.6873 .917 28645 Repair toe dislocation A 4.22 3.24 3.24 0.38 7.84 7.84 00090.10.69.212011090 36.6873 .917 28660 Treat toe dislocation A 1.23 0.63 0.63 0.06 1.92 1.92 00010.10.80.102010090 36.6873 .917 28665 Treat toe dislocation A 1.92 0.98 0.98 0.11 3.01 3.01 10010.10.80.102000090 36.6873 .917 28666 Treat toe dislocation A 2.66 2.44 2.44 0.40 5.50 5.50 00010.10.80.102012090 36.6873 .917 28675 Repair of toe dislocation A 2.92 3.00 3.00 0.41 6.33 6.33 00090.10.69.212010090 36.6873 .917 28705 Fusion of foot bones A 15.21 15.11 15.11 2.35 32.67 32.67 00090.10.69.212021090 36.6873 .917 28715 Fusion of foot bones A 13.10 12.33 12.33 1.89 27.32 27.32 00090.10.69.212021090 36.6873 .917 28725 Fusion of foot bones A 11.61 9.44 9.44 1.44 22.49 22.49 00090.10.69.212021090 36.6873 .917 28730 Fusion of foot bones A 10.76 9.00 9.00 1.33 21.09 21.09 00090.10.69.212021090 36.6873 .917 28735 Fusion of foot bones A 10.85 9.76 9.76 1.37 21.98 21.98 00090.10.69.212021090 36.6873 .917 28737 Revision of foot bones A 9.64 8.87 8.87 1.13 19.64 19.64 00090.10.69.212021090 36.6873 .917 28740 Fusion of foot bones A 8.02 5.14 5.14 0.72 13.88 13.88 00090.10.69.212021090 36.6873 .917 28750 Fusion of big toe joint A 7.30 5.32 5.32 0.82 13.44 13.44 00090.10.69.212100090 36.6873 .917 28755 Fusion of big toe joint A 4.74 3.69 3.69 0.45 8.88 8.88 00090.10.69.212111090 36.6873 .917 28760 Fusion of big toe joint A 7.75 5.40 5.40 0.65 13.80 13.80 00090.10.69.212121090 36.6873 .917 28800 Amputation of midfoot A 8.21 6.65 6.65 1.19 16.05 16.05 00090.10.69.212121090 36.6873 .917 28805 Amputation thru metatarsal A 8.39 6.32 6.32 1.21 15.92 15.92 00090.10.69.212100090 36.6873 .917 28810 Amputation toe & metatarsal A 6.21 3.91 3.91 0.75 10.87 10.87 00090.10.69.212000090 36.6873 .917 28820 Amputation of toe A 4.41 2.58 2.58 0.46 7.45 7.45 00090.10.69.212010090 36.6873 .917 28825 Partial amputation of toe A 3.59 2.40 2.40 0.41 6.40 6.40 00090.10.69.212010090 36.6873 .917 28899 Foot/toes surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 29000 Application of body cast A 2.25 1.85 1.85 0.21 4.31 4.31 00000.00.00.002000090 36.6873 .917 29010 Application of body cast A 2.06 2.33 2.27 0.34 4.73 4.67 20000.00.00.002000090 36.6873 .917 29015 Application of body cast A 2.41 2.33 2.33 0.33 5.07 5.07 10000.00.00.002000090 36.6873 .917 29020 Application of body cast A 2.11 1.82 1.82 0.23 4.16 4.16 10000.00.00.002000090 36.6873 .917 29025 Application of body cast A 2.40 0.75 0.75 0.14 3.29 3.29 10000.00.00.002000090 36.6873 .917 29035 Application of body cast A 1.77 1.95 1.95 0.32 4.04 4.04 10000.00.00.002000090 36.6873 .917 29040 Application of body cast A 2.22 2.02 2.02 0.30 4.54 4.54 00000.00.00.002000090 36.6873 .917 29044 Application of body cast A 2.12 2.09 2.09 0.34 4.55 4.55 00000.00.00.002000090 36.6873 .917 29046 Application of body cast A 2.41 2.23 2.23 0.36 5.00 5.00 00000.00.00.002000090 36.6873 .917 29049 Application of figure eight A 0.89 0.42 0.42 0.06 1.37 1.37 10000.00.00.002000090 36.6873 .917 29055 Application of shoulder cast A 1.78 1.20 1.20 0.17 3.15 3.15 00000.00.00.002000090 36.6873 .917 29058 Application of shoulder cast A 1.31 0.65 0.65 0.09 2.05 2.05 00000.00.00.002000090 36.6873 .917 29065 Application of long arm cast A 0.87 0.80 0.80 0.13 1.80 1.80 10000.00.00.002110090 36.6873 .917 29075 Application of forearm cast A 0.77 0.61 0.61 0.10 1.48 1.48 10000.00.00.002110090 36.6873 .917 29085 Apply hand/wrist cast A 0.87 0.50 0.50 0.08 1.45 1.45 10000.00.00.002110090 36.6873 .917 29105 Apply long arm splint A 0.87 0.50 0.50 0.08 1.45 1.45 10000.00.00.002110090 36.6873 .917 29125 Apply forearm splint A 0.59 0.37 0.37 0.05 1.01 1.01 10000.00.00.002110090 36.6873 .917 29126 Apply forearm splint A 0.77 0.40 0.40 0.06 1.23 1.23 10000.00.00.002110090 36.6873 .917 29130 Application of finger splint A 0.50 0.17 0.17 0.02 0.69 0.69 10000.00.00.002110090 36.6873 .917 29131 Application of finger splint A 0.55 0.39 0.39 0.06 1.00 1.00 10000.00.00.002110090 36.6873 .917 29200 Strapping of chest A 0.65 0.27 0.27 0.03 0.95 0.95 10000.00.00.002010090 36.6873 .917 29220 Strapping of low back A 0.64 0.38 0.38 0.05 1.07 1.07 10000.00.00.002010090 36.6873 .917 29240 Strapping of shoulder A 0.71 0.27 0.27 0.03 1.01 1.01 00000.00.00.002010090 36.6873 .917 29260 Strapping of elbow or wrist A 0.55 0.23 0.23 0.03 0.81 0.81 10000.00.00.002110090 36.6873 .917 29280 Strapping of hand or finger A 0.51 0.21 0.21 0.02 0.74 0.74 10000.00.00.002110090 36.6873 .917 29305 Application of hip cast A 2.03 1.88 1.88 0.31 4.22 4.22 00000.00.00.002000090 36.6873 .917 29325 Application of hip casts A 2.32 1.94 1.94 0.28 4.54 4.54 00000.00.00.002000090 36.6873 .917 29345 Application of long leg cast A 1.40 1.02 1.02 0.16 2.58 2.58 10000.00.00.002110090 36.6873 .917 29355 Application of long leg cast A 1.53 1.10 1.10 0.17 2.80 2.80 10000.00.00.002110090 36.6873 .917 29358 Apply long leg cast brace A 1.43 1.57 1.57 0.33 3.33 3.33 10000.00.00.002110090 36.6873 .917 29365 Application of long leg cast A 1.18 0.86 0.86 0.14 2.18 2.18 10000.00.00.002110090 36.6873 .917 29405 Apply short leg cast A 0.86 0.79 0.79 0.12 1.77 1.77 10000.00.00.002110090 36.6873 .917 29425 Apply short leg cast A 1.01 0.97 0.97 0.14 2.12 2.12 10000.00.00.002110090 36.6873 .917 29435 Apply short leg cast A 1.18 1.18 1.18 0.18 2.54 2.54 10000.00.00.002110090 36.6873 .917 29440 Addition of walker to cast A 0.57 0.23 0.23 0.03 0.83 0.83 10000.00.00.002110090 36.6873 .917 29445 Apply rigid leg cast A 1.78 1.70 1.70 0.28 3.76 3.76 00000.00.00.002110090 36.6873 .917 29450 Application of leg cast A 1.02 0.39 0.39 0.04 1.45 1.45 10000.00.00.002110090 36.6873 .917 29505 Application long leg splint A 0.69 0.57 0.57 0.07 1.33 1.33 00000.00.00.002110090 36.6873 .917 29515 Application lower leg splint A 0.73 0.47 0.47 0.06 1.26 1.26 10000.00.00.002110090 36.6873 .917 29520 Strapping of hip A 0.54 0.36 0.36 0.03 0.93 0.93 10000.00.00.002000090 36.6873 .917 29530 Strapping of knee A 0.57 0.35 0.35 0.05 0.97 0.97 00000.00.00.002010090 36.6873 .917 29540 Strapping of ankle A 0.51 0.30 0.30 0.03 0.84 0.84 10000.00.00.002010090 36.6873 .917 29550 Strapping of toes A 0.47 0.28 0.28 0.03 0.78 0.78 10000.00.00.002010090 36.6873 .917 29580 Application of paste boot A 0.57 0.79 0.79 0.04 1.40 1.40 10000.00.00.002110090 36.6873 .917 29590 Application of foot splint A 0.76 0.28 0.28 0.03 1.07 1.07 10000.00.00.002010090 36.6873 .917 29700 Removal/revision of cast A 0.57 0.32 0.32 0.05 0.94 0.94 10000.00.00.002010090 36.6873 .917 29705 Removal/revision of cast A 0.76 0.35 0.35 0.05 1.16 1.16 10000.00.00.002110090 36.6873 .917 29710 Removal/revision of cast A 1.34 0.45 0.45 0.07 1.86 1.86 10000.00.00.002100090 36.6873 .917 29715 Removal/revision of cast A 0.94 0.86 0.86 0.12 1.92 1.92 10000.00.00.002000090 36.6873 .917 29720 Repair of body cast A 0.68 0.23 0.23 0.04 0.95 0.95 10000.00.00.002010090 36.6873 .917 29730 Windowing of cast A 0.75 0.26 0.26 0.04 1.05 1.05 10000.00.00.002010090 36.6873 .917 29740 Wedging of cast A 1.12 0.38 0.38 0.06 1.56 1.56 10000.00.00.002010090 36.6873 .917 29750 Wedging of clubfoot cast A 1.26 0.50 0.50 0.07 1.83 1.83 10000.00.00.002100090 36.6873 .917 29799 Casting/strapping procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 29800 Jaw arthroscopy/surgery A 6.43 4.01 4.01 0.46 10.90 10.90 00090.10.69.212100090 36.6873 .917 29804 Jaw arthroscopy/surgery A 8.14 8.95 8.95 1.46 18.55 18.55 00090.10.69.212121090 36.6873 .917 29815 Shoulder arthroscopy A 5.89 4.84 4.84 0.76 11.49 11.49 00090.10.69.212111090 36.6873 .917 29819 Shoulder arthroscopy/surgery A 7.62 8.38 8.38 1.73 17.73 17.73 00090.10.69.213111090 29815 36.6873 .917 29820 Shoulder arthroscopy/surgery A 7.07 7.78 7.78 1.73 16.58 16.58 00090.10.69.213121090 29815 36.6873 .917 29821 Shoulder arthroscopy/surgery A 7.72 8.49 8.49 2.13 18.34 18.34 00090.10.69.213121090 29815 36.6873 .917 29822 Shoulder arthroscopy/surgery A 7.43 8.17 8.17 1.74 17.34 17.34 00090.10.69.213120090 29815 36.6873 .917 29823 Shoulder arthroscopy/surgery A 8.17 8.99 8.99 2.32 19.48 19.48 00090.10.69.213121090 29815 36.6873 .917 29825 Shoulder arthroscopy/surgery A 7.62 8.38 8.38 2.05 18.05 18.05 00090.10.69.213121090 29815 36.6873 .917 29826 Shoulder arthroscopy/surgery A 8.99 9.89 9.89 2.31 21.19 21.19 00090.10.69.213121090 29815 36.6873 .917 29830 Elbow arthroscopy A 5.76 5.32 5.32 0.83 11.91 11.91 00090.10.69.212110090 36.6873 .917 29834 Elbow arthroscopy/surgery A 6.28 5.84 5.84 0.96 13.08 13.08 00090.10.69.213121090 29830 36.6873 .917 29835 Elbow arthroscopy/surgery A 6.48 6.03 6.03 0.99 13.50 13.50 00090.10.69.213121090 29830 36.6873 .917 29836 Elbow arthroscopy/surgery A 7.55 7.03 7.03 1.15 15.73 15.73 00090.10.69.213121090 29830 36.6873 .917 29837 Elbow arthroscopy/surgery A 6.87 6.40 6.40 1.06 14.33 14.33 00090.10.69.213121090 29830 36.6873 .917 29838 Elbow arthroscopy/surgery A 7.71 7.05 7.05 1.14 15.90 15.90 00090.10.69.213100090 29830 36.6873 .917 29840 Wrist arthroscopy A 5.54 3.29 3.29 0.54 9.37 9.37 00090.10.69.212100090 36.6873 .917 29843 Wrist arthroscopy/surgery A 6.01 5.60 5.60 0.91 12.52 12.52 00090.10.69.213121090 29840 36.6873 .917 29844 Wrist arthroscopy/surgery A 6.37 5.59 5.59 0.95 12.91 12.91 00090.10.69.213120090 29840 36.6873 .917 29845 Wrist arthroscopy/surgery A 7.52 7.00 7.00 1.15 15.67 15.67 00090.10.69.213121090 29840 36.6873 .917 29846 Wrist arthroscopy/surgery A 6.75 7.43 7.43 2.20 16.38 16.38 00090.10.69.213100090 29840 36.6873 .917 29847 Wrist arthroscopy/surgery A 7.08 6.78 6.78 0.97 14.83 14.83 00090.10.69.213120090 29840 36.6873 .917 29848 Wrist arthroscopy/surgery A 5.44 3.85 3.85 0.62 9.91 9.91 00090.10.69.212110090 36.6873 .917 29850 Knee arthroscopy/surgery A 8.19 9.01 9.01 1.74 18.94 18.94 10090.10.69.212102090 36.6873 .917 29851 Knee arthroscopy/surgery A 13.10 10.95 10.95 1.74 25.79 25.79 00090.10.69.212122090 36.6873 .917 29855 Tibial arthroscopy/surgery A 10.62 11.68 11.68 1.88 24.18 24.18 00090.10.69.212122090 36.6873 .917 29856 Tibial arthroscopy/surgery A 14.14 11.69 11.69 1.88 27.71 27.71 00090.10.69.212122090 36.6873 .917 29860 Hip arthroscopy, dx A 8.05 4.84 4.84 0.76 13.65 13.65 00090.10.69.212121090 36.6873 .917 29861 Hip arthroscopy/surgery A 9.15 9.38 9.38 1.73 20.26 20.26 00090.10.69.213121090 29860 36.6873 .917 29862 Hip arthroscopy/surgery A 9.90 10.07 10.07 2.32 22.29 22.29 00090.10.69.213121090 29860 36.6873 .917 29863 Hip arthroscopy/surgery A 9.90 8.72 8.72 1.73 20.35 20.35 00090.10.69.213121090 29860 36.6873 .917 29870 Knee arthroscopy, diagnostic A 5.07 4.02 4.02 0.64 9.73 9.73 00090.10.69.212111090 36.6873 .917 29871 Knee arthroscopy/drainage A 6.55 6.77 6.77 0.96 14.28 14.28 00090.10.69.213110090 29870 36.6873 .917 29874 Knee arthroscopy/surgery A 7.05 7.76 7.76 1.52 16.33 16.33 00090.10.69.213100090 29870 36.6873 .917 29875 Knee arthroscopy/surgery A 6.31 6.94 6.94 1.61 14.86 14.86 00090.10.69.213100090 29870 36.6873 .917 29876 Knee arthroscopy/surgery A 7.92 8.71 8.71 1.95 18.58 18.58 00090.10.69.213110090 29870 36.6873 .917 29877 Knee arthroscopy/surgery A 7.35 8.09 8.09 1.81 17.25 17.25 00090.10.69.213100090 29870 36.6873 .917 29879 Knee arthroscopy/surgery A 8.04 8.84 8.84 2.19 19.07 19.07 00090.10.69.213100090 29870 36.6873 .917 29880 Knee arthroscopy/surgery A 8.50 9.35 9.35 2.22 20.07 20.07 00090.10.69.213101090 29870 36.6873 .917 29881 Knee arthroscopy/surgery A 7.76 8.54 8.54 1.82 18.12 18.12 00090.10.69.213100090 29870 36.6873 .917 29882 Knee arthroscopy/surgery A 8.65 9.52 9.52 1.90 20.07 20.07 00090.10.69.213110090 29870 36.6873 .917 29883 Knee arthroscopy/surgery A 9.46 10.41 10.41 2.80 22.67 22.67 00090.10.69.213100090 29870 36.6873 .917 29884 Knee arthroscopy/surgery A 7.33 8.06 8.06 1.56 16.95 16.95 00090.10.69.213121090 29870 36.6873 .917 29885 Knee arthroscopy/surgery A 9.09 8.23 8.23 1.35 18.67 18.67 00090.10.69.213121090 29870 36.6873 .917 29886 Knee arthroscopy/surgery A 7.54 6.80 6.80 1.12 15.46 15.46 00090.10.69.213120090 29870 36.6873 .917 29887 Knee arthroscopy/surgery A 9.04 9.94 9.94 1.71 20.69 20.69 00090.10.69.213121090 29870 36.6873 .917 29888 Knee arthroscopy/surgery A 13.90 15.29 15.29 3.18 32.37 32.37 00090.10.69.212121090 36.6873 .917 29889 Knee arthroscopy/surgery A 15.13 10.26 10.26 1.68 27.07 27.07 00090.10.69.212121090 36.6873 .917 29891 Ankle arthroscopy/surgery A 8.40 8.86 8.86 1.77 19.03 19.03 00090.10.69.212120090 36.6873 .917 29892 Ankle arthroscopy/surgery A 9.00 8.86 8.86 1.77 19.63 19.63 00090.10.69.212120090 36.6873 .917 29893 Scope, plantar fasciotomy A 5.22 5.20 5.20 0.46 10.88 10.88 00090.10.69.212121090 36.6873 .917 29894 Ankle arthroscopy/surgery A 7.21 7.93 7.93 1.47 16.61 16.61 00090.10.69.212121090 36.6873 .917 29895 Ankle arthroscopy/surgery A 6.99 7.69 7.69 1.51 16.19 16.19 00090.10.69.212121090 36.6873 .917 29897 Ankle arthroscopy/surgery A 7.18 7.90 7.90 1.77 16.85 16.85 00090.10.69.212120090 36.6873 .917 29898 Ankle arthroscopy/surgery A 8.32 9.15 9.15 1.91 19.38 19.38 00090.10.69.212121090 36.6873 .917 29909 Arthroscopy of joint C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002111190 36.6873 .917 30000 Drainage of nose lesion A 1.43 0.58 0.58 0.05 2.06 2.06 10010.10.80.102000090 36.6873 .917 30020 Drainage of nose lesion A 1.43 0.60 0.60 0.06 2.09 2.09 10010.10.80.102010090 36.6873 .917 30100 Intranasal biopsy A 0.94 0.69 0.69 0.08 1.71 1.71 10000.00.00.002010090 36.6873 .917 30110 Removal of nose polyp(s) A 1.63 1.29 1.29 0.14 3.06 3.06 10010.10.80.102110090 36.6873 .917 30115 Removal of nose polyp(s) A 4.35 2.81 2.81 0.30 7.46 7.46 00090.10.76.142110090 36.6873 .917 30117 Removal of intranasal lesion A 3.16 2.84 2.84 0.31 6.31 6.31 00090.10.76.142010090 36.6873 .917 30118 Removal of intranasal lesion A 9.69 8.01 8.01 0.92 18.62 18.62 00090.10.76.142021090 36.6873 .917 30120 Revision of nose A 5.27 5.80 5.80 1.00 12.07 12.07 00090.10.76.142010090 36.6873 .917 30124 Removal of nose lesion A 3.10 1.34 1.34 0.16 4.60 4.60 10090.10.76.142010090 36.6873 .917 30125 Removal of nose lesion A 7.16 5.55 5.55 0.73 13.44 13.44 00090.10.76.142020090 36.6873 .917 30130 Removal of turbinate bones A 3.38 1.67 1.67 0.17 5.22 5.22 00090.10.76.142110090 36.6873 .917 30140 Removal of turbinate bones A 3.43 3.04 3.04 0.34 6.81 6.81 00090.10.76.142110090 36.6873 .917 30150 Partial removal of nose A 9.14 7.92 7.92 1.07 18.13 18.13 00090.10.76.142011090 36.6873 .917 30160 Removal of nose A 9.58 10.54 10.54 1.73 21.85 21.85 00090.10.76.142021090 36.6873 .917 30200 Injection treatment of nose A 0.78 0.37 0.37 0.04 1.19 1.19 10000.00.00.002010090 36.6873 .917 30210 Nasal sinus therapy A 1.08 0.26 0.26 0.03 1.37 1.37 10010.10.80.102010090 36.6873 .917 30220 Insert nasal septal button A 1.54 1.51 1.51 0.16 3.21 3.21 10010.10.80.102010090 36.6873 .917 30300 Remove nasal foreign body A 1.04 0.46 0.46 0.05 1.55 1.55 10010.10.80.102010090 36.6873 .917 30310 Remove nasal foreign body A 1.96 1.62 1.62 0.18 3.76 3.76 00010.10.80.102000090 36.6873 .917 30320 Remove nasal foreign body A 4.52 4.29 4.29 0.43 9.24 9.24 00090.10.76.142000090 36.6873 .917 30400 Reconstruction of nose R 9.83 9.97 9.97 1.36 21.16 21.16 00090.10.76.142000090 36.6873 .917 30410 Reconstruction of nose R 12.98 14.28 14.28 2.01 29.27 29.27 00090.10.76.142020090 36.6873 .917 30420 Reconstruction of nose R 15.88 17.47 17.47 2.22 35.57 35.57 00090.10.76.142010090 36.6873 .917 30430 Revision of nose R 7.21 6.09 6.09 0.66 13.96 13.96 00090.10.76.142020090 36.6873 .917 30435 Revision of nose R 11.71 10.17 10.17 1.10 22.98 22.98 00090.10.76.142020090 36.6873 .917 30450 Revision of nose R 18.65 11.24 11.24 0.91 30.80 30.80 00090.10.76.142020090 36.6873 .917 30460 Revision of nose A 9.96 8.58 8.58 0.93 19.47 19.47 00090.10.76.142022090 36.6873 .917 30462 Revision of nose A 19.57 17.16 17.16 1.87 38.60 38.60 00090.10.76.142022090 36.6873 .917 30520 Repair of nasal septum A 5.70 6.27 6.27 0.96 12.93 12.93 00090.10.76.142010090 36.6873 .917 30540 Repair nasal defect A 7.75 6.63 6.63 0.70 15.08 15.08 00090.10.76.142020090 36.6873 .917 30545 Repair nasal defect A 11.38 10.83 10.83 0.93 23.14 23.14 00090.10.76.142020090 36.6873 .917 30560 Release of nasal adhesions A 1.26 0.55 0.55 0.06 1.87 1.87 10010.10.80.102010090 36.6873 .917 30580 Repair upper jaw fistula A 6.69 6.24 6.24 0.57 13.50 13.50 10090.10.76.142010090 36.6873 .917 30600 Repair mouth/nose fistula A 6.02 3.77 3.77 0.36 10.15 10.15 00090.10.76.142000090 36.6873 .917 30620 Intranasal reconstruction A 5.97 6.57 6.57 1.10 13.64 13.64 00090.10.76.142010090 36.6873 .917 30630 Repair nasal septum defect A 7.12 6.24 6.24 0.71 14.07 14.07 00090.10.76.142000090 36.6873 .917 30801 Cauterization inner nose A 1.09 0.47 0.47 0.05 1.61 1.61 10010.10.80.102210090 36.6873 .917 30802 Cauterization inner nose A 2.03 0.94 0.94 0.11 3.08 3.08 00010.10.80.102210090 36.6873 .917 30901 Control of nosebleed A 1.21 0.56 0.56 0.06 1.83 1.83 10000.00.00.002110090 36.6873 .917 30903 Control of nosebleed A 1.54 0.85 0.85 0.08 2.47 2.47 00000.00.00.002110090 36.6873 .917 30905 Control of nosebleed A 1.97 1.79 1.79 0.17 3.93 3.93 00000.00.00.002210090 36.6873 .917 30906 Repeat control of nosebleed A 2.45 1.08 1.08 0.11 3.64 3.64 00000.00.00.002210090 36.6873 .917 30915 Ligation nasal sinus artery A 7.20 4.95 4.95 0.52 12.67 12.67 00090.10.76.142010090 36.6873 .917 30920 Ligation upper jaw artery A 9.83 9.54 9.54 1.32 20.69 20.69 00090.10.76.142010090 36.6873 .917 30930 Therapy fracture of nose A 1.26 0.71 0.71 0.08 2.05 2.05 00010.10.80.102010090 36.6873 .917 30999 Nasal surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 31000 Irrigation maxillary sinus A 1.15 0.43 0.43 0.05 1.63 1.63 10010.10.80.102110090 36.6873 .917 31002 Irrigation sphenoid sinus A 1.91 0.46 0.46 0.05 2.42 2.42 10010.10.80.102100090 36.6873 .917 31020 Exploration maxillary sinus A 2.94 2.66 2.66 0.29 5.89 5.89 00090.10.76.142110090 36.6873 .917 31030 Exploration maxillary sinus A 5.92 6.51 6.51 0.86 13.29 13.29 00090.10.76.142110090 36.6873 .917 31032 Explore sinus,remove polyps A 6.57 7.23 7.23 0.99 14.79 14.79 00090.10.76.142110090 36.6873 .917 31040 Exploration behind upper jaw A 9.42 7.98 7.98 0.86 18.26 18.26 00090.10.76.142011090 36.6873 .917 31050 Exploration sphenoid sinus A 5.28 5.81 5.81 0.64 11.73 11.73 00090.10.76.142110090 36.6873 .917 31051 Sphenoid sinus surgery A 7.11 7.82 7.82 0.85 15.78 15.78 00090.10.76.142110090 36.6873 .917 31070 Exploration of frontal sinus A 4.28 4.69 4.69 0.50 9.47 9.47 00090.10.76.142110090 36.6873 .917 31075 Exploration of frontal sinus A 9.16 10.08 10.08 1.10 20.34 20.34 00090.10.76.142121090 36.6873 .917 31080 Removal of frontal sinus A 11.42 9.21 9.21 1.12 21.75 21.75 00090.10.76.142120090 36.6873 .917 31081 Removal of frontal sinus A 12.75 10.32 10.32 1.30 24.37 24.37 00090.10.76.142121090 36.6873 .917 31084 Removal of frontal sinus A 13.51 14.79 14.79 1.62 29.92 29.92 00090.10.76.142121090 36.6873 .917 31085 Removal of frontal sinus A 14.20 15.62 15.62 1.76 31.58 31.58 00090.10.76.142121090 36.6873 .917 31086 Removal of frontal sinus A 12.86 10.87 10.87 1.15 24.88 24.88 00090.10.76.142120090 36.6873 .917 31087 Removal of frontal sinus A 13.10 10.39 10.39 1.33 24.82 24.82 00090.10.76.142121090 36.6873 .917 31090 Exploration of sinuses A 9.53 10.48 10.48 2.12 22.13 22.13 00090.10.76.142110090 36.6873 .917 31200 Removal of ethmoid sinus A 4.97 4.62 4.62 0.48 10.07 10.07 00090.10.76.142110090 36.6873 .917 31201 Removal of ethmoid sinus A 8.37 7.01 7.01 0.75 16.13 16.13 00090.10.76.142110090 36.6873 .917 31205 Removal of ethmoid sinus A 10.24 8.03 8.03 0.81 19.08 19.08 00090.10.76.142121090 36.6873 .917 31225 Removal of upper jaw A 19.23 19.44 19.44 2.37 41.04 41.04 00090.10.76.142121090 36.6873 .917 31230 Removal of upper jaw A 21.94 21.74 21.74 2.48 46.16 46.16 00090.10.76.142121090 36.6873 .917 31231 Nasal endoscopy, dx A 1.10 1.37 1.37 0.15 2.62 2.62 00000.00.00.002210090 36.6873 .917 31233 Nasal/sinus endoscopy, dx A 2.18 2.79 2.79 0.31 5.28 5.28 10000.00.00.002110090 36.6873 .917 31235 Nasal/sinus endoscopy, dx A 2.64 2.39 2.39 0.26 5.29 5.29 10000.00.00.002110090 36.6873 .917 31237 Nasal/sinus endoscopy, surg A 2.98 3.28 3.28 0.37 6.63 6.63 10000.00.00.002110090 36.6873 .917 31238 Nasal/sinus endoscopy, surg A 3.26 3.59 3.59 0.45 7.30 7.30 10000.00.00.002100090 36.6873 .917 31239 Nasal/sinus endoscopy, surg A 8.70 9.57 9.57 1.18 19.45 19.45 00010.10.80.102100090 36.6873 .917 31240 Nasal/sinus endoscopy, surg A 2.61 2.87 2.87 0.37 5.85 5.85 00000.00.00.002100090 36.6873 .917 31254 Revision of ethmoid sinus A 4.65 5.12 5.12 0.69 10.46 10.46 00000.00.00.002110090 36.6873 .917 31255 Removal of ethmoid sinus A 6.96 7.66 7.66 1.14 15.76 15.76 00000.00.00.002110090 36.6873 .917 31256 Exploration maxillary sinus A 3.29 3.62 3.62 0.41 7.32 7.32 00000.00.00.002110090 36.6873 .917 31267 Endoscopy, maxillary sinus A 5.46 5.23 5.23 0.81 11.50 11.50 00000.00.00.002110090 36.6873 .917 31276 Sinus surgical endoscopy A 8.85 6.72 6.72 0.73 16.30 16.30 00000.00.00.002110090 36.6873 .917 31287 Nasal/sinus endoscopy, surg A 3.92 4.31 4.31 0.65 8.88 8.88 00000.00.00.002100090 36.6873 .917 31288 Nasal/sinus endoscopy, surg A 4.58 5.04 5.04 0.78 10.40 10.40 00000.00.00.002100090 36.6873 .917 31290 Nasal/sinus endoscopy, surg A 17.24 16.47 16.47 1.80 35.51 35.51 00010.10.80.102100090 36.6873 .917 31291 Nasal/sinus endoscopy, surg A 18.19 17.31 17.31 1.88 37.38 37.38 00010.10.80.102100090 36.6873 .917 31292 Nasal/sinus endoscopy, surg A 14.76 13.38 13.38 1.45 29.59 29.59 00010.10.80.102100090 36.6873 .917 31293 Nasal/sinus endoscopy, surg A 16.21 14.64 14.64 1.59 32.44 32.44 00010.10.80.102100090 36.6873 .917 31294 Nasal/sinus endoscopy, surg A 19.06 16.72 16.72 1.83 37.61 37.61 00010.10.80.102100090 36.6873 .917 31299 Sinus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 31300 Removal of larynx lesion A 14.29 11.58 11.58 1.28 27.15 27.15 00090.10.76.142021090 36.6873 .917 31320 Diagnostic incision larynx A 5.26 3.87 3.87 0.48 9.61 9.61 00090.10.76.142000090 36.6873 .917 31360 Removal of larynx A 17.08 18.79 18.79 2.19 38.06 38.06 00090.10.76.142021090 36.6873 .917 31365 Removal of larynx A 24.16 26.58 26.58 3.10 53.84 53.84 00090.10.76.142021090 36.6873 .917 31367 Partial removal of larynx A 21.86 17.22 17.22 1.88 40.96 40.96 00090.10.76.142021090 36.6873 .917 31368 Partial removal of larynx A 27.09 26.76 26.76 3.06 56.91 56.91 00090.10.76.142021090 36.6873 .917 31370 Partial removal of larynx A 21.38 17.18 17.18 1.88 40.44 40.44 00090.10.76.142021090 36.6873 .917 31375 Partial removal of larynx A 20.21 14.84 14.84 1.56 36.61 36.61 00090.10.76.142021090 36.6873 .917 31380 Partial removal of larynx A 20.21 17.27 17.27 1.88 39.36 39.36 00090.10.76.142021090 36.6873 .917 31382 Partial removal of larynx A 20.52 16.06 16.06 1.78 38.36 38.36 00090.10.76.142021090 36.6873 .917 31390 Removal of larynx & pharynx A 27.53 27.08 27.08 4.05 58.66 58.66 00090.10.76.142021090 36.6873 .917 31395 Reconstruct larynx & pharynx A 31.09 33.52 33.52 4.42 69.03 69.03 00090.10.76.142021090 36.6873 .917 31400 Revision of larynx A 10.31 7.81 7.81 0.91 19.03 19.03 00090.10.76.142020090 36.6873 .917 31420 Removal of epiglottis A 10.22 8.08 8.08 0.84 19.14 19.14 00090.10.76.142021090 36.6873 .917 31500 Insert emergency airway A 2.33 1.14 1.14 0.14 3.61 3.61 00000.00.00.000010090 36.6873 .917 31502 Change of windpipe airway A 0.65 0.58 0.58 0.07 1.30 1.30 00000.00.00.002010090 36.6873 .917 31505 Diagnostic laryngoscopy A 0.61 0.43 0.43 0.05 1.09 1.09 10000.00.00.002010090 36.6873 .917 31510 Laryngoscopy with biopsy A 1.92 0.55 0.55 0.07 2.54 2.54 00000.00.00.003000090 31505 36.6873 .917 31511 Remove foreign body, larynx A 2.16 0.96 0.96 0.10 3.22 3.22 00000.00.00.003010090 31505 36.6873 .917 31512 Removal of larynx lesion A 2.07 1.79 1.79 0.20 4.06 4.06 00000.00.00.003000090 31505 36.6873 .917 31513 Injection into vocal cord A 2.10 2.31 2.31 0.38 4.79 4.79 00000.00.00.003000090 31505 36.6873 .917 31515 Laryngoscopy for aspiration A 1.80 1.13 1.13 0.14 3.07 3.07 00000.00.00.002010090 36.6873 .917 31520 Diagnostic laryngoscopy A 2.56 1.64 1.64 0.18 4.38 4.38 00000.00.00.002000090 36.6873 .917 31525 Diagnostic laryngoscopy A 2.63 2.20 2.20 0.23 5.06 5.06 10000.00.00.002010090 36.6873 .917 31526 Diagnostic laryngoscopy A 2.57 2.83 2.83 0.38 5.78 5.78 00000.00.00.002010090 36.6873 .917 31527 Laryngoscopy for treatment A 3.27 2.99 2.99 0.30 6.56 6.56 00000.00.00.003000090 31525 36.6873 .917 31528 Laryngoscopy and dilatation A 2.37 2.61 2.61 0.30 5.28 5.28 00000.00.00.003000090 31525 36.6873 .917 31529 Laryngoscopy and dilatation A 2.68 2.46 2.46 0.25 5.39 5.39 00000.00.00.003000090 31525 36.6873 .917 31530 Operative laryngoscopy A 3.39 3.63 3.63 0.39 7.41 7.41 00000.00.00.003010090 31525 36.6873 .917 31531 Operative laryngoscopy A 3.59 3.95 3.95 0.60 8.14 8.14 00000.00.00.003000090 31526 36.6873 .917 31535 Operative laryngoscopy A 3.16 3.48 3.48 0.45 7.09 7.09 00000.00.00.003010090 31525 36.6873 .917 31536 Operative laryngoscopy A 3.56 3.92 3.92 0.59 8.07 8.07 00000.00.00.003010090 31526 36.6873 .917 31540 Operative laryngoscopy A 4.13 4.54 4.54 0.61 9.28 9.28 00000.00.00.003010090 31525 36.6873 .917 31541 Operative laryngoscopy A 4.53 4.56 4.56 0.75 9.84 9.84 00000.00.00.003010090 31526 36.6873 .917 31560 Operative laryngoscopy A 5.46 4.99 4.99 0.51 10.96 10.96 00000.00.00.003000090 31525 36.6873 .917 31561 Operative laryngoscopy A 6.00 6.27 6.27 1.08 13.35 13.35 00000.00.00.003000090 31526 36.6873 .917 31570 Laryngoscopy with injection A 3.87 4.26 4.26 0.60 8.73 8.73 10000.00.00.003010090 31525 36.6873 .917 31571 Laryngoscopy with injection A 4.27 4.51 4.51 0.69 9.47 9.47 00000.00.00.003010090 31526 36.6873 .917 31575 Diagnostic laryngoscopy A 1.10 1.56 1.56 0.17 2.83 2.83 10000.00.00.002010090 36.6873 .917 31576 Laryngoscopy with biopsy A 1.97 2.17 2.17 0.33 4.47 4.47 00000.00.00.003010090 31575 36.6873 .917 31577 Remove foreign body, larynx A 2.47 2.72 2.72 0.37 5.56 5.56 00000.00.00.003000090 31575 36.6873 .917 31578 Removal of larynx lesion A 2.84 3.12 3.12 0.48 6.44 6.44 00000.00.00.003000090 31575 36.6873 .917 31579 Diagnostic laryngoscopy A 2.26 2.33 2.33 0.26 4.85 4.85 10000.00.00.003010090 31575 36.6873 .917 31580 Revision of larynx A 12.38 13.62 13.62 1.63 27.63 27.63 00090.10.76.142021090 36.6873 .917 31582 Revision of larynx A 21.62 17.87 17.87 1.94 41.43 41.43 00090.10.76.142011090 36.6873 .917 31584 Repair of larynx fracture A 19.64 12.72 12.72 1.34 33.70 33.70 00090.10.76.142021090 36.6873 .917 31585 Repair of larynx fracture A 4.64 3.77 3.77 0.40 8.81 8.81 00090.10.76.142000090 36.6873 .917 31586 Repair of larynx fracture A 8.03 6.55 6.55 0.71 15.29 15.29 00090.10.76.142000090 36.6873 .917 31587 Revision of larynx A 11.99 7.21 7.21 0.79 19.99 19.99 00090.10.76.142021090 36.6873 .917 31588 Revision of larynx A 13.11 10.70 10.70 1.16 24.97 24.97 00090.10.76.142020090 36.6873 .917 31590 Reinnervate larynx A 6.97 5.76 5.76 0.62 13.35 13.35 00090.10.76.142021090 36.6873 .917 31595 Larynx nerve surgery A 8.34 6.84 6.84 0.74 15.92 15.92 00090.10.76.142021090 36.6873 .917 31599 Larynx surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 31600 Incision of windpipe A 3.62 3.98 3.98 0.65 8.25 8.25 00000.00.00.002010090 36.6873 .917 31601 Incision of windpipe A 4.45 4.90 4.90 0.66 10.01 10.01 00000.00.00.002021090 36.6873 .917 31603 Incision of windpipe A 4.15 4.23 4.23 0.66 9.04 9.04 00000.00.00.002010090 36.6873 .917 31605 Incision of windpipe A 3.58 3.94 3.94 0.50 8.02 8.02 00000.00.00.002010090 36.6873 .917 31610 Incision of windpipe A 8.76 6.67 6.67 0.92 16.35 16.35 00090.10.76.142010090 36.6873 .917 31611 Surgery/speech prosthesis A 5.64 6.45 6.45 1.04 13.13 13.13 00090.10.76.142021090 36.6873 .917 31612 Puncture/clear windpipe A 0.91 1.17 1.00 0.12 2.20 2.03 20000.00.00.002000090 36.6873 .917 31613 Repair windpipe opening A 4.59 2.21 2.21 0.28 7.08 7.08 00090.10.76.142010090 36.6873 .917 31614 Repair windpipe opening A 7.12 6.74 6.74 0.73 14.59 14.59 00090.10.76.142010090 36.6873 .917 31615 Visualization of windpipe A 2.09 1.95 1.95 0.22 4.26 4.26 00000.00.00.002010090 36.6873 .917 31622 Diagnostic bronchoscopy A 2.80 3.08 3.08 0.34 6.22 6.22 00000.00.00.002010090 36.6873 .917 31625 Bronchoscopy with biopsy A 3.37 3.71 3.71 0.35 7.43 7.43 00000.00.00.003010090 31622 36.6873 .917 31628 Bronchoscopy with biopsy A 3.81 4.19 4.19 0.38 8.38 8.38 00000.00.00.003010090 31622 36.6873 .917 31629 Bronchoscopy with biopsy A 3.37 3.71 3.71 0.34 7.42 7.42 00000.00.00.003010090 31622 36.6873 .917 31630 Bronchoscopy with repair A 3.82 3.72 3.72 0.50 8.04 8.04 00000.00.00.003010090 31622 36.6873 .917 31631 Bronchoscopy with dilation A 4.37 3.94 3.94 0.48 8.79 8.79 00000.00.00.003010090 31622 36.6873 .917 31635 Remove foreign body, airway A 3.68 4.05 4.05 0.53 8.26 8.26 00000.00.00.003010090 31622 36.6873 .917 31640 Bronchoscopy & remove lesion A 4.94 5.02 5.02 0.67 10.63 10.63 00000.00.00.003010090 31622 36.6873 .917 31641 Bronchoscopy, treat blockage A 5.03 5.53 5.53 0.85 11.41 11.41 00000.00.00.003010090 31622 36.6873 .917 31645 Bronchoscopy, clear airways A 3.16 3.48 3.48 0.30 6.94 6.94 00000.00.00.003010090 31622 36.6873 .917 31646 Bronchoscopy,reclear airways A 2.72 2.99 2.99 0.27 5.98 5.98 00000.00.00.002010090 36.6873 .917 31656 Bronchoscopy,inject for xray A 2.17 2.39 2.39 0.31 4.87 4.87 00000.00.00.002000090 36.6873 .917 31700 Insertion of airway catheter A 1.34 1.38 1.38 0.17 2.89 2.89 00000.00.00.002000090 36.6873 .917 31708 Instill airway contrast dye A 1.41 0.77 0.77 0.09 2.27 2.27 00000.00.00.002100090 36.6873 .917 31710 Insertion of airway catheter A 1.30 0.90 0.90 0.12 2.32 2.32 00000.00.00.002100090 36.6873 .917 31715 Injection for bronchus x-ray A 1.11 0.48 0.48 0.04 1.63 1.63 00000.00.00.002100090 36.6873 .917 31717 Bronchial brush biopsy A 2.12 0.73 0.73 0.06 2.91 2.91 00000.00.00.002010090 36.6873 .917 31720 Clearance of airways A 1.06 0.74 0.74 0.09 1.89 1.89 00000.00.00.002010090 36.6873 .917 31725 Clearance of airways A 1.96 1.41 1.41 0.15 3.52 3.52 00000.00.00.002010090 36.6873 .917 31730 Intro windpipe wire/tube A 2.85 2.47 2.47 0.23 5.55 5.55 00000.00.00.002012090 36.6873 .917 31750 Repair of windpipe A 13.02 8.88 8.88 1.09 22.99 22.99 00090.10.76.142021090 36.6873 .917 31755 Repair of windpipe A 15.93 13.30 13.30 1.44 30.67 30.67 00090.10.76.142021090 36.6873 .917 31760 Repair of windpipe A 22.35 10.92 10.92 2.55 35.82 35.82 00090.10.76.142021090 36.6873 .917 31766 Reconstruction of windpipe A 30.43 18.40 18.40 1.12 49.95 49.95 00090.10.76.142021090 36.6873 .917 31770 Repair/graft of bronchus A 22.51 15.07 15.07 2.08 39.66 39.66 00090.10.76.142021090 36.6873 .917 31775 Reconstruct bronchus A 23.54 16.37 16.37 1.92 41.83 41.83 00090.10.76.142020090 36.6873 .917 31780 Reconstruct windpipe A 17.72 17.33 17.33 2.08 37.13 37.13 00090.10.76.142021090 36.6873 .917 31781 Reconstruct windpipe A 23.53 16.86 16.86 1.96 42.35 42.35 00090.10.76.142021090 36.6873 .917 31785 Remove windpipe lesion A 17.23 8.92 8.92 1.17 27.32 27.32 00090.10.76.142021090 36.6873 .917 31786 Remove windpipe lesion A 23.98 13.30 13.30 2.24 39.52 39.52 00090.10.76.142021090 36.6873 .917 31800 Repair of windpipe injury A 7.43 4.90 4.90 0.76 13.09 13.09 00090.10.76.142000090 36.6873 .917 31805 Repair of windpipe injury A 13.13 9.82 9.82 1.41 24.36 24.36 00090.10.76.142021090 36.6873 .917 31820 Closure of windpipe lesion A 4.49 3.58 3.58 0.46 8.53 8.53 00090.10.76.142000090 36.6873 .917 31825 Repair of windpipe defect A 6.81 5.00 5.00 0.58 12.39 12.39 00090.10.76.142000090 36.6873 .917 31830 Revise windpipe scar A 4.50 3.66 3.66 0.42 8.58 8.58 00090.10.76.142000090 36.6873 .917 31899 Airways surgical procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 32000 Drainage of chest A 1.54 0.90 0.90 0.08 2.52 2.52 00000.00.00.000010091A4550 36.6873 .917 32002 Treatment of collapsed lung A 2.19 1.34 1.34 0.22 3.75 3.75 00000.00.00.000011090 36.6873 .917 32005 Treat lung lining chemically A 2.19 1.09 1.09 0.15 3.43 3.43 00000.00.00.002010090 36.6873 .917 32020 Insertion of chest tube A 3.98 2.63 2.63 0.43 7.04 7.04 00000.00.00.000010090 36.6873 .917 32035 Exploration of chest A 8.67 6.76 6.76 1.25 16.68 16.68 00090.10.76.142021090 36.6873 .917 32036 Exploration of chest A 9.68 7.13 7.13 1.32 18.13 18.13 00090.10.76.142021090 36.6873 .917 32095 Biopsy through chest wall A 8.36 8.25 8.25 1.45 18.06 18.06 00090.10.76.142021090 36.6873 .917 32100 Exploration/biopsy of chest A 11.84 11.24 11.24 2.10 25.18 25.18 00090.10.76.142021090 36.6873 .917 32110 Explore/repair chest A 13.62 11.51 11.51 2.01 27.14 27.14 00090.10.76.142021090 36.6873 .917 32120 Re-exploration of chest A 11.54 9.45 9.45 1.72 22.71 22.71 00090.10.76.142021090 36.6873 .917 32124 Explore chest,free adhesions A 12.72 10.94 10.94 2.21 25.87 25.87 00090.10.76.142021090 36.6873 .917 32140 Removal of lung lesion(s) A 13.93 12.37 12.37 2.42 28.72 28.72 00090.10.76.142021090 36.6873 .917 32141 Remove/treat lung lesions A 14.00 13.42 13.42 2.53 29.95 29.95 00090.10.76.142021090 36.6873 .917 32150 Removal of lung lesion(s) A 14.15 10.34 10.34 2.01 26.50 26.50 00090.10.76.142021090 36.6873 .917 32151 Remove lung foreign body A 14.21 9.15 9.15 1.37 24.73 24.73 00090.10.76.142021090 36.6873 .917 32160 Open chest heart massage A 9.30 9.13 9.13 1.52 19.95 19.95 00090.10.76.142021090 36.6873 .917 32200 Open drainage, lung lesion A 15.29 6.89 6.89 0.93 23.11 23.11 00090.10.76.142021090 36.6873 .917 32201 Percut drainage, lung lesion A 4.00 3.03 3.03 0.35 7.38 7.38 00000.00.00.002020090 36.6873 .917 32215 Treat chest lining A 11.33 7.62 7.62 1.28 20.23 20.23 00090.10.76.142021090 36.6873 .917 32220 Release of lung A 19.27 15.81 15.81 3.01 38.09 38.09 00090.10.76.142021090 36.6873 .917 32225 Partial release of lung A 13.96 11.84 11.84 2.28 28.08 28.08 00090.10.76.142021090 36.6873 .917 32310 Removal of chest lining A 13.44 11.64 11.64 2.10 27.18 27.18 00090.10.76.142021090 36.6873 .917 32320 Free/remove chest lining A 20.54 18.10 18.10 3.40 42.04 42.04 00090.10.76.142021090 36.6873 .917 32400 Needle biopsy chest lining A 1.76 1.48 1.48 0.12 3.36 3.36 00000.00.00.002010090 36.6873 .917 32402 Open biopsy chest lining A 7.56 7.58 7.58 1.34 16.48 16.48 00090.10.76.142021090 36.6873 .917 32405 Biopsy, lung or mediastinum A 1.93 2.12 2.12 0.18 4.23 4.23 00000.00.00.002010090 36.6873 .917 32420 Puncture/clear lung A 2.18 1.50 1.50 0.13 3.81 3.81 00000.00.00.002010090 36.6873 .917 32440 Removal of lung A 21.02 18.56 18.56 3.55 43.13 43.13 00090.10.76.142021090 36.6873 .917 32442 Sleeve pneumonectomy A 26.24 17.94 17.94 3.50 47.68 47.68 00090.10.76.142021090 36.6873 .917 32445 Removal of lung A 25.09 20.46 20.46 3.88 49.43 49.43 00090.10.76.142021090 36.6873 .917 32480 Partial removal of lung A 18.32 17.15 17.15 3.23 38.70 38.70 00090.10.76.142021090 36.6873 .917 32482 Bilobectomy A 19.71 17.15 17.15 3.23 40.09 40.09 00090.10.76.142021090 36.6873 .917 32484 Segmentectomy A 20.69 17.15 17.15 3.23 41.07 41.07 00090.10.76.142021090 36.6873 .917 32486 Sleeve lobectomy A 23.92 16.54 16.54 3.23 43.69 43.69 00090.10.76.142021090 36.6873 .917 32488 Completion pneumonectomy A 25.71 17.74 17.74 3.46 46.91 46.91 00090.10.76.142021090 36.6873 .917 32491 Lung volume reduction R 21.25 15.45 15.45 3.02 39.72 39.72 00090.10.76.142121090 36.6873 .917 32500 Partial removal of lung A 14.30 13.47 13.47 2.56 30.33 30.33 00090.10.76.142021090 36.6873 .917 32501 Repair bronchus (add-on) A 4.69 4.31 4.31 0.70 9.70 9.70 00ZZZ.00.00.000121090 36.6873 .917 32520 Remove lung & revise chest A 21.68 20.67 20.67 3.93 46.28 46.28 00090.10.76.142021090 36.6873 .917 32522 Remove lung & revise chest A 24.20 21.90 21.90 4.19 50.29 50.29 00090.10.76.142021090 36.6873 .917 32525 Remove lung & revise chest A 26.50 23.50 23.50 4.61 54.61 54.61 00090.10.76.142021090 36.6873 .917 32540 Removal of lung lesion A 14.64 11.67 11.67 2.05 28.36 28.36 00090.10.76.142021090 36.6873 .917 32601 Thoracoscopy, diagnostic A 5.46 3.47 3.47 0.57 9.50 9.50 00000.00.00.002000090 36.6873 .917 32602 Thoracoscopy, diagnostic A 5.96 3.87 3.87 0.64 10.47 10.47 00000.00.00.002000090 36.6873 .917 32603 Thoracoscopy, diagnostic A 7.81 3.47 3.47 0.57 11.85 11.85 00000.00.00.002000090 36.6873 .917 32604 Thoracoscopy, diagnostic A 8.78 3.87 3.87 0.64 13.29 13.29 00000.00.00.002000090 36.6873 .917 32605 Thoracoscopy, diagnostic A 6.93 3.47 3.47 0.57 10.97 10.97 00000.00.00.002000090 36.6873 .917 32606 Thoracoscopy, diagnostic A 8.40 3.87 3.87 0.64 12.91 12.91 00000.00.00.002000090 36.6873 .917 32650 Thoracoscopy, surgical A 10.75 7.62 7.62 1.28 19.65 19.65 00090.10.76.142021090 36.6873 .917 32651 Thoracoscopy, surgical A 12.91 11.84 11.84 2.28 27.03 27.03 00090.10.76.142021090 36.6873 .917 32652 Thoracoscopy, surgical A 18.66 15.81 15.81 3.01 37.48 37.48 00090.10.76.142021090 36.6873 .917 32653 Thoracoscopy, surgical A 12.87 10.34 10.34 2.01 25.22 25.22 00090.10.76.142021090 36.6873 .917 32654 Thoracoscopy, surgical A 12.44 11.51 11.51 2.01 25.96 25.96 00090.10.76.142021090 36.6873 .917 32655 Thoracoscopy, surgical A 13.10 13.42 13.42 2.53 29.05 29.05 00090.10.76.142021090 36.6873 .917 32656 Thoracoscopy, surgical A 12.91 13.36 13.36 2.36 28.63 28.63 00090.10.76.142021090 36.6873 .917 32657 Thoracoscopy, surgical A 13.65 13.47 13.47 2.56 29.68 29.68 00090.10.76.142021090 36.6873 .917 32658 Thoracoscopy, surgical A 11.63 12.79 12.79 2.52 26.94 26.94 00090.09.84.072021090 36.6873 .917 32659 Thoracoscopy, surgical A 11.59 12.75 12.75 2.61 26.95 26.95 00090.09.84.072021090 36.6873 .917 32660 Thoracoscopy, surgical A 17.43 19.17 19.17 3.56 40.16 40.16 00090.09.84.072021090 36.6873 .917 32661 Thoracoscopy, surgical A 13.25 9.25 9.25 1.47 23.97 23.97 00090.09.84.072021090 36.6873 .917 32662 Thoracoscopy, surgical A 16.44 14.55 14.55 2.74 33.73 33.73 00090.09.84.072021090 36.6873 .917 32663 Thoracoscopy, surgical A 18.47 17.15 17.15 3.23 38.85 38.85 00090.09.84.072021090 36.6873 .917 32664 Thoracoscopy, surgical A 14.20 10.55 10.55 2.04 26.79 26.79 00090.09.84.072121090 36.6873 .917 32665 Thoracoscopy, surgical A 15.54 14.33 14.33 2.64 32.51 32.51 00090.09.81.102021090 36.6873 .917 32800 Repair lung hernia A 13.69 8.28 8.28 1.58 23.55 23.55 00090.10.76.142021090 36.6873 .917 32810 Close chest after drainage A 13.05 6.50 6.50 1.19 20.74 20.74 00090.10.76.142020090 36.6873 .917 32815 Close bronchial fistula A 23.15 15.22 15.22 2.62 40.99 40.99 00090.10.76.142021090 36.6873 .917 32820 Reconstruct injured chest A 21.48 19.01 19.01 3.24 43.73 43.73 00090.10.76.142021090 36.6873 .917 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 32851 Lung transplant, single A 38.63 25.55 25.55 4.99 69.17 69.17 00090.10.76.142021290 36.6873 .917 32852 Lung transplant w/bypass A 41.80 27.71 27.71 5.41 74.92 74.92 00090.10.76.142021290 36.6873 .917 32853 Lung transplant, double A 47.81 31.94 31.94 6.24 85.99 85.99 00090.10.76.142221290 36.6873 .917 32854 Lung transplant w/bypass A 50.98 34.10 34.10 6.67 91.75 91.75 00090.10.76.142221290 36.6873 .917 32900 Removal of rib(s) A 20.27 8.47 8.47 1.63 30.37 30.37 00090.10.76.142021090 36.6873 .917 32905 Revise & repair chest wall A 20.75 12.74 12.74 2.60 36.09 36.09 00090.10.76.142021090 36.6873 .917 32906 Revise & repair chest wall A 26.77 15.42 15.42 2.92 45.11 45.11 00090.10.76.142021090 36.6873 .917 32940 Revision of lung A 19.43 11.37 11.37 1.75 32.55 32.55 00090.10.76.142021090 36.6873 .917 32960 Therapeutic pneumothorax A 1.84 0.93 0.93 0.13 2.90 2.90 00000.00.00.002010090 36.6873 .917 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 33010 Drainage of heart sac A 2.24 1.54 1.54 0.14 3.92 3.92 00000.00.00.002010090 36.6873 .917 33011 Repeat drainage of heart sac A 2.24 1.11 1.11 0.12 3.47 3.47 10000.00.00.002000090 36.6873 .917 33015 Incision of heart sac A 6.80 4.26 4.26 0.62 11.68 11.68 00090.09.84.072010090 36.6873 .917 33020 Incision of heart sac A 12.61 13.26 13.26 2.52 28.39 28.39 00090.09.84.072021090 36.6873 .917 33025 Incision of heart sac A 12.09 13.30 13.30 2.61 28.00 28.00 00090.09.84.072021090 36.6873 .917 33030 Partial removal of heart sac A 18.71 20.58 20.58 3.92 43.21 43.21 00090.09.84.072021090 36.6873 .917 33031 Partial removal of heart sac A 21.79 13.25 13.25 2.50 37.54 37.54 00090.09.84.072021090 36.6873 .917 33050 Removal of heart sac lesion A 14.36 9.25 9.25 1.47 25.08 25.08 00090.09.84.072021090 36.6873 .917 33120 Removal of heart lesion A 24.56 27.02 27.02 5.17 56.75 56.75 00090.09.84.072021090 36.6873 .917 33130 Removal of heart lesion A 21.39 13.50 13.50 2.22 37.11 37.11 00090.09.84.072021090 36.6873 .917 33200 Insertion of heart pacemaker A 12.48 12.27 12.27 1.90 26.65 26.65 00090.09.84.072010090 36.6873 .917 33201 Insertion of heart pacemaker A 10.18 11.19 11.19 1.67 23.04 23.04 00090.09.84.072010090 36.6873 .917 33206 Insertion of heart pacemaker A 6.67 7.34 7.34 1.34 15.35 15.35 00090.09.84.072012090 36.6873 .917 33207 Insertion of heart pacemaker A 8.04 8.84 8.84 1.33 18.21 18.21 00090.09.84.072012090 36.6873 .917 33208 Insertion of heart pacemaker A 8.13 8.94 8.94 1.54 18.61 18.61 00090.09.84.072012090 36.6873 .917 33210 Insertion of heart electrode A 3.30 3.30 3.30 0.27 6.87 6.87 00000.00.00.002010090 36.6873 .917 33211 Insertion of heart electrode A 3.40 3.30 3.30 0.27 6.97 6.97 00000.00.00.002010090 36.6873 .917 33212 Insertion of pulse generator A 5.52 5.38 5.38 0.88 11.78 11.78 00090.09.84.072010090 36.6873 .917 33213 Insertion of pulse generator A 6.37 5.38 5.38 0.88 12.63 12.63 00090.09.84.072010090 36.6873 .917 33214 Upgrade of pacemaker system A 7.75 5.40 5.40 1.06 14.21 14.21 00090.09.84.072002090 36.6873 .917 33216 Revision implanted electrode A 5.39 5.02 5.02 0.55 10.96 10.96 00090.09.84.072010090 36.6873 .917 33217 Insert/revise electrode A 5.75 5.02 5.02 0.55 11.32 11.32 00090.09.84.072010090 36.6873 .917 33218 Repair pacemaker electrodes A 5.44 4.59 4.59 0.62 10.65 10.65 00090.09.84.072010090 36.6873 .917 33220 Repair pacemaker electrode A 5.52 4.59 4.59 0.62 10.73 10.73 00090.09.84.072010090 36.6873 .917 33222 Pacemaker aicd pocket A 4.96 5.46 5.46 1.01 11.43 11.43 00090.09.84.072010090 36.6873 .917 33223 Pacemaker aicd pocket A 6.46 5.70 5.70 1.01 13.17 13.17 00090.09.84.072000090 36.6873 .917 33233 Removal of pacemaker system A 3.29 2.64 2.64 0.05 5.98 5.98 00090.09.84.072010090 36.6873 .917 33234 Removal of pacemaker system A 7.82 2.84 2.84 0.23 10.89 10.89 00090.09.84.072010090 36.6873 .917 33235 Removal pacemaker electrode A 9.40 3.14 3.14 0.33 12.87 12.87 00090.09.84.072010090 36.6873 .917 33236 Remove electrode/thoracotomy A 12.60 3.98 3.98 0.62 17.20 17.20 00090.09.84.072002090 36.6873 .917 33237 Remove electrode/thoracotomy A 13.71 9.60 9.60 1.13 24.44 24.44 00090.09.84.072002090 36.6873 .917 33238 Remove electrode/thoracotomy A 15.22 10.29 10.29 2.01 27.52 27.52 00090.09.84.072002090 36.6873 .917 33240 Insert/replace pulse gener A 7.60 5.38 5.38 0.88 13.86 13.86 00090.09.84.072010090 36.6873 .917 33241 Remove pulse generator only A 3.24 2.16 2.16 0.43 5.83 5.83 00090.09.84.072001090 36.6873 .917 33242 Repair pulse generator/leads A 6.17 6.79 6.79 1.54 14.50 14.50 00090.09.84.072001090 36.6873 .917 33243 Remove generator/thoracotomy A 22.64 9.02 9.02 1.54 33.20 33.20 00090.09.84.072021090 36.6873 .917 33244 Remove generator A 8.97 9.02 9.02 1.54 19.53 19.53 00090.09.84.072011090 36.6873 .917 33245 Implant heart defibrillator A 14.30 15.73 15.73 2.36 32.39 32.39 00090.09.84.072021090 36.6873 .917 33246 Implant heart defibrillator A 20.71 20.79 20.79 3.19 44.69 44.69 00090.09.84.072021090 36.6873 .917 33247 Insert/replace leads A 10.21 11.23 11.23 2.36 23.80 23.80 00090.09.84.072011090 36.6873 .917 33249 Insert/replace leads/gener A 13.28 14.61 14.61 3.19 31.08 31.08 00090.09.84.072011090 36.6873 .917 33250 Ablate heart dysrhythm focus A 21.85 11.56 11.56 0.86 34.27 34.27 00090.09.84.072021090 36.6873 .917 33251 Ablate heart dysrhythm focus A 24.88 16.41 16.41 3.21 44.50 44.50 00090.09.84.072021090 36.6873 .917 33253 Reconstruct atria A 31.06 21.81 21.81 4.26 57.13 57.13 00090.09.84.072021090 36.6873 .917 33261 Ablate heart dysrhythm focus A 24.88 13.96 13.96 2.73 41.57 41.57 00090.09.84.072021090 36.6873 .917 33300 Repair of heart wound A 17.92 14.36 14.36 2.60 34.88 34.88 00090.09.84.072021090 36.6873 .917 33305 Repair of heart wound A 21.44 17.40 17.40 3.07 41.91 41.91 00090.09.84.072021090 36.6873 .917 33310 Exploratory heart surgery A 18.51 11.28 11.28 1.93 31.72 31.72 00090.09.84.072021090 36.6873 .917 33315 Exploratory heart surgery A 22.37 14.48 14.48 2.57 39.42 39.42 00090.09.84.072021090 36.6873 .917 33320 Repair major blood vessel(s) A 16.79 14.14 14.14 2.51 33.44 33.44 00090.09.84.072021090 36.6873 .917 33321 Repair major vessel A 20.20 21.75 21.75 3.61 45.56 45.56 00090.09.84.072021090 36.6873 .917 33322 Repair major blood vessel(s) A 20.62 21.75 21.75 3.61 45.98 45.98 00090.09.84.072021090 36.6873 .917 33330 Insert major vessel graft A 21.43 12.67 12.67 1.93 36.03 36.03 00090.09.84.072021090 36.6873 .917 33332 Insert major vessel graft A 23.96 15.07 15.07 2.39 41.42 41.42 00090.09.84.072021090 36.6873 .917 33335 Insert major vessel graft A 30.01 15.07 15.07 2.39 47.47 47.47 00090.09.84.072021090 36.6873 .917 33400 Repair of aortic valve A 25.34 26.21 26.21 2.83 54.38 54.38 00090.09.84.072021090 36.6873 .917 33401 Valvuloplasty, open A 23.91 26.21 26.21 2.83 52.95 52.95 00090.09.84.072021090 36.6873 .917 33403 Valvuloplasty, w/cp bypass A 24.89 26.21 26.21 2.83 53.93 53.93 00090.09.84.072021090 36.6873 .917 33404 Prepare heart-aorta conduit A 28.54 31.25 31.25 5.59 65.38 65.38 00090.09.84.072021090 36.6873 .917 33405 Replacement of aortic valve A 30.61 30.48 30.48 5.33 66.42 66.42 00090.09.84.072021090 36.6873 .917 33406 Replacement, aortic valve A 32.30 35.53 35.53 7.45 75.28 75.28 00090.09.84.072021090 36.6873 .917 33411 Replacement of aortic valve A 32.47 35.72 35.72 7.45 75.64 75.64 00090.09.84.072020090 36.6873 .917 33412 Replacement of aortic valve A 34.79 38.27 38.27 7.45 80.51 80.51 00090.09.84.072021090 36.6873 .917 33413 Replacement, aortic valve A 35.24 38.76 38.76 7.23 81.23 81.23 00090.09.84.072021090 36.6873 .917 33414 Repair, aortic valve A 30.35 33.39 33.39 7.45 71.19 71.19 00090.09.84.072021090 36.6873 .917 33415 Revision, subvalvular tissue A 27.15 29.87 29.87 5.33 62.35 62.35 00090.09.84.072021090 36.6873 .917 33416 Revise ventricle muscle A 30.35 28.14 28.14 4.99 63.48 63.48 00090.09.84.072021090 36.6873 .917 33417 Repair of aortic valve A 28.53 31.38 31.38 6.18 66.09 66.09 00090.09.84.072021090 36.6873 .917 33420 Revision of mitral valve A 22.70 19.82 19.82 2.45 44.97 44.97 00090.09.84.072021090 36.6873 .917 33422 Revision of mitral valve A 25.94 28.53 28.53 6.45 60.92 60.92 00090.09.84.072021090 36.6873 .917 33425 Repair of mitral valve A 27.00 29.70 29.70 5.42 62.12 62.12 00090.09.84.072021090 36.6873 .917 33426 Repair of mitral valve A 31.03 31.96 31.96 5.80 68.79 68.79 00090.09.84.072021090 36.6873 .917 33427 Repair of mitral valve A 33.72 34.71 34.71 6.30 74.73 74.73 00090.09.84.072021090 36.6873 .917 33430 Replacement of mitral valve A 31.43 34.57 34.57 6.11 72.11 72.11 00090.09.84.072021090 36.6873 .917 33460 Revision of tricuspid valve A 23.60 25.96 25.96 4.73 54.29 54.29 00090.09.84.072021090 36.6873 .917 33463 Valvuloplasty, tricuspid A 25.62 28.18 28.18 5.95 59.75 59.75 00090.09.84.072021090 36.6873 .917 33464 Valvuloplasty, tricuspid A 27.33 30.06 30.06 5.95 63.34 63.34 00090.09.84.072021090 36.6873 .917 33465 Replace tricuspid valve A 28.79 31.67 31.67 5.95 66.41 66.41 00090.09.84.072021090 36.6873 .917 33468 Revision of tricuspid valve A 30.12 33.13 33.13 6.30 69.55 69.55 00090.09.84.072021090 36.6873 .917 33470 Revision of pulmonary valve A 20.81 19.82 19.82 2.45 43.08 43.08 00090.09.84.072020090 36.6873 .917 33471 Valvotomy, pulmonary valve A 22.25 24.48 24.48 2.83 49.56 49.56 00090.09.84.072021090 36.6873 .917 33472 Revision of pulmonary valve A 22.25 24.48 24.48 2.83 49.56 49.56 00090.09.84.072020090 36.6873 .917 33474 Revision of pulmonary valve A 23.04 25.34 25.34 2.83 51.21 51.21 00090.09.84.072021090 36.6873 .917 33475 Replacement, pulmonary valve A 28.41 31.25 31.25 6.11 65.77 65.77 00090.09.84.072021090 36.6873 .917 33476 Revision of heart chamber A 25.77 28.14 28.14 4.99 58.90 58.90 00090.09.84.072021090 36.6873 .917 33478 Revision of heart chamber A 26.74 29.41 29.41 5.42 61.57 61.57 00090.09.84.072021090 36.6873 .917 33496 Repair, prosth valve clot A 27.25 29.98 29.98 5.33 62.56 62.56 00090.09.84.072021090 36.6873 .917 33500 Repair heart vessel fistula A 25.55 28.11 28.11 5.20 58.86 58.86 00090.09.84.072021090 36.6873 .917 33501 Repair heart vessel fistula A 17.78 14.14 14.14 2.51 34.43 34.43 00090.09.84.072022090 36.6873 .917 33502 Coronary artery correction A 21.04 14.14 14.14 2.51 37.69 37.69 00090.09.84.072021090 36.6873 .917 33503 Coronary artery graft A 21.78 23.96 23.96 5.20 50.94 50.94 00090.09.84.072001090 36.6873 .917 33504 Coronary artery graft A 24.66 27.13 27.13 5.20 56.99 56.99 00090.09.84.072021090 36.6873 .917 33505 Repair artery w/tunnel A 26.84 29.52 29.52 6.03 62.39 62.39 00090.09.84.072021090 36.6873 .917 33506 Repair artery, translocation A 26.71 29.38 29.38 6.03 62.12 62.12 00090.09.84.072021090 36.6873 .917 33510 CABG, vein, single A 25.12 27.63 27.63 5.20 57.95 57.95 00090.09.84.072020090 36.6873 .917 33511 CABG, vein, two A 27.40 30.14 30.14 5.71 63.25 63.25 00090.09.84.072020090 36.6873 .917 33512 CABG, vein, three A 29.67 32.64 32.64 6.22 68.53 68.53 00090.09.84.072020090 36.6873 .917 33513 CABG, vein, four A 31.95 35.15 35.15 6.73 73.83 73.83 00090.09.84.072020090 36.6873 .917 33514 CABG, vein, five A 35.00 38.50 38.50 7.23 80.73 80.73 00090.09.84.072020090 36.6873 .917 33516 CABG, vein, six+ A 37.40 41.14 41.14 7.74 86.28 86.28 00090.09.84.072020090 36.6873 .917 33517 CABG, artery-vein, single A 2.57 2.83 2.83 0.50 5.90 5.90 00ZZZ.00.00.000020090 36.6873 .917 33518 CABG, artery-vein, two A 4.85 5.34 5.34 1.02 11.21 11.21 00ZZZ.00.00.000020090 36.6873 .917 33519 CABG, artery-vein, three A 7.12 7.83 7.83 1.52 16.47 16.47 00ZZZ.00.00.000020090 36.6873 .917 33521 CABG, artery-vein, four A 9.40 10.34 10.34 2.03 21.77 21.77 00ZZZ.00.00.000020090 36.6873 .917 33522 CABG, artery-vein, five A 11.67 12.84 12.84 2.54 27.05 27.05 00ZZZ.00.00.000020090 36.6873 .917 33523 CABG, artery-vein, six+ A 13.95 15.35 15.35 3.05 32.35 32.35 00ZZZ.00.00.000020090 36.6873 .917 33530 Coronary artery, bypass/reop A 5.86 6.45 6.45 2.18 14.49 14.49 00ZZZ.00.00.000020090 36.6873 .917 33533 CABG, arterial, single A 25.83 28.41 28.41 5.36 59.60 59.60 00090.09.82.092020090 36.6873 .917 33534 CABG, arterial, two A 28.82 31.70 31.70 6.03 66.55 66.55 00090.09.82.092020090 36.6873 .917 33535 CABG, arterial, three A 31.81 34.99 34.99 6.70 73.50 73.50 00090.09.82.092020090 36.6873 .917 33536 CABG, arterial, four+ A 34.79 38.27 38.27 7.37 80.43 80.43 00090.09.82.092020090 36.6873 .917 33542 Removal of heart lesion A 28.85 30.73 30.73 5.53 65.11 65.11 00090.09.84.072021090 36.6873 .917 33545 Repair of heart damage A 36.78 34.92 34.92 6.28 77.98 77.98 00090.09.84.072021090 36.6873 .917 33572 Open coronary endarterectomy A 4.45 3.23 3.23 0.63 8.31 8.31 00ZZZ.00.00.000020090 36.6873 .917 33600 Closure of valve A 29.51 32.46 32.46 6.11 68.08 68.08 00090.09.84.072021090 36.6873 .917 33602 Closure of valve A 28.54 30.48 30.48 5.33 64.35 64.35 00090.09.84.072021090 36.6873 .917 33606 Anastomosis/artery-aorta A 30.74 33.81 33.81 7.45 72.00 72.00 00090.09.84.072021090 36.6873 .917 33608 Repair anomaly w/conduit A 31.09 34.20 34.20 7.45 72.74 72.74 00090.09.84.072021090 36.6873 .917 33610 Repair by enlargement A 30.61 33.67 33.67 7.45 71.73 71.73 00090.09.84.072021090 36.6873 .917 33611 Repair double ventricle A 32.30 35.53 35.53 7.45 75.28 75.28 00090.09.84.072021090 36.6873 .917 33612 Repair double ventricle A 33.26 36.59 36.59 7.45 77.30 77.30 00090.09.84.072021090 36.6873 .917 33615 Repair (simple fontan) A 32.06 35.27 35.27 7.45 74.78 74.78 00090.09.84.072021090 36.6873 .917 33617 Repair by modified fontan A 34.03 37.43 37.43 7.45 78.91 78.91 00090.09.84.072021090 36.6873 .917 33619 Repair single ventricle A 37.57 41.33 41.33 8.04 86.94 86.94 00090.09.84.072021090 36.6873 .917 33641 Repair heart septum defect A 21.39 23.53 23.53 4.87 49.79 49.79 00090.09.84.072021090 36.6873 .917 33645 Revision of heart veins A 24.82 27.30 27.30 4.87 56.99 56.99 00090.09.84.072021090 36.6873 .917 33647 Repair heart septum defects A 28.73 31.60 31.60 6.28 66.61 66.61 00090.09.84.072021090 36.6873 .917 33660 Repair of heart defects A 25.54 28.09 28.09 5.42 59.05 59.05 00090.09.84.072021090 36.6873 .917 33665 Repair of heart defects A 28.60 31.27 31.27 5.42 65.29 65.29 00090.09.84.072021090 36.6873 .917 33670 Repair of heart chambers A 32.73 36.00 36.00 7.45 76.18 76.18 00090.09.84.072021090 36.6873 .917 33681 Repair heart septum defect A 27.67 30.44 30.44 6.28 64.39 64.39 00090.09.84.072021090 36.6873 .917 33684 Repair heart septum defect A 29.65 32.62 32.62 6.28 68.55 68.55 00090.09.84.072021090 36.6873 .917 33688 Repair heart septum defect A 30.62 33.68 33.68 6.28 70.58 70.58 00090.09.84.072021090 36.6873 .917 33690 Reinforce pulmonary artery A 19.55 21.51 21.51 4.29 45.35 45.35 00090.09.84.072021090 36.6873 .917 33692 Repair of heart defects A 30.75 33.83 33.83 7.45 72.03 72.03 00090.09.84.072021090 36.6873 .917 33694 Repair of heart defects A 31.73 34.90 34.90 7.45 74.08 74.08 00090.09.84.072021090 36.6873 .917 33697 Repair of heart defects A 33.71 37.08 37.08 7.45 78.24 78.24 00090.09.84.072021090 36.6873 .917 33702 Repair of heart defects A 26.54 29.19 29.19 5.33 61.06 61.06 00090.09.84.072021090 36.6873 .917 33710 Repair of heart defects A 29.71 32.68 32.68 6.28 68.67 68.67 00090.09.84.072020090 36.6873 .917 33720 Repair of heart defect A 26.56 29.22 29.22 5.33 61.11 61.11 00090.09.84.072021090 36.6873 .917 33722 Repair of heart defect A 28.41 30.48 30.48 5.33 64.22 64.22 00090.09.84.072021090 36.6873 .917 33730 Repair heart-vein defect(s) A 31.67 34.84 34.84 7.45 73.96 73.96 00090.09.84.072021090 36.6873 .917 33732 Repair heart-vein defect A 28.16 30.98 30.98 5.42 64.56 64.56 00090.09.84.072021090 36.6873 .917 33735 Revision of heart chamber A 21.39 25.69 25.69 4.87 51.95 51.95 00090.09.84.072020090 36.6873 .917 33736 Revision of heart chamber A 23.52 25.69 25.69 4.87 54.08 54.08 00090.09.84.072021090 36.6873 .917 33737 Revision of heart chamber A 21.76 23.94 23.94 4.87 50.57 50.57 00090.09.84.072021090 36.6873 .917 33750 Major vessel shunt A 21.41 22.10 22.10 4.29 47.80 47.80 00090.09.84.072021090 36.6873 .917 33755 Major vessel shunt A 21.79 22.10 22.10 4.29 48.18 48.18 00090.09.84.072021090 36.6873 .917 33762 Major vessel shunt A 21.79 22.10 22.10 4.29 48.18 48.18 00090.09.84.072021090 36.6873 .917 33764 Major vessel shunt & graft A 21.79 22.10 22.10 4.29 48.18 48.18 00090.09.84.072021090 36.6873 .917 33766 Major vessel shunt A 22.76 22.10 22.10 4.29 49.15 49.15 00090.09.84.072021090 36.6873 .917 33767 Atrial septectomy/septostomy A 24.50 25.69 25.69 4.87 55.06 55.06 00090.09.84.072021090 36.6873 .917 33770 Repair great vessels defect A 33.29 36.62 36.62 7.45 77.36 77.36 00090.09.84.072021090 36.6873 .917 33771 Repair great vessels defect A 34.65 38.12 38.12 7.45 80.22 80.22 00090.09.84.072021090 36.6873 .917 33774 Repair great vessels defect A 30.98 31.27 31.27 5.42 67.67 67.67 00090.09.84.072021090 36.6873 .917 33775 Repair great vessels defect A 32.20 31.27 31.27 5.42 68.89 68.89 00090.09.84.072020090 36.6873 .917 33776 Repair great vessels defect A 34.04 34.92 34.92 6.28 75.24 75.24 00090.09.84.072021090 36.6873 .917 33777 Repair great vessels defect A 33.46 31.27 31.27 5.42 70.15 70.15 00090.09.84.072020090 36.6873 .917 33778 Repair great vessels defect A 35.82 39.40 39.40 7.37 82.59 82.59 00090.09.84.072021090 36.6873 .917 33779 Repair great vessels defect A 36.21 39.83 39.83 7.37 83.41 83.41 00090.09.84.072021090 36.6873 .917 33780 Repair great vessels defect A 36.94 40.63 40.63 7.37 84.94 84.94 00090.09.84.072021090 36.6873 .917 33781 Repair great vessels defect A 36.45 40.10 40.10 7.37 83.92 83.92 00090.09.84.072020090 36.6873 .917 33786 Repair arterial trunk A 34.84 38.32 38.32 7.45 80.61 80.61 00090.09.84.072021090 36.6873 .917 33788 Revision of pulmonary artery A 26.62 29.28 29.28 5.20 61.10 61.10 00090.09.84.072021090 36.6873 .917 33800 Aortic suspension A 16.24 14.14 14.14 2.51 32.89 32.89 00090.09.84.072022090 36.6873 .917 33802 Repair vessel defect A 17.66 19.43 19.43 4.29 41.38 41.38 00090.09.84.072021090 36.6873 .917 33803 Repair vessel defect A 19.60 21.56 21.56 4.29 45.45 45.45 00090.09.84.072021090 36.6873 .917 33813 Repair septal defect A 20.65 22.10 22.10 4.29 47.04 47.04 00090.09.84.072021090 36.6873 .917 33814 Repair septal defect A 25.77 28.35 28.35 5.33 59.45 59.45 00090.09.84.072021090 36.6873 .917 33820 Revise major vessel A 16.29 17.92 17.92 4.29 38.50 38.50 00090.09.84.072020090 36.6873 .917 33822 Revise major vessel A 17.32 19.05 19.05 4.29 40.66 40.66 00090.09.84.072021090 36.6873 .917 33824 Revise major vessel A 19.52 21.47 21.47 4.29 45.28 45.28 00090.09.84.072021090 36.6873 .917 33840 Remove aorta constriction A 20.63 22.69 22.69 5.59 48.91 48.91 00090.09.84.072021090 36.6873 .917 33845 Remove aorta constriction A 22.12 24.33 24.33 5.59 52.04 52.04 00090.09.84.072021090 36.6873 .917 33851 Remove aorta constriction A 21.27 23.40 23.40 5.59 50.26 50.26 00090.09.84.072021090 36.6873 .917 33852 Repair septal defect A 23.71 26.08 26.08 5.59 55.38 55.38 00090.09.84.072020090 36.6873 .917 33853 Repair septal defect A 31.72 34.89 34.89 7.45 74.06 74.06 00090.09.84.072021090 36.6873 .917 33860 Ascending aorta graft A 33.96 34.71 34.71 6.18 74.85 74.85 00090.09.84.072021090 36.6873 .917 33861 Ascending aorta graft A 34.52 34.71 34.71 6.18 75.41 75.41 00090.09.84.072021090 36.6873 .917 33863 Ascending aorta graft A 36.47 34.71 34.71 6.18 77.36 77.36 00090.09.84.072021090 36.6873 .917 33870 Transverse aortic arch graft A 40.31 44.30 44.30 8.04 92.65 92.65 00090.09.84.072021090 36.6873 .917 33875 Thoracic aorta graft A 33.06 31.25 31.25 5.59 69.90 69.90 00090.09.84.072021090 36.6873 .917 33877 Thoracoabdominal graft A 42.60 44.11 44.11 8.38 95.09 95.09 00090.09.84.072021090 36.6873 .917 33910 Remove lung artery emboli A 24.59 14.65 14.65 2.77 42.01 42.01 00090.09.84.072021090 36.6873 .917 33915 Remove lung artery emboli A 21.02 12.02 12.02 2.22 35.26 35.26 00090.09.84.072021090 36.6873 .917 33916 Surgery of great vessel A 25.83 17.57 17.57 3.43 46.83 46.83 00090.09.84.072021090 36.6873 .917 33917 Repair pulmonary artery A 24.50 26.95 26.95 6.30 57.75 57.75 00090.09.84.072021090 36.6873 .917 33918 Repair pulmonary atresia A 26.45 29.10 29.10 5.20 60.75 60.75 00090.09.84.072021090 36.6873 .917 33919 Repair pulmonary atresia A 32.67 35.94 35.94 7.45 76.06 76.06 00090.09.84.072021090 36.6873 .917 33920 Repair pulmonary atresia A 31.95 35.15 35.15 7.45 74.55 74.55 00090.09.84.072021090 36.6873 .917 33922 Transect pulmonary artery A 23.52 25.87 25.87 2.83 52.22 52.22 00090.09.84.072021090 36.6873 .917 33924 Remove pulmonary shunt A 5.50 4.00 4.00 0.78 10.28 10.28 00ZZZ.00.00.000021090 36.6873 .917 33930 Removal of donor heart/lung X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 33935 Transplantation, heart/lung R 60.96 67.06 67.06 13.54 141.56 141.56 00090.09.84.072021290 36.6873 .917 33940 Removal of donor heart X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 33945 Transplantation of heart R 42.10 46.31 46.31 11.05 99.46 99.46 00090.09.84.072021290 36.6873 .917 33960 External circulation assist A 19.36 7.01 7.01 0.94 27.31 27.31 00XXX.00.00.000021090 36.6873 .917 33961 External circulation assist A 10.93 7.01 7.01 0.94 18.88 18.88 00XXX.00.00.000021090 36.6873 .917 33970 Aortic circulation assist A 6.75 7.43 7.43 1.00 15.18 15.18 00000.00.00.002021090 36.6873 .917 33971 Aortic circulation assist A 9.69 5.16 5.16 0.91 15.76 15.76 00090.09.84.072010090 36.6873 .917 33973 Insert balloon device A 9.76 7.54 7.54 1.00 18.30 18.30 00000.00.00.002021090 36.6873 .917 33974 Remove intra-aortic balloon A 14.41 5.56 5.56 0.91 20.88 20.88 00090.09.84.072010090 36.6873 .917 33975 Implant ventricular device A 21.60 14.19 14.19 2.77 38.56 38.56 00090.09.84.072020090 36.6873 .917 33976 Implant ventricular device A 29.10 19.33 19.33 3.78 52.21 52.21 00090.09.84.072220090 36.6873 .917 33977 Remove ventricular device A 19.29 12.41 12.41 2.43 34.13 34.13 00090.09.84.072020090 36.6873 .917 33978 Remove ventricular device A 21.73 14.19 14.19 2.77 38.69 38.69 00090.09.84.072220090 36.6873 .917 33999 Cardiac surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 34001 Removal of artery clot A 12.91 9.58 9.58 1.87 24.36 24.36 00090.09.84.072121090 36.6873 .917 34051 Removal of artery clot A 15.21 8.81 8.81 1.59 25.61 25.61 00090.09.84.072121090 36.6873 .917 34101 Removal of artery clot A 9.97 8.34 8.34 1.71 20.02 20.02 00090.09.84.072121090 36.6873 .917 34111 Removal of arm artery clot A 8.07 7.59 7.59 1.59 17.25 17.25 00090.09.84.072121090 36.6873 .917 34151 Removal of artery clot A 16.86 11.96 11.96 2.39 31.21 31.21 00090.09.84.072121090 36.6873 .917 34201 Removal of artery clot A 9.13 8.90 8.90 1.78 19.81 19.81 00090.09.84.072121090 36.6873 .917 34203 Removal of leg artery clot A 12.21 8.63 8.63 1.72 22.56 22.56 00090.09.84.072121090 36.6873 .917 34401 Removal of vein clot A 12.86 8.07 8.07 1.39 22.32 22.32 00090.09.84.072121090 36.6873 .917 34421 Removal of vein clot A 9.93 7.45 7.45 1.51 18.89 18.89 00090.09.84.072121090 36.6873 .917 34451 Removal of vein clot A 14.44 10.69 10.69 2.14 27.27 27.27 00090.09.84.072121090 36.6873 .917 34471 Removal of vein clot A 10.18 3.51 3.51 0.55 14.24 14.24 00090.09.84.072111090 36.6873 .917 34490 Removal of vein clot A 7.60 7.27 7.27 1.54 16.41 16.41 00090.09.84.072110090 36.6873 .917 34501 Repair valve, femoral vein A 10.93 7.35 7.35 0.86 19.14 19.14 00090.09.84.072121090 36.6873 .917 34502 Reconstruct, vena cava A 26.95 18.65 18.65 3.64 49.24 49.24 00090.09.84.072020090 36.6873 .917 34510 Transposition of vein valve A 13.25 8.89 8.89 1.04 23.18 23.18 00090.09.84.072121090 36.6873 .917 34520 Cross-over vein graft A 13.74 9.33 9.33 1.09 24.16 24.16 00090.09.84.072121090 36.6873 .917 34530 Leg vein fusion A 17.61 12.35 12.35 1.44 31.40 31.40 00090.09.84.072121090 36.6873 .917 35001 Repair defect of artery A 19.64 15.90 15.90 3.18 38.72 38.72 00090.09.84.072121090 36.6873 .917 35002 Repair artery rupture, neck A 21.00 12.64 12.64 2.41 36.05 36.05 00090.09.84.072121090 36.6873 .917 35005 Repair defect of artery A 18.12 10.28 10.28 2.19 30.59 30.59 00090.09.84.072121090 36.6873 .917 35011 Repair defect of artery A 11.65 12.82 12.82 2.76 27.23 27.23 00090.09.84.072121090 36.6873 .917 35013 Repair artery rupture, arm A 17.40 14.70 14.70 3.03 35.13 35.13 00090.09.84.072121090 36.6873 .917 35021 Repair defect of artery A 19.65 18.13 18.13 3.06 40.84 40.84 00090.09.84.072121090 36.6873 .917 35022 Repair artery rupture, chest A 23.18 14.78 14.78 2.80 40.76 40.76 00090.09.84.072121090 36.6873 .917 35045 Repair defect of arm artery A 11.26 12.35 12.35 2.50 26.11 26.11 00090.09.84.072121090 36.6873 .917 35081 Repair defect of artery A 28.01 21.45 21.45 4.18 53.64 53.64 00090.09.84.072021090 36.6873 .917 35082 Repair artery rupture, aorta A 36.35 22.91 22.91 4.59 63.85 63.85 00090.09.84.072021090 36.6873 .917 35091 Repair defect of artery A 35.40 22.67 22.67 4.25 62.32 62.32 00090.09.84.072121090 36.6873 .917 35092 Repair artery rupture, aorta A 38.39 26.27 26.27 5.21 69.87 69.87 00090.09.84.072121090 36.6873 .917 35102 Repair defect of artery A 30.76 22.15 22.15 4.32 57.23 57.23 00090.09.84.072121090 36.6873 .917 35103 Repair artery rupture, groin A 33.57 26.16 26.16 5.21 64.94 64.94 00090.09.84.072121090 36.6873 .917 35111 Repair defect of artery A 16.43 17.60 17.60 3.70 37.73 37.73 00090.09.84.072121090 36.6873 .917 35112 Repair artery rupture,spleen A 18.69 10.45 10.45 2.22 31.36 31.36 00090.09.84.072121090 36.6873 .917 35121 Repair defect of artery A 25.99 19.12 19.12 3.66 48.77 48.77 00090.09.84.072120090 36.6873 .917 35122 Repair artery rupture, belly A 33.45 17.92 17.92 3.96 55.33 55.33 00090.09.84.072121090 36.6873 .917 35131 Repair defect of artery A 18.55 15.88 15.88 3.15 37.58 37.58 00090.09.84.072121090 36.6873 .917 35132 Repair artery rupture, groin A 21.95 18.68 18.68 3.58 44.21 44.21 00090.09.84.072121090 36.6873 .917 35141 Repair defect of artery A 14.46 14.70 14.70 2.88 32.04 32.04 00090.09.84.072121090 36.6873 .917 35142 Repair artery rupture, thigh A 15.86 16.10 16.10 3.24 35.20 35.20 00090.09.84.072121090 36.6873 .917 35151 Repair defect of artery A 17.00 15.36 15.36 2.94 35.30 35.30 00090.09.84.072121090 36.6873 .917 35152 Repair artery rupture, knee A 16.70 9.27 9.27 1.95 27.92 27.92 00090.09.84.072121090 36.6873 .917 35161 Repair defect of artery A 18.76 15.88 15.88 3.15 37.79 37.79 00090.09.84.072121090 36.6873 .917 35162 Repair artery rupture A 19.78 18.68 18.68 3.58 42.04 42.04 00090.09.84.072121090 36.6873 .917 35180 Repair blood vessel lesion A 13.62 7.37 7.37 1.48 22.47 22.47 00090.09.84.072021090 36.6873 .917 35182 Repair blood vessel lesion A 17.74 10.65 10.65 1.61 30.00 30.00 00090.09.84.072021090 36.6873 .917 35184 Repair blood vessel lesion A 12.25 9.73 9.73 1.96 23.94 23.94 00090.09.84.072021090 36.6873 .917 35188 Repair blood vessel lesion A 14.28 8.11 8.11 1.59 23.98 23.98 00090.09.84.072021090 36.6873 .917 35189 Repair blood vessel lesion A 18.43 11.33 11.33 2.21 31.97 31.97 00090.09.84.072021090 36.6873 .917 35190 Repair blood vessel lesion A 12.75 10.34 10.34 2.14 25.23 25.23 00090.09.84.072021090 36.6873 .917 35201 Repair blood vessel lesion A 9.99 10.07 10.07 1.94 22.00 22.00 00090.09.84.072121090 36.6873 .917 35206 Repair blood vessel lesion A 9.25 10.15 10.15 2.03 21.43 21.43 00090.09.84.072121090 36.6873 .917 35207 Repair blood vessel lesion A 10.15 10.80 10.80 1.93 22.88 22.88 00090.09.84.072111090 36.6873 .917 35211 Repair blood vessel lesion A 22.12 13.38 13.38 2.59 38.09 38.09 00090.09.84.072121090 36.6873 .917 35216 Repair blood vessel lesion A 18.75 10.68 10.68 2.08 31.51 31.51 00090.09.84.072121090 36.6873 .917 35221 Repair blood vessel lesion A 16.42 11.09 11.09 2.20 29.71 29.71 00090.09.84.072121090 36.6873 .917 35226 Repair blood vessel lesion A 9.06 9.97 9.97 1.95 20.98 20.98 00090.09.84.072121090 36.6873 .917 35231 Repair blood vessel lesion A 12.00 13.20 13.20 2.91 28.11 28.11 00090.09.84.072121090 36.6873 .917 35236 Repair blood vessel lesion A 10.54 11.59 11.59 2.56 24.69 24.69 00090.09.84.072121090 36.6873 .917 35241 Repair blood vessel lesion A 23.12 13.49 13.49 2.60 39.21 39.21 00090.09.84.072121090 36.6873 .917 35246 Repair blood vessel lesion A 19.84 16.95 16.95 2.15 38.94 38.94 00090.09.84.072121090 36.6873 .917 35251 Repair blood vessel lesion A 17.49 9.59 9.59 1.88 28.96 28.96 00090.09.84.072121090 36.6873 .917 35256 Repair blood vessel lesion A 11.38 12.40 12.40 2.39 26.17 26.17 00090.09.84.072121090 36.6873 .917 35261 Repair blood vessel lesion A 11.63 12.79 12.79 2.66 27.08 27.08 00090.09.84.072121090 36.6873 .917 35266 Repair blood vessel lesion A 10.30 11.33 11.33 2.41 24.04 24.04 00090.09.84.072121090 36.6873 .917 35271 Repair blood vessel lesion A 22.12 12.53 12.53 2.56 37.21 37.21 00090.09.84.072121090 36.6873 .917 35276 Repair blood vessel lesion A 18.75 10.85 10.85 2.26 31.86 31.86 00090.09.84.072121090 36.6873 .917 35281 Repair blood vessel lesion A 16.48 17.28 17.28 3.37 37.13 37.13 00090.09.84.072121090 36.6873 .917 35286 Repair blood vessel lesion A 11.87 11.71 11.71 2.33 25.91 25.91 00090.09.84.072121090 36.6873 .917 35301 Rechanneling of artery A 18.70 14.46 14.46 2.81 35.97 35.97 00090.09.84.072121090 36.6873 .917 35311 Rechanneling of artery A 23.85 22.06 22.06 4.61 50.52 50.52 00090.09.84.072121090 36.6873 .917 35321 Rechanneling of artery A 11.97 12.96 12.96 2.69 27.62 27.62 00090.09.84.072121090 36.6873 .917 35331 Rechanneling of artery A 23.52 13.34 13.34 2.66 39.52 39.52 00090.09.84.072121090 36.6873 .917 35341 Rechanneling of artery A 25.11 17.37 17.37 3.53 46.01 46.01 00090.09.84.072121090 36.6873 .917 35351 Rechanneling of artery A 20.11 14.95 14.95 2.97 38.03 38.03 00090.09.84.072121090 36.6873 .917 35355 Rechanneling of artery A 16.09 15.42 15.42 2.99 34.50 34.50 00090.09.84.072121090 36.6873 .917 35361 Rechanneling of artery A 23.59 19.37 19.37 3.88 46.84 46.84 00090.09.84.072121090 36.6873 .917 35363 Rechanneling of artery A 24.66 22.77 22.77 4.40 51.83 51.83 00090.09.84.072121090 36.6873 .917 35371 Rechanneling of artery A 11.64 12.51 12.51 2.50 26.65 26.65 00090.09.84.072121090 36.6873 .917 35372 Rechanneling of artery A 13.56 11.20 11.20 2.28 27.04 27.04 00090.09.84.072121090 36.6873 .917 35381 Rechanneling of artery A 15.81 13.67 13.67 2.71 32.19 32.19 00090.09.84.072121090 36.6873 .917 35390 Reoperation, carotid A 3.19 1.67 1.67 0.39 5.25 5.25 00ZZZ.00.00.000121090 36.6873 .917 35400 Angioscopy A 3.00 2.27 2.27 0.27 5.54 5.54 00ZZZ.00.00.000001090 36.6873 .917 35450 Repair arterial blockage A 10.07 11.08 11.08 1.38 22.53 22.53 00000.00.00.002121090 36.6873 .917 35452 Repair arterial blockage A 6.91 4.35 4.35 0.61 11.87 11.87 00000.00.00.002121090 36.6873 .917 35454 Repair arterial blockage A 6.04 6.64 6.64 1.53 14.21 14.21 00000.00.00.002121090 36.6873 .917 35456 Repair arterial blockage A 7.35 8.09 8.09 1.69 17.13 17.13 00000.00.00.002121090 36.6873 .917 35458 Repair arterial blockage A 9.49 10.13 10.13 1.83 21.45 21.45 00000.00.00.002121090 36.6873 .917 35459 Repair arterial blockage A 8.63 9.49 9.49 1.69 19.81 19.81 00000.00.00.002121090 36.6873 .917 35460 Repair venous blockage A 6.04 3.16 3.16 0.74 9.94 9.94 00000.00.00.002111090 36.6873 .917 35470 Repair arterial blockage A 8.63 9.49 9.49 1.69 19.81 19.81 00000.00.00.002110090 36.6873 .917 35471 Repair arterial blockage A 10.07 11.08 11.08 1.38 22.53 22.53 00000.00.00.002110090 36.6873 .917 35472 Repair arterial blockage A 6.91 3.61 3.61 0.85 11.37 11.37 00000.00.00.002101090 36.6873 .917 35473 Repair arterial blockage A 6.04 6.64 6.64 1.53 14.21 14.21 00000.00.00.002110090 36.6873 .917 35474 Repair arterial blockage A 7.36 8.10 8.10 1.69 17.15 17.15 00000.00.00.002110090 36.6873 .917 35475 Repair arterial blockage R 9.49 10.13 10.13 1.83 21.45 21.45 00000.00.00.002110090 36.6873 .917 35476 Repair venous blockage A 6.04 3.16 3.16 0.74 9.94 9.94 00000.00.00.002110090 36.6873 .917 35480 Atherectomy, open A 11.08 12.19 12.19 1.38 24.65 24.65 00000.00.00.002022090 36.6873 .917 35481 Atherectomy, open A 7.61 4.35 4.35 0.61 12.57 12.57 00000.00.00.002022090 36.6873 .917 35482 Atherectomy, open A 6.65 7.32 7.32 1.53 15.50 15.50 00000.00.00.002022090 36.6873 .917 35483 Atherectomy, open A 8.10 8.91 8.91 1.69 18.70 18.70 00000.00.00.002022090 36.6873 .917 35484 Atherectomy, open A 10.44 10.13 10.13 1.83 22.40 22.40 00000.00.00.002022090 36.6873 .917 35485 Atherectomy, open A 9.49 4.52 4.52 1.06 15.07 15.07 00000.00.00.002022090 36.6873 .917 35490 Atherectomy, percutaneous A 11.08 12.19 12.19 1.38 24.65 24.65 00000.00.00.002022090 36.6873 .917 35491 Atherectomy, percutaneous A 7.61 4.35 4.35 0.61 12.57 12.57 00000.00.00.002022090 36.6873 .917 35492 Atherectomy, percutaneous A 6.65 7.32 7.32 1.53 15.50 15.50 00000.00.00.002022090 36.6873 .917 35493 Atherectomy, percutaneous A 8.10 8.91 8.91 1.69 18.70 18.70 00000.00.00.002012090 36.6873 .917 35494 Atherectomy, percutaneous A 10.44 10.13 10.13 1.83 22.40 22.40 00000.00.00.002012090 36.6873 .917 35495 Atherectomy, percutaneous A 9.49 4.52 4.52 1.06 15.07 15.07 00000.00.00.002002090 36.6873 .917 35501 Artery bypass graft A 19.19 19.35 19.35 3.49 42.03 42.03 00090.09.84.072121090 36.6873 .917 35506 Artery bypass graft A 19.67 19.17 19.17 3.64 42.48 42.48 00090.09.84.072121090 36.6873 .917 35507 Artery bypass graft A 19.67 17.92 17.92 3.61 41.20 41.20 00090.09.84.072121090 36.6873 .917 35508 Artery bypass graft A 18.65 18.11 18.11 3.43 40.19 40.19 00090.09.84.072121090 36.6873 .917 35509 Artery bypass graft A 18.07 18.90 18.90 3.92 40.89 40.89 00090.09.84.072121090 36.6873 .917 35511 Artery bypass graft A 16.83 10.40 10.40 1.92 29.15 29.15 00090.09.84.072121090 36.6873 .917 35515 Artery bypass graft A 18.65 11.25 11.25 2.01 31.91 31.91 00090.09.84.072121090 36.6873 .917 35516 Artery bypass graft A 16.32 17.37 17.37 3.54 37.23 37.23 00090.09.84.072121090 36.6873 .917 35518 Artery bypass graft A 15.42 16.96 16.96 3.38 35.76 35.76 00090.09.84.072121090 36.6873 .917 35521 Artery bypass graft A 16.17 17.53 17.53 3.34 37.04 37.04 00090.09.84.072121090 36.6873 .917 35526 Artery bypass graft A 20.00 12.95 12.95 2.44 35.39 35.39 00090.09.84.072121090 36.6873 .917 35531 Artery bypass graft A 25.61 20.25 20.25 3.90 49.76 49.76 00090.09.84.072121090 36.6873 .917 35533 Artery bypass graft A 20.52 21.04 21.04 4.43 45.99 45.99 00090.09.84.072121090 36.6873 .917 35536 Artery bypass graft A 23.11 21.37 21.37 4.17 48.65 48.65 00090.09.84.072121090 36.6873 .917 35541 Artery bypass graft A 25.80 19.55 19.55 3.65 49.00 49.00 00090.09.84.072021090 36.6873 .917 35546 Artery bypass graft A 25.54 21.39 21.39 4.26 51.19 51.19 00090.09.84.072121090 36.6873 .917 35548 Artery bypass graft A 21.57 19.55 19.55 3.65 44.77 44.77 00090.09.84.072021090 36.6873 .917 35549 Artery bypass graft A 23.35 21.39 21.39 4.26 49.00 49.00 00090.09.84.072221090 36.6873 .917 35551 Artery bypass graft A 26.67 19.25 19.25 3.87 49.79 49.79 00090.09.84.072121090 36.6873 .917 35556 Artery bypass graft A 21.76 18.71 18.71 3.71 44.18 44.18 00090.09.84.072121090 36.6873 .917 35558 Artery bypass graft A 14.04 15.44 15.44 3.23 32.71 32.71 00090.09.84.072121090 36.6873 .917 35560 Artery bypass graft A 23.56 20.22 20.22 3.93 47.71 47.71 00090.09.84.072121090 36.6873 .917 35563 Artery bypass graft A 15.14 8.32 8.32 1.70 25.16 25.16 00090.09.84.072121090 36.6873 .917 35565 Artery bypass graft A 15.14 16.65 16.65 3.51 35.30 35.30 00090.09.84.072121090 36.6873 .917 35566 Artery bypass graft A 26.92 20.62 20.62 4.08 51.62 51.62 00090.09.84.072121090 36.6873 .917 35571 Artery bypass graft A 18.58 19.36 19.36 3.87 41.81 41.81 00090.09.84.072121090 36.6873 .917 35582 Vein bypass graft A 27.13 23.74 23.74 4.89 55.76 55.76 00090.09.84.072121090 36.6873 .917 35583 Vein bypass graft A 22.37 20.44 20.44 4.13 46.94 46.94 00090.09.84.072121090 36.6873 .917 35585 Vein bypass graft A 28.39 22.95 22.95 4.63 55.97 55.97 00090.09.84.072121090 36.6873 .917 35587 Vein bypass graft A 19.05 20.96 20.96 4.13 44.14 44.14 00090.09.84.072121090 36.6873 .917 35601 Artery bypass graft A 17.50 18.83 18.83 3.33 39.66 39.66 00090.09.84.072121090 36.6873 .917 35606 Artery bypass graft A 18.71 17.55 17.55 3.51 39.77 39.77 00090.09.84.072121090 36.6873 .917 35612 Artery bypass graft A 15.76 16.75 16.75 3.30 35.81 35.81 00090.09.84.072121090 36.6873 .917 35616 Artery bypass graft A 15.70 16.79 16.79 3.42 35.91 35.91 00090.09.84.072121090 36.6873 .917 35621 Artery bypass graft A 14.54 15.99 15.99 3.80 34.33 34.33 00090.09.84.072121090 36.6873 .917 35623 Bypass graft, not vein A 16.62 8.06 8.06 1.88 26.56 26.56 00090.09.84.072121090 36.6873 .917 35626 Artery bypass graft A 23.63 20.51 20.51 4.08 48.22 48.22 00090.09.84.072121090 36.6873 .917 35631 Artery bypass graft A 24.60 17.87 17.87 3.57 46.04 46.04 00090.09.84.072121090 36.6873 .917 35636 Artery bypass graft A 22.46 13.50 13.50 2.45 38.41 38.41 00090.09.84.072121090 36.6873 .917 35641 Artery bypass graft A 24.57 20.56 20.56 4.08 49.21 49.21 00090.09.84.072021090 36.6873 .917 35642 Artery bypass graft A 17.98 10.33 10.33 2.20 30.51 30.51 00090.09.84.072121090 36.6873 .917 35645 Artery bypass graft A 17.47 11.15 11.15 2.05 30.67 30.67 00090.09.84.072121090 36.6873 .917 35646 Artery bypass graft A 25.81 23.78 23.78 4.73 54.32 54.32 00090.09.84.072121090 36.6873 .917 35650 Artery bypass graft A 14.36 15.80 15.80 3.56 33.72 33.72 00090.09.84.072121090 36.6873 .917 35651 Artery bypass graft A 25.04 24.09 24.09 4.69 53.82 53.82 00090.09.84.072121090 36.6873 .917 35654 Artery bypass graft A 18.61 20.47 20.47 4.42 43.50 43.50 00090.09.84.072121090 36.6873 .917 35656 Artery bypass graft A 19.53 17.73 17.73 3.60 40.86 40.86 00090.09.84.072121090 36.6873 .917 35661 Artery bypass graft A 13.18 14.50 14.50 3.30 30.98 30.98 00090.09.84.072121090 36.6873 .917 35663 Artery bypass graft A 14.17 15.59 15.59 3.80 33.56 33.56 00090.09.84.072121090 36.6873 .917 35665 Artery bypass graft A 15.40 16.94 16.94 3.57 35.91 35.91 00090.09.84.072121090 36.6873 .917 35666 Artery bypass graft A 19.19 20.06 20.06 4.00 43.25 43.25 00090.09.84.072121090 36.6873 .917 35671 Artery bypass graft A 14.80 15.60 15.60 4.08 34.48 34.48 00090.09.84.072121090 36.6873 .917 35681 Artery bypass graft A 8.05 8.86 8.86 3.52 20.43 20.43 00ZZZ.00.00.000121090 36.6873 .917 35691 Arterial transposition A 18.05 19.62 19.62 3.81 41.48 41.48 00090.09.84.072121090 36.6873 .917 35693 Arterial transposition A 15.36 9.40 9.40 1.91 26.67 26.67 00090.09.84.072121090 36.6873 .917 35694 Arterial transposition A 19.16 9.33 9.33 2.17 30.66 30.66 00090.09.84.072121090 36.6873 .917 35695 Arterial transposition A 19.16 9.33 9.33 2.17 30.66 30.66 00090.09.84.072121090 36.6873 .917 35700 Reoperation, bypass graft A 3.08 1.61 1.61 0.38 5.07 5.07 00ZZZ.00.00.000121090 36.6873 .917 35701 Exploration, carotid artery A 5.55 5.82 5.82 1.25 12.62 12.62 00090.09.84.072121090 36.6873 .917 35721 Exploration, femoral artery A 5.28 5.56 5.56 1.11 11.95 11.95 00090.09.84.072121090 36.6873 .917 35741 Exploration popliteal artery A 5.37 5.73 5.73 1.15 12.25 12.25 00090.09.84.072121090 36.6873 .917 35761 Exploration of artery/vein A 5.37 5.81 5.81 1.14 12.32 12.32 00090.09.84.072121090 36.6873 .917 35800 Explore neck vessels A 7.02 5.28 5.28 0.97 13.27 13.27 00090.09.84.072021090 36.6873 .917 35820 Explore chest vessels A 12.88 7.92 7.92 1.43 22.23 22.23 00090.09.84.072021090 36.6873 .917 35840 Explore abdominal vessels A 9.77 7.23 7.23 1.44 18.44 18.44 00090.09.84.072021090 36.6873 .917 35860 Explore limb vessels A 5.55 5.81 5.81 1.15 12.51 12.51 00090.09.84.072021090 36.6873 .917 35870 Repair vessel graft defect A 22.17 10.64 10.64 2.47 35.28 35.28 00090.09.84.072021090 36.6873 .917 35875 Removal of clot in graft A 10.01 8.21 8.21 1.65 19.87 19.87 00090.09.84.072011090 36.6873 .917 35876 Removal of clot in graft A 13.67 8.21 8.21 1.65 23.53 23.53 00090.09.84.072021090 36.6873 .917 35901 Excision, graft, neck A 8.19 7.18 7.18 1.46 16.83 16.83 00090.09.84.072021090 36.6873 .917 35903 Excision, graft, extremity A 9.39 7.18 7.18 1.46 18.03 18.03 00090.09.84.072021090 36.6873 .917 35905 Excision, graft, thorax A 18.19 7.18 7.18 1.46 26.83 26.83 00090.09.84.072021090 36.6873 .917 35907 Excision, graft, abdomen A 19.24 7.18 7.18 1.46 27.88 27.88 00090.09.84.072021090 36.6873 .917 36000 Place needle in vein A 0.18 0.24 0.20 0.04 0.46 0.42 30XXX.00.00.002110090 36.6873 .917 36005 Injection, venography A 0.95 0.47 0.47 0.04 1.46 1.46 00000.00.00.002000090 36.6873 .917 36010 Place catheter in vein A 2.43 2.11 2.11 0.31 4.85 4.85 00XXX.00.00.002110090 36.6873 .917 36011 Place catheter in vein A 3.14 1.90 1.90 0.22 5.26 5.26 00XXX.00.00.002110090 36.6873 .917 36012 Place catheter in vein A 3.52 2.67 2.67 0.32 6.51 6.51 00XXX.00.00.002110090 36.6873 .917 36013 Place catheter in artery A 2.52 2.11 2.11 0.31 4.94 4.94 00XXX.00.00.002010090 36.6873 .917 36014 Place catheter in artery A 3.02 2.28 2.28 0.27 5.57 5.57 00XXX.00.00.002110090 36.6873 .917 36015 Place catheter in artery A 3.52 2.67 2.67 0.32 6.51 6.51 00XXX.00.00.002110090 36.6873 .917 36100 Establish access to artery A 3.02 2.59 2.59 0.32 5.93 5.93 00XXX.00.00.002110090 36.6873 .917 36120 Establish access to artery A 2.01 2.21 2.21 0.30 4.52 4.52 00XXX.00.00.002010090 36.6873 .917 36140 Establish access to artery A 2.01 1.41 1.41 0.24 3.66 3.66 00XXX.00.00.002010090 36.6873 .917 36145 Artery to vein shunt A 2.01 2.21 2.21 0.49 4.71 4.71 00XXX.00.00.002010090 36.6873 .917 36160 Establish access to aorta A 2.52 2.32 2.32 0.35 5.19 5.19 00XXX.00.00.002010090 36.6873 .917 36200 Place catheter in aorta A 3.02 2.73 2.73 0.28 6.03 6.03 00XXX.00.00.002110090 36.6873 .917 36215 Place catheter in artery A 4.68 2.78 2.78 0.23 7.69 7.69 00XXX.00.00.002110090 36.6873 .917 36216 Place catheter in artery A 5.28 3.29 3.29 0.27 8.84 8.84 00XXX.00.00.002110090 36.6873 .917 36217 Place catheter in artery A 6.30 3.92 3.92 0.32 10.54 10.54 00XXX.00.00.002110090 36.6873 .917 36218 Place catheter in artery A 1.01 0.62 0.62 0.05 1.68 1.68 00XXX.00.00.000010090 36.6873 .917 36245 Place catheter in artery A 4.68 3.15 3.15 0.26 8.09 8.09 00XXX.00.00.002110090 36.6873 .917 36246 Place catheter in artery A 5.28 3.29 3.29 0.27 8.84 8.84 00XXX.00.00.002110090 36.6873 .917 36247 Place catheter in artery A 6.30 3.92 3.92 0.32 10.54 10.54 00XXX.00.00.002110090 36.6873 .917 36248 Place catheter in artery A 1.01 0.62 0.62 0.05 1.68 1.68 00XXX.00.00.000010090 36.6873 .917 36260 Insertion of infusion pump A 9.71 6.74 6.74 1.41 17.86 17.86 00090.09.84.072010090 36.6873 .917 36261 Revision of infusion pump A 5.45 2.23 2.23 0.42 8.10 8.10 00090.09.84.072020090 36.6873 .917 36262 Removal of infusion pump A 4.02 1.93 1.93 0.40 6.35 6.35 00090.09.84.072010090 36.6873 .917 36299 Vessel injection procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 36400 Drawing blood A 0.18 0.09 0.09 0.01 0.28 0.28 10XXX.00.00.002010090 36.6873 .917 36405 Drawing blood A 0.18 0.45 0.45 0.03 0.66 0.66 10XXX.00.00.002010090 36.6873 .917 36406 Drawing blood A 0.18 0.16 0.16 0.01 0.35 0.35 10XXX.00.00.002010090 36.6873 .917 36410 Drawing blood A 0.18 0.22 0.20 0.02 0.42 0.40 30XXX.00.00.002010090 36.6873 .917 36415 Drawing blood I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 36420 Establish access to vein A 1.01 0.51 0.51 0.05 1.57 1.57 00XXX.00.00.002000090 36.6873 .917 36425 Establish access to vein A 0.76 0.08 0.08 0.01 0.85 0.85 00XXX.00.00.002010090 36.6873 .917 36430 Blood transfusion service A 0.00 0.96 0.96 0.07 1.03 1.03 15XXX.00.00.000010090 36.6873 .917 36440 Blood transfusion service A 1.03 0.94 0.94 0.07 2.04 2.04 00XXX.00.00.002000090 36.6873 .917 36450 Exchange transfusion service A 2.23 1.88 1.88 0.18 4.29 4.29 10XXX.00.00.002000090 36.6873 .917 36455 Exchange transfusion service A 2.43 2.27 2.27 0.22 4.92 4.92 00XXX.00.00.002010090 36.6873 .917 36460 Transfusion service, fetal A 6.59 4.71 4.71 1.09 12.39 12.39 00XXX.00.00.002020090 36.6873 .917 36468 Injection(s); spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 36469 Injection(s); spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 36470 Injection therapy of vein A 1.09 0.27 0.27 0.04 1.40 1.40 10010.10.80.102010090 36.6873 .917 36471 Injection therapy of veins A 1.57 0.39 0.39 0.05 2.01 2.01 10010.10.80.102010090 36.6873 .917 36481 Insertion of catheter, vein A 6.99 5.30 5.30 0.61 12.90 12.90 00000.00.00.002010090 36.6873 .917 36488 Insertion of catheter, vein A 1.35 0.97 0.97 0.14 2.46 2.46 00000.00.00.000010090 36.6873 .917 36489 Insertion of catheter, vein A 1.22 1.12 1.12 0.17 2.51 2.51 00000.00.00.000010090 36.6873 .917 36490 Insertion of catheter, vein A 1.67 1.38 1.38 0.20 3.25 3.25 00000.00.00.000010090 36.6873 .917 36491 Insertion of catheter, vein A 1.43 1.57 1.57 0.32 3.32 3.32 00000.00.00.000010090 36.6873 .917 36493 Repositioning of cvc A 1.21 0.63 0.63 0.16 2.00 2.00 00000.00.00.002010090 36.6873 .917 36500 Insertion of catheter, vein A 3.52 0.08 0.08 0.01 3.61 3.61 00000.00.00.002010090 36.6873 .917 36510 Insertion of catheter, vein A 1.09 0.34 0.34 0.02 1.45 1.45 10000.00.00.002000090 36.6873 .917 36520 Plasma and/or cell exchange A 1.74 1.91 1.91 0.12 3.77 3.77 00000.00.00.002010090 36.6873 .917 36522 Photopheresis A 1.67 2.48 1.84 0.37 4.52 3.88 20000.00.00.002010090 36.6873 .917 36530 Insertion of infusion pump R 6.20 4.82 4.82 1.02 12.04 12.04 00010.10.80.102000090 36.6873 .917 36531 Revision of infusion pump R 4.87 4.37 4.37 0.27 9.51 9.51 00010.10.80.102000090 36.6873 .917 36532 Removal of infusion pump R 3.30 1.77 1.77 0.37 5.44 5.44 00010.10.80.102000090 36.6873 .917 36533 Insertion of access port A 5.32 4.29 4.29 0.85 10.46 10.46 00010.10.80.102000091A4300 36.6873 .917 36534 Revision of access port A 2.80 3.08 3.08 0.21 6.09 6.09 00010.10.80.102000090 36.6873 .917 36535 Removal of access port A 2.27 1.81 1.81 0.38 4.46 4.46 00010.10.80.102000090 36.6873 .917 36600 Withdrawal of arterial blood A 0.32 0.28 0.28 0.02 0.62 0.62 00XXX.00.00.002010090 36.6873 .917 36620 Insertion catheter, artery A 1.15 0.66 0.66 0.14 1.95 1.95 00000.00.00.000010090 36.6873 .917 36625 Insertion catheter, artery A 2.11 0.86 0.86 0.18 3.15 3.15 00000.00.00.000010090 36.6873 .917 36640 Insertion catheter, artery A 2.10 2.31 2.31 0.40 4.81 4.81 00000.00.00.002010090 36.6873 .917 36660 Insertion catheter, artery A 1.40 0.49 0.49 0.04 1.93 1.93 00000.00.00.000000090 36.6873 .917 36680 Insert needle, bone cavity A 1.20 1.24 1.24 0.10 2.54 2.54 00000.00.00.002000090 36.6873 .917 36800 Insertion of cannula A 2.43 2.22 2.22 0.28 4.93 4.93 00000.00.00.002010090 36.6873 .917 36810 Insertion of cannula A 3.97 4.37 4.37 0.74 9.08 9.08 00000.00.00.002010090 36.6873 .917 36815 Insertion of cannula A 2.62 2.88 2.88 0.70 6.20 6.20 00000.00.00.002010090 36.6873 .917 36821 Artery-vein fusion A 8.93 7.24 7.24 1.46 17.63 17.63 00090.09.84.072021090 36.6873 .917 36822 Insertion of cannula(s) A 5.42 5.60 5.60 0.77 11.79 11.79 00090.09.84.072010090 36.6873 .917 36825 Artery-vein graft A 9.84 10.82 10.82 2.21 22.87 22.87 00090.09.84.072021090 36.6873 .917 36830 Artery-vein graft A 12.00 9.96 9.96 2.36 24.32 24.32 00090.09.84.072021090 36.6873 .917 36832 Revise artery-vein fistula A 6.45 7.10 7.10 2.38 15.93 15.93 00090.09.84.072021090 36.6873 .917 36834 Repair A-V aneurysm A 9.93 7.80 7.80 1.66 19.39 19.39 00090.09.84.072021090 36.6873 .917 36835 Artery to vein shunt A 7.15 3.42 3.42 0.79 11.36 11.36 00090.09.84.072010090 36.6873 .917 36860 Cannula declotting A 2.01 2.57 2.21 0.43 5.01 4.65 20000.00.00.002010090 36.6873 .917 36861 Cannula declotting A 2.52 2.77 2.77 1.01 6.30 6.30 00000.00.00.002010090 36.6873 .917 37140 Revision of circulation A 23.60 16.29 16.29 3.34 43.23 43.23 00090.09.84.072011090 36.6873 .917 37145 Revision of circulation A 24.61 17.13 17.13 1.72 43.46 43.46 00090.09.84.072020090 36.6873 .917 37160 Revision of circulation A 21.60 17.74 17.74 3.79 43.13 43.13 00090.09.84.072021090 36.6873 .917 37180 Revision of circulation A 24.61 14.19 14.19 2.76 41.56 41.56 00090.09.84.072021090 36.6873 .917 37181 Splice spleen/kidney veins A 26.68 16.41 16.41 3.52 46.61 46.61 00090.09.84.072021090 36.6873 .917 37195 Thrombolytic therapy, stroke A 0.00 7.68 7.68 0.54 8.22 8.22 05XXX.00.00.000000090 36.6873 .917 37200 Transcatheter biopsy A 4.56 1.59 1.59 0.13 6.28 6.28 00000.00.00.002010090 36.6873 .917 37201 Transcatheter therapy infuse A 5.00 5.50 5.50 0.64 11.14 11.14 00000.00.00.002010090 36.6873 .917 37202 Transcatheter therapy infuse A 5.68 4.30 4.30 0.50 10.48 10.48 00000.00.00.002010090 36.6873 .917 37203 Transcatheter retrieval A 5.03 3.82 3.82 0.45 9.30 9.30 00000.00.00.002010090 36.6873 .917 37204 Transcatheter occlusion A 18.14 13.76 13.76 1.60 33.50 33.50 00000.00.00.002010090 36.6873 .917 37205 Transcatheter stent A 8.28 5.16 5.16 0.42 13.86 13.86 00000.00.00.002002090 36.6873 .917 37206 Transcatheter stent A 4.13 2.58 2.58 0.21 6.92 6.92 00ZZZ.00.00.000002090 36.6873 .917 37207 Transcatheter stent A 8.28 5.16 5.16 0.42 13.86 13.86 00000.00.00.002122090 36.6873 .917 37208 Transcatheter stent A 4.13 2.58 2.58 0.21 6.92 6.92 00ZZZ.00.00.000022090 36.6873 .917 37209 Exchange arterial catheter A 2.27 1.41 1.41 0.11 3.79 3.79 00000.00.00.002010090 36.6873 .917 37250 Intravascular us A 2.10 1.14 1.14 0.13 3.37 3.37 00ZZZ.00.00.000001090 36.6873 .917 37251 Intravascular us A 1.60 0.87 0.87 0.10 2.57 2.57 00ZZZ.00.00.000001090 36.6873 .917 37565 Ligation of neck vein A 4.44 3.79 3.79 0.74 8.97 8.97 00090.09.84.072001090 36.6873 .917 37600 Ligation of neck artery A 4.57 4.98 4.98 0.80 10.35 10.35 00090.09.84.072021090 36.6873 .917 37605 Ligation of neck artery A 6.19 5.56 5.56 1.04 12.79 12.79 00090.09.84.072021090 36.6873 .917 37606 Ligation of neck artery A 6.28 5.92 5.92 0.72 12.92 12.92 00090.09.84.072020090 36.6873 .917 37607 Ligation of fistula A 6.16 3.06 3.06 0.71 9.93 9.93 00090.09.84.072011090 36.6873 .917 37609 Temporal artery procedure A 2.30 2.22 2.22 0.38 4.90 4.90 00010.10.80.102010091A4550 36.6873 .917 37615 Ligation of neck artery A 5.73 5.62 5.62 1.11 12.46 12.46 00090.09.84.072021090 36.6873 .917 37616 Ligation of chest artery A 16.49 4.21 4.21 0.83 21.53 21.53 00090.09.84.072021090 36.6873 .917 37617 Ligation of abdomen artery A 15.95 8.00 8.00 1.54 25.49 25.49 00090.09.84.072021090 36.6873 .917 37618 Ligation of extremity artery A 4.84 4.98 4.98 1.06 10.88 10.88 00090.09.84.072021090 36.6873 .917 37620 Revision of major vein A 10.56 8.81 8.81 1.48 20.85 20.85 00090.09.84.072011090 36.6873 .917 37650 Revision of major vein A 5.13 4.02 4.02 0.52 9.67 9.67 00090.09.84.072111090 36.6873 .917 37660 Revision of major vein A 10.61 5.75 5.75 1.07 17.43 17.43 00090.09.84.072021090 36.6873 .917 37700 Revise leg vein A 3.73 3.64 3.64 0.73 8.10 8.10 00090.09.84.072110090 36.6873 .917 37720 Removal of leg vein A 5.66 5.11 5.11 1.04 11.81 11.81 00090.09.84.072111090 36.6873 .917 37730 Removal of leg veins A 7.33 6.95 6.95 1.40 15.68 15.68 00090.09.84.072111090 36.6873 .917 37735 Removal of leg veins/lesion A 10.53 8.34 8.34 1.68 20.55 20.55 00090.09.84.072121090 36.6873 .917 37760 Revision of leg veins A 10.47 7.48 7.48 1.52 19.47 19.47 00090.09.84.072021090 36.6873 .917 37780 Revision of leg vein A 3.84 1.89 1.89 0.35 6.08 6.08 00090.09.84.072111090 36.6873 .917 37785 Revise secondary varicosity A 3.88 0.98 0.98 0.18 5.04 5.04 00090.09.84.072110090 36.6873 .917 37788 Revascularization, penis A 22.01 15.14 15.14 1.48 38.63 38.63 00090.09.84.072021090 36.6873 .917 37790 Penile venous occlusion A 8.34 5.70 5.70 0.55 14.59 14.59 00090.08.83.092000090 36.6873 .917 37799 Vascular surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 38100 Removal of spleen, total A 13.01 8.55 8.55 1.81 23.37 23.37 00090.11.73.162021090 36.6873 .917 38101 Removal of spleen, partial A 13.74 6.99 6.99 1.51 22.24 22.24 00090.11.73.162021090 36.6873 .917 38102 Removal of spleen, total A 4.80 2.51 2.51 0.58 7.89 7.89 00ZZZ.00.00.000021090 36.6873 .917 38115 Repair of ruptured spleen A 14.19 7.64 7.64 1.49 23.32 23.32 00090.11.73.162021090 36.6873 .917 38200 Injection for spleen x-ray A 2.64 1.71 1.71 0.15 4.50 4.50 00000.00.00.002000090 36.6873 .917 38230 Bone marrow collection R 4.54 2.78 2.78 0.21 7.53 7.53 00010.10.80.102000090 36.6873 .917 38231 Stem cell collection R 1.50 1.37 1.37 0.08 2.95 2.95 00000.00.00.002000090 36.6873 .917 38240 Bone marrow/stem transplant R 2.24 2.08 2.08 0.14 4.46 4.46 00XXX.00.00.002000090 36.6873 .917 38241 Bone marrow/stem transplant R 2.24 2.04 2.04 0.13 4.41 4.41 00XXX.00.00.002000090 36.6873 .917 38300 Drainage lymph node lesion A 1.53 0.58 0.58 0.10 2.21 2.21 10010.10.80.102010090 36.6873 .917 38305 Drainage lymph node lesion A 4.61 1.96 1.96 0.36 6.93 6.93 00090.11.73.162010090 36.6873 .917 38308 Incision of lymph channels A 4.95 3.37 3.37 0.45 8.77 8.77 00090.11.73.162021090 36.6873 .917 38380 Thoracic duct procedure A 7.46 4.44 4.44 0.76 12.66 12.66 00090.11.73.162021090 36.6873 .917 38381 Thoracic duct procedure A 12.88 7.56 7.56 1.50 21.94 21.94 00090.11.73.162021090 36.6873 .917 38382 Thoracic duct procedure A 10.08 4.84 4.84 1.13 16.05 16.05 00090.11.73.162021090 36.6873 .917 38500 Biopsy/removal,lymph node(s) A 2.88 1.59 1.59 0.31 4.78 4.78 00010.10.80.102110091A4550 36.6873 .917 38505 Needle biopsy, lymph node(s) A 1.14 1.12 1.12 0.17 2.43 2.43 10000.00.00.002110090 36.6873 .917 38510 Biopsy/removal,lymph node(s) A 4.14 2.54 2.54 0.45 7.13 7.13 00090.11.73.162110090 36.6873 .917 38520 Biopsy/removal,lymph node(s) A 5.12 2.99 2.99 0.56 8.67 8.67 00090.11.73.162110090 36.6873 .917 38525 Biopsy/removal,lymph node(s) A 4.66 2.59 2.59 0.53 7.78 7.78 00090.11.73.162110090 36.6873 .917 38530 Biopsy/removal,lymph node(s) A 6.13 3.17 3.17 0.65 9.95 9.95 00090.11.73.162121090 36.6873 .917 38542 Explore deep node(s), neck A 5.91 4.26 4.26 0.59 10.76 10.76 00090.11.73.162121090 36.6873 .917 38550 Removal neck/armpit lesion A 6.73 3.23 3.23 0.63 10.59 10.59 00090.11.73.162000090 36.6873 .917 38555 Removal neck/armpit lesion A 14.27 7.27 7.27 1.38 22.92 22.92 00090.11.73.162021090 36.6873 .917 38562 Removal, pelvic lymph nodes A 10.49 6.88 6.88 1.20 18.57 18.57 00090.11.73.162221090 36.6873 .917 38564 Removal, abdomen lymph nodes A 10.83 7.39 7.39 1.51 19.73 19.73 00090.11.73.162021090 36.6873 .917 38700 Removal of lymph nodes, neck A 8.24 9.06 9.06 1.31 18.61 18.61 00090.11.73.162121090 36.6873 .917 38720 Removal of lymph nodes, neck A 13.61 14.97 14.97 2.04 30.62 30.62 00090.11.73.162121090 36.6873 .917 38724 Removal of lymph nodes, neck A 14.54 14.36 14.36 2.00 30.90 30.90 00090.11.73.162021090 36.6873 .917 38740 Remove armpit lymph nodes A 6.77 4.72 4.72 1.00 12.49 12.49 00090.11.73.162021090 36.6873 .917 38745 Remove armpits lymph nodes A 8.84 8.28 8.28 1.76 18.88 18.88 00090.11.73.162021090 36.6873 .917 38746 Remove thoracic lymph nodes A 4.39 2.29 2.29 0.53 7.21 7.21 00ZZZ.00.00.000021090 36.6873 .917 38747 Remove abdominal lymph nodes A 4.89 2.56 2.56 0.59 8.04 8.04 00ZZZ.00.00.000021090 36.6873 .917 38760 Remove groin lymph nodes A 8.74 6.63 6.63 1.35 16.72 16.72 00090.11.73.162121090 36.6873 .917 38765 Remove groin lymph nodes A 16.06 12.67 12.67 2.42 31.15 31.15 00090.11.73.162121090 36.6873 .917 38770 Remove pelvis lymph nodes A 13.23 14.55 14.55 1.73 29.51 29.51 00090.11.73.162121090 36.6873 .917 38780 Remove abdomen lymph nodes A 16.59 16.06 16.06 3.13 35.78 35.78 00090.11.73.162021090 36.6873 .917 38790 Injection for lymphatic xray A 1.29 1.64 1.42 0.19 3.12 2.90 20000.00.00.002110090 36.6873 .917 38794 Access thoracic lymph duct A 4.45 2.84 2.84 0.38 7.67 7.67 00090.11.73.162000090 36.6873 .917 38999 Blood/lymph system procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 39000 Exploration of chest A 6.10 6.05 6.05 1.08 13.23 13.23 00090.09.84.072021090 36.6873 .917 39010 Exploration of chest A 11.79 11.46 11.46 2.08 25.33 25.33 00090.09.84.072021090 36.6873 .917 39200 Removal chest lesion A 13.62 11.58 11.58 2.14 27.34 27.34 00090.09.84.072021090 36.6873 .917 39220 Removal chest lesion A 17.42 14.94 14.94 2.83 35.19 35.19 00090.09.84.072021090 36.6873 .917 39400 Visualization of chest A 5.61 5.12 5.12 0.95 11.68 11.68 00010.10.80.102010090 36.6873 .917 39499 Chest procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 39501 Repair diaphragm laceration A 13.19 10.66 10.66 2.10 25.95 25.95 00090.09.84.072021090 36.6873 .917 39502 Repair paraesophageal hernia A 16.33 11.93 11.93 2.45 30.71 30.71 00090.09.84.072021090 36.6873 .917 39503 Repair of diaphragm hernia A 34.85 25.18 25.18 2.94 62.97 62.97 00090.09.84.072021090 36.6873 .917 39520 Repair of diaphragm hernia A 16.10 12.53 12.53 2.46 31.09 31.09 00090.09.84.072021090 36.6873 .917 39530 Repair of diaphragm hernia A 15.41 14.06 14.06 2.71 32.18 32.18 00090.09.84.072021090 36.6873 .917 39531 Repair of diaphragm hernia A 16.42 10.00 10.00 1.80 28.22 28.22 00090.09.84.072021090 36.6873 .917 39540 Repair of diaphragm hernia A 13.32 11.98 11.98 2.51 27.81 27.81 00090.09.84.072021090 36.6873 .917 39541 Repair of diaphragm hernia A 14.41 12.16 12.16 2.37 28.94 28.94 00090.09.84.072021090 36.6873 .917 39545 Revision of diaphragm A 13.37 7.90 7.90 1.31 22.58 22.58 00090.09.84.072021090 36.6873 .917 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 40490 Biopsy of lip A 1.22 0.74 0.74 0.07 2.03 2.03 10000.00.00.002010090 36.6873 .917 40500 Partial excision of lip A 4.28 4.71 4.71 0.94 9.93 9.93 00090.09.81.102010090 36.6873 .917 40510 Partial excision of lip A 4.70 5.17 5.17 0.83 10.70 10.70 00090.09.81.102010090 36.6873 .917 40520 Partial excision of lip A 4.67 4.50 4.50 0.68 9.85 9.85 00090.09.81.102010090 36.6873 .917 40525 Reconstruct lip with flap A 7.55 8.31 8.31 1.43 17.29 17.29 00090.09.81.102010090 36.6873 .917 40527 Reconstruct lip with flap A 9.13 10.04 10.04 1.65 20.82 20.82 00090.09.81.102000090 36.6873 .917 40530 Partial removal of lip A 5.40 5.10 5.10 0.74 11.24 11.24 00090.09.81.102010090 36.6873 .917 40650 Repair lip A 3.64 4.00 4.00 0.65 8.29 8.29 00090.09.81.102000090 36.6873 .917 40652 Repair lip A 4.26 4.69 4.69 0.79 9.74 9.74 00090.09.81.102000090 36.6873 .917 40654 Repair lip A 5.31 5.84 5.84 1.00 12.15 12.15 00090.09.81.102010090 36.6873 .917 40700 Repair cleft lip/nasal A 12.79 8.46 8.46 1.28 22.53 22.53 00090.09.81.102000090 36.6873 .917 40701 Repair cleft lip/nasal A 15.85 19.33 19.33 1.62 36.80 36.80 00090.09.81.102220090 36.6873 .917 40702 Repair cleft lip/nasal A 13.04 9.37 9.37 1.10 23.51 23.51 00090.09.81.102220090 36.6873 .917 40720 Repair cleft lip/nasal A 13.55 9.59 9.59 1.79 24.93 24.93 00090.09.81.102100090 36.6873 .917 40761 Repair cleft lip/nasal A 14.72 10.84 10.84 1.74 27.30 27.30 00090.09.81.102010090 36.6873 .917 40799 Lip surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 40800 Drainage of mouth lesion A 1.17 0.74 0.74 0.07 1.98 1.98 10010.10.80.102010090 36.6873 .917 40801 Drainage of mouth lesion A 2.53 1.70 1.70 0.16 4.39 4.39 10010.10.80.102010090 36.6873 .917 40804 Removal foreign body, mouth A 1.24 0.58 0.58 0.06 1.88 1.88 10010.10.80.102000090 36.6873 .917 40805 Removal foreign body, mouth A 2.69 2.50 2.50 0.30 5.49 5.49 00010.10.80.102000090 36.6873 .917 40806 Incision of lip fold A 0.31 0.36 0.36 0.03 0.70 0.70 00000.00.00.002000090 36.6873 .917 40808 Biopsy of mouth lesion A 0.96 0.76 0.76 0.08 1.80 1.80 10010.10.80.102010090 36.6873 .917 40810 Excision of mouth lesion A 1.31 1.18 1.18 0.11 2.60 2.60 10010.10.80.102010090 36.6873 .917 40812 Excise/repair mouth lesion A 2.31 1.50 1.50 0.14 3.95 3.95 10010.10.80.102010090 36.6873 .917 40814 Excise/repair mouth lesion A 3.42 3.23 3.23 0.32 6.97 6.97 10090.09.81.102010090 36.6873 .917 40816 Excision of mouth lesion A 3.67 3.22 3.22 0.33 7.22 7.22 10090.09.81.102010090 36.6873 .917 40818 Excise oral mucosa for graft A 2.41 2.25 2.25 0.20 4.86 4.86 00090.09.81.102000090 36.6873 .917 40819 Excise lip or cheek fold A 2.41 1.23 1.23 0.14 3.78 3.78 10090.09.81.102000090 36.6873 .917 40820 Treatment of mouth lesion A 1.28 0.53 0.53 0.06 1.87 1.87 10010.10.80.102010090 36.6873 .917 40830 Repair mouth laceration A 1.76 0.67 0.67 0.07 2.50 2.50 00010.10.80.102000090 36.6873 .917 40831 Repair mouth laceration A 2.46 1.94 1.94 0.21 4.61 4.61 00010.10.80.102000090 36.6873 .917 40840 Reconstruction of mouth R 8.73 6.28 6.28 0.73 15.74 15.74 00090.09.81.102020090 36.6873 .917 40842 Reconstruction of mouth R 8.73 6.28 6.28 0.73 15.74 15.74 00090.09.81.102000090 36.6873 .917 40843 Reconstruction of mouth R 12.10 8.80 8.80 1.03 21.93 21.93 00090.09.81.102220090 36.6873 .917 40844 Reconstruction of mouth R 16.01 11.63 11.63 1.36 29.00 29.00 00090.09.81.102020090 36.6873 .917 40845 Reconstruction of mouth R 18.58 20.44 20.44 1.93 40.95 40.95 00090.09.81.102000090 36.6873 .917 40899 Mouth surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 41000 Drainage of mouth lesion A 1.30 0.76 0.76 0.08 2.14 2.14 10010.10.80.102010090 36.6873 .917 41005 Drainage of mouth lesion A 1.26 0.62 0.62 0.07 1.95 1.95 00010.10.80.102000090 36.6873 .917 41006 Drainage of mouth lesion A 3.24 1.01 1.01 0.11 4.36 4.36 00090.09.81.102000090 36.6873 .917 41007 Drainage of mouth lesion A 3.10 2.90 2.90 0.30 6.30 6.30 00090.09.81.102000090 36.6873 .917 41008 Drainage of mouth lesion A 3.37 1.06 1.06 0.11 4.54 4.54 10090.09.81.102000090 36.6873 .917 41009 Drainage of mouth lesion A 3.59 3.31 3.31 0.34 7.24 7.24 00090.09.81.102000090 36.6873 .917 41010 Incision of tongue fold A 1.06 0.37 0.37 0.04 1.47 1.47 00010.10.80.102000090 36.6873 .917 41015 Drainage of mouth lesion A 3.96 0.87 0.87 0.10 4.93 4.93 00090.09.81.102000090 36.6873 .917 41016 Drainage of mouth lesion A 4.07 3.69 3.69 0.38 8.14 8.14 00090.09.81.102000090 36.6873 .917 41017 Drainage of mouth lesion A 4.07 1.40 1.40 0.14 5.61 5.61 00090.09.81.102000090 36.6873 .917 41018 Drainage of mouth lesion A 5.10 3.93 3.93 0.38 9.41 9.41 00090.09.81.102000090 36.6873 .917 41100 Biopsy of tongue A 1.63 0.80 0.80 0.08 2.51 2.51 10010.10.80.102010090 36.6873 .917 41105 Biopsy of tongue A 1.42 1.03 1.03 0.12 2.57 2.57 10010.10.80.102010090 36.6873 .917 41108 Biopsy of floor of mouth A 1.05 0.85 0.85 0.09 1.99 1.99 10010.10.80.102010090 36.6873 .917 41110 Excision of tongue lesion A 1.51 1.30 1.30 0.15 2.96 2.96 10010.10.80.102010090 36.6873 .917 41112 Excision of tongue lesion A 2.73 2.39 2.39 0.23 5.35 5.35 10090.09.81.102010090 36.6873 .917 41113 Excision of tongue lesion A 3.19 3.41 3.41 0.37 6.97 6.97 10090.09.81.102010090 36.6873 .917 41114 Excision of tongue lesion A 8.47 6.39 6.39 0.73 15.59 15.59 00090.09.81.102000090 36.6873 .917 41115 Excision of tongue fold A 1.74 1.78 1.78 0.17 3.69 3.69 00010.10.80.102000090 36.6873 .917 41116 Excision of mouth lesion A 2.44 2.49 2.49 0.27 5.20 5.20 00090.09.81.102010090 36.6873 .917 41120 Partial removal of tongue A 9.77 7.28 7.28 0.88 17.93 17.93 00090.09.81.102021090 36.6873 .917 41130 Partial removal of tongue A 11.15 9.06 9.06 1.14 21.35 21.35 00090.09.81.102021090 36.6873 .917 41135 Tongue and neck surgery A 23.09 18.30 18.30 2.64 44.03 44.03 00090.09.81.102021090 36.6873 .917 41140 Removal of tongue A 25.50 18.89 18.89 2.45 46.84 46.84 00090.09.81.102021090 36.6873 .917 41145 Tongue removal; neck surgery A 30.06 22.79 22.79 2.95 55.80 55.80 00090.09.81.102021090 36.6873 .917 41150 Tongue, mouth, jaw surgery A 23.04 18.96 18.96 2.46 44.46 44.46 00090.09.81.102021090 36.6873 .917 41153 Tongue, mouth, neck surgery A 23.77 25.00 25.00 3.03 51.80 51.80 00090.09.81.102021090 36.6873 .917 41155 Tongue, jaw, & neck surgery A 27.72 29.95 29.95 3.75 61.42 61.42 00090.09.81.102021090 36.6873 .917 41250 Repair tongue laceration A 1.91 1.07 1.07 0.11 3.09 3.09 00010.10.80.102000090 36.6873 .917 41251 Repair tongue laceration A 2.27 2.07 2.07 0.21 4.55 4.55 00010.10.80.102000090 36.6873 .917 41252 Repair tongue laceration A 2.97 2.35 2.35 0.26 5.58 5.58 00010.10.80.102000090 36.6873 .917 41500 Fixation of tongue A 3.71 3.29 3.29 0.26 7.26 7.26 00090.09.81.102000090 36.6873 .917 41510 Tongue to lip surgery A 3.42 2.53 2.53 0.45 6.40 6.40 00090.09.81.102000090 36.6873 .917 41520 Reconstruction, tongue fold A 2.73 2.88 2.88 0.28 5.89 5.89 00090.09.81.102000090 36.6873 .917 41599 Tongue and mouth surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 41800 Drainage of gum lesion A 1.17 0.69 0.69 0.07 1.93 1.93 10010.10.80.102010090 36.6873 .917 41805 Removal foreign body, gum A 1.24 0.84 0.84 0.08 2.16 2.16 00010.10.80.102000090 36.6873 .917 41806 Removal foreign body,jawbone A 2.69 1.64 1.64 0.15 4.48 4.48 10010.10.80.102000090 36.6873 .917 41820 Excision, gum, each quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 41822 Excision of gum lesion R 2.31 3.03 3.03 0.25 5.59 5.59 00010.10.80.102000090 36.6873 .917 41823 Excision of gum lesion R 3.30 3.63 3.63 0.34 7.27 7.27 00090.09.81.102000090 36.6873 .917 41825 Excision of gum lesion A 1.31 1.49 1.49 0.14 2.94 2.94 10010.10.80.102010090 36.6873 .917 41826 Excision of gum lesion A 2.31 2.07 2.07 0.18 4.56 4.56 10010.10.80.102010090 36.6873 .917 41827 Excision of gum lesion A 3.42 3.76 3.76 0.38 7.56 7.56 10090.09.81.102010090 36.6873 .917 41828 Excision of gum lesion R 3.09 4.07 4.07 0.33 7.49 7.49 00010.10.80.102000090 36.6873 .917 41830 Removal of gum tissue R 3.35 3.69 3.69 0.36 7.40 7.40 00010.10.80.102000090 36.6873 .917 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 41870 Gum graft R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.002000090 36.6873 .917 41872 Repair gum R 2.59 2.85 2.85 0.27 5.71 5.71 00090.09.81.102000090 36.6873 .917 41874 Repair tooth socket R 3.09 3.40 3.40 0.32 6.81 6.81 00090.09.81.102000090 36.6873 .917 41899 Dental surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 42000 Drainage mouth roof lesion A 1.23 0.62 0.62 0.06 1.91 1.91 10010.10.80.102000090 36.6873 .917 42100 Biopsy roof of mouth A 1.31 0.79 0.79 0.08 2.18 2.18 10010.10.80.102010090 36.6873 .917 42104 Excision lesion, mouth roof A 1.64 1.62 1.62 0.17 3.43 3.43 10010.10.80.102010090 36.6873 .917 42106 Excision lesion, mouth roof A 2.10 2.22 2.22 0.21 4.53 4.53 10010.10.80.102010090 36.6873 .917 42107 Excision lesion, mouth roof A 4.44 4.88 4.88 0.50 9.82 9.82 10090.09.81.102010090 36.6873 .917 42120 Remove palate/lesion A 6.17 6.79 6.79 1.01 13.97 13.97 00090.09.81.102021090 36.6873 .917 42140 Excision of uvula A 1.62 1.35 1.35 0.15 3.12 3.12 00090.09.81.102010090 36.6873 .917 42145 Repair, palate,pharynx/uvula A 8.05 8.86 8.86 1.45 18.36 18.36 00090.09.81.102010090 36.6873 .917 42160 Treatment mouth roof lesion A 1.80 1.53 1.53 0.16 3.49 3.49 10010.10.80.102000090 36.6873 .917 42180 Repair palate A 2.50 2.24 2.24 0.26 5.00 5.00 00010.10.80.102000090 36.6873 .917 42182 Repair palate A 3.83 3.47 3.47 0.38 7.68 7.68 00010.10.80.102000090 36.6873 .917 42200 Reconstruct cleft palate A 12.00 7.19 7.19 0.85 20.04 20.04 00090.09.81.102020090 36.6873 .917 42205 Reconstruct cleft palate A 9.59 10.55 10.55 0.79 20.93 20.93 00090.09.81.102020090 36.6873 .917 42210 Reconstruct cleft palate A 14.50 12.51 12.51 0.95 27.96 27.96 00090.09.81.102020090 36.6873 .917 42215 Reconstruct cleft palate A 8.82 7.68 7.68 0.86 17.36 17.36 00090.09.81.102020090 36.6873 .917 42220 Reconstruct cleft palate A 7.02 5.40 5.40 0.81 13.23 13.23 00090.09.81.102020090 36.6873 .917 42225 Reconstruct cleft palate A 9.54 6.90 6.90 1.08 17.52 17.52 00090.09.81.102020090 36.6873 .917 42226 Lengthening of palate A 10.01 7.89 7.89 0.86 18.76 18.76 00090.09.81.102020090 36.6873 .917 42227 Lengthening of palate A 9.52 7.41 7.41 0.38 17.31 17.31 00090.09.81.102020090 36.6873 .917 42235 Repair palate A 7.87 5.55 5.55 0.49 13.91 13.91 00090.09.81.102020090 36.6873 .917 42260 Repair nose to lip fistula A 9.80 3.98 3.98 0.44 14.22 14.22 00090.09.81.102020090 36.6873 .917 42280 Preparation, palate mold A 1.54 1.99 1.99 0.17 3.70 3.70 00010.10.80.102000090 36.6873 .917 42281 Insertion, palate prosthesis A 1.93 1.47 1.47 0.15 3.55 3.55 00010.10.80.102000090 36.6873 .917 42299 Palate/uvula surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 42300 Drainage of salivary gland A 1.93 0.96 0.96 0.12 3.01 3.01 10010.10.80.102010090 36.6873 .917 42305 Drainage of salivary gland A 6.07 2.18 2.18 0.27 8.52 8.52 00090.09.81.102000090 36.6873 .917 42310 Drainage of salivary gland A 1.56 1.03 1.03 0.12 2.71 2.71 10010.10.80.102000090 36.6873 .917 42320 Drainage of salivary gland A 2.35 1.83 1.83 0.22 4.40 4.40 00010.10.80.102000090 36.6873 .917 42325 Create salivary cyst drain A 2.75 2.12 2.12 0.20 5.07 5.07 00090.09.81.102020090 36.6873 .917 42326 Create salivary cyst drain A 3.78 4.16 4.16 0.33 8.27 8.27 00090.09.81.102020090 36.6873 .917 42330 Removal of salivary stone A 2.21 1.10 1.10 0.12 3.43 3.43 10010.10.80.102010090 36.6873 .917 42335 Removal of salivary stone A 3.31 2.47 2.47 0.27 6.05 6.05 10090.09.81.102010090 36.6873 .917 42340 Removal of salivary stone A 4.60 4.25 4.25 0.45 9.30 9.30 10090.09.81.102000090 36.6873 .917 42400 Biopsy of salivary gland A 0.78 0.79 0.79 0.10 1.67 1.67 10000.00.00.002010090 36.6873 .917 42405 Biopsy of salivary gland A 3.29 1.54 1.54 0.19 5.02 5.02 10010.10.80.102010090 36.6873 .917 42408 Excision of salivary cyst A 4.54 3.24 3.24 0.38 8.16 8.16 00090.09.81.102000090 36.6873 .917 42409 Drainage of salivary cyst A 2.81 2.81 2.81 0.30 5.92 5.92 00090.09.81.102020090 36.6873 .917 42410 Excise parotid gland/lesion A 9.34 5.94 5.94 0.92 16.20 16.20 00090.09.81.102021090 36.6873 .917 42415 Excise parotid gland/lesion A 16.89 12.68 12.68 1.68 31.25 31.25 00090.09.81.102021090 36.6873 .917 42420 Excise parotid gland/lesion A 19.59 14.82 14.82 1.87 36.28 36.28 00090.09.81.102021090 36.6873 .917 42425 Excise parotid gland/lesion A 13.02 11.10 11.10 1.43 25.55 25.55 00090.09.81.102021090 36.6873 .917 42426 Excise parotid gland/lesion A 21.26 23.39 23.39 3.21 47.86 47.86 00090.09.81.102021090 36.6873 .917 42440 Excision submaxillary gland A 6.97 7.67 7.67 0.99 15.63 15.63 00090.09.81.102021090 36.6873 .917 42450 Excision sublingual gland A 4.62 3.42 3.42 0.35 8.39 8.39 00090.09.81.102000090 36.6873 .917 42500 Repair salivary duct A 4.30 4.61 4.61 0.50 9.41 9.41 00090.09.81.102000090 36.6873 .917 42505 Repair salivary duct A 6.18 6.80 6.80 0.86 13.84 13.84 00090.09.81.102010090 36.6873 .917 42507 Parotid duct diversion A 6.11 4.65 4.65 0.67 11.43 11.43 00090.09.81.102220090 36.6873 .917 42508 Parotid duct diversion A 9.10 7.61 7.61 0.94 17.65 17.65 00090.09.81.102220090 36.6873 .917 42509 Parotid duct diversion A 11.54 7.31 7.31 1.23 20.08 20.08 00090.09.81.102200090 36.6873 .917 42510 Parotid duct diversion A 8.15 7.65 7.65 0.84 16.64 16.64 00090.09.81.102221090 36.6873 .917 42550 Injection for salivary x-ray A 1.25 0.44 0.44 0.04 1.73 1.73 00000.00.00.002010090 36.6873 .917 42600 Closure of salivary fistula A 4.82 3.89 3.89 0.46 9.17 9.17 00090.09.81.102000090 36.6873 .917 42650 Dilation of salivary duct A 0.77 0.39 0.39 0.04 1.20 1.20 10000.00.00.002010090 36.6873 .917 42660 Dilation of salivary duct A 1.13 0.50 0.50 0.06 1.69 1.69 10000.00.00.002000090 36.6873 .917 42665 Ligation of salivary duct A 2.53 2.04 2.04 0.25 4.82 4.82 00090.09.81.102000090 36.6873 .917 42699 Salivary surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 42700 Drainage of tonsil abscess A 1.62 0.85 0.85 0.10 2.57 2.57 10010.10.80.102010090 36.6873 .917 42720 Drainage of throat abscess A 5.42 1.89 1.89 0.22 7.53 7.53 00010.10.80.102000090 36.6873 .917 42725 Drainage of throat abscess A 10.72 4.45 4.45 0.53 15.70 15.70 00090.09.81.102021090 36.6873 .917 42800 Biopsy of throat A 1.39 0.74 0.74 0.08 2.21 2.21 10010.10.80.102010090 36.6873 .917 42802 Biopsy of throat A 1.54 1.02 1.02 0.12 2.68 2.68 00010.10.80.102010090 36.6873 .917 42804 Biopsy of upper nose/throat A 1.24 1.09 1.09 0.13 2.46 2.46 00010.10.80.102010090 36.6873 .917 42806 Biopsy of upper nose/throat A 1.58 1.40 1.40 0.16 3.14 3.14 00010.10.80.102010090 36.6873 .917 42808 Excise pharynx lesion A 2.30 2.52 2.52 0.29 5.11 5.11 00010.10.80.102010090 36.6873 .917 42809 Remove pharynx foreign body A 1.81 0.82 0.82 0.08 2.71 2.71 00010.10.80.102010090 36.6873 .917 42810 Excision of neck cyst A 3.33 3.14 3.14 0.47 6.94 6.94 00090.09.81.102020090 36.6873 .917 42815 Excision of neck cyst A 7.23 7.95 7.95 1.12 16.30 16.30 00090.09.81.102021090 36.6873 .917 42820 Remove tonsils and adenoids A 3.91 3.15 3.15 0.32 7.38 7.38 00090.09.81.102000090 36.6873 .917 42821 Remove tonsils and adenoids A 4.29 3.93 3.93 0.46 8.68 8.68 00090.09.81.102000090 36.6873 .917 42825 Removal of tonsils A 3.42 2.64 2.64 0.33 6.39 6.39 00090.09.81.102000090 36.6873 .917 42826 Removal of tonsils A 3.38 3.72 3.72 0.43 7.53 7.53 00090.09.81.102010090 36.6873 .917 42830 Removal of adenoids A 2.57 1.86 1.86 0.27 4.70 4.70 00090.09.81.102000090 36.6873 .917 42831 Removal of adenoids A 2.71 2.36 2.36 0.25 5.32 5.32 00090.09.81.102000090 36.6873 .917 42835 Removal of adenoids A 2.30 1.86 1.86 0.10 4.26 4.26 00090.09.81.102000090 36.6873 .917 42836 Removal of adenoids A 3.18 2.79 2.79 0.31 6.28 6.28 00090.09.81.102000090 36.6873 .917 42842 Extensive surgery of throat A 8.76 6.69 6.69 0.73 16.18 16.18 00090.09.81.102000090 36.6873 .917 42844 Extensive surgery of throat A 14.31 10.85 10.85 1.27 26.43 26.43 00090.09.81.102021090 36.6873 .917 42845 Extensive surgery of throat A 24.29 18.62 18.62 2.22 45.13 45.13 00090.09.81.102021090 36.6873 .917 42860 Excision of tonsil tags A 2.22 1.89 1.89 0.21 4.32 4.32 00090.09.81.102000090 36.6873 .917 42870 Excision of lingual tonsil A 5.40 2.32 2.32 0.26 7.98 7.98 00090.09.81.102000090 36.6873 .917 42890 Partial removal of pharynx A 12.94 8.99 8.99 1.03 22.96 22.96 00090.09.81.102021090 36.6873 .917 42892 Revision of pharyngeal walls A 15.83 10.92 10.92 1.27 28.02 28.02 00090.09.81.102021090 36.6873 .917 42894 Revision of pharyngeal walls A 22.88 16.06 16.06 1.83 40.77 40.77 00090.09.81.102021090 36.6873 .917 42900 Repair throat wound A 5.25 4.26 4.26 0.48 9.99 9.99 00010.10.80.102000090 36.6873 .917 42950 Reconstruction of throat A 8.10 8.91 8.91 1.10 18.11 18.11 00090.09.81.102021090 36.6873 .917 42953 Repair throat, esophagus A 8.96 6.34 6.34 0.93 16.23 16.23 00090.09.81.102020090 36.6873 .917 42955 Surgical opening of throat A 7.39 3.32 3.32 0.43 11.14 11.14 00090.09.81.102020090 36.6873 .917 42960 Control throat bleeding A 2.33 1.08 1.08 0.12 3.53 3.53 00010.10.80.102000090 36.6873 .917 42961 Control throat bleeding A 5.59 1.75 1.75 0.19 7.53 7.53 00090.09.81.102020090 36.6873 .917 42962 Control throat bleeding A 7.14 5.98 5.98 0.68 13.80 13.80 00090.09.81.102020090 36.6873 .917 42970 Control nose/throat bleeding A 5.43 1.03 1.03 0.10 6.56 6.56 00090.09.81.102010090 36.6873 .917 42971 Control nose/throat bleeding A 6.21 2.90 2.90 0.34 9.45 9.45 00090.09.81.102020090 36.6873 .917 42972 Control nose/throat bleeding A 7.20 4.55 4.55 0.73 12.48 12.48 00090.09.81.102020090 36.6873 .917 42999 Throat surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 43020 Incision of esophagus A 8.09 6.58 6.58 0.71 15.38 15.38 00090.09.81.102021090 36.6873 .917 43030 Throat muscle surgery A 7.69 8.46 8.46 1.21 17.36 17.36 00090.09.81.102021090 36.6873 .917 43045 Incision of esophagus A 20.12 12.45 12.45 2.36 34.93 34.93 00090.09.81.102021090 36.6873 .917 43100 Excision of esophagus lesion A 9.19 6.19 6.19 0.95 16.33 16.33 00090.09.81.102021090 36.6873 .917 43101 Excision of esophagus lesion A 16.24 9.48 9.48 1.88 27.60 27.60 00090.09.81.102021090 36.6873 .917 43107 Removal of esophagus A 28.79 22.50 22.50 4.42 55.71 55.71 00090.09.81.102021090 36.6873 .917 43108 Removal of esophagus A 34.19 25.27 25.27 4.77 64.23 64.23 00090.09.81.102021090 36.6873 .917 43112 Removal of esophagus A 31.22 21.65 21.65 4.22 57.09 57.09 00090.09.81.102022090 36.6873 .917 43113 Removal of esophagus A 35.27 25.27 25.27 4.77 65.31 65.31 00090.09.81.102022090 36.6873 .917 43116 Partial removal of esophagus A 31.22 25.27 25.27 4.77 61.26 61.26 00090.09.81.102021090 36.6873 .917 43117 Partial removal of esophagus A 30.02 25.27 25.27 4.77 60.06 60.06 00090.09.81.102022090 36.6873 .917 43118 Partial removal of esophagus A 33.20 25.27 25.27 4.77 63.24 63.24 00090.09.81.102022090 36.6873 .917 43121 Partial removal of esophagus A 29.19 21.36 21.36 4.19 54.74 54.74 00090.09.81.102022090 36.6873 .917 43122 Parital removal of esophagus A 29.11 21.36 21.36 4.19 54.66 54.66 00090.09.81.102021090 36.6873 .917 43123 Partial removal of esophagus A 33.20 25.27 25.27 4.77 63.24 63.24 00090.09.81.102021090 36.6873 .917 43124 Removal of esophagus A 27.32 22.50 22.50 4.42 54.24 54.24 00090.09.81.102021090 36.6873 .917 43130 Removal of esophagus pouch A 11.75 10.51 10.51 1.60 23.86 23.86 00090.09.81.102021090 36.6873 .917 43135 Removal of esophagus pouch A 16.10 11.72 11.72 2.17 29.99 29.99 00090.09.81.102021090 36.6873 .917 43200 Esophagus endoscopy A 1.59 2.04 1.75 0.26 3.89 3.60 20000.00.00.002010091A4550 36.6873 .917 43202 Esophagus endoscopy, biopsy A 1.89 2.41 2.08 0.31 4.61 4.28 20000.00.00.003010091A455043200 36.6873 .917 43204 Esophagus endoscopy & inject A 3.77 4.15 4.15 0.36 8.28 8.28 00000.00.00.003010090 43200 36.6873 .917 43205 Esophagus endoscopy/ligation A 3.79 2.70 2.70 0.18 6.67 6.67 00000.00.00.003000090 43200 36.6873 .917 43215 Esophagus endoscopy A 2.60 2.86 2.86 0.46 5.92 5.92 00000.00.00.003010090 43200 36.6873 .917 43216 Esophagus endoscopy/lesion A 2.40 2.64 2.64 0.37 5.41 5.41 00000.00.00.003000090 43200 36.6873 .917 43217 Esophagus endoscopy A 2.90 3.19 3.19 0.37 6.46 6.46 00000.00.00.003010090 43200 36.6873 .917 43219 Esophagus endoscopy A 2.80 3.08 3.08 0.34 6.22 6.22 00000.00.00.003010090 43200 36.6873 .917 43220 Esophagus endoscopy,dilation A 2.10 2.31 2.31 0.27 4.68 4.68 00000.00.00.003010091A455043200 36.6873 .917 43226 Esophagus endoscopy,dilation A 2.34 2.57 2.57 0.26 5.17 5.17 00000.00.00.003010091A455043200 36.6873 .917 43227 Esophagus endoscopy, repair A 3.60 3.96 3.96 0.34 7.90 7.90 00000.00.00.003010090 43200 36.6873 .917 43228 Esophagus endoscopy,ablation A 3.77 4.15 4.15 0.38 8.30 8.30 00000.00.00.003010090 43200 36.6873 .917 43234 Upper GI endoscopy, exam A 2.01 2.57 2.21 0.30 4.88 4.52 20000.00.00.002010091A4550 36.6873 .917 43235 Upper gi endoscopy,diagnosis A 2.39 3.07 2.63 0.29 5.75 5.31 20000.00.00.002010091A4550 36.6873 .917 43239 Upper GI endoscopy, biopsy A 2.69 3.44 2.96 0.33 6.46 5.98 20000.00.00.003010091A455043235 36.6873 .917 43241 Upper GI endoscopy with tube A 2.59 2.85 2.85 0.38 5.82 5.82 00000.00.00.003010090 43235 36.6873 .917 43243 Upper GI endoscopy & inject. A 4.57 5.03 5.03 0.39 9.99 9.99 00000.00.00.003010090 43235 36.6873 .917 43244 Upper GI endoscopy/ligation A 4.59 3.47 3.47 0.41 8.47 8.47 00000.00.00.003000090 43235 36.6873 .917 43245 Operative upper GI endoscopy A 3.39 3.73 3.73 0.40 7.52 7.52 00000.00.00.003010091A455043235 36.6873 .917 43246 Place gastrostomy tube A 4.33 4.76 4.76 0.51 9.60 9.60 00000.00.00.003002090 43235 36.6873 .917 43247 Operative upper GI endoscopy A 3.39 3.73 3.73 0.38 7.50 7.50 00000.00.00.003010091A455043235 36.6873 .917 43248 Upper GI endoscopy/guidewire A 3.15 3.47 3.47 0.35 6.97 6.97 00000.00.00.002010090 36.6873 .917 43249 Esophagus endoscopy,dilation A 2.90 3.19 3.19 0.30 6.39 6.39 00000.00.00.003010091A455043235 36.6873 .917 43250 Upper GI endoscopy/tumor A 3.20 3.52 3.52 0.43 7.15 7.15 00000.00.00.003010091A455043235 36.6873 .917 43251 Operative upper GI endoscopy A 3.70 4.07 4.07 0.43 8.20 8.20 00000.00.00.003010091A455043235 36.6873 .917 43255 Operative upper GI endoscopy A 4.40 4.84 4.84 0.38 9.62 9.62 00000.00.00.003010090 43235 36.6873 .917 43258 Operative upper GI endoscopy A 4.55 5.01 5.01 0.38 9.94 9.94 00000.00.00.003010090 43235 36.6873 .917 43259 Endoscopic ultrasound exam A 4.89 4.02 4.02 0.35 9.26 9.26 00000.00.00.003000090 43235 36.6873 .917 43260 Endoscopy,bile duct/pancreas A 5.96 5.98 5.98 0.39 12.33 12.33 00000.00.00.002010090 36.6873 .917 43261 Endoscopy,bile duct/pancreas A 6.27 5.98 5.98 0.39 12.64 12.64 00000.00.00.003010090 43260 36.6873 .917 43262 Endoscopy,bile duct/pancreas A 7.39 8.13 8.13 0.58 16.10 16.10 00000.00.00.003010090 43260 36.6873 .917 43263 Endoscopy,bile duct/pancreas A 6.19 5.83 5.83 0.38 12.40 12.40 00000.00.00.003010090 43260 36.6873 .917 43264 Endoscopy,bile duct/pancreas A 8.90 8.92 8.92 0.61 18.43 18.43 00000.00.00.003010090 43260 36.6873 .917 43265 Endoscopy,bile duct/pancreas A 8.90 6.82 6.82 0.49 16.21 16.21 00000.00.00.003010090 43260 36.6873 .917 43267 Endoscopy,bile duct/pancreas A 7.39 7.41 7.41 0.48 15.28 15.28 00000.00.00.003010090 43260 36.6873 .917 43268 Endoscopy,bile duct/pancreas A 7.39 8.13 8.13 0.56 16.08 16.08 00000.00.00.003010090 43260 36.6873 .917 43269 Endoscopy,bile duct/pancreas A 6.04 6.64 6.64 0.51 13.19 13.19 00000.00.00.003010090 43260 36.6873 .917 43271 Endoscopy,bile duct/pancreas A 7.39 7.63 7.63 0.50 15.52 15.52 00000.00.00.003010090 43260 36.6873 .917 43272 Endoscopy,bile duct/pancreas A 7.39 5.60 5.60 0.42 13.41 13.41 00000.00.00.003000090 43260 36.6873 .917 43300 Repair of esophagus A 9.14 10.05 10.05 1.70 20.89 20.89 00090.09.81.102021090 36.6873 .917 43305 Repair esophagus and fistula A 17.15 13.71 13.71 1.78 32.64 32.64 00090.09.81.102021090 36.6873 .917 43310 Repair of esophagus A 25.39 16.99 16.99 3.23 45.61 45.61 00090.09.81.102021090 36.6873 .917 43312 Repair esophagus and fistula A 28.42 13.72 13.72 2.30 44.44 44.44 00090.09.81.102021090 36.6873 .917 43320 Fuse esophagus & stomach A 16.07 11.68 11.68 2.05 29.80 29.80 00090.09.81.102021090 36.6873 .917 43324 Revise esophagus & stomach A 16.58 11.88 11.88 2.53 30.99 30.99 00090.09.81.102021090 36.6873 .917 43325 Revise esophagus & stomach A 16.17 11.61 11.61 2.29 30.07 30.07 00090.09.81.102021090 36.6873 .917 43326 Revise esophagus & stomach A 15.91 7.52 7.52 1.75 25.18 25.18 00090.09.81.102021090 36.6873 .917 43330 Repair of esophagus A 15.94 11.36 11.36 2.39 29.69 29.69 00090.09.81.102021090 36.6873 .917 43331 Repair of esophagus A 16.23 14.33 14.33 2.64 33.20 33.20 00090.09.81.102021090 36.6873 .917 43340 Fuse esophagus & intestine A 15.81 12.44 12.44 2.52 30.77 30.77 00090.09.81.102021090 36.6873 .917 43341 Fuse esophagus & intestine A 16.81 9.90 9.90 1.56 28.27 28.27 00090.09.81.102021090 36.6873 .917 43350 Surgical opening, esophagus A 12.72 7.88 7.88 1.15 21.75 21.75 00090.09.81.102021090 36.6873 .917 43351 Surgical opening, esophagus A 14.79 8.77 8.77 1.53 25.09 25.09 00090.09.81.102021090 36.6873 .917 43352 Surgical opening, esophagus A 12.30 8.86 8.86 1.47 22.63 22.63 00090.09.81.102021090 36.6873 .917 43360 Gastrointestinal repair A 28.78 21.36 21.36 4.19 54.33 54.33 00090.09.81.102021090 36.6873 .917 43361 Gastrointestinal repair A 32.65 25.27 25.27 4.77 62.69 62.69 00090.09.81.102021090 36.6873 .917 43400 Ligate esophagus veins A 17.09 10.82 10.82 1.63 29.54 29.54 00090.09.81.102021090 36.6873 .917 43401 Esophagus surgery for veins A 17.81 9.59 9.59 1.93 29.33 29.33 00090.09.81.102021090 36.6873 .917 43405 Ligate/staple esophagus A 16.13 14.33 14.33 2.64 33.10 33.10 00090.09.81.102021090 36.6873 .917 43410 Repair esophagus wound A 10.86 8.90 8.90 1.54 21.30 21.30 00090.09.81.102021090 36.6873 .917 43415 Repair esophagus wound A 17.06 12.74 12.74 2.52 32.32 32.32 00090.09.81.102021090 36.6873 .917 43420 Repair esophagus opening A 11.57 5.88 5.88 0.78 18.23 18.23 00090.09.81.102001090 36.6873 .917 43425 Repair esophagus opening A 16.95 9.94 9.94 1.71 28.60 28.60 00090.09.81.102021090 36.6873 .917 43450 Dilate esophagus A 1.38 0.68 0.68 0.05 2.11 2.11 00000.00.00.002010090 36.6873 .917 43453 Dilate esophagus A 1.51 1.51 1.51 0.11 3.13 3.13 00000.00.00.002010090 36.6873 .917 43456 Dilate esophagus A 2.57 2.47 2.47 0.24 5.28 5.28 00000.00.00.002010090 36.6873 .917 43458 Dilation of esophagus A 3.06 1.52 1.52 0.27 4.85 4.85 00000.00.00.002010091A4550 36.6873 .917 43460 Pressure treatment esophagus A 3.80 1.67 1.67 0.15 5.62 5.62 00000.00.00.002010090 36.6873 .917 43496 Free jejunum flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 00090.09.81.102021090 36.6873 .917 43499 Esophagus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 43500 Surgical opening of stomach A 8.44 6.13 6.13 1.20 15.77 15.77 00090.09.81.102021090 36.6873 .917 43501 Surgical repair of stomach A 15.31 8.58 8.58 1.83 25.72 25.72 00090.09.81.102021090 36.6873 .917 43502 Surgical repair of stomach A 17.67 8.58 8.58 1.83 28.08 28.08 00090.09.81.102021090 36.6873 .917 43510 Surgical opening of stomach A 9.99 8.29 8.29 0.94 19.22 19.22 00090.09.81.102021090 36.6873 .917 43520 Incision of pyloric muscle A 7.63 4.48 4.48 0.87 12.98 12.98 00090.09.81.102021090 36.6873 .917 43600 Biopsy of stomach A 1.91 0.50 0.50 0.05 2.46 2.46 00000.00.00.002010090 36.6873 .917 43605 Biopsy of stomach A 9.15 5.91 5.91 1.29 16.35 16.35 00090.09.81.102021090 36.6873 .917 43610 Excision of stomach lesion A 11.15 8.17 8.17 1.71 21.03 21.03 00090.09.81.102021090 36.6873 .917 43611 Excision of stomach lesion A 13.63 8.17 8.17 1.71 23.51 23.51 00090.09.81.102021090 36.6873 .917 43620 Removal of stomach A 22.54 15.38 15.38 3.19 41.11 41.11 00090.09.81.102021090 36.6873 .917 43621 Removal of stomach A 23.06 15.38 15.38 3.19 41.63 41.63 00090.09.81.102021090 36.6873 .917 43622 Removal of stomach A 24.41 15.38 15.38 3.19 42.98 42.98 00090.09.81.102021090 36.6873 .917 43631 Removal of stomach, partial A 19.66 12.42 12.42 2.66 34.74 34.74 00090.09.81.102021090 36.6873 .917 43632 Removal stomach, partial A 19.66 12.42 12.42 2.66 34.74 34.74 00090.09.81.102021090 36.6873 .917 43633 Removal stomach, partial A 20.10 12.42 12.42 2.66 35.18 35.18 00090.09.81.102021090 36.6873 .917 43634 Removal stomach, partial A 21.86 20.83 20.83 4.57 47.26 47.26 00090.09.81.102021090 36.6873 .917 43635 Partial removal of stomach A 2.06 1.08 1.08 0.26 3.40 3.40 00ZZZ.00.00.000021090 36.6873 .917 43638 Partial removal of stomach A 21.76 12.75 12.75 2.73 37.24 37.24 00090.09.81.102021090 36.6873 .917 43639 Removal stomach, partial A 22.25 12.75 12.75 2.73 37.73 37.73 00090.09.81.102021090 36.6873 .917 43640 Vagotomy & pylorus repair A 14.81 10.34 10.34 2.19 27.34 27.34 00090.09.81.102021090 36.6873 .917 43641 Vagotomy & pylorus repair A 15.03 10.34 10.34 2.18 27.55 27.55 00090.09.81.102021090 36.6873 .917 43750 Place gastrostomy tube A 4.49 4.35 4.35 0.56 9.40 9.40 00010.10.80.102010090 36.6873 .917 43760 Change gastrostomy tube A 1.10 0.69 0.69 0.09 1.88 1.88 00000.00.00.002010090 36.6873 .917 43761 Reposition gastrostomy tube A 2.01 1.06 1.06 0.25 3.32 3.32 00000.00.00.002010090 36.6873 .917 43800 Reconstruction of pylorus A 10.46 6.85 6.85 1.47 18.78 18.78 00090.09.81.102021090 36.6873 .917 43810 Fusion of stomach and bowel A 11.19 7.64 7.64 1.53 20.36 20.36 00090.09.81.102021090 36.6873 .917 43820 Fusion of stomach and bowel A 11.74 8.29 8.29 1.75 21.78 21.78 00090.09.81.102021090 36.6873 .917 43825 Fusion of stomach and bowel A 14.68 11.08 11.08 2.30 28.06 28.06 00090.09.81.102021090 36.6873 .917 43830 Place gastrostomy tube A 7.28 6.19 6.19 1.19 14.66 14.66 00090.09.81.102021090 36.6873 .917 43831 Place gastrostomy tube A 7.33 5.20 5.20 0.93 13.46 13.46 00090.09.81.102021090 36.6873 .917 43832 Place gastrostomy tube A 11.92 7.95 7.95 1.36 21.23 21.23 00090.09.81.102021090 36.6873 .917 43840 Repair of stomach lesion A 11.89 7.84 7.84 1.66 21.39 21.39 00090.09.81.102021090 36.6873 .917 43842 Gastroplasty for obesity A 14.71 13.72 13.72 2.93 31.36 31.36 00090.09.81.102022090 36.6873 .917 43843 Gastroplasty for obesity A 14.85 13.72 13.72 2.93 31.50 31.50 00090.09.81.102022090 36.6873 .917 43846 Gastric bypass for obesity A 19.15 14.80 14.80 3.30 37.25 37.25 00090.09.81.102021090 36.6873 .917 43847 Gastric bypass for obesity A 21.44 14.80 14.80 3.30 39.54 39.54 00090.09.81.102021090 36.6873 .917 43848 Revision gastroplasty A 23.41 14.80 14.80 3.30 41.51 41.51 00090.09.81.102021090 36.6873 .917 43850 Revise stomach-bowel fusion A 19.69 11.64 11.64 2.25 33.58 33.58 00090.09.81.102021090 36.6873 .917 43855 Revise stomach-bowel fusion A 20.83 10.44 10.44 2.28 33.55 33.55 00090.09.81.102021090 36.6873 .917 43860 Revise stomach-bowel fusion A 19.91 11.46 11.46 2.51 33.88 33.88 00090.09.81.102021090 36.6873 .917 43865 Revise stomach-bowel fusion A 21.12 13.39 13.39 2.98 37.49 37.49 00090.09.81.102021090 36.6873 .917 43870 Repair stomach opening A 7.40 5.77 5.77 1.14 14.31 14.31 00090.09.81.102021090 36.6873 .917 43880 Repair stomach-bowel fistula A 19.63 8.25 8.25 1.76 29.64 29.64 00090.09.81.102021090 36.6873 .917 43999 Stomach surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 44005 Freeing of bowel adhesion A 13.84 8.28 8.28 1.75 23.87 23.87 00090.09.81.102021090 36.6873 .917 44010 Incision of small bowel A 10.68 6.91 6.91 1.42 19.01 19.01 00090.09.81.102021090 36.6873 .917 44015 Insert needle catheter,bowel A 2.62 2.88 2.88 0.45 5.95 5.95 00ZZZ.00.00.000021090 36.6873 .917 44020 Exploration of small bowel A 11.93 7.81 7.81 1.65 21.39 21.39 00090.09.81.102021090 36.6873 .917 44021 Decompress small bowel A 12.01 7.00 7.00 1.48 20.49 20.49 00090.09.81.102021090 36.6873 .917 44025 Incision of large bowel A 12.18 7.74 7.74 1.61 21.53 21.53 00090.09.81.102021090 36.6873 .917 44050 Reduce bowel obstruction A 11.40 7.77 7.77 1.64 20.81 20.81 00090.09.81.102021090 36.6873 .917 44055 Correct malrotation of bowel A 13.14 7.66 7.66 1.60 22.40 22.40 00090.09.81.102021090 36.6873 .917 44100 Biopsy of bowel A 2.01 1.38 1.38 0.13 3.52 3.52 00000.00.00.002010090 36.6873 .917 44110 Excision of bowel lesion(s) A 10.07 7.67 7.67 1.58 19.32 19.32 00090.09.81.102021090 36.6873 .917 44111 Excision of bowel lesion(s) A 12.19 9.67 9.67 2.14 24.00 24.00 00090.09.81.102021090 36.6873 .917 44120 Removal of small intestine A 14.50 9.46 9.46 2.02 25.98 25.98 00090.09.81.102021090 36.6873 .917 44121 Removal of small intestine A 4.45 2.32 2.32 0.54 7.31 7.31 00ZZZ.00.00.000021090 36.6873 .917 44125 Removal of small intestine A 14.96 10.75 10.75 2.28 27.99 27.99 00090.09.81.102021090 36.6873 .917 44130 Bowel to bowel fusion A 12.36 8.67 8.67 1.86 22.89 22.89 00090.09.81.102021090 36.6873 .917 44139 Mobilization of colon A 2.23 1.17 1.17 0.27 3.67 3.67 00ZZZ.00.00.000021090 36.6873 .917 44140 Partial removal of colon A 18.35 11.37 11.37 2.40 32.12 32.12 00090.09.81.102021090 36.6873 .917 44141 Partial removal of colon A 19.51 11.86 11.86 2.55 33.92 33.92 00090.09.81.102021090 36.6873 .917 44143 Partial removal of colon A 20.17 12.26 12.26 2.62 35.05 35.05 00090.09.81.102021090 36.6873 .917 44144 Partial removal of colon A 18.89 12.06 12.06 2.53 33.48 33.48 00090.09.81.102021090 36.6873 .917 44145 Partial removal of colon A 23.18 13.25 13.25 2.78 39.21 39.21 00090.09.81.102021090 36.6873 .917 44146 Partial removal of colon A 24.16 14.98 14.98 3.14 42.28 42.28 00090.09.81.102021090 36.6873 .917 44147 Partial removal of colon A 18.17 15.34 15.34 3.30 36.81 36.81 00090.09.81.102021090 36.6873 .917 44150 Removal of colon A 21.01 14.84 14.84 3.17 39.02 39.02 00090.09.81.102021090 36.6873 .917 44151 Removal of colon/ileostomy A 20.04 10.21 10.21 2.22 32.47 32.47 00090.09.81.102021090 36.6873 .917 44152 Removal of colon/ileostomy A 24.41 15.44 15.44 3.36 43.21 43.21 00090.09.81.102021090 36.6873 .917 44153 Removal of colon/ileostomy A 26.83 19.35 19.35 3.63 49.81 49.81 00090.09.81.102021090 36.6873 .917 44155 Removal of colon A 24.44 16.65 16.65 3.50 44.59 44.59 00090.09.81.102021090 36.6873 .917 44156 Removal of colon/ileostomy A 23.01 11.40 11.40 2.52 36.93 36.93 00090.09.81.102021090 36.6873 .917 44160 Removal of colon A 15.88 12.44 12.44 2.68 31.00 31.00 00090.09.81.102021090 36.6873 .917 44300 Open bowel to skin A 8.88 6.03 6.03 1.29 16.20 16.20 00090.09.81.102021090 36.6873 .917 44310 Ileostomy/jejunostomy A 11.70 7.88 7.88 1.66 21.24 21.24 00090.09.81.102021090 36.6873 .917 44312 Revision of ileostomy A 5.88 3.08 3.08 0.45 9.41 9.41 00090.09.81.102000090 36.6873 .917 44314 Revision of ileostomy A 11.04 6.68 6.68 1.21 18.93 18.93 00090.09.81.102021090 36.6873 .917 44316 Devise bowel pouch A 15.47 9.64 9.64 1.43 26.54 26.54 00090.09.81.102021090 36.6873 .917 44320 Colostomy A 12.94 7.46 7.46 1.57 21.97 21.97 00090.09.81.102021090 36.6873 .917 44322 Colostomy with biopsies A 11.98 9.07 9.07 1.88 22.93 22.93 00090.09.81.102021090 36.6873 .917 44340 Revision of colostomy A 5.66 1.68 1.68 0.35 7.69 7.69 00090.09.81.102011090 36.6873 .917 44345 Revision of colostomy A 11.32 4.84 4.84 1.03 17.19 17.19 00090.09.81.102021090 36.6873 .917 44346 Revision of colostomy A 12.46 6.65 6.65 1.38 20.49 20.49 00090.09.81.102021090 36.6873 .917 44360 Small bowel endoscopy A 2.92 3.21 3.21 0.32 6.45 6.45 00000.00.00.002010090 36.6873 .917 44361 Small bowel endoscopy,biopsy A 3.23 3.55 3.55 0.34 7.12 7.12 00000.00.00.003010090 44360 36.6873 .917 44363 Small bowel endoscopy A 3.94 2.99 2.99 0.36 7.29 7.29 00000.00.00.003000090 44360 36.6873 .917 44364 Small bowel endoscopy A 4.22 4.64 4.64 0.72 9.58 9.58 00000.00.00.003000090 44360 36.6873 .917 44365 Small bowel endoscopy A 3.73 4.10 4.10 0.72 8.55 8.55 00000.00.00.003000090 44360 36.6873 .917 44366 Small bowel endoscopy A 4.97 5.47 5.47 0.45 10.89 10.89 00000.00.00.003010090 44360 36.6873 .917 44369 Small bowel endoscopy A 5.09 5.60 5.60 0.50 11.19 11.19 00000.00.00.003000090 44360 36.6873 .917 44372 Small bowel endoscopy A 4.97 5.47 5.47 0.67 11.11 11.11 00000.00.00.003010090 44360 36.6873 .917 44373 Small bowel endoscopy A 3.94 4.33 4.33 0.50 8.77 8.77 00000.00.00.003010090 44360 36.6873 .917 44376 Small bowel endoscopy A 5.69 4.05 4.05 0.26 10.00 10.00 00000.00.00.002000090 36.6873 .917 44377 Small bowel endoscopy A 5.98 4.26 4.26 0.28 10.52 10.52 00000.00.00.003000090 44376 36.6873 .917 44378 Small bowel endoscopy A 7.71 5.27 5.27 0.35 13.33 13.33 00000.00.00.003000090 44376 36.6873 .917 44380 Small bowel endoscopy A 1.51 1.66 1.66 0.22 3.39 3.39 00000.00.00.002010090 36.6873 .917 44382 Small bowel endoscopy A 1.82 2.00 2.00 0.29 4.11 4.11 00000.00.00.002010090 36.6873 .917 44385 Endoscopy of bowel pouch A 1.82 2.33 2.00 0.34 4.49 4.16 20000.00.00.002010090 36.6873 .917 44386 Endoscopy,bowel pouch,biopsy A 2.12 1.54 1.54 0.15 3.81 3.81 00000.00.00.002000090 36.6873 .917 44388 Colon endoscopy A 2.82 3.61 3.10 0.50 6.93 6.42 20000.00.00.002010090 36.6873 .917 44389 Colonoscopy with biopsy A 3.13 4.00 3.44 0.45 7.58 7.02 20000.00.00.003010090 44388 36.6873 .917 44390 Colonoscopy for foreign body A 3.83 2.63 2.63 0.28 6.74 6.74 00000.00.00.003000090 44388 36.6873 .917 44391 Colonoscopy for bleeding A 4.32 5.26 4.75 0.53 10.11 9.60 20000.00.00.003000090 44388 36.6873 .917 44392 Colonoscopy & polypectomy A 3.82 5.16 4.20 0.70 9.68 8.72 20000.00.00.003010090 44388 36.6873 .917 44393 Colonoscopy, lesion removal A 4.84 5.41 5.32 0.70 10.95 10.86 20000.00.00.003010090 44388 36.6873 .917 44394 Colonoscopy w/snare A 4.43 5.16 4.87 0.70 10.29 10.00 20000.00.00.003010090 44388 36.6873 .917 44500 Intro, gastrointestinal tube A 0.49 0.36 0.36 0.02 0.87 0.87 00000.00.00.000000090 36.6873 .917 44602 Suture, small intestine A 10.61 7.65 7.65 1.62 19.88 19.88 00090.09.81.102021090 36.6873 .917 44603 Suture, small intestine A 14.00 9.09 9.09 1.96 25.05 25.05 00090.09.81.102021090 36.6873 .917 44604 Suture, large intestine A 14.28 7.87 7.87 1.67 23.82 23.82 00090.09.81.102021090 36.6873 .917 44605 Repair of bowel lesion A 15.37 9.37 9.37 2.02 26.76 26.76 00090.09.81.102021090 36.6873 .917 44615 Intestinal stricturoplasty A 14.19 6.74 6.74 1.57 22.50 22.50 00090.09.81.102021090 36.6873 .917 44620 Repair bowel opening A 10.87 5.97 5.97 1.26 18.10 18.10 00090.09.81.102021090 36.6873 .917 44625 Repair bowel opening A 13.41 9.58 9.58 2.03 25.02 25.02 00090.09.81.102021090 36.6873 .917 44626 Repair bowel opening A 22.59 11.37 11.37 2.40 36.36 36.36 00090.09.81.102021090 36.6873 .917 44640 Repair bowel-skin fistula A 14.83 6.54 6.54 1.35 22.72 22.72 00090.09.81.102021090 36.6873 .917 44650 Repair bowel fistula A 15.25 7.33 7.33 1.46 24.04 24.04 00090.09.81.102021090 36.6873 .917 44660 Repair bowel-bladder fistula A 14.63 8.34 8.34 1.21 24.18 24.18 00090.09.81.102021090 36.6873 .917 44661 Repair bowel-bladder fistula A 16.99 13.94 13.94 2.52 33.45 33.45 00090.09.81.102021090 36.6873 .917 44680 Surgical revision, intestine A 13.72 9.71 9.71 2.14 25.57 25.57 00090.09.81.102021090 36.6873 .917 44700 Suspend bowel w/prosthesis A 14.35 11.37 11.37 2.40 28.12 28.12 00090.09.81.102021090 36.6873 .917 44799 Intestine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 44800 Excision of bowel pouch A 11.23 5.24 5.24 1.08 17.55 17.55 00090.09.81.102021090 36.6873 .917 44820 Excision of mesentery lesion A 10.31 5.80 5.80 1.21 17.32 17.32 00090.09.81.102021090 36.6873 .917 44850 Repair of mesentery A 9.57 5.60 5.60 1.18 16.35 16.35 00090.09.81.102021090 36.6873 .917 44899 Bowel surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 44900 Drain, app abscess, open A 8.82 4.28 4.28 0.88 13.98 13.98 00090.09.81.102021090 36.6873 .917 44901 Drain, app abscess, perc A 3.38 2.56 2.56 0.30 6.24 6.24 00000.00.00.002020090 36.6873 .917 44950 Appendectomy A 8.70 4.89 4.89 1.01 14.60 14.60 00090.09.81.102021090 36.6873 .917 44955 Appendectomy A 1.53 1.68 1.68 0.60 3.81 3.81 00ZZZ.00.00.000021090 36.6873 .917 44960 Appendectomy A 10.74 5.89 5.89 1.24 17.87 17.87 00090.09.81.102021090 36.6873 .917 45000 Drainage of pelvic abscess A 4.52 1.59 1.59 0.24 6.35 6.35 00090.09.81.102010090 36.6873 .917 45005 Drainage of rectal abscess A 1.99 1.29 1.29 0.21 3.49 3.49 00010.10.80.102010090 36.6873 .917 45020 Drainage of rectal abscess A 4.72 2.61 2.61 0.51 7.84 7.84 00090.09.81.102010090 36.6873 .917 45100 Biopsy of rectum A 3.68 1.88 1.88 0.35 5.91 5.91 00090.09.81.102010090 36.6873 .917 45108 Removal of anorectal lesion A 4.76 2.66 2.66 0.53 7.95 7.95 00090.09.81.102021090 36.6873 .917 45110 Removal of rectum A 23.80 16.32 16.32 3.43 43.55 43.55 00090.09.81.102021090 36.6873 .917 45111 Partial removal of rectum A 16.48 11.77 11.77 2.49 30.74 30.74 00090.09.81.102021090 36.6873 .917 45112 Removal of rectum A 25.96 16.06 16.06 3.36 45.38 45.38 00090.09.81.102021090 36.6873 .917 45113 Partial proctectomy A 25.99 16.06 16.06 3.36 45.41 45.41 00090.09.81.102021090 36.6873 .917 45114 Partial removal of rectum A 23.22 15.39 15.39 3.24 41.85 41.85 00090.09.81.102021090 36.6873 .917 45116 Partial removal of rectum A 20.89 10.77 10.77 2.34 34.00 34.00 00090.09.81.102021090 36.6873 .917 45119 Remove, rectum w/reservoir A 26.21 16.06 16.06 3.36 45.63 45.63 00090.09.81.102021090 36.6873 .917 45120 Removal of rectum A 24.60 16.39 16.39 3.54 44.53 44.53 00090.09.81.102021090 36.6873 .917 45121 Removal of rectum and colon A 27.04 10.79 10.79 2.01 39.84 39.84 00090.09.81.102021090 36.6873 .917 45123 Partial proctectomy A 14.20 11.77 11.77 2.49 28.46 28.46 00090.09.81.102021090 36.6873 .917 45130 Excision of rectal prolapse A 13.97 8.92 8.92 1.79 24.68 24.68 00090.09.81.102021090 36.6873 .917 45135 Excision of rectal prolapse A 16.39 15.95 15.95 3.50 35.84 35.84 00090.09.81.102021090 36.6873 .917 45150 Excision of rectal stricture A 5.67 3.38 3.38 0.63 9.68 9.68 00090.09.81.102000090 36.6873 .917 45160 Excision of rectal lesion A 13.02 7.46 7.46 1.56 22.04 22.04 00090.09.81.102021090 36.6873 .917 45170 Excision of rectal lesion A 9.77 4.62 4.62 0.96 15.35 15.35 00090.09.81.102021090 36.6873 .917 45190 Destruction, rectal tumor A 8.28 5.09 5.09 1.06 14.43 14.43 00090.09.81.102021090 36.6873 .917 45300 Proctosigmoidoscopy A 0.70 0.55 0.55 0.07 1.32 1.32 10000.00.00.002010090 36.6873 .917 45303 Proctosigmoidoscopy A 0.80 0.64 0.64 0.12 1.56 1.56 10000.00.00.003010090 45300 36.6873 .917 45305 Proctosigmoidoscopy; biopsy A 1.01 0.84 0.84 0.14 1.99 1.99 10000.00.00.003010090 45300 36.6873 .917 45307 Proctosigmoidoscopy A 1.71 1.27 1.27 0.18 3.16 3.16 00000.00.00.003000090 45300 36.6873 .917 45308 Proctosigmoidoscopy A 1.51 1.13 1.13 0.20 2.84 2.84 10000.00.00.003010090 45300 36.6873 .917 45309 Proctosigmoidoscopy A 2.01 1.13 1.13 0.20 3.34 3.34 10000.00.00.003010090 45300 36.6873 .917 45315 Proctosigmoidoscopy A 2.54 1.19 1.19 0.18 3.91 3.91 00000.00.00.003010090 45300 36.6873 .917 45317 Proctosigmoidoscopy A 2.73 1.26 1.26 0.19 4.18 4.18 00000.00.00.003010090 45300 36.6873 .917 45320 Proctosigmoidoscopy A 2.88 1.87 1.87 0.34 5.09 5.09 00000.00.00.003010090 45300 36.6873 .917 45321 Proctosigmoidoscopy A 2.12 1.47 1.47 0.27 3.86 3.86 00000.00.00.003010090 45300 36.6873 .917 45330 Sigmoidoscopy, diagnostic A 0.96 1.23 1.06 0.12 2.31 2.14 30000.00.00.002010090 36.6873 .917 45331 Sigmoidoscopy and biopsy A 1.26 1.61 1.39 0.15 3.02 2.80 20000.00.00.003010090 45330 36.6873 .917 45332 Sigmoidoscopy A 1.96 1.76 1.76 0.16 3.88 3.88 00000.00.00.003010090 45330 36.6873 .917 45333 Sigmoidoscopy & polypectomy A 1.96 2.24 2.16 0.26 4.46 4.38 20000.00.00.003010090 45330 36.6873 .917 45334 Sigmoidoscopy for bleeding A 2.99 2.71 2.71 0.23 5.93 5.93 00000.00.00.003010090 45330 36.6873 .917 45337 Sigmoidoscopy, decompression A 2.36 2.60 2.60 0.38 5.34 5.34 00000.00.00.003010090 45330 36.6873 .917 45338 Sigmoidoscopy A 2.57 2.24 2.24 0.26 5.07 5.07 00000.00.00.003010090 45330 36.6873 .917 45339 Sigmoidoscopy A 3.14 3.24 3.24 0.31 6.69 6.69 00000.00.00.003010090 45330 36.6873 .917 45355 Surgical colonoscopy A 3.52 1.17 1.17 0.10 4.79 4.79 00000.00.00.002010090 36.6873 .917 45378 Diagnostic colonoscopy A 3.70 4.13 4.07 0.39 8.22 8.16 20000.00.00.002010091A4550 36.6873 .917 4537853Diagnostic colonoscopy A 0.96 1.23 1.06 0.12 2.31 2.14 20000.00.00.002010091A4550 36.6873 .917 45379 Colonoscopy A 4.72 5.33 5.19 0.45 10.50 10.36 20000.00.00.003010091A455045378 36.6873 .917 45380 Colonoscopy and biopsy A 4.01 4.79 4.41 0.40 9.20 8.82 20000.00.00.003010091A455045378 36.6873 .917 45382 Colonoscopy,control bleeding A 5.73 5.87 5.87 0.41 12.01 12.01 00000.00.00.003010091A455045378 36.6873 .917 45383 Colonoscopy, lesion removal A 5.87 5.92 5.92 0.50 12.29 12.29 00000.00.00.003010091A455045378 36.6873 .917 45384 Colonoscopy A 4.70 5.17 5.17 0.58 10.45 10.45 00000.00.00.003010091A455045378 36.6873 .917 45385 Colonoscopy, lesion removal A 5.31 6.65 5.84 0.58 12.54 11.73 20000.00.00.003010091A455045378 36.6873 .917 45500 Repair of rectum A 7.29 5.95 5.95 1.21 14.45 14.45 00090.09.81.102000090 36.6873 .917 45505 Repair of rectum A 6.02 6.29 6.29 1.23 13.54 13.54 00090.09.81.102010090 36.6873 .917 45520 Treatment of rectal prolapse A 0.55 0.61 0.61 0.10 1.26 1.26 10000.00.00.002010090 36.6873 .917 45540 Correct rectal prolapse A 12.92 9.89 9.89 2.10 24.91 24.91 00090.09.81.102021090 36.6873 .917 45541 Correct rectal prolapse A 10.64 10.17 10.17 2.04 22.85 22.85 00090.09.81.102021090 36.6873 .917 45550 Repair rectum;remove sigmoid A 18.26 11.49 11.49 2.38 32.13 32.13 00090.09.81.102021090 36.6873 .917 45560 Repair of rectocele A 8.40 4.79 4.79 0.98 14.17 14.17 00090.09.81.102021090 36.6873 .917 45562 Exploration/repair of rectum A 12.21 8.09 8.09 1.58 21.88 21.88 00090.09.81.102021090 36.6873 .917 45563 Exploration/repair of rectum A 18.63 12.77 12.77 2.49 33.89 33.89 00090.09.81.102021090 36.6873 .917 45800 Repair rectumbladder fistula A 14.11 9.82 9.82 1.45 25.38 25.38 00090.09.81.102021090 36.6873 .917 45805 Repair fistula; colostomy A 16.50 12.32 12.32 2.39 31.21 31.21 00090.09.81.102021090 36.6873 .917 45820 Repair rectourethral fistula A 14.67 8.98 8.98 1.23 24.88 24.88 00090.09.81.102021090 36.6873 .917 45825 Repair fistula; colostomy A 16.87 9.87 9.87 1.66 28.40 28.40 00090.09.81.102021090 36.6873 .917 45900 Reduction of rectal prolapse A 1.83 0.58 0.58 0.11 2.52 2.52 00010.10.80.102000090 36.6873 .917 45905 Dilation of anal sphincter A 1.61 0.71 0.71 0.12 2.44 2.44 00010.10.80.102010090 36.6873 .917 45910 Dilation of rectal narrowing A 1.96 0.87 0.87 0.13 2.96 2.96 00010.10.80.102010090 36.6873 .917 45915 Remove rectal obstruction A 2.20 0.78 0.78 0.09 3.07 3.07 00010.10.80.102010090 36.6873 .917 45999 Rectum surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 46030 Removal of rectal marker A 1.23 0.40 0.40 0.07 1.70 1.70 00010.10.80.102000090 36.6873 .917 46040 Incision of rectal abscess A 4.96 1.69 1.69 0.34 6.99 6.99 00090.09.81.102010090 36.6873 .917 46045 Incision of rectal abscess A 4.32 1.85 1.85 0.38 6.55 6.55 00090.09.81.102010090 36.6873 .917 46050 Incision of anal abscess A 1.19 0.60 0.60 0.11 1.90 1.90 10010.10.80.102010090 36.6873 .917 46060 Incision of rectal abscess A 5.69 5.35 5.35 1.12 12.16 12.16 00090.09.81.102010090 36.6873 .917 46070 Incision of anal septum A 2.71 1.37 1.37 0.33 4.41 4.41 00090.09.81.102000090 36.6873 .917 46080 Incision of anal sphincter A 2.49 2.13 2.13 0.43 5.05 5.05 00010.10.80.102010090 36.6873 .917 46083 Incise external hemorrhoid A 1.40 0.63 0.63 0.08 2.11 2.11 10010.10.80.102010090 36.6873 .917 46200 Removal of anal fissure A 3.42 3.29 3.29 0.66 7.37 7.37 00090.09.81.102010090 36.6873 .917 46210 Removal of anal crypt A 2.67 0.77 0.77 0.14 3.58 3.58 00090.09.81.102000090 36.6873 .917 46211 Removal of anal crypts A 4.25 1.90 1.90 0.38 6.53 6.53 00090.09.81.102000090 36.6873 .917 46220 Removal of anal tab A 1.56 0.63 0.63 0.12 2.31 2.31 00010.10.80.102010090 36.6873 .917 46221 Ligation of hemorrhoid(s) A 1.43 0.66 0.66 0.14 2.23 2.23 10010.10.80.102010090 36.6873 .917 46230 Removal of anal tabs A 2.57 0.83 0.83 0.12 3.52 3.52 10010.10.80.102010090 36.6873 .917 46250 Hemorrhoidectomy A 4.53 2.84 2.84 0.52 7.89 7.89 00090.09.81.102010090 36.6873 .917 46255 Hemorrhoidectomy A 5.36 4.72 4.72 0.85 10.93 10.93 00090.09.81.102010090 36.6873 .917 46257 Remove hemorrhoids & fissure A 6.28 5.23 5.23 1.08 12.59 12.59 00090.09.81.102010090 36.6873 .917 46258 Remove hemorrhoids & fistula A 6.67 5.87 5.87 1.22 13.76 13.76 00090.09.81.102000090 36.6873 .917 46260 Hemorrhoidectomy A 7.42 6.07 6.07 1.25 14.74 14.74 00090.09.81.102010090 36.6873 .917 46261 Remove hemorrhoids & fissure A 8.24 6.62 6.62 1.34 16.20 16.20 00090.09.81.102010090 36.6873 .917 46262 Remove hemorrhoids & fistula A 8.73 6.72 6.72 1.39 16.84 16.84 00090.09.81.102010090 36.6873 .917 46270 Removal of anal fistula A 3.72 1.87 1.87 0.37 5.96 5.96 00090.09.81.102010090 36.6873 .917 46275 Removal of anal fistula A 4.56 5.02 5.02 1.13 10.71 10.71 00090.09.81.102010090 36.6873 .917 46280 Removal of anal fistula A 5.98 6.08 6.08 1.24 13.30 13.30 00090.09.81.102010090 36.6873 .917 46285 Removal of anal fistula A 4.09 2.28 2.28 0.43 6.80 6.80 00090.09.81.102020090 36.6873 .917 46288 Repair anal fistula A 7.13 3.57 3.57 0.83 11.53 11.53 00090.09.81.102010090 36.6873 .917 46320 Removal of hemorrhoid clot A 1.61 0.70 0.70 0.11 2.42 2.42 10010.10.80.102010090 36.6873 .917 46500 Injection into hemorrhoids A 1.61 0.32 0.32 0.06 1.99 1.99 10010.10.80.102010090 36.6873 .917 46600 Diagnostic anoscopy A 0.50 0.28 0.28 0.03 0.81 0.81 10000.00.00.002010090 36.6873 .917 46604 Anoscopy and dilation A 1.31 0.38 0.38 0.06 1.75 1.75 10000.00.00.003010090 46600 36.6873 .917 46606 Anoscopy and biopsy A 0.81 0.36 0.36 0.06 1.23 1.23 10000.00.00.003010090 46600 36.6873 .917 46608 Anoscopy;remove foreign body A 1.51 1.07 1.07 0.12 2.70 2.70 00000.00.00.003000090 46600 36.6873 .917 46610 Anoscopy; remove lesion A 1.32 0.85 0.85 0.15 2.32 2.32 00000.00.00.003010090 46600 36.6873 .917 46611 Anoscopy A 1.81 0.85 0.85 0.15 2.81 2.81 10000.00.00.003000090 46600 36.6873 .917 46612 Anoscopy; remove lesions A 2.34 1.39 1.39 0.20 3.93 3.93 00000.00.00.003000090 46600 36.6873 .917 46614 Anoscopy; control bleeding A 2.01 1.55 1.55 0.25 3.81 3.81 10000.00.00.003010090 46600 36.6873 .917 46615 Anoscopy A 2.68 1.55 1.55 0.25 4.48 4.48 10000.00.00.003000090 46600 36.6873 .917 46700 Repair of anal stricture A 7.25 6.14 6.14 1.24 14.63 14.63 00090.09.81.102010090 36.6873 .917 46705 Repair of anal stricture A 7.17 3.60 3.60 0.77 11.54 11.54 00090.09.81.102021090 36.6873 .917 46715 Repair of anovaginal fistula A 7.46 3.51 3.51 0.82 11.79 11.79 00090.09.81.102020090 36.6873 .917 46716 Repair of anovaginal fistula A 12.15 6.05 6.05 1.40 19.60 19.60 00090.09.81.102021090 36.6873 .917 46730 Construction of absent anus A 21.57 10.74 10.74 2.50 34.81 34.81 00090.09.81.102021090 36.6873 .917 46735 Construction of absent anus A 25.94 13.04 13.04 3.04 42.02 42.02 00090.09.81.102021090 36.6873 .917 46740 Construction of absent anus A 23.11 11.55 11.55 2.68 37.34 37.34 00090.09.81.102021090 36.6873 .917 46742 Repair, imperforated anus A 29.67 19.75 19.75 1.93 51.35 51.35 00090.09.81.102021090 36.6873 .917 46744 Repair, cloacal anomaly A 33.21 22.17 22.17 2.17 57.55 57.55 00090.09.81.102021090 36.6873 .917 46746 Repair, cloacal anomaly A 36.74 24.26 24.26 2.37 63.37 63.37 00090.09.81.102021090 36.6873 .917 46748 Repair, cloacal anomaly A 40.52 27.03 27.03 2.64 70.19 70.19 00090.09.81.102021090 36.6873 .917 46750 Repair of anal sphincter A 8.14 6.00 6.00 1.22 15.36 15.36 00090.09.81.102021090 36.6873 .917 46751 Repair of anal sphincter A 8.56 4.07 4.07 0.95 13.58 13.58 00090.09.81.102021090 36.6873 .917 46753 Reconstruction of anus A 6.58 4.89 4.89 1.02 12.49 12.49 00090.09.81.102010090 36.6873 .917 46754 Removal of suture from anus A 1.54 1.48 1.48 0.30 3.32 3.32 00010.10.80.102000090 36.6873 .917 46760 Repair of anal sphincter A 11.46 6.80 6.80 1.41 19.67 19.67 00090.09.81.102021090 36.6873 .917 46761 Repair of anal sphincter A 10.99 6.83 6.83 1.35 19.17 19.17 00090.09.81.102021090 36.6873 .917 46762 Implant artificial sphincter A 10.09 5.72 5.72 1.21 17.02 17.02 00090.09.81.102021090 36.6873 .917 46900 Destruction, anal lesion(s) A 1.91 0.39 0.39 0.06 2.36 2.36 10010.10.80.102010090 36.6873 .917 46910 Destruction, anal lesion(s) A 1.86 0.64 0.64 0.08 2.58 2.58 10010.10.80.102010090 36.6873 .917 46916 Cryosurgery, anal lesion(s) A 1.86 0.67 0.67 0.06 2.59 2.59 10010.10.80.102010090 36.6873 .917 46917 Laser surgery,anal lesion(s) A 1.86 1.94 1.94 0.31 4.11 4.11 10010.10.80.102010090 36.6873 .917 46922 Excision of anal lesion(s) A 1.86 1.28 1.28 0.23 3.37 3.37 00010.10.80.102010090 36.6873 .917 46924 Destruction, anal lesion(s) A 2.76 2.56 2.56 0.46 5.78 5.78 00010.10.80.102010090 36.6873 .917 46934 Destruction of hemorrhoids A 4.08 1.19 1.19 0.17 5.44 5.44 10090.09.81.102010090 36.6873 .917 46935 Destruction of hemorrhoids A 2.43 1.62 1.62 0.22 4.27 4.27 10010.10.80.102010090 36.6873 .917 46936 Destruction of hemorrhoids A 4.30 2.29 2.29 0.24 6.83 6.83 10090.09.81.102010090 36.6873 .917 46937 Cryotherapy of rectal lesion A 2.69 2.35 2.35 0.45 5.49 5.49 00010.10.80.102000090 36.6873 .917 46938 Cryotherapy of rectal lesion A 4.66 2.50 2.50 0.52 7.68 7.68 00090.09.81.102000090 36.6873 .917 46940 Treatment of anal fissure A 2.32 0.51 0.51 0.09 2.92 2.92 10010.10.80.102010090 36.6873 .917 46942 Treatment of anal fissure A 2.04 0.46 0.46 0.08 2.58 2.58 10010.10.80.102000090 36.6873 .917 46945 Ligation of hemorrhoids A 2.14 0.63 0.63 0.12 2.89 2.89 10090.09.81.102010090 36.6873 .917 46946 Ligation of hemorrhoids A 3.00 0.94 0.94 0.17 4.11 4.11 10090.09.81.102010090 36.6873 .917 46999 Anus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 47000 Needle biopsy of liver A 1.90 1.40 1.40 0.13 3.43 3.43 00000.00.00.002010090 36.6873 .917 47001 Needle biopsy, liver A 1.90 1.40 1.40 0.13 3.43 3.43 00ZZZ.00.00.000011090 36.6873 .917 47010 Open drainage, liver lesion A 10.28 6.75 6.75 1.13 18.16 18.16 00090.09.81.102021090 36.6873 .917 47011 Percut drain, liver lesion A 3.70 2.80 2.80 0.33 6.83 6.83 00000.00.00.002020090 36.6873 .917 47015 Inject/aspirate liver cyst A 9.70 6.75 6.75 1.13 17.58 17.58 00090.09.81.102021090 36.6873 .917 47100 Wedge biopsy of liver A 7.49 3.29 3.29 0.67 11.45 11.45 00090.09.81.102021090 36.6873 .917 47120 Partial removal of liver A 22.79 12.00 12.00 2.48 37.27 37.27 00090.09.81.102021090 36.6873 .917 47122 Extensive removal of liver A 35.39 17.58 17.58 3.59 56.56 56.56 00090.09.81.102021090 36.6873 .917 47125 Partial removal of liver A 31.58 17.43 17.43 3.61 52.62 52.62 00090.09.81.102021090 36.6873 .917 47130 Partial removal of liver A 34.25 19.19 19.19 3.89 57.33 57.33 00090.09.81.102021090 36.6873 .917 47133 Removal of donor liver X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 47134 Partial removal, donor liver R 39.15 20.48 20.48 4.77 64.40 64.40 00XXX.00.00.002021290 36.6873 .917 47135 Transplantation of liver R 81.52 54.48 54.48 8.49 144.49 144.49 00090.09.81.102021290 36.6873 .917 47136 Transplantation of liver R 68.60 33.50 33.50 7.79 109.89 109.89 00090.09.81.102021290 36.6873 .917 47300 Surgery for liver lesion A 9.68 7.67 7.67 1.59 18.94 18.94 00090.09.81.102021090 36.6873 .917 47350 Repair liver wound A 12.56 7.46 7.46 1.49 21.51 21.51 00090.09.81.102021090 36.6873 .917 47360 Repair liver wound A 17.28 10.93 10.93 2.18 30.39 30.39 00090.09.81.102021090 36.6873 .917 47361 Repair liver wound A 30.25 14.64 14.64 3.41 48.30 48.30 00090.09.81.102021090 36.6873 .917 47362 Repair liver wound A 11.88 5.23 5.23 1.22 18.33 18.33 00090.09.81.102021090 36.6873 .917 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 47400 Incision of liver duct A 20.86 8.53 8.53 1.36 30.75 30.75 00090.09.81.102021090 36.6873 .917 47420 Incision of bile duct A 16.72 9.48 9.48 1.99 28.19 28.19 00090.09.81.102021090 36.6873 .917 47425 Incision of bile duct A 16.68 11.71 11.71 2.45 30.84 30.84 00090.09.81.102021090 36.6873 .917 47460 Incise bile duct sphincter A 15.17 15.54 15.54 1.82 32.53 32.53 00090.09.81.102021090 36.6873 .917 47480 Incision of gallbladder A 9.10 7.60 7.60 1.59 18.29 18.29 00090.09.81.102021090 36.6873 .917 47490 Incision of gallbladder A 7.23 3.57 3.57 0.38 11.18 11.18 00090.09.81.102010090 36.6873 .917 47500 Injection for liver x-rays A 1.96 1.51 1.51 0.14 3.61 3.61 00000.00.00.002010090 36.6873 .917 47505 Injection for liver x-rays A 0.76 0.98 0.84 0.14 1.88 1.74 20000.00.00.002000090 36.6873 .917 47510 Insert catheter, bile duct A 7.83 2.87 2.87 0.25 10.95 10.95 00090.09.81.102010090 36.6873 .917 47511 Insert bile duct drain A 10.50 2.87 2.87 0.25 13.62 13.62 00090.09.81.102110090 36.6873 .917 47525 Change bile duct catheter A 5.55 1.59 1.59 0.16 7.30 7.30 00010.10.80.102010090 36.6873 .917 47530 Revise, reinsert bile tube A 5.85 1.51 1.51 0.19 7.55 7.55 00090.09.81.102010090 36.6873 .917 47550 Bile duct endoscopy A 3.02 1.56 1.56 0.35 4.93 4.93 00000.00.00.000021090 36.6873 .917 47552 Biliary endoscopy, thru skin A 6.04 1.36 1.36 0.21 7.61 7.61 00000.00.00.002011090 36.6873 .917 47553 Biliary endoscopy, thru skin A 6.35 3.80 3.80 0.62 10.77 10.77 00000.00.00.003010090 47552 36.6873 .917 47554 Biliary endoscopy, thru skin A 9.06 3.93 3.93 0.67 13.66 13.66 00000.00.00.003011090 47552 36.6873 .917 47555 Biliary endoscopy, thru skin A 7.56 2.63 2.63 0.30 10.49 10.49 00000.00.00.003010090 47552 36.6873 .917 47556 Biliary endoscopy, thru skin A 8.56 2.63 2.63 0.30 11.49 11.49 00000.00.00.003010090 47552 36.6873 .917 47600 Removal of gallbladder A 11.42 7.53 7.53 1.58 20.53 20.53 00090.09.81.102021090 36.6873 .917 47605 Removal of gallbladder A 12.36 8.14 8.14 1.75 22.25 22.25 00090.09.81.102021090 36.6873 .917 47610 Removal of gallbladder A 15.83 9.37 9.37 2.00 27.20 27.20 00090.09.81.102021090 36.6873 .917 47612 Removal of gallbladder A 15.80 14.23 14.23 3.05 33.08 33.08 00090.09.81.102021090 36.6873 .917 47620 Removal of gallbladder A 17.36 11.23 11.23 2.36 30.95 30.95 00090.09.81.102021090 36.6873 .917 47630 Remove bile duct stone A 9.11 3.75 3.75 0.40 13.26 13.26 00090.09.81.102011090 36.6873 .917 47700 Exploration of bile ducts A 14.93 7.63 7.63 1.58 24.14 24.14 00090.09.81.102021090 36.6873 .917 47701 Bile duct revision A 27.81 8.21 8.21 1.90 37.92 37.92 00090.09.81.102000090 36.6873 .917 47711 Excision of bile duct tumor A 19.37 12.06 12.06 2.46 33.89 33.89 00090.09.81.102021090 36.6873 .917 47712 Excision of bile duct tumor A 25.44 12.06 12.06 2.46 39.96 39.96 00090.09.81.102021090 36.6873 .917 47715 Excision of bile duct cyst A 15.81 8.22 8.22 1.71 25.74 25.74 00090.09.81.102021090 36.6873 .917 47716 Fusion of bile duct cyst A 13.83 6.56 6.56 1.53 21.92 21.92 00090.09.81.102021090 36.6873 .917 47720 Fuse gallbladder & bowel A 13.38 9.16 9.16 1.93 24.47 24.47 00090.09.81.102021090 36.6873 .917 47721 Fuse upper gi structures A 16.08 11.42 11.42 2.47 29.97 29.97 00090.09.81.102021090 36.6873 .917 47740 Fuse gallbladder & bowel A 15.54 10.21 10.21 2.14 27.89 27.89 00090.09.81.102021090 36.6873 .917 47741 Fuse gallbladder & bowel A 17.95 14.35 14.35 3.02 35.32 35.32 00090.09.81.102021090 36.6873 .917 47760 Fuse bile ducts and bowel A 21.74 11.61 11.61 2.53 35.88 35.88 00090.09.81.102021090 36.6873 .917 47765 Fuse liver ducts & bowel A 20.93 14.61 14.61 2.97 38.51 38.51 00090.09.81.102021090 36.6873 .917 47780 Fuse bile ducts and bowel A 22.29 13.07 13.07 2.73 38.09 38.09 00090.09.81.102021090 36.6873 .917 47785 Fuse bile ducts and bowel A 26.23 13.07 13.07 2.73 42.03 42.03 00090.09.81.102021090 36.6873 .917 47800 Reconstruction of bile ducts A 19.60 13.22 13.22 2.43 35.25 35.25 00090.09.81.102021090 36.6873 .917 47801 Placement, bile duct support A 12.76 5.48 5.48 0.81 19.05 19.05 00090.09.81.102021090 36.6873 .917 47802 Fuse liver duct & intestine A 18.13 10.27 10.27 1.75 30.15 30.15 00090.09.81.102021090 36.6873 .917 47900 Suture bile duct injury A 16.74 13.22 13.22 2.43 32.39 32.39 00090.09.81.102021090 36.6873 .917 47999 Bile tract surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 48000 Drainage of abdomen A 14.91 7.05 7.05 1.40 23.36 23.36 00090.09.81.102021090 36.6873 .917 48001 Placement of drain, pancreas A 18.83 8.13 8.13 1.89 28.85 28.85 00090.09.81.102021090 36.6873 .917 48005 Resect/debride pancreas A 22.40 9.19 9.19 2.14 33.73 33.73 00090.09.81.102021090 36.6873 .917 48020 Removal of pancreatic stone A 14.22 6.78 6.78 1.57 22.57 22.57 00090.09.81.102021090 36.6873 .917 48100 Biopsy of pancreas A 11.08 4.21 4.21 0.79 16.08 16.08 00090.09.81.102021090 36.6873 .917 48102 Needle biopsy, pancreas A 4.68 2.41 2.41 0.25 7.34 7.34 00010.10.80.102010090 36.6873 .917 48120 Removal of pancreas lesion A 14.36 9.72 9.72 2.07 26.15 26.15 00090.09.81.102021090 36.6873 .917 48140 Partial removal of pancreas A 20.78 13.29 13.29 2.83 36.90 36.90 00090.09.81.102021090 36.6873 .917 48145 Partial removal of pancreas A 21.76 15.71 15.71 3.16 40.63 40.63 00090.09.81.102021090 36.6873 .917 48146 Pancreatectomy A 23.91 16.49 16.49 1.92 42.32 42.32 00090.09.81.102021090 36.6873 .917 48148 Removal of pancreatic duct A 15.71 8.23 8.23 1.68 25.62 25.62 00090.09.81.102021090 36.6873 .917 48150 Partial removal of pancreas A 43.48 22.54 22.54 4.75 70.77 70.77 00090.09.81.102021090 36.6873 .917 48152 Pancreatectomy A 39.63 22.54 22.54 4.75 66.92 66.92 00090.09.81.102021090 36.6873 .917 48153 Pancreatectomy A 43.38 22.54 22.54 4.75 70.67 70.67 00090.09.81.102021090 36.6873 .917 48154 Pancreatectomy A 39.95 22.54 22.54 4.75 67.24 67.24 00090.09.81.102021090 36.6873 .917 48155 Removal of pancreas A 22.32 20.40 20.40 4.26 46.98 46.98 00090.09.81.102021090 36.6873 .917 48160 Pancreas removal, transplant N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 48180 Fuse pancreas and bowel A 22.39 12.60 12.60 2.63 37.62 37.62 00090.09.81.102021090 36.6873 .917 48400 Injection, intraoperative A 1.95 1.03 1.03 0.24 3.22 3.22 00ZZZ.00.00.000000090 36.6873 .917 48500 Surgery of pancreas cyst A 13.84 8.53 8.53 1.66 24.03 24.03 00090.09.81.102021090 36.6873 .917 48510 Drain pancreatic pseudocyst A 12.96 7.54 7.54 1.44 21.94 21.94 00090.09.81.102021090 36.6873 .917 48511 Drain pancreatic pseudocyst A 4.00 3.03 3.03 0.35 7.38 7.38 00000.00.00.002020090 36.6873 .917 48520 Fuse pancreas cyst and bowel A 14.12 11.30 11.30 2.43 27.85 27.85 00090.09.81.102021090 36.6873 .917 48540 Fuse pancreas cyst and bowel A 17.86 12.66 12.66 2.65 33.17 33.17 00090.09.81.102021090 36.6873 .917 48545 Pancreatorrhaphy A 16.47 7.66 7.66 1.79 25.92 25.92 00090.09.81.102021090 36.6873 .917 48547 Duodenal exclusion A 23.40 11.08 11.08 2.58 37.06 37.06 00090.09.81.102021090 36.6873 .917 48550 Donor pancreatectomy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 48554 Transplantallograft pancreas N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 48556 Removal, allograft pancreas A 15.71 7.26 7.26 1.69 24.66 24.66 00090.09.81.102021090 36.6873 .917 48999 Pancreas surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 49000 Exploration of abdomen A 11.68 6.79 6.79 1.40 19.87 19.87 00090.09.81.102021090 36.6873 .917 49002 Reopening of abdomen A 10.49 6.05 6.05 1.21 17.75 17.75 00090.09.81.102021090 36.6873 .917 49010 Exploration behind abdomen A 12.28 6.95 6.95 1.31 20.54 20.54 00090.09.81.102021090 36.6873 .917 49020 Drain abdominal abscess A 16.79 4.82 4.82 0.91 22.52 22.52 00090.09.81.102020090 36.6873 .917 49021 Drain abdominal abscess A 3.38 3.72 3.72 0.91 8.01 8.01 00000.00.00.002020090 36.6873 .917 49040 Open drainage abdom abscess A 9.94 6.54 6.54 1.27 17.75 17.75 00090.09.81.102021090 36.6873 .917 49041 Percut drain abdom abscess A 4.00 3.03 3.03 0.35 7.38 7.38 00000.00.00.002020090 36.6873 .917 49060 Open drain retroper abscess A 11.66 5.54 5.54 1.01 18.21 18.21 00090.09.81.102021090 36.6873 .917 49061 Percutdrain retroper abscess A 3.70 2.80 2.80 0.33 6.83 6.83 00000.00.00.002020090 36.6873 .917 49062 Drain to peritoneal cavity A 11.36 8.07 8.07 0.79 20.22 20.22 00090.09.81.102021090 36.6873 .917 49080 Puncture, peritoneal cavity A 1.35 0.87 0.87 0.08 2.30 2.30 00000.00.00.002010091A4550 36.6873 .917 49081 Removal of abdominal fluid A 1.26 0.75 0.75 0.07 2.08 2.08 00000.00.00.002010091A4550 36.6873 .917 49085 Remove abdomen foreign body A 8.93 3.46 3.46 0.67 13.06 13.06 00090.09.81.102011090 36.6873 .917 49180 Biopsy, abdominal mass A 1.73 1.82 1.82 0.20 3.75 3.75 00000.00.00.002010090 36.6873 .917 49200 Removal of abdominal lesion A 10.25 8.38 8.38 1.70 20.33 20.33 00090.09.81.102021090 36.6873 .917 49201 Removal of abdominal lesion A 14.84 12.10 12.10 2.50 29.44 29.44 00090.09.81.102021090 36.6873 .917 49215 Excise sacral spine tumor A 22.36 8.50 8.50 1.59 32.45 32.45 00090.09.81.102021090 36.6873 .917 49220 Multiple surgery, abdomen A 14.88 12.30 12.30 2.53 29.71 29.71 00090.09.81.102021090 36.6873 .917 49250 Excision of umbilicus A 8.35 4.52 4.52 0.96 13.83 13.83 00090.09.81.102011090 36.6873 .917 49255 Removal of omentum A 11.14 5.16 5.16 1.15 17.45 17.45 00090.09.81.102021090 36.6873 .917 49400 Air injection into abdomen A 1.88 1.12 1.12 0.17 3.17 3.17 00000.00.00.002010090 36.6873 .917 49420 Insert abdominal drain A 2.22 1.58 1.58 0.20 4.00 4.00 00000.00.00.002010090 36.6873 .917 49421 Insert abdominal drain A 5.54 4.14 4.14 0.81 10.49 10.49 00090.09.81.102010090 36.6873 .917 49422 Remove perm cannula/catheter A 6.25 4.14 4.14 0.81 11.20 11.20 00010.10.80.102010090 36.6873 .917 49423 Exchange drainage cath A 1.46 1.10 1.10 0.13 2.69 2.69 00000.00.00.002000090 36.6873 .917 49424 Assess cyst, contrast inj A 0.76 0.57 0.57 0.07 1.40 1.40 00000.00.00.002000090 36.6873 .917 49425 Insert abdomen-venous drain A 11.37 8.48 8.48 1.78 21.63 21.63 00090.09.81.102021090 36.6873 .917 49426 Revise abdomen-venous shunt A 9.63 5.39 5.39 1.07 16.09 16.09 00090.09.81.102010090 36.6873 .917 49427 Injection, abdominal shunt A 0.89 0.49 0.49 0.03 1.41 1.41 00000.00.00.002000090 36.6873 .917 49428 Ligation of shunt A 2.38 1.04 1.04 0.24 3.66 3.66 00010.10.80.102010090 36.6873 .917 49429 Removal of shunt A 7.40 3.32 3.32 0.77 11.49 11.49 00010.10.80.102010090 36.6873 .917 49495 Repair inguinal hernia, init A 5.89 4.98 4.98 0.95 11.82 11.82 00090.09.81.102121090 36.6873 .917 49496 Repair inguinal hernia, init A 8.79 5.04 5.04 1.08 14.91 14.91 00090.09.81.102121090 36.6873 .917 49500 Repair inguinal hernia A 4.68 4.98 4.98 0.95 10.61 10.61 00090.09.81.102121090 36.6873 .917 49501 Repair inguinal hernia, init A 7.58 5.04 5.04 1.08 13.70 13.70 00090.09.81.102121090 36.6873 .917 49505 Repair inguinal hernia A 6.49 4.51 4.51 0.94 11.94 11.94 00090.09.81.102121090 36.6873 .917 49507 Repair, inguinal hernia A 8.17 5.04 5.04 1.08 14.29 14.29 00090.09.81.102121090 36.6873 .917 49520 Rerepair inguinal hernia A 8.22 5.22 5.22 1.11 14.55 14.55 00090.09.81.102121090 36.6873 .917 49521 Repair inguinal hernia, rec A 10.22 5.04 5.04 1.08 16.34 16.34 00090.09.81.102121090 36.6873 .917 49525 Repair inguinal hernia A 7.32 5.55 5.55 1.16 14.03 14.03 00090.09.81.102121090 36.6873 .917 49540 Repair lumbar hernia A 8.87 5.20 5.20 1.12 15.19 15.19 00090.09.81.102121090 36.6873 .917 49550 Repair femoral hernia A 7.37 4.61 4.61 0.97 12.95 12.95 00090.09.81.102121090 36.6873 .917 49553 Repair femoral hernia, init A 8.06 4.61 4.61 0.97 13.64 13.64 00090.09.81.102121090 36.6873 .917 49555 Repair femoral hernia A 7.71 6.07 6.07 1.26 15.04 15.04 00090.09.81.102121090 36.6873 .917 49557 Repair femoral hernia, recur A 9.52 6.07 6.07 1.26 16.85 16.85 00090.09.81.102121090 36.6873 .917 49560 Repair abdominal hernia A 9.88 5.65 5.65 1.19 16.72 16.72 00090.09.81.102121090 36.6873 .917 49561 Repair incisional hernia A 12.17 5.65 5.65 1.19 19.01 19.01 00090.09.81.102121090 36.6873 .917 49565 Rerepair abdominal hernia A 9.88 6.41 6.41 1.35 17.64 17.64 00090.09.81.102121090 36.6873 .917 49566 Repair incisional hernia A 12.30 6.41 6.41 1.35 20.06 20.06 00090.09.81.102121090 36.6873 .917 49568 Hernia repair w/mesh A 4.89 2.56 2.56 0.59 8.04 8.04 00ZZZ.00.00.000121090 36.6873 .917 49570 Repair epigastric hernia A 4.86 4.38 4.38 0.91 10.15 10.15 00090.09.81.102121090 36.6873 .917 49572 Repair, epigastric hernia A 5.75 5.60 5.60 1.18 12.53 12.53 00090.09.81.102121090 36.6873 .917 49580 Repair umbilical hernia A 3.51 3.86 3.86 0.94 8.31 8.31 00090.09.81.102021090 36.6873 .917 49582 Repair umbilical hernia A 5.68 4.61 4.61 0.94 11.23 11.23 00090.09.81.102021090 36.6873 .917 49585 Repair umbilical hernia A 5.32 4.41 4.41 0.91 10.64 10.64 00090.09.81.102021090 36.6873 .917 49587 Repair umbilical hernia A 6.46 4.41 4.41 0.91 11.78 11.78 00090.09.81.102021090 36.6873 .917 49590 Repair abdominal hernia A 7.29 5.63 5.63 1.22 14.14 14.14 00090.09.81.102121090 36.6873 .917 49600 Repair umbilical lesion A 10.35 5.26 5.26 0.77 16.38 16.38 00090.09.81.102021090 36.6873 .917 49605 Repair umbilical lesion A 22.66 8.57 8.57 1.77 33.00 33.00 00090.09.81.102021090 36.6873 .917 49606 Repair umbilical lesion A 18.60 8.31 8.31 0.96 27.87 27.87 00090.09.81.102021090 36.6873 .917 49610 Repair umbilical lesion A 10.50 5.48 5.48 1.27 17.25 17.25 00090.09.81.102021090 36.6873 .917 49611 Repair umbilical lesion A 8.92 9.00 9.00 0.58 18.50 18.50 00090.09.81.102021090 36.6873 .917 49900 Repair of abdominal wall A 12.28 3.66 3.66 0.75 16.69 16.69 00090.09.81.102021090 36.6873 .917 49905 Omental flap A 6.55 3.42 3.42 0.80 10.77 10.77 00ZZZ.00.00.000022090 36.6873 .917 49906 Free omental flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 00090.09.81.102021090 36.6873 .917 49999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 50010 Exploration of kidney A 10.98 9.55 9.55 1.13 21.66 21.66 00090.08.83.092021090 36.6873 .917 50020 Open drain renal abscess A 14.66 6.80 6.80 0.85 22.31 22.31 00090.08.83.092011090 36.6873 .917 50021 Percut drain renal abscess A 3.38 2.56 2.56 0.30 6.24 6.24 00000.00.00.002020090 36.6873 .917 50040 Drainage of kidney A 14.94 7.18 7.18 0.62 22.74 22.74 00090.08.83.092021090 36.6873 .917 50045 Exploration of kidney A 15.46 9.81 9.81 0.89 26.16 26.16 00090.08.83.092021090 36.6873 .917 50060 Removal of kidney stone A 19.30 12.25 12.25 1.21 32.76 32.76 00090.08.83.092021090 36.6873 .917 50065 Incision of kidney A 20.79 13.93 13.93 1.35 36.07 36.07 00090.08.83.092020090 36.6873 .917 50070 Incision of kidney A 20.32 12.87 12.87 1.35 34.54 34.54 00090.08.83.092021090 36.6873 .917 50075 Removal of kidney stone A 25.34 16.87 16.87 1.62 43.83 43.83 00090.08.83.092021090 36.6873 .917 50080 Removal of kidney stone A 14.71 12.20 12.20 1.15 28.06 28.06 00090.08.83.092010090 36.6873 .917 50081 Removal of kidney stone A 21.80 14.96 14.96 1.44 38.20 38.20 00090.08.83.092021090 36.6873 .917 50100 Revise kidney blood vessels A 16.09 10.34 10.34 1.35 27.78 27.78 00090.08.83.092021090 36.6873 .917 50120 Exploration of kidney A 15.91 10.91 10.91 1.24 28.06 28.06 00090.08.83.092021090 36.6873 .917 50125 Explore and drain kidney A 16.52 10.95 10.95 1.06 28.53 28.53 00090.08.83.092021090 36.6873 .917 50130 Removal of kidney stone A 17.29 12.80 12.80 1.26 31.35 31.35 00090.08.83.092021090 36.6873 .917 50135 Exploration of kidney A 19.18 17.05 17.05 1.63 37.86 37.86 00090.08.83.092021090 36.6873 .917 50200 Biopsy of kidney A 2.63 2.61 2.61 0.22 5.46 5.46 00000.00.00.002010090 36.6873 .917 50205 Biopsy of kidney A 11.31 5.64 5.64 0.69 17.64 17.64 00090.08.83.092021090 36.6873 .917 50220 Removal of kidney A 17.15 13.31 13.31 1.43 31.89 31.89 00090.08.83.092021090 36.6873 .917 50225 Removal of kidney A 20.23 16.52 16.52 1.70 38.45 38.45 00090.08.83.092021090 36.6873 .917 50230 Removal of kidney A 22.07 18.40 18.40 1.84 42.31 42.31 00090.08.83.092022090 36.6873 .917 50234 Removal of kidney & ureter A 22.40 16.65 16.65 1.65 40.70 40.70 00090.08.83.092021090 36.6873 .917 50236 Removal of kidney & ureter A 24.86 17.74 17.74 1.74 44.34 44.34 00090.08.83.092021090 36.6873 .917 50240 Partial removal of kidney A 22.00 16.00 16.00 1.70 39.70 39.70 00090.08.83.092021090 36.6873 .917 50280 Removal of kidney lesion A 15.67 10.86 10.86 1.16 27.69 27.69 00090.08.83.092021090 36.6873 .917 50290 Removal of kidney lesion A 14.73 8.87 8.87 1.19 24.79 24.79 00090.08.83.092021090 36.6873 .917 50300 Removal of donor kidney X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 50320 Removal of donor kidney A 22.21 16.49 16.49 2.40 41.10 41.10 00090.08.83.092121090 36.6873 .917 50340 Removal of kidney A 12.15 12.49 12.49 2.24 26.88 26.88 00090.08.83.092121090 36.6873 .917 50360 Transplantation of kidney A 31.53 24.45 24.45 4.24 60.22 60.22 00090.08.83.092022290 36.6873 .917 50365 Transplantation of kidney A 36.81 30.71 30.71 3.89 71.41 71.41 00090.08.83.092122290 36.6873 .917 50370 Remove transplanted kidney A 13.72 11.08 11.08 1.92 26.72 26.72 00090.08.83.092021090 36.6873 .917 50380 Reimplantation of kidney A 20.76 10.12 10.12 1.71 32.59 32.59 00090.08.83.092021090 36.6873 .917 50390 Drainage of kidney lesion A 1.96 1.69 1.69 0.15 3.80 3.80 00000.00.00.002110090 36.6873 .917 50392 Insert kidney drain A 3.38 2.36 2.36 0.20 5.94 5.94 00000.00.00.002110090 36.6873 .917 50393 Insert ureteral tube A 4.16 3.01 3.01 0.26 7.43 7.43 00000.00.00.002110090 36.6873 .917 50394 Injection for kidney x-ray A 0.76 0.55 0.55 0.05 1.36 1.36 00000.00.00.002110090 36.6873 .917 50395 Create passage to kidney A 3.38 3.33 3.33 0.29 7.00 7.00 00000.00.00.002110090 36.6873 .917 50396 Measure kidney pressure A 2.09 0.50 0.50 0.05 2.64 2.64 00000.00.00.002100090 36.6873 .917 50398 Change kidney tube A 1.46 0.53 0.53 0.05 2.04 2.04 00000.00.00.002110090 36.6873 .917 50400 Revision of kidney/ureter A 19.50 13.66 13.66 1.36 34.52 34.52 00090.08.83.092021090 36.6873 .917 50405 Revision of kidney/ureter A 23.93 17.29 17.29 1.74 42.96 42.96 00090.08.83.092021090 36.6873 .917 50500 Repair of kidney wound A 19.57 12.46 12.46 1.64 33.67 33.67 00090.08.83.092021090 36.6873 .917 50520 Close kidney-skin fistula A 17.23 10.34 10.34 1.50 29.07 29.07 00090.08.83.092021090 36.6873 .917 50525 Repair renal-abdomen fistula A 22.27 12.61 12.61 1.99 36.87 36.87 00090.08.83.092021090 36.6873 .917 50526 Repair renal-abdomen fistula A 24.02 7.39 7.39 2.32 33.73 33.73 00090.08.83.092020090 36.6873 .917 50540 Revision of horseshoe kidney A 19.93 13.41 13.41 1.54 34.88 34.88 00090.08.83.092221090 36.6873 .917 50551 Kidney endoscopy A 5.60 2.19 2.19 0.21 8.00 8.00 00000.00.00.002100090 36.6873 .917 50553 Kidney endoscopy A 5.99 1.66 1.66 0.17 7.82 7.82 00000.00.00.002110090 36.6873 .917 50555 Kidney endoscopy & biopsy A 6.53 4.70 4.70 0.45 11.68 11.68 00000.00.00.003100090 50551 36.6873 .917 50557 Kidney endoscopy & treatment A 6.62 4.71 4.71 0.49 11.82 11.82 00000.00.00.003100090 50551 36.6873 .917 50559 Renal endoscopy; radiotracer A 6.78 1.34 1.34 0.14 8.26 8.26 00000.00.00.003100090 50551 36.6873 .917 50561 Kidney endoscopy & treatment A 7.59 5.12 5.12 0.49 13.20 13.20 00000.00.00.003100090 50551 36.6873 .917 50570 Kidney endoscopy A 9.54 1.45 1.45 0.14 11.13 11.13 00000.00.00.002100090 36.6873 .917 50572 Kidney endoscopy A 10.35 7.25 7.25 0.75 18.35 18.35 00000.00.00.003100090 50570 36.6873 .917 50574 Kidney endoscopy & biopsy A 11.02 7.08 7.08 0.64 18.74 18.74 00000.00.00.003100090 50570 36.6873 .917 50575 Kidney endoscopy A 13.98 9.93 9.93 0.97 24.88 24.88 00000.00.00.003110090 50570 36.6873 .917 50576 Kidney endoscopy & treatment A 10.99 8.69 8.69 0.77 20.45 20.45 00000.00.00.003100090 50570 36.6873 .917 50578 Renal endoscopy; radiotracer A 11.35 3.79 3.79 1.19 16.33 16.33 00000.00.00.003100090 50570 36.6873 .917 50580 Kidney endoscopy & treatment A 11.86 3.58 3.58 0.35 15.79 15.79 00000.00.00.003100090 50570 36.6873 .917 50590 Fragmenting of kidney stone A 9.09 10.00 10.00 0.97 20.06 20.06 00090.08.83.092110090 36.6873 .917 50600 Exploration of ureter A 15.84 9.69 9.69 1.01 26.54 26.54 00090.08.83.092121090 36.6873 .917 50605 Insert ureteral support A 15.46 6.11 6.11 0.60 22.17 22.17 00090.08.83.092121090 36.6873 .917 50610 Removal of ureter stone A 15.92 11.77 11.77 1.17 28.86 28.86 00090.08.83.092121090 36.6873 .917 50620 Removal of ureter stone A 15.16 11.49 11.49 1.16 27.81 27.81 00090.08.83.092121090 36.6873 .917 50630 Removal of ureter stone A 14.94 12.71 12.71 1.25 28.90 28.90 00090.08.83.092121090 36.6873 .917 50650 Removal of ureter A 17.41 12.07 12.07 1.21 30.69 30.69 00090.08.83.092021090 36.6873 .917 50660 Removal of ureter A 19.55 12.49 12.49 1.53 33.57 33.57 00090.08.83.092021090 36.6873 .917 50684 Injection for ureter x-ray A 0.76 0.49 0.49 0.05 1.30 1.30 00000.00.00.002110090 36.6873 .917 50686 Measure ureter pressure A 1.51 0.37 0.37 0.04 1.92 1.92 00000.00.00.002000090 36.6873 .917 50688 Change of ureter tube A 1.17 0.39 0.39 0.04 1.60 1.60 00010.10.80.102010090 36.6873 .917 50690 Injection for ureter x-ray A 1.16 0.32 0.32 0.03 1.51 1.51 00000.00.00.002010090 36.6873 .917 50700 Revision of ureter A 15.21 12.57 12.57 1.29 29.07 29.07 00090.08.83.092021090 36.6873 .917 50715 Release of ureter A 18.90 11.24 11.24 1.49 31.63 31.63 00090.08.83.092121090 36.6873 .917 50722 Release of ureter A 16.35 10.32 10.32 1.97 28.64 28.64 00090.08.83.092021090 36.6873 .917 50725 Release/revise ureter A 18.49 12.05 12.05 1.75 32.29 32.29 00090.08.83.092021090 36.6873 .917 50727 Revise ureter A 8.18 5.37 5.37 0.51 14.06 14.06 00090.08.83.092022090 36.6873 .917 50728 Revise ureter A 12.02 7.90 7.90 0.77 20.69 20.69 00090.08.83.092022090 36.6873 .917 50740 Fusion of ureter & kidney A 18.42 13.03 13.03 1.88 33.33 33.33 00090.08.83.092021090 36.6873 .917 50750 Fusion of ureter & kidney A 19.51 14.04 14.04 1.26 34.81 34.81 00090.08.83.092020090 36.6873 .917 50760 Fusion of ureters A 18.42 13.47 13.47 1.48 33.37 33.37 00090.08.83.092021090 36.6873 .917 50770 Splicing of ureters A 19.51 15.23 15.23 1.53 36.27 36.27 00090.08.83.092021090 36.6873 .917 50780 Reimplant ureter in bladder A 18.36 13.78 13.78 1.46 33.60 33.60 00090.08.83.092121090 36.6873 .917 50782 Reimplant ureter in bladder A 19.54 13.78 13.78 1.46 34.78 34.78 00090.08.83.092122090 36.6873 .917 50783 Reimplant ureter in bladder A 20.55 13.78 13.78 1.46 35.79 35.79 00090.08.83.092122090 36.6873 .917 50785 Reimplant ureter in bladder A 20.52 15.42 15.42 1.80 37.74 37.74 00090.08.83.092121090 36.6873 .917 50800 Implant ureter in bowel A 14.52 14.67 14.67 1.51 30.70 30.70 00090.08.83.092121090 36.6873 .917 50810 Fusion of ureter & bowel A 20.05 12.57 12.57 1.75 34.37 34.37 00090.08.83.092021090 36.6873 .917 50815 Urine shunt to bowel A 19.93 19.76 19.76 2.75 42.44 42.44 00090.08.83.092121090 36.6873 .917 50820 Construct bowel bladder A 21.89 18.97 18.97 2.50 43.36 43.36 00090.08.83.092121090 36.6873 .917 50825 Construct bowel bladder A 28.18 30.54 30.54 3.33 62.05 62.05 00090.08.83.092021090 36.6873 .917 50830 Revise urine flow A 31.28 20.93 20.93 2.27 54.48 54.48 00090.08.83.092021090 36.6873 .917 50840 Replace ureter by bowel A 20.00 13.32 13.32 1.35 34.67 34.67 00090.08.83.092121090 36.6873 .917 50845 Appendico-vesicostomy A 20.89 13.87 13.87 1.35 36.11 36.11 00090.08.83.092021090 36.6873 .917 50860 Transplant ureter to skin A 15.36 10.92 10.92 1.16 27.44 27.44 00090.08.83.092121090 36.6873 .917 50900 Repair of ureter A 13.62 9.98 9.98 1.15 24.75 24.75 00090.08.83.092021090 36.6873 .917 50920 Closure ureter/skin fistula A 14.33 9.52 9.52 0.99 24.84 24.84 00090.08.83.092021090 36.6873 .917 50930 Closure ureter/bowel fistula A 18.72 12.50 12.50 1.22 32.44 32.44 00090.08.83.092021090 36.6873 .917 50940 Release of ureter A 14.51 9.90 9.90 0.95 25.36 25.36 00090.08.83.092121090 36.6873 .917 50951 Endoscopy of ureter A 5.84 1.67 1.67 0.17 7.68 7.68 00000.00.00.002100090 36.6873 .917 50953 Endoscopy of ureter A 6.24 1.66 1.66 0.16 8.06 8.06 00000.00.00.003100090 50951 36.6873 .917 50955 Ureter endoscopy & biopsy A 6.75 2.55 2.55 0.25 9.55 9.55 00000.00.00.003100090 50951 36.6873 .917 50957 Ureter endoscopy & treatment A 6.79 2.50 2.50 0.25 9.54 9.54 00000.00.00.003100090 50951 36.6873 .917 50959 Ureter endoscopy & tracer A 4.40 3.38 3.38 0.29 8.07 8.07 00000.00.00.003100090 50951 36.6873 .917 50961 Ureter endoscopy & treatment A 6.05 2.62 2.62 0.26 8.93 8.93 00000.00.00.003100090 50951 36.6873 .917 50970 Ureter endoscopy A 7.14 5.17 5.17 0.52 12.83 12.83 00000.00.00.002100090 36.6873 .917 50972 Ureter endoscopy & catheter A 6.89 1.54 1.54 0.16 8.59 8.59 00000.00.00.002100090 36.6873 .917 50974 Ureter endoscopy & biopsy A 9.17 7.01 7.01 0.65 16.83 16.83 00000.00.00.003100090 50970 36.6873 .917 50976 Ureter endoscopy & treatment A 9.04 6.41 6.41 0.62 16.07 16.07 00000.00.00.003100090 50970 36.6873 .917 50978 Ureter endoscopy & tracer A 5.10 4.05 4.05 0.48 9.63 9.63 00000.00.00.002100090 36.6873 .917 50980 Ureter endoscopy & treatment A 6.85 3.13 3.13 0.30 10.28 10.28 00000.00.00.002100090 36.6873 .917 51000 Drainage of bladder A 0.78 0.48 0.48 0.05 1.31 1.31 00000.00.00.002010090 36.6873 .917 51005 Drainage of bladder A 1.02 0.46 0.46 0.04 1.52 1.52 00000.00.00.002010090 36.6873 .917 51010 Drainage of bladder A 3.53 0.97 0.97 0.11 4.61 4.61 00010.10.80.102010090 36.6873 .917 51020 Incise & treat bladder A 6.71 6.85 6.85 0.71 14.27 14.27 00090.08.83.092021090 36.6873 .917 51030 Incise & treat bladder A 6.77 4.53 4.53 0.43 11.73 11.73 00090.08.83.092000090 36.6873 .917 51040 Incise & drain bladder A 4.40 4.84 4.84 0.75 9.99 9.99 00090.08.83.092021090 36.6873 .917 51045 Incise bladder, drain ureter A 6.77 4.96 4.96 0.50 12.23 12.23 00090.08.83.092020090 36.6873 .917 51050 Removal of bladder stone A 6.92 7.12 7.12 0.70 14.74 14.74 00090.08.83.092021090 36.6873 .917 51060 Removal of ureter stone A 8.85 9.74 9.74 1.19 19.78 19.78 00090.08.83.092021090 36.6873 .917 51065 Removal of ureter stone A 8.85 7.08 7.08 0.71 16.64 16.64 00090.08.83.092000090 36.6873 .917 51080 Drainage of bladder abscess A 5.96 5.18 5.18 0.57 11.71 11.71 00090.08.83.092021090 36.6873 .917 51500 Removal of bladder cyst A 10.14 6.86 6.86 1.21 18.21 18.21 00090.08.83.092021090 36.6873 .917 51520 Removal of bladder lesion A 9.29 8.53 8.53 0.87 18.69 18.69 00090.08.83.092021090 36.6873 .917 51525 Removal of bladder lesion A 13.97 10.67 10.67 1.06 25.70 25.70 00090.08.83.092021090 36.6873 .917 51530 Removal of bladder lesion A 12.38 9.25 9.25 1.02 22.65 22.65 00090.08.83.092021090 36.6873 .917 51535 Repair of ureter lesion A 12.57 7.68 7.68 1.14 21.39 21.39 00090.08.83.092121090 36.6873 .917 51550 Partial removal of bladder A 15.66 10.71 10.71 1.17 27.54 27.54 00090.08.83.092021090 36.6873 .917 51555 Partial removal of bladder A 21.23 12.26 12.26 1.31 34.80 34.80 00090.08.83.092021090 36.6873 .917 51565 Revise bladder & ureter(s) A 21.62 15.84 15.84 1.67 39.13 39.13 00090.08.83.092021090 36.6873 .917 51570 Removal of bladder A 24.24 15.66 15.66 1.62 41.52 41.52 00090.08.83.092021090 36.6873 .917 51575 Removal of bladder & nodes A 30.45 22.87 22.87 2.25 55.57 55.57 00090.08.83.092221090 36.6873 .917 51580 Remove bladder; revise tract A 31.08 19.95 19.95 2.04 53.07 53.07 00090.08.83.092021090 36.6873 .917 51585 Removal of bladder & nodes A 35.23 25.12 25.12 2.42 62.77 62.77 00090.08.83.092221090 36.6873 .917 51590 Remove bladder; revise tract A 32.66 24.52 24.52 2.56 59.74 59.74 00090.08.83.092021090 36.6873 .917 51595 Remove bladder; revise tract A 37.14 33.80 33.80 3.34 74.28 74.28 00090.08.83.092221090 36.6873 .917 51596 Remove bladder, create pouch A 39.52 34.89 34.89 3.45 77.86 77.86 00090.08.83.092021090 36.6873 .917 51597 Removal of pelvic structures A 38.35 30.63 30.63 4.31 73.29 73.29 00090.08.83.092021090 36.6873 .917 51600 Injection for bladder x-ray A 0.88 0.28 0.28 0.03 1.19 1.19 00000.00.00.002010090 36.6873 .917 51605 Preparation for bladder xray A 0.64 0.30 0.30 0.03 0.97 0.97 00000.00.00.002010090 36.6873 .917 51610 Injection for bladder x-ray A 1.05 0.27 0.27 0.02 1.34 1.34 00000.00.00.002010090 36.6873 .917 51700 Irrigation of bladder A 0.88 0.22 0.22 0.02 1.12 1.12 10000.00.00.002010090 36.6873 .917 51705 Change of bladder tube A 1.02 0.38 0.38 0.04 1.44 1.44 10010.10.80.102010090 36.6873 .917 51710 Change of bladder tube A 1.49 0.57 0.57 0.06 2.12 2.12 10010.10.80.102010090 36.6873 .917 51715 Endoscopic injection/implant A 3.74 2.65 2.65 0.27 6.66 6.66 00000.00.00.002000090 36.6873 .917 51720 Treatment of bladder lesion A 1.96 0.45 0.45 0.05 2.46 2.46 10000.00.00.002010090 36.6873 .917 51725 Simple cystometrogram A 1.51 1.01 1.01 0.11 2.63 2.63 01000.00.00.002000090 36.6873 .917 51725TCSimple cystometrogram A 0.00 0.38 0.38 0.04 0.42 0.42 01000.00.00.000000090 36.6873 .917 5172526Simple cystometrogram A 1.51 0.63 0.63 0.07 2.21 2.21 01000.00.00.002000090 36.6873 .917 51726 Complex cystometrogram A 1.71 1.29 1.29 0.13 3.13 3.13 01000.00.00.002010090 36.6873 .917 51726TCComplex cystometrogram A 0.00 0.48 0.48 0.05 0.53 0.53 01000.00.00.000010090 36.6873 .917 5172626Complex cystometrogram A 1.71 0.81 0.81 0.08 2.60 2.60 01000.00.00.002010090 36.6873 .917 51736 Urine flow measurement A 0.61 0.41 0.41 0.04 1.06 1.06 01000.00.00.002000090 36.6873 .917 51736TCUrine flow measurement A 0.00 0.15 0.15 0.01 0.16 0.16 01000.00.00.000000090 36.6873 .917 5173626Urine flow measurement A 0.61 0.26 0.26 0.03 0.90 0.90 01000.00.00.002000090 36.6873 .917 51741 Electro-uroflowmetry, first A 1.14 0.56 0.56 0.06 1.76 1.76 01000.00.00.002010090 36.6873 .917 51741TCElectro-uroflowmetry, first A 0.00 0.21 0.21 0.02 0.23 0.23 01000.00.00.000010090 36.6873 .917 5174126Electro-uroflowmetry, first A 1.14 0.35 0.35 0.04 1.53 1.53 01000.00.00.002010090 36.6873 .917 51772 Urethra pressure profile A 1.61 0.94 0.94 0.11 2.66 2.66 01000.00.00.002000090 36.6873 .917 51772TCUrethra pressure profile A 0.00 0.42 0.42 0.05 0.47 0.47 01000.00.00.000000090 36.6873 .917 5177226Urethra pressure profile A 1.61 0.52 0.52 0.06 2.19 2.19 01000.00.00.002000090 36.6873 .917 51784 Anal/urinary muscle study A 1.53 1.04 1.04 0.11 2.68 2.68 01000.00.00.002010090 36.6873 .917 51784TCAnal/urinary muscle study A 0.00 0.39 0.39 0.04 0.43 0.43 01000.00.00.000010090 36.6873 .917 5178426Anal/urinary muscle study A 1.53 0.65 0.65 0.07 2.25 2.25 01000.00.00.002010090 36.6873 .917 51785 Anal/urinary muscle study A 1.53 1.04 1.04 0.11 2.68 2.68 01000.00.00.002000090 36.6873 .917 51785TCAnal/urinary muscle study A 0.00 0.39 0.39 0.04 0.43 0.43 01000.00.00.000000090 36.6873 .917 5178526Anal/urinary muscle study A 1.53 0.65 0.65 0.07 2.25 2.25 01000.00.00.002000090 36.6873 .917 51792 Urinary reflex study A 1.10 1.93 1.93 0.20 3.23 3.23 01000.00.00.002000090 36.6873 .917 51792TCUrinary reflex study A 0.00 1.34 1.34 0.14 1.48 1.48 01000.00.00.000000090 36.6873 .917 5179226Urinary reflex study A 1.10 0.59 0.59 0.06 1.75 1.75 01000.00.00.002000090 36.6873 .917 51795 Urine voiding pressure study A 1.53 1.44 1.44 0.16 3.13 3.13 01000.00.00.002000090 36.6873 .917 51795TCUrine voiding pressure study A 0.00 0.87 0.87 0.10 0.97 0.97 01000.00.00.000000090 36.6873 .917 5179526Urine voiding pressure study A 1.53 0.57 0.57 0.06 2.16 2.16 01000.00.00.002000090 36.6873 .917 51797 Intraabdominal pressure test A 1.60 0.96 0.96 0.10 2.66 2.66 01000.00.00.002000090 36.6873 .917 51797TCIntraabdominal pressure test A 0.00 0.45 0.45 0.05 0.50 0.50 01000.00.00.000000090 36.6873 .917 5179726Intraabdominal pressure test A 1.60 0.51 0.51 0.05 2.16 2.16 01000.00.00.002000090 36.6873 .917 51800 Revision of bladder/urethra A 17.42 12.02 12.02 1.47 30.91 30.91 00090.08.83.092021090 36.6873 .917 51820 Revision of urinary tract A 17.89 7.39 7.39 1.32 26.60 26.60 00090.08.83.092221090 36.6873 .917 51840 Attach bladder/urethra A 10.71 9.22 9.22 1.26 21.19 21.19 00090.08.83.092021090 36.6873 .917 51841 Attach bladder/urethra A 13.03 11.01 11.01 1.48 25.52 25.52 00090.08.83.092021090 36.6873 .917 51845 Repair bladder neck A 9.73 10.70 10.70 1.09 21.52 21.52 00090.08.83.092021090 36.6873 .917 51860 Repair of bladder wound A 12.02 7.62 7.62 0.91 20.55 20.55 00090.08.83.092021090 36.6873 .917 51865 Repair of bladder wound A 15.04 10.96 10.96 1.27 27.27 27.27 00090.08.83.092021090 36.6873 .917 51880 Repair of bladder opening A 7.66 4.96 4.96 0.52 13.14 13.14 00090.08.83.092021090 36.6873 .917 51900 Repair bladder/vagina lesion A 12.97 11.65 11.65 1.41 26.03 26.03 00090.08.83.092021090 36.6873 .917 51920 Close bladder-uterus fistula A 11.81 7.51 7.51 0.73 20.05 20.05 00090.08.83.092021090 36.6873 .917 51925 Hysterectomy/bladder repair A 15.58 10.07 10.07 2.33 27.98 27.98 00090.08.83.092021090 36.6873 .917 51940 Correction of bladder defect A 26.81 18.95 18.95 2.22 47.98 47.98 00090.08.83.092021090 36.6873 .917 51960 Revision of bladder & bowel A 23.01 21.40 21.40 2.27 46.68 46.68 00090.08.83.092021090 36.6873 .917 51980 Construct bladder opening A 11.36 7.46 7.46 0.75 19.57 19.57 00090.08.83.092021090 36.6873 .917 52000 Cystoscopy A 2.01 1.33 1.33 0.14 3.48 3.48 10000.00.00.002010090 36.6873 .917 52005 Cystoscopy & ureter catheter A 2.37 2.20 2.20 0.22 4.79 4.79 00000.00.00.002010091A4550 36.6873 .917 52007 Cystoscopy and biopsy A 3.02 2.82 2.82 0.28 6.12 6.12 00000.00.00.003110091A455052000 36.6873 .917 52010 Cystoscopy & duct catheter A 3.02 1.90 1.90 0.20 5.12 5.12 10000.00.00.003010091A455052000 36.6873 .917 52204 Cystoscopy A 2.37 2.38 2.38 0.24 4.99 4.99 00000.00.00.003010091A455052000 36.6873 .917 52214 Cystoscopy and treatment A 3.71 2.80 2.80 0.28 6.79 6.79 00000.00.00.003010091A455052000 36.6873 .917 52224 Cystoscopy and treatment A 3.14 2.90 2.90 0.29 6.33 6.33 00000.00.00.003010091A455052000 36.6873 .917 52234 Cystoscopy and treatment A 4.63 4.71 4.71 0.45 9.79 9.79 00000.00.00.002010091A4550 36.6873 .917 52235 Cystoscopy and treatment A 5.45 6.00 6.00 0.81 12.26 12.26 00000.00.00.002010091A4550 36.6873 .917 52240 Cystoscopy and treatment A 9.72 10.65 10.65 1.04 21.41 21.41 00000.00.00.002010091A4550 36.6873 .917 52250 Cystoscopy & radiotracer A 4.50 2.86 2.86 0.29 7.65 7.65 00000.00.00.003010091A455052000 36.6873 .917 52260 Cystoscopy & treatment A 3.92 2.11 2.11 0.22 6.25 6.25 00000.00.00.003010091A455052000 36.6873 .917 52265 Cystoscopy & treatment A 2.94 1.35 1.35 0.14 4.43 4.43 10000.00.00.003010090 52000 36.6873 .917 52270 Cystoscopy & revise urethra A 3.37 3.47 3.47 0.35 7.19 7.19 00000.00.00.003010091A455052000 36.6873 .917 52275 Cystoscopy & revise urethra A 4.70 3.42 3.42 0.34 8.46 8.46 00000.00.00.003010091A455052000 36.6873 .917 52276 Cystoscopy and treatment A 5.00 4.58 4.58 0.45 10.03 10.03 00000.00.00.003010091A455052000 36.6873 .917 52277 Cystoscopy and treatment A 6.17 4.82 4.82 0.47 11.46 11.46 00000.00.00.003000091A455052000 36.6873 .917 52281 Cystoscopy and treatment A 2.80 2.31 2.31 0.23 5.34 5.34 10000.00.00.003010090 52000 36.6873 .917 52282 Cystoscopy, implant stent A 6.40 4.58 4.58 0.45 11.43 11.43 00000.00.00.003010091A455052000 36.6873 .917 52283 Cystoscopy and treatment A 3.74 1.51 1.51 0.15 5.40 5.40 00000.00.00.003010091A455052000 36.6873 .917 52285 Cystoscopy and treatment A 3.61 2.94 2.94 0.30 6.85 6.85 10000.00.00.003010090 52000 36.6873 .917 52290 Cystoscopy and treatment A 4.59 2.34 2.34 0.24 7.17 7.17 00000.00.00.003210091A455052000 36.6873 .917 52300 Cystoscopy and treatment A 5.31 3.47 3.47 0.36 9.14 9.14 00000.00.00.003200091A455052000 36.6873 .917 52301 Cystoscopy and treatment A 5.51 3.47 3.47 0.36 9.34 9.34 00000.00.00.003200091A455052000 36.6873 .917 52305 Cystoscopy and treatment A 5.31 3.50 3.50 0.35 9.16 9.16 00000.00.00.003010091A455052000 36.6873 .917 52310 Cystoscopy and treatment A 2.81 2.99 2.99 0.30 6.10 6.10 00000.00.00.003010091A455052000 36.6873 .917 52315 Cystoscopy and treatment A 5.21 4.07 4.07 0.40 9.68 9.68 00000.00.00.003010091A455052000 36.6873 .917 52317 Remove bladder stone A 6.72 6.19 6.19 0.59 13.50 13.50 00000.00.00.003010090 52000 36.6873 .917 52318 Remove bladder stone A 9.19 7.88 7.88 0.77 17.84 17.84 00000.00.00.003010090 52000 36.6873 .917 52320 Cystoscopy and treatment A 4.70 4.86 4.86 0.47 10.03 10.03 00000.00.00.003110090 52005 36.6873 .917 52325 Cystoscopy, stone removal A 6.16 6.78 6.78 0.68 13.62 13.62 00000.00.00.003110090 52005 36.6873 .917 52327 Cystoscopy, inject material A 5.19 3.69 3.69 0.36 9.24 9.24 00000.00.00.003010090 52005 36.6873 .917 52330 Cystoscopy and treatment A 5.04 3.47 3.47 0.35 8.86 8.86 00000.00.00.003110090 52005 36.6873 .917 52332 Cystoscopy and treatment A 2.83 3.21 3.11 0.32 6.36 6.26 20000.00.00.003110090 52005 36.6873 .917 52334 Create passage to kidney A 4.83 3.33 3.33 0.34 8.50 8.50 00000.00.00.003110090 52005 36.6873 .917 52335 Endoscopy of urinary tract A 5.86 4.69 4.69 0.45 11.00 11.00 00000.00.00.002010090 36.6873 .917 52336 Cystoscopy, stone removal A 6.88 7.57 7.57 0.99 15.44 15.44 00000.00.00.003010090 52335 36.6873 .917 52337 Cystoscopy, stone removal A 7.97 8.77 8.77 1.08 17.82 17.82 00000.00.00.003110090 52335 36.6873 .917 52338 Cystoscopy and treatment A 7.34 5.92 5.92 0.57 13.83 13.83 00000.00.00.003110090 52335 36.6873 .917 52339 Cystoscopy and treatment A 8.82 5.92 5.92 0.57 15.31 15.31 00000.00.00.003000090 52335 36.6873 .917 52340 Cystoscopy and treatment A 9.68 5.15 5.15 0.50 15.33 15.33 00090.08.83.092010090 36.6873 .917 52450 Incision of prostate A 7.64 4.99 4.99 0.49 13.12 13.12 00090.08.83.092010090 36.6873 .917 52500 Revision of bladder neck A 8.47 7.44 7.44 0.72 16.63 16.63 00090.08.83.092010090 36.6873 .917 52510 Dilation prostatic urethra A 6.72 7.39 7.39 0.74 14.85 14.85 00090.08.83.092010090 36.6873 .917 52601 Prostatectomy (TURP) A 12.37 11.87 11.87 1.16 25.40 25.40 00090.08.83.092010090 36.6873 .917 52606 Control postop bleeding A 8.13 3.32 3.32 0.33 11.78 11.78 00090.08.83.092010090 36.6873 .917 52612 Prostatectomy, first stage A 7.98 8.78 8.78 0.99 17.75 17.75 00090.08.83.092010090 36.6873 .917 52614 Prostatectomy, second stage A 6.84 7.09 7.09 0.68 14.61 14.61 00090.08.83.092010090 36.6873 .917 52620 Remove residual prostate A 6.61 5.33 5.33 0.51 12.45 12.45 00090.08.83.092010090 36.6873 .917 52630 Remove prostate regrowth A 7.26 7.99 7.99 1.13 16.38 16.38 00090.08.83.092010090 36.6873 .917 52640 Relieve bladder contracture A 6.62 6.43 6.43 0.62 13.67 13.67 00090.08.83.092010090 36.6873 .917 52647 Laser surgery of prostate A 10.36 11.40 11.40 1.16 22.92 22.92 00090.08.83.092010090 36.6873 .917 52648 Laser surgery of prostate A 11.21 11.87 11.87 1.16 24.24 24.24 00090.08.83.092010090 36.6873 .917 52700 Drainage of prostate abscess A 6.80 3.30 3.30 0.34 10.44 10.44 00090.08.83.092000090 36.6873 .917 53000 Incision of urethra A 2.28 1.76 1.76 0.17 4.21 4.21 00010.10.80.102010090 36.6873 .917 53010 Incision of urethra A 3.64 3.52 3.52 0.37 7.53 7.53 00090.08.83.092010090 36.6873 .917 53020 Incision of urethra A 1.77 0.82 0.82 0.09 2.68 2.68 00000.00.00.002010090 36.6873 .917 53025 Incision of urethra A 1.13 0.80 0.80 0.08 2.01 2.01 00000.00.00.002000090 36.6873 .917 53040 Drainage of urethra abscess A 6.40 1.85 1.85 0.19 8.44 8.44 00090.08.83.092000090 36.6873 .917 53060 Drainage of urethra abscess A 2.63 0.51 0.51 0.07 3.21 3.21 00010.10.80.102010090 36.6873 .917 53080 Drainage of urinary leakage A 6.29 3.98 3.98 0.45 10.72 10.72 00090.08.83.092010090 36.6873 .917 53085 Drainage of urinary leakage A 10.27 6.75 6.75 0.70 17.72 17.72 00090.08.83.092021090 36.6873 .917 53200 Biopsy of urethra A 2.59 1.10 1.10 0.12 3.81 3.81 00000.00.00.002010090 36.6873 .917 53210 Removal of urethra A 12.57 6.64 6.64 0.67 19.88 19.88 00090.08.83.092021090 36.6873 .917 53215 Removal of urethra A 15.58 10.00 10.00 0.96 26.54 26.54 00090.08.83.092021090 36.6873 .917 53220 Treatment of urethra lesion A 7.00 4.77 4.77 0.49 12.26 12.26 00090.08.83.092000090 36.6873 .917 53230 Removal of urethra lesion A 9.58 7.93 7.93 0.79 18.30 18.30 00090.08.83.092021090 36.6873 .917 53235 Removal of urethra lesion A 10.14 5.02 5.02 0.49 15.65 15.65 00090.08.83.092021090 36.6873 .917 53240 Surgery for urethra pouch A 6.45 4.33 4.33 0.45 11.23 11.23 00090.08.83.092010090 36.6873 .917 53250 Removal of urethra gland A 5.89 4.05 4.05 0.40 10.34 10.34 00090.08.83.092010090 36.6873 .917 53260 Treatment of urethra lesion A 2.98 1.12 1.12 0.16 4.26 4.26 00010.10.80.102010090 36.6873 .917 53265 Treatment of urethra lesion A 3.12 1.88 1.88 0.22 5.22 5.22 00010.10.80.102010090 36.6873 .917 53270 Removal of urethra gland A 3.09 0.84 0.84 0.18 4.11 4.11 10010.10.80.102010090 36.6873 .917 53275 Repair of urethra defect A 4.53 2.37 2.37 0.25 7.15 7.15 00010.10.80.102010090 36.6873 .917 53400 Revise urethra, 1st stage A 12.77 7.47 7.47 0.76 21.00 21.00 00090.08.83.092021090 36.6873 .917 53405 Revise urethra, 2nd stage A 14.48 10.38 10.38 1.21 26.07 26.07 00090.08.83.092021090 36.6873 .917 53410 Reconstruction of urethra A 16.44 8.56 8.56 0.84 25.84 25.84 00090.08.83.092021090 36.6873 .917 53415 Reconstruction of urethra A 19.41 11.87 11.87 1.15 32.43 32.43 00090.08.83.092021090 36.6873 .917 53420 Reconstruct urethra, stage 1 A 14.08 10.88 10.88 1.05 26.01 26.01 00090.08.83.092011090 36.6873 .917 53425 Reconstruct urethra, stage 2 A 15.98 9.25 9.25 0.88 26.11 26.11 00090.08.83.092021090 36.6873 .917 53430 Reconstruction of urethra A 16.34 7.16 7.16 0.76 24.26 24.26 00090.08.83.092021090 36.6873 .917 53440 Correct bladder function A 12.34 13.14 13.14 1.39 26.87 26.87 00090.08.83.092021090 36.6873 .917 53442 Remove perineal prosthesis A 8.27 5.84 5.84 0.67 14.78 14.78 00090.08.83.092020090 36.6873 .917 53443 Reconstruction of urethra A 19.89 10.03 10.03 1.07 30.99 30.99 00090.08.83.092021090 36.6873 .917 53445 Correct urine flow control A 14.06 15.47 15.47 2.03 31.56 31.56 00090.08.83.092021090 36.6873 .917 53447 Remove artificial sphincter A 13.17 9.16 9.16 0.89 23.22 23.22 00090.08.83.092021090 36.6873 .917 53449 Correct artificial sphincter A 9.70 8.41 8.41 0.82 18.93 18.93 00090.08.83.092021090 36.6873 .917 53450 Revision of urethra A 6.14 2.74 2.74 0.27 9.15 9.15 00090.08.83.092010090 36.6873 .917 53460 Revision of urethra A 7.12 2.44 2.44 0.25 9.81 9.81 00090.08.83.092000090 36.6873 .917 53502 Repair of urethra injury A 7.63 4.97 4.97 0.56 13.16 13.16 00090.08.83.092010090 36.6873 .917 53505 Repair of urethra injury A 7.63 5.18 5.18 0.51 13.32 13.32 00090.08.83.092020090 36.6873 .917 53510 Repair of urethra injury A 10.11 6.98 6.98 0.66 17.75 17.75 00090.08.83.092021090 36.6873 .917 53515 Repair of urethra injury A 13.31 9.03 9.03 0.88 23.22 23.22 00090.08.83.092021090 36.6873 .917 53520 Repair of urethra defect A 8.68 5.89 5.89 0.56 15.13 15.13 00090.08.83.092010090 36.6873 .917 53600 Dilate urethra stricture A 1.21 0.33 0.33 0.03 1.57 1.57 10000.00.00.002010090 36.6873 .917 53601 Dilate urethra stricture A 0.98 0.29 0.29 0.03 1.30 1.30 10000.00.00.002010090 36.6873 .917 53605 Dilate urethra stricture A 1.28 0.46 0.46 0.05 1.79 1.79 00000.00.00.002010090 36.6873 .917 53620 Dilate urethra stricture A 1.62 0.47 0.47 0.05 2.14 2.14 10000.00.00.002010090 36.6873 .917 53621 Dilate urethra stricture A 1.35 0.38 0.38 0.04 1.77 1.77 10000.00.00.002010090 36.6873 .917 53660 Dilation of urethra A 0.71 0.28 0.28 0.03 1.02 1.02 10000.00.00.002010090 36.6873 .917 53661 Dilation of urethra A 0.72 0.25 0.25 0.03 1.00 1.00 10000.00.00.002010090 36.6873 .917 53665 Dilation of urethra A 0.76 0.36 0.36 0.04 1.16 1.16 00000.00.00.002010090 36.6873 .917 53670 Insert urinary catheter A 0.50 0.22 0.22 0.02 0.74 0.74 10000.00.00.002010090 36.6873 .917 53675 Insert urinary catheter A 1.47 0.47 0.47 0.05 1.99 1.99 00000.00.00.002010090 36.6873 .917 53850 Prostatic microwave thermotx A 9.45 6.71 6.71 0.66 16.82 16.82 00090.08.83.092010090 36.6873 .917 53852 Prostatic rf thermotx A 9.88 7.01 7.01 0.69 17.58 17.58 00090.08.83.092010090 36.6873 .917 53899 Urology surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 54000 Slitting of prepuce A 1.54 0.63 0.63 0.07 2.24 2.24 00010.10.80.102000090 36.6873 .917 54001 Slitting of prepuce A 2.19 0.84 0.84 0.09 3.12 3.12 00010.10.80.102010090 36.6873 .917 54015 Drain penis lesion A 5.32 0.83 0.83 0.09 6.24 6.24 00010.10.80.102000090 36.6873 .917 54050 Destruction, penis lesion(s) A 1.24 0.38 0.38 0.03 1.65 1.65 10010.10.80.102010090 36.6873 .917 54055 Destruction, penis lesion(s) A 1.22 0.61 0.61 0.06 1.89 1.89 10010.10.80.102010090 36.6873 .917 54056 Cryosurgery, penis lesion(s) A 1.24 0.53 0.53 0.04 1.81 1.81 10010.10.80.102010090 36.6873 .917 54057 Laser surg, penis lesion(s) A 1.24 1.52 1.36 0.21 2.97 2.81 20010.10.80.102010090 36.6873 .917 54060 Excision of penis lesion(s) A 1.93 1.17 1.17 0.12 3.22 3.22 00010.10.80.102010090 36.6873 .917 54065 Destruction, penis lesion(s) A 2.42 2.47 2.47 0.25 5.14 5.14 10010.10.80.102010090 36.6873 .917 54100 Biopsy of penis A 1.90 0.65 0.65 0.07 2.62 2.62 00000.00.00.002010090 36.6873 .917 54105 Biopsy of penis A 3.50 1.01 1.01 0.11 4.62 4.62 00010.10.80.102010090 36.6873 .917 54110 Treatment of penis lesion A 10.13 6.03 6.03 0.61 16.77 16.77 00090.10.80.102020090 36.6873 .917 54111 Treat penis lesion, graft A 13.57 9.18 9.18 0.97 23.72 23.72 00090.10.80.102021090 36.6873 .917 54112 Treat penis lesion, graft A 15.86 10.84 10.84 1.14 27.84 27.84 00090.10.80.102021090 36.6873 .917 54115 Treatment of penis lesion A 6.15 4.18 4.18 0.44 10.77 10.77 00090.10.80.102020090 36.6873 .917 54120 Partial removal of penis A 9.97 6.47 6.47 0.62 17.06 17.06 00090.10.80.102021090 36.6873 .917 54125 Removal of penis A 13.53 11.56 11.56 1.17 26.26 26.26 00090.10.80.102021090 36.6873 .917 54130 Remove penis & nodes A 20.14 14.66 14.66 1.32 36.12 36.12 00090.10.80.102221090 36.6873 .917 54135 Remove penis & nodes A 26.36 17.75 17.75 1.74 45.85 45.85 00090.10.80.102220090 36.6873 .917 54150 Circumcision A 1.81 0.54 0.54 0.05 2.40 2.40 00010.10.80.102000090 36.6873 .917 54152 Circumcision A 2.31 1.82 1.82 0.20 4.33 4.33 00010.10.80.102010090 36.6873 .917 54160 Circumcision A 2.48 1.66 1.66 0.21 4.35 4.35 00010.10.80.102010090 36.6873 .917 54161 Circumcision A 3.27 2.17 2.17 0.23 5.67 5.67 00010.10.80.102010090 36.6873 .917 54200 Treatment of penis lesion A 1.06 0.32 0.32 0.03 1.41 1.41 10010.10.80.102010090 36.6873 .917 54205 Treatment of penis lesion A 7.93 5.11 5.11 0.50 13.54 13.54 00090.10.80.102020090 36.6873 .917 54220 Treatment of penis lesion A 2.42 1.58 1.58 0.17 4.17 4.17 00000.00.00.002010090 36.6873 .917 54230 Prepare penis study A 1.34 1.34 1.34 0.13 2.81 2.81 10000.00.00.002010090 36.6873 .917 54231 Dynamic cavernosometry A 2.04 1.44 1.44 0.14 3.62 3.62 00000.00.00.002010090 36.6873 .917 54235 Penile injection A 1.19 0.43 0.43 0.04 1.66 1.66 10000.00.00.002010090 36.6873 .917 54240 Penis study A 1.31 0.99 0.99 0.12 2.42 2.42 01000.00.00.002000090 36.6873 .917 54240TCPenis study A 0.00 0.48 0.48 0.06 0.54 0.54 01000.00.00.000000090 36.6873 .917 5424026Penis study A 1.31 0.51 0.51 0.06 1.88 1.88 01000.00.00.002000090 36.6873 .917 54250 Penis study A 2.22 0.80 0.80 0.08 3.10 3.10 01000.00.00.002000090 36.6873 .917 54250TCPenis study A 0.00 0.30 0.30 0.03 0.33 0.33 01000.00.00.000000090 36.6873 .917 5425026Penis study A 2.22 0.50 0.50 0.05 2.77 2.77 01000.00.00.002000090 36.6873 .917 54300 Revision of penis A 10.41 6.88 6.88 0.87 18.16 18.16 00090.10.80.102021090 36.6873 .917 54304 Revision of penis A 12.49 8.66 8.66 0.90 22.05 22.05 00090.10.80.102020090 36.6873 .917 54308 Reconstruction of urethra A 11.83 5.84 5.84 0.74 18.41 18.41 00090.10.80.102021090 36.6873 .917 54312 Reconstruction of urethra A 13.57 9.37 9.37 0.91 23.85 23.85 00090.10.80.102021090 36.6873 .917 54316 Reconstruction of urethra A 16.82 11.34 11.34 1.12 29.28 29.28 00090.10.80.102021090 36.6873 .917 54318 Reconstruction of urethra A 11.25 7.53 7.53 1.11 19.89 19.89 00090.10.80.102021090 36.6873 .917 54322 Reconstruction of urethra A 13.01 7.61 7.61 0.74 21.36 21.36 00090.10.80.102020090 36.6873 .917 54324 Reconstruction of urethra A 16.31 10.98 10.98 1.08 28.37 28.37 00090.10.80.102021090 36.6873 .917 54326 Reconstruction of urethra A 15.72 10.51 10.51 1.03 27.26 27.26 00090.10.80.102021090 36.6873 .917 54328 Revise penis, urethra A 15.65 10.72 10.72 1.24 27.61 27.61 00090.10.80.102021090 36.6873 .917 54332 Revise penis, urethra A 17.08 12.52 12.52 1.13 30.73 30.73 00090.10.80.102021090 36.6873 .917 54336 Revise penis, urethra A 20.04 18.79 18.79 1.40 40.23 40.23 00090.10.80.102021090 36.6873 .917 54340 Secondary urethral surgery A 8.91 6.07 6.07 0.59 15.57 15.57 00090.10.80.102021090 36.6873 .917 54344 Secondary urethral surgery A 15.94 16.61 16.61 1.10 33.65 33.65 00090.10.80.102021090 36.6873 .917 54348 Secondary urethral surgery A 17.15 11.62 11.62 1.14 29.91 29.91 00090.10.80.102021090 36.6873 .917 54352 Reconstruct urethra, penis A 24.74 16.18 16.18 1.49 42.41 42.41 00090.10.80.102021090 36.6873 .917 54360 Penis plastic surgery A 11.93 7.02 7.02 0.73 19.68 19.68 00090.10.80.102021090 36.6873 .917 54380 Repair penis A 13.18 9.42 9.42 0.75 23.35 23.35 00090.10.80.102021090 36.6873 .917 54385 Repair penis A 15.39 10.46 10.46 0.89 26.74 26.74 00090.10.80.102021090 36.6873 .917 54390 Repair penis and bladder A 21.61 13.57 13.57 1.58 36.76 36.76 00090.10.80.102021090 36.6873 .917 54400 Insert semi-rigid prosthesis A 8.99 9.89 9.89 1.27 20.15 20.15 00090.10.80.102011090 36.6873 .917 54401 Insert self-contd prosthesis A 10.28 11.31 11.31 1.73 23.32 23.32 00090.10.80.102011090 36.6873 .917 54402 Remove penis prosthesis A 9.21 6.00 6.00 0.58 15.79 15.79 00090.10.80.102021090 36.6873 .917 54405 Insert multi-comp prosthesis A 13.43 14.77 14.77 2.10 30.30 30.30 00090.10.80.102021090 36.6873 .917 54407 Remove multi-comp prosthesis A 13.34 11.22 11.22 1.10 25.66 25.66 00090.10.80.102021090 36.6873 .917 54409 Revise penis prosthesis A 12.20 8.97 8.97 0.87 22.04 22.04 00090.10.80.102021090 36.6873 .917 54420 Revision of penis A 11.42 7.74 7.74 0.87 20.03 20.03 00090.10.80.102020090 36.6873 .917 54430 Revision of penis A 10.15 6.99 6.99 0.69 17.83 17.83 00090.10.80.102220090 36.6873 .917 54435 Revision of penis A 6.12 4.15 4.15 0.39 10.66 10.66 00090.10.80.102010090 36.6873 .917 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.00 00090.10.80.102021090 36.6873 .917 54450 Preputial stretching A 1.12 0.68 0.68 0.07 1.87 1.87 00000.00.00.002010090 36.6873 .917 54500 Biopsy of testis A 1.31 0.44 0.44 0.05 1.80 1.80 00000.00.00.002100090 36.6873 .917 54505 Biopsy of testis A 3.46 1.86 1.86 0.22 5.54 5.54 00010.10.80.102100090 36.6873 .917 54510 Removal of testis lesion A 5.45 3.03 3.03 0.38 8.86 8.86 00090.10.80.102100090 36.6873 .917 54520 Removal of testis A 5.23 5.31 5.31 0.52 11.06 11.06 00090.10.80.102110090 36.6873 .917 54530 Removal of testis A 8.58 7.32 7.32 0.77 16.67 16.67 00090.10.80.102121090 36.6873 .917 54535 Extensive testis surgery A 12.16 8.54 8.54 1.02 21.72 21.72 00090.10.80.102120090 36.6873 .917 54550 Exploration for testis A 7.78 5.25 5.25 0.61 13.64 13.64 00090.10.80.102120090 36.6873 .917 54560 Exploration for testis A 11.13 7.23 7.23 0.81 19.17 19.17 00090.10.80.102121090 36.6873 .917 54600 Reduce testis torsion A 7.01 4.62 4.62 0.48 12.11 12.11 00090.10.80.102110090 36.6873 .917 54620 Suspension of testis A 4.90 3.32 3.32 0.33 8.55 8.55 00010.10.80.102110090 36.6873 .917 54640 Suspension of testis A 6.90 7.59 7.59 0.91 15.40 15.40 00090.10.80.102110090 36.6873 .917 54650 Orchiopexy (Fowler-Stephens) A 11.45 7.82 7.82 0.91 20.18 20.18 00090.10.80.102120090 36.6873 .917 54660 Revision of testis A 5.11 3.40 3.40 0.34 8.85 8.85 00090.10.80.102100090 36.6873 .917 54670 Repair testis injury A 6.41 4.30 4.30 0.43 11.14 11.14 00090.10.80.102100090 36.6873 .917 54680 Relocation of testis(es) A 12.65 8.19 8.19 0.80 21.64 21.64 00090.10.80.102121090 36.6873 .917 54700 Drainage of scrotum A 3.43 0.90 0.90 0.11 4.44 4.44 00010.10.80.102010090 36.6873 .917 54800 Biopsy of epididymis A 2.33 1.97 1.97 0.19 4.49 4.49 00000.00.00.002000090 36.6873 .917 54820 Exploration of epididymis A 5.14 2.62 2.62 0.29 8.05 8.05 00090.10.80.102000090 36.6873 .917 54830 Remove epididymis lesion A 5.38 3.51 3.51 0.39 9.28 9.28 00090.10.80.102000090 36.6873 .917 54840 Remove epididymis lesion A 5.20 4.84 4.84 0.48 10.52 10.52 00090.10.80.102010090 36.6873 .917 54860 Removal of epididymis A 6.32 5.17 5.17 0.50 11.99 11.99 00090.10.80.102010090 36.6873 .917 54861 Removal of epididymis A 8.90 7.30 7.30 0.72 16.92 16.92 00090.10.80.102000090 36.6873 .917 54900 Fusion of spermatic ducts A 13.20 8.95 8.95 0.87 23.02 23.02 00090.10.80.102000090 36.6873 .917 54901 Fusion of spermatic ducts A 17.94 12.29 12.29 1.20 31.43 31.43 00090.10.80.102200090 36.6873 .917 55000 Drainage of hydrocele A 1.43 0.40 0.40 0.04 1.87 1.87 10000.00.00.002010090 36.6873 .917 55040 Removal of hydrocele A 5.36 4.88 4.88 0.55 10.79 10.79 00090.10.80.102010090 36.6873 .917 55041 Removal of hydroceles A 7.74 7.47 7.47 0.81 16.02 16.02 00090.10.80.102210090 36.6873 .917 55060 Repair of hydrocele A 5.52 4.13 4.13 0.50 10.15 10.15 00090.10.80.102100090 36.6873 .917 55100 Drainage of scrotum abscess A 2.13 0.63 0.63 0.07 2.83 2.83 00010.10.80.102010090 36.6873 .917 55110 Explore scrotum A 5.70 3.48 3.48 0.37 9.55 9.55 00090.10.80.102010090 36.6873 .917 55120 Removal of scrotum lesion A 5.09 1.79 1.79 0.21 7.09 7.09 00090.10.80.102000090 36.6873 .917 55150 Removal of scrotum A 7.22 5.45 5.45 0.57 13.24 13.24 00090.10.80.102021090 36.6873 .917 55175 Revision of scrotum A 5.24 4.49 4.49 0.48 10.21 10.21 00090.10.80.102000090 36.6873 .917 55180 Revision of scrotum A 10.72 6.83 6.83 0.82 18.37 18.37 00090.10.80.102000090 36.6873 .917 55200 Incision of sperm duct A 4.24 1.97 1.97 0.20 6.41 6.41 00090.10.80.102200090 36.6873 .917 55250 Removal of sperm duct(s) A 3.29 2.63 2.63 0.28 6.20 6.20 10090.10.80.102210090 36.6873 .917 55300 Preparation,sperm duct x-ray A 3.51 2.71 2.71 0.27 6.49 6.49 00000.00.00.002200090 36.6873 .917 55400 Repair of sperm duct A 8.49 6.56 6.56 0.62 15.67 15.67 00090.10.80.102121090 36.6873 .917 55450 Ligation of sperm duct A 4.12 2.61 2.61 0.32 7.05 7.05 00010.10.80.102200090 36.6873 .917 55500 Removal of hydrocele A 5.59 4.32 4.32 0.50 10.41 10.41 00090.10.80.102000090 36.6873 .917 55520 Removal of sperm cord lesion A 6.03 3.12 3.12 0.51 9.66 9.66 00090.10.80.102021090 36.6873 .917 55530 Revise spermatic cord veins A 5.66 5.20 5.20 0.60 11.46 11.46 00090.10.80.102011090 36.6873 .917 55535 Revise spermatic cord veins A 6.56 4.40 4.40 0.45 11.41 11.41 00090.10.80.102021090 36.6873 .917 55540 Revise hernia & sperm veins A 7.67 4.54 4.54 0.91 13.12 13.12 00090.10.80.102021090 36.6873 .917 55600 Incise sperm duct pouch A 6.38 4.31 4.31 0.55 11.24 11.24 00090.10.80.102100090 36.6873 .917 55605 Incise sperm duct pouch A 7.96 5.60 5.60 0.59 14.15 14.15 00090.10.80.102100090 36.6873 .917 55650 Remove sperm duct pouch A 11.80 7.22 7.22 0.76 19.78 19.78 00090.10.80.102121090 36.6873 .917 55680 Remove sperm pouch lesion A 5.19 4.43 4.43 0.38 10.00 10.00 00090.10.80.102000090 36.6873 .917 55700 Biopsy of prostate A 1.57 1.50 1.50 0.15 3.22 3.22 10000.00.00.002010090 36.6873 .917 55705 Biopsy of prostate A 4.57 3.37 3.37 0.34 8.28 8.28 00010.10.80.102011090 36.6873 .917 55720 Drainage of prostate abscess A 7.64 3.51 3.51 0.37 11.52 11.52 00090.10.80.102021090 36.6873 .917 55725 Drainage of prostate abscess A 8.68 5.62 5.62 0.54 14.84 14.84 00090.10.80.102021090 36.6873 .917 55801 Removal of prostate A 17.80 12.76 12.76 1.44 32.00 32.00 00090.10.80.102021090 36.6873 .917 55810 Extensive prostate surgery A 22.58 17.88 17.88 1.77 42.23 42.23 00090.10.80.102021090 36.6873 .917 55812 Extensive prostate surgery A 27.51 17.68 17.68 1.94 47.13 47.13 00090.10.80.102021090 36.6873 .917 55815 Extensive prostate surgery A 30.46 25.20 25.20 2.42 58.08 58.08 00090.10.80.102221090 36.6873 .917 55821 Removal of prostate A 14.25 13.59 13.59 1.35 29.19 29.19 00090.10.80.102021090 36.6873 .917 55831 Removal of prostate A 15.62 14.56 14.56 1.44 31.62 31.62 00090.10.80.102021090 36.6873 .917 55840 Extensive prostate surgery A 22.69 16.60 16.60 1.61 40.90 40.90 00090.10.80.102021090 36.6873 .917 55842 Extensive prostate surgery A 24.38 19.16 19.16 1.88 45.42 45.42 00090.10.80.102021090 36.6873 .917 55845 Extensive prostate surgery A 28.55 25.10 25.10 2.44 56.09 56.09 00090.10.80.102221090 36.6873 .917 55859 Percut/needle insert, pros A 12.52 5.89 5.89 0.58 18.99 18.99 00090.10.80.102000090 36.6873 .917 55860 Surgical exposure, prostate A 14.45 7.13 7.13 0.70 22.28 22.28 00090.10.80.102011090 36.6873 .917 55862 Extensive prostate surgery A 18.39 11.69 11.69 1.20 31.28 31.28 00090.10.80.102021090 36.6873 .917 55865 Extensive prostate surgery A 22.87 24.52 24.52 2.39 49.78 49.78 00090.10.80.102221090 36.6873 .917 55870 Electroejaculation A 2.58 1.83 1.83 0.18 4.59 4.59 00000.00.00.002011090 36.6873 .917 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 55970 Sex transformation, M to F N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 55980 Sex transformation, F to M N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 56300 Laparoscopy; diagnostic A 5.10 4.45 4.45 0.93 10.48 10.48 00010.10.80.102022090 36.6873 .917 56301 Laparoscopy; tubal cautery A 5.60 4.71 4.71 1.28 11.59 11.59 00010.10.80.103012090 56300 36.6873 .917 56302 Laparoscopy; tubal block A 5.60 5.26 5.26 1.32 12.18 12.18 00010.10.80.103012090 56300 36.6873 .917 56303 Laparoscopy; excise lesions A 11.79 5.53 5.53 1.16 18.48 18.48 00090.09.84.073022090 56300 36.6873 .917 56304 Laparoscopy; lysis A 11.29 5.60 5.60 1.20 18.09 18.09 00090.09.84.073022090 56300 36.6873 .917 56305 Laparoscopy; biopsy A 5.40 4.90 4.90 0.79 11.09 11.09 00010.10.80.103022090 56300 36.6873 .917 56306 Laparoscopy; aspiration A 5.70 4.87 4.87 1.18 11.75 11.75 00010.10.80.103022090 56300 36.6873 .917 56307 Laparoscopy; remove adnexa A 11.05 7.16 7.16 1.60 19.81 19.81 00010.10.80.103022090 56300 36.6873 .917 56308 Laparoscopy; hysterectomy A 14.19 9.39 9.39 2.07 25.65 25.65 00010.10.80.103022090 56300 36.6873 .917 56309 Laparoscopy; remove myoma A 14.21 4.76 4.76 1.03 20.00 20.00 00010.10.80.103022090 56300 36.6873 .917 56310 Laparoscopic enterolysis A 14.44 8.28 8.28 1.75 24.47 24.47 00090.09.81.102021090 36.6873 .917 56311 Laparoscopic lymph node biop A 9.25 6.38 6.38 1.47 17.10 17.10 00010.10.80.103022090 56300 36.6873 .917 56312 Laparoscopic lymphadenectomy A 12.38 8.56 8.56 0.84 21.78 21.78 00010.10.80.102222090 36.6873 .917 56313 Laparoscopic lymphadenectomy A 14.32 10.01 10.01 2.31 26.64 26.64 00010.10.80.102222090 36.6873 .917 56314 Lapar; drain lymphocele A 9.48 6.73 6.73 0.66 16.87 16.87 00090.10.80.103022090 56300 36.6873 .917 56315 Laparoscopic appendectomy A 8.70 4.89 4.89 1.01 14.60 14.60 00090.09.81.102022090 36.6873 .917 56316 Laparoscopic hernia repair A 6.27 4.51 4.51 0.94 11.72 11.72 00090.09.81.102121090 36.6873 .917 56317 Laparoscopic hernia repair A 8.24 5.22 5.22 1.11 14.57 14.57 00090.09.81.102121090 36.6873 .917 56318 Laparoscopic orchiectomy A 10.96 7.23 7.23 0.81 19.00 19.00 00090.10.80.102121090 36.6873 .917 56320 Laparoscopy, spermatic veins A 6.57 4.40 4.40 0.45 11.42 11.42 00090.10.80.102121090 36.6873 .917 56322 Laparoscopy, vagus nerves A 10.15 5.07 5.07 1.18 16.40 16.40 00090.11.76.132021090 36.6873 .917 56323 Laparoscopy, vagus nerves A 12.15 6.09 6.09 1.41 19.65 19.65 00090.11.76.132021090 36.6873 .917 56324 Laparoscopy, cholecystoenter A 12.58 9.16 9.16 1.93 23.67 23.67 00090.09.81.102021090 36.6873 .917 56340 Laparoscopic cholecystectomy A 11.09 7.99 7.99 1.74 20.82 20.82 00090.09.81.102021090 36.6873 .917 56341 Laparoscopic cholecystectomy A 11.94 8.43 8.43 1.84 22.21 22.21 00090.09.81.102021090 36.6873 .917 56342 Laparoscopic cholecystectomy A 14.23 9.37 9.37 2.00 25.60 25.60 00090.09.81.102021090 36.6873 .917 56343 Laparoscopic salpingostomy A 13.74 5.28 5.28 1.11 20.13 20.13 00090.10.80.103120090 56300 36.6873 .917 56344 Laparoscopic fimbrioplasty A 12.88 5.11 5.11 1.19 19.18 19.18 00090.10.80.103120090 56300 36.6873 .917 56345 Laparoscopic splenectomy C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 56346 Laparoscopic gastrostomy A 7.73 6.19 6.19 1.19 15.11 15.11 00090.09.81.102021090 36.6873 .917 56347 Laparoscopic jejunostomy C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 56348 Laparo; resect intestine A 22.04 13.25 13.25 2.78 38.07 38.07 00090.09.81.102021090 36.6873 .917 56349 Laparoscopy; fundoplasty A 17.25 11.88 11.88 2.53 31.66 31.66 00090.09.81.102021090 36.6873 .917 56350 Hysteroscopy; diagnostic A 3.33 1.99 1.99 0.44 5.76 5.76 00000.00.00.002002090 36.6873 .917 56351 Hysteroscopy; biopsy A 4.75 1.99 1.99 0.44 7.18 7.18 00000.00.00.003012090 56350 36.6873 .917 56352 Hysteroscopy; lysis A 6.17 3.77 3.77 0.85 10.79 10.79 00000.00.00.003012090 56350 36.6873 .917 56353 Hysteroscopy; resect septum A 7.00 3.77 3.77 0.85 11.62 11.62 00000.00.00.003022090 56350 36.6873 .917 56354 Hysteroscopy; remove myoma A 10.00 4.93 4.93 1.30 16.23 16.23 00000.00.00.003002090 56350 36.6873 .917 56355 Hysteroscopy; remove impact A 5.21 1.99 1.99 0.44 7.64 7.64 00000.00.00.003012090 56350 36.6873 .917 56356 Hysteroscopy; ablation A 6.17 4.39 4.39 1.49 12.05 12.05 00000.00.00.003002090 56350 36.6873 .917 56362 Laparoscopy w/cholangio A 4.89 2.77 2.77 0.19 7.85 7.85 00000.00.00.002000090 36.6873 .917 56363 Laparoscopy w/biopsy A 5.18 3.93 3.93 0.45 9.56 9.56 00000.00.00.002000090 36.6873 .917 56399 Laparoscopy procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002120090 36.6873 .917 56405 I & D of vulva/perineum A 1.44 0.76 0.76 0.15 2.35 2.35 10010.10.80.102012090 36.6873 .917 56420 Drainage of gland abscess A 1.39 0.80 0.80 0.13 2.32 2.32 10010.10.80.102010090 36.6873 .917 56440 Surgery for vulva lesion A 2.84 2.63 2.63 0.52 5.99 5.99 00010.10.80.102010090 36.6873 .917 56441 Lysis of labial lesion(s) A 1.97 1.65 1.65 0.30 3.92 3.92 00010.10.80.102000090 36.6873 .917 56501 Destruction, vulva lesion(s) A 1.53 0.54 0.54 0.11 2.18 2.18 10010.10.80.102010090 36.6873 .917 56515 Destruction, vulva lesion(s) A 1.88 2.36 2.07 0.66 4.90 4.61 20010.10.80.102010090 36.6873 .917 56605 Biopsy of vulva/perineum A 1.10 0.68 0.68 0.15 1.93 1.93 10000.00.00.002012090 36.6873 .917 56606 Biopsy of vulva/perineum A 0.55 0.35 0.35 0.08 0.98 0.98 10000.00.00.000012090 36.6873 .917 56620 Partial removal of vulva A 7.47 6.47 6.47 1.40 15.34 15.34 00090.12.74.142021090 36.6873 .917 56625 Complete removal of vulva A 8.40 9.24 9.24 2.13 19.77 19.77 00090.12.74.142021090 36.6873 .917 56630 Extensive vulva surgery A 12.36 13.46 13.46 3.28 29.10 29.10 00090.12.74.142021090 36.6873 .917 56631 Extensive vulva surgery A 16.20 17.82 17.82 4.51 38.53 38.53 00090.12.74.142022090 36.6873 .917 56632 Extensive vulva surgery A 20.29 21.32 21.32 4.51 46.12 46.12 00090.12.74.142222090 36.6873 .917 56633 Extensive vulva surgery A 16.47 15.97 15.97 3.28 35.72 35.72 00090.12.74.142022090 36.6873 .917 56634 Extensive vulva surgery A 17.88 19.67 19.67 4.51 42.06 42.06 00090.12.74.142022090 36.6873 .917 56637 Extensive vulva surgery A 21.97 21.42 21.42 4.51 47.90 47.90 00090.12.74.142022090 36.6873 .917 56640 Extensive vulva surgery A 22.17 19.95 19.95 4.36 46.48 46.48 00090.12.74.142121090 36.6873 .917 56700 Partial removal of hymen A 2.52 1.82 1.82 0.35 4.69 4.69 00010.10.80.102021090 36.6873 .917 56720 Incision of hymen A 0.68 0.48 0.48 0.11 1.27 1.27 00000.00.00.002000090 36.6873 .917 56740 Remove vagina gland lesion A 3.76 2.87 2.87 0.55 7.18 7.18 00010.10.80.102010090 36.6873 .917 56800 Repair of vagina A 3.89 2.92 2.92 0.57 7.38 7.38 00010.10.80.102021090 36.6873 .917 56805 Repair clitoris A 18.86 11.75 11.75 1.37 31.98 31.98 00090.12.74.142021090 36.6873 .917 56810 Repair of perineum A 4.13 2.62 2.62 0.51 7.26 7.26 00010.10.80.102022090 36.6873 .917 57000 Exploration of vagina A 2.97 2.03 2.03 0.35 5.35 5.35 00010.10.80.102000090 36.6873 .917 57010 Drainage of pelvic abscess A 6.03 2.65 2.65 0.51 9.19 9.19 00090.12.74.142000090 36.6873 .917 57020 Drainage of pelvic fluid A 1.50 0.65 0.65 0.14 2.29 2.29 00000.00.00.002000090 36.6873 .917 57061 Destruction vagina lesion(s) A 1.25 0.82 0.82 0.17 2.24 2.24 10010.10.80.102010090 36.6873 .917 57065 Destruction vagina lesion(s) A 2.61 2.87 2.87 0.74 6.22 6.22 00010.10.80.102010090 36.6873 .917 57100 Biopsy of vagina A 0.97 0.62 0.62 0.13 1.72 1.72 10000.00.00.002010090 36.6873 .917 57105 Biopsy of vagina A 1.69 1.57 1.57 0.33 3.59 3.59 00010.10.80.102010090 36.6873 .917 57108 Partial removal of vagina A 6.36 5.28 5.28 1.10 12.74 12.74 00090.12.74.142021090 36.6873 .917 57110 Removal of vagina A 14.29 7.88 7.88 1.76 23.93 23.93 00090.12.74.142021090 36.6873 .917 57120 Closure of vagina A 7.41 6.99 6.99 1.51 15.91 15.91 00090.12.74.142021090 36.6873 .917 57130 Remove vagina lesion A 2.43 2.62 2.62 0.55 5.60 5.60 00010.10.80.102021090 36.6873 .917 57135 Remove vagina lesion A 2.67 1.93 1.93 0.38 4.98 4.98 00010.10.80.102010090 36.6873 .917 57150 Treat vagina infection A 0.55 0.19 0.19 0.04 0.78 0.78 10000.00.00.002010090 36.6873 .917 57160 Insertion of pessary/device A 0.89 0.25 0.25 0.05 1.19 1.19 10000.00.00.002010090 36.6873 .917 57170 Fitting of diaphragm/cap A 0.91 0.32 0.32 0.06 1.29 1.29 10000.00.00.002000090 36.6873 .917 57180 Treat vaginal bleeding A 1.58 0.55 0.55 0.11 2.24 2.24 10010.10.80.102010090 36.6873 .917 57200 Repair of vagina A 3.94 2.71 2.71 0.60 7.25 7.25 00090.12.74.142021090 36.6873 .917 57210 Repair vagina/perineum A 5.17 3.27 3.27 0.65 9.09 9.09 00090.12.74.142021090 36.6873 .917 57220 Revision of urethra A 4.31 4.44 4.44 0.80 9.55 9.55 00090.12.74.142021090 36.6873 .917 57230 Repair of urethral lesion A 5.64 3.84 3.84 0.64 10.12 10.12 00090.12.74.142021090 36.6873 .917 57240 Repair bladder & vagina A 6.07 6.68 6.68 1.60 14.35 14.35 00090.12.74.142021090 36.6873 .917 57250 Repair rectum & vagina A 5.53 6.08 6.08 1.69 13.30 13.30 00090.12.74.142021090 36.6873 .917 57260 Repair of vagina A 8.27 8.65 8.65 1.88 18.80 18.80 00090.12.74.142021090 36.6873 .917 57265 Extensive repair of vagina A 11.34 9.42 9.42 2.11 22.87 22.87 00090.12.74.142021090 36.6873 .917 57268 Repair of bowel bulge A 6.76 7.02 7.02 1.50 15.28 15.28 00090.12.74.142021090 36.6873 .917 57270 Repair of bowel pouch A 12.11 6.83 6.83 1.44 20.38 20.38 00090.12.74.142021090 36.6873 .917 57280 Suspension of vagina A 15.04 8.53 8.53 1.85 25.42 25.42 00090.12.74.142021090 36.6873 .917 57282 Repair of vaginal prolapse A 8.86 8.72 8.72 1.89 19.47 19.47 00090.12.74.142021090 36.6873 .917 57284 Repair paravaginal defect A 12.70 8.59 8.59 0.84 22.13 22.13 00090.08.83.092022090 36.6873 .917 57288 Repair bladder defect A 13.02 10.72 10.72 1.36 25.10 25.10 00090.12.74.142021090 36.6873 .917 57289 Repair bladder & vagina A 11.58 8.19 8.19 1.13 20.90 20.90 00090.12.74.142021090 36.6873 .917 57291 Construction of vagina A 7.95 5.35 5.35 1.19 14.49 14.49 00090.12.74.142020090 36.6873 .917 57292 Construct vagina with graft A 13.09 6.55 6.55 1.38 21.02 21.02 00090.12.74.142021090 36.6873 .917 57300 Repair rectum-vagina fistula A 7.61 7.91 7.91 1.66 17.18 17.18 00090.12.74.142021090 36.6873 .917 57305 Repair rectum-vagina fistula A 13.77 7.55 7.55 1.56 22.88 22.88 00090.12.74.142021090 36.6873 .917 57307 Fistula repair & colostomy A 15.93 6.11 6.11 1.28 23.32 23.32 00090.12.74.142021090 36.6873 .917 57308 Fistula repair, transperine A 9.94 7.23 7.23 1.41 18.58 18.58 00090.12.74.142021090 36.6873 .917 57310 Repair urethrovaginal lesion A 6.78 4.32 4.32 0.48 11.58 11.58 00090.12.74.142021090 36.6873 .917 57311 Repair urethrovaginal lesion A 7.98 5.58 5.58 0.41 13.97 13.97 00090.12.74.142021090 36.6873 .917 57320 Repair bladder-vagina lesion A 8.01 8.81 8.81 1.35 18.17 18.17 00090.12.74.142021090 36.6873 .917 57330 Repair bladder-vagina lesion A 12.35 8.29 8.29 0.81 21.45 21.45 00090.12.74.142021090 36.6873 .917 57335 Repair vagina A 18.73 6.91 6.91 0.81 26.45 26.45 00090.12.74.142021090 36.6873 .917 57400 Dilation of vagina A 2.27 0.33 0.33 0.06 2.66 2.66 00000.00.00.002000090 36.6873 .917 57410 Pelvic examination A 1.75 0.36 0.36 0.05 2.16 2.16 00000.00.00.002010090 36.6873 .917 57415 Removal vaginal foreign body A 2.17 0.36 0.36 0.05 2.58 2.58 00010.10.80.102000090 36.6873 .917 57452 Examination of vagina A 0.99 0.65 0.65 0.14 1.78 1.78 10000.00.00.002010090 36.6873 .917 57454 Vagina examination & biopsy A 1.27 1.21 1.21 0.26 2.74 2.74 10000.00.00.003010090 57452 36.6873 .917 57460 Cervix excision A 2.83 2.02 2.02 0.46 5.31 5.31 10000.00.00.003012090 57452 36.6873 .917 57500 Biopsy of cervix A 0.97 0.57 0.57 0.12 1.66 1.66 10000.00.00.002010090 36.6873 .917 57505 Endocervical curettage A 1.14 0.63 0.63 0.13 1.90 1.90 10010.10.80.102010090 36.6873 .917 57510 Cauterization of cervix A 1.90 0.52 0.52 0.09 2.51 2.51 10010.10.80.102010090 36.6873 .917 57511 Cryocautery of cervix A 1.90 0.85 0.85 0.17 2.92 2.92 10010.10.80.102010090 36.6873 .917 57513 Laser surgery of cervix A 1.90 2.09 2.09 0.67 4.66 4.66 00010.10.80.102010090 36.6873 .917 57520 Conization of cervix A 4.04 3.45 3.45 0.73 8.22 8.22 00090.12.74.142010091A4550 36.6873 .917 57522 Conization of cervix A 3.36 3.45 3.45 0.73 7.54 7.54 00090.12.74.142010091A4550 36.6873 .917 57530 Removal of cervix A 4.79 3.61 3.61 0.78 9.18 9.18 00090.12.74.142021090 36.6873 .917 57531 Removal of cervix, radical A 28.00 17.77 17.77 3.87 49.64 49.64 00090.12.74.142221090 36.6873 .917 57540 Removal of residual cervix A 12.22 6.74 6.74 1.51 20.47 20.47 00090.12.74.142021090 36.6873 .917 57545 Remove cervix, repair pelvis A 13.03 4.58 4.58 1.03 18.64 18.64 00090.12.74.142021090 36.6873 .917 57550 Removal of residual cervix A 5.53 6.08 6.08 1.54 13.15 13.15 00090.12.74.142021090 36.6873 .917 57555 Remove cervix, repair vagina A 8.95 9.85 9.85 2.17 20.97 20.97 00090.12.74.142021090 36.6873 .917 57556 Remove cervix, repair bowel A 8.37 9.21 9.21 1.92 19.50 19.50 00090.12.74.142021090 36.6873 .917 57700 Revision of cervix A 3.55 2.39 2.39 0.34 6.28 6.28 00090.12.74.142000090 36.6873 .917 57720 Revision of cervix A 4.13 2.76 2.76 0.50 7.39 7.39 00090.12.74.142020090 36.6873 .917 57800 Dilation of cervical canal A 0.77 0.48 0.48 0.10 1.35 1.35 10000.00.00.002010090 36.6873 .917 57820 D&c of residual cervix A 1.67 2.08 2.08 0.46 4.21 4.21 00010.10.80.102010090 36.6873 .917 58100 Biopsy of uterus lining A 0.71 0.66 0.66 0.14 1.51 1.51 10000.00.00.002010090 36.6873 .917 58120 Dilation and curettage (D&C) A 3.27 2.70 2.70 0.56 6.53 6.53 00010.10.80.102010091A4550 36.6873 .917 58140 Removal of uterus lesion A 14.60 8.33 8.33 1.71 24.64 24.64 00090.12.74.142021090 36.6873 .917 58145 Removal of uterus lesion A 8.04 8.24 8.24 1.54 17.82 17.82 00090.12.74.142021090 36.6873 .917 58150 Total hysterectomy A 15.24 9.57 9.57 2.08 26.89 26.89 00090.12.74.142021090 36.6873 .917 58152 Total hysterectomy A 15.09 11.99 11.99 2.59 29.67 29.67 00090.12.74.142021090 36.6873 .917 58180 Partial hysterectomy A 15.29 9.76 9.76 2.11 27.16 27.16 00090.12.74.142021090 36.6873 .917 58200 Extensive hysterectomy A 21.59 12.98 12.98 2.80 37.37 37.37 00090.12.74.142021090 36.6873 .917 58210 Extensive hysterectomy A 28.85 17.77 17.77 3.87 50.49 50.49 00090.12.74.142221090 36.6873 .917 58240 Removal of pelvis contents A 38.39 28.73 28.73 6.15 73.27 73.27 00090.12.74.142021090 36.6873 .917 58260 Vaginal hysterectomy A 12.20 9.39 9.39 2.07 23.66 23.66 00090.12.74.142021090 36.6873 .917 58262 Vaginal hysterectomy A 13.99 9.39 9.39 2.07 25.45 25.45 00090.12.74.142022090 36.6873 .917 58263 Vaginal hysterectomy A 15.28 10.32 10.32 2.22 27.82 27.82 00090.12.74.142022090 36.6873 .917 58267 Hysterectomy & vagina repair A 15.00 11.53 11.53 2.46 28.99 28.99 00090.12.74.142021090 36.6873 .917 58270 Hysterectomy & vagina repair A 13.48 10.32 10.32 2.22 26.02 26.02 00090.12.74.142021090 36.6873 .917 58275 Hysterectomy, revise vagina A 14.98 11.02 11.02 2.32 28.32 28.32 00090.12.74.142021090 36.6873 .917 58280 Hysterectomy, revise vagina A 15.41 10.50 10.50 2.30 28.21 28.21 00090.12.74.142021090 36.6873 .917 58285 Extensive hysterectomy A 18.57 11.60 11.60 2.70 32.87 32.87 00090.12.74.142021090 36.6873 .917 58300 Insert intrauterine device N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 58301 Remove intrauterine device A 1.27 0.45 0.45 0.08 1.80 1.80 10000.00.00.002000090 36.6873 .917 58321 Artificial insemination A 0.92 0.71 0.71 0.15 1.78 1.78 00000.00.00.002000090 36.6873 .917 58322 Artificial insemination A 1.10 0.71 0.71 0.15 1.96 1.96 00000.00.00.002000090 36.6873 .917 58323 Sperm washing A 0.23 0.16 0.16 0.04 0.43 0.43 00000.00.00.002000090 36.6873 .917 58340 Catheter for hysterography A 0.88 0.57 0.57 0.08 1.53 1.53 00000.00.00.002010090 36.6873 .917 58345 Reopen fallopian tube A 4.66 3.49 3.49 0.41 8.56 8.56 00010.10.80.102122090 36.6873 .917 58350 Reopen fallopian tube A 1.01 0.69 0.69 0.16 1.86 1.86 00010.10.80.102010090 36.6873 .917 58400 Suspension of uterus A 6.36 5.64 5.64 1.16 13.16 13.16 00090.12.74.142021090 36.6873 .917 58410 Suspension of uterus A 12.73 5.53 5.53 0.84 19.10 19.10 00090.12.74.142021090 36.6873 .917 58520 Repair of ruptured uterus A 11.92 4.24 4.24 0.99 17.15 17.15 00090.12.74.142021090 36.6873 .917 58540 Revision of uterus A 14.64 6.13 6.13 1.42 22.19 22.19 00090.12.74.142020090 36.6873 .917 58600 Division of fallopian tube A 3.84 4.22 4.22 1.38 9.44 9.44 00090.12.74.142221090 36.6873 .917 58605 Division of fallopian tube A 3.34 3.67 3.67 1.01 8.02 8.02 00090.12.74.142220090 36.6873 .917 58611 Ligate oviduct(s) A 0.63 0.47 0.47 0.10 1.20 1.20 00ZZZ.00.00.000020090 36.6873 .917 58615 Occlude fallopian tube(s) A 3.90 2.91 2.91 0.35 7.16 7.16 00010.10.80.102020090 36.6873 .917 58700 Removal of fallopian tube A 6.49 6.33 6.33 1.31 14.13 14.13 00090.12.74.142221090 36.6873 .917 58720 Removal of ovary/tube(s) A 11.36 7.50 7.50 1.63 20.49 20.49 00090.12.74.142221090 36.6873 .917 58740 Revise fallopian tube(s) A 5.83 6.41 6.41 1.88 14.12 14.12 00090.12.74.142021090 36.6873 .917 58750 Repair oviduct A 14.84 6.31 6.31 1.46 22.61 22.61 00090.12.74.142021090 36.6873 .917 58752 Revise ovarian tube(s) A 14.84 6.74 6.74 0.93 22.51 22.51 00090.12.74.142020090 36.6873 .917 58760 Remove tubal obstruction A 13.13 5.11 5.11 1.19 19.43 19.43 00090.12.74.142121090 36.6873 .917 58770 Create new tubal opening A 13.97 5.28 5.28 1.11 20.36 20.36 00090.12.74.142120090 36.6873 .917 58800 Drainage of ovarian cyst(s) A 4.14 2.68 2.68 0.53 7.35 7.35 00090.12.74.142210090 36.6873 .917 58805 Drainage of ovarian cyst(s) A 5.88 6.38 6.38 1.36 13.62 13.62 00090.12.74.142221090 36.6873 .917 58820 Open drain ovary abscess A 4.22 2.76 2.76 0.49 7.47 7.47 00090.12.74.142020090 36.6873 .917 58822 Percut drain ovary abscess A 10.13 3.55 3.55 0.81 14.49 14.49 00090.12.74.142021090 36.6873 .917 58823 Percut drain pelvic abscess A 3.38 2.56 2.56 0.30 6.24 6.24 00000.00.00.002020090 36.6873 .917 58825 Transposition, ovary(s) A 6.13 4.03 4.03 0.93 11.09 11.09 00090.12.74.142021090 36.6873 .917 58900 Biopsy of ovary(s) A 5.99 5.19 5.19 1.07 12.25 12.25 00090.12.74.142221090 36.6873 .917 58920 Partial removal of ovary(s) A 6.78 6.78 6.78 1.41 14.97 14.97 00090.12.74.142221090 36.6873 .917 58925 Removal of ovarian cyst(s) A 11.36 6.56 6.56 1.38 19.30 19.30 00090.12.74.142221090 36.6873 .917 58940 Removal of ovary(s) A 7.29 6.49 6.49 1.33 15.11 15.11 00090.12.74.142221090 36.6873 .917 58943 Removal of ovary(s) A 18.43 12.11 12.11 2.63 33.17 33.17 00090.12.74.142021090 36.6873 .917 58950 Resect ovarian malignancy A 15.27 11.24 11.24 2.38 28.89 28.89 00090.12.74.142221090 36.6873 .917 58951 Resect ovarian malignancy A 21.81 18.34 18.34 3.93 44.08 44.08 00090.12.74.142221090 36.6873 .917 58952 Resect ovarian malignancy A 25.01 18.11 18.11 3.92 47.04 47.04 00090.12.74.142221090 36.6873 .917 58960 Exploration of abdomen A 14.65 12.98 12.98 2.95 30.58 30.58 00090.12.74.142021090 36.6873 .917 58970 Retrieval of oocyte A 3.53 2.52 2.52 0.58 6.63 6.63 00000.00.00.002000090 36.6873 .917 58974 Transfer of embryo C 0.00 0.00 0.00 0.00 0.00 0.00 00000.00.00.002021090 36.6873 .917 58976 Transfer of embryo A 3.83 2.73 2.73 0.63 7.19 7.19 00000.00.00.002021090 36.6873 .917 58999 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 59000 Amniocentesis A 1.30 0.97 0.97 0.18 2.45 2.45 00000.00.00.002010090 36.6873 .917 59012 Fetal cord puncture,prenatal A 3.45 2.62 2.62 0.31 6.38 6.38 00000.00.00.002000090 36.6873 .917 59015 Chorion biopsy A 2.20 1.20 1.20 0.10 3.50 3.50 00000.00.00.002000090 36.6873 .917 59020 Fetal contract stress test A 0.66 1.23 1.23 0.29 2.18 2.18 01000.00.00.002000090 36.6873 .917 59020TCFetal contract stress test A 0.00 0.50 0.50 0.10 0.60 0.60 01000.00.00.000000090 36.6873 .917 5902026Fetal contract stress test A 0.66 0.73 0.73 0.19 1.58 1.58 01000.00.00.002000090 36.6873 .917 59025 Fetal non-stress test A 0.53 0.61 0.61 0.12 1.26 1.26 01000.00.00.002000090 36.6873 .917 59025TCFetal non-stress test A 0.00 0.22 0.22 0.04 0.26 0.26 01000.00.00.000000090 36.6873 .917 5902526Fetal non-stress test A 0.53 0.39 0.39 0.08 1.00 1.00 01000.00.00.002000090 36.6873 .917 59030 Fetal scalp blood sample A 1.99 1.58 1.58 0.21 3.78 3.78 00000.00.00.002000090 36.6873 .917 59050 Fetal monitor w/report A 0.89 0.81 0.81 0.15 1.85 1.85 00XXX.00.00.000000090 36.6873 .917 59051 Fetal monitor/interpret only A 0.74 0.81 0.81 0.15 1.70 1.70 00XXX.00.00.000000090 36.6873 .917 59100 Remove uterus lesion A 12.35 4.14 4.14 0.96 17.45 17.45 00090.17.60.232021090 36.6873 .917 59120 Treat ectopic pregnancy A 11.49 7.86 7.86 1.50 20.85 20.85 00090.17.60.232021090 36.6873 .917 59121 Treat ectopic pregnancy A 11.67 5.38 5.38 1.07 18.12 18.12 00090.17.60.232021090 36.6873 .917 59130 Treat ectopic pregnancy A 14.22 5.96 5.96 0.70 20.88 20.88 00090.17.60.232000090 36.6873 .917 59135 Treat ectopic pregnancy A 13.88 9.85 9.85 1.15 24.88 24.88 00090.17.60.232000090 36.6873 .917 59136 Treat ectopic pregnancy A 13.18 6.22 6.22 1.44 20.84 20.84 00090.17.60.232020090 36.6873 .917 59140 Treat ectopic pregnancy A 5.46 4.66 4.66 0.29 10.41 10.41 00090.17.60.232020090 36.6873 .917 59150 Treat ectopic pregnancy A 6.89 4.53 4.53 1.05 12.47 12.47 00090.17.60.232020090 36.6873 .917 59151 Treat ectopic pregnancy A 7.86 8.61 8.61 0.64 17.11 17.11 00090.17.60.232020090 36.6873 .917 59160 D&C after delivery A 2.71 2.93 2.93 0.52 6.16 6.16 00010.10.80.102000090 36.6873 .917 59200 Insert cervical dilator A 0.79 0.54 0.54 0.11 1.44 1.44 10000.00.00.002010090 36.6873 .917 59300 Episiotomy or vaginal repair A 2.41 0.99 0.99 0.10 3.50 3.50 10000.00.00.002000090 36.6873 .917 59320 Revision of cervix A 2.48 1.78 1.78 0.41 4.67 4.67 00000.00.00.002000090 36.6873 .917 59325 Revision of cervix A 4.07 2.89 2.89 0.29 7.25 7.25 00000.00.00.002000090 36.6873 .917 59350 Repair of uterus A 4.95 3.54 3.54 0.82 9.31 9.31 00000.00.00.002020090 36.6873 .917 59400 Obstetrical care A 23.06 14.99 14.99 3.47 41.52 41.52 00MMM.00.00.002010090 36.6873 .917 59409 Obstetrical care A 13.50 9.48 9.48 2.20 25.18 25.18 00MMM.00.00.002000090 36.6873 .917 59410 Obstetrical care A 14.78 10.31 10.31 2.39 27.48 27.48 00MMM.00.00.002010090 36.6873 .917 59412 Antepartum manipulation A 1.71 1.22 1.22 0.29 3.22 3.22 00MMM.00.00.000000090 36.6873 .917 59414 Deliver placenta A 1.61 1.15 1.15 0.27 3.03 3.03 00MMM.00.00.002000090 36.6873 .917 59425 Antepartum care only A 4.81 2.88 2.88 0.66 8.35 8.35 10MMM.00.00.000000090 36.6873 .917 59426 Antepartum care only A 8.28 4.94 4.94 1.14 14.36 14.36 10MMM.00.00.000000090 36.6873 .917 59430 Care after delivery A 2.13 0.38 0.38 0.07 2.58 2.58 10MMM.00.00.002010090 36.6873 .917 59510 Cesarean delivery A 26.22 16.90 16.90 3.92 47.04 47.04 00MMM.00.00.002010090 36.6873 .917 59514 Cesarean delivery only A 15.97 10.99 10.99 2.55 29.51 29.51 00MMM.00.00.002021090 36.6873 .917 59515 Cesarean delivery A 17.37 11.82 11.82 2.73 31.92 31.92 00MMM.00.00.002010090 36.6873 .917 59525 Remove uterus after cesarean A 8.54 3.81 3.81 0.88 13.23 13.23 00MMM.00.00.000021090 36.6873 .917 59610 Vbac delivery A 24.62 14.99 14.99 3.47 43.08 43.08 00MMM.00.00.002000090 36.6873 .917 59612 Vbac delivery only A 15.06 9.48 9.48 2.20 26.74 26.74 00MMM.00.00.002000090 36.6873 .917 59614 Vbac care after delivery A 16.34 10.31 10.31 2.39 29.04 29.04 00MMM.00.00.002000090 36.6873 .917 59618 Attempted vbac delivery A 27.78 16.90 16.90 3.92 48.60 48.60 00MMM.00.00.002020090 36.6873 .917 59620 Attempted vbac delivery only A 17.53 10.99 10.99 2.55 31.07 31.07 00MMM.00.00.002020090 36.6873 .917 59622 Attempted vbac after care A 18.93 11.82 11.82 2.73 33.48 33.48 00MMM.00.00.002020090 36.6873 .917 59812 Treatment of miscarriage A 3.25 3.61 3.58 0.77 7.63 7.60 20090.17.60.232010090 36.6873 .917 59820 Care of miscarriage A 4.01 3.75 3.75 0.77 8.53 8.53 00090.17.60.232010090 36.6873 .917 59821 Treatment of miscarriage A 4.47 2.72 2.72 0.62 7.81 7.81 00090.17.60.232000090 36.6873 .917 59830 Treat uterus infection A 6.11 4.53 4.53 0.52 11.16 11.16 00090.17.60.232000090 36.6873 .917 59840 Abortion A 3.01 3.22 3.22 0.69 6.92 6.92 00010.10.80.102000090 36.6873 .917 59841 Abortion A 5.24 3.75 3.75 0.76 9.75 9.75 00010.10.80.102000090 36.6873 .917 59850 Abortion A 5.91 4.00 4.00 0.85 10.76 10.76 00090.17.60.232000090 36.6873 .917 59851 Abortion A 5.93 4.28 4.28 0.88 11.09 11.09 00090.17.60.232000090 36.6873 .917 59852 Abortion A 8.24 5.51 5.51 1.27 15.02 15.02 00090.17.60.232000090 36.6873 .917 59855 Abortion A 6.12 4.14 4.14 0.96 11.22 11.22 00090.17.60.232000090 36.6873 .917 59856 Abortion A 7.48 5.11 5.11 1.19 13.78 13.78 00090.17.60.232000090 36.6873 .917 59857 Abortion A 9.29 6.22 6.22 1.44 16.95 16.95 00090.17.60.232000090 36.6873 .917 59866 Abortion A 4.00 2.86 2.86 0.66 7.52 7.52 00000.00.00.002021090 36.6873 .917 59870 Evacuate mole of uterus A 4.28 2.91 2.91 0.67 7.86 7.86 00090.17.60.232020090 36.6873 .917 59871 Remove cerclage suture A 2.13 1.78 1.78 0.41 4.32 4.32 00000.00.00.002000090 36.6873 .917 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 60000 Drain thyroid/tongue cyst A 1.76 0.60 0.60 0.09 2.45 2.45 10010.10.80.102000090 36.6873 .917 60001 Aspirate/inject thyriod cyst A 0.97 1.05 1.05 0.12 2.14 2.14 00000.00.00.002010090 36.6873 .917 60100 Biopsy of thyroid A 0.97 1.05 1.05 0.12 2.14 2.14 10000.00.00.002010090 36.6873 .917 60200 Remove thyroid lesion A 9.55 6.02 6.02 1.04 16.61 16.61 00090.09.82.092021090 36.6873 .917 60210 Partial excision thyroid A 10.88 8.68 8.68 1.65 21.21 21.21 00090.09.82.092021090 36.6873 .917 60212 Parital thyroid excision A 16.03 9.04 9.04 1.74 26.81 26.81 00090.09.82.092021090 36.6873 .917 60220 Partial removal of thyroid A 10.53 8.54 8.54 1.61 20.68 20.68 00090.09.82.092021090 36.6873 .917 60225 Partial removal of thyroid A 14.19 10.49 10.49 1.92 26.60 26.60 00090.09.82.092021090 36.6873 .917 60240 Removal of thyroid A 16.06 10.58 10.58 1.96 28.60 28.60 00090.09.82.092021090 36.6873 .917 60252 Removal of thyroid A 18.20 13.65 13.65 2.55 34.40 34.40 00090.09.82.092021090 36.6873 .917 60254 Extensive thyroid surgery A 23.88 19.21 19.21 3.08 46.17 46.17 00090.09.82.092021090 36.6873 .917 60260 Repeat thyroid surgery A 15.46 3.14 3.14 0.34 18.94 18.94 00090.09.82.092221090 36.6873 .917 60270 Removal of thyroid A 17.94 13.97 13.97 2.54 34.45 34.45 00090.09.82.092021090 36.6873 .917 60271 Removal of thyroid A 14.89 12.14 12.14 2.25 29.28 29.28 00090.09.82.092021090 36.6873 .917 60280 Remove thyroid duct lesion A 6.08 6.69 6.69 1.11 13.88 13.88 00090.09.82.092021090 36.6873 .917 60281 Remove thyroid duct lesion A 8.53 5.04 5.04 0.95 14.52 14.52 00090.09.82.092021090 36.6873 .917 60500 Explore parathyroid glands A 16.23 11.36 11.36 2.31 29.90 29.90 00090.09.82.092021090 36.6873 .917 60502 Re-explore parathyroids A 20.35 11.39 11.39 2.33 34.07 34.07 00090.09.82.092021090 36.6873 .917 60505 Explore parathyroid glands A 21.49 13.14 13.14 2.56 37.19 37.19 00090.09.82.092021090 36.6873 .917 60512 Autotransplant, parathyroid A 4.45 2.32 2.32 0.54 7.31 7.31 00ZZZ.00.00.000021090 36.6873 .917 60520 Removal of thymus gland A 16.81 13.54 13.54 2.46 32.81 32.81 00090.09.82.092021090 36.6873 .917 60521 Removal thymus gland A 18.87 13.54 13.54 2.46 34.87 34.87 00090.09.82.092021090 36.6873 .917 60522 Removal of thymus gland A 23.09 13.54 13.54 2.46 39.09 39.09 00090.09.82.092021090 36.6873 .917 60540 Explore adrenal gland A 17.03 12.05 12.05 2.08 31.16 31.16 00090.09.82.092121090 36.6873 .917 60545 Explore adrenal gland A 19.88 14.27 14.27 2.34 36.49 36.49 00090.09.82.092021090 36.6873 .917 60600 Remove carotid body lesion A 17.93 11.46 11.46 1.88 31.27 31.27 00090.09.82.092021090 36.6873 .917 60605 Remove carotid body lesion A 20.24 10.71 10.71 2.21 33.16 33.16 00090.09.82.092021090 36.6873 .917 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002021190 36.6873 .917 61000 Remove cranial cavity fluid A 1.58 1.07 1.07 0.17 2.82 2.82 00000.00.00.002210090 36.6873 .917 61001 Remove cranial cavity fluid A 1.49 0.88 0.88 0.17 2.54 2.54 10000.00.00.002210090 36.6873 .917 61020 Remove brain cavity fluid A 1.51 1.26 1.26 0.20 2.97 2.97 00000.00.00.002010090 36.6873 .917 61026 Injection into brain canal A 1.69 1.86 1.86 0.22 3.77 3.77 00000.00.00.002010090 36.6873 .917 61050 Remove brain canal fluid A 1.51 1.23 1.23 0.15 2.89 2.89 00000.00.00.002000090 36.6873 .917 61055 Injection into brain canal A 2.10 1.88 1.88 0.19 4.17 4.17 00000.00.00.000010090 36.6873 .917 61070 Brain canal shunt procedure A 0.89 0.49 0.49 0.03 1.41 1.41 10000.00.00.002010090 36.6873 .917 61105 Drill skull for examination A 5.14 5.65 5.65 1.24 12.03 12.03 00090.11.76.132000090 36.6873 .917 61106 Drill skull for exam/surgery A 4.62 5.08 5.08 1.15 10.85 10.85 00ZZZ.00.00.000010090 36.6873 .917 61107 Drill skull for implantation A 5.00 5.50 5.50 1.26 11.76 11.76 00000.00.00.000010090 36.6873 .917 61108 Drill skull for drainage A 10.19 11.21 11.21 2.22 23.62 23.62 00090.11.76.132010090 36.6873 .917 61120 Pierce skull for examination A 8.76 5.95 5.95 1.08 15.79 15.79 00090.11.76.132000090 36.6873 .917 61130 Pierce skull, exam/surgery A 6.37 4.95 4.95 0.96 12.28 12.28 00ZZZ.00.00.000011090 36.6873 .917 61140 Pierce skull for biopsy A 15.90 14.13 14.13 2.56 32.59 32.59 00090.11.76.132020090 36.6873 .917 61150 Pierce skull for drainage A 17.57 14.65 14.65 2.63 34.85 34.85 00090.11.76.132011090 36.6873 .917 61151 Pierce skull for drainage A 12.42 2.13 2.13 0.37 14.92 14.92 00090.11.76.132010090 36.6873 .917 61154 Pierce skull, remove clot A 14.99 16.49 16.49 3.27 34.75 34.75 00090.11.76.132121090 36.6873 .917 61156 Pierce skull for drainage A 16.32 16.19 16.19 3.05 35.56 35.56 00090.11.76.132021090 36.6873 .917 61210 Pierce skull; implant device A 5.84 6.04 6.04 1.53 13.41 13.41 00000.00.00.000010090 36.6873 .917 61215 Insert brain-fluid device A 4.89 5.38 5.38 1.63 11.90 11.90 00090.11.76.132011090 36.6873 .917 61250 Pierce skull & explore A 10.42 8.03 8.03 1.44 19.89 19.89 00090.11.76.132121090 36.6873 .917 61253 Pierce skull & explore A 12.36 9.62 9.62 1.69 23.67 23.67 00090.11.76.132220090 36.6873 .917 61304 Open skull for exploration A 21.96 24.16 24.16 4.78 50.90 50.90 00090.11.76.132021090 36.6873 .917 61305 Open skull for exploration A 26.61 29.11 29.11 5.05 60.77 60.77 00090.11.76.132021090 36.6873 .917 61312 Open skull for drainage A 24.57 24.13 24.13 4.46 53.16 53.16 00090.11.76.132021090 36.6873 .917 61313 Open skull for drainage A 24.93 24.04 24.04 4.38 53.35 53.35 00090.11.76.132021090 36.6873 .917 61314 Open skull for drainage A 24.23 25.62 25.62 4.68 54.53 54.53 00090.11.76.132021090 36.6873 .917 61315 Open skull for drainage A 27.68 24.41 24.41 4.47 56.56 56.56 00090.11.76.132021090 36.6873 .917 61320 Open skull for drainage A 25.62 18.70 18.70 3.41 47.73 47.73 00090.11.76.132021090 36.6873 .917 61321 Open skull for drainage A 28.50 19.83 19.83 3.54 51.87 51.87 00090.11.76.132021090 36.6873 .917 61330 Decompress eye socket A 23.32 12.97 12.97 1.22 37.51 37.51 00090.11.76.132121090 36.6873 .917 61332 Explore/biopsy eye socket A 27.28 20.72 20.72 2.76 50.76 50.76 00090.11.76.132021090 36.6873 .917 61333 Explore orbit; remove lesion A 27.95 20.46 20.46 3.26 51.67 51.67 00090.11.76.132021090 36.6873 .917 61334 Explore orbit; remove object A 18.27 14.65 14.65 1.82 34.74 34.74 00090.11.76.132021090 36.6873 .917 61340 Relieve cranial pressure A 18.66 14.80 14.80 2.54 36.00 36.00 00090.11.76.132121090 36.6873 .917 61343 Incise skull,pressure relief A 29.77 30.05 30.05 5.28 65.10 65.10 00090.11.76.132021090 36.6873 .917 61345 Relieve cranial pressure A 27.20 19.18 19.18 3.45 49.83 49.83 00090.11.76.132021090 36.6873 .917 61440 Incise skull for surgery A 26.63 20.75 20.75 3.00 50.38 50.38 00090.11.76.132021090 36.6873 .917 61450 Incise skull for surgery A 25.95 20.43 20.43 3.43 49.81 49.81 00090.11.76.132021090 36.6873 .917 61458 Incise skull for brain wound A 27.29 27.28 27.28 4.87 59.44 59.44 00090.11.76.132021090 36.6873 .917 61460 Incise skull for surgery A 28.39 25.05 25.05 3.98 57.42 57.42 00090.11.76.132022090 36.6873 .917 61470 Incise skull for surgery A 26.06 13.86 13.86 2.53 42.45 42.45 00090.11.76.132021090 36.6873 .917 61480 Incise skull for surgery A 26.49 15.07 15.07 1.78 43.34 43.34 00090.11.76.132021090 36.6873 .917 61490 Incise skull for surgery A 25.66 11.72 11.72 2.16 39.54 39.54 00090.11.76.132121090 36.6873 .917 61500 Removal of skull lesion A 17.92 19.71 19.71 3.58 41.21 41.21 00090.11.76.132021090 36.6873 .917 61501 Remove infected skull bone A 14.84 16.32 16.32 3.33 34.49 34.49 00090.11.76.132021090 36.6873 .917 61510 Removal of brain lesion A 28.45 27.04 27.04 4.90 60.39 60.39 00090.11.76.132021090 36.6873 .917 61512 Remove brain lining lesion A 35.09 29.02 29.02 5.28 69.39 69.39 00090.11.76.132021090 36.6873 .917 61514 Removal of brain abscess A 25.26 25.52 25.52 4.74 55.52 55.52 00090.11.76.132021090 36.6873 .917 61516 Removal of brain lesion A 24.61 26.48 26.48 4.57 55.66 55.66 00090.11.76.132021090 36.6873 .917 61518 Removal of brain lesion A 37.32 30.02 30.02 5.46 72.80 72.80 00090.11.76.132021090 36.6873 .917 61519 Remove brain lining lesion A 41.39 31.22 31.22 5.77 78.38 78.38 00090.11.76.132021090 36.6873 .917 61520 Removal of brain lesion A 54.84 33.85 33.85 5.89 94.58 94.58 00090.11.76.132022090 36.6873 .917 61521 Removal of brain lesion A 44.48 32.97 32.97 5.85 83.30 83.30 00090.11.76.132021090 36.6873 .917 61522 Removal of brain abscess A 29.45 19.96 19.96 3.79 53.20 53.20 00090.11.76.132021090 36.6873 .917 61524 Removal of brain lesion A 27.86 27.45 27.45 5.15 60.46 60.46 00090.11.76.132021090 36.6873 .917 61526 Removal of brain lesion A 52.17 34.01 34.01 4.79 90.97 90.97 00090.11.76.132012090 36.6873 .917 61530 Removal of brain lesion A 43.86 34.01 34.01 4.79 82.66 82.66 00090.11.76.132012090 36.6873 .917 61531 Implant brain electrodes A 14.63 14.98 14.98 1.75 31.36 31.36 00090.11.76.132022090 36.6873 .917 61533 Implant brain electrodes A 19.71 17.02 17.02 3.33 40.06 40.06 00090.11.76.132021090 36.6873 .917 61534 Removal of brain lesion A 20.97 6.38 6.38 2.01 29.36 29.36 00090.11.76.132021090 36.6873 .917 61535 Remove brain electrodes A 11.63 7.66 7.66 1.25 20.54 20.54 00090.11.76.132021090 36.6873 .917 61536 Removal of brain lesion A 35.52 21.96 21.96 3.99 61.47 61.47 00090.11.76.132021090 36.6873 .917 61538 Removal of brain tissue A 26.81 29.08 29.08 4.97 60.86 60.86 00090.11.76.132021090 36.6873 .917 61539 Removal of brain tissue A 32.08 22.96 22.96 4.07 59.11 59.11 00090.11.76.132021090 36.6873 .917 61541 Incision of brain tissue A 28.85 19.80 19.80 3.78 52.43 52.43 00090.11.76.132021090 36.6873 .917 61542 Removal of brain tissue A 31.02 19.91 19.91 3.90 54.83 54.83 00090.11.76.132021090 36.6873 .917 61543 Removal of brain tissue A 29.22 17.24 17.24 2.49 48.95 48.95 00090.11.76.132021090 36.6873 .917 61544 Remove & treat brain lesion A 25.50 28.05 28.05 2.11 55.66 55.66 00090.11.76.132020090 36.6873 .917 61545 Excision of brain tumor A 43.80 25.66 25.66 4.80 74.26 74.26 00090.11.76.132021090 36.6873 .917 61546 Removal of pituitary gland A 31.30 27.01 27.01 4.78 63.09 63.09 00090.11.76.132021090 36.6873 .917 61548 Removal of pituitary gland A 21.53 23.68 23.68 4.03 49.24 49.24 00090.11.76.132022090 36.6873 .917 61550 Release of skull seams A 14.65 11.81 11.81 1.11 27.57 27.57 00090.11.76.132021090 36.6873 .917 61552 Release of skull seams A 19.56 13.83 13.83 2.70 36.09 36.09 00090.11.76.132021090 36.6873 .917 61556 Incise skull/sutures A 22.26 15.53 15.53 3.04 40.83 40.83 00090.11.76.132020090 36.6873 .917 61557 Incise skull/sutures A 22.38 15.62 15.62 3.05 41.05 41.05 00090.11.76.132020090 36.6873 .917 61558 Excision of skull/sutures A 25.58 17.74 17.74 3.47 46.79 46.79 00090.11.76.132020090 36.6873 .917 61559 Excision of skull/sutures A 32.79 23.01 23.01 4.50 60.30 60.30 00090.11.76.132021090 36.6873 .917 61563 Excision of skull tumor A 26.83 18.81 18.81 3.68 49.32 49.32 00090.11.76.132021090 36.6873 .917 61564 Excision of skull tumor A 33.83 23.73 23.73 4.64 62.20 62.20 00090.11.76.132021090 36.6873 .917 61570 Remove brain foreign body A 24.60 16.49 16.49 3.06 44.15 44.15 00090.11.76.132021090 36.6873 .917 61571 Incise skull for brain wound A 26.39 18.32 18.32 3.21 47.92 47.92 00090.11.76.132021090 36.6873 .917 61575 Skull base/brainstem surgery A 34.36 32.99 32.99 5.05 72.40 72.40 00090.11.76.132021090 36.6873 .917 61576 Skull base/brainstem surgery A 52.43 28.23 28.23 3.91 84.57 84.57 00090.11.76.132021090 36.6873 .917 61580 Craniofacial approach, skull A 30.35 21.01 21.01 4.10 55.46 55.46 00090.11.76.132121290 36.6873 .917 61581 Craniofacial approach, skull A 34.60 23.84 23.84 4.66 63.10 63.10 00090.11.76.132121290 36.6873 .917 61582 Craniofacial approach, skull A 31.66 21.65 21.65 4.22 57.53 57.53 00090.11.76.132021290 36.6873 .917 61583 Craniofacial approach, skull A 36.21 24.70 24.70 4.83 65.74 65.74 00090.11.76.132021290 36.6873 .917 61584 Orbitocranial approach/skull A 34.65 23.91 23.91 4.68 63.24 63.24 00090.11.76.132121290 36.6873 .917 61585 Orbitocranial approach/skull A 38.61 26.75 26.75 5.23 70.59 70.59 00090.11.76.132121290 36.6873 .917 61586 Resect nasopharynx, skull A 25.10 21.38 21.38 2.32 48.80 48.80 00090.11.76.132021290 36.6873 .917 61590 Infratemporal approach/skull A 41.78 29.10 29.10 5.68 76.56 76.56 00090.11.76.132121290 36.6873 .917 61591 Infratemporal approach/skull A 43.68 30.52 30.52 5.96 80.16 80.16 00090.11.76.132121290 36.6873 .917 61592 Orbitocranial approach/skull A 39.64 27.68 27.68 5.41 72.73 72.73 00090.11.76.132121290 36.6873 .917 61595 Transtemporal approach/skull A 29.57 20.44 20.44 4.00 54.01 54.01 00090.11.76.132121290 36.6873 .917 61596 Transcochlear approach/skull A 35.63 24.84 24.84 4.86 65.33 65.33 00090.11.76.132121290 36.6873 .917 61597 Transcondylar approach/skull A 37.96 26.26 26.26 5.13 69.35 69.35 00090.11.76.132121290 36.6873 .917 61598 Transpetrosal approach/skull A 33.41 23.13 23.13 4.52 61.06 61.06 00090.11.76.132021290 36.6873 .917 61600 Resect/excise cranial lesion A 25.85 17.74 17.74 3.46 47.05 47.05 00090.11.76.132021290 36.6873 .917 61601 Resect/excise cranial lesion A 27.89 19.03 19.03 3.72 50.64 50.64 00090.11.76.132021290 36.6873 .917 61605 Resect/excise cranial lesion A 29.33 20.09 20.09 3.93 53.35 53.35 00090.11.76.132021290 36.6873 .917 61606 Resect/excise cranial lesion A 38.83 26.90 26.90 5.25 70.98 70.98 00090.11.76.132021290 36.6873 .917 61607 Resect/excise cranial lesion A 36.27 25.13 25.13 4.91 66.31 66.31 00090.11.76.132021290 36.6873 .917 61608 Resect/excise cranial lesion A 42.10 29.24 29.24 5.71 77.05 77.05 00090.11.76.132021290 36.6873 .917 61609 Transect, artery, sinus A 9.89 7.19 7.19 1.40 18.48 18.48 00ZZZ.00.00.000121290 36.6873 .917 61610 Transect, artery, sinus A 29.67 21.57 21.57 4.21 55.45 55.45 00ZZZ.00.00.000121290 36.6873 .917 61611 Transect, artery, sinus A 7.42 5.39 5.39 1.06 13.87 13.87 00ZZZ.00.00.000121290 36.6873 .917 61612 Transect, artery, sinus A 27.88 20.27 20.27 3.96 52.11 52.11 00ZZZ.00.00.000121290 36.6873 .917 61613 Remove aneurysm, sinus A 40.86 28.67 28.67 5.61 75.14 75.14 00090.11.76.132121290 36.6873 .917 61615 Resect/excise lesion, skull A 32.07 22.07 22.07 4.31 58.45 58.45 00090.11.76.132021290 36.6873 .917 61616 Resect/excise lesion, skull A 43.33 30.03 30.03 5.86 79.22 79.22 00090.11.76.132021290 36.6873 .917 61618 Repair dura A 16.99 11.35 11.35 2.22 30.56 30.56 00090.11.76.132021290 36.6873 .917 61619 Repair dura A 20.71 14.19 14.19 2.77 37.67 37.67 00090.11.76.132021290 36.6873 .917 61624 Occlusion/embolization cath A 20.15 15.28 15.28 1.79 37.22 37.22 00000.00.00.002010090 36.6873 .917 61626 Occlusion/embolization cath A 16.62 12.60 12.60 1.47 30.69 30.69 00000.00.00.002010090 36.6873 .917 61680 Intracranial vessel surgery A 30.71 31.06 31.06 5.79 67.56 67.56 00090.11.76.132021090 36.6873 .917 61682 Intracranial vessel surgery A 61.57 35.31 35.31 6.36 103.24 103.24 00090.11.76.132021090 36.6873 .917 61684 Intracranial vessel surgery A 39.81 29.76 29.76 3.47 73.04 73.04 00090.11.76.132021090 36.6873 .917 61686 Intracranial vessel surgery A 64.49 35.98 35.98 4.20 104.67 104.67 00090.11.76.132021090 36.6873 .917 61690 Intracranial vessel surgery A 29.31 27.46 27.46 4.09 60.86 60.86 00090.11.76.132021090 36.6873 .917 61692 Intracranial vessel surgery A 51.87 28.79 28.79 3.36 84.02 84.02 00090.11.76.132021090 36.6873 .917 61700 Inner skull vessel surgery A 50.52 31.69 31.69 5.67 87.88 87.88 00090.11.76.132021090 36.6873 .917 61702 Inner skull vessel surgery A 48.41 36.31 36.31 6.61 91.33 91.33 00090.11.76.132021090 36.6873 .917 61703 Clamp neck artery A 17.47 12.21 12.21 2.24 31.92 31.92 00090.11.76.132021090 36.6873 .917 61705 Revise circulation to head A 36.20 30.41 30.41 5.25 71.86 71.86 00090.11.76.132021090 36.6873 .917 61708 Revise circulation to head A 35.30 25.20 25.20 2.32 62.82 62.82 00090.11.76.132020090 36.6873 .917 61710 Revise circulation to head A 29.67 16.63 16.63 1.75 48.05 48.05 00090.11.76.132000090 36.6873 .917 61711 Fusion of skull arteries A 36.33 33.04 33.04 6.20 75.57 75.57 00090.11.76.132021090 36.6873 .917 61712 Skull or spine microsurgery A 3.49 3.84 3.84 0.93 8.26 8.26 00ZZZ.00.00.000021090 36.6873 .917 61720 Incise skull/brain surgery A 16.77 18.45 18.45 4.05 39.27 39.27 00090.11.76.132010090 36.6873 .917 61735 Incise skull/brain surgery A 20.43 12.96 12.96 1.51 34.90 34.90 00090.11.76.132011090 36.6873 .917 61750 Incise skull; brain biopsy A 18.20 13.54 13.54 4.31 36.05 36.05 00090.11.76.132011090 36.6873 .917 61751 Brain biopsy with cat scan A 17.62 19.38 19.38 4.44 41.44 41.44 00090.11.76.132011090 36.6873 .917 61760 Implant brain electrodes A 22.27 14.98 14.98 1.75 39.00 39.00 00090.11.76.132012090 36.6873 .917 61770 Incise skull for treatment A 21.44 19.38 19.38 3.43 44.25 44.25 00090.11.76.132011090 36.6873 .917 61790 Treat trigeminal nerve A 10.86 11.95 11.95 3.03 25.84 25.84 00090.11.76.132010090 36.6873 .917 61791 Treat trigeminal tract A 14.61 9.77 9.77 3.16 27.54 27.54 00090.11.76.132000090 36.6873 .917 61793 Focus radiation beam A 17.24 18.96 18.96 1.96 38.16 38.16 00090.11.76.132010090 36.6873 .917 61795 Brain surgery using computer A 4.04 4.44 4.44 1.55 10.03 10.03 00000.00.00.000010090 36.6873 .917 61850 Implant neuroelectrodes A 12.39 11.63 11.63 2.26 26.28 26.28 00090.11.76.132020090 36.6873 .917 61855 Implant neuroelectrodes A 13.39 10.39 10.39 1.47 25.25 25.25 00090.11.76.132020090 36.6873 .917 61860 Implant neuroelectrodes A 20.87 8.14 8.14 1.59 30.60 30.60 00090.11.76.132020090 36.6873 .917 61865 Implant neuroelectrodes A 22.97 15.78 15.78 3.09 41.84 41.84 00090.11.76.132021090 36.6873 .917 61870 Implant neuroelectrodes A 14.94 4.19 4.19 0.82 19.95 19.95 00090.11.76.132021090 36.6873 .917 61875 Implant neuroelectrodes A 15.06 6.69 6.69 1.31 23.06 23.06 00090.11.76.132020090 36.6873 .917 61880 Revise/remove neuroelectrode A 6.29 4.79 4.79 0.66 11.74 11.74 00090.11.76.132021090 36.6873 .917 61885 Implant neuroreceiver A 5.85 1.96 1.96 0.29 8.10 8.10 00090.11.76.132000090 36.6873 .917 61888 Revise/remove neuroreceiver A 5.07 2.25 2.25 0.44 7.76 7.76 00010.10.80.102010090 36.6873 .917 62000 Repair of skull fracture A 12.53 5.73 5.73 0.95 19.21 19.21 00090.11.76.132020090 36.6873 .917 62005 Repair of skull fracture A 16.17 11.08 11.08 1.97 29.22 29.22 00090.11.76.132021090 36.6873 .917 62010 Treatment of head injury A 19.81 19.20 19.20 3.39 42.40 42.40 00090.11.76.132021090 36.6873 .917 62100 Repair brain fluid leakage A 22.03 21.62 21.62 3.72 47.37 47.37 00090.11.76.132021090 36.6873 .917 62115 Reduction of skull defect A 21.66 15.51 15.51 1.82 38.99 38.99 00090.11.76.132021090 36.6873 .917 62116 Reduction of skull defect A 23.59 16.98 16.98 1.99 42.56 42.56 00090.11.76.132020090 36.6873 .917 62117 Reduction of skull defect A 26.60 19.20 19.20 2.25 48.05 48.05 00090.11.76.132021090 36.6873 .917 62120 Repair skull cavity lesion A 23.35 16.90 16.90 1.98 42.23 42.23 00090.11.76.132021090 36.6873 .917 62121 Incise skull repair A 21.58 17.51 17.51 3.41 42.50 42.50 00090.11.76.132020090 36.6873 .917 62140 Repair of skull defect A 13.51 13.43 13.43 2.39 29.33 29.33 00090.11.76.132021090 36.6873 .917 62141 Repair of skull defect A 14.91 16.40 16.40 3.28 34.59 34.59 00090.11.76.132021090 36.6873 .917 62142 Remove skull plate/flap A 10.79 11.87 11.87 2.64 25.30 25.30 00090.11.76.132020090 36.6873 .917 62143 Replace skull plate/flap A 13.05 9.17 9.17 1.65 23.87 23.87 00090.11.76.132021090 36.6873 .917 62145 Repair of skull & brain A 18.82 13.16 13.16 2.29 34.27 34.27 00090.11.76.132021090 36.6873 .917 62146 Repair of skull with graft A 16.12 10.99 10.99 2.15 29.26 29.26 00090.11.76.132021090 36.6873 .917 62147 Repair of skull with graft A 19.34 13.17 13.17 2.57 35.08 35.08 00090.11.76.132021090 36.6873 .917 62180 Establish brain cavity shunt A 21.06 14.21 14.21 2.70 37.97 37.97 00090.11.76.132020090 36.6873 .917 62190 Establish brain cavity shunt A 11.07 12.18 12.18 3.21 26.46 26.46 00090.11.76.132011090 36.6873 .917 62192 Establish brain cavity shunt A 12.25 13.48 13.48 2.74 28.47 28.47 00090.11.76.132021090 36.6873 .917 62194 Replace/irrigate catheter A 5.03 1.88 1.88 0.29 7.20 7.20 00010.10.80.102000090 36.6873 .917 62200 Establish brain cavity shunt A 18.32 16.95 16.95 3.09 38.36 38.36 00090.11.76.132021090 36.6873 .917 62201 Establish brain cavity shunt A 14.86 8.78 8.78 1.72 25.36 25.36 00090.11.76.132010090 36.6873 .917 62220 Establish brain cavity shunt A 13.00 14.30 14.30 3.12 30.42 30.42 00090.11.76.132021090 36.6873 .917 62223 Establish brain cavity shunt A 12.87 14.16 14.16 3.02 30.05 30.05 00090.11.76.132021090 36.6873 .917 62225 Replace/irrigate catheter A 5.41 4.80 4.80 0.58 10.79 10.79 00090.11.76.132010090 36.6873 .917 62230 Replace/revise brain shunt A 10.54 9.83 9.83 1.82 22.19 22.19 00090.11.76.132021090 36.6873 .917 62256 Remove brain cavity shunt A 6.60 6.38 6.38 1.17 14.15 14.15 00090.11.76.132020090 36.6873 .917 62258 Replace brain cavity shunt A 14.54 14.78 14.78 2.55 31.87 31.87 00090.11.76.132021090 36.6873 .917 62268 Drain spinal cord cyst A 4.74 2.98 2.98 0.36 8.08 8.08 00000.00.00.002010090 36.6873 .917 62269 Needle biopsy spinal cord A 5.02 1.75 1.75 0.28 7.05 7.05 00000.00.00.002000090 36.6873 .917 62270 Spinal fluid tap, diagnostic A 1.13 0.71 0.71 0.06 1.90 1.90 00000.00.00.002010091A4550 36.6873 .917 62272 Drain spinal fluid A 1.35 1.01 1.01 0.12 2.48 2.48 00000.00.00.002010090 36.6873 .917 62273 Treat lumbar spine lesion A 2.15 1.12 1.12 0.26 3.53 3.53 00000.00.00.002010090 36.6873 .917 62274 Inject spinal anesthetic A 1.78 0.74 0.74 0.17 2.69 2.69 00000.00.00.002010090 36.6873 .917 62275 Inject spinal anesthetic A 1.79 0.59 0.59 0.19 2.57 2.57 00000.00.00.002010090 36.6873 .917 62276 Inject spinal anesthetic A 2.04 1.23 1.23 0.23 3.50 3.50 00000.00.00.002010090 36.6873 .917 62277 Inject spinal anesthetic A 2.15 0.84 0.84 0.23 3.22 3.22 00000.00.00.002010090 36.6873 .917 62278 Inject spinal anesthetic A 1.51 0.98 0.98 0.26 2.75 2.75 00000.00.00.002010090 36.6873 .917 62279 Inject spinal anesthetic A 1.58 0.82 0.82 0.24 2.64 2.64 00000.00.00.002010090 36.6873 .917 62280 Treat spinal cord lesion A 2.63 0.71 0.71 0.14 3.48 3.48 00010.10.80.102010090 36.6873 .917 62281 Treat spinal cord lesion A 2.66 0.87 0.87 0.28 3.81 3.81 00010.10.80.102010090 36.6873 .917 62282 Treat spinal canal lesion A 2.33 1.70 1.70 0.40 4.43 4.43 00010.10.80.102010090 36.6873 .917 62284 Injection for myelogram A 1.54 1.98 1.69 0.34 3.86 3.57 20000.00.00.000010090 36.6873 .917 62287 Percutaneous diskectomy A 8.08 6.96 6.96 2.65 17.69 17.69 00090.11.76.132010090 36.6873 .917 62288 Injection into spinal canal A 1.74 1.12 1.12 0.24 3.10 3.10 00000.00.00.002010090 36.6873 .917 62289 Injection into spinal canal A 1.64 1.07 1.07 0.29 3.00 3.00 00000.00.00.002010090 36.6873 .917 62290 Inject for spine disk x-ray A 3.00 1.86 1.86 0.24 5.10 5.10 00000.00.00.002010090 36.6873 .917 62291 Inject for spine disk x-ray A 2.91 1.78 1.78 0.39 5.08 5.08 00000.00.00.002010090 36.6873 .917 62292 Injection into disk lesion A 7.86 8.65 8.65 2.13 18.64 18.64 00090.11.76.132000090 36.6873 .917 62294 Injection into spinal artery A 11.83 5.84 5.84 0.68 18.35 18.35 00090.11.76.132010090 36.6873 .917 62298 Injection into spinal canal A 2.20 1.04 1.04 0.13 3.37 3.37 00000.00.00.002010090 36.6873 .917 62350 Implant spinal catheter A 6.87 3.49 3.49 1.02 11.38 11.38 00090.11.76.132021090 36.6873 .917 62351 Implant spinal catheter A 10.00 5.16 5.16 1.50 16.66 16.66 00090.11.76.132022090 36.6873 .917 62355 Remove spinal canal catheter A 5.45 3.49 3.49 0.68 9.62 9.62 00090.11.76.132000090 36.6873 .917 62360 Insert spine infusion device A 2.62 1.12 1.12 0.33 4.07 4.07 00090.11.76.132001090 36.6873 .917 62361 Implant spine infusion pump A 5.42 2.68 2.68 0.78 8.88 8.88 00090.11.76.132001090 36.6873 .917 62362 Implant spine infusion pump A 7.04 3.51 3.51 1.02 11.57 11.57 00090.11.76.132001090 36.6873 .917 62365 Remove spine infusion device A 5.42 3.47 3.47 0.68 9.57 9.57 00090.11.76.132000090 36.6873 .917 62367 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 62367TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 6236726Analyze spine infusion pump A 0.48 0.35 0.35 0.07 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 62368 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 62368TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 6236826Analyze spine infusion pump A 0.75 0.55 0.55 0.11 1.41 1.41 01XXX.00.00.000000090 36.6873 .917 63001 Removal of spinal lamina A 15.82 17.40 17.40 3.42 36.64 36.64 00090.11.76.132022090 36.6873 .917 63003 Removal of spinal lamina A 15.95 17.55 17.55 3.23 36.73 36.73 00090.11.76.132022090 36.6873 .917 63005 Removal of spinal lamina A 14.92 16.41 16.41 3.10 34.43 34.43 00090.11.76.132022090 36.6873 .917 63011 Removal of spinal lamina A 14.52 9.99 9.99 1.87 26.38 26.38 00090.11.76.132022090 36.6873 .917 63012 Removal of spinal lamina A 15.40 16.94 16.94 3.15 35.49 35.49 00090.11.76.132022090 36.6873 .917 63015 Removal of spinal lamina A 19.35 21.23 21.23 4.18 44.76 44.76 00090.11.76.132022090 36.6873 .917 63016 Removal of spinal lamina A 19.20 21.12 21.12 4.11 44.43 44.43 00090.11.76.132022090 36.6873 .917 63017 Removal of spinal lamina A 15.94 17.53 17.53 4.00 37.47 37.47 00090.11.76.132022090 36.6873 .917 63020 Neck spine disk surgery A 14.81 16.04 16.04 3.38 34.23 34.23 00090.11.76.132122090 36.6873 .917 63030 Low back disk surgery A 12.00 13.20 13.20 2.81 28.01 28.01 00090.11.76.132122090 36.6873 .917 63035 Added spinal disk surgery A 3.15 3.47 3.47 0.76 7.38 7.38 00ZZZ.00.00.000122090 36.6873 .917 63040 Neck spine disk surgery A 18.81 20.69 20.69 4.30 43.80 43.80 00090.11.76.132122090 36.6873 .917 63042 Low back disk surgery A 17.47 19.22 19.22 4.38 41.07 41.07 00090.11.76.132122090 36.6873 .917 63045 Removal of spinal lamina A 16.50 18.15 18.15 4.38 39.03 39.03 00090.11.76.132222090 36.6873 .917 63046 Removal of spinal lamina A 15.80 17.38 17.38 4.58 37.76 37.76 00090.11.76.132222090 36.6873 .917 63047 Removal of spinal lamina A 14.61 16.07 16.07 4.48 35.16 35.16 00090.11.76.132222090 36.6873 .917 63048 Removal of spinal lamina A 3.26 3.59 3.59 1.03 7.88 7.88 00ZZZ.00.00.000222090 36.6873 .917 63055 Decompress spinal cord A 21.99 23.73 23.73 4.18 49.90 49.90 00090.11.76.132021090 36.6873 .917 63056 Decompress spinal cord A 20.36 21.84 21.84 3.76 45.96 45.96 00090.11.76.132021090 36.6873 .917 63057 Decompress spinal cord A 5.26 3.84 3.84 0.85 9.95 9.95 00ZZZ.00.00.000021090 36.6873 .917 63064 Decompress spinal cord A 24.61 23.83 23.83 4.09 52.53 52.53 00090.11.76.132021090 36.6873 .917 63066 Decompress spinal cord A 3.26 2.48 2.48 0.45 6.19 6.19 00ZZZ.00.00.000021090 36.6873 .917 63075 Neck spine disk surgery A 19.41 17.57 17.57 3.21 40.19 40.19 00090.11.76.132022090 36.6873 .917 63076 Neck spine disk surgery A 4.05 4.46 4.46 0.97 9.48 9.48 00ZZZ.00.00.000022090 36.6873 .917 63077 Spine disk surgery, thorax A 21.44 18.42 18.42 3.17 43.03 43.03 00090.11.76.132022090 36.6873 .917 63078 Spine disk surgery, thorax A 3.28 2.61 2.61 0.45 6.34 6.34 00ZZZ.00.00.000022090 36.6873 .917 63081 Removal of vertebral body A 23.73 26.10 26.10 4.50 54.33 54.33 00090.11.76.132021290 36.6873 .917 63082 Removal of vertebral body A 4.37 4.81 4.81 1.22 10.40 10.40 00ZZZ.00.00.000021290 36.6873 .917 63085 Removal of vertebral body A 26.92 27.39 27.39 4.69 59.00 59.00 00090.11.76.132022290 36.6873 .917 63086 Removal of vertebral body A 3.19 3.51 3.51 1.07 7.77 7.77 00ZZZ.00.00.000022290 36.6873 .917 63087 Removal of vertebral body A 35.57 28.25 28.25 4.85 68.67 68.67 00090.11.76.132022290 36.6873 .917 63088 Removal of vertebral body A 4.33 4.76 4.76 1.18 10.27 10.27 00ZZZ.00.00.000022290 36.6873 .917 63090 Removal of vertebral body A 28.16 29.22 29.22 4.92 62.30 62.30 00090.11.76.132022290 36.6873 .917 63091 Removal of vertebral body A 3.03 2.73 2.73 0.46 6.22 6.22 00ZZZ.00.00.000022290 36.6873 .917 63170 Incise spinal cord tract(s) A 19.83 18.88 18.88 3.28 41.99 41.99 00090.11.76.132021090 36.6873 .917 63172 Drainage of spinal cyst A 17.66 19.43 19.43 4.26 41.35 41.35 00090.11.76.132021090 36.6873 .917 63173 Drainage of spinal cyst A 21.99 15.47 15.47 1.81 39.27 39.27 00090.11.76.132021090 36.6873 .917 63180 Revise spinal cord ligaments A 18.27 11.61 11.61 2.05 31.93 31.93 00090.11.76.132021090 36.6873 .917 63182 Revise spinal cord ligaments A 20.50 16.44 16.44 2.21 39.15 39.15 00090.11.76.132021090 36.6873 .917 63185 Incise spinal column/nerves A 15.04 15.55 15.55 2.93 33.52 33.52 00090.11.76.132021090 36.6873 .917 63190 Incise spinal column/nerves A 17.45 19.20 19.20 3.91 40.56 40.56 00090.11.76.132021090 36.6873 .917 63191 Incise spinal column/nerves A 17.54 13.04 13.04 2.21 32.79 32.79 00090.11.76.132121090 36.6873 .917 63194 Incise spinal column & cord A 19.19 13.02 13.02 2.33 34.54 34.54 00090.11.76.132021090 36.6873 .917 63195 Incise spinal column & cord A 18.84 13.86 13.86 2.11 34.81 34.81 00090.11.76.132021090 36.6873 .917 63196 Incise spinal column & cord A 22.30 15.59 15.59 1.83 39.72 39.72 00090.11.76.132021090 36.6873 .917 63197 Incise spinal column & cord A 21.11 14.36 14.36 2.62 38.09 38.09 00090.11.76.132021090 36.6873 .917 63198 Incise spinal column & cord A 25.38 16.32 16.32 3.19 44.89 44.89 00090.11.76.132021090 36.6873 .917 63199 Incise spinal column & cord A 26.89 21.40 21.40 2.61 50.90 50.90 00090.11.76.132021090 36.6873 .917 63200 Release of spinal cord A 19.18 12.49 12.49 1.83 33.50 33.50 00090.11.76.132020090 36.6873 .917 63250 Revise spinal cord vessels A 40.76 27.99 27.99 5.22 73.97 73.97 00090.11.76.132021090 36.6873 .917 63251 Revise spinal cord vessels A 41.20 22.74 22.74 4.32 68.26 68.26 00090.11.76.132021090 36.6873 .917 63252 Revise spinal cord vessels A 41.19 28.25 28.25 5.52 74.96 74.96 00090.11.76.132021090 36.6873 .917 63265 Excise intraspinal lesion A 21.56 22.01 22.01 3.90 47.47 47.47 00090.11.76.132021090 36.6873 .917 63266 Excise intraspinal lesion A 22.30 24.53 24.53 4.43 51.26 51.26 00090.11.76.132021090 36.6873 .917 63267 Excise intraspinal lesion A 17.95 19.75 19.75 4.20 41.90 41.90 00090.11.76.132021090 36.6873 .917 63268 Excise intraspinal lesion A 18.52 12.56 12.56 2.46 33.54 33.54 00090.11.76.132021090 36.6873 .917 63270 Excise intraspinal lesion A 26.80 18.14 18.14 3.42 48.36 48.36 00090.11.76.132021090 36.6873 .917 63271 Excise intraspinal lesion A 26.92 26.60 26.60 4.79 58.31 58.31 00090.11.76.132021090 36.6873 .917 63272 Excise intraspinal lesion A 25.32 23.15 23.15 4.26 52.73 52.73 00090.11.76.132021090 36.6873 .917 63273 Excise intraspinal lesion A 24.29 17.56 17.56 3.12 44.97 44.97 00090.11.76.132020090 36.6873 .917 63275 Biopsy/excise spinal tumor A 23.68 26.05 26.05 5.09 54.82 54.82 00090.11.76.132021090 36.6873 .917 63276 Biopsy/excise spinal tumor A 23.45 25.31 25.31 4.62 53.38 53.38 00090.11.76.132021090 36.6873 .917 63277 Biopsy/excise spinal tumor A 20.83 22.91 22.91 4.25 47.99 47.99 00090.11.76.132021090 36.6873 .917 63278 Biopsy/excise spinal tumor A 20.56 22.62 22.62 4.32 47.50 47.50 00090.11.76.132021090 36.6873 .917 63280 Biopsy/excise spinal tumor A 28.35 28.08 28.08 4.99 61.42 61.42 00090.11.76.132021090 36.6873 .917 63281 Biopsy/excise spinal tumor A 28.05 27.67 27.67 4.96 60.68 60.68 00090.11.76.132021090 36.6873 .917 63282 Biopsy/excise spinal tumor A 26.39 24.11 24.11 4.44 54.94 54.94 00090.11.76.132021090 36.6873 .917 63283 Biopsy/excise spinal tumor A 25.00 18.77 18.77 3.44 47.21 47.21 00090.11.76.132021090 36.6873 .917 63285 Biopsy/excise spinal tumor A 36.00 24.49 24.49 4.49 64.98 64.98 00090.11.76.132021090 36.6873 .917 63286 Biopsy/excise spinal tumor A 35.63 28.76 28.76 4.92 69.31 69.31 00090.11.76.132021090 36.6873 .917 63287 Biopsy/excise spinal tumor A 36.70 25.72 25.72 4.53 66.95 66.95 00090.11.76.132021090 36.6873 .917 63290 Biopsy/excise spinal tumor A 37.38 27.16 27.16 4.65 69.19 69.19 00090.11.76.132021090 36.6873 .917 63300 Removal of vertebral body A 24.43 17.27 17.27 2.02 43.72 43.72 00090.11.76.132021090 36.6873 .917 63301 Removal of vertebral body A 27.60 18.45 18.45 3.58 49.63 49.63 00090.11.76.132021090 36.6873 .917 63302 Removal of vertebral body A 27.81 21.36 21.36 3.02 52.19 52.19 00090.11.76.132021090 36.6873 .917 63303 Removal of vertebral body A 30.50 18.50 18.50 3.39 52.39 52.39 00090.11.76.132021090 36.6873 .917 63304 Removal of vertebral body A 30.33 21.31 21.31 2.49 54.13 54.13 00090.11.76.132020090 36.6873 .917 63305 Removal of vertebral body A 32.03 22.49 22.49 3.75 58.27 58.27 00090.11.76.132021090 36.6873 .917 63306 Removal of vertebral body A 32.22 22.76 22.76 2.65 57.63 57.63 00090.11.76.132021090 36.6873 .917 63307 Removal of vertebral body A 31.63 24.42 24.42 2.98 59.03 59.03 00090.11.76.132021090 36.6873 .917 63308 Removal of vertebral body A 5.25 4.05 4.05 0.73 10.03 10.03 00ZZZ.00.00.000020090 36.6873 .917 63600 Remove spinal cord lesion A 14.02 10.70 10.70 2.63 27.35 27.35 00090.11.76.132000090 36.6873 .917 63610 Stimulation of spinal cord A 8.73 6.73 6.73 2.06 17.52 17.52 00000.00.00.002000090 36.6873 .917 63615 Remove lesion of spinal cord A 16.28 11.55 11.55 2.03 29.86 29.86 00090.11.76.132011090 36.6873 .917 63650 Implant neuroelectrodes A 6.74 7.41 7.41 2.13 16.28 16.28 00090.11.76.132010090 36.6873 .917 63655 Implant neuroelectrodes A 10.29 11.32 11.32 3.64 25.25 25.25 00090.11.76.132021090 36.6873 .917 63660 Revise/remove neuroelectrode A 6.16 6.78 6.78 1.56 14.50 14.50 00090.11.76.132021090 36.6873 .917 63685 Implant neuroreceiver A 7.04 7.40 7.40 1.46 15.90 15.90 00090.11.76.132021090 36.6873 .917 63688 Revise/remove neuroreceiver A 5.39 5.93 5.93 1.26 12.58 12.58 00090.11.76.132010090 36.6873 .917 63690 Analysis of neuroreceiver A 0.45 0.58 0.50 0.12 1.15 1.07 30XXX.00.00.000000090 36.6873 .917 63691 Analysis of neuroreceiver A 0.65 0.41 0.41 0.11 1.17 1.17 10XXX.00.00.002010090 36.6873 .917 63700 Repair of spinal herniation A 16.53 11.35 11.35 2.22 30.10 30.10 00090.11.76.132021090 36.6873 .917 63702 Repair of spinal herniation A 18.48 12.78 12.78 2.49 33.75 33.75 00090.11.76.132021090 36.6873 .917 63704 Repair of spinal herniation A 21.18 14.19 14.19 2.77 38.14 38.14 00090.11.76.132021090 36.6873 .917 63706 Repair of spinal herniation A 24.11 16.33 16.33 3.18 43.62 43.62 00090.11.76.132021090 36.6873 .917 63707 Repair spinal fluid leakage A 11.26 12.39 12.39 2.56 26.21 26.21 00090.11.76.132021090 36.6873 .917 63709 Repair spinal fluid leakage A 14.32 15.75 15.75 3.30 33.37 33.37 00090.11.76.132021090 36.6873 .917 63710 Graft repair of spine defect A 14.07 9.75 9.75 1.58 25.40 25.40 00090.11.76.132021090 36.6873 .917 63740 Install spinal shunt A 11.36 12.50 12.50 2.99 26.85 26.85 00090.11.76.132021090 36.6873 .917 63741 Install spinal shunt A 8.25 9.08 9.08 2.39 19.72 19.72 00090.11.76.132021090 36.6873 .917 63744 Revision of spinal shunt A 8.10 8.15 8.15 1.68 17.93 17.93 00090.11.76.132021090 36.6873 .917 63746 Removal of spinal shunt A 6.43 5.52 5.52 1.08 13.03 13.03 00090.11.76.132000090 36.6873 .917 64400 Injection for nerve block A 1.11 0.48 0.48 0.05 1.64 1.64 10000.00.00.002010090 36.6873 .917 64402 Injection for nerve block A 1.25 0.62 0.62 0.09 1.96 1.96 00000.00.00.002010090 36.6873 .917 64405 Injection for nerve block A 1.32 0.64 0.64 0.07 2.03 2.03 10000.00.00.002010090 36.6873 .917 64408 Injection for nerve block A 1.41 1.04 1.04 0.11 2.56 2.56 10000.00.00.002000090 36.6873 .917 64410 Injection for nerve block A 1.43 0.71 0.71 0.15 2.29 2.29 00000.00.00.002000090 36.6873 .917 64412 Injection for nerve block A 1.18 0.62 0.62 0.08 1.88 1.88 10000.00.00.002010090 36.6873 .917 64413 Injection for nerve block A 1.40 0.74 0.74 0.08 2.22 2.22 10000.00.00.002010090 36.6873 .917 64415 Injection for nerve block A 1.48 0.26 0.26 0.07 1.81 1.81 00000.00.00.002010090 36.6873 .917 64417 Injection for nerve block A 1.44 0.63 0.63 0.15 2.22 2.22 00000.00.00.002010090 36.6873 .917 64418 Injection for nerve block A 1.32 0.85 0.85 0.10 2.27 2.27 10000.00.00.002010090 36.6873 .917 64420 Injection for nerve block A 1.18 0.64 0.64 0.07 1.89 1.89 00000.00.00.002010090 36.6873 .917 64421 Injection for nerve block A 1.68 0.83 0.83 0.17 2.68 2.68 00000.00.00.002010090 36.6873 .917 64425 Injection for nerve block A 1.75 0.57 0.57 0.10 2.42 2.42 00000.00.00.002010090 36.6873 .917 64430 Injection for nerve block A 1.46 0.70 0.70 0.12 2.28 2.28 00000.00.00.002010090 36.6873 .917 64435 Injection for nerve block A 1.45 0.47 0.47 0.09 2.01 2.01 10000.00.00.002010090 36.6873 .917 64440 Injection for nerve block A 1.34 0.79 0.79 0.09 2.22 2.22 10000.00.00.002010090 36.6873 .917 64441 Injection for nerve block A 1.79 1.01 1.01 0.12 2.92 2.92 10000.00.00.002010090 36.6873 .917 64442 Injection for nerve block A 1.41 1.19 1.19 0.16 2.76 2.76 00000.00.00.002010090 36.6873 .917 64443 Injection for nerve block A 0.98 0.63 0.63 0.12 1.73 1.73 00ZZZ.00.00.000010090 36.6873 .917 64445 Injection for nerve block A 1.48 0.49 0.49 0.06 2.03 2.03 10000.00.00.002010090 36.6873 .917 64450 Injection for nerve block A 1.27 0.53 0.53 0.05 1.85 1.85 10000.00.00.002010090 36.6873 .917 64505 Injection for nerve block A 1.36 0.62 0.62 0.06 2.04 2.04 10000.00.00.002010090 36.6873 .917 64508 Injection for nerve block A 1.12 1.04 1.04 0.08 2.24 2.24 10000.00.00.002000090 36.6873 .917 64510 Injection for nerve block A 1.22 0.71 0.71 0.18 2.11 2.11 00000.00.00.002010090 36.6873 .917 64520 Injection for nerve block A 1.35 0.72 0.72 0.17 2.24 2.24 00000.00.00.002010090 36.6873 .917 64530 Injection for nerve block A 1.58 1.17 1.17 0.28 3.03 3.03 00000.00.00.002010090 36.6873 .917 64550 Apply neurostimulator A 0.18 0.44 0.44 0.04 0.66 0.66 10000.00.00.000010090 36.6873 .917 64553 Implant neuroelectrodes A 2.31 1.02 1.02 0.10 3.43 3.43 10010.10.80.102000090 36.6873 .917 64555 Implant neuroelectrodes A 2.27 0.42 0.42 0.10 2.79 2.79 10010.10.80.102010090 36.6873 .917 64560 Implant neuroelectrodes A 2.36 1.45 1.45 0.24 4.05 4.05 10010.10.80.102000090 36.6873 .917 64565 Implant neuroelectrodes A 1.76 0.76 0.76 0.08 2.60 2.60 10010.10.80.102010090 36.6873 .917 64573 Implant neuroelectrodes A 4.43 3.16 3.16 0.61 8.20 8.20 00090.11.76.132000090 36.6873 .917 64575 Implant neuroelectrodes A 4.35 3.07 3.07 0.40 7.82 7.82 00090.11.76.132010090 36.6873 .917 64577 Implant neuroelectrodes A 4.62 2.76 2.76 0.45 7.83 7.83 00090.11.76.132010090 36.6873 .917 64580 Implant neuroelectrodes A 4.12 2.91 2.91 0.20 7.23 7.23 00090.11.76.132020090 36.6873 .917 64585 Revise/remove neuroelectrode A 2.06 0.97 0.97 0.09 3.12 3.12 00010.10.80.102020090 36.6873 .917 64590 Implant neuroreceiver A 2.40 1.84 1.84 0.35 4.59 4.59 00010.10.80.102021090 36.6873 .917 64595 Revise/remove neuroreceiver A 1.73 1.12 1.12 0.21 3.06 3.06 00010.10.80.102020090 36.6873 .917 64600 Injection treatment of nerve A 3.45 1.69 1.69 0.17 5.31 5.31 00010.10.80.102210090 36.6873 .917 64605 Injection treatment of nerve A 5.61 1.56 1.56 0.33 7.50 7.50 00010.10.80.102000090 36.6873 .917 64610 Injection treatment of nerve A 7.16 7.26 7.26 1.35 15.77 15.77 00010.10.80.102010090 36.6873 .917 64612 Destroy nerve, face muscle A 1.96 1.45 1.45 0.17 3.58 3.58 10010.10.80.102010090 36.6873 .917 64613 Destroy nerve, spine muscle A 1.96 1.45 1.45 0.17 3.58 3.58 10010.10.80.102010090 36.6873 .917 64620 Injection treatment of nerve A 2.84 1.00 1.00 0.19 4.03 4.03 00010.10.80.102010090 36.6873 .917 64622 Injection treatment of nerve A 3.00 1.82 1.82 0.35 5.17 5.17 00010.10.80.102010090 36.6873 .917 64623 Injection treatment of nerve A 0.99 0.85 0.85 0.17 2.01 2.01 00ZZZ.00.00.000010090 36.6873 .917 64630 Injection treatment of nerve A 3.00 1.74 1.74 0.38 5.12 5.12 00010.10.80.102000090 36.6873 .917 64640 Injection treatment of nerve A 2.76 0.92 0.92 0.09 3.77 3.77 00010.10.80.102010090 36.6873 .917 64680 Injection treatment of nerve A 2.62 1.55 1.55 0.41 4.58 4.58 00010.10.80.102010090 36.6873 .917 64702 Revise finger/toe nerve A 4.23 4.22 4.22 0.70 9.15 9.15 00090.11.76.132010090 36.6873 .917 64704 Revise hand/foot nerve A 4.57 5.03 5.03 0.74 10.34 10.34 00090.11.76.132021090 36.6873 .917 64708 Revise arm/leg nerve A 6.12 6.73 6.73 1.26 14.11 14.11 00090.11.76.132021090 36.6873 .917 64712 Revision of sciatic nerve A 7.75 8.53 8.53 1.68 17.96 17.96 00090.11.76.132021090 36.6873 .917 64713 Revision of arm nerve(s) A 11.00 9.40 9.40 1.72 22.12 22.12 00090.11.76.132021090 36.6873 .917 64714 Revise low back nerve(s) A 10.33 6.13 6.13 1.41 17.87 17.87 00090.11.76.132021090 36.6873 .917 64716 Revision of cranial nerve A 6.31 4.83 4.83 0.67 11.81 11.81 00090.11.76.132021090 36.6873 .917 64718 Revise ulnar nerve at elbow A 5.99 6.59 6.59 1.13 13.71 13.71 00090.11.76.132000090 36.6873 .917 64719 Revise ulnar nerve at wrist A 4.85 4.95 4.95 0.85 10.65 10.65 00090.11.76.132010090 36.6873 .917 64721 Carpal tunnel surgery A 4.29 4.72 4.72 0.83 9.84 9.84 00090.11.76.132110090 36.6873 .917 64722 Relieve pressure on nerve(s) A 4.70 5.17 5.17 1.11 10.98 10.98 00090.11.76.132021090 36.6873 .917 64726 Release foot/toe nerve A 4.18 0.72 0.72 0.07 4.97 4.97 00090.11.76.132010090 36.6873 .917 64727 Internal nerve revision A 3.10 3.24 3.24 0.55 6.89 6.89 00ZZZ.00.00.000010090 36.6873 .917 64732 Incision of brow nerve A 4.41 4.31 4.31 0.72 9.44 9.44 00090.11.76.132020090 36.6873 .917 64734 Incision of cheek nerve A 4.92 4.61 4.61 0.67 10.20 10.20 00090.11.76.132000090 36.6873 .917 64736 Incision of chin nerve A 4.60 4.46 4.46 0.42 9.48 9.48 00090.11.76.132020090 36.6873 .917 64738 Incision of jaw nerve A 5.73 5.07 5.07 0.61 11.41 11.41 00090.11.76.132020090 36.6873 .917 64740 Incision of tongue nerve A 5.59 5.18 5.18 0.62 11.39 11.39 00090.11.76.132020090 36.6873 .917 64742 Incision of facial nerve A 6.22 5.00 5.00 0.44 11.66 11.66 00090.11.76.132020090 36.6873 .917 64744 Incise nerve, back of head A 5.24 5.76 5.76 1.10 12.10 12.10 00090.11.76.132100090 36.6873 .917 64746 Incise diaphragm nerve A 5.93 3.77 3.77 0.77 10.47 10.47 00090.11.76.132021090 36.6873 .917 64752 Incision of vagus nerve A 7.06 3.93 3.93 0.85 11.84 11.84 00090.11.76.132021090 36.6873 .917 64755 Incision of stomach nerves A 13.52 10.47 10.47 2.27 26.26 26.26 00090.11.76.132021090 36.6873 .917 64760 Incision of vagus nerve A 6.96 6.65 6.65 1.50 15.11 15.11 00090.11.76.132021090 36.6873 .917 64761 Incision of pelvis nerve A 6.41 4.66 4.66 0.50 11.57 11.57 00090.11.76.132120090 36.6873 .917 64763 Incise hip/thigh nerve A 6.93 4.80 4.80 0.92 12.65 12.65 00090.11.76.132121090 36.6873 .917 64766 Incise hip/thigh nerve A 8.67 6.67 6.67 1.20 16.54 16.54 00090.11.76.132120090 36.6873 .917 64771 Sever cranial nerve A 7.35 6.42 6.42 0.73 14.50 14.50 00090.11.76.132020090 36.6873 .917 64772 Incision of spinal nerve A 7.21 6.77 6.77 1.30 15.28 15.28 00090.11.76.132021090 36.6873 .917 64774 Remove skin nerve lesion A 5.17 2.74 2.74 0.45 8.36 8.36 00090.11.76.132010090 36.6873 .917 64776 Remove digit nerve lesion A 5.12 2.78 2.78 0.41 8.31 8.31 00090.11.76.132000090 36.6873 .917 64778 Added digit nerve surgery A 3.11 2.73 2.73 0.43 6.27 6.27 00ZZZ.00.00.000010090 36.6873 .917 64782 Remove limb nerve lesion A 6.23 4.70 4.70 0.46 11.39 11.39 00090.11.76.132011090 36.6873 .917 64783 Added limb nerve surgery A 3.72 3.26 3.26 0.47 7.45 7.45 00ZZZ.00.00.000010090 36.6873 .917 64784 Remove nerve lesion A 9.82 5.64 5.64 0.96 16.42 16.42 00090.11.76.132000090 36.6873 .917 64786 Remove sciatic nerve lesion A 15.46 12.66 12.66 2.14 30.26 30.26 00090.11.76.132020090 36.6873 .917 64787 Implant nerve end A 4.30 3.47 3.47 0.60 8.37 8.37 00ZZZ.00.00.000000090 36.6873 .917 64788 Remove skin nerve lesion A 4.61 3.63 3.63 0.50 8.74 8.74 00090.11.76.132010090 36.6873 .917 64790 Removal of nerve lesion A 11.31 7.11 7.11 1.22 19.64 19.64 00090.11.76.132001090 36.6873 .917 64792 Removal of nerve lesion A 14.92 8.99 8.99 1.66 25.57 25.57 00090.11.76.132021090 36.6873 .917 64795 Biopsy of nerve A 3.01 2.38 2.38 0.39 5.78 5.78 00000.00.00.002010090 36.6873 .917 64802 Remove sympathetic nerves A 9.15 5.40 5.40 1.10 15.65 15.65 00090.11.76.132121090 36.6873 .917 64804 Remove sympathetic nerves A 14.64 12.77 12.77 2.44 29.85 29.85 00090.11.76.132121090 36.6873 .917 64809 Remove sympathetic nerves A 13.67 10.55 10.55 2.04 26.26 26.26 00090.11.76.132121090 36.6873 .917 64818 Remove sympathetic nerves A 10.30 8.57 8.57 1.72 20.59 20.59 00090.11.76.132121090 36.6873 .917 64820 Remove sympathetic nerves A 10.37 7.27 7.27 1.42 19.06 19.06 00090.11.76.132010090 36.6873 .917 64830 Microrepair of nerve A 3.10 2.01 2.01 0.38 5.49 5.49 00ZZZ.00.00.000010090 36.6873 .917 64831 Repair of digit nerve A 9.44 3.38 3.38 0.56 13.38 13.38 00090.11.76.132010090 36.6873 .917 64832 Repair additional nerve A 5.66 1.40 1.40 0.24 7.30 7.30 00ZZZ.00.00.000000090 36.6873 .917 64834 Repair of hand or foot nerve A 10.19 3.50 3.50 0.56 14.25 14.25 00090.11.76.132000090 36.6873 .917 64835 Repair of hand or foot nerve A 10.94 5.96 5.96 1.03 17.93 17.93 00090.11.76.132020090 36.6873 .917 64836 Repair of hand or foot nerve A 10.94 6.70 6.70 1.22 18.86 18.86 00090.11.76.132020090 36.6873 .917 64837 Repair additional nerve A 6.26 4.45 4.45 0.85 11.56 11.56 00ZZZ.00.00.000020090 36.6873 .917 64840 Repair of leg nerve A 13.02 10.35 10.35 0.53 23.90 23.90 00090.11.76.132020090 36.6873 .917 64856 Repair/transpose nerve A 13.80 8.21 8.21 1.46 23.47 23.47 00090.11.76.132011090 36.6873 .917 64857 Repair arm/leg nerve A 14.49 9.53 9.53 1.54 25.56 25.56 00090.11.76.132021090 36.6873 .917 64858 Repair sciatic nerve A 16.49 10.98 10.98 2.11 29.58 29.58 00090.11.76.132021090 36.6873 .917 64859 Additional nerve surgery A 4.26 3.50 3.50 0.58 8.34 8.34 00ZZZ.00.00.000021090 36.6873 .917 64861 Repair of arm nerves A 19.24 13.42 13.42 1.38 34.04 34.04 00090.11.76.132021090 36.6873 .917 64862 Repair of low back nerves A 19.44 21.56 21.56 1.61 42.61 42.61 00090.11.76.132020090 36.6873 .917 64864 Repair of facial nerve A 12.55 7.86 7.86 1.16 21.57 21.57 00090.11.76.132021090 36.6873 .917 64865 Repair of facial nerve A 15.24 12.34 12.34 1.50 29.08 29.08 00090.11.76.132021090 36.6873 .917 64866 Fusion of facial/other nerve A 15.74 11.19 11.19 1.84 28.77 28.77 00090.11.76.132021090 36.6873 .917 64868 Fusion of facial/other nerve A 14.04 11.19 11.19 1.47 26.70 26.70 00090.11.76.132021090 36.6873 .917 64870 Fusion of facial/other nerve A 15.99 13.91 13.91 1.70 31.60 31.60 00090.11.76.132021090 36.6873 .917 64872 Subsequent repair of nerve A 1.99 1.44 1.44 0.29 3.72 3.72 00ZZZ.00.00.000021090 36.6873 .917 64874 Repair & revise nerve A 2.98 2.17 2.17 0.43 5.58 5.58 00ZZZ.00.00.000021090 36.6873 .917 64876 Repair nerve; shorten bone A 3.38 2.46 2.46 0.48 6.32 6.32 00ZZZ.00.00.000021090 36.6873 .917 64885 Nerve graft, head or neck A 17.53 12.69 12.69 1.48 31.70 31.70 00090.11.76.132021090 36.6873 .917 64886 Nerve graft, head or neck A 20.75 15.13 15.13 1.77 37.65 37.65 00090.11.76.132021090 36.6873 .917 64890 Nerve graft, hand or foot A 15.15 12.26 12.26 2.12 29.53 29.53 00090.11.76.132020090 36.6873 .917 64891 Nerve graft, hand or foot A 16.14 10.42 10.42 1.73 28.29 28.29 00090.11.76.132020090 36.6873 .917 64892 Nerve graft, arm or leg A 14.65 11.04 11.04 1.69 27.38 27.38 00090.11.76.132021090 36.6873 .917 64893 Nerve graft, arm or leg A 15.60 13.93 13.93 2.27 31.80 31.80 00090.11.76.132020090 36.6873 .917 64895 Nerve graft, hand or foot A 19.25 13.16 13.16 2.55 34.96 34.96 00090.11.76.132021090 36.6873 .917 64896 Nerve graft, hand or foot A 20.49 17.53 17.53 1.90 39.92 39.92 00090.11.76.132021090 36.6873 .917 64897 Nerve graft, arm or leg A 18.24 12.63 12.63 2.47 33.34 33.34 00090.11.76.132020090 36.6873 .917 64898 Nerve graft, arm or leg A 19.50 14.40 14.40 2.35 36.25 36.25 00090.11.76.132021090 36.6873 .917 64901 Additional nerve graft A 10.22 10.16 10.16 0.87 21.25 21.25 00ZZZ.00.00.000021090 36.6873 .917 64902 Additional nerve graft A 11.83 11.92 11.92 0.99 24.74 24.74 00ZZZ.00.00.000020090 36.6873 .917 64905 Nerve pedicle transfer A 14.02 9.40 9.40 0.70 24.12 24.12 00090.11.76.132021090 36.6873 .917 64907 Nerve pedicle transfer A 18.83 13.02 13.02 2.55 34.40 34.40 00090.11.76.132021090 36.6873 .917 64999 Nervous system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 65091 Revise eye A 6.46 7.11 7.11 0.45 14.02 14.02 00090.10.70.202101090 36.6873 .917 65093 Revise eye with implant A 6.87 7.56 7.56 0.52 14.95 14.95 00090.10.70.202111090 36.6873 .917 65101 Removal of eye A 7.03 7.73 7.73 0.47 15.23 15.23 00090.10.70.202110090 36.6873 .917 65103 Remove eye/insert implant A 7.57 8.33 8.33 0.50 16.40 16.40 00090.10.70.202111090 36.6873 .917 65105 Remove eye/attach implant A 8.49 9.34 9.34 0.55 18.38 18.38 00090.10.70.202121090 36.6873 .917 65110 Removal of eye A 13.95 15.35 15.35 1.14 30.44 30.44 00090.10.70.202121090 36.6873 .917 65112 Remove eye, revise socket A 16.38 12.16 12.16 1.09 29.63 29.63 00090.10.70.202121090 36.6873 .917 65114 Remove eye, revise socket A 17.53 13.07 13.07 1.65 32.25 32.25 00090.10.70.202121090 36.6873 .917 65125 Revise ocular implant A 3.12 2.47 2.47 0.13 5.72 5.72 00090.10.70.202111090 36.6873 .917 65130 Insert ocular implant A 7.15 7.87 7.87 0.50 15.52 15.52 00090.10.70.202111090 36.6873 .917 65135 Insert ocular implant A 7.33 5.42 5.42 0.35 13.10 13.10 00090.10.70.202110090 36.6873 .917 65140 Attach ocular implant A 8.02 6.22 6.22 0.33 14.57 14.57 00090.10.70.202110090 36.6873 .917 65150 Revise ocular implant A 6.26 6.89 6.89 0.56 13.71 13.71 00090.10.70.202100090 36.6873 .917 65155 Reinsert ocular implant A 8.66 9.53 9.53 0.90 19.09 19.09 00090.10.70.202110090 36.6873 .917 65175 Removal of ocular implant A 6.28 6.91 6.91 0.40 13.59 13.59 00090.10.70.202111090 36.6873 .917 65205 Remove foreign body from eye A 0.71 0.37 0.37 0.02 1.10 1.10 10000.00.00.002110090 36.6873 .917 65210 Remove foreign body from eye A 0.84 0.46 0.46 0.03 1.33 1.33 10000.00.00.002110090 36.6873 .917 65220 Remove foreign body from eye A 0.71 0.52 0.52 0.04 1.27 1.27 10000.00.00.002110090 36.6873 .917 65222 Remove foreign body from eye A 0.93 0.57 0.57 0.03 1.53 1.53 10000.00.00.002110090 36.6873 .917 65235 Remove foreign body from eye A 7.57 5.61 5.61 0.30 13.48 13.48 00090.10.70.202100090 36.6873 .917 65260 Remove foreign body from eye A 10.96 8.63 8.63 0.45 20.04 20.04 00090.10.70.202120090 36.6873 .917 65265 Remove foreign body from eye A 12.59 10.04 10.04 0.51 23.14 23.14 00090.10.70.202121090 36.6873 .917 65270 Repair of eye wound A 1.90 1.17 1.17 0.07 3.14 3.14 00010.10.80.102100090 36.6873 .917 65272 Repair of eye wound A 3.82 1.64 1.64 0.10 5.56 5.56 00090.10.70.202110090 36.6873 .917 65273 Repair of eye wound A 4.36 3.22 3.22 0.21 7.79 7.79 00090.10.70.202111090 36.6873 .917 65275 Repair of eye wound A 5.34 0.66 0.66 0.04 6.04 6.04 00090.10.70.202100090 36.6873 .917 65280 Repair of eye wound A 7.66 8.43 8.43 0.49 16.58 16.58 00090.10.70.202100090 36.6873 .917 65285 Repair of eye wound A 12.90 12.26 12.26 0.64 25.80 25.80 00090.10.70.202120090 36.6873 .917 65286 Repair of eye wound A 5.51 4.79 4.79 0.25 10.55 10.55 10090.10.70.202110090 36.6873 .917 65290 Repair of eye socket wound A 5.41 5.95 5.95 0.37 11.73 11.73 00090.10.70.202111090 36.6873 .917 65400 Removal of eye lesion A 6.06 6.46 6.46 0.35 12.87 12.87 00090.10.70.202110090 36.6873 .917 65410 Biopsy of cornea A 1.47 1.59 1.59 0.11 3.17 3.17 00000.00.00.002100090 36.6873 .917 65420 Removal of eye lesion A 4.17 4.28 4.28 0.23 8.68 8.68 00090.10.70.202110090 36.6873 .917 65426 Removal of eye lesion A 5.25 5.78 5.78 0.38 11.41 11.41 00090.10.70.202110090 36.6873 .917 65430 Corneal smear A 1.47 0.54 0.54 0.03 2.04 2.04 10000.00.00.002110090 36.6873 .917 65435 Curette/treat cornea A 0.92 0.77 0.77 0.04 1.73 1.73 10000.00.00.002110090 36.6873 .917 65436 Curette/treat cornea A 4.19 1.53 1.53 0.08 5.80 5.80 10090.10.70.202110090 36.6873 .917 65450 Treatment of corneal lesion A 3.27 3.28 3.28 0.17 6.72 6.72 00090.10.70.202110090 36.6873 .917 65600 Revision of cornea A 3.40 2.62 2.62 0.14 6.16 6.16 10090.10.70.202110090 36.6873 .917 65710 Corneal transplant A 12.35 12.44 12.44 1.13 25.92 25.92 00090.10.70.202121090 36.6873 .917 65730 Corneal transplant A 14.25 15.14 15.14 1.29 30.68 30.68 00090.10.70.202121090 36.6873 .917 65750 Corneal transplant A 15.00 16.10 16.10 1.33 32.43 32.43 00090.10.70.202121090 36.6873 .917 65755 Corneal transplant A 14.89 16.10 16.10 1.39 32.38 32.38 00090.10.70.202121090 36.6873 .917 65760 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 65765 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 65767 Corneal tissue transplant N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 65770 Revise cornea with implant A 17.56 13.81 13.81 0.71 32.08 32.08 00090.10.70.202120090 36.6873 .917 65771 Radial keratotomy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 65772 Correction of astigmatism A 4.29 4.72 4.72 0.31 9.32 9.32 10090.10.70.202110090 36.6873 .917 65775 Correction of astigmatism A 5.79 6.37 6.37 0.50 12.66 12.66 00090.10.70.202110090 36.6873 .917 65800 Drainage of eye A 1.91 1.72 1.72 0.10 3.73 3.73 00000.00.00.002110090 36.6873 .917 65805 Drainage of eye A 1.91 1.81 1.81 0.10 3.82 3.82 10000.00.00.002110090 36.6873 .917 65810 Drainage of eye A 4.87 5.36 5.36 0.30 10.53 10.53 00090.10.70.202110090 36.6873 .917 65815 Drainage of eye A 5.05 4.49 4.49 0.24 9.78 9.78 00090.10.70.202110090 36.6873 .917 65820 Relieve inner eye pressure A 8.13 9.54 9.54 0.51 18.18 18.18 00090.10.70.202100090 36.6873 .917 65850 Incision of eye A 10.52 11.57 11.57 0.69 22.78 22.78 00090.10.70.202111090 36.6873 .917 65855 Laser surgery of eye A 4.30 6.01 6.01 0.52 10.83 10.83 10090.10.70.202110090 36.6873 .917 65860 Incise inner eye adhesions A 3.55 3.91 3.91 0.37 7.83 7.83 10090.10.70.202100090 36.6873 .917 65865 Incise inner eye adhesions A 5.60 6.16 6.16 0.41 12.17 12.17 00090.10.70.202111090 36.6873 .917 65870 Incise inner eye adhesions A 6.27 5.86 5.86 0.31 12.44 12.44 00090.10.70.202111090 36.6873 .917 65875 Incise inner eye adhesions A 6.54 6.28 6.28 0.34 13.16 13.16 00090.10.70.202111090 36.6873 .917 65880 Incise inner eye adhesions A 7.09 6.85 6.85 0.37 14.31 14.31 00090.10.70.202110090 36.6873 .917 65900 Remove eye lesion A 10.93 7.91 7.91 0.92 19.76 19.76 00090.10.70.202120090 36.6873 .917 65920 Remove implant from eye A 8.40 8.36 8.36 0.44 17.20 17.20 00090.10.70.202111090 36.6873 .917 65930 Remove blood clot from eye A 7.44 7.68 7.68 0.41 15.53 15.53 00090.10.70.202111090 36.6873 .917 66020 Injection treatment of eye A 1.59 1.75 1.75 0.14 3.48 3.48 00010.10.80.102110090 36.6873 .917 66030 Injection treatment of eye A 1.25 0.54 0.54 0.03 1.82 1.82 10010.10.80.102110090 36.6873 .917 66130 Remove eye lesion A 7.69 5.28 5.28 0.28 13.25 13.25 00090.10.70.202100090 36.6873 .917 66150 Glaucoma surgery A 8.30 9.13 9.13 0.59 18.02 18.02 00090.10.70.202111090 36.6873 .917 66155 Glaucoma surgery A 8.29 9.12 9.12 0.50 17.91 17.91 00090.10.70.202110090 36.6873 .917 66160 Glaucoma surgery A 10.17 10.77 10.77 0.55 21.49 21.49 00090.10.70.202121090 36.6873 .917 66165 Glaucoma surgery A 8.01 8.81 8.81 0.57 17.39 17.39 00090.10.70.202120090 36.6873 .917 66170 Glaucoma surgery A 12.16 12.15 12.15 0.63 24.94 24.94 00090.10.70.202121090 36.6873 .917 66172 Incision of eye A 15.04 12.15 12.15 0.63 27.82 27.82 00090.10.70.202121090 36.6873 .917 66180 Implant eye shunt A 14.55 16.01 16.01 1.03 31.59 31.59 00090.10.70.202121090 36.6873 .917 66185 Revise eye shunt A 8.14 8.95 8.95 0.58 17.67 17.67 00090.10.70.202120090 36.6873 .917 66220 Repair eye lesion A 7.77 5.95 5.95 0.34 14.06 14.06 00090.10.70.202121090 36.6873 .917 66225 Repair/graft eye lesion A 11.05 12.16 12.16 0.86 24.07 24.07 00090.10.70.202121090 36.6873 .917 66250 Follow-up surgery of eye A 5.98 6.58 6.58 0.38 12.94 12.94 00090.10.70.202110090 36.6873 .917 66500 Incision of iris A 3.71 4.08 4.08 0.27 8.06 8.06 00090.10.70.202111090 36.6873 .917 66505 Incision of iris A 4.08 3.27 3.27 0.17 7.52 7.52 00090.10.70.202110090 36.6873 .917 66600 Remove iris and lesion A 8.68 9.36 9.36 0.51 18.55 18.55 00090.10.70.202110090 36.6873 .917 66605 Removal of iris A 12.79 11.87 11.87 0.67 25.33 25.33 00090.10.70.202110090 36.6873 .917 66625 Removal of iris A 5.13 5.64 5.64 0.48 11.25 11.25 00090.10.70.202110090 36.6873 .917 66630 Removal of iris A 6.16 6.78 6.78 0.45 13.39 13.39 00090.10.70.202110090 36.6873 .917 66635 Removal of iris A 6.25 6.88 6.88 0.49 13.62 13.62 00090.10.70.202110090 36.6873 .917 66680 Repair iris & ciliary body A 5.44 5.98 5.98 0.35 11.77 11.77 00090.10.70.202111090 36.6873 .917 66682 Repair iris and ciliary body A 6.21 6.83 6.83 0.38 13.42 13.42 00090.10.70.202110090 36.6873 .917 66700 Destruction, ciliary body A 4.78 5.26 5.26 0.35 10.39 10.39 00090.10.70.202100090 36.6873 .917 66710 Destruction, ciliary body A 4.78 5.26 5.26 0.41 10.45 10.45 00090.10.70.202110090 36.6873 .917 66720 Destruction, ciliary body A 4.78 5.26 5.26 0.38 10.42 10.42 00090.10.70.202110090 36.6873 .917 66740 Destruction, ciliary body A 4.78 5.26 5.26 0.39 10.43 10.43 00090.10.70.202110090 36.6873 .917 66761 Revision of iris A 4.07 4.48 4.48 0.47 9.02 9.02 10090.10.70.202110090 36.6873 .917 66762 Revision of iris A 4.58 5.04 5.04 0.55 10.17 10.17 10090.10.70.202110090 36.6873 .917 66770 Removal of inner eye lesion A 5.18 5.70 5.70 0.45 11.33 11.33 10090.10.70.202110090 36.6873 .917 66820 Incision, secondary cataract A 3.89 4.28 4.28 0.29 8.46 8.46 00090.10.70.202110090 36.6873 .917 66821 After cataract laser surgery A 2.35 2.59 2.59 0.37 5.31 5.31 00090.10.70.202110090 36.6873 .917 66825 Reposition intraocular lens A 8.23 7.33 7.33 0.38 15.94 15.94 00090.10.70.202100090 36.6873 .917 66830 Removal of lens lesion A 8.20 7.67 7.67 0.40 16.27 16.27 00090.10.70.202110090 36.6873 .917 66840 Removal of lens material A 7.91 8.70 8.70 0.54 17.15 17.15 00090.10.70.202110090 36.6873 .917 66850 Removal of lens material A 9.11 10.02 10.02 0.70 19.83 19.83 00090.10.70.202110090 36.6873 .917 66852 Removal of lens material A 9.97 10.97 10.97 0.90 21.84 21.84 00090.10.70.202101090 36.6873 .917 66920 Extraction of lens A 8.86 9.75 9.75 0.60 19.21 19.21 00090.10.70.202101090 36.6873 .917 66930 Extraction of lens A 10.18 10.49 10.49 0.57 21.24 21.24 00090.10.70.202100090 36.6873 .917 66940 Extraction of lens A 8.93 9.82 9.82 0.62 19.37 19.37 00090.10.70.202101090 36.6873 .917 66983 Remove cataract, insert lens A 8.99 9.89 9.89 0.95 19.83 19.83 00090.10.70.202110090 36.6873 .917 66984 Remove cataract, insert lens A 10.28 11.31 11.31 0.94 22.53 22.53 00090.10.70.202110090 36.6873 .917 66985 Insert lens prosthesis A 8.39 9.23 9.23 0.63 18.25 18.25 00090.10.70.202111090 36.6873 .917 66986 Exchange lens prosthesis A 12.28 12.20 12.20 0.63 25.11 25.11 00090.10.70.202111090 36.6873 .917 66999 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 67005 Partial removal of eye fluid A 5.70 6.27 6.27 1.13 13.10 13.10 00090.10.70.202111090 36.6873 .917 67010 Partial removal of eye fluid A 6.87 7.56 7.56 1.04 15.47 15.47 00090.10.70.202121090 36.6873 .917 67015 Release of eye fluid A 6.92 6.45 6.45 0.35 13.72 13.72 00090.10.70.202111090 36.6873 .917 67025 Replace eye fluid A 6.84 6.75 6.75 0.36 13.95 13.95 00090.10.70.202111090 36.6873 .917 67027 Implant eye drug system A 10.85 9.04 9.04 0.47 20.36 20.36 00090.10.70.202121090 36.6873 .917 67028 Injection eye drug A 2.52 3.22 2.77 0.18 5.92 5.47 20000.00.00.002110090 36.6873 .917 67030 Incise inner eye strands A 4.84 5.32 5.32 0.50 10.66 10.66 00090.10.70.202121090 36.6873 .917 67031 Laser surgery, eye strands A 3.67 4.04 4.04 0.75 8.46 8.46 10090.10.70.202110090 36.6873 .917 67036 Removal of inner eye fluid A 11.89 13.08 13.08 1.49 26.46 26.46 00090.10.70.202121090 36.6873 .917 67038 Strip retinal membrane A 21.24 23.36 23.36 1.80 46.40 46.40 00090.10.70.202121090 36.6873 .917 67039 Laser treatment of retina A 14.52 15.97 15.97 1.68 32.17 32.17 00090.10.70.202121090 36.6873 .917 67040 Laser treatment of retina A 17.23 18.95 18.95 1.75 37.93 37.93 00090.10.70.202121090 36.6873 .917 67101 Repair, detached retina A 7.53 8.28 8.28 0.66 16.47 16.47 10090.10.70.202110090 36.6873 .917 67105 Repair, detached retina A 7.41 9.14 9.14 0.80 17.35 17.35 10090.10.70.202110090 36.6873 .917 67107 Repair detached retina A 14.84 16.32 16.32 1.10 32.26 32.26 00090.10.70.202121090 36.6873 .917 67108 Repair detached retina A 20.82 22.90 22.90 1.76 45.48 45.48 00090.10.70.202121090 36.6873 .917 67110 Repair detached retina A 8.81 9.69 9.69 0.97 19.47 19.47 00090.10.70.202110090 36.6873 .917 67112 Re-repair detached retina A 16.86 16.51 16.51 0.86 34.23 34.23 00090.10.70.202121090 36.6873 .917 67115 Release, encircling material A 4.99 5.49 5.49 0.44 10.92 10.92 00090.10.70.202110090 36.6873 .917 67120 Remove eye implant material A 5.98 6.58 6.58 0.38 12.94 12.94 00090.10.70.202111090 36.6873 .917 67121 Remove eye implant material A 10.67 9.42 9.42 0.49 20.58 20.58 00090.10.70.202121090 36.6873 .917 67141 Treatment of retina A 5.20 5.72 5.72 0.48 11.40 11.40 10090.10.70.202110090 36.6873 .917 67145 Treatment of retina A 5.37 6.50 6.50 0.49 12.36 12.36 10090.10.70.202110090 36.6873 .917 67208 Treatment of retinal lesion A 6.70 7.37 7.37 0.52 14.59 14.59 10090.10.70.202110090 36.6873 .917 67210 Treatment of retinal lesion A 10.05 9.02 9.02 0.47 19.54 19.54 10090.10.70.202110090 36.6873 .917 67218 Treatment of retinal lesion A 13.52 13.31 13.31 0.70 27.53 27.53 00090.10.70.202110090 36.6873 .917 67227 Treatment of retinal lesion A 6.58 7.24 7.24 0.51 14.33 14.33 00090.10.70.202110090 36.6873 .917 67228 Treatment of retinal lesion A 12.74 9.39 9.39 0.48 22.61 22.61 10090.10.70.202110090 36.6873 .917 67250 Reinforce eye wall A 8.66 6.99 6.99 0.40 16.05 16.05 00090.10.70.202111090 36.6873 .917 67255 Reinforce/graft eye wall A 8.90 9.79 9.79 0.87 19.56 19.56 00090.10.70.202121090 36.6873 .917 67299 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002101190 36.6873 .917 67311 Revise eye muscle A 6.65 7.32 7.32 0.47 14.44 14.44 00090.10.70.202110090 36.6873 .917 67312 Revise two eye muscles A 8.54 9.39 9.39 0.53 18.46 18.46 00090.10.70.202111090 36.6873 .917 67314 Revise eye muscle A 7.52 8.27 8.27 0.58 16.37 16.37 00090.10.70.202110090 36.6873 .917 67316 Revise two eye muscles A 9.66 10.27 10.27 0.67 20.60 20.60 00090.10.70.202100090 36.6873 .917 67318 Revise eye muscle(s) A 7.85 6.21 6.21 0.33 14.39 14.39 00090.10.70.202111090 36.6873 .917 67320 Revise eye muscle(s) A 8.66 9.53 9.53 0.69 18.88 18.88 00090.10.70.202110090 36.6873 .917 67331 Eye surgery follow-up A 8.12 8.93 8.93 0.54 17.59 17.59 00090.10.70.202111090 36.6873 .917 67332 Rerevise eye muscles A 8.99 9.89 9.89 0.58 19.46 19.46 00090.10.70.202121090 36.6873 .917 67334 Revise eye muscle w/suture A 7.96 6.30 6.30 0.33 14.59 14.59 00090.10.70.202111090 36.6873 .917 67335 Eye suture during surgery A 2.49 2.74 2.74 0.43 5.66 5.66 00ZZZ.00.00.000111090 36.6873 .917 67340 Revise eye muscle A 9.85 7.88 7.88 0.41 18.14 18.14 00090.10.70.202120090 36.6873 .917 67343 Release eye tissue A 7.35 5.83 5.83 0.31 13.49 13.49 00090.10.70.202121090 36.6873 .917 67345 Destroy nerve of eye muscle A 2.96 2.22 2.22 0.26 5.44 5.44 10010.10.80.102110090 36.6873 .917 67350 Biopsy eye muscle A 2.87 2.39 2.39 0.13 5.39 5.39 00000.00.00.002100090 36.6873 .917 67399 Eye muscle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002121190 36.6873 .917 67400 Explore/biopsy eye socket A 9.76 10.74 10.74 0.62 21.12 21.12 00090.10.70.202121090 36.6873 .917 67405 Explore/drain eye socket A 7.93 8.72 8.72 0.67 17.32 17.32 00090.10.70.202120090 36.6873 .917 67412 Explore/treat eye socket A 9.50 10.45 10.45 0.67 20.62 20.62 00090.10.70.202121090 36.6873 .917 67413 Explore/treat eye socket A 10.00 8.09 8.09 0.57 18.66 18.66 00090.10.70.202120090 36.6873 .917 67414 Explore/decompress eye socke A 11.13 8.39 8.39 0.44 19.96 19.96 00090.10.70.202121090 36.6873 .917 67415 Aspiration orbital contents A 1.76 1.94 1.94 0.12 3.82 3.82 00000.00.00.002100090 36.6873 .917 67420 Explore/treat eye socket A 20.06 16.78 16.78 1.11 37.95 37.95 00090.10.70.202121090 36.6873 .917 67430 Explore/treat eye socket A 13.39 10.65 10.65 0.54 24.58 24.58 00090.10.70.202120090 36.6873 .917 67440 Explore/drain eye socket A 13.09 14.40 14.40 0.97 28.46 28.46 00090.10.70.202121090 36.6873 .917 67445 Explore/decompress eye socke A 14.42 11.13 11.13 0.57 26.12 26.12 00090.10.70.202121090 36.6873 .917 67450 Explore/biopsy eye socket A 13.51 14.86 14.86 0.87 29.24 29.24 00090.10.70.202121090 36.6873 .917 67500 Inject/treat eye socket A 0.79 0.73 0.73 0.06 1.58 1.58 00000.00.00.002110090 36.6873 .917 67505 Inject/treat eye socket A 0.82 1.04 0.90 0.06 1.92 1.78 30000.00.00.002110090 36.6873 .917 67515 Inject/treat eye socket A 0.61 0.56 0.56 0.03 1.20 1.20 10000.00.00.002110090 36.6873 .917 67550 Insert eye socket implant A 10.19 9.62 9.62 0.70 20.51 20.51 00090.10.70.202111090 36.6873 .917 67560 Revise eye socket implant A 10.60 8.30 8.30 0.48 19.38 19.38 00090.10.70.202100090 36.6873 .917 67570 Decompress optic nerve A 13.58 7.56 7.56 0.39 21.53 21.53 00090.10.70.202121090 36.6873 .917 67599 Orbit surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002121190 36.6873 .917 67700 Drainage of eyelid abscess A 1.35 0.49 0.49 0.03 1.87 1.87 10010.10.80.102110090 36.6873 .917 67710 Incision of eyelid A 1.02 1.01 1.01 0.06 2.09 2.09 10010.10.80.102110090 36.6873 .917 67715 Incision of eyelid fold A 1.22 1.34 1.34 0.09 2.65 2.65 00010.10.80.102110090 36.6873 .917 67800 Remove eyelid lesion A 1.38 0.94 0.94 0.05 2.37 2.37 10010.10.80.102010090 36.6873 .917 67801 Remove eyelid lesions A 1.88 1.39 1.39 0.08 3.35 3.35 10010.10.80.102010090 36.6873 .917 67805 Remove eyelid lesions A 2.22 1.38 1.38 0.08 3.68 3.68 10010.10.80.102010090 36.6873 .917 67808 Remove eyelid lesion(s) A 3.80 2.13 2.13 0.13 6.06 6.06 00090.10.70.202010090 36.6873 .917 67810 Biopsy of eyelid A 1.48 0.81 0.81 0.05 2.34 2.34 10000.00.00.002010090 36.6873 .917 67820 Revise eyelashes A 0.89 0.38 0.38 0.02 1.29 1.29 10000.00.00.002010090 36.6873 .917 67825 Revise eyelashes A 1.38 0.90 0.90 0.05 2.33 2.33 10010.10.80.102010090 36.6873 .917 67830 Revise eyelashes A 1.70 2.12 1.87 0.17 3.99 3.74 20010.10.80.102010090 36.6873 .917 67835 Revise eyelashes A 5.56 6.12 6.12 0.45 12.13 12.13 00090.10.70.202000090 36.6873 .917 67840 Remove eyelid lesion A 2.04 1.22 1.22 0.07 3.33 3.33 10010.10.80.102010090 36.6873 .917 67850 Treat eyelid lesion A 1.69 0.82 0.82 0.05 2.56 2.56 10010.10.80.102010090 36.6873 .917 67875 Closure of eyelid by suture A 1.35 1.72 1.49 0.13 3.20 2.97 20000.00.00.002010090 36.6873 .917 67880 Revision of eyelid A 3.80 3.94 3.94 0.23 7.97 7.97 00090.10.70.202010090 36.6873 .917 67882 Revision of eyelid A 5.07 5.58 5.58 0.37 11.02 11.02 00090.10.70.202010090 36.6873 .917 67900 Repair brow defect A 6.14 3.78 3.78 0.20 10.12 10.12 00090.10.70.202010090 36.6873 .917 67901 Repair eyelid defect A 6.97 7.67 7.67 0.64 15.28 15.28 00090.10.70.202110090 36.6873 .917 67902 Repair eyelid defect A 7.03 7.73 7.73 0.72 15.48 15.48 00090.10.70.202121090 36.6873 .917 67903 Repair eyelid defect A 6.37 7.01 7.01 0.73 14.11 14.11 00090.10.70.202111090 36.6873 .917 67904 Repair eyelid defect A 6.26 6.89 6.89 0.71 13.86 13.86 00090.10.70.202111090 36.6873 .917 67906 Repair eyelid defect A 6.79 5.46 5.46 0.36 12.61 12.61 00090.10.70.202110090 36.6873 .917 67908 Repair eyelid defect A 5.13 5.64 5.64 0.54 11.31 11.31 00090.10.70.202110090 36.6873 .917 67909 Revise eyelid defect A 5.40 5.94 5.94 0.48 11.82 11.82 00090.10.70.202110090 36.6873 .917 67911 Revise eyelid defect A 5.27 5.80 5.80 0.79 11.86 11.86 00090.10.70.202110090 36.6873 .917 67914 Repair eyelid defect A 3.68 4.05 4.05 0.39 8.12 8.12 00090.10.70.202110090 36.6873 .917 67915 Repair eyelid defect A 3.18 1.25 1.25 0.07 4.50 4.50 10090.10.70.202110090 36.6873 .917 67916 Repair eyelid defect A 5.31 5.84 5.84 0.38 11.53 11.53 00090.10.70.202110090 36.6873 .917 67917 Repair eyelid defect A 6.02 6.62 6.62 0.47 13.11 13.11 00090.10.70.202110090 36.6873 .917 67921 Repair eyelid defect A 3.40 3.74 3.74 0.20 7.34 7.34 00090.10.70.202110090 36.6873 .917 67922 Repair eyelid defect A 3.06 1.19 1.19 0.07 4.32 4.32 10090.10.70.202110090 36.6873 .917 67923 Repair eyelid defect A 5.88 6.47 6.47 0.38 12.73 12.73 00090.10.70.202110090 36.6873 .917 67924 Repair eyelid defect A 5.79 6.37 6.37 0.43 12.59 12.59 00090.10.70.202110090 36.6873 .917 67930 Repair eyelid wound A 3.61 1.27 1.27 0.08 4.96 4.96 10010.10.80.102010090 36.6873 .917 67935 Repair eyelid wound A 6.22 3.79 3.79 0.24 10.25 10.25 00090.10.70.202010090 36.6873 .917 67938 Remove eyelid foreign body A 1.33 0.52 0.52 0.03 1.88 1.88 10010.10.80.102010090 36.6873 .917 67950 Revision of eyelid A 5.82 6.40 6.40 0.45 12.67 12.67 00090.10.70.202021090 36.6873 .917 67961 Revision of eyelid A 5.69 6.26 6.26 0.50 12.45 12.45 00090.10.70.202000090 36.6873 .917 67966 Revision of eyelid A 6.57 7.23 7.23 0.66 14.46 14.46 00090.10.70.202010090 36.6873 .917 67971 Reconstruction of eyelid A 9.79 10.68 10.68 0.64 21.11 21.11 00090.10.70.202021090 36.6873 .917 67973 Reconstruction of eyelid A 12.87 13.54 13.54 0.91 27.32 27.32 00090.10.70.202021090 36.6873 .917 67974 Reconstruction of eyelid A 12.84 14.07 14.07 0.87 27.78 27.78 00090.10.70.202021090 36.6873 .917 67975 Reconstruction of eyelid A 9.13 4.15 4.15 0.24 13.52 13.52 00090.10.70.202010090 36.6873 .917 67999 Revision of eyelid C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 68020 Incise/drain eyelid lining A 1.37 0.51 0.51 0.03 1.91 1.91 10010.10.80.102010090 36.6873 .917 68040 Treatment of eyelid lesions A 0.85 0.45 0.45 0.02 1.32 1.32 10000.00.00.002010090 36.6873 .917 68100 Biopsy of eyelid lining A 1.35 0.99 0.99 0.06 2.40 2.40 10000.00.00.002010090 36.6873 .917 68110 Remove eyelid lining lesion A 1.77 1.24 1.24 0.07 3.08 3.08 10010.10.80.102010090 36.6873 .917 68115 Remove eyelid lining lesion A 2.36 1.93 1.93 0.11 4.40 4.40 00010.10.80.102010090 36.6873 .917 68130 Remove eyelid lining lesion A 4.93 4.09 4.09 0.22 9.24 9.24 00090.10.70.202010090 36.6873 .917 68135 Remove eyelid lining lesion A 1.84 0.74 0.74 0.04 2.62 2.62 10010.10.80.102010090 36.6873 .917 68200 Treat eyelid by injection A 0.49 0.52 0.52 0.03 1.04 1.04 10000.00.00.002110090 36.6873 .917 68320 Revise/graft eyelid lining A 5.37 5.91 5.91 0.42 11.70 11.70 00090.10.70.202011090 36.6873 .917 68325 Revise/graft eyelid lining A 7.36 8.10 8.10 0.62 16.08 16.08 00090.10.70.202011090 36.6873 .917 68326 Revise/graft eyelid lining A 7.15 7.87 7.87 0.49 15.51 15.51 00090.10.70.202010090 36.6873 .917 68328 Revise/graft eyelid lining A 8.18 9.00 9.00 0.82 18.00 18.00 00090.10.70.202000090 36.6873 .917 68330 Revise eyelid lining A 4.83 5.31 5.31 0.35 10.49 10.49 00090.10.70.202000090 36.6873 .917 68335 Revise/graft eyelid lining A 7.19 7.91 7.91 0.68 15.78 15.78 00090.10.70.202011090 36.6873 .917 68340 Separate eyelid adhesions A 4.17 3.14 3.14 0.17 7.48 7.48 00090.10.70.202000090 36.6873 .917 68360 Revise eyelid lining A 4.37 4.81 4.81 0.33 9.51 9.51 00090.10.70.202010090 36.6873 .917 68362 Revise eyelid lining A 7.34 8.01 8.01 0.42 15.77 15.77 00090.10.70.202011090 36.6873 .917 68399 Eyelid lining surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 68400 Incise/drain tear gland A 1.69 1.00 1.00 0.06 2.75 2.75 10010.10.80.102010090 36.6873 .917 68420 Incise/drain tear sac A 2.30 1.02 1.02 0.06 3.38 3.38 10010.10.80.102010090 36.6873 .917 68440 Incise tear duct opening A 0.94 0.76 0.76 0.04 1.74 1.74 10010.10.80.102010090 36.6873 .917 68500 Removal of tear gland A 11.02 7.61 7.61 0.75 19.38 19.38 00090.10.70.202010090 36.6873 .917 68505 Partial removal tear gland A 10.94 8.69 8.69 0.49 20.12 20.12 00090.10.70.202010090 36.6873 .917 68510 Biopsy of tear gland A 4.61 3.69 3.69 0.28 8.58 8.58 00000.00.00.002000090 36.6873 .917 68520 Removal of tear sac A 7.51 8.26 8.26 0.51 16.28 16.28 00090.10.70.202000090 36.6873 .917 68525 Biopsy of tear sac A 4.43 3.68 3.68 0.23 8.34 8.34 00000.00.00.002011090 36.6873 .917 68530 Clearance of tear duct A 3.66 2.85 2.85 0.17 6.68 6.68 10010.10.80.102010090 36.6873 .917 68540 Remove tear gland lesion A 10.60 8.31 8.31 0.50 19.41 19.41 00090.10.70.202011090 36.6873 .917 68550 Remove tear gland lesion A 13.26 11.34 11.34 0.74 25.34 25.34 00090.10.70.202010090 36.6873 .917 68700 Repair tear ducts A 6.60 2.69 2.69 0.15 9.44 9.44 00090.10.70.202010090 36.6873 .917 68705 Revise tear duct opening A 2.06 1.02 1.02 0.05 3.13 3.13 10010.10.80.102010090 36.6873 .917 68720 Create tear sac drain A 8.96 9.84 9.84 0.74 19.54 19.54 00090.10.70.202021090 36.6873 .917 68745 Create tear duct drain A 8.63 6.56 6.56 0.45 15.64 15.64 00090.10.70.202021090 36.6873 .917 68750 Create tear duct drain A 8.66 9.53 9.53 0.83 19.02 19.02 00090.10.70.202021090 36.6873 .917 68760 Close tear duct opening A 1.73 0.92 0.92 0.04 2.69 2.69 10010.10.80.102110090 36.6873 .917 68761 Close tear duct opening A 1.36 0.92 0.92 0.04 2.32 2.32 10010.10.80.102100091A4263 36.6873 .917 68770 Close tear system fistula A 7.02 4.24 4.24 0.23 11.49 11.49 10090.10.70.202000090 36.6873 .917 68801 Dilate tear duct opening A 0.94 0.42 0.42 0.02 1.38 1.38 10010.10.80.102110090 36.6873 .917 68810 Probe nasolacrimal duct A 1.90 0.55 0.55 0.03 2.48 2.48 10010.10.80.102110090 36.6873 .917 68811 Probe nasolacrimal duct A 2.35 1.49 1.49 0.09 3.93 3.93 00010.10.80.102110090 36.6873 .917 68815 Probe nasolacrimal duct A 3.20 1.93 1.93 0.10 5.23 5.23 10010.10.80.102110090 36.6873 .917 68840 Explore/irrigate tear ducts A 1.25 0.49 0.49 0.03 1.77 1.77 10010.10.80.102010090 36.6873 .917 68850 Injection for tear sac x-ray A 0.80 0.51 0.51 0.04 1.35 1.35 00000.00.00.002010090 36.6873 .917 68899 Tear duct system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 69000 Drain external ear lesion A 1.45 0.35 0.35 0.03 1.83 1.83 10010.10.80.102010090 36.6873 .917 69005 Drain external ear lesion A 2.11 1.16 1.16 0.13 3.40 3.40 10010.10.80.102010090 36.6873 .917 69020 Drain outer ear canal lesion A 1.48 0.45 0.45 0.04 1.97 1.97 10010.10.80.102010090 36.6873 .917 69090 Pierce earlobes N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 69100 Biopsy of external ear A 0.81 0.66 0.66 0.07 1.54 1.54 10000.00.00.002010090 36.6873 .917 69105 Biopsy of external ear canal A 0.85 0.80 0.80 0.09 1.74 1.74 10000.00.00.002010090 36.6873 .917 69110 Partial removal external ear A 3.44 2.63 2.63 0.37 6.44 6.44 00090.07.79.142010090 36.6873 .917 69120 Removal of external ear A 4.05 0.78 0.78 0.07 4.90 4.90 00090.07.79.142010090 36.6873 .917 69140 Remove ear canal lesion(s) A 7.97 8.00 8.00 0.88 16.85 16.85 00090.07.79.142000090 36.6873 .917 69145 Remove ear canal lesion(s) A 2.62 2.51 2.51 0.28 5.41 5.41 00090.07.79.142010090 36.6873 .917 69150 Extensive ear canal surgery A 13.43 10.46 10.46 1.25 25.14 25.14 00090.07.79.142021090 36.6873 .917 69155 Extensive ear/neck surgery A 20.80 15.92 15.92 1.61 38.33 38.33 00090.07.79.142021090 36.6873 .917 69200 Clear outer ear canal A 0.77 0.42 0.42 0.04 1.23 1.23 10000.00.00.002010090 36.6873 .917 69205 Clear outer ear canal A 1.20 1.07 1.07 0.11 2.38 2.38 00010.10.80.102010090 36.6873 .917 69210 Remove impacted ear wax A 0.61 0.23 0.23 0.02 0.86 0.86 10000.00.00.002210090 36.6873 .917 69220 Clean out mastoid cavity A 0.83 0.50 0.50 0.05 1.38 1.38 10000.00.00.002110090 36.6873 .917 69222 Clean out mastoid cavity A 1.40 0.74 0.74 0.08 2.22 2.22 10010.10.80.102110090 36.6873 .917 69300 Revise external ear R 6.36 5.30 5.30 0.28 11.94 11.94 00YYY.00.00.000000090 36.6873 .917 69310 Rebuild outer ear canal A 10.79 9.84 9.84 1.08 21.71 21.71 00090.07.79.142010090 36.6873 .917 69320 Rebuild outer ear canal A 16.96 14.65 14.65 1.66 33.27 33.27 00090.07.79.142020090 36.6873 .917 69399 Outer ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 69400 Inflate middle ear canal A 0.83 0.45 0.45 0.05 1.33 1.33 10000.00.00.002010090 36.6873 .917 69401 Inflate middle ear canal A 0.63 0.25 0.25 0.03 0.91 0.91 10000.00.00.002010090 36.6873 .917 69405 Catheterize middle ear canal A 2.63 0.48 0.48 0.04 3.15 3.15 10010.10.80.102000090 36.6873 .917 69410 Inset middle ear baffle A 0.33 0.60 0.60 0.07 1.00 1.00 10000.00.00.002000090 36.6873 .917 69420 Incision of eardrum A 1.33 0.69 0.69 0.08 2.10 2.10 10010.10.80.102110090 36.6873 .917 69421 Incision of eardrum A 1.73 1.14 1.14 0.13 3.00 3.00 00010.10.80.102110090 36.6873 .917 69424 Remove ventilating tube A 0.85 0.60 0.60 0.06 1.51 1.51 10000.00.00.002110090 36.6873 .917 69433 Create eardrum opening A 1.52 1.33 1.33 0.15 3.00 3.00 10010.10.80.102110090 36.6873 .917 69436 Create eardrum opening A 1.96 2.13 2.13 0.23 4.32 4.32 00010.10.80.102110090 36.6873 .917 69440 Exploration of middle ear A 7.57 8.33 8.33 0.93 16.83 16.83 00090.07.79.142010090 36.6873 .917 69450 Eardrum revision A 5.57 6.13 6.13 1.15 12.85 12.85 00090.07.79.142000090 36.6873 .917 69501 Mastoidectomy A 9.07 9.98 9.98 1.17 20.22 20.22 00090.07.79.142010090 36.6873 .917 69502 Mastoidectomy A 12.38 13.36 13.36 1.45 27.19 27.19 00090.07.79.142000090 36.6873 .917 69505 Remove mastoid structures A 12.99 14.29 14.29 1.79 29.07 29.07 00090.07.79.142000090 36.6873 .917 69511 Extensive mastoid surgery A 13.52 14.87 14.87 1.84 30.23 30.23 00090.07.79.142000090 36.6873 .917 69530 Extensive mastoid surgery A 19.19 16.71 16.71 1.72 37.62 37.62 00090.07.79.142020090 36.6873 .917 69535 Remove part of temporal bone A 36.14 25.27 25.27 2.85 64.26 64.26 00090.07.79.142021090 36.6873 .917 69540 Remove ear lesion A 1.20 1.27 1.27 0.14 2.61 2.61 10010.10.80.102010090 36.6873 .917 69550 Remove ear lesion A 10.99 12.09 12.09 2.00 25.08 25.08 00090.07.79.142020090 36.6873 .917 69552 Remove ear lesion A 19.46 16.73 16.73 1.86 38.05 38.05 00090.07.79.142020090 36.6873 .917 69554 Remove ear lesion A 33.16 22.87 22.87 2.63 58.66 58.66 00090.07.79.142021090 36.6873 .917 69601 Mastoid surgery revision A 13.24 14.02 14.02 1.55 28.81 28.81 00090.07.79.142000090 36.6873 .917 69602 Mastoid surgery revision A 13.58 14.94 14.94 1.75 30.27 30.27 00090.07.79.142000090 36.6873 .917 69603 Mastoid surgery revision A 14.02 15.42 15.42 1.88 31.32 31.32 00090.07.79.142000090 36.6873 .917 69604 Mastoid surgery revision A 14.02 15.42 15.42 2.70 32.14 32.14 00090.07.79.142020090 36.6873 .917 69605 Mastoid surgery revision A 18.49 14.95 14.95 1.86 35.30 35.30 00090.07.79.142020090 36.6873 .917 69610 Repair of eardrum A 4.43 0.93 0.93 0.10 5.46 5.46 10010.10.80.102010090 36.6873 .917 69620 Repair of eardrum A 5.89 6.48 6.48 1.16 13.53 13.53 00090.07.79.142010090 36.6873 .917 69631 Repair eardrum structures A 9.86 10.85 10.85 1.61 22.32 22.32 00090.07.79.142010090 36.6873 .917 69632 Rebuild eardrum structures A 12.75 14.03 14.03 1.73 28.51 28.51 00090.07.79.142010090 36.6873 .917 69633 Rebuild eardrum structures A 12.10 13.31 13.31 1.78 27.19 27.19 00090.07.79.142010090 36.6873 .917 69635 Repair eardrum structures A 13.33 14.66 14.66 1.91 29.90 29.90 00090.07.79.142010090 36.6873 .917 69636 Rebuild eardrum structures A 15.22 16.74 16.74 2.11 34.07 34.07 00090.07.79.142000090 36.6873 .917 69637 Rebuild eardrum structures A 15.11 16.62 16.62 2.22 33.95 33.95 00090.07.79.142000090 36.6873 .917 69641 Revise middle ear & mastoid A 12.71 13.98 13.98 1.87 28.56 28.56 00090.07.79.142010090 36.6873 .917 69642 Revise middle ear & mastoid A 16.84 18.52 18.52 2.21 37.57 37.57 00090.07.79.142010090 36.6873 .917 69643 Revise middle ear & mastoid A 15.32 16.85 16.85 2.51 34.68 34.68 00090.07.79.142010090 36.6873 .917 69644 Revise middle ear & mastoid A 16.97 18.67 18.67 2.70 38.34 38.34 00090.07.79.142010090 36.6873 .917 69645 Revise middle ear & mastoid A 16.38 18.02 18.02 2.51 36.91 36.91 00090.07.79.142010090 36.6873 .917 69646 Revise middle ear & mastoid A 17.99 19.79 19.79 2.40 40.18 40.18 00090.07.79.142000090 36.6873 .917 69650 Release middle ear bone A 9.66 10.63 10.63 1.33 21.62 21.62 00090.07.79.142010090 36.6873 .917 69660 Revise middle ear bone A 11.90 13.09 13.09 1.82 26.81 26.81 00090.07.79.142010090 36.6873 .917 69661 Revise middle ear bone A 15.74 17.31 17.31 1.93 34.98 34.98 00090.07.79.142000090 36.6873 .917 69662 Revise middle ear bone A 15.44 16.98 16.98 1.94 34.36 34.36 00090.07.79.142010090 36.6873 .917 69666 Repair middle ear structures A 9.75 10.73 10.73 1.77 22.25 22.25 00090.07.79.142000090 36.6873 .917 69667 Repair middle ear structures A 9.76 10.74 10.74 1.66 22.16 22.16 00090.07.79.142000090 36.6873 .917 69670 Remove mastoid air cells A 11.51 10.18 10.18 1.08 22.77 22.77 00090.07.79.142020090 36.6873 .917 69676 Remove middle ear nerve A 9.52 8.53 8.53 0.86 18.91 18.91 00090.07.79.142110090 36.6873 .917 69700 Close mastoid fistula A 8.23 7.86 7.86 0.84 16.93 16.93 00090.07.79.142010090 36.6873 .917 69710 Implant/replace hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 69711 Remove/repair hearing aid A 10.44 8.44 8.44 0.44 19.32 19.32 00090.07.79.142020090 36.6873 .917 69720 Release facial nerve A 14.38 15.82 15.82 2.27 32.47 32.47 00090.07.79.142001090 36.6873 .917 69725 Release facial nerve A 25.38 14.65 14.65 1.51 41.54 41.54 00090.07.79.142020090 36.6873 .917 69740 Repair facial nerve A 15.96 11.83 11.83 1.69 29.48 29.48 00090.07.79.142020090 36.6873 .917 69745 Repair facial nerve A 16.69 15.95 15.95 1.53 34.17 34.17 00090.07.79.142020090 36.6873 .917 69799 Middle ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 69801 Incise inner ear A 8.56 9.42 9.42 1.84 19.82 19.82 00090.07.79.142000090 36.6873 .917 69802 Incise inner ear A 13.10 11.24 11.24 1.22 25.56 25.56 00090.07.79.142020090 36.6873 .917 69805 Explore inner ear A 13.82 13.14 13.14 2.00 28.96 28.96 00090.07.79.142020090 36.6873 .917 69806 Explore inner ear A 12.35 13.59 13.59 2.54 28.48 28.48 00090.07.79.142010090 36.6873 .917 69820 Establish inner ear window A 10.34 8.85 8.85 1.00 20.19 20.19 00090.07.79.142020090 36.6873 .917 69840 Revise inner ear window A 10.26 8.49 8.49 0.51 19.26 19.26 00090.07.79.142020090 36.6873 .917 69905 Remove inner ear A 11.10 12.21 12.21 2.07 25.38 25.38 00090.07.79.142010090 36.6873 .917 69910 Remove inner ear & mastoid A 13.63 14.99 14.99 2.34 30.96 30.96 00090.07.79.142000090 36.6873 .917 69915 Incise inner ear nerve A 21.23 17.71 17.71 2.02 40.96 40.96 00090.07.79.142021090 36.6873 .917 69930 Implant cochlear device A 16.81 18.49 18.49 3.34 38.64 38.64 00090.07.79.142000090 36.6873 .917 69949 Inner ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 69950 Incise inner ear nerve A 25.64 17.99 17.99 2.31 45.94 45.94 00090.07.79.142021090 36.6873 .917 69955 Release facial nerve A 27.04 20.28 20.28 2.25 49.57 49.57 00090.07.79.142021090 36.6873 .917 69960 Release inner ear canal A 27.04 17.85 17.85 1.93 46.82 46.82 00090.07.79.142021090 36.6873 .917 69970 Remove inner ear lesion A 30.04 19.69 19.69 2.26 51.99 51.99 00090.07.79.142021090 36.6873 .917 69979 Temporal bone surgery C 0.00 0.00 0.00 0.00 0.00 0.00 00YYY.00.00.002001190 36.6873 .917 70010 Contrast x-ray of brain A 1.19 4.65 4.65 0.34 6.18 6.18 01XXX.00.00.000000030 36.6873 .917 70010TCContrast x-ray of brain A 0.00 4.13 4.13 0.26 4.39 4.39 01XXX.00.00.000000030 36.6873 .917 7001026Contrast x-ray of brain A 1.19 0.52 0.52 0.08 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 70015 Contrast x-ray of brain A 1.19 1.81 1.81 0.17 3.17 3.17 01XXX.00.00.000000030 36.6873 .917 70015TCContrast x-ray of brain A 0.00 1.29 1.29 0.09 1.38 1.38 01XXX.00.00.000000030 36.6873 .917 7001526Contrast x-ray of brain A 1.19 0.52 0.52 0.08 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 70030 X-ray eye for foreign body A 0.17 0.48 0.48 0.04 0.69 0.69 01XXX.00.00.000300010 36.6873 .917 70030TCX-ray eye for foreign body A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000300010 36.6873 .917 7003026X-ray eye for foreign body A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 70100 X-ray exam of jaw A 0.18 0.59 0.59 0.04 0.81 0.81 01XXX.00.00.000000010 36.6873 .917 70100TCX-ray exam of jaw A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7010026X-ray exam of jaw A 0.18 0.09 0.09 0.01 0.28 0.28 01XXX.00.00.000000090 36.6873 .917 70110 X-ray exam of jaw A 0.25 0.71 0.71 0.06 1.02 1.02 01XXX.00.00.000000010 36.6873 .917 70110TCX-ray exam of jaw A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7011026X-ray exam of jaw A 0.25 0.12 0.12 0.02 0.39 0.39 01XXX.00.00.000000090 36.6873 .917 70120 X-ray exam of mastoids A 0.18 0.68 0.68 0.05 0.91 0.91 01XXX.00.00.000300010 36.6873 .917 70120TCX-ray exam of mastoids A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000300010 36.6873 .917 7012026X-ray exam of mastoids A 0.18 0.09 0.09 0.01 0.28 0.28 01XXX.00.00.000300090 36.6873 .917 70130 X-ray exam of mastoids A 0.34 0.91 0.91 0.07 1.32 1.32 01XXX.00.00.000300010 36.6873 .917 70130TCX-ray exam of mastoids A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000300010 36.6873 .917 7013026X-ray exam of mastoids A 0.34 0.16 0.16 0.02 0.52 0.52 01XXX.00.00.000300090 36.6873 .917 70134 X-ray exam of middle ear A 0.34 0.86 0.86 0.07 1.27 1.27 01XXX.00.00.000000010 36.6873 .917 70134TCX-ray exam of middle ear A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7013426X-ray exam of middle ear A 0.34 0.16 0.16 0.02 0.52 0.52 01XXX.00.00.000000090 36.6873 .917 70140 X-ray exam of facial bones A 0.19 0.68 0.68 0.05 0.92 0.92 01XXX.00.00.000000010 36.6873 .917 70140TCX-ray exam of facial bones A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7014026X-ray exam of facial bones A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 70150 X-ray exam of facial bones A 0.26 0.87 0.87 0.07 1.20 1.20 01XXX.00.00.000000010 36.6873 .917 70150TCX-ray exam of facial bones A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7015026X-ray exam of facial bones A 0.26 0.12 0.12 0.02 0.40 0.40 01XXX.00.00.000000090 36.6873 .917 70160 X-ray exam of nasal bones A 0.17 0.58 0.58 0.04 0.79 0.79 01XXX.00.00.000000010 36.6873 .917 70160TCX-ray exam of nasal bones A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7016026X-ray exam of nasal bones A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 70170 X-ray exam of tear duct A 0.30 1.04 1.04 0.08 1.42 1.42 01XXX.00.00.000000030 36.6873 .917 70170TCX-ray exam of tear duct A 0.00 0.90 0.90 0.06 0.96 0.96 01XXX.00.00.000000030 36.6873 .917 7017026X-ray exam of tear duct A 0.30 0.14 0.14 0.02 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 70190 X-ray exam of eye sockets A 0.21 0.69 0.69 0.05 0.95 0.95 01XXX.00.00.000300010 36.6873 .917 70190TCX-ray exam of eye sockets A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000300010 36.6873 .917 7019026X-ray exam of eye sockets A 0.21 0.10 0.10 0.01 0.32 0.32 01XXX.00.00.000300090 36.6873 .917 70200 X-ray exam of eye sockets A 0.28 0.88 0.88 0.07 1.23 1.23 01XXX.00.00.000000010 36.6873 .917 70200TCX-ray exam of eye sockets A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7020026X-ray exam of eye sockets A 0.28 0.13 0.13 0.02 0.43 0.43 01XXX.00.00.000000090 36.6873 .917 70210 X-ray exam of sinuses A 0.17 0.67 0.67 0.05 0.89 0.89 01XXX.00.00.000000010 36.6873 .917 70210TCX-ray exam of sinuses A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7021026X-ray exam of sinuses A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 70220 X-ray exam of sinuses A 0.25 0.87 0.87 0.07 1.19 1.19 01XXX.00.00.000000010 36.6873 .917 70220TCX-ray exam of sinuses A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7022026X-ray exam of sinuses A 0.25 0.12 0.12 0.02 0.39 0.39 01XXX.00.00.000000090 36.6873 .917 70240 X-ray exam pituitary saddle A 0.19 0.49 0.49 0.04 0.72 0.72 01XXX.00.00.000000010 36.6873 .917 70240TCX-ray exam pituitary saddle A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 7024026X-ray exam pituitary saddle A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 70250 X-ray exam of skull A 0.24 0.70 0.70 0.06 1.00 1.00 01XXX.00.00.000000010 36.6873 .917 70250TCX-ray exam of skull A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7025026X-ray exam of skull A 0.24 0.11 0.11 0.02 0.37 0.37 01XXX.00.00.000000090 36.6873 .917 70260 X-ray exam of skull A 0.34 1.01 1.01 0.08 1.43 1.43 01XXX.00.00.000000010 36.6873 .917 70260TCX-ray exam of skull A 0.00 0.85 0.85 0.06 0.91 0.91 01XXX.00.00.000000010 36.6873 .917 7026026X-ray exam of skull A 0.34 0.16 0.16 0.02 0.52 0.52 01XXX.00.00.000000090 36.6873 .917 70300 X-ray exam of teeth A 0.10 0.30 0.30 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 70300TCX-ray exam of teeth A 0.00 0.25 0.25 0.02 0.27 0.27 01XXX.00.00.000000010 36.6873 .917 7030026X-ray exam of teeth A 0.10 0.05 0.05 0.01 0.16 0.16 01XXX.00.00.000000090 36.6873 .917 70310 X-ray exam of teeth A 0.16 0.47 0.47 0.04 0.67 0.67 01XXX.00.00.000000010 36.6873 .917 70310TCX-ray exam of teeth A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 7031026X-ray exam of teeth A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000000090 36.6873 .917 70320 Full mouth x-ray of teeth A 0.22 0.85 0.85 0.07 1.14 1.14 01XXX.00.00.000000010 36.6873 .917 70320TCFull mouth x-ray of teeth A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7032026Full mouth x-ray of teeth A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 70328 X-ray exam of jaw joint A 0.18 0.56 0.56 0.04 0.78 0.78 01XXX.00.00.000000010 36.6873 .917 70328TCX-ray exam of jaw joint A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000000010 36.6873 .917 7032826X-ray exam of jaw joint A 0.18 0.09 0.09 0.01 0.28 0.28 01XXX.00.00.000000090 36.6873 .917 70330 X-ray exam of jaw joints A 0.24 0.91 0.91 0.07 1.22 1.22 01XXX.00.00.000200010 36.6873 .917 70330TCX-ray exam of jaw joints A 0.00 0.80 0.80 0.05 0.85 0.85 01XXX.00.00.000200010 36.6873 .917 7033026X-ray exam of jaw joints A 0.24 0.11 0.11 0.02 0.37 0.37 01XXX.00.00.000200090 36.6873 .917 70332 X-ray exam of jaw joint A 0.54 2.25 2.25 0.17 2.96 2.96 01XXX.00.00.000300030 36.6873 .917 70332TCX-ray exam of jaw joint A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000300030 36.6873 .917 7033226X-ray exam of jaw joint A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 70336 Magnetic image jaw joint A 1.48 11.11 11.11 0.73 13.32 13.32 01XXX.00.00.000300010 36.6873 .917 70336TCMagnetic image jaw joint A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000300010 36.6873 .917 7033626Magnetic image jaw joint A 1.48 0.43 0.43 0.06 1.97 1.97 01XXX.00.00.000300090 36.6873 .917 70350 X-ray head for orthodontia A 0.17 0.44 0.44 0.03 0.64 0.64 01XXX.00.00.000000010 36.6873 .917 70350TCX-ray head for orthodontia A 0.00 0.36 0.36 0.02 0.38 0.38 01XXX.00.00.000000010 36.6873 .917 7035026X-ray head for orthodontia A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 70355 Panoramic x-ray of jaws A 0.20 0.63 0.63 0.05 0.88 0.88 01XXX.00.00.000000010 36.6873 .917 70355TCPanoramic x-ray of jaws A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7035526Panoramic x-ray of jaws A 0.20 0.09 0.09 0.01 0.30 0.30 01XXX.00.00.000000090 36.6873 .917 70360 X-ray exam of neck A 0.17 0.48 0.48 0.04 0.69 0.69 01XXX.00.00.000000010 36.6873 .917 70360TCX-ray exam of neck A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 7036026X-ray exam of neck A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 70370 Throat x-ray & fluoroscopy A 0.32 1.39 1.39 0.10 1.81 1.81 01XXX.00.00.000000030 36.6873 .917 70370TCThroat x-ray & fluoroscopy A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7037026Throat x-ray & fluoroscopy A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 70371 Speech evaluation, complex A 0.84 2.38 2.38 0.19 3.41 3.41 01XXX.00.00.000000030 36.6873 .917 70371TCSpeech evaluation, complex A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000000030 36.6873 .917 7037126Speech evaluation, complex A 0.84 0.38 0.38 0.06 1.28 1.28 01XXX.00.00.000000090 36.6873 .917 70373 Contrast x-ray of larynx A 0.44 1.90 1.90 0.14 2.48 2.48 01XXX.00.00.000000030 36.6873 .917 70373TCContrast x-ray of larynx A 0.00 1.70 1.70 0.11 1.81 1.81 01XXX.00.00.000000030 36.6873 .917 7037326Contrast x-ray of larynx A 0.44 0.20 0.20 0.03 0.67 0.67 01XXX.00.00.000000090 36.6873 .917 70380 X-ray exam of salivary gland A 0.17 0.72 0.72 0.05 0.94 0.94 01XXX.00.00.000000010 36.6873 .917 70380TCX-ray exam of salivary gland A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7038026X-ray exam of salivary gland A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 70390 X-ray exam of salivary duct A 0.38 1.87 1.87 0.14 2.39 2.39 01XXX.00.00.000000030 36.6873 .917 70390TCX-ray exam of salivary duct A 0.00 1.70 1.70 0.11 1.81 1.81 01XXX.00.00.000000030 36.6873 .917 7039026X-ray exam of salivary duct A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 70450 CAT scan of head or brain A 0.85 4.88 4.88 0.35 6.08 6.08 01XXX.00.00.000000010 36.6873 .917 70450TCCAT scan of head or brain A 0.00 4.50 4.50 0.29 4.79 4.79 01XXX.00.00.000000010 36.6873 .917 7045026CAT scan of head or brain A 0.85 0.38 0.38 0.06 1.29 1.29 01XXX.00.00.000000090 36.6873 .917 70460 Contrast CAT scan of head A 1.13 5.89 5.89 0.43 7.45 7.45 01XXX.00.00.000000020 36.6873 .917 70460TCContrast CAT scan of head A 0.00 5.39 5.39 0.35 5.74 5.74 01XXX.00.00.000000020 36.6873 .917 7046026Contrast CAT scan of head A 1.13 0.50 0.50 0.08 1.71 1.71 01XXX.00.00.000000090 36.6873 .917 70470 Contrast CAT scans of head A 1.27 7.30 7.30 0.52 9.09 9.09 01XXX.00.00.000000020 36.6873 .917 70470TCContrast CAT scans of head A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7047026Contrast CAT scans of head A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 70480 CAT scan of skull A 1.28 5.07 5.07 0.38 6.73 6.73 01XXX.00.00.000000010 36.6873 .917 70480TCCAT scan of skull A 0.00 4.50 4.50 0.29 4.79 4.79 01XXX.00.00.000000010 36.6873 .917 7048026CAT scan of skull A 1.28 0.57 0.57 0.09 1.94 1.94 01XXX.00.00.000000090 36.6873 .917 70481 Contrast CAT scan of skull A 1.38 6.00 6.00 0.44 7.82 7.82 01XXX.00.00.000000020 36.6873 .917 70481TCContrast CAT scan of skull A 0.00 5.39 5.39 0.35 5.74 5.74 01XXX.00.00.000000020 36.6873 .917 7048126Contrast CAT scan of skull A 1.38 0.61 0.61 0.09 2.08 2.08 01XXX.00.00.000000090 36.6873 .917 70482 Contrast CAT scans of skull A 1.45 7.38 7.38 0.53 9.36 9.36 01XXX.00.00.000000020 36.6873 .917 70482TCContrast CAT scans of skull A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7048226Contrast CAT scans of skull A 1.45 0.64 0.64 0.10 2.19 2.19 01XXX.00.00.000000090 36.6873 .917 70486 CAT scan of face, jaw A 1.14 5.00 5.00 0.37 6.51 6.51 01XXX.00.00.000000010 36.6873 .917 70486TCCAT scan of face, jaw A 0.00 4.50 4.50 0.29 4.79 4.79 01XXX.00.00.000000090 36.6873 .917 7048626CAT scan of face, jaw A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 70487 Contrast CAT scan, face/jaw A 1.30 5.96 5.96 0.44 7.70 7.70 01XXX.00.00.000000020 36.6873 .917 70487TCContrast CAT scan, face/jaw A 0.00 5.39 5.39 0.35 5.74 5.74 01XXX.00.00.000000020 36.6873 .917 7048726Contrast CAT scan, face/jaw A 1.30 0.57 0.57 0.09 1.96 1.96 01XXX.00.00.000000090 36.6873 .917 70488 Contrast CAT scans face/jaw A 1.42 7.37 7.37 0.53 9.32 9.32 01XXX.00.00.000000020 36.6873 .917 70488TCContrast CAT scans face/jaw A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7048826Contrast CAT scans face/jaw A 1.42 0.63 0.63 0.10 2.15 2.15 01XXX.00.00.000000090 36.6873 .917 70490 CAT scan of neck tissue A 1.28 5.07 5.07 0.38 6.73 6.73 01XXX.00.00.000000010 36.6873 .917 70490TCCAT scan of neck tissue A 0.00 4.50 4.50 0.29 4.79 4.79 01XXX.00.00.000000010 36.6873 .917 7049026CAT scan of neck tissue A 1.28 0.57 0.57 0.09 1.94 1.94 01XXX.00.00.000000090 36.6873 .917 70491 Contrast CAT of neck tissue A 1.38 6.00 6.00 0.44 7.82 7.82 01XXX.00.00.000000020 36.6873 .917 70491TCContrast CAT of neck tissue A 0.00 5.39 5.39 0.35 5.74 5.74 01XXX.00.00.000000020 36.6873 .917 7049126Contrast CAT of neck tissue A 1.38 0.61 0.61 0.09 2.08 2.08 01XXX.00.00.000000090 36.6873 .917 70492 Contrast CAT of neck tissue A 1.45 7.38 7.38 0.53 9.36 9.36 01XXX.00.00.000000020 36.6873 .917 70492TCContrast CAT of neck tissue A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7049226Contrast CAT of neck tissue A 1.45 0.64 0.64 0.10 2.19 2.19 01XXX.00.00.000000090 36.6873 .917 70540 Magnetic image, face, neck A 1.48 11.34 11.34 0.77 13.59 13.59 01XXX.00.00.000000010 36.6873 .917 70540TCMagnetic image, face, neck A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7054026Magnetic image, face, neck A 1.48 0.66 0.66 0.10 2.24 2.24 01XXX.00.00.000000090 36.6873 .917 70541 Magnetic image, head (MRA) R 1.81 11.34 11.34 0.77 13.92 13.92 01XXX.00.00.000000020 36.6873 .917 70541TCMagnetic image, head (MRA) R 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000020 36.6873 .917 7054126Magnetic image, head (MRA) R 1.81 0.66 0.66 0.10 2.57 2.57 01XXX.00.00.000000090 36.6873 .917 70551 Magnetic image, brain (MRI) A 1.48 11.34 11.34 0.77 13.59 13.59 01XXX.00.00.000000010 36.6873 .917 70551TCMagnetic image, brain (MRI) A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7055126Magnetic image, brain (MRI) A 1.48 0.66 0.66 0.10 2.24 2.24 01XXX.00.00.000000090 36.6873 .917 70552 Magnetic image, brain (MRI) A 1.78 13.61 13.61 0.93 16.32 16.32 01XXX.00.00.000000020 36.6873 .917 70552TCMagnetic image, brain (MRI) A 0.00 12.81 12.81 0.81 13.62 13.62 01XXX.00.00.000000020 36.6873 .917 7055226Magnetic image, brain (MRI) A 1.78 0.80 0.80 0.12 2.70 2.70 01XXX.00.00.000000090 36.6873 .917 70553 Magnetic image, brain A 2.36 24.79 24.79 1.65 28.80 28.80 01XXX.00.00.000000020 36.6873 .917 70553TCMagnetic image, brain A 0.00 23.72 23.72 1.49 25.21 25.21 01XXX.00.00.000000020 36.6873 .917 7055326Magnetic image, brain A 2.36 1.07 1.07 0.16 3.59 3.59 01XXX.00.00.000000090 36.6873 .917 71010 Chest x-ray A 0.18 0.53 0.53 0.04 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 71010TCChest x-ray A 0.00 0.45 0.45 0.03 0.48 0.48 01XXX.00.00.000000010 36.6873 .917 7101026Chest x-ray A 0.18 0.08 0.08 0.01 0.27 0.27 01XXX.00.00.000000090 36.6873 .917 71015 X-ray exam of chest A 0.21 0.60 0.60 0.04 0.85 0.85 01XXX.00.00.000000010 36.6873 .917 71015TCX-ray exam of chest A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7101526X-ray exam of chest A 0.21 0.10 0.10 0.01 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 71020 Chest x-ray A 0.22 0.69 0.69 0.05 0.96 0.96 01XXX.00.00.000000010 36.6873 .917 71020TCChest x-ray A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7102026Chest x-ray A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 71021 Chest x-ray A 0.27 0.82 0.82 0.07 1.16 1.16 01XXX.00.00.000000010 36.6873 .917 71021TCChest x-ray A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7102126Chest x-ray A 0.27 0.12 0.12 0.02 0.41 0.41 01XXX.00.00.000000090 36.6873 .917 71022 Chest x-ray A 0.31 0.84 0.84 0.07 1.22 1.22 01XXX.00.00.000000010 36.6873 .917 71022TCChest x-ray A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7102226Chest x-ray A 0.31 0.14 0.14 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 71023 Chest x-ray and fluoroscopy A 0.38 0.92 0.92 0.08 1.38 1.38 01XXX.00.00.000000030 36.6873 .917 71023TCChest x-ray and fluoroscopy A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000030 36.6873 .917 7102326Chest x-ray and fluoroscopy A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 71030 Chest x-ray A 0.31 0.89 0.89 0.07 1.27 1.27 01XXX.00.00.000000010 36.6873 .917 71030TCChest x-ray A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7103026Chest x-ray A 0.31 0.14 0.14 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 71034 Chest x-ray & fluoroscopy A 0.46 1.58 1.58 0.12 2.16 2.16 01XXX.00.00.000000030 36.6873 .917 71034TCChest x-ray & fluoroscopy A 0.00 1.37 1.37 0.09 1.46 1.46 01XXX.00.00.000000030 36.6873 .917 7103426Chest x-ray & fluoroscopy A 0.46 0.21 0.21 0.03 0.70 0.70 01XXX.00.00.000000090 36.6873 .917 71035 Chest x-ray A 0.18 0.58 0.58 0.04 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 71035TCChest x-ray A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7103526Chest x-ray A 0.18 0.08 0.08 0.01 0.27 0.27 01XXX.00.00.000000090 36.6873 .917 71036 X-ray guidance for biopsy A 0.54 1.75 1.75 0.14 2.43 2.43 01XXX.00.00.000000030 36.6873 .917 71036TCX-ray guidance for biopsy A 0.00 1.50 1.50 0.10 1.60 1.60 01XXX.00.00.000000030 36.6873 .917 7103626X-ray guidance for biopsy A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 71038 X-ray guidance for biopsy A 0.54 1.85 1.85 0.15 2.54 2.54 01XXX.00.00.000000030 36.6873 .917 71038TCX-ray guidance for biopsy A 0.00 1.60 1.60 0.11 1.71 1.71 01XXX.00.00.000000030 36.6873 .917 7103826X-ray guidance for biopsy A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 71040 Contrast x-ray of bronchi A 0.58 1.66 1.66 0.13 2.37 2.37 01XXX.00.00.000000030 36.6873 .917 71040TCContrast x-ray of bronchi A 0.00 1.39 1.39 0.09 1.48 1.48 01XXX.00.00.000000030 36.6873 .917 7104026Contrast x-ray of bronchi A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 71060 Contrast x-ray of bronchi A 0.74 2.44 2.44 0.19 3.37 3.37 01XXX.00.00.000200030 36.6873 .917 71060TCContrast x-ray of bronchi A 0.00 2.10 2.10 0.14 2.24 2.24 01XXX.00.00.000200030 36.6873 .917 7106026Contrast x-ray of bronchi A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000200090 36.6873 .917 71090 X-ray & pacemaker insertion A 0.54 1.85 1.85 0.15 2.54 2.54 01XXX.00.00.000000030 36.6873 .917 71090TCX-ray & pacemaker insertion A 0.00 1.60 1.60 0.11 1.71 1.71 01XXX.00.00.000000030 36.6873 .917 7109026X-ray & pacemaker insertion A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 71100 X-ray exam of ribs A 0.22 0.64 0.64 0.06 0.92 0.92 01XXX.00.00.000000010 36.6873 .917 71100TCX-ray exam of ribs A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7110026X-ray exam of ribs A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 71101 X-ray exam of ribs, chest A 0.27 0.77 0.77 0.06 1.10 1.10 01XXX.00.00.000000010 36.6873 .917 71101TCX-ray exam of ribs, chest A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7110126X-ray exam of ribs, chest A 0.27 0.13 0.13 0.02 0.42 0.42 01XXX.00.00.000000090 36.6873 .917 71110 X-ray exam of ribs A 0.27 0.88 0.88 0.07 1.22 1.22 01XXX.00.00.000200010 36.6873 .917 71110TCX-ray exam of ribs A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000200010 36.6873 .917 7111026X-ray exam of ribs A 0.27 0.13 0.13 0.02 0.42 0.42 01XXX.00.00.000200090 36.6873 .917 71111 X-ray exam of ribs, chest A 0.32 1.00 1.00 0.08 1.40 1.40 01XXX.00.00.000200010 36.6873 .917 71111TCX-ray exam of ribs, chest A 0.00 0.85 0.85 0.06 0.91 0.91 01XXX.00.00.000200010 36.6873 .917 7111126X-ray exam of ribs, chest A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000200090 36.6873 .917 71120 X-ray exam of breastbone A 0.20 0.71 0.71 0.05 0.96 0.96 01XXX.00.00.000000010 36.6873 .917 71120TCX-ray exam of breastbone A 0.00 0.62 0.62 0.04 0.66 0.66 01XXX.00.00.000000010 36.6873 .917 7112026X-ray exam of breastbone A 0.20 0.09 0.09 0.01 0.30 0.30 01XXX.00.00.000000090 36.6873 .917 71130 X-ray exam of breastbone A 0.22 0.77 0.77 0.05 1.04 1.04 01XXX.00.00.000000010 36.6873 .917 71130TCX-ray exam of breastbone A 0.00 0.67 0.67 0.04 0.71 0.71 01XXX.00.00.000000010 36.6873 .917 7113026X-ray exam of breastbone A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 71250 Cat scan of chest A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000000010 36.6873 .917 71250TCCat scan of chest A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000010 36.6873 .917 7125026Cat scan of chest A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 71260 Contrast CAT scan of chest A 1.24 7.29 7.29 0.51 9.04 9.04 01XXX.00.00.000000020 36.6873 .917 71260TCContrast CAT scan of chest A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7126026Contrast CAT scan of chest A 1.24 0.55 0.55 0.08 1.87 1.87 01XXX.00.00.000000090 36.6873 .917 71270 Contrast CAT scans of chest A 1.38 9.04 9.04 0.61 11.03 11.03 01XXX.00.00.000000020 36.6873 .917 71270TCContrast CAT scans of chest A 0.00 8.43 8.43 0.52 8.95 8.95 01XXX.00.00.000000020 36.6873 .917 7127026Contrast CAT scans of chest A 1.38 0.61 0.61 0.09 2.08 2.08 01XXX.00.00.000000090 36.6873 .917 71550 Magnetic image, chest A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 71550TCMagnetic image, chest A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7155026Magnetic image, chest A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 71555 Magnetic imaging/chest (MRA) R 1.81 11.40 11.40 0.78 13.99 13.99 01XXX.00.00.000000020 36.6873 .917 71555TCMagnetic imaging/chest (MRA) R 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000020 36.6873 .917 7155526Magnetic imaging/chest (MRA) R 1.81 0.72 0.72 0.11 2.64 2.64 01XXX.00.00.000000090 36.6873 .917 72010 X-ray exam of spine A 0.45 1.18 1.18 0.09 1.72 1.72 01XXX.00.00.000000010 36.6873 .917 72010TCX-ray exam of spine A 0.00 0.98 0.98 0.06 1.04 1.04 01XXX.00.00.000000010 36.6873 .917 7201026X-ray exam of spine A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 72020 X-ray exam of spine A 0.15 0.47 0.47 0.04 0.66 0.66 01XXX.00.00.000000010 36.6873 .917 72020TCX-ray exam of spine A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 7202026X-ray exam of spine A 0.15 0.07 0.07 0.01 0.23 0.23 01XXX.00.00.000000090 36.6873 .917 72040 X-ray exam of neck spine A 0.22 0.67 0.67 0.05 0.94 0.94 01XXX.00.00.000000010 36.6873 .917 72040TCX-ray exam of neck spine A 0.00 0.57 0.57 0.04 0.61 0.61 01XXX.00.00.000000010 36.6873 .917 7204026X-ray exam of neck spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72050 X-ray exam of neck spine A 0.31 0.99 0.99 0.08 1.38 1.38 01XXX.00.00.000000010 36.6873 .917 72050TCX-ray exam of neck spine A 0.00 0.85 0.85 0.06 0.91 0.91 01XXX.00.00.000000010 36.6873 .917 7205026X-ray exam of neck spine A 0.31 0.14 0.14 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 72052 X-ray exam of neck spine A 0.36 1.25 1.25 0.09 1.70 1.70 01XXX.00.00.000000010 36.6873 .917 72052TCX-ray exam of neck spine A 0.00 1.08 1.08 0.07 1.15 1.15 01XXX.00.00.000000010 36.6873 .917 7205226X-ray exam of neck spine A 0.36 0.17 0.17 0.02 0.55 0.55 01XXX.00.00.000000090 36.6873 .917 72069 X-ray exam of trunk spine A 0.22 0.57 0.57 0.04 0.83 0.83 01XXX.00.00.000000010 36.6873 .917 72069TCX-ray exam of trunk spine A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000000010 36.6873 .917 7206926X-ray exam of trunk spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72070 X-ray exam of thorax spine A 0.22 0.72 0.72 0.05 0.99 0.99 01XXX.00.00.000000010 36.6873 .917 72070TCX-ray exam of thorax spine A 0.00 0.62 0.62 0.04 0.66 0.66 01XXX.00.00.000000010 36.6873 .917 7207026X-ray exam of thorax spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72072 X-ray exam of thoracic spine A 0.22 0.80 0.80 0.06 1.08 1.08 01XXX.00.00.000000010 36.6873 .917 72072TCX-ray exam of thoracic spine A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7207226X-ray exam of thoracic spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72074 X-ray exam of thoracic spine A 0.22 0.97 0.97 0.07 1.26 1.26 01XXX.00.00.000000010 36.6873 .917 72074TCX-ray exam of thoracic spine A 0.00 0.87 0.87 0.06 0.93 0.93 01XXX.00.00.000000010 36.6873 .917 7207426X-ray exam of thoracic spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72080 X-ray exam of trunk spine A 0.22 0.74 0.74 0.05 1.01 1.01 01XXX.00.00.000000010 36.6873 .917 72080TCX-ray exam of trunk spine A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7208026X-ray exam of trunk spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72090 X-ray exam of trunk spine A 0.28 0.77 0.77 0.06 1.11 1.11 01XXX.00.00.000000010 36.6873 .917 72090TCX-ray exam of trunk spine A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7209026X-ray exam of trunk spine A 0.28 0.13 0.13 0.02 0.43 0.43 01XXX.00.00.000000090 36.6873 .917 72100 X-ray exam of lower spine A 0.22 0.74 0.74 0.05 1.01 1.01 01XXX.00.00.000000010 36.6873 .917 72100TCX-ray exam of lower spine A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7210026X-ray exam of lower spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72110 X-ray exam of lower spine A 0.31 1.01 1.01 0.08 1.40 1.40 01XXX.00.00.000000010 36.6873 .917 72110TCX-ray exam of lower spine A 0.00 0.87 0.87 0.06 0.93 0.93 01XXX.00.00.000000010 36.6873 .917 7211026X-ray exam of lower spine A 0.31 0.14 0.14 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 72114 X-ray exam of lower spine A 0.36 1.30 1.30 0.09 1.75 1.75 01XXX.00.00.000000010 36.6873 .917 72114TCX-ray exam of lower spine A 0.00 1.13 1.13 0.07 1.20 1.20 01XXX.00.00.000000010 36.6873 .917 7211426X-ray exam of lower spine A 0.36 0.17 0.17 0.02 0.55 0.55 01XXX.00.00.000000090 36.6873 .917 72120 X-ray exam of lower spine A 0.22 0.95 0.95 0.07 1.24 1.24 01XXX.00.00.000000010 36.6873 .917 72120TCX-ray exam of lower spine A 0.00 0.85 0.85 0.06 0.91 0.91 01XXX.00.00.000000010 36.6873 .917 7212026X-ray exam of lower spine A 0.22 0.10 0.10 0.01 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 72125 CAT scan of neck spine A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000000010 36.6873 .917 72125TCCAT scan of neck spine A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000010 36.6873 .917 7212526CAT scan of neck spine A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 72126 Contrast CAT scan of neck A 1.22 7.27 7.27 0.51 9.00 9.00 01XXX.00.00.000000020 36.6873 .917 72126TCContrast CAT scan of neck A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7212626Contrast CAT scan of neck A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000000090 36.6873 .917 72127 Contrast CAT scans of neck A 1.27 8.99 8.99 0.61 10.87 10.87 01XXX.00.00.000000020 36.6873 .917 72127TCContrast CAT scans of neck A 0.00 8.43 8.43 0.52 8.95 8.95 01XXX.00.00.000000020 36.6873 .917 7212726Contrast CAT scans of neck A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 72128 CAT scan of thorax spine A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000000010 36.6873 .917 72128TCCAT scan of thorax spine A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000010 36.6873 .917 7212826CAT scan of thorax spine A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 72129 Contrast CAT scan of thorax A 1.22 7.27 7.27 0.51 9.00 9.00 01XXX.00.00.000000020 36.6873 .917 72129TCContrast CAT scan of thorax A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7212926Contrast CAT scan of thorax A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000000090 36.6873 .917 72130 Contrast CAT scans of thorax A 1.27 8.99 8.99 0.61 10.87 10.87 01XXX.00.00.000000020 36.6873 .917 72130TCContrast CAT scans of thorax A 0.00 8.43 8.43 0.52 8.95 8.95 01XXX.00.00.000000020 36.6873 .917 7213026Contrast CAT scans of thorax A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 72131 CAT scan of lower spine A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000000010 36.6873 .917 72131TCCAT scan of lower spine A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000010 36.6873 .917 7213126CAT scan of lower spine A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 72132 Contrast CAT of lower spine A 1.22 7.27 7.27 0.51 9.00 9.00 01XXX.00.00.000000020 36.6873 .917 72132TCContrast CAT of lower spine A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7213226Contrast CAT of lower spine A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000000090 36.6873 .917 72133 Contrast CAT scans,low spine A 1.27 8.99 8.99 0.61 10.87 10.87 01XXX.00.00.000000020 36.6873 .917 72133TCContrast CAT scans,low spine A 0.00 8.43 8.43 0.52 8.95 8.95 01XXX.00.00.000000020 36.6873 .917 7213326Contrast CAT scans,low spine A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 72141 Magnetic image, neck spine A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 72141TCMagnetic image, neck spine A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7214126Magnetic image, neck spine A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 72142 Magnetic image, neck spine A 1.92 13.67 13.67 0.94 16.53 16.53 01XXX.00.00.000000020 36.6873 .917 72142TCMagnetic image, neck spine A 0.00 12.81 12.81 0.81 13.62 13.62 01XXX.00.00.000000020 36.6873 .917 7214226Magnetic image, neck spine A 1.92 0.86 0.86 0.13 2.91 2.91 01XXX.00.00.000000090 36.6873 .917 72146 Magnetic image, chest spine A 1.60 12.58 12.58 0.85 15.03 15.03 01XXX.00.00.000000010 36.6873 .917 72146TCMagnetic image, chest spine A 0.00 11.86 11.86 0.74 12.60 12.60 01XXX.00.00.000000010 36.6873 .917 7214626Magnetic image, chest spine A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 72147 Magnetic image, chest spine A 1.92 13.67 13.67 0.94 16.53 16.53 01XXX.00.00.000000020 36.6873 .917 72147TCMagnetic image, chest spine A 0.00 12.81 12.81 0.81 13.62 13.62 01XXX.00.00.000000020 36.6873 .917 7214726Magnetic image, chest spine A 1.92 0.86 0.86 0.13 2.91 2.91 01XXX.00.00.000000090 36.6873 .917 72148 Magnetic image, lumbar spine A 1.48 12.52 12.52 0.84 14.84 14.84 01XXX.00.00.000000010 36.6873 .917 72148TCMagnetic image, lumbar spine A 0.00 11.86 11.86 0.74 12.60 12.60 01XXX.00.00.000000010 36.6873 .917 7214826Magnetic image, lumbar spine A 1.48 0.66 0.66 0.10 2.24 2.24 01XXX.00.00.000000090 36.6873 .917 72149 Magnetic image, lumbar spine A 1.78 13.61 13.61 0.93 16.32 16.32 01XXX.00.00.000000020 36.6873 .917 72149TCMagnetic image, lumbar spine A 0.00 12.81 12.81 0.81 13.62 13.62 01XXX.00.00.000000020 36.6873 .917 7214926Magnetic image, lumbar spine A 1.78 0.80 0.80 0.12 2.70 2.70 01XXX.00.00.000000090 36.6873 .917 72156 Magnetic image, neck spine A 2.57 24.87 24.87 1.66 29.10 29.10 01XXX.00.00.000000020 36.6873 .917 72156TCMagnetic image, neck spine A 0.00 23.72 23.72 1.49 25.21 25.21 01XXX.00.00.000000020 36.6873 .917 7215626Magnetic image, neck spine A 2.57 1.15 1.15 0.17 3.89 3.89 01XXX.00.00.000000090 36.6873 .917 72157 Magnetic image, chest spine A 2.57 24.87 24.87 1.66 29.10 29.10 01XXX.00.00.000000020 36.6873 .917 72157TCMagnetic image, chest spine A 0.00 23.72 23.72 1.49 25.21 25.21 01XXX.00.00.000000020 36.6873 .917 7215726Magnetic image, chest spine A 2.57 1.15 1.15 0.17 3.89 3.89 01XXX.00.00.000000090 36.6873 .917 72158 Magnetic image, lumbar spine A 2.36 24.79 24.79 1.65 28.80 28.80 01XXX.00.00.000000020 36.6873 .917 72158TCMagnetic image, lumbar spine A 0.00 23.72 23.72 1.49 25.21 25.21 01XXX.00.00.000000020 36.6873 .917 7215826Magnetic image, lumbar spine A 2.36 1.07 1.07 0.16 3.59 3.59 01XXX.00.00.000000090 36.6873 .917 72159 Magnetic imaging/spine (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 72159TCMagnetic imaging/spine (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7215926Magnetic imaging/spine (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 72170 X-ray exam of pelvis A 0.17 0.57 0.57 0.04 0.78 0.78 01XXX.00.00.000000010 36.6873 .917 72170TCX-ray exam of pelvis A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7217026X-ray exam of pelvis A 0.17 0.07 0.07 0.01 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 72190 X-ray exam of pelvis A 0.21 0.74 0.74 0.05 1.00 1.00 01XXX.00.00.000000010 36.6873 .917 72190TCX-ray exam of pelvis A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 7219026X-ray exam of pelvis A 0.21 0.10 0.10 0.01 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 72192 CAT scan of pelvis A 1.09 6.11 6.11 0.43 7.63 7.63 01XXX.00.00.000000010 36.6873 .917 72192TCCAT scan of pelvis A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000010 36.6873 .917 7219226CAT scan of pelvis A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000000090 36.6873 .917 72193 Contrast CAT scan of pelvis A 1.16 7.03 7.03 0.49 8.68 8.68 01XXX.00.00.000000020 36.6873 .917 72193TCContrast CAT scan of pelvis A 0.00 6.52 6.52 0.41 6.93 6.93 01XXX.00.00.000000020 36.6873 .917 7219326Contrast CAT scan of pelvis A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 72194 Contrast CAT scans of pelvis A 1.22 8.62 8.62 0.58 10.42 10.42 01XXX.00.00.000000020 36.6873 .917 72194TCContrast CAT scans of pelvis A 0.00 8.09 8.09 0.50 8.59 8.59 01XXX.00.00.000000020 36.6873 .917 7219426Contrast CAT scans of pelvis A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000000090 36.6873 .917 72196 Magnetic image, pelvis A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 72196TCMagnetic image, pelvis A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7219626Magnetic image, pelvis A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 72198 Magnetic imaging/pelvis(MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 72198TCMagnetic imaging/pelvis(MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7219826Magnetic imaging/pelvis(MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 72200 X-ray exam sacroiliac joints A 0.17 0.58 0.58 0.04 0.79 0.79 01XXX.00.00.000000010 36.6873 .917 72200TCX-ray exam sacroiliac joints A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7220026X-ray exam sacroiliac joints A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 72202 X-ray exam sacroiliac joints A 0.19 0.68 0.68 0.05 0.92 0.92 01XXX.00.00.000000010 36.6873 .917 72202TCX-ray exam sacroiliac joints A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7220226X-ray exam sacroiliac joints A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 72220 X-ray exam of tailbone A 0.17 0.62 0.62 0.05 0.84 0.84 01XXX.00.00.000000010 36.6873 .917 72220TCX-ray exam of tailbone A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7222026X-ray exam of tailbone A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 72240 Contrast x-ray of neck spine A 0.91 4.93 4.93 0.35 6.19 6.19 01XXX.00.00.000000030 36.6873 .917 72240TCContrast x-ray of neck spine A 0.00 4.52 4.52 0.29 4.81 4.81 01XXX.00.00.000000030 36.6873 .917 7224026Contrast x-ray of neck spine A 0.91 0.41 0.41 0.06 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 72255 Contrast x-ray thorax spine A 0.91 4.54 4.54 0.32 5.77 5.77 01XXX.00.00.000000030 36.6873 .917 72255TCContrast x-ray thorax spine A 0.00 4.13 4.13 0.26 4.39 4.39 01XXX.00.00.000000030 36.6873 .917 7225526Contrast x-ray thorax spine A 0.91 0.41 0.41 0.06 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 72265 Contrast x-ray lower spine A 0.83 4.26 4.26 0.31 5.40 5.40 01XXX.00.00.000000030 36.6873 .917 72265TCContrast x-ray lower spine A 0.00 3.88 3.88 0.25 4.13 4.13 01XXX.00.00.000000030 36.6873 .917 7226526Contrast x-ray lower spine A 0.83 0.38 0.38 0.06 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 72270 Contrast x-ray of spine A 1.33 6.40 6.40 0.46 8.19 8.19 01XXX.00.00.000000030 36.6873 .917 72270TCContrast x-ray of spine A 0.00 5.81 5.81 0.37 6.18 6.18 01XXX.00.00.000000030 36.6873 .917 7227026Contrast x-ray of spine A 1.33 0.59 0.59 0.09 2.01 2.01 01XXX.00.00.000000090 36.6873 .917 72285 X-ray of neck spine disk A 0.83 8.37 8.37 0.56 9.76 9.76 01XXX.00.00.000000030 36.6873 .917 72285TCX-ray of neck spine disk A 0.00 7.99 7.99 0.50 8.49 8.49 01XXX.00.00.000000030 36.6873 .917 7228526X-ray of neck spine disk A 0.83 0.38 0.38 0.06 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 72295 X-ray of lower spine disk A 0.83 7.87 7.87 0.52 9.22 9.22 01XXX.00.00.000000030 36.6873 .917 72295TCX-ray of lower spine disk A 0.00 7.49 7.49 0.46 7.95 7.95 01XXX.00.00.000000030 36.6873 .917 7229526X-ray of lower spine disk A 0.83 0.38 0.38 0.06 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 73000 X-ray exam of collarbone A 0.16 0.57 0.57 0.04 0.77 0.77 01XXX.00.00.000300010 36.6873 .917 73000TCX-ray exam of collarbone A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7300026X-ray exam of collarbone A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73010 X-ray exam of shoulder blade A 0.17 0.58 0.58 0.04 0.79 0.79 01XXX.00.00.000300010 36.6873 .917 73010TCX-ray exam of shoulder blade A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7301026X-ray exam of shoulder blade A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73020 X-ray exam of shoulder A 0.15 0.52 0.52 0.04 0.71 0.71 01XXX.00.00.000300010 36.6873 .917 73020TCX-ray exam of shoulder A 0.00 0.45 0.45 0.03 0.48 0.48 01XXX.00.00.000300010 36.6873 .917 7302026X-ray exam of shoulder A 0.15 0.07 0.07 0.01 0.23 0.23 01XXX.00.00.000300090 36.6873 .917 73030 X-ray exam of shoulder A 0.18 0.62 0.62 0.05 0.85 0.85 01XXX.00.00.000300010 36.6873 .917 73030TCX-ray exam of shoulder A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000300010 36.6873 .917 7303026X-ray exam of shoulder A 0.18 0.08 0.08 0.01 0.27 0.27 01XXX.00.00.000300090 36.6873 .917 73040 Contrast x-ray of shoulder A 0.54 2.25 2.25 0.17 2.96 2.96 01XXX.00.00.000300030 36.6873 .917 73040TCContrast x-ray of shoulder A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000300030 36.6873 .917 7304026Contrast x-ray of shoulder A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73050 X-ray exam of shoulders A 0.20 0.73 0.73 0.05 0.98 0.98 01XXX.00.00.000200010 36.6873 .917 73050TCX-ray exam of shoulders A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000200010 36.6873 .917 7305026X-ray exam of shoulders A 0.20 0.09 0.09 0.01 0.30 0.30 01XXX.00.00.000200090 36.6873 .917 73060 X-ray exam of humerus A 0.17 0.62 0.62 0.05 0.84 0.84 01XXX.00.00.000300010 36.6873 .917 73060TCX-ray exam of humerus A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000300010 36.6873 .917 7306026X-ray exam of humerus A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73070 X-ray exam of elbow A 0.15 0.57 0.57 0.04 0.76 0.76 01XXX.00.00.000300010 36.6873 .917 73070TCX-ray exam of elbow A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7307026X-ray exam of elbow A 0.15 0.07 0.07 0.01 0.23 0.23 01XXX.00.00.000300090 36.6873 .917 73080 X-ray exam of elbow A 0.17 0.62 0.62 0.05 0.84 0.84 01XXX.00.00.000300010 36.6873 .917 73080TCX-ray exam of elbow A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000300010 36.6873 .917 7308026X-ray exam of elbow A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73085 Contrast x-ray of elbow A 0.54 2.25 2.25 0.17 2.96 2.96 01XXX.00.00.000300030 36.6873 .917 73085TCContrast x-ray of elbow A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000300030 36.6873 .917 7308526Contrast x-ray of elbow A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73090 X-ray exam of forearm A 0.16 0.57 0.57 0.04 0.77 0.77 01XXX.00.00.000300010 36.6873 .917 73090TCX-ray exam of forearm A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7309026X-ray exam of forearm A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73092 X-ray exam of arm, infant A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73092TCX-ray exam of arm, infant A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7309226X-ray exam of arm, infant A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73100 X-ray exam of wrist A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73100TCX-ray exam of wrist A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7310026X-ray exam of wrist A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73110 X-ray exam of wrist A 0.17 0.59 0.59 0.04 0.80 0.80 01XXX.00.00.000300010 36.6873 .917 73110TCX-ray exam of wrist A 0.00 0.51 0.51 0.03 0.54 0.54 01XXX.00.00.000300010 36.6873 .917 7311026X-ray exam of wrist A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73115 Contrast x-ray of wrist A 0.54 1.75 1.75 0.14 2.43 2.43 01XXX.00.00.000300030 36.6873 .917 73115TCContrast x-ray of wrist A 0.00 1.50 1.50 0.10 1.60 1.60 01XXX.00.00.000300030 36.6873 .917 7311526Contrast x-ray of wrist A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73120 X-ray exam of hand A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73120TCX-ray exam of hand A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7312026X-ray exam of hand A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73130 X-ray exam of hand A 0.17 0.59 0.59 0.04 0.80 0.80 01XXX.00.00.000300010 36.6873 .917 73130TCX-ray exam of hand A 0.00 0.51 0.51 0.03 0.54 0.54 01XXX.00.00.000300010 36.6873 .917 7313026X-ray exam of hand A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73140 X-ray exam of finger(s) A 0.13 0.46 0.46 0.04 0.63 0.63 01XXX.00.00.000300010 36.6873 .917 73140TCX-ray exam of finger(s) A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000300010 36.6873 .917 7314026X-ray exam of finger(s) A 0.13 0.06 0.06 0.01 0.20 0.20 01XXX.00.00.000300090 36.6873 .917 73200 CAT scan of arm A 1.09 5.21 5.21 0.37 6.67 6.67 01XXX.00.00.000300010 36.6873 .917 73200TCCAT scan of arm A 0.00 4.73 4.73 0.30 5.03 5.03 01XXX.00.00.000300010 36.6873 .917 7320026CAT scan of arm A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000300090 36.6873 .917 73201 Contrast CAT scan of arm A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000300020 36.6873 .917 73201TCContrast CAT scan of arm A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000300020 36.6873 .917 7320126Contrast CAT scan of arm A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000300090 36.6873 .917 73202 Contrast CAT scans of arm A 1.22 7.61 7.61 0.53 9.36 9.36 01XXX.00.00.000300020 36.6873 .917 73202TCContrast CAT scans of arm A 0.00 7.08 7.08 0.45 7.53 7.53 01XXX.00.00.000300020 36.6873 .917 7320226Contrast CAT scans of arm A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000300090 36.6873 .917 73220 Magnetic image, arm, hand A 1.48 11.34 11.34 0.77 13.59 13.59 01XXX.00.00.000300010 36.6873 .917 73220TCMagnetic image, arm, hand A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000300010 36.6873 .917 7322026Magnetic image, arm, hand A 1.48 0.66 0.66 0.10 2.24 2.24 01XXX.00.00.000300090 36.6873 .917 73221 Magnetic image, joint of arm A 1.48 11.11 11.11 0.73 13.32 13.32 01XXX.00.00.000300010 36.6873 .917 73221TCMagnetic image, joint of arm A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000300010 36.6873 .917 7322126Magnetic image, joint of arm A 1.48 0.43 0.43 0.06 1.97 1.97 01XXX.00.00.000300090 36.6873 .917 73225 Magnetic imaging/upper (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 73225TCMagnetic imaging/upper (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7322526Magnetic imaging/upper (MRA) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 73500 X-ray exam of hip A 0.17 0.53 0.53 0.04 0.74 0.74 01XXX.00.00.000000010 36.6873 .917 73500TCX-ray exam of hip A 0.00 0.45 0.45 0.03 0.48 0.48 01XXX.00.00.000000010 36.6873 .917 7350026X-ray exam of hip A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000000090 36.6873 .917 73510 X-ray exam of hip A 0.21 0.64 0.64 0.05 0.90 0.90 01XXX.00.00.000000010 36.6873 .917 73510TCX-ray exam of hip A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7351026X-ray exam of hip A 0.21 0.10 0.10 0.01 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 73520 X-ray exam of hips A 0.26 0.76 0.76 0.06 1.08 1.08 01XXX.00.00.000200010 36.6873 .917 73520TCX-ray exam of hips A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000200010 36.6873 .917 7352026X-ray exam of hips A 0.26 0.12 0.12 0.02 0.40 0.40 01XXX.00.00.000200090 36.6873 .917 73525 Contrast x-ray of hip A 0.54 2.25 2.25 0.17 2.96 2.96 01XXX.00.00.000300030 36.6873 .917 73525TCContrast x-ray of hip A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000300030 36.6873 .917 7352526Contrast x-ray of hip A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73530 X-ray exam of hip A 0.29 0.63 0.63 0.05 0.97 0.97 01XXX.00.00.000300030 36.6873 .917 73530TCX-ray exam of hip A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300030 36.6873 .917 7353026X-ray exam of hip A 0.29 0.13 0.13 0.02 0.44 0.44 01XXX.00.00.000300090 36.6873 .917 73540 X-ray exam of pelvis & hips A 0.20 0.64 0.64 0.05 0.89 0.89 01XXX.00.00.000000010 36.6873 .917 73540TCX-ray exam of pelvis & hips A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7354026X-ray exam of pelvis & hips A 0.20 0.10 0.10 0.01 0.31 0.31 01XXX.00.00.000000090 36.6873 .917 73550 X-ray exam of thigh A 0.17 0.62 0.62 0.05 0.84 0.84 01XXX.00.00.000300010 36.6873 .917 73550TCX-ray exam of thigh A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000300010 36.6873 .917 7355026X-ray exam of thigh A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73560 X-ray exam of knee A 0.17 0.57 0.57 0.04 0.78 0.78 01XXX.00.00.000300010 36.6873 .917 73560TCX-ray exam of knee A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7356026X-ray exam of knee A 0.17 0.07 0.07 0.01 0.25 0.25 01XXX.00.00.000300090 36.6873 .917 73562 X-ray exam of knee A 0.18 0.63 0.63 0.05 0.86 0.86 01XXX.00.00.000300010 36.6873 .917 73562TCX-ray exam of knee A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000300010 36.6873 .917 7356226X-ray exam of knee A 0.18 0.09 0.09 0.01 0.28 0.28 01XXX.00.00.000300090 36.6873 .917 73564 X-ray exam of knee A 0.22 0.69 0.69 0.06 0.97 0.97 01XXX.00.00.000300010 36.6873 .917 73564TCX-ray exam of knee A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000300010 36.6873 .917 7356426X-ray exam of knee A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000300090 36.6873 .917 73565 X-ray exam of knee A 0.17 0.54 0.54 0.04 0.75 0.75 01XXX.00.00.000200010 36.6873 .917 73565TCX-ray exam of knee A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000200010 36.6873 .917 7356526X-ray exam of knee A 0.17 0.07 0.07 0.01 0.25 0.25 01XXX.00.00.000200090 36.6873 .917 73580 Contrast x-ray of knee joint A 0.54 2.75 2.75 0.21 3.50 3.50 01XXX.00.00.000300030 36.6873 .917 73580TCContrast x-ray of knee joint A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000300030 36.6873 .917 7358026Contrast x-ray of knee joint A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73590 X-ray exam of lower leg A 0.17 0.57 0.57 0.04 0.78 0.78 01XXX.00.00.000300010 36.6873 .917 73590TCX-ray exam of lower leg A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000300010 36.6873 .917 7359026X-ray exam of lower leg A 0.17 0.07 0.07 0.01 0.25 0.25 01XXX.00.00.000300090 36.6873 .917 73592 X-ray exam of leg, infant A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73592TCX-ray exam of leg, infant A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7359226X-ray exam of leg, infant A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73600 X-ray exam of ankle A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73600TCX-ray exam of ankle A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7360026X-ray exam of ankle A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73610 X-ray exam of ankle A 0.17 0.59 0.59 0.04 0.80 0.80 01XXX.00.00.000300010 36.6873 .917 73610TCX-ray exam of ankle A 0.00 0.51 0.51 0.03 0.54 0.54 01XXX.00.00.000300010 36.6873 .917 7361026X-ray exam of ankle A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73615 Contrast x-ray of ankle A 0.54 2.25 2.25 0.17 2.96 2.96 01XXX.00.00.000300030 36.6873 .917 73615TCContrast x-ray of ankle A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000300030 36.6873 .917 7361526Contrast x-ray of ankle A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 73620 X-ray exam of foot A 0.16 0.54 0.54 0.04 0.74 0.74 01XXX.00.00.000300010 36.6873 .917 73620TCX-ray exam of foot A 0.00 0.47 0.47 0.03 0.50 0.50 01XXX.00.00.000300010 36.6873 .917 7362026X-ray exam of foot A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73630 X-ray exam of foot A 0.17 0.59 0.59 0.04 0.80 0.80 01XXX.00.00.000300010 36.6873 .917 73630TCX-ray exam of foot A 0.00 0.51 0.51 0.03 0.54 0.54 01XXX.00.00.000300010 36.6873 .917 7363026X-ray exam of foot A 0.17 0.08 0.08 0.01 0.26 0.26 01XXX.00.00.000300090 36.6873 .917 73650 X-ray exam of heel A 0.16 0.52 0.52 0.04 0.72 0.72 01XXX.00.00.000300010 36.6873 .917 73650TCX-ray exam of heel A 0.00 0.45 0.45 0.03 0.48 0.48 01XXX.00.00.000300010 36.6873 .917 7365026X-ray exam of heel A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000300090 36.6873 .917 73660 X-ray exam of toe(s) A 0.13 0.46 0.46 0.04 0.63 0.63 01XXX.00.00.000300010 36.6873 .917 73660TCX-ray exam of toe(s) A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000300010 36.6873 .917 7366026X-ray exam of toe(s) A 0.13 0.06 0.06 0.01 0.20 0.20 01XXX.00.00.000300090 36.6873 .917 73700 CAT scan of leg A 1.09 5.21 5.21 0.37 6.67 6.67 01XXX.00.00.000200010 36.6873 .917 73700TCCAT scan of leg A 0.00 4.73 4.73 0.30 5.03 5.03 01XXX.00.00.000200010 36.6873 .917 7370026CAT scan of leg A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000200090 36.6873 .917 73701 Contrast CAT scan of leg A 1.16 6.14 6.14 0.44 7.74 7.74 01XXX.00.00.000200020 36.6873 .917 73701TCContrast CAT scan of leg A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000200020 36.6873 .917 7370126Contrast CAT scan of leg A 1.16 0.51 0.51 0.08 1.75 1.75 01XXX.00.00.000200090 36.6873 .917 73702 Contrast CAT scans of leg A 1.22 7.61 7.61 0.53 9.36 9.36 01XXX.00.00.000200020 36.6873 .917 73702TCContrast CAT scans of leg A 0.00 7.08 7.08 0.45 7.53 7.53 01XXX.00.00.000200020 36.6873 .917 7370226Contrast CAT scans of leg A 1.22 0.53 0.53 0.08 1.83 1.83 01XXX.00.00.000200090 36.6873 .917 73720 Magnetic image, leg, foot A 1.48 11.34 11.34 0.77 13.59 13.59 01XXX.00.00.000200010 36.6873 .917 73720TCMagnetic image, leg, foot A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000200010 36.6873 .917 7372026Magnetic image, leg, foot A 1.48 0.66 0.66 0.10 2.24 2.24 01XXX.00.00.000200090 36.6873 .917 73721 Magnetic image, joint of leg A 1.48 11.11 11.11 0.73 13.32 13.32 01XXX.00.00.000300010 36.6873 .917 73721TCMagnetic image, joint of leg A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000300010 36.6873 .917 7372126Magnetic image, joint of leg A 1.48 0.43 0.43 0.06 1.97 1.97 01XXX.00.00.000300090 36.6873 .917 73725 Magnetic imaging/lower (MRA) R 1.82 11.34 11.34 0.77 13.93 13.93 01XXX.00.00.000200020 36.6873 .917 73725TCMagnetic imaging/lower (MRA) R 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000200020 36.6873 .917 7372526Magnetic imaging/lower (MRA) R 1.82 0.66 0.66 0.10 2.58 2.58 01XXX.00.00.000200090 36.6873 .917 74000 X-ray exam of abdomen A 0.18 0.58 0.58 0.04 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 74000TCX-ray exam of abdomen A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7400026X-ray exam of abdomen A 0.18 0.08 0.08 0.01 0.27 0.27 01XXX.00.00.000000090 36.6873 .917 74010 X-ray exam of abdomen A 0.23 0.65 0.65 0.06 0.94 0.94 01XXX.00.00.000000010 36.6873 .917 74010TCX-ray exam of abdomen A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000010 36.6873 .917 7401026X-ray exam of abdomen A 0.23 0.11 0.11 0.02 0.36 0.36 01XXX.00.00.000000090 36.6873 .917 74020 X-ray exam of abdomen A 0.27 0.72 0.72 0.06 1.05 1.05 01XXX.00.00.000000010 36.6873 .917 74020TCX-ray exam of abdomen A 0.00 0.59 0.59 0.04 0.63 0.63 01XXX.00.00.000000010 36.6873 .917 7402026X-ray exam of abdomen A 0.27 0.13 0.13 0.02 0.42 0.42 01XXX.00.00.000000090 36.6873 .917 74022 X-ray exam series, abdomen A 0.32 0.85 0.85 0.07 1.24 1.24 01XXX.00.00.000000010 36.6873 .917 74022TCX-ray exam series, abdomen A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7402226X-ray exam series, abdomen A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 74150 CAT scan of abdomen A 1.19 5.91 5.91 0.43 7.53 7.53 01XXX.00.00.000000010 36.6873 .917 74150TCCAT scan of abdomen A 0.00 5.39 5.39 0.35 5.74 5.74 01XXX.00.00.000000010 36.6873 .917 7415026CAT scan of abdomen A 1.19 0.52 0.52 0.08 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 74160 Contrast CAT scan of abdomen A 1.27 7.08 7.08 0.50 8.85 8.85 01XXX.00.00.000000020 36.6873 .917 74160TCContrast CAT scan of abdomen A 0.00 6.52 6.52 0.41 6.93 6.93 01XXX.00.00.000000020 36.6873 .917 7416026Contrast CAT scan of abdomen A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 74170 Contrast CAT scans, abdomen A 1.40 8.71 8.71 0.60 10.71 10.71 01XXX.00.00.000000020 36.6873 .917 74170TCContrast CAT scans, abdomen A 0.00 8.09 8.09 0.50 8.59 8.59 01XXX.00.00.000000020 36.6873 .917 7417026Contrast CAT scans, abdomen A 1.40 0.62 0.62 0.10 2.12 2.12 01XXX.00.00.000000090 36.6873 .917 74181 Magnetic image,abdomen (MRI) A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 74181TCMagnetic image,abdomen (MRI) A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7418126Magnetic image,abdomen (MRI) A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 74185 Magnetic image/abdomen (MRA) R 1.80 11.40 11.40 0.78 13.98 13.98 01XXX.00.00.000000020 36.6873 .917 74185TCMagnetic image/abdomen (MRA) R 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000020 36.6873 .917 7418526Magnetic image/abdomen (MRA) R 1.80 0.72 0.72 0.11 2.63 2.63 01XXX.00.00.000000090 36.6873 .917 74190 X-ray exam of peritoneum A 0.48 1.37 1.37 0.10 1.95 1.95 01XXX.00.00.000000030 36.6873 .917 74190TCX-ray exam of peritoneum A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7419026X-ray exam of peritoneum A 0.48 0.13 0.13 0.02 0.63 0.63 01XXX.00.00.000000090 36.6873 .917 74210 Contrast xray exam of throat A 0.36 1.29 1.29 0.09 1.74 1.74 01XXX.00.00.000000030 36.6873 .917 74210TCContrast xray exam of throat A 0.00 1.13 1.13 0.07 1.20 1.20 01XXX.00.00.000000030 36.6873 .917 7421026Contrast xray exam of throat A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 74220 Contrast xray exam,esophagus A 0.46 1.34 1.34 0.10 1.90 1.90 01XXX.00.00.000000030 36.6873 .917 74220TCContrast xray exam,esophagus A 0.00 1.13 1.13 0.07 1.20 1.20 01XXX.00.00.000000030 36.6873 .917 7422026Contrast xray exam,esophagus A 0.46 0.21 0.21 0.03 0.70 0.70 01XXX.00.00.000000090 36.6873 .917 74230 Cinema xray throat/esophagus A 0.53 1.49 1.49 0.12 2.14 2.14 01XXX.00.00.000000030 36.6873 .917 74230TCCinema xray throat/esophagus A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7423026Cinema xray throat/esophagus A 0.53 0.25 0.25 0.04 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 74235 Remove esophagus obstruction A 1.19 3.02 3.02 0.25 4.46 4.46 01XXX.00.00.000000030 36.6873 .917 74235TCRemove esophagus obstruction A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7423526Remove esophagus obstruction A 1.19 0.52 0.52 0.08 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 74240 X-ray exam upper GI tract A 0.69 1.71 1.71 0.14 2.54 2.54 01XXX.00.00.000000030 36.6873 .917 74240TCX-ray exam upper GI tract A 0.00 1.39 1.39 0.09 1.48 1.48 01XXX.00.00.000000030 36.6873 .917 7424026X-ray exam upper GI tract A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 74241 X-ray exam upper GI tract A 0.69 1.74 1.74 0.14 2.57 2.57 01XXX.00.00.000000030 36.6873 .917 74241TCX-ray exam upper GI tract A 0.00 1.42 1.42 0.09 1.51 1.51 01XXX.00.00.000000030 36.6873 .917 7424126X-ray exam upper GI tract A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 74245 X-ray exam upper GI tract A 0.91 2.68 2.68 0.21 3.80 3.80 01XXX.00.00.000000030 36.6873 .917 74245TCX-ray exam upper GI tract A 0.00 2.27 2.27 0.15 2.42 2.42 01XXX.00.00.000000030 36.6873 .917 7424526X-ray exam upper GI tract A 0.91 0.41 0.41 0.06 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 74246 Contrast xray upper GI tract A 0.69 1.89 1.89 0.15 2.73 2.73 01XXX.00.00.000000030 36.6873 .917 74246TCContrast xray upper GI tract A 0.00 1.57 1.57 0.10 1.67 1.67 01XXX.00.00.000000030 36.6873 .917 7424626Contrast xray upper GI tract A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 74247 Contrast xray upper GI tract A 0.69 1.92 1.92 0.16 2.77 2.77 01XXX.00.00.000000030 36.6873 .917 74247TCContrast xray upper GI tract A 0.00 1.60 1.60 0.11 1.71 1.71 01XXX.00.00.000000030 36.6873 .917 7424726Contrast xray upper GI tract A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 74249 Contrast xray upper GI tract A 0.91 2.86 2.86 0.22 3.99 3.99 01XXX.00.00.000000030 36.6873 .917 74249TCContrast xray upper GI tract A 0.00 2.45 2.45 0.16 2.61 2.61 01XXX.00.00.000000030 36.6873 .917 7424926Contrast xray upper GI tract A 0.91 0.41 0.41 0.06 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 74250 X-ray exam of small bowel A 0.47 1.45 1.45 0.11 2.03 2.03 01XXX.00.00.000000020 36.6873 .917 74250TCX-ray exam of small bowel A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 7425026X-ray exam of small bowel A 0.47 0.21 0.21 0.03 0.71 0.71 01XXX.00.00.000000090 36.6873 .917 74251 X-ray exam of small bowel A 0.69 1.45 1.45 0.11 2.25 2.25 01XXX.00.00.000000030 36.6873 .917 74251TCX-ray exam of small bowel A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7425126X-ray exam of small bowel A 0.69 0.21 0.21 0.03 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 74260 X-ray exam of small bowel A 0.50 1.65 1.65 0.12 2.27 2.27 01XXX.00.00.000000030 36.6873 .917 74260TCX-ray exam of small bowel A 0.00 1.42 1.42 0.09 1.51 1.51 01XXX.00.00.000000030 36.6873 .917 7426026X-ray exam of small bowel A 0.50 0.23 0.23 0.03 0.76 0.76 01XXX.00.00.000000090 36.6873 .917 74270 Contrast x-ray exam of colon A 0.69 1.94 1.94 0.16 2.79 2.79 01XXX.00.00.000000030 36.6873 .917 74270TCContrast x-ray exam of colon A 0.00 1.62 1.62 0.11 1.73 1.73 01XXX.00.00.000000030 36.6873 .917 7427026Contrast x-ray exam of colon A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 74280 Contrast x-ray exam of colon A 0.99 2.58 2.58 0.21 3.78 3.78 01XXX.00.00.000000030 36.6873 .917 74280TCContrast x-ray exam of colon A 0.00 2.13 2.13 0.14 2.27 2.27 01XXX.00.00.000000030 36.6873 .917 7428026Contrast x-ray exam of colon A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 74283 Contrast x-ray exam of colon A 2.02 3.34 3.34 0.30 5.66 5.66 01XXX.00.00.000000030 36.6873 .917 74283TCContrast x-ray exam of colon A 0.00 2.44 2.44 0.16 2.60 2.60 01XXX.00.00.000000030 36.6873 .917 7428326Contrast x-ray exam of colon A 2.02 0.90 0.90 0.14 3.06 3.06 01XXX.00.00.000000090 36.6873 .917 74290 Contrast x-ray, gallbladder A 0.32 0.85 0.85 0.07 1.24 1.24 01XXX.00.00.000000020 36.6873 .917 74290TCContrast x-ray, gallbladder A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000020 36.6873 .917 7429026Contrast x-ray, gallbladder A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 74291 Contrast x-rays, gallbladder A 0.20 0.49 0.49 0.04 0.73 0.73 01XXX.00.00.000000020 36.6873 .917 74291TCContrast x-rays, gallbladder A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000020 36.6873 .917 7429126Contrast x-rays, gallbladder A 0.20 0.09 0.09 0.01 0.30 0.30 01XXX.00.00.000000090 36.6873 .917 74300 X-ray bile ducts, pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000030 36.6873 .917 74300TCX-ray bile ducts, pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000030 36.6873 .917 7430026X-ray bile ducts, pancreas A 0.36 0.17 0.17 0.02 0.55 0.55 01XXX.00.00.000000090 36.6873 .917 74301 Additional x-rays at surgery C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000030 36.6873 .917 74301TCAdditional x-rays at surgery C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000030 36.6873 .917 7430126Additional x-rays at surgery A 0.21 0.10 0.10 0.01 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 74305 X-ray bile ducts, pancreas A 0.42 0.94 0.94 0.08 1.44 1.44 01XXX.00.00.000000030 36.6873 .917 74305TCX-ray bile ducts, pancreas A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000030 36.6873 .917 7430526X-ray bile ducts, pancreas A 0.42 0.19 0.19 0.03 0.64 0.64 01XXX.00.00.000000090 36.6873 .917 74320 Contrast x-ray of bile ducts A 0.54 3.25 3.25 0.23 4.02 4.02 01XXX.00.00.000000030 36.6873 .917 74320TCContrast x-ray of bile ducts A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7432026Contrast x-ray of bile ducts A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74327 X-ray for bile stone removal A 0.70 2.00 2.00 0.16 2.86 2.86 01XXX.00.00.000000030 36.6873 .917 74327TCX-ray for bile stone removal A 0.00 1.68 1.68 0.11 1.79 1.79 01XXX.00.00.000000030 36.6873 .917 7432726X-ray for bile stone removal A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 74328 Xray for bile duct endoscopy A 0.70 3.32 3.32 0.24 4.26 4.26 01XXX.00.00.000000030 36.6873 .917 74328TCXray for bile duct endoscopy A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7432826Xray for bile duct endoscopy A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 74329 X-ray for pancreas endoscopy A 0.70 3.32 3.32 0.24 4.26 4.26 01XXX.00.00.000000030 36.6873 .917 74329TCX-ray for pancreas endoscopy A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7432926X-ray for pancreas endoscopy A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 74330 Xray,bile/pancreas endoscopy A 0.90 3.32 3.32 0.24 4.46 4.46 01XXX.00.00.000000030 36.6873 .917 74330TCXray,bile/pancreas endoscopy A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7433026Xray,bile/pancreas endoscopy A 0.90 0.32 0.32 0.05 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 74340 X-ray guide for GI tube A 0.54 2.75 2.75 0.21 3.50 3.50 01XXX.00.00.000000030 36.6873 .917 74340TCX-ray guide for GI tube A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7434026X-ray guide for GI tube A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74350 X-ray guide, stomach tube A 0.76 3.35 3.35 0.24 4.35 4.35 01XXX.00.00.000000030 36.6873 .917 74350TCX-ray guide, stomach tube A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7435026X-ray guide, stomach tube A 0.76 0.35 0.35 0.05 1.16 1.16 01XXX.00.00.000000090 36.6873 .917 74355 X-ray guide, intestinal tube A 0.76 2.85 2.85 0.22 3.83 3.83 01XXX.00.00.000000030 36.6873 .917 74355TCX-ray guide, intestinal tube A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7435526X-ray guide, intestinal tube A 0.76 0.35 0.35 0.05 1.16 1.16 01XXX.00.00.000000090 36.6873 .917 74360 X-ray guide, GI dilation A 0.54 3.25 3.25 0.23 4.02 4.02 01XXX.00.00.000000030 36.6873 .917 74360TCX-ray guide, GI dilation A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7436026X-ray guide, GI dilation A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74363 X-ray, bile duct dilation A 0.88 6.21 6.21 0.43 7.52 7.52 01XXX.00.00.000000030 36.6873 .917 74363TCX-ray, bile duct dilation A 0.00 5.81 5.81 0.37 6.18 6.18 01XXX.00.00.000000030 36.6873 .917 7436326X-ray, bile duct dilation A 0.88 0.40 0.40 0.06 1.34 1.34 01XXX.00.00.000000090 36.6873 .917 74400 Contrast x-ray urinary tract A 0.49 1.82 1.82 0.14 2.45 2.45 01XXX.00.00.000000020 36.6873 .917 74400TCContrast x-ray urinary tract A 0.00 1.60 1.60 0.11 1.71 1.71 01XXX.00.00.000000020 36.6873 .917 7440026Contrast x-ray urinary tract A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 74405 Contrast x-ray urinary tract A 0.49 2.11 2.11 0.16 2.76 2.76 01XXX.00.00.000000020 36.6873 .917 74405TCContrast x-ray urinary tract A 0.00 1.89 1.89 0.13 2.02 2.02 01XXX.00.00.000000020 36.6873 .917 7440526Contrast x-ray urinary tract A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 74410 Contrast x-ray urinary tract A 0.49 2.08 2.08 0.15 2.72 2.72 01XXX.00.00.000000020 36.6873 .917 74410TCContrast x-ray urinary tract A 0.00 1.86 1.86 0.12 1.98 1.98 01XXX.00.00.000000020 36.6873 .917 7441026Contrast x-ray urinary tract A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 74415 Contrast x-ray urinary tract A 0.49 2.24 2.24 0.16 2.89 2.89 01XXX.00.00.000000020 36.6873 .917 74415TCContrast x-ray urinary tract A 0.00 2.02 2.02 0.13 2.15 2.15 01XXX.00.00.000000020 36.6873 .917 7441526Contrast x-ray urinary tract A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 74420 Contrast x-ray urinary tract A 0.36 2.66 2.66 0.19 3.21 3.21 01XXX.00.00.000000030 36.6873 .917 74420TCContrast x-ray urinary tract A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7442026Contrast x-ray urinary tract A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 74425 Contrast x-ray urinary tract A 0.36 1.40 1.40 0.10 1.86 1.86 01XXX.00.00.000000030 36.6873 .917 74425TCContrast x-ray urinary tract A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7442526Contrast x-ray urinary tract A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 74430 Contrast x-ray of bladder A 0.32 1.15 1.15 0.09 1.56 1.56 01XXX.00.00.000000030 36.6873 .917 74430TCContrast x-ray of bladder A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000030 36.6873 .917 7443026Contrast x-ray of bladder A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 74440 Xray exam male genital tract A 0.38 1.25 1.25 0.10 1.73 1.73 01XXX.00.00.000000030 36.6873 .917 74440TCXray exam male genital tract A 0.00 1.08 1.08 0.07 1.15 1.15 01XXX.00.00.000000030 36.6873 .917 7444026Xray exam male genital tract A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 74445 X-ray exam of penis A 1.14 1.58 1.58 0.15 2.87 2.87 01XXX.00.00.000000030 36.6873 .917 74445TCX-ray exam of penis A 0.00 1.08 1.08 0.07 1.15 1.15 01XXX.00.00.000000030 36.6873 .917 7444526X-ray exam of penis A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 74450 X-ray exam urethra/bladder A 0.33 1.54 1.54 0.11 1.98 1.98 01XXX.00.00.000000030 36.6873 .917 74450TCX-ray exam urethra/bladder A 0.00 1.39 1.39 0.09 1.48 1.48 01XXX.00.00.000000030 36.6873 .917 7445026X-ray exam urethra/bladder A 0.33 0.15 0.15 0.02 0.50 0.50 01XXX.00.00.000000090 36.6873 .917 74455 X-ray exam urethra/bladder A 0.33 1.65 1.65 0.12 2.10 2.10 01XXX.00.00.000000030 36.6873 .917 74455TCX-ray exam urethra/bladder A 0.00 1.50 1.50 0.10 1.60 1.60 01XXX.00.00.000000030 36.6873 .917 7445526X-ray exam urethra/bladder A 0.33 0.15 0.15 0.02 0.50 0.50 01XXX.00.00.000000090 36.6873 .917 74470 X-ray exam of kidney lesion A 0.54 1.44 1.44 0.12 2.10 2.10 01XXX.00.00.000000030 36.6873 .917 74470TCX-ray exam of kidney lesion A 0.00 1.19 1.19 0.08 1.27 1.27 01XXX.00.00.000000030 36.6873 .917 7447026X-ray exam of kidney lesion A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74475 Xray control catheter insert A 0.54 4.13 4.13 0.29 4.96 4.96 01XXX.00.00.000000030 36.6873 .917 74475TCXray control catheter insert A 0.00 3.88 3.88 0.25 4.13 4.13 01XXX.00.00.000000030 36.6873 .917 7447526Xray control catheter insert A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74480 Xray control catheter insert A 0.54 4.13 4.13 0.29 4.96 4.96 01XXX.00.00.000000030 36.6873 .917 74480TCXray control catheter insert A 0.00 3.88 3.88 0.25 4.13 4.13 01XXX.00.00.000000030 36.6873 .917 7448026Xray control catheter insert A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74485 X-ray guide, GU dilation A 0.54 3.25 3.25 0.23 4.02 4.02 01XXX.00.00.000000030 36.6873 .917 74485TCX-ray guide, GU dilation A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7448526X-ray guide, GU dilation A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 74710 X-ray measurement of pelvis A 0.34 1.16 1.16 0.09 1.59 1.59 01XXX.00.00.000000010 36.6873 .917 74710TCX-ray measurement of pelvis A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000010 36.6873 .917 7471026X-ray measurement of pelvis A 0.34 0.16 0.16 0.02 0.52 0.52 01XXX.00.00.000000090 36.6873 .917 74740 X-ray female genital tract A 0.38 1.41 1.41 0.11 1.90 1.90 01XXX.00.00.000000030 36.6873 .917 74740TCX-ray female genital tract A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7474026X-ray female genital tract A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 74742 X-ray fallopian tube A 0.61 3.25 3.25 0.23 4.09 4.09 01XXX.00.00.000000030 36.6873 .917 74742TCX-ray fallopian tube A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7474226X-ray fallopian tube A 0.61 0.25 0.25 0.04 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 74775 X-ray exam of perineum A 0.62 1.68 1.68 0.13 2.43 2.43 01XXX.00.00.000000030 36.6873 .917 74775TCX-ray exam of perineum A 0.00 1.39 1.39 0.09 1.48 1.48 01XXX.00.00.000000030 36.6873 .917 7477526X-ray exam of perineum A 0.62 0.29 0.29 0.04 0.95 0.95 01XXX.00.00.000000090 36.6873 .917 75552 Magnetic image, myocardium A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 75552TCMagnetic image, myocardium A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7555226Magnetic image, myocardium A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 75553 Magnetic image, myocardium A 2.00 11.40 11.40 0.78 14.18 14.18 01XXX.00.00.000000020 36.6873 .917 75553TCMagnetic image, myocardium A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000020 36.6873 .917 7555326Magnetic image, myocardium A 2.00 0.72 0.72 0.11 2.83 2.83 01XXX.00.00.000000090 36.6873 .917 75554 Cardiac MRI/function A 1.83 11.40 11.40 0.78 14.01 14.01 01XXX.00.00.000000010 36.6873 .917 75554TCCardiac MRI/function A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7555426Cardiac MRI/function A 1.83 0.72 0.72 0.11 2.66 2.66 01XXX.00.00.000000090 36.6873 .917 75555 Cardiac MRI/limited study A 1.74 11.40 11.40 0.78 13.92 13.92 01XXX.00.00.000000010 36.6873 .917 75555TCCardiac MRI/limited study A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7555526Cardiac MRI/limited study A 1.74 0.72 0.72 0.11 2.57 2.57 01XXX.00.00.000000090 36.6873 .917 75556 Cardiac MRI/flow mapping N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 75600 Contrast x-ray exam of aorta A 0.49 12.23 12.23 0.78 13.50 13.50 01XXX.00.00.000000030 36.6873 .917 75600TCContrast x-ray exam of aorta A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7560026Contrast x-ray exam of aorta A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 75605 Contrast x-ray exam of aorta A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75605TCContrast x-ray exam of aorta A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7560526Contrast x-ray exam of aorta A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75625 Contrast x-ray exam of aorta A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75625TCContrast x-ray exam of aorta A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7562526Contrast x-ray exam of aorta A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75630 X-ray aorta, leg arteries A 1.79 13.09 13.09 0.88 15.76 15.76 01XXX.00.00.000000030 36.6873 .917 75630TCX-ray aorta, leg arteries A 0.00 12.51 12.51 0.79 13.30 13.30 01XXX.00.00.000000030 36.6873 .917 7563026X-ray aorta, leg arteries A 1.79 0.58 0.58 0.09 2.46 2.46 01XXX.00.00.000000090 36.6873 .917 75650 Artery x-rays, head & neck A 1.49 12.67 12.67 0.85 15.01 15.01 01XXX.00.00.000000030 36.6873 .917 75650TCArtery x-rays, head & neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7565026Artery x-rays, head & neck A 1.49 0.66 0.66 0.10 2.25 2.25 01XXX.00.00.000000090 36.6873 .917 75658 X-ray exam of arm arteries A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75658TCX-ray exam of arm arteries A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7565826X-ray exam of arm arteries A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75660 Artery x-rays, head & neck A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75660TCArtery x-rays, head & neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7566026Artery x-rays, head & neck A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75662 Artery x-rays, head & neck A 1.66 12.75 12.75 0.86 15.27 15.27 01XXX.00.00.000200030 36.6873 .917 75662TCArtery x-rays, head & neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7566226Artery x-rays, head & neck A 1.66 0.74 0.74 0.11 2.51 2.51 01XXX.00.00.000200090 36.6873 .917 75665 Artery x-rays, head & neck A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75665TCArtery x-rays, head & neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7566526Artery x-rays, head & neck A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75671 Artery x-rays, head & neck A 1.66 12.75 12.75 0.86 15.27 15.27 01XXX.00.00.000200030 36.6873 .917 75671TCArtery x-rays, head & neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7567126Artery x-rays, head & neck A 1.66 0.74 0.74 0.11 2.51 2.51 01XXX.00.00.000200090 36.6873 .917 75676 Artery x-rays, neck A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75676TCArtery x-rays, neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7567626Artery x-rays, neck A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75680 Artery x-rays, neck A 1.66 12.75 12.75 0.86 15.27 15.27 01XXX.00.00.000200030 36.6873 .917 75680TCArtery x-rays, neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7568026Artery x-rays, neck A 1.66 0.74 0.74 0.11 2.51 2.51 01XXX.00.00.000200090 36.6873 .917 75685 Artery x-rays, spine A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75685TCArtery x-rays, spine A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7568526Artery x-rays, spine A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75705 Artery x-rays, spine A 2.18 12.99 12.99 0.90 16.07 16.07 01XXX.00.00.000000030 36.6873 .917 75705TCArtery x-rays, spine A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7570526Artery x-rays, spine A 2.18 0.98 0.98 0.15 3.31 3.31 01XXX.00.00.000000090 36.6873 .917 75710 Artery x-rays, arm/leg A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75710TCArtery x-rays, arm/leg A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7571026Artery x-rays, arm/leg A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75716 Artery x-rays, arms/legs A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000200030 36.6873 .917 75716TCArtery x-rays, arms/legs A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7571626Artery x-rays, arms/legs A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000200090 36.6873 .917 75722 Artery x-rays, kidney A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75722TCArtery x-rays, kidney A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7572226Artery x-rays, kidney A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75724 Artery x-rays, kidneys A 1.49 12.67 12.67 0.85 15.01 15.01 01XXX.00.00.000200030 36.6873 .917 75724TCArtery x-rays, kidneys A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7572426Artery x-rays, kidneys A 1.49 0.66 0.66 0.10 2.25 2.25 01XXX.00.00.000200090 36.6873 .917 75726 Artery x-rays, abdomen A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75726TCArtery x-rays, abdomen A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7572626Artery x-rays, abdomen A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75731 Artery x-rays, adrenal gland A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75731TCArtery x-rays, adrenal gland A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7573126Artery x-rays, adrenal gland A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75733 Artery x-rays,adrenal glands A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000200030 36.6873 .917 75733TCArtery x-rays,adrenal glands A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7573326Artery x-rays,adrenal glands A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000200090 36.6873 .917 75736 Artery x-rays, pelvis A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75736TCArtery x-rays, pelvis A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7573626Artery x-rays, pelvis A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75741 Artery x-rays, lung A 1.31 12.59 12.59 0.84 14.74 14.74 01XXX.00.00.000000030 36.6873 .917 75741TCArtery x-rays, lung A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7574126Artery x-rays, lung A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75743 Artery x-rays, lungs A 1.66 12.75 12.75 0.86 15.27 15.27 01XXX.00.00.000200030 36.6873 .917 75743TCArtery x-rays, lungs A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7574326Artery x-rays, lungs A 1.66 0.74 0.74 0.11 2.51 2.51 01XXX.00.00.000200090 36.6873 .917 75746 Artery x-rays, lung A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75746TCArtery x-rays, lung A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7574626Artery x-rays, lung A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75756 Artery x-rays, chest A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75756TCArtery x-rays, chest A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7575626Artery x-rays, chest A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75774 Artery x-ray, each vessel A 0.36 12.17 12.17 0.77 13.30 13.30 01XXX.00.00.000000030 36.6873 .917 75774TCArtery x-ray, each vessel A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7577426Artery x-ray, each vessel A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 75790 Visualize A-V shunt A 1.84 2.12 2.12 0.21 4.17 4.17 01XXX.00.00.000000030 36.6873 .917 75790TCVisualize A-V shunt A 0.00 1.29 1.29 0.09 1.38 1.38 01XXX.00.00.000000030 36.6873 .917 7579026Visualize A-V shunt A 1.84 0.83 0.83 0.12 2.79 2.79 01XXX.00.00.000000090 36.6873 .917 75801 Lymph vessel x-ray, arm/leg A 0.81 5.53 5.53 0.38 6.72 6.72 01XXX.00.00.000000030 36.6873 .917 75801TCLymph vessel x-ray, arm/leg A 0.00 5.16 5.16 0.33 5.49 5.49 01XXX.00.00.000000030 36.6873 .917 7580126Lymph vessel x-ray, arm/leg A 0.81 0.37 0.37 0.05 1.23 1.23 01XXX.00.00.000000090 36.6873 .917 75803 Lymph vessel x-ray,arms/legs A 1.17 5.67 5.67 0.41 7.25 7.25 01XXX.00.00.000200030 36.6873 .917 75803TCLymph vessel x-ray,arms/legs A 0.00 5.16 5.16 0.33 5.49 5.49 01XXX.00.00.000200030 36.6873 .917 7580326Lymph vessel x-ray,arms/legs A 1.17 0.51 0.51 0.08 1.76 1.76 01XXX.00.00.000200090 36.6873 .917 75805 Lymph vessel x-ray, trunk A 0.81 6.18 6.18 0.42 7.41 7.41 01XXX.00.00.000000030 36.6873 .917 75805TCLymph vessel x-ray, trunk A 0.00 5.81 5.81 0.37 6.18 6.18 01XXX.00.00.000000030 36.6873 .917 7580526Lymph vessel x-ray, trunk A 0.81 0.37 0.37 0.05 1.23 1.23 01XXX.00.00.000000090 36.6873 .917 75807 Lymph vessel x-ray, trunk A 1.17 6.32 6.32 0.45 7.94 7.94 01XXX.00.00.000200030 36.6873 .917 75807TCLymph vessel x-ray, trunk A 0.00 5.81 5.81 0.37 6.18 6.18 01XXX.00.00.000200030 36.6873 .917 7580726Lymph vessel x-ray, trunk A 1.17 0.51 0.51 0.08 1.76 1.76 01XXX.00.00.000200090 36.6873 .917 75809 Nonvascular shunt, x-ray A 0.47 0.94 0.94 0.08 1.49 1.49 01XXX.00.00.000000030 36.6873 .917 75809TCNonvascular shunt, x-ray A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000030 36.6873 .917 7580926Nonvascular shunt, x-ray A 0.47 0.19 0.19 0.03 0.69 0.69 01XXX.00.00.000000090 36.6873 .917 75810 Vein x-ray, spleen/liver A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75810TCVein x-ray, spleen/liver A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7581026Vein x-ray, spleen/liver A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75820 Vein x-ray, arm/leg A 0.70 1.22 1.22 0.11 2.03 2.03 01XXX.00.00.000000030 36.6873 .917 75820TCVein x-ray, arm/leg A 0.00 0.90 0.90 0.06 0.96 0.96 01XXX.00.00.000000030 36.6873 .917 7582026Vein x-ray, arm/leg A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 75822 Vein x-ray, arms/legs A 1.06 1.88 1.88 0.16 3.10 3.10 01XXX.00.00.000200030 36.6873 .917 75822TCVein x-ray, arms/legs A 0.00 1.41 1.41 0.09 1.50 1.50 01XXX.00.00.000200030 36.6873 .917 7582226Vein x-ray, arms/legs A 1.06 0.47 0.47 0.07 1.60 1.60 01XXX.00.00.000200090 36.6873 .917 75825 Vein x-ray, trunk A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75825TCVein x-ray, trunk A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7582526Vein x-ray, trunk A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75827 Vein x-ray, chest A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75827TCVein x-ray, chest A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7582726Vein x-ray, chest A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75831 Vein x-ray, kidney A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75831TCVein x-ray, kidney A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7583126Vein x-ray, kidney A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75833 Vein x-ray, kidneys A 1.49 12.67 12.67 0.85 15.01 15.01 01XXX.00.00.000200030 36.6873 .917 75833TCVein x-ray, kidneys A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7583326Vein x-ray, kidneys A 1.49 0.66 0.66 0.10 2.25 2.25 01XXX.00.00.000200090 36.6873 .917 75840 Vein x-ray, adrenal gland A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75840TCVein x-ray, adrenal gland A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7584026Vein x-ray, adrenal gland A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75842 Vein x-ray, adrenal glands A 1.49 12.67 12.67 0.85 15.01 15.01 01XXX.00.00.000200030 36.6873 .917 75842TCVein x-ray, adrenal glands A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000200030 36.6873 .917 7584226Vein x-ray, adrenal glands A 1.49 0.66 0.66 0.10 2.25 2.25 01XXX.00.00.000200090 36.6873 .917 75860 Vein x-ray, neck A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75860TCVein x-ray, neck A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7586026Vein x-ray, neck A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75870 Vein x-ray, skull A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75870TCVein x-ray, skull A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7587026Vein x-ray, skull A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75872 Vein x-ray, skull A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75872TCVein x-ray, skull A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7587226Vein x-ray, skull A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75880 Vein x-ray, eye socket A 0.70 1.22 1.22 0.11 2.03 2.03 01XXX.00.00.000000030 36.6873 .917 75880TCVein x-ray, eye socket A 0.00 0.90 0.90 0.06 0.96 0.96 01XXX.00.00.000000030 36.6873 .917 7588026Vein x-ray, eye socket A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 75885 Vein x-ray, liver A 1.44 12.65 12.65 0.85 14.94 14.94 01XXX.00.00.000000030 36.6873 .917 75885TCVein x-ray, liver A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7588526Vein x-ray, liver A 1.44 0.64 0.64 0.10 2.18 2.18 01XXX.00.00.000000090 36.6873 .917 75887 Vein x-ray, liver A 1.44 12.65 12.65 0.85 14.94 14.94 01XXX.00.00.000000030 36.6873 .917 75887TCVein x-ray, liver A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7588726Vein x-ray, liver A 1.44 0.64 0.64 0.10 2.18 2.18 01XXX.00.00.000000090 36.6873 .917 75889 Vein x-ray, liver A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75889TCVein x-ray, liver A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7588926Vein x-ray, liver A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75891 Vein x-ray, liver A 1.14 12.51 12.51 0.83 14.48 14.48 01XXX.00.00.000000030 36.6873 .917 75891TCVein x-ray, liver A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7589126Vein x-ray, liver A 1.14 0.50 0.50 0.08 1.72 1.72 01XXX.00.00.000000090 36.6873 .917 75893 Venous sampling by catheter A 0.54 12.26 12.26 0.79 13.59 13.59 01XXX.00.00.000000030 36.6873 .917 75893TCVenous sampling by catheter A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7589326Venous sampling by catheter A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 75894 Xrays, transcatheter therapy A 1.31 23.58 23.58 1.53 26.42 26.42 01XXX.00.00.000000030 36.6873 .917 75894TCXrays, transcatheter therapy A 0.00 23.00 23.00 1.44 24.44 24.44 01XXX.00.00.000000030 36.6873 .917 7589426Xrays, transcatheter therapy A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75896 Xrays, transcatheter therapy A 1.31 20.58 20.58 1.34 23.23 23.23 01XXX.00.00.000000030 36.6873 .917 75896TCXrays, transcatheter therapy A 0.00 20.00 20.00 1.25 21.25 21.25 01XXX.00.00.000000030 36.6873 .917 7589626Xrays, transcatheter therapy A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75898 Follow-up angiogram A 1.65 1.74 1.74 0.18 3.57 3.57 01XXX.00.00.000000030 36.6873 .917 75898TCFollow-up angiogram A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000030 36.6873 .917 7589826Follow-up angiogram A 1.65 0.74 0.74 0.11 2.50 2.50 01XXX.00.00.000000090 36.6873 .917 75900 Arterial catheter exchange A 0.49 20.22 20.22 1.29 22.00 22.00 01XXX.00.00.000000030 36.6873 .917 75900TCArterial catheter exchange A 0.00 19.99 19.99 1.26 21.25 21.25 01XXX.00.00.000000030 36.6873 .917 7590026Arterial catheter exchange A 0.49 0.23 0.23 0.03 0.75 0.75 01XXX.00.00.000000090 36.6873 .917 75940 X-ray placement, vein filter A 0.54 12.26 12.26 0.79 13.59 13.59 01XXX.00.00.000000030 36.6873 .917 75940TCX-ray placement, vein filter A 0.00 12.01 12.01 0.75 12.76 12.76 01XXX.00.00.000000030 36.6873 .917 7594026X-ray placement, vein filter A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 75945 Intravascular us A 0.40 4.57 4.57 0.31 5.28 5.28 01XXX.00.00.000000030 36.6873 .917 75945TCIntravascular us A 0.00 4.35 4.35 0.28 4.63 4.63 01XXX.00.00.000000030 36.6873 .917 7594526Intravascular us A 0.40 0.22 0.22 0.03 0.65 0.65 01XXX.00.00.000000090 36.6873 .917 75946 Intravascular us A 0.40 2.40 2.40 0.17 2.97 2.97 01XXX.00.00.000000030 36.6873 .917 75946TCIntravascular us A 0.00 2.18 2.18 0.14 2.32 2.32 01XXX.00.00.000000030 36.6873 .917 7594626Intravascular us A 0.40 0.22 0.22 0.03 0.65 0.65 01XXX.00.00.000000090 36.6873 .917 75960 Transcatheter intro, stent A 0.82 14.57 14.57 0.94 16.33 16.33 01XXX.00.00.000000030 36.6873 .917 75960TCTranscatheter intro, stent A 0.00 14.20 14.20 0.88 15.08 15.08 01XXX.00.00.000000030 36.6873 .917 7596026Transcatheter intro, stent A 0.82 0.37 0.37 0.06 1.25 1.25 01XXX.00.00.000000090 36.6873 .917 75961 Retrieval, broken catheter A 4.25 11.91 11.91 0.90 17.06 17.06 01XXX.00.00.000000030 36.6873 .917 75961TCRetrieval, broken catheter A 0.00 10.01 10.01 0.62 10.63 10.63 01XXX.00.00.000000030 36.6873 .917 7596126Retrieval, broken catheter A 4.25 1.90 1.90 0.28 6.43 6.43 01XXX.00.00.000000090 36.6873 .917 75962 Repair arterial blockage A 0.54 15.25 15.25 0.98 16.77 16.77 01XXX.00.00.000000030 36.6873 .917 75962TCRepair arterial blockage A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7596226Repair arterial blockage A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 75964 Repair artery blockage, each A 0.36 8.16 8.16 0.52 9.04 9.04 01XXX.00.00.000000030 36.6873 .917 75964TCRepair artery blockage, each A 0.00 8.00 8.00 0.50 8.50 8.50 01XXX.00.00.000000030 36.6873 .917 7596426Repair artery blockage, each A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 75966 Repair arterial blockage A 1.31 15.58 15.58 1.03 17.92 17.92 01XXX.00.00.000000030 36.6873 .917 75966TCRepair arterial blockage A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7596626Repair arterial blockage A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75968 Repair artery blockage, each A 0.36 8.16 8.16 0.52 9.04 9.04 01XXX.00.00.000000030 36.6873 .917 75968TCRepair artery blockage, each A 0.00 8.00 8.00 0.50 8.50 8.50 01XXX.00.00.000000030 36.6873 .917 7596826Repair artery blockage, each A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 75970 Vascular biopsy A 0.83 11.38 11.38 0.75 12.96 12.96 01XXX.00.00.000000030 36.6873 .917 75970TCVascular biopsy A 0.00 11.00 11.00 0.69 11.69 11.69 01XXX.00.00.000000030 36.6873 .917 7597026Vascular biopsy A 0.83 0.38 0.38 0.06 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 75978 Repair venous blockage A 0.54 15.48 15.48 0.98 17.00 17.00 01XXX.00.00.000000030 36.6873 .917 75978TCRepair venous blockage A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7597826Repair venous blockage A 0.54 0.48 0.48 0.04 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 75980 Contrast xray exam bile duct A 1.44 5.80 5.80 0.43 7.67 7.67 01XXX.00.00.000000030 36.6873 .917 75980TCContrast xray exam bile duct A 0.00 5.16 5.16 0.33 5.49 5.49 01XXX.00.00.000000030 36.6873 .917 7598026Contrast xray exam bile duct A 1.44 0.64 0.64 0.10 2.18 2.18 01XXX.00.00.000000090 36.6873 .917 75982 Contrast xray exam bile duct A 1.44 6.45 6.45 0.47 8.36 8.36 01XXX.00.00.000000030 36.6873 .917 75982TCContrast xray exam bile duct A 0.00 5.81 5.81 0.37 6.18 6.18 01XXX.00.00.000000030 36.6873 .917 7598226Contrast xray exam bile duct A 1.44 0.64 0.64 0.10 2.18 2.18 01XXX.00.00.000000090 36.6873 .917 75984 Xray control catheter change A 0.72 2.19 2.19 0.17 3.08 3.08 01XXX.00.00.000000030 36.6873 .917 75984TCXray control catheter change A 0.00 1.86 1.86 0.12 1.98 1.98 01XXX.00.00.000000030 36.6873 .917 7598426Xray control catheter change A 0.72 0.33 0.33 0.05 1.10 1.10 01XXX.00.00.000000090 36.6873 .917 75989 Abscess drainage under x-ray A 1.19 3.52 3.52 0.27 4.98 4.98 01XXX.00.00.000000030 36.6873 .917 75989TCAbscess drainage under x-ray A 0.00 3.00 3.00 0.19 3.19 3.19 01XXX.00.00.000000030 36.6873 .917 7598926Abscess drainage under x-ray A 1.19 0.52 0.52 0.08 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 75992 Atherectomy, x-ray exam A 0.54 15.25 15.25 0.98 16.77 16.77 01XXX.00.00.000000030 36.6873 .917 75992TCAtherectomy, x-ray exam A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7599226Atherectomy, x-ray exam A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 75993 Atherectomy, x-ray exam A 0.36 8.16 8.16 0.52 9.04 9.04 01XXX.00.00.000000030 36.6873 .917 75993TCAtherectomy, x-ray exam A 0.00 8.00 8.00 0.50 8.50 8.50 01XXX.00.00.000000030 36.6873 .917 7599326Atherectomy, x-ray exam A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 75994 Atherectomy, x-ray exam A 1.31 15.58 15.58 1.03 17.92 17.92 01XXX.00.00.000000030 36.6873 .917 75994TCAtherectomy, x-ray exam A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7599426Atherectomy, x-ray exam A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75995 Atherectomy, x-ray exam A 1.31 15.58 15.58 1.03 17.92 17.92 01XXX.00.00.000000030 36.6873 .917 75995TCAtherectomy, x-ray exam A 0.00 15.00 15.00 0.94 15.94 15.94 01XXX.00.00.000000030 36.6873 .917 7599526Atherectomy, x-ray exam A 1.31 0.58 0.58 0.09 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 75996 Atherectomy, x-ray exam A 0.36 8.16 8.16 0.52 9.04 9.04 01XXX.00.00.000000030 36.6873 .917 75996TCAtherectomy, x-ray exam A 0.00 8.00 8.00 0.50 8.50 8.50 01XXX.00.00.000000030 36.6873 .917 7599626Atherectomy, x-ray exam A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 76000 Fluoroscope examination A 0.17 1.31 1.31 0.09 1.57 1.57 01XXX.00.00.000000030 36.6873 .917 76000TCFluoroscope examination A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7600026Fluoroscope examination A 0.17 0.07 0.07 0.01 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 76001 Fluoroscope exam, extensive A 0.67 2.81 2.81 0.22 3.70 3.70 01XXX.00.00.000000030 36.6873 .917 76001TCFluoroscope exam, extensive A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7600126Fluoroscope exam, extensive A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76003 Needle localization by x-ray A 0.54 1.49 1.49 0.12 2.15 2.15 01XXX.00.00.000000030 36.6873 .917 76003TCNeedle localization by x-ray A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7600326Needle localization by x-ray A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 76010 X-ray, nose to rectum A 0.18 0.58 0.58 0.04 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 76010TCX-ray, nose to rectum A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7601026X-ray, nose to rectum A 0.18 0.08 0.08 0.01 0.27 0.27 01XXX.00.00.000000090 36.6873 .917 76020 X-rays for bone age A 0.19 0.59 0.59 0.04 0.82 0.82 01XXX.00.00.000000010 36.6873 .917 76020TCX-rays for bone age A 0.00 0.50 0.50 0.03 0.53 0.53 01XXX.00.00.000000010 36.6873 .917 7602026X-rays for bone age A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 76040 X-rays, bone evaluation A 0.27 0.88 0.88 0.07 1.22 1.22 01XXX.00.00.000000010 36.6873 .917 76040TCX-rays, bone evaluation A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000010 36.6873 .917 7604026X-rays, bone evaluation A 0.27 0.13 0.13 0.02 0.42 0.42 01XXX.00.00.000000090 36.6873 .917 76061 X-rays, bone survey A 0.45 1.15 1.15 0.09 1.69 1.69 01XXX.00.00.000000010 36.6873 .917 76061TCX-rays, bone survey A 0.00 0.95 0.95 0.06 1.01 1.01 01XXX.00.00.000000010 36.6873 .917 7606126X-rays, bone survey A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 76062 X-rays, bone survey A 0.54 1.62 1.62 0.13 2.29 2.29 01XXX.00.00.000000010 36.6873 .917 76062TCX-rays, bone survey A 0.00 1.37 1.37 0.09 1.46 1.46 01XXX.00.00.000000010 36.6873 .917 7606226X-rays, bone survey A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 76065 X-rays, bone evaluation A 0.28 0.83 0.83 0.07 1.18 1.18 01XXX.00.00.000000010 36.6873 .917 76065TCX-rays, bone evaluation A 0.00 0.70 0.70 0.05 0.75 0.75 01XXX.00.00.000000010 36.6873 .917 7606526X-rays, bone evaluation A 0.28 0.13 0.13 0.02 0.43 0.43 01XXX.00.00.000000090 36.6873 .917 76066 Joint(s) survey, single film A 0.31 1.20 1.20 0.09 1.60 1.60 01XXX.00.00.000000010 36.6873 .917 76066TCJoint(s) survey, single film A 0.00 1.06 1.06 0.07 1.13 1.13 01XXX.00.00.000000010 36.6873 .917 7606626Joint(s) survey, single film A 0.31 0.14 0.14 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 76070 CT scan, bone density study G 0.25 2.93 2.93 0.20 3.38 3.38 01XXX.00.00.000000010 36.6873 .917 76070TCCT scan, bone density study G 0.00 2.81 2.81 0.18 2.99 2.99 01XXX.00.00.000000010 36.6873 .917 7607026CT scan, bone density study G 0.25 0.12 0.12 0.02 0.39 0.39 01XXX.00.00.000000090 36.6873 .917 76075 Dual energy x-ray study A 0.30 3.07 3.07 0.21 3.58 3.58 01XXX.00.00.000000010 36.6873 .917 76075TCDual energy x-ray study A 0.00 2.95 2.95 0.19 3.14 3.14 01XXX.00.00.000000010 36.6873 .917 7607526Dual energy x-ray study A 0.30 0.12 0.12 0.02 0.44 0.44 01XXX.00.00.000000090 36.6873 .917 76076 Dual energy x-ray study A 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000010 36.6873 .917 76076TCDual energy x-ray study A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000010 36.6873 .917 7607626Dual energy x-ray study A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 76078 Photodensitometry A 0.20 0.82 0.82 0.07 1.09 1.09 01XXX.00.00.000000010 36.6873 .917 76078TCPhotodensitometry A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000010 36.6873 .917 7607826Photodensitometry A 0.20 0.10 0.10 0.02 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 76080 X-ray exam of fistula A 0.54 1.25 1.25 0.11 1.90 1.90 01XXX.00.00.000000030 36.6873 .917 76080TCX-ray exam of fistula A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000030 36.6873 .917 7608026X-ray exam of fistula A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 76086 X-ray of mammary duct A 0.36 2.67 2.67 0.19 3.22 3.22 01XXX.00.00.000000030 36.6873 .917 76086TCX-ray of mammary duct A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7608626X-ray of mammary duct A 0.36 0.17 0.17 0.02 0.55 0.55 01XXX.00.00.000000090 36.6873 .917 76088 X-ray of mammary ducts A 0.45 3.69 3.69 0.25 4.39 4.39 01XXX.00.00.000000030 36.6873 .917 76088TCX-ray of mammary ducts A 0.00 3.49 3.49 0.22 3.71 3.71 01XXX.00.00.000000030 36.6873 .917 7608826X-ray of mammary ducts A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 76090 Mammogram, one breast A 0.58 1.12 1.12 0.09 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 76090TCMammogram, one breast A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 7609026Mammogram, one breast A 0.58 0.12 0.12 0.02 0.72 0.72 01XXX.00.00.000000090 36.6873 .917 76091 Mammogram, both breasts A 0.69 1.42 1.42 0.11 2.22 2.22 01XXX.00.00.000200090 36.6873 .917 76091TCMammogram, both breasts A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000200090 36.6873 .917 7609126Mammogram, both breasts A 0.69 0.18 0.18 0.03 0.90 0.90 01XXX.00.00.000200090 36.6873 .917 76092 Mamm0gram, screening X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 76093 Magnetic image, breast A 1.63 17.52 17.52 1.16 20.31 20.31 01XXX.00.00.000000010 36.6873 .917 76093TCMagnetic image, breast A 0.00 16.80 16.80 1.05 17.85 17.85 01XXX.00.00.000000010 36.6873 .917 7609326Magnetic image, breast A 1.63 0.72 0.72 0.11 2.46 2.46 01XXX.00.00.000000090 36.6873 .917 76094 Magnetic image, both breasts A 1.63 23.51 23.51 1.53 26.67 26.67 01XXX.00.00.000200010 36.6873 .917 76094TCMagnetic image, both breasts A 0.00 22.79 22.79 1.42 24.21 24.21 01XXX.00.00.000200010 36.6873 .917 7609426Magnetic image, both breasts A 1.63 0.72 0.72 0.11 2.46 2.46 01XXX.00.00.000200090 36.6873 .917 76095 Stereotactic breast biopsy A 1.59 7.54 7.54 0.54 9.67 9.67 01XXX.00.00.000000030 36.6873 .917 76095TCStereotactic breast biopsy A 0.00 6.83 6.83 0.43 7.26 7.26 01XXX.00.00.000000030 36.6873 .917 7609526Stereotactic breast biopsy A 1.59 0.71 0.71 0.11 2.41 2.41 01XXX.00.00.000000090 36.6873 .917 76096 X-ray of needle wire, breast A 0.56 1.50 1.50 0.12 2.18 2.18 01XXX.00.00.000000030 36.6873 .917 76096TCX-ray of needle wire, breast A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 7609626X-ray of needle wire, breast A 0.56 0.26 0.26 0.04 0.86 0.86 01XXX.00.00.000000090 36.6873 .917 76098 X-ray exam, breast specimen A 0.16 0.47 0.47 0.04 0.67 0.67 01XXX.00.00.000000010 36.6873 .917 76098TCX-ray exam, breast specimen A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 7609826X-ray exam, breast specimen A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000000090 36.6873 .917 76100 X-ray exam of body section A 0.58 1.46 1.46 0.12 2.16 2.16 01XXX.00.00.000000020 36.6873 .917 76100TCX-ray exam of body section A 0.00 1.19 1.19 0.08 1.27 1.27 01XXX.00.00.000000020 36.6873 .917 7610026X-ray exam of body section A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 76101 Complex body section x-ray A 0.58 1.62 1.62 0.13 2.33 2.33 01XXX.00.00.000000020 36.6873 .917 76101TCComplex body section x-ray A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7610126Complex body section x-ray A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 76102 Complex body section x-rays A 0.58 1.92 1.92 0.15 2.65 2.65 01XXX.00.00.000200020 36.6873 .917 76102TCComplex body section x-rays A 0.00 1.65 1.65 0.11 1.76 1.76 01XXX.00.00.000200020 36.6873 .917 7610226Complex body section x-rays A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000200090 36.6873 .917 76120 Cinematic x-rays A 0.38 1.17 1.17 0.10 1.65 1.65 01XXX.00.00.000000020 36.6873 .917 76120TCCinematic x-rays A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000020 36.6873 .917 7612026Cinematic x-rays A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 76125 Cinematic x-rays A 0.27 0.87 0.87 0.07 1.21 1.21 01XXX.00.00.000000020 36.6873 .917 76125TCCinematic x-rays A 0.00 0.75 0.75 0.05 0.80 0.80 01XXX.00.00.000000020 36.6873 .917 7612526Cinematic x-rays A 0.27 0.12 0.12 0.02 0.41 0.41 01XXX.00.00.000000090 36.6873 .917 76140 X-ray consultation I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 76150 X-ray exam, dry process A 0.00 0.40 0.40 0.03 0.43 0.43 03XXX.00.00.000000010 36.6873 .917 76350 Special x-ray contrast study C 0.00 0.00 0.00 0.00 0.00 0.00 03XXX.00.00.000000020 36.6873 .917 76355 CAT scan for localization A 1.21 8.40 8.40 0.57 10.18 10.18 01XXX.00.00.000000030 36.6873 .917 76355TCCAT scan for localization A 0.00 7.87 7.87 0.49 8.36 8.36 01XXX.00.00.000000030 36.6873 .917 7635526CAT scan for localization A 1.21 0.53 0.53 0.08 1.82 1.82 01XXX.00.00.000000090 36.6873 .917 76360 CAT scan for needle biopsy A 1.16 8.37 8.37 0.57 10.10 10.10 01XXX.00.00.000000030 36.6873 .917 76360TCCAT scan for needle biopsy A 0.00 7.87 7.87 0.49 8.36 8.36 01XXX.00.00.000000030 36.6873 .917 7636026CAT scan for needle biopsy A 1.16 0.50 0.50 0.08 1.74 1.74 01XXX.00.00.000000090 36.6873 .917 76365 CAT scan for cyst aspiration A 1.16 8.37 8.37 0.57 10.10 10.10 01XXX.00.00.000000030 36.6873 .917 76365TCCAT scan for cyst aspiration A 0.00 7.87 7.87 0.49 8.36 8.36 01XXX.00.00.000000030 36.6873 .917 7636526CAT scan for cyst aspiration A 1.16 0.50 0.50 0.08 1.74 1.74 01XXX.00.00.000000090 36.6873 .917 76370 CAT scan for therapy guide A 0.85 3.19 3.19 0.24 4.28 4.28 01XXX.00.00.000000020 36.6873 .917 76370TCCAT scan for therapy guide A 0.00 2.81 2.81 0.18 2.99 2.99 01XXX.00.00.000000020 36.6873 .917 7637026CAT scan for therapy guide A 0.85 0.38 0.38 0.06 1.29 1.29 01XXX.00.00.000000090 36.6873 .917 76375 3d/holograph reconstr add-on A 0.16 3.44 3.44 0.22 3.82 3.82 01XXX.00.00.000000010 36.6873 .917 76375TC3d/holograph reconstr add-on A 0.00 3.37 3.37 0.21 3.58 3.58 01XXX.00.00.000000010 36.6873 .917 76375263d/holograph reconstr add-on A 0.16 0.07 0.07 0.01 0.24 0.24 01XXX.00.00.000000090 36.6873 .917 76380 CAT scan follow-up study A 0.98 3.78 3.78 0.28 5.04 5.04 01XXX.00.00.000000010 36.6873 .917 76380TCCAT scan follow-up study A 0.00 3.34 3.34 0.21 3.55 3.55 01XXX.00.00.000000010 36.6873 .917 7638026CAT scan follow-up study A 0.98 0.44 0.44 0.07 1.49 1.49 01XXX.00.00.000000090 36.6873 .917 76390 Mr spectroscopy A 1.40 11.34 11.34 0.77 13.51 13.51 01XXX.00.00.000000090 36.6873 .917 76390TCMr spectroscopy A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000090 36.6873 .917 7639026Mr spectroscopy A 1.40 0.66 0.66 0.10 2.16 2.16 01XXX.00.00.000000090 36.6873 .917 76400 Magnetic image, bone marrow A 1.60 11.40 11.40 0.78 13.78 13.78 01XXX.00.00.000000010 36.6873 .917 76400TCMagnetic image, bone marrow A 0.00 10.68 10.68 0.67 11.35 11.35 01XXX.00.00.000000010 36.6873 .917 7640026Magnetic image, bone marrow A 1.60 0.72 0.72 0.11 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 76499 Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 76506 Echo exam of head A 0.63 1.64 1.64 0.13 2.40 2.40 01XXX.00.00.000000020 36.6873 .917 76506TCEcho exam of head A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7650626Echo exam of head A 0.63 0.29 0.29 0.04 0.96 0.96 01XXX.00.00.000000090 36.6873 .917 76511 Echo exam of eye A 0.94 1.44 1.44 0.12 2.50 2.50 01XXX.00.00.000300020 36.6873 .917 76511TCEcho exam of eye A 0.00 1.19 1.19 0.08 1.27 1.27 01XXX.00.00.000300020 36.6873 .917 7651126Echo exam of eye A 0.94 0.25 0.25 0.04 1.23 1.23 01XXX.00.00.000300090 36.6873 .917 76512 Echo exam of eye A 0.66 1.75 1.75 0.15 2.56 2.56 01XXX.00.00.000300020 36.6873 .917 76512TCEcho exam of eye A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000300020 36.6873 .917 7651226Echo exam of eye A 0.66 0.30 0.30 0.05 1.01 1.01 01XXX.00.00.000300090 36.6873 .917 76513 Echo exam of eye, water bath A 0.66 1.75 1.75 0.15 2.56 2.56 01XXX.00.00.000300020 36.6873 .917 76513TCEcho exam of eye, water bath A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000300020 36.6873 .917 7651326Echo exam of eye, water bath A 0.66 0.30 0.30 0.05 1.01 1.01 01XXX.00.00.000300090 36.6873 .917 76516 Echo exam of eye A 0.54 1.44 1.44 0.12 2.10 2.10 01XXX.00.00.000200020 36.6873 .917 76516TCEcho exam of eye A 0.00 1.19 1.19 0.08 1.27 1.27 01XXX.00.00.000200020 36.6873 .917 7651626Echo exam of eye A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000200090 36.6873 .917 76519 Echo exam of eye A 0.54 1.44 1.44 0.12 2.10 2.10 01XXX.00.00.000200020 36.6873 .917 76519TCEcho exam of eye A 0.00 1.19 1.19 0.08 1.27 1.27 01XXX.00.00.000200020 36.6873 .917 7651926Echo exam of eye A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000300090 36.6873 .917 76529 Echo exam of eye A 0.57 1.56 1.56 0.13 2.26 2.26 01XXX.00.00.000300020 36.6873 .917 76529TCEcho exam of eye A 0.00 1.30 1.30 0.09 1.39 1.39 01XXX.00.00.000300020 36.6873 .917 7652926Echo exam of eye A 0.57 0.26 0.26 0.04 0.87 0.87 01XXX.00.00.000300090 36.6873 .917 76536 Echo exam of head and neck A 0.56 1.61 1.61 0.13 2.30 2.30 01XXX.00.00.000000020 36.6873 .917 76536TCEcho exam of head and neck A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7653626Echo exam of head and neck A 0.56 0.26 0.26 0.04 0.86 0.86 01XXX.00.00.000000090 36.6873 .917 76604 Echo exam of chest A 0.55 1.50 1.50 0.12 2.17 2.17 01XXX.00.00.000000020 36.6873 .917 76604TCEcho exam of chest A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 7660426Echo exam of chest A 0.55 0.26 0.26 0.04 0.85 0.85 01XXX.00.00.000000090 36.6873 .917 76645 Echo exam of breast A 0.54 1.25 1.25 0.11 1.90 1.90 01XXX.00.00.000200020 36.6873 .917 76645TCEcho exam of breast A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000200020 36.6873 .917 7664526Echo exam of breast A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000200090 36.6873 .917 76700 Echo exam of abdomen A 0.81 2.25 2.25 0.17 3.23 3.23 01XXX.00.00.000000020 36.6873 .917 76700TCEcho exam of abdomen A 0.00 1.88 1.88 0.12 2.00 2.00 01XXX.00.00.000000020 36.6873 .917 7670026Echo exam of abdomen A 0.81 0.37 0.37 0.05 1.23 1.23 01XXX.00.00.000000090 36.6873 .917 76705 Echo exam of abdomen A 0.59 1.62 1.62 0.13 2.34 2.34 01XXX.00.00.000000020 36.6873 .917 76705TCEcho exam of abdomen A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7670526Echo exam of abdomen A 0.59 0.27 0.27 0.04 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 76770 Echo exam abdomen back wall A 0.74 2.22 2.22 0.17 3.13 3.13 01XXX.00.00.000000020 36.6873 .917 76770TCEcho exam abdomen back wall A 0.00 1.88 1.88 0.12 2.00 2.00 01XXX.00.00.000000020 36.6873 .917 7677026Echo exam abdomen back wall A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 76775 Echo exam abdomen back wall A 0.58 1.62 1.62 0.13 2.33 2.33 01XXX.00.00.000000020 36.6873 .917 76775TCEcho exam abdomen back wall A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7677526Echo exam abdomen back wall A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 76778 Echo exam kidney transplant A 0.74 2.22 2.22 0.17 3.13 3.13 01XXX.00.00.000000020 36.6873 .917 76778TCEcho exam kidney transplant A 0.00 1.88 1.88 0.12 2.00 2.00 01XXX.00.00.000000020 36.6873 .917 7677826Echo exam kidney transplant A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 76800 Echo exam spinal canal A 1.13 1.85 1.85 0.17 3.15 3.15 01XXX.00.00.000000020 36.6873 .917 76800TCEcho exam spinal canal A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7680026Echo exam spinal canal A 1.13 0.50 0.50 0.08 1.71 1.71 01XXX.00.00.000000090 36.6873 .917 76805 Echo exam of pregnant uterus A 0.99 2.45 2.45 0.20 3.64 3.64 01XXX.00.00.000000020 36.6873 .917 76805TCEcho exam of pregnant uterus A 0.00 2.00 2.00 0.13 2.13 2.13 01XXX.00.00.000000020 36.6873 .917 7680526Echo exam of pregnant uterus A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 76810 Echo exam of pregnant uterus A 1.97 4.88 4.88 0.38 7.23 7.23 01XXX.00.00.000000020 36.6873 .917 76810TCEcho exam of pregnant uterus A 0.00 4.00 4.00 0.25 4.25 4.25 01XXX.00.00.000000020 36.6873 .917 7681026Echo exam of pregnant uterus A 1.97 0.88 0.88 0.13 2.98 2.98 01XXX.00.00.000000090 36.6873 .917 76815 Echo exam of pregnant uterus A 0.65 1.65 1.65 0.13 2.43 2.43 01XXX.00.00.000000020 36.6873 .917 76815TCEcho exam of pregnant uterus A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7681526Echo exam of pregnant uterus A 0.65 0.30 0.30 0.04 0.99 0.99 01XXX.00.00.000000090 36.6873 .917 76816 Echo exam followup or repeat A 0.57 1.32 1.32 0.11 2.00 2.00 01XXX.00.00.000000020 36.6873 .917 76816TCEcho exam followup or repeat A 0.00 1.06 1.06 0.07 1.13 1.13 01XXX.00.00.000000020 36.6873 .917 7681626Echo exam followup or repeat A 0.57 0.26 0.26 0.04 0.87 0.87 01XXX.00.00.000000090 36.6873 .917 76818 Fetal biophysical profile A 0.77 1.89 1.89 0.15 2.81 2.81 01XXX.00.00.000000020 36.6873 .917 76818TCFetal biophysical profile A 0.00 1.54 1.54 0.10 1.64 1.64 01XXX.00.00.000000020 36.6873 .917 7681826Fetal biophysical profile A 0.77 0.35 0.35 0.05 1.17 1.17 01XXX.00.00.000000090 36.6873 .917 76825 Echo exam of fetal heart A 1.67 2.23 2.23 0.17 4.07 4.07 01XXX.00.00.000000020 36.6873 .917 76825TCEcho exam of fetal heart A 0.00 1.88 1.88 0.12 2.00 2.00 01XXX.00.00.000000020 36.6873 .917 7682526Echo exam of fetal heart A 1.67 0.35 0.35 0.05 2.07 2.07 01XXX.00.00.000000090 36.6873 .917 76826 Echo exam of fetal heart A 0.83 1.35 1.35 0.10 2.28 2.28 01XXX.00.00.000000020 36.6873 .917 76826TCEcho exam of fetal heart A 0.00 0.67 0.67 0.05 0.72 0.72 01XXX.00.00.000000020 36.6873 .917 7682626Echo exam of fetal heart A 0.83 0.68 0.68 0.05 1.56 1.56 01XXX.00.00.000000090 36.6873 .917 76827 Echo exam of fetal heart A 0.58 2.28 2.28 0.18 3.04 3.04 01XXX.00.00.000000020 36.6873 .917 76827TCEcho exam of fetal heart A 0.00 1.64 1.64 0.13 1.77 1.77 01XXX.00.00.000000020 36.6873 .917 7682726Echo exam of fetal heart A 0.58 0.64 0.64 0.05 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 76828 Echo exam of fetal heart A 0.56 1.34 1.34 0.11 2.01 2.01 01XXX.00.00.000000020 36.6873 .917 76828TCEcho exam of fetal heart A 0.00 1.06 1.06 0.09 1.15 1.15 01XXX.00.00.000000020 36.6873 .917 7682826Echo exam of fetal heart A 0.56 0.28 0.28 0.02 0.86 0.86 01XXX.00.00.000000090 36.6873 .917 76830 Echo exam, transvaginal A 0.69 1.77 1.77 0.15 2.61 2.61 01XXX.00.00.000000030 36.6873 .917 76830TCEcho exam, transvaginal A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7683026Echo exam, transvaginal A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 76831 Echo exam, uterus A 0.72 1.77 1.77 0.15 2.64 2.64 01XXX.00.00.000000090 36.6873 .917 76831TCEcho exam, uterus A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000090 36.6873 .917 7683126Echo exam, uterus A 0.72 0.32 0.32 0.05 1.09 1.09 01XXX.00.00.000000090 36.6873 .917 76856 Echo exam of pelvis A 0.69 1.77 1.77 0.15 2.61 2.61 01XXX.00.00.000000020 36.6873 .917 76856TCEcho exam of pelvis A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000020 36.6873 .917 7685626Echo exam of pelvis A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 76857 Echo exam of pelvis A 0.38 1.17 1.17 0.10 1.65 1.65 01XXX.00.00.000000020 36.6873 .917 76857TCEcho exam of pelvis A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000020 36.6873 .917 7685726Echo exam of pelvis A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 76870 Echo exam of scrotum A 0.64 1.74 1.74 0.14 2.52 2.52 01XXX.00.00.000000020 36.6873 .917 76870TCEcho exam of scrotum A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000020 36.6873 .917 7687026Echo exam of scrotum A 0.64 0.29 0.29 0.04 0.97 0.97 01XXX.00.00.000000090 36.6873 .917 76872 Echo exam, transrectal A 0.69 1.77 1.77 0.15 2.61 2.61 01XXX.00.00.000000030 36.6873 .917 76872TCEcho exam, transrectal A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7687226Echo exam, transrectal A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 76880 Echo exam of extremity A 0.59 1.62 1.62 0.13 2.34 2.34 01XXX.00.00.000000020 36.6873 .917 76880TCEcho exam of extremity A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000020 36.6873 .917 7688026Echo exam of extremity A 0.59 0.27 0.27 0.04 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 76885 Echo exam, infant hips A 0.74 1.77 1.77 0.15 2.66 2.66 01XXX.00.00.000000090 36.6873 .917 76885TCEcho exam, infant hips A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000090 36.6873 .917 7688526Echo exam, infant hips A 0.74 0.32 0.32 0.05 1.11 1.11 01XXX.00.00.000000090 36.6873 .917 76886 Echo exam, infant hips A 0.62 1.62 1.62 0.13 2.37 2.37 01XXX.00.00.000000090 36.6873 .917 76886TCEcho exam, infant hips A 0.00 1.35 1.35 0.09 1.44 1.44 01XXX.00.00.000000090 36.6873 .917 7688626Echo exam, infant hips A 0.62 0.27 0.27 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 76930 Echo guide for heart sac tap A 0.67 1.76 1.76 0.15 2.58 2.58 01XXX.00.00.000000030 36.6873 .917 76930TCEcho guide for heart sac tap A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7693026Echo guide for heart sac tap A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76932 Echo guide for heart biopsy A 0.67 1.76 1.76 0.15 2.58 2.58 01XXX.00.00.000000030 36.6873 .917 76932TCEcho guide for heart biopsy A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7693226Echo guide for heart biopsy A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76934 Echo guide for chest tap A 0.67 1.76 1.76 0.15 2.58 2.58 01XXX.00.00.000000030 36.6873 .917 76934TCEcho guide for chest tap A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7693426Echo guide for chest tap A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76936 Echo guide for artery repair A 1.99 7.24 7.24 0.48 9.71 9.71 01XXX.00.00.000000030 36.6873 .917 76936TCEcho guide for artery repair A 0.00 6.00 6.00 0.38 6.38 6.38 01XXX.00.00.000000030 36.6873 .917 7693626Echo guide for artery repair A 1.99 1.24 1.24 0.10 3.33 3.33 01XXX.00.00.000000090 36.6873 .917 76938 Echo exam for drainage A 0.67 1.76 1.76 0.15 2.58 2.58 01XXX.00.00.000000030 36.6873 .917 76938TCEcho exam for drainage A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7693826Echo exam for drainage A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76941 Echo guide for transfusion A 1.34 2.07 2.07 0.19 3.60 3.60 01XXX.00.00.000000030 36.6873 .917 76941TCEcho guide for transfusion A 0.00 1.46 1.46 0.09 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7694126Echo guide for transfusion A 1.34 0.61 0.61 0.10 2.05 2.05 01XXX.00.00.000000090 36.6873 .917 76942 Echo guide for biopsy A 0.67 1.76 1.76 0.15 2.58 2.58 01XXX.00.00.000000030 36.6873 .917 76942TCEcho guide for biopsy A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7694226Echo guide for biopsy A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 76945 Echo guide, villus sampling A 0.67 2.07 2.07 0.19 2.93 2.93 01XXX.00.00.000000030 36.6873 .917 76945TCEcho guide, villus sampling A 0.00 1.46 1.46 0.09 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7694526Echo guide, villus sampling A 0.67 0.61 0.61 0.10 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 76946 Echo guide for amniocentesis A 0.38 1.62 1.62 0.13 2.13 2.13 01XXX.00.00.000000030 36.6873 .917 76946TCEcho guide for amniocentesis A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7694626Echo guide for amniocentesis A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 76948 Echo guide, ova aspiration A 0.38 1.62 1.62 0.13 2.13 2.13 01XXX.00.00.000000030 36.6873 .917 76948TCEcho guide, ova aspiration A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7694826Echo guide, ova aspiration A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 76950 Echo guidance radiotherapy A 0.58 1.51 1.51 0.12 2.21 2.21 01XXX.00.00.000000020 36.6873 .917 76950TCEcho guidance radiotherapy A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 7695026Echo guidance radiotherapy A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 76960 Echo guidance radiotherapy A 0.58 1.51 1.51 0.12 2.21 2.21 01XXX.00.00.000000020 36.6873 .917 76960TCEcho guidance radiotherapy A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 7696026Echo guidance radiotherapy A 0.58 0.27 0.27 0.04 0.89 0.89 01XXX.00.00.000000090 36.6873 .917 76965 Echo guidance radiotherapy A 1.34 6.78 6.78 0.52 8.64 8.64 01XXX.00.00.000000030 36.6873 .917 76965TCEcho guidance radiotherapy A 0.00 5.31 5.31 0.33 5.64 5.64 01XXX.00.00.000000030 36.6873 .917 7696526Echo guidance radiotherapy A 1.34 1.47 1.47 0.19 3.00 3.00 01XXX.00.00.000000090 36.6873 .917 76970 Ultrasound exam follow-up A 0.40 1.18 1.18 0.10 1.68 1.68 01XXX.00.00.000000090 36.6873 .917 76970TCUltrasound exam follow-up A 0.00 1.00 1.00 0.07 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 7697026Ultrasound exam follow-up A 0.40 0.18 0.18 0.03 0.61 0.61 01XXX.00.00.000000090 36.6873 .917 76975 GI endoscopic ultrasound A 0.81 1.79 1.79 0.15 2.75 2.75 01XXX.00.00.000000030 36.6873 .917 76975TCGI endoscopic ultrasound A 0.00 1.45 1.45 0.10 1.55 1.55 01XXX.00.00.000000030 36.6873 .917 7697526GI endoscopic ultrasound A 0.81 0.34 0.34 0.05 1.20 1.20 01XXX.00.00.000000090 36.6873 .917 76986 Echo exam at surgery A 1.20 3.03 3.03 0.25 4.48 4.48 01XXX.00.00.000000030 36.6873 .917 76986TCEcho exam at surgery A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 7698626Echo exam at surgery A 1.20 0.53 0.53 0.08 1.81 1.81 01XXX.00.00.000000090 36.6873 .917 76999 Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 76999TCEcho examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77261 Radiation therapy planning A 1.39 0.62 0.62 0.09 2.10 2.10 02XXX.00.00.000000090 36.6873 .917 77262 Radiation therapy planning A 2.11 0.94 0.94 0.14 3.19 3.19 02XXX.00.00.000000090 36.6873 .917 77263 Radiation therapy planning A 3.14 1.40 1.40 0.20 4.74 4.74 02XXX.00.00.000000090 36.6873 .917 77280 Set radiation therapy field A 0.70 3.63 3.63 0.26 4.59 4.59 01XXX.00.00.000000090 36.6873 .917 77280TCSet radiation therapy field A 0.00 3.31 3.31 0.21 3.52 3.52 01XXX.00.00.000000090 36.6873 .917 7728026Set radiation therapy field A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 77285 Set radiation therapy field A 1.05 5.77 5.77 0.41 7.23 7.23 01XXX.00.00.000000090 36.6873 .917 77285TCSet radiation therapy field A 0.00 5.31 5.31 0.34 5.65 5.65 01XXX.00.00.000000090 36.6873 .917 7728526Set radiation therapy field A 1.05 0.46 0.46 0.07 1.58 1.58 01XXX.00.00.000000090 36.6873 .917 77290 Set radiation therapy field A 1.56 6.90 6.90 0.50 8.96 8.96 01XXX.00.00.000000090 36.6873 .917 77290TCSet radiation therapy field A 0.00 6.20 6.20 0.39 6.59 6.59 01XXX.00.00.000000090 36.6873 .917 7729026Set radiation therapy field A 1.56 0.70 0.70 0.11 2.37 2.37 01XXX.00.00.000000090 36.6873 .917 77295 Set radiation therapy field A 4.57 28.68 28.68 1.93 35.18 35.18 01XXX.00.00.000000090 36.6873 .917 77295TCSet radiation therapy field A 0.00 26.62 26.62 1.70 28.32 28.32 01XXX.00.00.000000090 36.6873 .917 7729526Set radiation therapy field A 4.57 2.06 2.06 0.23 6.86 6.86 01XXX.00.00.000000090 36.6873 .917 77299 Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77299TCRadiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7729926Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77300 Radiation therapy dose plan A 0.62 1.56 1.56 0.12 2.30 2.30 01XXX.00.00.000000090 36.6873 .917 77300TCRadiation therapy dose plan A 0.00 1.28 1.28 0.08 1.36 1.36 01XXX.00.00.000000090 36.6873 .917 7730026Radiation therapy dose plan A 0.62 0.28 0.28 0.04 0.94 0.94 01XXX.00.00.000000090 36.6873 .917 77305 Radiation therapy dose plan A 0.70 2.09 2.09 0.17 2.96 2.96 01XXX.00.00.000000090 36.6873 .917 77305TCRadiation therapy dose plan A 0.00 1.77 1.77 0.12 1.89 1.89 01XXX.00.00.000000090 36.6873 .917 7730526Radiation therapy dose plan A 0.70 0.32 0.32 0.05 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 77310 Radiation therapy dose plan A 1.05 2.68 2.68 0.22 3.95 3.95 01XXX.00.00.000000090 36.6873 .917 77310TCRadiation therapy dose plan A 0.00 2.22 2.22 0.15 2.37 2.37 01XXX.00.00.000000090 36.6873 .917 7731026Radiation therapy dose plan A 1.05 0.46 0.46 0.07 1.58 1.58 01XXX.00.00.000000090 36.6873 .917 77315 Radiation therapy dose plan A 1.56 3.23 3.23 0.28 5.07 5.07 01XXX.00.00.000000090 36.6873 .917 77315TCRadiation therapy dose plan A 0.00 2.53 2.53 0.17 2.70 2.70 01XXX.00.00.000000090 36.6873 .917 7731526Radiation therapy dose plan A 1.56 0.70 0.70 0.11 2.37 2.37 01XXX.00.00.000000090 36.6873 .917 77321 Radiation therapy port plan A 0.95 4.28 4.28 0.30 5.53 5.53 01XXX.00.00.000000090 36.6873 .917 77321TCRadiation therapy port plan A 0.00 3.85 3.85 0.24 4.09 4.09 01XXX.00.00.000000090 36.6873 .917 7732126Radiation therapy port plan A 0.95 0.43 0.43 0.06 1.44 1.44 01XXX.00.00.000000090 36.6873 .917 77326 Radiation therapy dose plan A 0.93 2.67 2.67 0.21 3.81 3.81 01XXX.00.00.000000090 36.6873 .917 77326TCRadiation therapy dose plan A 0.00 2.25 2.25 0.15 2.40 2.40 01XXX.00.00.000000090 36.6873 .917 7732626Radiation therapy dose plan A 0.93 0.42 0.42 0.06 1.41 1.41 01XXX.00.00.000000090 36.6873 .917 77327 Radiation therapy dose plan A 1.39 3.93 3.93 0.30 5.62 5.62 01XXX.00.00.000000090 36.6873 .917 77327TCRadiation therapy dose plan A 0.00 3.31 3.31 0.21 3.52 3.52 01XXX.00.00.000000090 36.6873 .917 7732726Radiation therapy dose plan A 1.39 0.62 0.62 0.09 2.10 2.10 01XXX.00.00.000000090 36.6873 .917 77328 Radiation therapy dose plan A 2.09 5.66 5.66 0.44 8.19 8.19 01XXX.00.00.000000090 36.6873 .917 77328TCRadiation therapy dose plan A 0.00 4.73 4.73 0.30 5.03 5.03 01XXX.00.00.000000090 36.6873 .917 7732826Radiation therapy dose plan A 2.09 0.93 0.93 0.14 3.16 3.16 01XXX.00.00.000000090 36.6873 .917 77331 Special radiation dosimetry A 0.87 0.87 0.87 0.09 1.83 1.83 01XXX.00.00.000000090 36.6873 .917 77331TCSpecial radiation dosimetry A 0.00 0.48 0.48 0.03 0.51 0.51 01XXX.00.00.000000090 36.6873 .917 7733126Special radiation dosimetry A 0.87 0.39 0.39 0.06 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 77332 Radiation treatment aid(s) A 0.54 1.53 1.53 0.12 2.19 2.19 01XXX.00.00.000000090 36.6873 .917 77332TCRadiation treatment aid(s) A 0.00 1.28 1.28 0.08 1.36 1.36 01XXX.00.00.000000090 36.6873 .917 7733226Radiation treatment aid(s) A 0.54 0.25 0.25 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 77333 Radiation treatment aid(s) A 0.84 2.19 2.19 0.18 3.21 3.21 01XXX.00.00.000000090 36.6873 .917 77333TCRadiation treatment aid(s) A 0.00 1.81 1.81 0.12 1.93 1.93 01XXX.00.00.000000090 36.6873 .917 7733326Radiation treatment aid(s) A 0.84 0.38 0.38 0.06 1.28 1.28 01XXX.00.00.000000090 36.6873 .917 77334 Radiation treatment aid(s) A 1.24 3.64 3.64 0.27 5.15 5.15 01XXX.00.00.000000090 36.6873 .917 77334TCRadiation treatment aid(s) A 0.00 3.10 3.10 0.19 3.29 3.29 01XXX.00.00.000000090 36.6873 .917 7733426Radiation treatment aid(s) A 1.24 0.54 0.54 0.08 1.86 1.86 01XXX.00.00.000000090 36.6873 .917 77336 Radiation physics consu A 0.00 2.84 2.84 0.18 3.02 3.02 03XXX.00.00.000000090 36.6873 .917 77370 Radiation physics consult A 0.00 3.33 3.33 0.21 3.54 3.54 03XXX.00.00.000000090 36.6873 .917 77399 External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77399TCExternal radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7739926External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77401 Radiation treatment delivery A 0.00 1.69 1.69 0.11 1.80 1.80 03XXX.00.00.000000090 36.6873 .917 77402 Radiation treatment delivery A 0.00 1.69 1.69 0.11 1.80 1.80 03XXX.00.00.000000090 36.6873 .917 77403 Radiation treatment delivery A 0.00 1.69 1.69 0.11 1.80 1.80 03XXX.00.00.000000090 36.6873 .917 77404 Radiation treatment delivery A 0.00 1.69 1.69 0.11 1.80 1.80 03XXX.00.00.000000090 36.6873 .917 77406 Radiation treatment delivery A 0.00 1.69 1.69 0.11 1.80 1.80 03XXX.00.00.000000090 36.6873 .917 77407 Radiation treatment delivery A 0.00 1.99 1.99 0.13 2.12 2.12 03XXX.00.00.000000090 36.6873 .917 77408 Radiation treatment delivery A 0.00 1.99 1.99 0.13 2.12 2.12 03XXX.00.00.000000090 36.6873 .917 77409 Radiation treatment delivery A 0.00 1.99 1.99 0.13 2.12 2.12 03XXX.00.00.000000090 36.6873 .917 77411 Radiation treatment delivery A 0.00 1.99 1.99 0.13 2.12 2.12 03XXX.00.00.000000090 36.6873 .917 77412 Radiation treatment delivery A 0.00 2.22 2.22 0.15 2.37 2.37 03XXX.00.00.000000090 36.6873 .917 77413 Radiation treatment delivery A 0.00 2.22 2.22 0.15 2.37 2.37 03XXX.00.00.000000090 36.6873 .917 77414 Radiation treatment delivery A 0.00 2.22 2.22 0.15 2.37 2.37 03XXX.00.00.000000090 36.6873 .917 77416 Radiation treatment delivery A 0.00 2.22 2.22 0.15 2.37 2.37 03XXX.00.00.000000090 36.6873 .917 77417 Radiology port film(s) A 0.00 0.56 0.56 0.04 0.60 0.60 03XXX.00.00.000000010 36.6873 .917 77419 Weekly radiation therapy A 3.60 1.61 1.61 0.23 5.44 5.44 02XXX.00.00.000000090 36.6873 .917 77420 Weekly radiation therapy A 1.61 0.72 0.72 0.11 2.44 2.44 02XXX.00.00.000000090 36.6873 .917 77425 Weekly radiation therapy A 2.44 1.10 1.10 0.17 3.71 3.71 02XXX.00.00.000000090 36.6873 .917 77430 Weekly radiation therapy A 3.60 1.61 1.61 0.23 5.44 5.44 02XXX.00.00.000000090 36.6873 .917 77431 Radiation therapy management A 1.81 0.81 0.81 0.12 2.74 2.74 02XXX.00.00.000000090 36.6873 .917 77432 Stereotactic radiation trmt A 7.93 4.94 4.94 0.40 13.27 13.27 02XXX.00.00.000000090 36.6873 .917 77470 Special radiation treatment A 2.09 11.55 11.55 0.80 14.44 14.44 01XXX.00.00.000000090 36.6873 .917 77470TCSpecial radiation treatment A 0.00 10.62 10.62 0.66 11.28 11.28 01XXX.00.00.000000090 36.6873 .917 7747026Special radiation treatment A 2.09 0.93 0.93 0.14 3.16 3.16 01XXX.00.00.000000090 36.6873 .917 77499 Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77499TCRadiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7749926Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77600 Hyperthermia treatment R 1.56 3.60 3.60 0.29 5.45 5.45 01ZZZ.00.00.000000090 36.6873 .917 77600TCHyperthermia treatment R 0.00 2.90 2.90 0.18 3.08 3.08 01ZZZ.00.00.000000090 36.6873 .917 7760026Hyperthermia treatment R 1.56 0.70 0.70 0.11 2.37 2.37 01ZZZ.00.00.000000090 36.6873 .917 77605 Hyperthermia treatment R 2.09 4.80 4.80 0.39 7.28 7.28 01ZZZ.00.00.000000090 36.6873 .917 77605TCHyperthermia treatment R 0.00 3.87 3.87 0.25 4.12 4.12 01ZZZ.00.00.000000090 36.6873 .917 7760526Hyperthermia treatment R 2.09 0.93 0.93 0.14 3.16 3.16 01ZZZ.00.00.000000090 36.6873 .917 77610 Hyperthermia treatment R 1.56 3.60 3.60 0.29 5.45 5.45 01ZZZ.00.00.000000090 36.6873 .917 77610TCHyperthermia treatment R 0.00 2.90 2.90 0.18 3.08 3.08 01ZZZ.00.00.000000090 36.6873 .917 7761026Hyperthermia treatment R 1.56 0.70 0.70 0.11 2.37 2.37 01ZZZ.00.00.000000090 36.6873 .917 77615 Hyperthermia treatment R 2.09 4.80 4.80 0.39 7.28 7.28 01ZZZ.00.00.000000090 36.6873 .917 77615TCHyperthermia treatment R 0.00 3.87 3.87 0.25 4.12 4.12 01ZZZ.00.00.000000090 36.6873 .917 7761526Hyperthermia treatment R 2.09 0.93 0.93 0.14 3.16 3.16 01ZZZ.00.00.000000090 36.6873 .917 77620 Hyperthermia treatment R 1.56 3.60 3.60 0.29 5.45 5.45 01ZZZ.00.00.000000090 36.6873 .917 77620TCHyperthermia treatment R 0.00 2.90 2.90 0.18 3.08 3.08 01ZZZ.00.00.000000090 36.6873 .917 7762026Hyperthermia treatment R 1.56 0.70 0.70 0.11 2.37 2.37 01ZZZ.00.00.000000090 36.6873 .917 77750 Infuse radioactive materials A 4.91 3.32 3.32 0.38 8.61 8.61 01090.00.00.000000090 36.6873 .917 77750TCInfuse radioactive materials A 0.00 1.27 1.27 0.08 1.35 1.35 01090.00.00.000000090 36.6873 .917 7775026Infuse radioactive materials A 4.91 2.05 2.05 0.30 7.26 7.26 01090.00.00.000000090 36.6873 .917 77761 Radioelement application A 3.81 3.98 3.98 0.39 8.18 8.18 01090.00.00.000000090 36.6873 .917 77761TCRadioelement application A 0.00 2.39 2.39 0.16 2.55 2.55 01090.00.00.000000090 36.6873 .917 7776126Radioelement application A 3.81 1.59 1.59 0.23 5.63 5.63 01090.00.00.000000090 36.6873 .917 77762 Radioelement application A 5.72 5.83 5.83 0.57 12.12 12.12 01090.00.00.000000090 36.6873 .917 77762TCRadioelement application A 0.00 3.44 3.44 0.22 3.66 3.66 01090.00.00.000000090 36.6873 .917 7776226Radioelement application A 5.72 2.39 2.39 0.35 8.46 8.46 01090.00.00.000000090 36.6873 .917 77763 Radioelement application A 8.57 7.86 7.86 0.77 17.20 17.20 01090.00.00.000000090 36.6873 .917 77763TCRadioelement application A 0.00 4.28 4.28 0.27 4.55 4.55 01090.00.00.000000090 36.6873 .917 7776326Radioelement application A 8.57 3.58 3.58 0.50 12.65 12.65 01090.00.00.000000090 36.6873 .917 77776 Radioelement application A 4.66 4.16 4.16 0.45 9.27 9.27 01XXX.00.00.000000090 36.6873 .917 77776TCRadioelement application A 0.00 2.07 2.07 0.14 2.21 2.21 01XXX.00.00.000000090 36.6873 .917 7777626Radioelement application A 4.66 2.09 2.09 0.31 7.06 7.06 01XXX.00.00.000002090 36.6873 .917 77777 Radioelement application A 7.48 7.17 7.17 0.71 15.36 15.36 01090.00.00.000000090 36.6873 .917 77777TCRadioelement application A 0.00 4.04 4.04 0.26 4.30 4.30 01090.00.00.000000090 36.6873 .917 7777726Radioelement application A 7.48 3.13 3.13 0.45 11.06 11.06 01090.00.00.000002090 36.6873 .917 77778 Radioelement application A 11.19 9.58 9.58 0.98 21.75 21.75 01090.00.00.000000090 36.6873 .917 77778TCRadioelement application A 0.00 4.89 4.89 0.31 5.20 5.20 01090.00.00.000000090 36.6873 .917 7777826Radioelement application A 11.19 4.69 4.69 0.67 16.55 16.55 01090.00.00.000002090 36.6873 .917 77781 High intensity brachytherapy A 1.66 20.04 20.04 1.32 23.02 23.02 01090.00.00.000000090 36.6873 .917 77781TCHigh intensity brachytherapy A 0.00 19.35 19.35 1.21 20.56 20.56 01090.00.00.000000090 36.6873 .917 7778126High intensity brachytherapy A 1.66 0.69 0.69 0.11 2.46 2.46 01090.00.00.000000090 36.6873 .917 77782 High intensity brachytherapy A 2.49 20.40 20.40 1.37 24.26 24.26 01090.00.00.000000090 36.6873 .917 77782TCHigh intensity brachytherapy A 0.00 19.35 19.35 1.21 20.56 20.56 01090.00.00.000000090 36.6873 .917 7778226High intensity brachytherapy A 2.49 1.05 1.05 0.16 3.70 3.70 01090.00.00.000000090 36.6873 .917 77783 High intensity brachytherapy A 3.73 20.90 20.90 1.44 26.07 26.07 01090.00.00.000000090 36.6873 .917 77783TCHigh intensity brachytherapy A 0.00 19.35 19.35 1.21 20.56 20.56 01090.00.00.000000090 36.6873 .917 7778326High intensity brachytherapy A 3.73 1.55 1.55 0.23 5.51 5.51 01090.00.00.000000090 36.6873 .917 77784 High intensity brachytherapy A 5.61 21.69 21.69 1.56 28.86 28.86 01090.00.00.000000090 36.6873 .917 77784TCHigh intensity brachytherapy A 0.00 19.35 19.35 1.21 20.56 20.56 01090.00.00.000000090 36.6873 .917 7778426High intensity brachytherapy A 5.61 2.34 2.34 0.35 8.30 8.30 01090.00.00.000000090 36.6873 .917 77789 Radioelement application A 1.12 0.89 0.89 0.10 2.11 2.11 01090.00.00.000000090 36.6873 .917 77789TCRadioelement application A 0.00 0.43 0.43 0.03 0.46 0.46 01090.00.00.000000090 36.6873 .917 7778926Radioelement application A 1.12 0.46 0.46 0.07 1.65 1.65 01090.00.00.000000090 36.6873 .917 77790 Radioelement handling A 1.05 0.94 0.94 0.10 2.09 2.09 01XXX.00.00.000000090 36.6873 .917 77790TCRadioelement handling A 0.00 0.48 0.48 0.03 0.51 0.51 01XXX.00.00.000000090 36.6873 .917 7779026Radioelement handling A 1.05 0.46 0.46 0.07 1.58 1.58 01XXX.00.00.000000090 36.6873 .917 77799 Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 77799TCRadium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7779926Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78000 Thyroid, single uptake A 0.19 1.01 1.01 0.07 1.27 1.27 01XXX.00.00.000000020 36.6873 .917 78000TCThyroid, single uptake A 0.00 0.92 0.92 0.06 0.98 0.98 01XXX.00.00.000000020 36.6873 .917 7800026Thyroid, single uptake A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 78001 Thyroid, multiple uptakes A 0.26 1.36 1.36 0.10 1.72 1.72 01XXX.00.00.000000020 36.6873 .917 78001TCThyroid, multiple uptakes A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 7800126Thyroid, multiple uptakes A 0.26 0.12 0.12 0.02 0.40 0.40 01XXX.00.00.000000090 36.6873 .917 78003 Thyroid suppress/stimul A 0.33 1.07 1.07 0.08 1.48 1.48 01XXX.00.00.000000020 36.6873 .917 78003TCThyroid suppress/stimul A 0.00 0.92 0.92 0.06 0.98 0.98 01XXX.00.00.000000020 36.6873 .917 7800326Thyroid suppress/stimul A 0.33 0.15 0.15 0.02 0.50 0.50 01XXX.00.00.000000090 36.6873 .917 78006 Thyroid,imaging with uptake A 0.49 2.49 2.49 0.18 3.16 3.16 01XXX.00.00.000000020 36.6873 .917 78006TCThyroid,imaging with uptake A 0.00 2.27 2.27 0.15 2.42 2.42 01XXX.00.00.000000020 36.6873 .917 7800626Thyroid,imaging with uptake A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78007 Thyroid, image, mult uptakes A 0.50 2.68 2.68 0.19 3.37 3.37 01XXX.00.00.000000020 36.6873 .917 78007TCThyroid, image, mult uptakes A 0.00 2.45 2.45 0.16 2.61 2.61 01XXX.00.00.000000020 36.6873 .917 7800726Thyroid, image, mult uptakes A 0.50 0.23 0.23 0.03 0.76 0.76 01XXX.00.00.000000090 36.6873 .917 78010 Thyroid imaging A 0.39 1.90 1.90 0.14 2.43 2.43 01XXX.00.00.000000020 36.6873 .917 78010TCThyroid imaging A 0.00 1.73 1.73 0.11 1.84 1.84 01XXX.00.00.000000020 36.6873 .917 7801026Thyroid imaging A 0.39 0.17 0.17 0.03 0.59 0.59 01XXX.00.00.000000090 36.6873 .917 78011 Thyroid imaging with flow A 0.45 2.50 2.50 0.18 3.13 3.13 01XXX.00.00.000000020 36.6873 .917 78011TCThyroid imaging with flow A 0.00 2.29 2.29 0.15 2.44 2.44 01XXX.00.00.000000020 36.6873 .917 7801126Thyroid imaging with flow A 0.45 0.21 0.21 0.03 0.69 0.69 01XXX.00.00.000000090 36.6873 .917 78015 Thyroid met imaging A 0.67 2.76 2.76 0.21 3.64 3.64 01XXX.00.00.000000020 36.6873 .917 78015TCThyroid met imaging A 0.00 2.45 2.45 0.16 2.61 2.61 01XXX.00.00.000000020 36.6873 .917 7801526Thyroid met imaging A 0.67 0.31 0.31 0.05 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 78016 Thyroid met imaging/studies A 0.82 3.70 3.70 0.27 4.79 4.79 01XXX.00.00.000000020 36.6873 .917 78016TCThyroid met imaging/studies A 0.00 3.32 3.32 0.21 3.53 3.53 01XXX.00.00.000000020 36.6873 .917 7801626Thyroid met imaging/studies A 0.82 0.38 0.38 0.06 1.26 1.26 01XXX.00.00.000000090 36.6873 .917 78017 Thyroid met imaging, mult A 0.87 3.94 3.94 0.28 5.09 5.09 01XXX.00.00.000000020 36.6873 .917 78017TCThyroid met imaging, mult A 0.00 3.55 3.55 0.22 3.77 3.77 01XXX.00.00.000000020 36.6873 .917 7801726Thyroid met imaging, mult A 0.87 0.39 0.39 0.06 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 78018 Thyroid, met imaging, body A 0.95 5.60 5.60 0.39 6.94 6.94 01XXX.00.00.000000020 36.6873 .917 78018TCThyroid, met imaging, body A 0.00 5.17 5.17 0.33 5.50 5.50 01XXX.00.00.000000020 36.6873 .917 7801826Thyroid, met imaging, body A 0.95 0.43 0.43 0.06 1.44 1.44 01XXX.00.00.000000090 36.6873 .917 78070 Parathyroid nuclear imaging A 0.82 1.96 1.96 0.15 2.93 2.93 01XXX.00.00.000000020 36.6873 .917 78070TCParathyroid nuclear imaging A 0.00 1.73 1.73 0.11 1.84 1.84 01XXX.00.00.000000020 36.6873 .917 7807026Parathyroid nuclear imaging A 0.82 0.23 0.23 0.04 1.09 1.09 01XXX.00.00.000000090 36.6873 .917 78075 Adrenal nuclear imaging A 0.74 5.51 5.51 0.38 6.63 6.63 01XXX.00.00.000000020 36.6873 .917 78075TCAdrenal nuclear imaging A 0.00 5.17 5.17 0.33 5.50 5.50 01XXX.00.00.000000020 36.6873 .917 7807526Adrenal nuclear imaging A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 78099 Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78099TCEndocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7809926Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78102 Bone marrow imaging, ltd A 0.55 2.19 2.19 0.17 2.91 2.91 01XXX.00.00.000000020 36.6873 .917 78102TCBone marrow imaging, ltd A 0.00 1.94 1.94 0.13 2.07 2.07 01XXX.00.00.000000020 36.6873 .917 7810226Bone marrow imaging, ltd A 0.55 0.25 0.25 0.04 0.84 0.84 01XXX.00.00.000000090 36.6873 .917 78103 Bone marrow imaging, mult A 0.75 3.36 3.36 0.24 4.35 4.35 01XXX.00.00.000000020 36.6873 .917 78103TCBone marrow imaging, mult A 0.00 3.02 3.02 0.19 3.21 3.21 01XXX.00.00.000000020 36.6873 .917 7810326Bone marrow imaging, mult A 0.75 0.34 0.34 0.05 1.14 1.14 01XXX.00.00.000000090 36.6873 .917 78104 Bone marrow imaging, body A 0.80 4.25 4.25 0.30 5.35 5.35 01XXX.00.00.000000020 36.6873 .917 78104TCBone marrow imaging, body A 0.00 3.88 3.88 0.25 4.13 4.13 01XXX.00.00.000000020 36.6873 .917 7810426Bone marrow imaging, body A 0.80 0.37 0.37 0.05 1.22 1.22 01XXX.00.00.000000090 36.6873 .917 78110 Plasma volume, single A 0.19 0.99 0.99 0.07 1.25 1.25 01XXX.00.00.000000020 36.6873 .917 78110TCPlasma volume, single A 0.00 0.90 0.90 0.06 0.96 0.96 01XXX.00.00.000000020 36.6873 .917 7811026Plasma volume, single A 0.19 0.09 0.09 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 78111 Plasma volume, multiple A 0.22 2.55 2.55 0.18 2.95 2.95 01XXX.00.00.000000020 36.6873 .917 78111TCPlasma volume, multiple A 0.00 2.45 2.45 0.16 2.61 2.61 01XXX.00.00.000000020 36.6873 .917 7811126Plasma volume, multiple A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 78120 Red cell mass, single A 0.23 1.76 1.76 0.13 2.12 2.12 01XXX.00.00.000000020 36.6873 .917 78120TCRed cell mass, single A 0.00 1.65 1.65 0.11 1.76 1.76 01XXX.00.00.000000020 36.6873 .917 7812026Red cell mass, single A 0.23 0.11 0.11 0.02 0.36 0.36 01XXX.00.00.000000090 36.6873 .917 78121 Red cell mass, multiple A 0.32 2.92 2.92 0.19 3.43 3.43 01XXX.00.00.000000020 36.6873 .917 78121TCRed cell mass, multiple A 0.00 2.77 2.77 0.17 2.94 2.94 01XXX.00.00.000000020 36.6873 .917 7812126Red cell mass, multiple A 0.32 0.15 0.15 0.02 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 78122 Blood volume A 0.45 4.59 4.59 0.31 5.35 5.35 01XXX.00.00.000000020 36.6873 .917 78122TCBlood volume A 0.00 4.39 4.39 0.28 4.67 4.67 01XXX.00.00.000000020 36.6873 .917 7812226Blood volume A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 78130 Red cell survival study A 0.61 3.00 3.00 0.21 3.82 3.82 01XXX.00.00.000000020 36.6873 .917 78130TCRed cell survival study A 0.00 2.72 2.72 0.17 2.89 2.89 01XXX.00.00.000000020 36.6873 .917 7813026Red cell survival study A 0.61 0.28 0.28 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 78135 Red cell survival kinetics A 0.64 4.93 4.93 0.34 5.91 5.91 01XXX.00.00.000000020 36.6873 .917 78135TCRed cell survival kinetics A 0.00 4.64 4.64 0.30 4.94 4.94 01XXX.00.00.000000020 36.6873 .917 7813526Red cell survival kinetics A 0.64 0.29 0.29 0.04 0.97 0.97 01XXX.00.00.000000090 36.6873 .917 78140 Red cell sequestration A 0.61 4.03 4.03 0.28 4.92 4.92 01XXX.00.00.000000020 36.6873 .917 78140TCRed cell sequestration A 0.00 3.75 3.75 0.24 3.99 3.99 01XXX.00.00.000000020 36.6873 .917 7814026Red cell sequestration A 0.61 0.28 0.28 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 78160 Plasma iron turnover A 0.33 3.64 3.64 0.24 4.21 4.21 01XXX.00.00.000000020 36.6873 .917 78160TCPlasma iron turnover A 0.00 3.49 3.49 0.22 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 7816026Plasma iron turnover A 0.33 0.15 0.15 0.02 0.50 0.50 01XXX.00.00.000000090 36.6873 .917 78162 Iron absorption exam A 0.45 3.25 3.25 0.22 3.92 3.92 01XXX.00.00.000000020 36.6873 .917 78162TCIron absorption exam A 0.00 3.05 3.05 0.19 3.24 3.24 01XXX.00.00.000000020 36.6873 .917 7816226Iron absorption exam A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 78170 Red cell iron utilization A 0.41 5.24 5.24 0.35 6.00 6.00 01XXX.00.00.000000020 36.6873 .917 78170TCRed cell iron utilization A 0.00 5.06 5.06 0.32 5.38 5.38 01XXX.00.00.000000020 36.6873 .917 7817026Red cell iron utilization A 0.41 0.18 0.18 0.03 0.62 0.62 01XXX.00.00.000000090 36.6873 .917 78172 Total body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 78172TCTotal body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 7817226Total body iron estimation A 0.53 0.25 0.25 0.04 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 78185 Spleen imaging A 0.40 2.43 2.43 0.18 3.01 3.01 01XXX.00.00.000000020 36.6873 .917 78185TCSpleen imaging A 0.00 2.25 2.25 0.15 2.40 2.40 01XXX.00.00.000000020 36.6873 .917 7818526Spleen imaging A 0.40 0.18 0.18 0.03 0.61 0.61 01XXX.00.00.000000090 36.6873 .917 78190 Platelet survival, kinetics A 1.09 5.93 5.93 0.42 7.44 7.44 01XXX.00.00.000000020 36.6873 .917 78190TCPlatelet survival, kinetics A 0.00 5.45 5.45 0.35 5.80 5.80 01XXX.00.00.000000020 36.6873 .917 7819026Platelet survival, kinetics A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000000090 36.6873 .917 78191 Platelet survival A 0.61 7.27 7.27 0.48 8.36 8.36 01XXX.00.00.000000020 36.6873 .917 78191TCPlatelet survival A 0.00 6.99 6.99 0.44 7.43 7.43 01XXX.00.00.000000020 36.6873 .917 7819126Platelet survival A 0.61 0.28 0.28 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 78195 Lymph system imaging A 1.20 4.20 4.20 0.30 5.70 5.70 01XXX.00.00.000000020 36.6873 .917 78195TCLymph system imaging A 0.00 3.88 3.88 0.25 4.13 4.13 01XXX.00.00.000000020 36.6873 .917 7819526Lymph system imaging A 1.20 0.32 0.32 0.05 1.57 1.57 01XXX.00.00.000000090 36.6873 .917 78199 Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78199TCBlood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7819926Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78201 Liver imaging A 0.44 2.44 2.44 0.18 3.06 3.06 01XXX.00.00.000000020 36.6873 .917 78201TCLiver imaging A 0.00 2.25 2.25 0.15 2.40 2.40 01XXX.00.00.000000020 36.6873 .917 7820126Liver imaging A 0.44 0.19 0.19 0.03 0.66 0.66 01XXX.00.00.000000090 36.6873 .917 78202 Liver imaging with flow A 0.51 2.98 2.98 0.21 3.70 3.70 01XXX.00.00.000000020 36.6873 .917 78202TCLiver imaging with flow A 0.00 2.75 2.75 0.17 2.92 2.92 01XXX.00.00.000000020 36.6873 .917 7820226Liver imaging with flow A 0.51 0.23 0.23 0.04 0.78 0.78 01XXX.00.00.000000090 36.6873 .917 78205 Liver imaging (3D) A 0.71 5.96 5.96 0.41 7.08 7.08 01XXX.00.00.000000020 36.6873 .917 78205TCLiver imaging (3D) A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000020 36.6873 .917 7820526Liver imaging (3D) A 0.71 0.33 0.33 0.05 1.09 1.09 01XXX.00.00.000000090 36.6873 .917 78215 Liver and spleen imaging A 0.49 3.02 3.02 0.20 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 78215TCLiver and spleen imaging A 0.00 2.80 2.80 0.17 2.97 2.97 01XXX.00.00.000000020 36.6873 .917 7821526Liver and spleen imaging A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78216 Liver & spleen image, flow A 0.57 3.58 3.58 0.25 4.40 4.40 01XXX.00.00.000000020 36.6873 .917 78216TCLiver & spleen image, flow A 0.00 3.32 3.32 0.21 3.53 3.53 01XXX.00.00.000000020 36.6873 .917 7821626Liver & spleen image, flow A 0.57 0.26 0.26 0.04 0.87 0.87 01XXX.00.00.000000090 36.6873 .917 78220 Liver function study A 0.49 3.77 3.77 0.25 4.51 4.51 01XXX.00.00.000000020 36.6873 .917 78220TCLiver function study A 0.00 3.55 3.55 0.22 3.77 3.77 01XXX.00.00.000000020 36.6873 .917 7822026Liver function study A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78223 Hepatobiliary imaging A 0.84 3.87 3.87 0.28 4.99 4.99 01XXX.00.00.000000020 36.6873 .917 78223TCHepatobiliary imaging A 0.00 3.49 3.49 0.22 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 7822326Hepatobiliary imaging A 0.84 0.38 0.38 0.06 1.28 1.28 01XXX.00.00.000000090 36.6873 .917 78230 Salivary gland imaging A 0.45 2.28 2.28 0.17 2.90 2.90 01XXX.00.00.000000020 36.6873 .917 78230TCSalivary gland imaging A 0.00 2.07 2.07 0.14 2.21 2.21 01XXX.00.00.000000020 36.6873 .917 7823026Salivary gland imaging A 0.45 0.21 0.21 0.03 0.69 0.69 01XXX.00.00.000000090 36.6873 .917 78231 Serial salivary imaging A 0.52 3.26 3.26 0.23 4.01 4.01 01XXX.00.00.000000020 36.6873 .917 78231TCSerial salivary imaging A 0.00 3.02 3.02 0.19 3.21 3.21 01XXX.00.00.000000020 36.6873 .917 7823126Serial salivary imaging A 0.52 0.24 0.24 0.04 0.80 0.80 01XXX.00.00.000000090 36.6873 .917 78232 Salivary gland function exam A 0.47 3.59 3.59 0.24 4.30 4.30 01XXX.00.00.000000020 36.6873 .917 78232TCSalivary gland function exam A 0.00 3.37 3.37 0.21 3.58 3.58 01XXX.00.00.000000020 36.6873 .917 7823226Salivary gland function exam A 0.47 0.22 0.22 0.03 0.72 0.72 01XXX.00.00.000000090 36.6873 .917 78258 Esophageal motility study A 0.74 3.09 3.09 0.22 4.05 4.05 01XXX.00.00.000000020 36.6873 .917 78258TCEsophageal motility study A 0.00 2.75 2.75 0.17 2.92 2.92 01XXX.00.00.000000020 36.6873 .917 7825826Esophageal motility study A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 78261 Gastric mucosa imaging A 0.69 4.23 4.23 0.30 5.22 5.22 01XXX.00.00.000000020 36.6873 .917 78261TCGastric mucosa imaging A 0.00 3.91 3.91 0.25 4.16 4.16 01XXX.00.00.000000020 36.6873 .917 7826126Gastric mucosa imaging A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 78262 Gastroesophageal reflux exam A 0.68 4.36 4.36 0.31 5.35 5.35 01XXX.00.00.000000020 36.6873 .917 78262TCGastroesophageal reflux exam A 0.00 4.05 4.05 0.26 4.31 4.31 01XXX.00.00.000000020 36.6873 .917 7826226Gastroesophageal reflux exam A 0.68 0.31 0.31 0.05 1.04 1.04 01XXX.00.00.000000090 36.6873 .917 78264 Gastric emptying study A 0.78 4.29 4.29 0.30 5.37 5.37 01XXX.00.00.000000020 36.6873 .917 78264TCGastric emptying study A 0.00 3.93 3.93 0.25 4.18 4.18 01XXX.00.00.000000020 36.6873 .917 7826426Gastric emptying study A 0.78 0.36 0.36 0.05 1.19 1.19 01XXX.00.00.000000090 36.6873 .917 78270 Vit B-12 absorption exam A 0.20 1.57 1.57 0.11 1.88 1.88 01XXX.00.00.000000020 36.6873 .917 78270TCVit B-12 absorption exam A 0.00 1.47 1.47 0.10 1.57 1.57 01XXX.00.00.000000020 36.6873 .917 7827026Vit B-12 absorption exam A 0.20 0.10 0.10 0.01 0.31 0.31 01XXX.00.00.000000090 36.6873 .917 78271 Vit B-12 absorp exam, IF A 0.20 1.67 1.67 0.11 1.98 1.98 01XXX.00.00.000000020 36.6873 .917 78271TCVit B-12 absorp exam, IF A 0.00 1.57 1.57 0.10 1.67 1.67 01XXX.00.00.000000020 36.6873 .917 7827126Vit B-12 absorp exam, IF A 0.20 0.10 0.10 0.01 0.31 0.31 01XXX.00.00.000000090 36.6873 .917 78272 Vit B-12 absorp, combined A 0.27 2.34 2.34 0.17 2.78 2.78 01XXX.00.00.000000020 36.6873 .917 78272TCVit B-12 absorp, combined A 0.00 2.21 2.21 0.15 2.36 2.36 01XXX.00.00.000000020 36.6873 .917 7827226Vit B-12 absorp, combined A 0.27 0.13 0.13 0.02 0.42 0.42 01XXX.00.00.000000090 36.6873 .917 78278 Acute GI blood loss imaging A 0.99 5.09 5.09 0.37 6.45 6.45 01XXX.00.00.000000020 36.6873 .917 78278TCAcute GI blood loss imaging A 0.00 4.64 4.64 0.30 4.94 4.94 01XXX.00.00.000000020 36.6873 .917 7827826Acute GI blood loss imaging A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 78282 GI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 78282TCGI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 7828226GI protein loss exam A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 78290 Meckel’s divert exam A 0.68 3.21 3.21 0.23 4.12 4.12 01XXX.00.00.000000020 36.6873 .917 78290TCMeckel’s divert exam A 0.00 2.90 2.90 0.18 3.08 3.08 01XXX.00.00.000000020 36.6873 .917 7829026Meckel’s divert exam A 0.68 0.31 0.31 0.05 1.04 1.04 01XXX.00.00.000000090 36.6873 .917 78291 Leveen/shunt patency exam A 0.88 3.31 3.31 0.24 4.43 4.43 01XXX.00.00.000000020 36.6873 .917 78291TCLeveen/shunt patency exam A 0.00 2.92 2.92 0.18 3.10 3.10 01XXX.00.00.000000020 36.6873 .917 7829126Leveen/shunt patency exam A 0.88 0.39 0.39 0.06 1.33 1.33 01XXX.00.00.000000090 36.6873 .917 78299 GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78299TCGI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7829926GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78300 Bone imaging, limited area A 0.62 2.66 2.66 0.20 3.48 3.48 01XXX.00.00.000000020 36.6873 .917 78300TCBone imaging, limited area A 0.00 2.37 2.37 0.16 2.53 2.53 01XXX.00.00.000000020 36.6873 .917 7830026Bone imaging, limited area A 0.62 0.29 0.29 0.04 0.95 0.95 01XXX.00.00.000000090 36.6873 .917 78305 Bone imaging, multiple areas A 0.83 3.87 3.87 0.28 4.98 4.98 01XXX.00.00.000000020 36.6873 .917 78305TCBone imaging, multiple areas A 0.00 3.49 3.49 0.22 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 7830526Bone imaging, multiple areas A 0.83 0.38 0.38 0.06 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 78306 Bone imaging, whole body A 0.86 4.46 4.46 0.32 5.64 5.64 01XXX.00.00.002000020 36.6873 .917 78306TCBone imaging, whole body A 0.00 4.07 4.07 0.26 4.33 4.33 01XXX.00.00.002000020 36.6873 .917 7830626Bone imaging, whole body A 0.86 0.39 0.39 0.06 1.31 1.31 01XXX.00.00.002000090 36.6873 .917 78315 Bone imaging, 3 phase A 1.02 5.00 5.00 0.36 6.38 6.38 01XXX.00.00.000000020 36.6873 .917 78315TCBone imaging, 3 phase A 0.00 4.55 4.55 0.29 4.84 4.84 01XXX.00.00.000000020 36.6873 .917 7831526Bone imaging, 3 phase A 1.02 0.45 0.45 0.07 1.54 1.54 01XXX.00.00.000000090 36.6873 .917 78320 Bone imaging (3D) A 1.04 6.09 6.09 0.43 7.56 7.56 01XXX.00.00.002000020 36.6873 .917 78320TCBone imaging (3D) A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.002000020 36.6873 .917 7832026Bone imaging (3D) A 1.04 0.46 0.46 0.07 1.57 1.57 01XXX.00.00.002000090 36.6873 .917 78350 Bone mineral, single photon A 0.22 0.82 0.82 0.07 1.11 1.11 01XXX.00.00.000000020 36.6873 .917 78350TCBone mineral, single photon A 0.00 0.72 0.72 0.05 0.77 0.77 01XXX.00.00.000000020 36.6873 .917 7835026Bone mineral, single photon A 0.22 0.10 0.10 0.02 0.34 0.34 01XXX.00.00.000000090 36.6873 .917 78351 Bone mineral, dual photon N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 78399 Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78399TCMusculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7839926Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78414 Non-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 78414TCNon-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000020 36.6873 .917 7841426Non-imaging heart function A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 78428 Cardiac shunt imaging A 0.78 2.51 2.51 0.19 3.48 3.48 01XXX.00.00.000000020 36.6873 .917 78428TCCardiac shunt imaging A 0.00 2.15 2.15 0.14 2.29 2.29 01XXX.00.00.000000020 36.6873 .917 7842826Cardiac shunt imaging A 0.78 0.36 0.36 0.05 1.19 1.19 01XXX.00.00.000000090 36.6873 .917 78445 Vascular flow imaging A 0.49 2.01 2.01 0.15 2.65 2.65 01XXX.00.00.000000020 36.6873 .917 78445TCVascular flow imaging A 0.00 1.77 1.77 0.11 1.88 1.88 01XXX.00.00.000000020 36.6873 .917 7844526Vascular flow imaging A 0.49 0.24 0.24 0.04 0.77 0.77 01XXX.00.00.000000090 36.6873 .917 78455 Venous thrombosis study A 0.73 4.13 4.13 0.29 5.15 5.15 01XXX.00.00.000000020 36.6873 .917 78455TCVenous thrombosis study A 0.00 3.80 3.80 0.24 4.04 4.04 01XXX.00.00.000000020 36.6873 .917 7845526Venous thrombosis study A 0.73 0.33 0.33 0.05 1.11 1.11 01XXX.00.00.000000090 36.6873 .917 78457 Venous thrombosis imaging A 0.77 2.88 2.88 0.22 3.87 3.87 01XXX.00.00.000000020 36.6873 .917 78457TCVenous thrombosis imaging A 0.00 2.53 2.53 0.17 2.70 2.70 01XXX.00.00.000000020 36.6873 .917 7845726Venous thrombosis imaging A 0.77 0.35 0.35 0.05 1.17 1.17 01XXX.00.00.000000090 36.6873 .917 78458 Ven thrombosis images, bilat A 0.90 4.23 4.23 0.30 5.43 5.43 01XXX.00.00.000200020 36.6873 .917 78458TCVen thrombosis images, bilat A 0.00 3.83 3.83 0.24 4.07 4.07 01XXX.00.00.000200020 36.6873 .917 7845826Ven thrombosis images, bilat A 0.90 0.40 0.40 0.06 1.36 1.36 01XXX.00.00.000200090 36.6873 .917 78459 Heart muscle imaging (PET) I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78459TCHeart muscle imaging (PET) I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7845926Heart muscle imaging (PET) I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78460 Heart muscle blood single A 0.86 2.64 2.64 0.21 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 78460TCHeart muscle blood single A 0.00 2.25 2.25 0.15 2.40 2.40 01XXX.00.00.000000020 36.6873 .917 7846026Heart muscle blood single A 0.86 0.39 0.39 0.06 1.31 1.31 01XXX.00.00.000000090 36.6873 .917 78461 Heart muscle blood multiple A 1.23 5.04 5.04 0.37 6.64 6.64 01XXX.00.00.000000020 36.6873 .917 78461TCHeart muscle blood multiple A 0.00 4.50 4.50 0.29 4.79 4.79 01XXX.00.00.000000020 36.6873 .917 7846126Heart muscle blood multiple A 1.23 0.54 0.54 0.08 1.85 1.85 01XXX.00.00.000000090 36.6873 .917 78464 Heart image (3D) single A 1.09 7.22 7.22 0.50 8.81 8.81 01XXX.00.00.000000020 36.6873 .917 78464TCHeart image (3D) single A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7846426Heart image (3D) single A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000000090 36.6873 .917 78465 Heart image (3D) multiple A 1.46 11.89 11.89 0.80 14.15 14.15 01XXX.00.00.000000020 36.6873 .917 78465TCHeart image (3D) multiple A 0.00 11.24 11.24 0.70 11.94 11.94 01XXX.00.00.000000020 36.6873 .917 7846526Heart image (3D) multiple A 1.46 0.65 0.65 0.10 2.21 2.21 01XXX.00.00.000000090 36.6873 .917 78466 Heart infarct image A 0.69 2.82 2.82 0.22 3.73 3.73 01XXX.00.00.000000020 36.6873 .917 78466TCHeart infarct image A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000020 36.6873 .917 7846626Heart infarct image A 0.69 0.32 0.32 0.05 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 78468 Heart infarct image, EF A 0.80 3.85 3.85 0.27 4.92 4.92 01XXX.00.00.000000020 36.6873 .917 78468TCHeart infarct image, EF A 0.00 3.49 3.49 0.22 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 7846826Heart infarct image, EF A 0.80 0.36 0.36 0.05 1.21 1.21 01XXX.00.00.000000090 36.6873 .917 78469 Heart infarct image (3D) A 0.92 5.39 5.39 0.38 6.69 6.69 01XXX.00.00.000000020 36.6873 .917 78469TCHeart infarct image (3D) A 0.00 4.98 4.98 0.32 5.30 5.30 01XXX.00.00.000000020 36.6873 .917 7846926Heart infarct image (3D) A 0.92 0.41 0.41 0.06 1.39 1.39 01XXX.00.00.000000090 36.6873 .917 78472 Gated heart, resting A 0.98 5.69 5.69 0.41 7.08 7.08 01XXX.00.00.000000020 36.6873 .917 78472TCGated heart, resting A 0.00 5.25 5.25 0.34 5.59 5.59 01XXX.00.00.000000020 36.6873 .917 7847226Gated heart, resting A 0.98 0.44 0.44 0.07 1.49 1.49 01XXX.00.00.000000090 36.6873 .917 78473 Gated heart, multiple A 1.47 8.52 8.52 0.59 10.58 10.58 01XXX.00.00.000000020 36.6873 .917 78473TCGated heart, multiple A 0.00 7.87 7.87 0.49 8.36 8.36 01XXX.00.00.000000020 36.6873 .917 7847326Gated heart, multiple A 1.47 0.65 0.65 0.10 2.22 2.22 01XXX.00.00.000000090 36.6873 .917 78478 Heart wall motion (add-on) A 0.62 1.76 1.76 0.14 2.52 2.52 01XXX.00.00.000000020 36.6873 .917 78478TCHeart wall motion (add-on) A 0.00 1.48 1.48 0.10 1.58 1.58 01XXX.00.00.000000020 36.6873 .917 7847826Heart wall motion (add-on) A 0.62 0.28 0.28 0.04 0.94 0.94 01XXX.00.00.000000090 36.6873 .917 78480 Heart function, (add-on) A 0.62 1.76 1.76 0.14 2.52 2.52 01XXX.00.00.000000020 36.6873 .917 78480TCHeart function, (add-on) A 0.00 1.48 1.48 0.10 1.58 1.58 01XXX.00.00.000000020 36.6873 .917 7848026Heart function, (add-on) A 0.62 0.28 0.28 0.04 0.94 0.94 01XXX.00.00.000000090 36.6873 .917 78481 Heart first pass single A 0.98 5.42 5.42 0.39 6.79 6.79 01XXX.00.00.000000020 36.6873 .917 78481TCHeart first pass single A 0.00 4.98 4.98 0.32 5.30 5.30 01XXX.00.00.000000020 36.6873 .917 7848126Heart first pass single A 0.98 0.44 0.44 0.07 1.49 1.49 01XXX.00.00.000000090 36.6873 .917 78483 Heart first pass multiple A 1.47 8.15 8.15 0.57 10.19 10.19 01XXX.00.00.000000020 36.6873 .917 78483TCHeart first pass multiple A 0.00 7.50 7.50 0.47 7.97 7.97 01XXX.00.00.000000020 36.6873 .917 7848326Heart first pass multiple A 1.47 0.65 0.65 0.10 2.22 2.22 01XXX.00.00.000000090 36.6873 .917 78491 Heart image (pet) single I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78491TCHeart image (pet) single I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7849126Heart image (pet) single I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78492 Heart image (pet) multiple I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78492TCHeart image (pet) multiple I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7849226Heart image (pet) multiple I 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78499 Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78499TCCardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7849926Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78580 Lung perfusion imaging A 0.74 3.61 3.61 0.26 4.61 4.61 01XXX.00.00.000000020 36.6873 .917 78580TCLung perfusion imaging A 0.00 3.27 3.27 0.21 3.48 3.48 01XXX.00.00.000000020 36.6873 .917 7858026Lung perfusion imaging A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 78584 Lung V/Q image single breath A 0.99 3.50 3.50 0.26 4.75 4.75 01XXX.00.00.000000020 36.6873 .917 78584TCLung V/Q image single breath A 0.00 3.05 3.05 0.19 3.24 3.24 01XXX.00.00.000000020 36.6873 .917 7858426Lung V/Q image single breath A 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 78585 Lung V/Q imaging A 1.09 5.85 5.85 0.41 7.35 7.35 01XXX.00.00.000000020 36.6873 .917 78585TCLung V/Q imaging A 0.00 5.37 5.37 0.34 5.71 5.71 01XXX.00.00.000000020 36.6873 .917 7858526Lung V/Q imaging A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.000000090 36.6873 .917 78586 Aerosol lung image, single A 0.40 2.65 2.65 0.19 3.24 3.24 01XXX.00.00.000000020 36.6873 .917 78586TCAerosol lung image, single A 0.00 2.47 2.47 0.16 2.63 2.63 01XXX.00.00.000000020 36.6873 .917 7858626Aerosol lung image, single A 0.40 0.18 0.18 0.03 0.61 0.61 01XXX.00.00.000000090 36.6873 .917 78587 Aerosol lung image, multiple A 0.49 2.89 2.89 0.20 3.58 3.58 01XXX.00.00.000000020 36.6873 .917 78587TCAerosol lung image, multiple A 0.00 2.67 2.67 0.17 2.84 2.84 01XXX.00.00.000000020 36.6873 .917 7858726Aerosol lung image, multiple A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78591 Vent image, 1 breath, 1 proj A 0.40 2.90 2.90 0.20 3.50 3.50 01XXX.00.00.000000020 36.6873 .917 78591TCVent image, 1 breath, 1 proj A 0.00 2.72 2.72 0.17 2.89 2.89 01XXX.00.00.000000020 36.6873 .917 7859126Vent image, 1 breath, 1 proj A 0.40 0.18 0.18 0.03 0.61 0.61 01XXX.00.00.000000090 36.6873 .917 78593 Vent image, 1 proj, gas A 0.49 3.51 3.51 0.24 4.24 4.24 01XXX.00.00.000000020 36.6873 .917 78593TCVent image, 1 proj, gas A 0.00 3.29 3.29 0.21 3.50 3.50 01XXX.00.00.000000020 36.6873 .917 7859326Vent image, 1 proj, gas A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78594 Vent image, mult proj, gas A 0.53 5.00 5.00 0.34 5.87 5.87 01XXX.00.00.000000020 36.6873 .917 78594TCVent image, mult proj, gas A 0.00 4.75 4.75 0.30 5.05 5.05 01XXX.00.00.000000020 36.6873 .917 7859426Vent image, mult proj, gas A 0.53 0.25 0.25 0.04 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 78596 Lung differential function A 1.27 7.30 7.30 0.52 9.09 9.09 01XXX.00.00.000000020 36.6873 .917 78596TCLung differential function A 0.00 6.74 6.74 0.43 7.17 7.17 01XXX.00.00.000000020 36.6873 .917 7859626Lung differential function A 1.27 0.56 0.56 0.09 1.92 1.92 01XXX.00.00.000000090 36.6873 .917 78599 Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78599TCRespiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7859926Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78600 Brain imaging, ltd static A 0.44 2.95 2.95 0.20 3.59 3.59 01XXX.00.00.000000020 36.6873 .917 78600TCBrain imaging, ltd static A 0.00 2.75 2.75 0.17 2.92 2.92 01XXX.00.00.000000020 36.6873 .917 7860026Brain imaging, ltd static A 0.44 0.20 0.20 0.03 0.67 0.67 01XXX.00.00.000000090 36.6873 .917 78601 Brain ltd imaging & flow A 0.51 3.48 3.48 0.24 4.23 4.23 01XXX.00.00.000000020 36.6873 .917 78601TCBrain ltd imaging & flow A 0.00 3.24 3.24 0.20 3.44 3.44 01XXX.00.00.000000020 36.6873 .917 7860126Brain ltd imaging & flow A 0.51 0.24 0.24 0.04 0.79 0.79 01XXX.00.00.000000090 36.6873 .917 78605 Brain imaging, complete A 0.53 3.49 3.49 0.24 4.26 4.26 01XXX.00.00.000000020 36.6873 .917 78605TCBrain imaging, complete A 0.00 3.24 3.24 0.20 3.44 3.44 01XXX.00.00.000000020 36.6873 .917 7860526Brain imaging, complete A 0.53 0.25 0.25 0.04 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 78606 Brain imaging comp & flow A 0.64 3.98 3.98 0.27 4.89 4.89 01XXX.00.00.000000020 36.6873 .917 78606TCBrain imaging comp & flow A 0.00 3.69 3.69 0.23 3.92 3.92 01XXX.00.00.000000020 36.6873 .917 7860626Brain imaging comp & flow A 0.64 0.29 0.29 0.04 0.97 0.97 01XXX.00.00.000000090 36.6873 .917 78607 Brain imaging (3D) A 1.23 6.79 6.79 0.47 8.49 8.49 01XXX.00.00.000000020 36.6873 .917 78607TCBrain imaging (3D) A 0.00 6.25 6.25 0.39 6.64 6.64 01XXX.00.00.000000020 36.6873 .917 7860726Brain imaging (3D) A 1.23 0.54 0.54 0.08 1.85 1.85 01XXX.00.00.000000090 36.6873 .917 78608 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 78609 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 78610 Brain flow imaging only A 0.30 1.64 1.64 0.12 2.06 2.06 01XXX.00.00.000000020 36.6873 .917 78610TCBrain flow imaging only A 0.00 1.50 1.50 0.10 1.60 1.60 01XXX.00.00.000000020 36.6873 .917 7861026Brain flow imaging only A 0.30 0.14 0.14 0.02 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 78615 Cerebral blood flow imaging A 0.42 3.86 3.86 0.26 4.54 4.54 01XXX.00.00.000000020 36.6873 .917 78615TCCerebral blood flow imaging A 0.00 3.67 3.67 0.23 3.90 3.90 01XXX.00.00.000000020 36.6873 .917 7861526Cerebral blood flow imaging A 0.42 0.19 0.19 0.03 0.64 0.64 01XXX.00.00.000000090 36.6873 .917 78630 Cerebrospinal fluid scan A 0.68 5.11 5.11 0.36 6.15 6.15 01XXX.00.00.000000020 36.6873 .917 78630TCCerebrospinal fluid scan A 0.00 4.80 4.80 0.31 5.11 5.11 01XXX.00.00.000000020 36.6873 .917 7863026Cerebrospinal fluid scan A 0.68 0.31 0.31 0.05 1.04 1.04 01XXX.00.00.000000090 36.6873 .917 78635 CSF ventriculography A 0.61 2.70 2.70 0.20 3.51 3.51 01XXX.00.00.000000020 36.6873 .917 78635TCCSF ventriculography A 0.00 2.42 2.42 0.16 2.58 2.58 01XXX.00.00.000000020 36.6873 .917 7863526CSF ventriculography A 0.61 0.28 0.28 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 78645 CSF shunt evaluation A 0.57 3.53 3.53 0.25 4.35 4.35 01XXX.00.00.000000020 36.6873 .917 78645TCCSF shunt evaluation A 0.00 3.27 3.27 0.21 3.48 3.48 01XXX.00.00.000000020 36.6873 .917 7864526CSF shunt evaluation A 0.57 0.26 0.26 0.04 0.87 0.87 01XXX.00.00.000000090 36.6873 .917 78647 Cerebrospinal fluid scan A 0.90 6.04 6.04 0.42 7.36 7.36 01XXX.00.00.000000020 36.6873 .917 78647TCCerebrospinal fluid scan A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000020 36.6873 .917 7864726Cerebrospinal fluid scan A 0.90 0.41 0.41 0.06 1.37 1.37 01XXX.00.00.000000090 36.6873 .917 78650 CSF leakage imaging A 0.61 4.70 4.70 0.32 5.63 5.63 01XXX.00.00.000000020 36.6873 .917 78650TCCSF leakage imaging A 0.00 4.42 4.42 0.28 4.70 4.70 01XXX.00.00.000000020 36.6873 .917 7865026CSF leakage imaging A 0.61 0.28 0.28 0.04 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 78660 Nuclear exam of tear flow A 0.53 2.27 2.27 0.17 2.97 2.97 01XXX.00.00.000000020 36.6873 .917 78660TCNuclear exam of tear flow A 0.00 2.02 2.02 0.13 2.15 2.15 01XXX.00.00.000000020 36.6873 .917 7866026Nuclear exam of tear flow A 0.53 0.25 0.25 0.04 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 78699 Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78699TCNervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7869926Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78700 Kidney imaging, static A 0.45 3.10 3.10 0.21 3.76 3.76 01XXX.00.00.000000020 36.6873 .917 78700TCKidney imaging, static A 0.00 2.90 2.90 0.18 3.08 3.08 01XXX.00.00.000000020 36.6873 .917 7870026Kidney imaging, static A 0.45 0.20 0.20 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 78701 Kidney imaging with flow A 0.49 3.61 3.61 0.24 4.34 4.34 01XXX.00.00.000000020 36.6873 .917 78701TCKidney imaging with flow A 0.00 3.39 3.39 0.21 3.60 3.60 01XXX.00.00.000000020 36.6873 .917 7870126Kidney imaging with flow A 0.49 0.22 0.22 0.03 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 78704 Imaging renogram A 0.74 4.11 4.11 0.29 5.14 5.14 01XXX.00.00.000000020 36.6873 .917 78704TCImaging renogram A 0.00 3.77 3.77 0.24 4.01 4.01 01XXX.00.00.000000020 36.6873 .917 7870426Imaging renogram A 0.74 0.34 0.34 0.05 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 78707 Kidney flow & function image A 0.96 4.68 4.68 0.33 5.97 5.97 01XXX.00.00.000000020 36.6873 .917 78707TCKidney flow & function image A 0.00 4.26 4.26 0.27 4.53 4.53 01XXX.00.00.000000020 36.6873 .917 7870726Kidney flow & function image A 0.96 0.42 0.42 0.06 1.44 1.44 01XXX.00.00.000000090 36.6873 .917 78708 Kidney flow & function image A 1.21 4.68 4.68 0.33 6.22 6.22 01XXX.00.00.000000090 36.6873 .917 78708TCKidney flow & function image A 0.00 4.26 4.26 0.27 4.53 4.53 01XXX.00.00.000000090 36.6873 .917 7870826Kidney flow & function image A 1.21 0.42 0.42 0.06 1.69 1.69 01XXX.00.00.000000090 36.6873 .917 78709 Kidney flow & function image A 1.41 4.68 4.68 0.33 6.42 6.42 01XXX.00.00.000000090 36.6873 .917 78709TCKidney flow & function image A 0.00 4.26 4.26 0.27 4.53 4.53 01XXX.00.00.000000090 36.6873 .917 7870926Kidney flow & function image A 1.41 0.42 0.42 0.06 1.89 1.89 01XXX.00.00.000000090 36.6873 .917 78710 Kidney imaging (3D) A 0.66 5.93 5.93 0.41 7.00 7.00 01XXX.00.00.000000020 36.6873 .917 78710TCKidney imaging (3D) A 0.00 5.63 5.63 0.36 5.99 5.99 01XXX.00.00.000000020 36.6873 .917 7871026Kidney imaging (3D) A 0.66 0.30 0.30 0.05 1.01 1.01 01XXX.00.00.000000090 36.6873 .917 78715 Renal vascular flow exam A 0.30 1.64 1.64 0.12 2.06 2.06 01XXX.00.00.000000020 36.6873 .917 78715TCRenal vascular flow exam A 0.00 1.50 1.50 0.10 1.60 1.60 01XXX.00.00.000000020 36.6873 .917 7871526Renal vascular flow exam A 0.30 0.14 0.14 0.02 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 78725 Kidney function study A 0.38 1.87 1.87 0.14 2.39 2.39 01XXX.00.00.000000020 36.6873 .917 78725TCKidney function study A 0.00 1.70 1.70 0.11 1.81 1.81 01XXX.00.00.000000020 36.6873 .917 7872526Kidney function study A 0.38 0.17 0.17 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 78726 Kidney function w/intervent D 0.87 3.21 3.21 0.24 4.32 4.32 01XXX.00.00.000000020 36.6873 .917 78726TCKidney function w/intervent D 0.00 2.82 2.82 0.18 3.00 3.00 01XXX.00.00.000000020 36.6873 .917 7872626Kidney function w/intervent D 0.87 0.39 0.39 0.06 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 78727 Kidney transplant evaluation D 0.99 4.25 4.25 0.31 5.55 5.55 01XXX.00.00.000000020 36.6873 .917 78727TCKidney transplant evaluation D 0.00 3.80 3.80 0.24 4.04 4.04 01XXX.00.00.000000020 36.6873 .917 7872726Kidney transplant evaluation D 0.99 0.45 0.45 0.07 1.51 1.51 01XXX.00.00.000000090 36.6873 .917 78730 Urinary bladder retention A 0.36 1.55 1.55 0.11 2.02 2.02 01XXX.00.00.000000020 36.6873 .917 78730TCUrinary bladder retention A 0.00 1.39 1.39 0.09 1.48 1.48 01XXX.00.00.000000020 36.6873 .917 7873026Urinary bladder retention A 0.36 0.16 0.16 0.02 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 78740 Ureteral reflux study A 0.57 2.28 2.28 0.17 3.02 3.02 01XXX.00.00.000000020 36.6873 .917 78740TCUreteral reflux study A 0.00 2.02 2.02 0.13 2.15 2.15 01XXX.00.00.000000020 36.6873 .917 7874026Ureteral reflux study A 0.57 0.26 0.26 0.04 0.87 0.87 01XXX.00.00.000000090 36.6873 .917 78760 Testicular imaging A 0.66 2.85 2.85 0.21 3.72 3.72 01XXX.00.00.000000020 36.6873 .917 78760TCTesticular imaging A 0.00 2.55 2.55 0.17 2.72 2.72 01XXX.00.00.000000020 36.6873 .917 7876026Testicular imaging A 0.66 0.30 0.30 0.04 1.00 1.00 01XXX.00.00.000000090 36.6873 .917 78761 Testicular imaging & flow A 0.71 3.38 3.38 0.24 4.33 4.33 01XXX.00.00.000000020 36.6873 .917 78761TCTesticular imaging & flow A 0.00 3.05 3.05 0.19 3.24 3.24 01XXX.00.00.000000020 36.6873 .917 7876126Testicular imaging & flow A 0.71 0.33 0.33 0.05 1.09 1.09 01XXX.00.00.000000090 36.6873 .917 78799 Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78799TCGenitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7879926Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78800 Tumor imaging, limited area A 0.66 3.54 3.54 0.24 4.44 4.44 01XXX.00.00.000000020 36.6873 .917 78800TCTumor imaging, limited area A 0.00 3.24 3.24 0.20 3.44 3.44 01XXX.00.00.000000020 36.6873 .917 7880026Tumor imaging, limited area A 0.66 0.30 0.30 0.04 1.00 1.00 01XXX.00.00.000000090 36.6873 .917 78801 Tumor imaging, mult areas A 0.79 4.39 4.39 0.31 5.49 5.49 01XXX.00.00.000000020 36.6873 .917 78801TCTumor imaging, mult areas A 0.00 4.03 4.03 0.26 4.29 4.29 01XXX.00.00.000000020 36.6873 .917 7880126Tumor imaging, mult areas A 0.79 0.36 0.36 0.05 1.20 1.20 01XXX.00.00.000000090 36.6873 .917 78802 Tumor imaging, whole body A 0.86 5.66 5.66 0.40 6.92 6.92 01XXX.00.00.002000020 36.6873 .917 78802TCTumor imaging, whole body A 0.00 5.27 5.27 0.34 5.61 5.61 01XXX.00.00.002000020 36.6873 .917 7880226Tumor imaging, whole body A 0.86 0.39 0.39 0.06 1.31 1.31 01XXX.00.00.002000090 36.6873 .917 78803 Tumor imaging (3D) A 1.09 6.73 6.73 0.46 8.28 8.28 01XXX.00.00.002000020 36.6873 .917 78803TCTumor imaging (3D) A 0.00 6.25 6.25 0.39 6.64 6.64 01XXX.00.00.002000020 36.6873 .917 7880326Tumor imaging (3D) A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.002000090 36.6873 .917 78805 Abscess imaging, ltd area A 0.73 3.57 3.57 0.25 4.55 4.55 01XXX.00.00.000000020 36.6873 .917 78805TCAbscess imaging, ltd area A 0.00 3.24 3.24 0.20 3.44 3.44 01XXX.00.00.000000020 36.6873 .917 7880526Abscess imaging, ltd area A 0.73 0.33 0.33 0.05 1.11 1.11 01XXX.00.00.000000090 36.6873 .917 78806 Abscess imaging, whole body A 0.86 6.51 6.51 0.45 7.82 7.82 01XXX.00.00.002000020 36.6873 .917 78806TCAbscess imaging, whole body A 0.00 6.13 6.13 0.39 6.52 6.52 01XXX.00.00.002000020 36.6873 .917 7880626Abscess imaging, whole body A 0.86 0.38 0.38 0.06 1.30 1.30 01XXX.00.00.002000090 36.6873 .917 78807 Nuclear localization/abscess A 1.09 6.73 6.73 0.46 8.28 8.28 01XXX.00.00.002000020 36.6873 .917 78807TCNuclear localization/abscess A 0.00 6.25 6.25 0.39 6.64 6.64 01XXX.00.00.002000020 36.6873 .917 7880726Nuclear localization/abscess A 1.09 0.48 0.48 0.07 1.64 1.64 01XXX.00.00.002000090 36.6873 .917 78810 Tumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78810TCTumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7881026Tumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78890 Nuclear medicine data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78890TCNuclear medicine data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7889026Nuclear medicine data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78891 Nuclear med data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78891TCNuclear med data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 7889126Nuclear med data proc B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 78990 Provide diag radionuclide(s) I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 78999 Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 78999TCNuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7899926Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 79000 Intial hyperthyroid therapy A 1.80 3.31 3.31 0.29 5.40 5.40 01XXX.00.00.000000090 36.6873 .917 79000TCIntial hyperthyroid therapy A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7900026Intial hyperthyroid therapy A 1.80 0.81 0.81 0.12 2.73 2.73 01XXX.00.00.000000090 36.6873 .917 79001 Repeat hyperthyroid therapy A 1.05 1.70 1.70 0.15 2.90 2.90 01XXX.00.00.000000090 36.6873 .917 79001TCRepeat hyperthyroid therapy A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 7900126Repeat hyperthyroid therapy A 1.05 0.46 0.46 0.07 1.58 1.58 01XXX.00.00.000000090 36.6873 .917 79020 Thyroid ablation A 1.81 3.31 3.31 0.29 5.41 5.41 01XXX.00.00.000000090 36.6873 .917 79020TCThyroid ablation A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7902026Thyroid ablation A 1.81 0.81 0.81 0.12 2.74 2.74 01XXX.00.00.000000090 36.6873 .917 79030 Thyroid ablation, carcinoma A 2.10 3.44 3.44 0.31 5.85 5.85 01XXX.00.00.000000090 36.6873 .917 79030TCThyroid ablation, carcinoma A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7903026Thyroid ablation, carcinoma A 2.10 0.94 0.94 0.14 3.18 3.18 01XXX.00.00.000000090 36.6873 .917 79035 Thyroid metastatic therapy A 2.52 3.63 3.63 0.34 6.49 6.49 01XXX.00.00.000000090 36.6873 .917 79035TCThyroid metastatic therapy A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7903526Thyroid metastatic therapy A 2.52 1.13 1.13 0.17 3.82 3.82 01XXX.00.00.000000090 36.6873 .917 79100 Hematopoetic nuclear therapy A 1.32 3.08 3.08 0.26 4.66 4.66 01XXX.00.00.000000090 36.6873 .917 79100TCHematopoetic nuclear therapy A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7910026Hematopoetic nuclear therapy A 1.32 0.58 0.58 0.09 1.99 1.99 01XXX.00.00.000000090 36.6873 .917 79200 Intracavitary nuc treatment A 1.99 3.39 3.39 0.31 5.69 5.69 01XXX.00.00.000000090 36.6873 .917 79200TCIntracavitary nuc treatment A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7920026Intracavitary nuc treatment A 1.99 0.89 0.89 0.14 3.02 3.02 01XXX.00.00.000000090 36.6873 .917 79300 Interstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 79300TCInterstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7930026Interstitial nuclear therapy A 1.60 0.71 0.71 0.11 2.42 2.42 01XXX.00.00.000000090 36.6873 .917 79400 Nonhemato nuclear therapy A 1.96 3.37 3.37 0.30 5.63 5.63 01XXX.00.00.000000090 36.6873 .917 79400TCNonhemato nuclear therapy A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7940026Nonhemato nuclear therapy A 1.96 0.87 0.87 0.13 2.96 2.96 01XXX.00.00.000000090 36.6873 .917 79420 Intravascular nuc therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 79420TCIntravascular nuc therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7942026Intravascular nuc therapy A 1.51 0.67 0.67 0.10 2.28 2.28 01XXX.00.00.000000090 36.6873 .917 79440 Nuclear joint therapy A 1.99 3.39 3.39 0.31 5.69 5.69 01XXX.00.00.000000090 36.6873 .917 79440TCNuclear joint therapy A 0.00 2.50 2.50 0.17 2.67 2.67 01XXX.00.00.000000090 36.6873 .917 7944026Nuclear joint therapy A 1.99 0.89 0.89 0.14 3.02 3.02 01XXX.00.00.000000090 36.6873 .917 79900 Provide ther radiopharm(s) C 0.00 0.00 0.00 0.00 0.00 0.00 03XXX.00.00.000000090 36.6873 .917 79999 Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 79999TCNuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 7999926Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 80002 1-2 clinical chem tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80003 3 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80004 4 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80005 5 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80006 6 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80007 7 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80008 8 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80009 9 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80010 10 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80011 11 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80012 12 clinical chemistry tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80016 13-16 blood/urine tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80018 17-18 blood/urine tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80019 19 blood/urine tests D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80049 Metabolic panel, basic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80050 General health panel N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80054 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80055 Obstetric panel I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80058 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80059 Hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80072 Arthritis panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80090 Torch antibody panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80091 Thyroid panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80092 Thyroid panel w/TSH X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80100 Drug screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80101 Drug screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80102 Drug confirmation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80103 Drug analysis, tissue prep X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80150 Assay of amikacin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80152 Assay of amitriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80154 Assay of benzodiazepines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80156 Assay carbamazepine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80158 Assay of cyclosporine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80160 Assay of desipramine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80162 Assay for digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80164 Assay, dipropylacetic acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80166 Assay of doxepin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80168 Assay of ethosuximide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80170 Gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80172 Assay for gold X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80174 Assay of imipramine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80176 Assay for lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80178 Assay for lithium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80182 Assay for nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80184 Assay for phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80185 Assay for phenytoin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80186 Assay for phenytoin, free X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80188 Assay for primidone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80190 Assay for procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80192 Assay for procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80194 Assay for quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80196 Assay for salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80197 Assay for tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80198 Assay for theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80200 Assay for tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80201 Assay for topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80202 Assay for vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80299 Quantitative assay, drug X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80400 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80402 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80406 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80408 Aldosterone suppression eval X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80410 Calcitonin stimul panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80412 CRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80414 Testosterone response X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80415 Estradiol response panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80416 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80417 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80418 Pituitary evaluation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80422 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80424 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80426 Gonadotropin hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80428 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80430 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80432 Insulin suppression panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80434 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80435 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80438 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80439 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80440 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 80500 Lab pathology consultation A 0.37 0.20 0.20 0.01 0.58 0.58 00XXX.00.00.000000090 36.6873 .917 80502 Lab pathology consultation A 1.33 0.33 0.33 0.02 1.68 1.68 00XXX.00.00.000000090 36.6873 .917 81000 Urinalysis, nonauto, w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81001 Urinalysis, auto, w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81002 Urinalysis nonauto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81003 Urinalysis, auto, w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81007 Urine screen for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81015 Microscopic exam of urine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81020 Urinalysis, glass test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81025 Urine pregnancy test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81050 Urinalysis, volume measure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 81099 Urinalysis test procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82000 Assay blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82003 Assay acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82009 Test for acetone/ketones X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82010 Acetone assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82024 ACTH X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82030 ADP & AMP X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82040 Assay serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82042 Assay urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82043 Microalbumin, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82044 Microalbumin, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82055 Assay ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82075 Assay breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82085 Assay of aldolase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82088 Aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82101 Assay of urine alkaloids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82103 Alpha-1-antitrypsin, total X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82104 Alpha-1-antitrypsin, pheno X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82105 Alpha-fetoprotein, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82106 Alpha-fetoprotein; amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82108 Assay, aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82128 Test for amino acids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82130 Amino acids analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82131 Amino acids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82135 Assay, aminolevulinic acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82140 Assay of ammonia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82143 Amniotic fluid scan X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82145 Assay of amphetamines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82150 Assay of amylase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82157 Assay of androstenedione X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82160 Androsterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82163 Assay of angiotensin II X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82164 Angiotensin I enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82172 Apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82175 Assay of arsenic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82180 Assay of ascorbic acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82205 Assay of barbiturates X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82232 Beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82239 Bile acids, total X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82240 Bile acids, cholylglycine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82250 Assay bilirubin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82251 Assay bilirubin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82252 Fecal bilirubin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82270 Test feces for blood X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82273 Test for blood, other source X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82286 Assay of bradykinin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82300 Assay cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82306 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82307 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82308 Assay of calcitonin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82310 Assay calcium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82330 Assay calcium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82331 Calcium infusion test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82340 Assay calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82355 Calculus (stone) analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82360 Calculus (stone) assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82365 Calculus (stone) assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82370 X-ray assay,calculus (stone) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82374 Assay blood carbon dioxide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82375 Assay blood carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82376 Test for carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82380 Assay carotene X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82382 Assay urine catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82383 Assay blood catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82384 Assay three catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82387 Cathepsin-D X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82390 Assay ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82415 Assay chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82435 Assay blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82436 Assay urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82438 Assay other fluid chlorides X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82441 Test for chlorohydrocarbons X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82465 Assay serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82480 Assay serum cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82482 Assay rbc cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82485 Assay chondroitin sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82486 Gas/liquid chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82487 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82488 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82489 Thin layer chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82491 Chromotography, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82495 Assay chromium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82507 Assay citrate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82520 Assay for cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82525 Assay copper X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82528 Assay corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82530 Cortisol, free X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82540 Assay creatine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82550 Assay CK (CPK) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82552 Assay CPK in blood X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82553 Creatine, MB fraction X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82554 Creatine, isoforms X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82565 Assay creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82570 Assay urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82575 Creatinine clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82585 Assay cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82595 Assay cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82600 Assay cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82607 Vitamin B-12 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82608 B-12 binding capacity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82615 Test for urine cystines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82638 Assay dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82646 Assay of dihydrocodeinone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82649 Assay of dihydromorphinone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82651 Dihydrotestosterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82652 Assay, dihydroxyvitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82654 Assay of dimethadione X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82666 Epiandrosterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82668 Erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82670 Estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82671 Estrogens assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82672 Estrogen assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82677 Estriol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82679 Estrone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82690 Ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82693 Ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82696 Etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82705 Fats/lipids,feces,qualitativ X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82710 Fats/lipids,feces,quantitati X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82715 Fecal fat assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82725 Assay blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82728 Assay ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82735 Assay fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82742 Assay of flurazepam X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82746 Blood folic acid serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82747 Folic acid, RBC X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82757 Assay semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82759 RBC galactokinase assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82760 Assay galactose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82775 Assay galactose transferase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82776 Galactose transferase test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82784 Assay gammaglobulin IgM X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82785 Assay, gammaglobulin IgE X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82787 IgG1, 2, 3 and 4 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82800 Blood pH X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82803 Blood gases: pH, pO2 & pCO2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82805 Blood gases W/02 saturation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82810 Blood gases, O2 sat only X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82820 Hemoglobin-oxygen affinity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82926 Assay gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82928 Assay gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82941 Assay of gastrin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82943 Assay of glucagon X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82946 Glucagon tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82947 Assay quantitative, glucose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82948 Reagent strip/blood glucose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82951 Glucose tolerance test (GTT) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82952 GTT-added samples X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82953 Glucose-tolbutamide test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82955 Assay G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82960 Test for G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82962 Glucose blood test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82963 Glucosidase assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82965 Assay GDH enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82975 Assay glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82977 Assay of GGT X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82978 Glutathione assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82979 Assay RBC glutathione enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82980 Assay of glutethimide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 82985 Glycated protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83001 Gonadotropin (FSH) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83002 Gonadotropin (LH) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83003 Assay growth hormone (HGH) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83008 Assay guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83010 Quant assay haptoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83012 Assay haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83015 Heavy metal screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83018 Quantitative screen, metals X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83019 Breath isotope test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83020 Assay hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8302026Assay hemoglobin A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 83026 Hemoglobin, copper sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83030 Fetal hemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83033 Fetal fecal hemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83036 Glycated hemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83045 Blood methemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83050 Blood methemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83051 Assay plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83055 Blood sulfhemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83060 Blood sulfhemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83065 Hemoglobin heat assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83068 Hemoglobin stability screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83069 Assay urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83070 Qualt assay hemosiderin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83071 Quant assay of hemosiderin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83088 Assay histamine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83150 Assay for HVA X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83491 Assay of corticosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83497 Assay 5-HIAA X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83498 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83499 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83500 Assay free hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83505 Assay total hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83516 Immunoassay, non antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83518 Immunoassay, dipstick X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83519 Immunoassay nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83520 Immunoassay, RIA X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83525 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83527 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83528 Assay intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83540 Assay iron X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83550 Iron binding test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83570 Assay IDH enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83582 Assay ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83586 Assay 17-(17-KS)ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83593 Fractionation ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83605 Lactic acid assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83615 Lactate (LD) (LDH) enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83625 Assay LDH enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83633 Test urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83634 Assay urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83655 Assay for lead X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83661 Assay L/S ratio X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83662 L/S ratio, foam stability X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83670 Assay LAP enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83690 Assay lipase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83715 Assay blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83717 Assay blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83718 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83719 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83721 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83727 LRH hormone assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83735 Assay magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83775 Assay of md enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83785 Assay of manganese X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83805 Assay of meprobamate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83825 Assay mercury X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83835 Assay metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83840 Assay methadone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83857 Assay methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83858 Assay methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83866 Mucopolysaccharides screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83872 Assay synovial fluid mucin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83873 Assay, CSF protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83874 Myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83883 Nephelometry, not specified X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83885 Assay for nickel X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83887 Assay nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83890 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83892 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83894 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83896 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83898 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83902 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83912 Genetic examination X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8391226Genetic examination A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 83915 Assay nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83918 Assay organic acids X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83925 Opiates X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83930 Assay blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83935 Assay urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83937 Assay for osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83945 Assay oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83970 Assay of parathormone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83986 Assay body fluid acidity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 83992 Assay for phencyclidine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84022 Assay of phenothiazine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84030 Assay blood PKU X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84035 Assay phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84060 Assay acid phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84061 Phosphatase, forensic exam X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84066 Assay prostate phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84075 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84078 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84080 Assay alkaline phosphatases X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84081 Amniotic fluid enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84085 Assay RBC PG6D enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84087 Assay phosphohexose enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84100 Assay phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84105 Assay urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84106 Test for porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84110 Assay porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84119 Test urine for porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84120 Assay urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84126 Assay feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84127 Porphyrins, feces X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84132 Assay serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84133 Assay urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84134 Prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84135 Assay pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84138 Assay pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84140 Assay for pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84143 Assay/17-hydroxypregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84144 Assay progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84146 Assay for prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84150 Assay of prostaglandin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84153 Prostate specific antigen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84155 Assay protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84160 Assay serum protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84165 Assay serum proteins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8416526Assay serum proteins A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 84181 Western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8418126Western blot test A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 84182 Protein, western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8418226Protein, western blot test A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 84202 Assay RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84203 Test RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84206 Assay of proinsulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84207 Assay vitamin B-6 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84210 Assay pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84220 Assay pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84228 Assay quinine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84233 Assay estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84234 Assay progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84235 Assay endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84238 Assay non-endocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84244 Assay of renin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84252 Assay vitamin B-2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84255 Assay selenium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84260 Assay serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84270 Sex hormone globulin (SHBG) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84275 Assay sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84285 Assay silica X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84295 Assay serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84300 Assay urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84305 Somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84307 Somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84315 Body fluid specific gravity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84375 Chromatogram assay, sugars X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84392 Assay urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84402 Testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84403 Assay total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84425 Assay vitamin B-1 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84430 Assay thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84432 Thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84436 Assay, total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84437 Assay neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84439 Assay, free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84442 Thyroid activity (TBG) assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84443 Assay thyroid stim hormone X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84445 Thyroid immunoglobulins TSI X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84446 Assay vitamin E X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84449 Assay for transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84450 Transferase (AST) (SGOT) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84460 Alanine amino (ALT) (SGPT) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84466 Transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84478 Assay triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84479 Assay thyroid (t-3 or t-4) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84480 Assay triiodothyronine (t-3) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84481 Free assay (FT-3) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84482 T3 reverse X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84484 Troponin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84485 Assay duodenal fluid trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84488 Test feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84490 Assay feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84510 Assay tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84512 Troponin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84520 Assay urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84525 Urea nitrogen semi-quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84540 Assay urine urea-N X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84545 Urea-N clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84550 Assay blood uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84560 Assay urine uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84577 Assay feces urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84578 Test urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84580 Assay urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84583 Assay urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84585 Assay urine VMA X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84586 VIP assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84588 Assay vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84590 Assay vitamin-A X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84597 Assay vitamin-K X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84600 Assay for volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84620 Xylose tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84630 Assay zinc X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84681 Assay C-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84702 Chorionic gonadotropin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84703 Chorionic gonadotropin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84830 Ovulation tests X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 84999 Clinical chemistry test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85002 Bleeding time test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85007 Differential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85008 Nondifferential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85009 Differential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85013 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85021 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85022 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85023 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85024 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85025 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85027 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85029 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85030 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85031 Manual hemogram,complete cbc X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85041 Red blood cell (RBC) count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85044 Reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85045 Reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85048 White blood cell (WBC) count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85060 Blood smear interpretation A 0.45 0.22 0.22 0.02 0.69 0.69 08XXX.00.00.000000090 36.6873 .917 85095 Bone marrow aspiration A 1.08 0.67 0.67 0.05 1.80 1.80 00XXX.00.00.000000091A4550 36.6873 .917 85097 Bone marrow interpretation A 0.94 0.48 0.48 0.04 1.46 1.46 00XXX.00.00.000000090 36.6873 .917 85102 Bone marrow biopsy A 1.37 0.80 0.80 0.05 2.22 2.22 00XXX.00.00.000000091A4550 36.6873 .917 85130 Chromogenic substrate assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85170 Blood clot retraction X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85175 Blood clot lysis time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85210 Blood clot factor II test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85220 Blood clot factor V test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85230 Blood clot factor VII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85240 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85244 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85245 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85246 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85247 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85250 Blood clot factor IX test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85260 Blood clot factor X test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85270 Blood clot factor XI test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85280 Blood clot factor XII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85290 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85291 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85292 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85293 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85300 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85301 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85302 Blood clot inhibitor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85303 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85305 Blood clot inhibitor assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85306 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85335 Factor inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85345 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85347 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85348 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85360 Euglobulin lysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85362 Fibrin degradation products X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85366 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85370 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85378 Fibrin degradation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85379 Fibrin degradation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85390 Fibrinolysins screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8539026Fibrinolysins screen A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 85400 Fibrinolytic plasmin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85410 Fibrinolytic antiplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85415 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85420 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85421 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85441 Heinz bodies; direct X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85445 Heinz bodies; induced X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85460 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85461 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85520 Heparin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85525 Heparin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85530 Heparin-protamine tolerance X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85535 Iron stain, blood cells X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85540 Wbc alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85547 RBC mechanical fragility X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85555 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85557 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85576 Blood platelet aggregation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8557626Blood platelet aggregation A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 85585 Blood platelet estimation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85590 Platelet manual count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85595 Platelet count, automated X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85597 Platelet neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85610 Prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85611 Prothrombin test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85612 Viper venom prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85613 Russell viper venom, diluted X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85635 Reptilase test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85651 Rbc sed rate, nonauto X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85652 Rbc sed rate, auto X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85660 RBC sickle cell test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85670 Thrombin time, plasma X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85675 Thrombin time, titer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85705 Thromboplastin inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85730 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85732 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85810 Blood viscosity examination X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 85999 Hematology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86000 Agglutinins; febrile X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86003 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86005 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86021 WBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86022 Platelet antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86023 Immunoglobulin assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86038 Antinuclear antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86039 Antinuclear antibodies (ANA) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86060 Antistreptolysin O titer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86063 Antistreptolysin O screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86077 Physician blood bank service A 0.94 0.30 0.30 0.02 1.26 1.26 00XXX.00.00.000000090 36.6873 .917 86078 Physician blood bank service A 0.94 0.34 0.34 0.02 1.30 1.30 00XXX.00.00.000000090 36.6873 .917 86079 Physician blood bank service A 0.94 0.33 0.33 0.02 1.29 1.29 00XXX.00.00.000000090 36.6873 .917 86140 C-reactive protein X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86147 Cardiolipin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86148 Phospholipid antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86155 Chemotaxis assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86156 Cold agglutinin screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86157 Cold agglutinin, titer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86160 Complement, antigen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86161 Complement/function activity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86162 Complement, total (CH50) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86171 Complement fixation, each X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86215 Deoxyribonuclease, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86225 DNA antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86226 DNA antibody, single strand X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86235 Nuclear antigen antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86243 Fc receptor X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86255 Fluorescent antibody; screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8625526Fluorescent antibody; screen A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 86256 Fluorescent antibody; titer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8625626Fluorescent antibody; titer A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 86277 Growth hormone antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86280 Hemagglutination inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86287 Hepatitis B (HBsAg) D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86289 Hepatitis BC antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86290 Hepatitis BC antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86291 Hepatitis BS antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86293 Hepatitis Be antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86295 Hepatitis Be antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86296 Hepatitis A antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86299 Hepatitis A antibody test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86302 Hepatitis C antibody D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86303 Hepatitis C antibody D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86306 Hepatitis, delta agent D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86308 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86309 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86310 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86311 HIV antigen test D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86313 Immunoassay,infectious agent D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86315 Immunoassay,infectious agent D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86316 Immunoassay, tumor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86317 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86318 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86320 Serum immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8632026Serum immunoelectrophoresis A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 86325 Other immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8632526Other immunoelectrophoresis A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 86327 Immunoelectrophoresis assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8632726Immunoelectrophoresis assay A 0.42 0.20 0.20 0.01 0.63 0.63 06XXX.00.00.000000090 36.6873 .917 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86331 Immunodiffusion ouchterlony X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86332 Immune complex assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86334 Immunofixation procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8633426Immunofixation procedure A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 86337 Insulin antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86340 Intrinsic factor antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86341 Islet cell antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86343 Leukocyte histamine release X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86344 Leukocyte phagocytosis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86353 Lymphocyte transformation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86359 T cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86360 T cell absolute count/ratio X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86361 T cell absolute count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86376 Microsomal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86378 Migration inhibitory factor X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86382 Neutralization test, viral X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86384 Nitroblue tetrazolium dye X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86403 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86406 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86430 Rheumatoid factor test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86431 Rheumatoid factor, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86485 Skin test, candida C 0.00 0.00 0.00 0.00 0.00 0.00 03XXX.00.00.000000010 36.6873 .917 86490 Coccidioidomycosis skin test A 0.00 0.28 0.28 0.02 0.30 0.30 03XXX.00.00.000000010 36.6873 .917 86510 Histoplasmosis skin test A 0.00 0.30 0.30 0.02 0.32 0.32 03XXX.00.00.000000010 36.6873 .917 86580 TB intradermal test A 0.00 0.24 0.24 0.02 0.26 0.26 03XXX.00.00.000000010 36.6873 .917 86585 TB tine test A 0.00 0.19 0.19 0.01 0.20 0.20 03XXX.00.00.000000010 36.6873 .917 86586 Skin test, unlisted C 0.00 0.00 0.00 0.00 0.00 0.00 03XXX.00.00.000000090 36.6873 .917 86588 Streptocollus, direct screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86590 Streptokinase, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86592 Blood serology, qualitative X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86593 Blood serology, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86602 Antinomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86603 Adenovirus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86606 Aspergillus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86609 Bacterium, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86612 Blastomyces, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86615 Bordetella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86617 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86618 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86619 Borrelia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86622 Brucella, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86625 Campylobacter, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86628 Candida, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86631 Chlamydia, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86632 Chlamydia, IgM, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86635 Coccidioides, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86638 Q fever antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86641 Cryptococcus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86644 CMV antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86645 CMV antibody, IgM X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86648 Diphtheria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86651 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86652 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86653 Encephalitis, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86654 Encephalitis, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86658 Enterovirus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86663 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86664 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86665 Epstein-barr, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86668 Francisella tularensis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86671 Fungus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86674 Giardia lamblia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86677 Helicobacter pylori X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86682 Helminth, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86684 Hemophilus influenza X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86687 HTLV I X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86688 HTLV-II X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86689 HTLV/HIV confirmatory test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86692 Hepatitis, delta agent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86694 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86695 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86701 HIV-1 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86702 HIV-2 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86703 HIV-1/HIV-2, single assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86704 Hep b core ab test, igg & m X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86705 Hep b core ab test, igm X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86706 Hepatitis b surface ab test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86707 Hepatitis be ab test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86708 Hep a ab test, igg & m X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86709 Hep a ab test, igm X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86710 Influenza virus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86713 Legionella X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86717 Leishmania X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86720 Leptospira X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86723 Listeria monocytogenes X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86727 Lymph choriomeningitis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86729 Lympho venereum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86732 Mucormycosis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86735 Mumps X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86738 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86741 Neisseria meningitidis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86744 Nocardia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86747 Parvovirus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86750 Malaria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86753 Protozoa, not elsewhere X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86756 Respiratory virus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86759 Rotavirus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86762 Rubella X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86765 Rubeola X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86768 Salmonella X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86771 Shigella X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86774 Tetanus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86777 Toxoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86778 Toxoplasma, IgM X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86781 Treponema pallidum confirm X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86784 Trichinella X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86787 Varicella-zoster X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86790 Virus, not specified X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86793 Yersinia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86800 Thyroglobulin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86803 Hepatitis c ab test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86804 Hep c ab test, confirm X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86805 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86806 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86807 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86808 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86812 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86813 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86816 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86817 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86821 Lymphocyte culture, mixed X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86822 Lymphocyte culture, primed X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86849 Immunology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86850 RBC antibody screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86860 RBC antibody elution X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86870 RBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86880 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86885 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86886 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86890 Autologous blood process X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86891 Autologous blood, op salvage X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86900 Blood typing, ABO X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86901 Blood typing, Rh (D) X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86903 Blood typing, antigen screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86904 Blood typing, patient serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86905 Blood typing, RBC antigens X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86906 Blood typing, Rh phenotype X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86910 Blood typing, paternity test N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86911 Blood typing, antigen system N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86915 Bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86920 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86921 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86922 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86927 Plasma, fresh frozen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86930 Frozen blood prep X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86931 Frozen blood thaw X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86932 Frozen blood, freeze/thaw X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86940 Hemolysins/agglutinins auto X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86941 Hemolysins/agglutinins X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86945 Blood product/irradiation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86950 Leukacyte transfusion X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86965 Pooling blood platelets X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86970 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86971 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86972 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86975 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86976 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86977 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86978 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86985 Split blood or products X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 86999 Transfusion procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87001 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87003 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87015 Specimen concentration X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87040 Blood culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87045 Stool culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87060 Nose/throat culture,bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87070 Culture specimen, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87072 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87075 Culture specimen, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87076 Bacteria identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87081 Bacteria culture screen X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87082 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87083 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87084 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87085 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87086 Urine culture, colony count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87087 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87088 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87101 Skin fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87102 Fungus isolation culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87103 Blood fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87106 Fungus identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87109 Mycoplasma culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87110 Culture, chlamydia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87116 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87117 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87118 Mycobacteria identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87140 Culture typing, fluorescent X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87143 Culture typing, GLC method X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87145 Culture typing, phage method X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87147 Culture typing, serologic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87151 Culture typing, serologic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87155 Culture typing, precipitin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87158 Culture typing, added method X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87163 Special microbiology culture X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87164 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8716426Dark field examination A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 87166 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87174 Endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87175 Assay, endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87176 Endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87177 Ova and parasites smears X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87178 Microbe identification D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87179 Microbe identification D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87181 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87184 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87186 Antibiotic sensitivity, MIC X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87187 Antibiotic sensitivity, MBC X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87188 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87190 TB antibiotic sensitivity X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87192 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87197 Bactericidal level, serum X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87205 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87206 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87207 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8720726Smear, stain & interpret A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 87208 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87210 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87211 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87220 Tissue exam for fungi X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87230 Assay, toxin or antitoxin X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87250 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87252 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87253 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87260 Adenovirus ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87265 Pertussis ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87270 Chylmd trach ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87272 Cryptosporidum ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87274 Herpes simplex ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87276 Influenza ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87278 Legion pneumo ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87280 Resp syncytial ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87285 Trepon pallidum ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87290 Varicella ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87299 Ag detection nos, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87301 Adenovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87320 Chylmd trach ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87324 Clostridium ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87328 Cryptospor ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87332 Cytomegalovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87335 E coli 0157 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87340 Hepatitis b surface ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87350 Hepatitis b ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87380 Hepatitis delta ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87385 Histoplasma capsul ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87390 Hiv-1 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87391 Hiv-2 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87420 Resp syncytial ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87425 Rotavirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87430 Strep a ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87449 Ag detect nos, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87450 Ag detect nos, eia, single X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87470 Bartonella, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87471 Bartonella, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87472 Bartonella, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87475 Lyme dis, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87476 Lyme dis, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87477 Lyme dis, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87480 Candida, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87481 Candida, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87482 Candida, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87485 Chylmd pneum, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87486 Chylmd pneum, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87487 Chylmd pneum, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87490 Chylmd trach, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87491 Chylmd trach, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87492 Chylmd trach, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87495 Cytomeg, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87496 Cytomeg, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87497 Cytomeg, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87510 Gardner vag, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87511 Gardner vag, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87512 Gardner vag, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87515 Hepatitis b, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87516 Hepatitis b , dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87517 Hepatitis b , dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87520 Hepatitis c , rna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87521 Hepatitis c , rna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87522 Hepatitis c, rna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87525 Hepatitis g , dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87526 Hepatitis g, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87527 Hepatitis g, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87528 Hsv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87529 Hsv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87530 Hsv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87531 Hhv-6, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87532 Hhv-6, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87533 Hhv-6, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87534 Hiv-1, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87535 Hiv-1, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87536 Hiv-1, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87537 Hiv-2, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87538 Hiv-2, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87539 Hiv-2, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87540 Legion pneumo, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87541 Legion pneumo, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87542 Legion pneumo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87550 Mycobacteria, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87551 Mycobacteria, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87552 Mycobacteria, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87555 M.tuberculo, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87556 M.tuberculo, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87557 M.tuberculo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87560 M.avium-intra, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87561 M.avium-intra, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87562 M.avium-intra, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87580 M.pneumon, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87581 M.pneumon, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87582 M.pneumon, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87590 N.gonorrhoeae, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87591 N.gonorrhoeae, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87592 N.gonorrhoeae, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87620 Hpv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87621 Hpv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87622 Hpv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87650 Strep a, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87651 Strep a, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87652 Strep a, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87797 Detect agent nos, dna, dir X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87798 Detect agent nos, dna, amp X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87799 Detect agent nos, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87810 Chylmd trach assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87850 N. gonorrhoeae assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87880 Strep a assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87899 Agent nos assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 87999 Microbiology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88000 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88005 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88007 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88012 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88014 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88016 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88020 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88025 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88027 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88028 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88029 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88036 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88037 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88040 Forensic autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88045 Coroner’s autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88099 Necropsy (autopsy) procedure N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88104 Cytopathology, fluids A 0.56 0.44 0.44 0.04 1.04 1.04 01XXX.00.00.000000090 36.6873 .917 88104TCCytopathology, fluids A 0.00 0.21 0.21 0.02 0.23 0.23 01XXX.00.00.000000090 36.6873 .917 8810426Cytopathology, fluids A 0.56 0.23 0.23 0.02 0.81 0.81 01XXX.00.00.000000090 36.6873 .917 88106 Cytopathology, fluids A 0.56 0.37 0.37 0.03 0.96 0.96 01XXX.00.00.000000090 36.6873 .917 88106TCCytopathology, fluids A 0.00 0.17 0.17 0.02 0.19 0.19 01XXX.00.00.000000090 36.6873 .917 8810626Cytopathology, fluids A 0.56 0.20 0.20 0.01 0.77 0.77 01XXX.00.00.000000090 36.6873 .917 88107 Cytopathology, fluids A 0.76 0.47 0.47 0.04 1.27 1.27 01XXX.00.00.000000090 36.6873 .917 88107TCCytopathology, fluids A 0.00 0.23 0.23 0.02 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 8810726Cytopathology, fluids A 0.76 0.24 0.24 0.02 1.02 1.02 01XXX.00.00.000000090 36.6873 .917 88108 Cytopath, concentrate tech A 0.56 0.47 0.47 0.04 1.07 1.07 01XXX.00.00.000000090 36.6873 .917 88108TCCytopath, concentrate tech A 0.00 0.23 0.23 0.02 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 8810826Cytopath, concentrate tech A 0.56 0.24 0.24 0.02 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 88125 Forensic cytopathology A 0.26 0.11 0.11 0.00 0.37 0.37 01XXX.00.00.000000010 36.6873 .917 88125TCForensic cytopathology A 0.00 0.04 0.04 0.00 0.04 0.04 01XXX.00.00.000000010 36.6873 .917 8812526Forensic cytopathology A 0.26 0.07 0.07 0.00 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 88130 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88140 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88141 Cytopath cerv/vag interpret A 0.42 0.32 0.32 0.04 0.78 0.78 08XXX.00.00.000000090 36.6873 .917 88142 Cytopath cerv/vag thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88150 Cytopath cerv/vag X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88151 Cytopathology interpretation D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8815126Cytopathology interpretation D 0.42 0.32 0.32 0.04 0.78 0.78 08XXX.00.00.000000090 36.6873 .917 88152 Cytopath cerv/vag auto X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88155 Cytopath cerv/vag index X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88156 Cytopath cerv/vag tbs X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88157 TBS smear (bethesda system) D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8815726TBS smear (bethesda system) D 0.42 0.32 0.32 0.04 0.78 0.78 08XXX.00.00.000000090 36.6873 .917 88158 Cytopath cerv/vag tbs auto X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88160 Cytopath smear, other source A 0.50 0.33 0.33 0.03 0.86 0.86 01XXX.00.00.000000090 36.6873 .917 88160TCCytopath smear, other source A 0.00 0.16 0.16 0.02 0.18 0.18 01XXX.00.00.000000090 36.6873 .917 8816026Cytopath smear, other source A 0.50 0.17 0.17 0.01 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 88161 Cytopath smear, other source A 0.50 0.39 0.39 0.03 0.92 0.92 01XXX.00.00.000000090 36.6873 .917 88161TCCytopath smear, other source A 0.00 0.19 0.19 0.02 0.21 0.21 01XXX.00.00.000000090 36.6873 .917 8816126Cytopath smear, other source A 0.50 0.20 0.20 0.01 0.71 0.71 01XXX.00.00.000000090 36.6873 .917 88162 Cytopath smear, other source A 0.76 0.79 0.79 0.05 1.60 1.60 01XXX.00.00.000000090 36.6873 .917 88162TCCytopath smear, other source A 0.00 0.38 0.38 0.02 0.40 0.40 01XXX.00.00.000000090 36.6873 .917 8816226Cytopath smear, other source A 0.76 0.41 0.41 0.03 1.20 1.20 01XXX.00.00.000000090 36.6873 .917 88170 Fine needle aspiration A 1.27 0.99 0.99 0.09 2.35 2.35 01XXX.00.00.000000010 36.6873 .917 88170TCFine needle aspiration A 0.00 0.47 0.47 0.04 0.51 0.51 01XXX.00.00.000000010 36.6873 .917 8817026Fine needle aspiration A 1.27 0.52 0.52 0.05 1.84 1.84 01XXX.00.00.000000090 36.6873 .917 88171 Fine needle aspiration A 1.27 1.35 1.35 0.09 2.71 2.71 01XXX.00.00.000000010 36.6873 .917 88171TCFine needle aspiration A 0.00 0.64 0.64 0.04 0.68 0.68 01XXX.00.00.000000010 36.6873 .917 8817126Fine needle aspiration A 1.27 0.71 0.71 0.05 2.03 2.03 01XXX.00.00.000000090 36.6873 .917 88172 Evaluation of smear A 0.60 0.71 0.71 0.05 1.36 1.36 01XXX.00.00.000000090 36.6873 .917 88172TCEvaluation of smear A 0.00 0.35 0.35 0.02 0.37 0.37 01XXX.00.00.000000090 36.6873 .917 8817226Evaluation of smear A 0.60 0.36 0.36 0.03 0.99 0.99 01XXX.00.00.000000090 36.6873 .917 88173 Interpretation of smear A 1.39 0.87 0.87 0.05 2.31 2.31 01XXX.00.00.000000090 36.6873 .917 88173TCInterpretation of smear A 0.00 0.42 0.42 0.02 0.44 0.44 01XXX.00.00.000000090 36.6873 .917 8817326Interpretation of smear A 1.39 0.45 0.45 0.03 1.87 1.87 01XXX.00.00.000000090 36.6873 .917 88180 Cell marker study A 0.36 0.33 0.33 0.03 0.72 0.72 01XXX.00.00.000000090 36.6873 .917 88180TCCell marker study A 0.00 0.16 0.16 0.02 0.18 0.18 01XXX.00.00.000000090 36.6873 .917 8818026Cell marker study A 0.36 0.17 0.17 0.01 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 88182 Cell marker study A 0.77 0.89 0.89 0.07 1.73 1.73 01XXX.00.00.000000090 36.6873 .917 88182TCCell marker study A 0.00 0.44 0.44 0.04 0.48 0.48 01XXX.00.00.000000090 36.6873 .917 8818226Cell marker study A 0.77 0.45 0.45 0.03 1.25 1.25 01XXX.00.00.000000090 36.6873 .917 88199 Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 88230 Tissue culture, lymphocyte X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88233 Tissue culture, skin/biopsy X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88235 Tissue culture, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88237 Tissue culture, bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88239 Tissue culture, other X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88245 Chromosome analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88248 Chromosome analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88250 Chromosome analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88260 Chromosome analysis: 5 cells X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88261 Chromosome analysis: 5 cells X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88262 Chromosome count:15-20 cells X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88263 Chromosome analysis:45 cells X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88267 Chromosome analysis:placenta X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88269 Chromosome analysis:amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88280 Chromosome karyotype study X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88283 Chromosome banding study X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88285 Chromosome count: additional X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88289 Chromosome study: additional X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 88299 Cytogenetic study C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 88300 Surg path, gross A 0.08 0.20 0.20 0.01 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 88300TCSurg path, gross A 0.00 0.10 0.10 0.00 0.10 0.10 01XXX.00.00.000000090 36.6873 .917 8830026Surg path, gross A 0.08 0.10 0.10 0.01 0.19 0.19 01XXX.00.00.000000090 36.6873 .917 88302 Tissue exam by pathologist A 0.13 0.40 0.40 0.04 0.57 0.57 01XXX.00.00.000000090 36.6873 .917 88302TCTissue exam by pathologist A 0.00 0.23 0.23 0.02 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 8830226Tissue exam by pathologist A 0.13 0.17 0.17 0.02 0.32 0.32 01XXX.00.00.000000090 36.6873 .917 88304 Tissue exam by pathologist A 0.22 0.57 0.57 0.04 0.83 0.83 01XXX.00.00.000000090 36.6873 .917 88304TCTissue exam by pathologist A 0.00 0.33 0.33 0.02 0.35 0.35 01XXX.00.00.000000090 36.6873 .917 8830426Tissue exam by pathologist A 0.22 0.24 0.24 0.02 0.48 0.48 01XXX.00.00.000000090 36.6873 .917 88305 Tissue exam by pathologist A 0.75 1.03 1.03 0.08 1.86 1.86 01XXX.00.00.000000090 36.6873 .917 88305TCTissue exam by pathologist A 0.00 0.50 0.50 0.04 0.54 0.54 01XXX.00.00.000000090 36.6873 .917 8830526Tissue exam by pathologist A 0.75 0.53 0.53 0.04 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 88307 Tissue exam by pathologist A 1.59 1.52 1.52 0.12 3.23 3.23 01XXX.00.00.000000090 36.6873 .917 88307TCTissue exam by pathologist A 0.00 0.74 0.74 0.06 0.80 0.80 01XXX.00.00.000000090 36.6873 .917 8830726Tissue exam by pathologist A 1.59 0.78 0.78 0.06 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 88309 Tissue exam by pathologist A 2.28 1.92 1.92 0.13 4.33 4.33 01XXX.00.00.000000090 36.6873 .917 88309TCTissue exam by pathologist A 0.00 0.93 0.93 0.06 0.99 0.99 01XXX.00.00.000000090 36.6873 .917 8830926Tissue exam by pathologist A 2.28 0.99 0.99 0.07 3.34 3.34 01XXX.00.00.000000090 36.6873 .917 88311 Decalcify tissue A 0.24 0.21 0.21 0.01 0.46 0.46 01XXX.00.00.000000010 36.6873 .917 88311TCDecalcify tissue A 0.00 0.10 0.10 0.00 0.10 0.10 01XXX.00.00.000000010 36.6873 .917 8831126Decalcify tissue A 0.24 0.11 0.11 0.01 0.36 0.36 01XXX.00.00.000000090 36.6873 .917 88312 Special stains A 0.54 0.26 0.26 0.01 0.81 0.81 01XXX.00.00.000000090 36.6873 .917 88312TCSpecial stains A 0.00 0.12 0.12 0.00 0.12 0.12 01XXX.00.00.000000090 36.6873 .917 8831226Special stains A 0.54 0.14 0.14 0.01 0.69 0.69 01XXX.00.00.000000090 36.6873 .917 88313 Special stains A 0.24 0.21 0.21 0.01 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 88313TCSpecial stains A 0.00 0.10 0.10 0.00 0.10 0.10 01XXX.00.00.000000090 36.6873 .917 8831326Special stains A 0.24 0.11 0.11 0.01 0.36 0.36 01XXX.00.00.000000090 36.6873 .917 88314 Histochemical stain A 0.45 0.62 0.62 0.04 1.11 1.11 01XXX.00.00.000000090 36.6873 .917 88314TCHistochemical stain A 0.00 0.27 0.27 0.02 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 8831426Histochemical stain A 0.45 0.35 0.35 0.02 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 88318 Chemical histochemistry A 0.42 0.24 0.24 0.01 0.67 0.67 01XXX.00.00.000000090 36.6873 .917 88318TCChemical histochemistry A 0.00 0.12 0.12 0.00 0.12 0.12 01XXX.00.00.000000090 36.6873 .917 8831826Chemical histochemistry A 0.42 0.12 0.12 0.01 0.55 0.55 01XXX.00.00.000000090 36.6873 .917 88319 Enzyme histochemistry A 0.53 0.49 0.49 0.04 1.06 1.06 01XXX.00.00.000000090 36.6873 .917 88319TCEnzyme histochemistry A 0.00 0.23 0.23 0.02 0.25 0.25 01XXX.00.00.000000090 36.6873 .917 8831926Enzyme histochemistry A 0.53 0.26 0.26 0.02 0.81 0.81 01XXX.00.00.000000090 36.6873 .917 88321 Microslide consultation A 1.30 0.41 0.41 0.03 1.74 1.74 00XXX.00.00.000000090 36.6873 .917 88323 Microslide consultation A 1.35 0.72 0.72 0.05 2.12 2.12 01XXX.00.00.000000090 36.6873 .917 88323TCMicroslide consultation A 0.00 0.33 0.33 0.02 0.35 0.35 01XXX.00.00.000000090 36.6873 .917 8832326Microslide consultation A 1.35 0.39 0.39 0.03 1.77 1.77 01XXX.00.00.000000090 36.6873 .917 88325 Comprehensive review of data A 2.22 0.47 0.47 0.04 2.73 2.73 00XXX.00.00.000000090 36.6873 .917 88329 Pathology consult in surgery A 0.67 0.37 0.37 0.03 1.07 1.07 00XXX.00.00.000000090 36.6873 .917 88331 Pathology consult in surgery A 1.19 1.10 1.10 0.08 2.37 2.37 01XXX.00.00.000000090 36.6873 .917 88331TCPathology consult in surgery A 0.00 0.54 0.54 0.04 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 8833126Pathology consult in surgery A 1.19 0.56 0.56 0.04 1.79 1.79 01XXX.00.00.000000090 36.6873 .917 88332 Pathology consult in surgery A 0.59 0.56 0.56 0.04 1.19 1.19 01XXX.00.00.000000090 36.6873 .917 88332TCPathology consult in surgery A 0.00 0.27 0.27 0.02 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 8833226Pathology consult in surgery A 0.59 0.29 0.29 0.02 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 88342 Immunocytochemistry A 0.85 0.64 0.64 0.04 1.53 1.53 01XXX.00.00.000000090 36.6873 .917 88342TCImmunocytochemistry A 0.00 0.31 0.31 0.02 0.33 0.33 01XXX.00.00.000000090 36.6873 .917 8834226Immunocytochemistry A 0.85 0.33 0.33 0.02 1.20 1.20 01XXX.00.00.000000090 36.6873 .917 88346 Immunofluorescent study A 0.86 0.58 0.58 0.04 1.48 1.48 01XXX.00.00.000000090 36.6873 .917 88346TCImmunofluorescent study A 0.00 0.27 0.27 0.02 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 8834626Immunofluorescent study A 0.86 0.31 0.31 0.02 1.19 1.19 01XXX.00.00.000000090 36.6873 .917 88347 Immunofluorescent study A 0.86 0.42 0.42 0.04 1.32 1.32 01XXX.00.00.000000090 36.6873 .917 88347TCImmunofluorescent study A 0.00 0.27 0.27 0.02 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 8834726Immunofluorescent study A 0.86 0.15 0.15 0.02 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 88348 Electron microscopy A 1.51 2.28 2.28 0.16 3.95 3.95 01XXX.00.00.000000090 36.6873 .917 88348TCElectron microscopy A 0.00 1.09 1.09 0.08 1.17 1.17 01XXX.00.00.000000090 36.6873 .917 8834826Electron microscopy A 1.51 1.19 1.19 0.08 2.78 2.78 01XXX.00.00.000000090 36.6873 .917 88349 Scanning electron microscopy A 0.76 1.55 1.55 0.12 2.43 2.43 01XXX.00.00.000000090 36.6873 .917 88349TCScanning electron microscopy A 0.00 0.76 0.76 0.06 0.82 0.82 01XXX.00.00.000000090 36.6873 .917 8834926Scanning electron microscopy A 0.76 0.79 0.79 0.06 1.61 1.61 01XXX.00.00.000000090 36.6873 .917 88355 Analysis, skeletal muscle A 1.85 1.74 1.74 0.13 3.72 3.72 01XXX.00.00.000000090 36.6873 .917 88355TCAnalysis, skeletal muscle A 0.00 0.82 0.82 0.06 0.88 0.88 01XXX.00.00.000000090 36.6873 .917 8835526Analysis, skeletal muscle A 1.85 0.92 0.92 0.07 2.84 2.84 01XXX.00.00.000000090 36.6873 .917 88356 Analysis, nerve A 3.02 2.66 2.66 0.18 5.86 5.86 01XXX.00.00.000000090 36.6873 .917 88356TCAnalysis, nerve A 0.00 1.27 1.27 0.08 1.35 1.35 01XXX.00.00.000000090 36.6873 .917 8835626Analysis, nerve A 3.02 1.39 1.39 0.10 4.51 4.51 01XXX.00.00.000000090 36.6873 .917 88358 Analysis, tumor A 2.82 2.32 2.32 0.16 5.30 5.30 01XXX.00.00.000000090 36.6873 .917 88358TCAnalysis, tumor A 0.00 1.16 1.16 0.08 1.24 1.24 01XXX.00.00.000000090 36.6873 .917 8835826Analysis, tumor A 2.82 1.16 1.16 0.08 4.06 4.06 01XXX.00.00.000000090 36.6873 .917 88362 Nerve teasing preparations A 2.17 1.97 1.97 0.13 4.27 4.27 01XXX.00.00.000000090 36.6873 .917 88362TCNerve teasing preparations A 0.00 0.97 0.97 0.06 1.03 1.03 01XXX.00.00.000000090 36.6873 .917 8836226Nerve teasing preparations A 2.17 1.00 1.00 0.07 3.24 3.24 01XXX.00.00.000000090 36.6873 .917 88365 Tissue hybridization A 0.93 0.75 0.75 0.05 1.73 1.73 01XXX.00.00.000000090 36.6873 .917 88365TCTissue hybridization A 0.00 0.37 0.37 0.02 0.39 0.39 01XXX.00.00.000000090 36.6873 .917 8836526Tissue hybridization A 0.93 0.38 0.38 0.03 1.34 1.34 01XXX.00.00.000000090 36.6873 .917 88371 Protein, western blot tissue X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8837126Protein, western blot tissue A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 88372 Protein analysis w/probe X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8837226Protein analysis w/probe A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 88399 Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 88399TCSurgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 8839926Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 89050 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89051 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89060 Exam,synovial fluid crystals X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 8906026Exam,synovial fluid crystals A 0.37 0.20 0.20 0.01 0.58 0.58 06XXX.00.00.000000090 36.6873 .917 89100 Sample intestinal contents A 0.60 0.42 0.42 0.03 1.05 1.05 00XXX.00.00.000000090 36.6873 .917 89105 Sample intestinal contents A 0.50 0.39 0.39 0.03 0.92 0.92 00XXX.00.00.000000090 36.6873 .917 89125 Specimen fat stain X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89130 Sample stomach contents A 0.45 0.41 0.41 0.03 0.89 0.89 00XXX.00.00.000000090 36.6873 .917 89132 Sample stomach contents A 0.19 0.19 0.19 0.02 0.40 0.40 00XXX.00.00.000000090 36.6873 .917 89135 Sample stomach contents A 0.79 0.58 0.58 0.04 1.41 1.41 00XXX.00.00.000000090 36.6873 .917 89136 Sample stomach contents A 0.21 0.22 0.22 0.02 0.45 0.45 00XXX.00.00.000000090 36.6873 .917 89140 Sample stomach contents A 0.94 0.81 0.81 0.07 1.82 1.82 00XXX.00.00.000000090 36.6873 .917 89141 Sample stomach contents A 0.85 0.73 0.73 0.06 1.64 1.64 00XXX.00.00.000000090 36.6873 .917 89160 Exam feces for meat fibers X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89190 Nasal smear for eosinophils X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89250 Fertilization of oocyte X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89251 Culture oocyte w/embryos X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89252 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89253 Embryo hatching X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89254 Oocyte identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89255 Prepare embryo for transfer X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89256 Prepare cryopreserved embryo X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89257 Sperm identification X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89258 Cryopreservation, embryo X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89259 Cryopreservation, sperm X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89260 Sperm isolation, simple X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89261 Sperm isolation, complex X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89300 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89310 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89320 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89325 Sperm antibody test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89329 Sperm evaluation test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89330 Evaluation, cervical mucus X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89350 Sputum specimen collection A 0.00 0.39 0.39 0.03 0.42 0.42 03XXX.00.00.000000010 36.6873 .917 89355 Exam feces for starch X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89360 Collect sweat for test A 0.00 0.43 0.43 0.03 0.46 0.46 03XXX.00.00.000000090 36.6873 .917 89365 Water load test X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 89399 Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 89399TCPathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 8939926Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 90700 DTaP immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90701 DTP immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90702 DT immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90703 Tetanus immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90704 Mumps immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90705 Measles immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90706 Rubella immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90707 MMR virus immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90708 Measles-rubella immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90709 Rubella & mumps immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90710 Combined vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90711 Combined vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90712 Oral poliovirus immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90713 Poliomyelitis immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90714 Typhoid immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90716 Chicken pox vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90717 Yellow fever immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90718 Td immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90719 Diphtheria immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90720 DTP/HIB vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90721 Dtap/hib vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90724 Influenza immunization X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90725 Cholera immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90726 Rabies immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90727 Plague immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90728 BCG immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90730 Hepatitis A vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90732 Pneumococcal immunization X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90733 Meningococcal immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90735 Encephalitis virus vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90737 Influenza B immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90741 Passive immunization, ISG E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90742 Special passive immunization E 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90744 Hepatitis B vaccine,under 11 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90745 Hepatitis B vaccine, 11-19 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90746 Hepatitis B vaccine, over 20 X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90747 Hepatitis B vaccine, ill pat X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90748 Hepatitis b/hib vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90749 Immunization procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 90780 IV infusion therapy, 1 hour A 0.00 1.06 1.06 0.08 1.14 1.14 05XXX.00.00.000000090 36.6873 .917 90781 IV infusion, additional hour A 0.00 0.53 0.53 0.04 0.57 0.57 05XXX.00.00.000000090 36.6873 .917 90782 Injection (SC)/(IM) T 0.00 0.10 0.10 0.01 0.11 0.11 05XXX.00.00.000000090 36.6873 .917 90783 Injection (IA) T 0.00 0.39 0.39 0.03 0.42 0.42 05XXX.00.00.000000090 36.6873 .917 90784 Injection (IV) T 0.00 0.45 0.45 0.04 0.49 0.49 05XXX.00.00.000000090 36.6873 .917 90788 Injection of antibiotic T 0.00 0.11 0.11 0.01 0.12 0.12 05XXX.00.00.000000090 36.6873 .917 90799 Therapeutic/diag injection C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 90801 Psy dx interview A 2.80 0.67 0.67 0.09 3.56 3.56 00XXX.00.00.000000090 36.6873 .917 90802 Intac psy dx interview A 3.01 0.38 0.38 0.05 3.44 3.44 00XXX.00.00.000000090 36.6873 .917 90804 Psytx, office (20-30) A 1.11 0.35 0.35 0.05 1.51 1.51 00XXX.00.00.000000090 36.6873 .917 90805 Psytx, office (20-30) w/e&m A 1.47 0.35 0.35 0.05 1.87 1.87 00XXX.00.00.000000090 36.6873 .917 90806 Psytx, office (45-50) A 1.73 0.54 0.54 0.08 2.35 2.35 00XXX.00.00.000000090 36.6873 .917 90807 Psytx, office (45-50) w/e&m A 2.00 0.54 0.54 0.08 2.62 2.62 00XXX.00.00.000000090 36.6873 .917 90808 Psytx, office (75-80) A 2.76 1.05 1.05 0.15 3.96 3.96 00XXX.00.00.000000090 36.6873 .917 90809 Psytx, office (75-80) w/e&m A 3.15 1.05 1.05 0.15 4.35 4.35 00XXX.00.00.000000090 36.6873 .917 90810 Intac psytx, office (20-30) A 1.19 0.59 0.59 0.09 1.87 1.87 00XXX.00.00.000000090 36.6873 .917 90811 Intac psytx, off 20-30 w/e&m A 1.58 0.59 0.59 0.09 2.26 2.26 00XXX.00.00.000000090 36.6873 .917 90812 Intac psytx, office (45-50) A 1.86 0.59 0.59 0.09 2.54 2.54 00XXX.00.00.000000090 36.6873 .917 90813 Intac psytx, off 45-50 w/e&m A 2.15 0.59 0.59 0.09 2.83 2.83 00XXX.00.00.000000090 36.6873 .917 90814 Intac psytx, office (75-80) A 2.97 0.59 0.59 0.09 3.65 3.65 00XXX.00.00.000000090 36.6873 .917 90815 Intac psytx, off 75-80 w/e&m A 3.39 0.59 0.59 0.09 4.07 4.07 00XXX.00.00.000000090 36.6873 .917 90816 Psytx, hosp (20-30) A 1.24 0.35 0.35 0.05 1.64 1.64 00XXX.00.00.000000090 36.6873 .917 90817 Psytx, hosp (20-30) w/e&m A 1.65 0.35 0.35 0.05 2.05 2.05 00XXX.00.00.000000090 36.6873 .917 90818 Psytx, hosp (45-50) A 1.94 0.54 0.54 0.08 2.56 2.56 00XXX.00.00.000000090 36.6873 .917 90819 Psytx, hosp (45-50) w/e&m A 2.24 0.54 0.54 0.08 2.86 2.86 00XXX.00.00.000000090 36.6873 .917 90820 Diagnostic interview D 3.01 0.38 0.38 0.05 3.44 3.44 00XXX.00.00.000000090 36.6873 .917 90821 Psytx, hosp (75-80) A 3.09 1.05 1.05 0.15 4.29 4.29 00XXX.00.00.000000090 36.6873 .917 90822 Psytx, hosp (75-80) w/e&m A 3.53 1.05 1.05 0.15 4.73 4.73 00XXX.00.00.000000090 36.6873 .917 90823 Intac psytx, hosp (20-30) A 1.33 0.59 0.59 0.09 2.01 2.01 00XXX.00.00.000000090 36.6873 .917 90824 Intac psytx, hsp 20-30 w/e&m A 1.77 0.59 0.59 0.09 2.45 2.45 00XXX.00.00.000000090 36.6873 .917 90825 Evaluation of tests/records D 0.97 0.31 0.31 0.04 1.32 1.32 99XXX.00.00.009999999 0.0000 .917 90826 Intac psytx, hosp (45-50) A 2.08 0.59 0.59 0.09 2.76 2.76 00XXX.00.00.000000090 36.6873 .917 90827 Intac psytx, hsp 45-50 w/e&m A 2.41 0.59 0.59 0.09 3.09 3.09 00XXX.00.00.000000090 36.6873 .917 90828 Intac psytx, hosp (75-80) A 3.32 0.59 0.59 0.09 4.00 4.00 00XXX.00.00.000000090 36.6873 .917 90829 Intac psytx, hsp 75-80 w/e&m A 3.80 0.59 0.59 0.09 4.48 4.48 00XXX.00.00.000000090 36.6873 .917 90835 Special interview D 2.84 0.50 0.50 0.07 3.41 3.41 00XXX.00.00.000000090 36.6873 .917 90841 Psychotherapy D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90842 Psychotherapy, 75-80 min. D 3.13 1.05 1.05 0.15 4.33 4.33 00XXX.00.00.000000090 36.6873 .917 90843 Psychotherapy, 20-30 min. D 1.47 0.35 0.35 0.05 1.87 1.87 00XXX.00.00.000000090 36.6873 .917 90844 Psychotherapy, 45-50 min. D 2.00 0.54 0.54 0.08 2.62 2.62 00XXX.00.00.000000090 36.6873 .917 90845 Psychoanalysis A 1.79 0.41 0.41 0.05 2.25 2.25 00XXX.00.00.000000090 36.6873 .917 90846 Family psytx w/o patient R 1.83 0.62 0.62 0.08 2.53 2.53 00XXX.00.00.000000090 36.6873 .917 90847 Family psytx w/patient R 2.21 0.58 0.58 0.08 2.87 2.87 00XXX.00.00.000000090 36.6873 .917 90849 Multiple family group psytx R 0.59 0.26 0.26 0.03 0.88 0.88 00XXX.00.00.000000090 36.6873 .917 90853 Group psychotherapy A 0.59 0.26 0.26 0.03 0.88 0.88 00XXX.00.00.000000090 36.6873 .917 90855 Individual psychotherapy D 2.15 0.59 0.59 0.09 2.83 2.83 00XXX.00.00.000000090 36.6873 .917 90857 Intac group psytx A 0.63 0.15 0.15 0.02 0.80 0.80 00XXX.00.00.000000090 36.6873 .917 90862 Medication management A 0.95 0.37 0.37 0.05 1.37 1.37 00XXX.00.00.000000090 36.6873 .917 90865 Narcosynthesis A 2.84 0.50 0.50 0.07 3.41 3.41 00XXX.00.00.000000090 36.6873 .917 90870 Electroconvulsive therapy A 1.88 0.55 0.55 0.08 2.51 2.51 00000.00.00.000000090 36.6873 .917 90871 Electroconvulsive therapy A 2.72 0.83 0.83 0.13 3.68 3.68 00000.00.00.000000090 36.6873 .917 90875 Psychophysiological therapy N 1.20 0.00 0.00 0.00 1.20 1.20 99XXX.00.00.009999999 0.0000 .917 90876 Psychophysiological therapy N 1.90 0.00 0.00 0.00 1.90 1.90 99XXX.00.00.009999999 0.0000 .917 90880 Hypnotherapy A 2.19 0.64 0.64 0.07 2.90 2.90 00XXX.00.00.000000090 36.6873 .917 90882 Environmental manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90885 Psy evaluation of records B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90887 Consultation with family B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90889 Preparation of report B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90899 Psychiatric service/therapy C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 90901 Biofeedback, any method A 0.41 0.97 0.97 0.07 1.45 1.45 00000.00.00.000000090 36.6873 .917 90911 Biofeedback peri/uro/rectal A 0.89 1.13 1.13 0.27 2.29 2.29 00000.00.00.000000090 36.6873 .917 90918 ESRD related services, month A 11.18 2.19 2.19 0.14 13.51 13.51 00XXX.00.00.000000090 36.6873 .917 90919 ESRD related services, month A 8.54 2.19 2.19 0.14 10.87 10.87 00XXX.00.00.000000090 36.6873 .917 90920 ESRD related services, month A 7.27 2.19 2.19 0.14 9.60 9.60 00XXX.00.00.000000090 36.6873 .917 90921 ESRD related services, month A 4.47 2.19 2.19 0.14 6.80 6.80 00XXX.00.00.000000090 36.6873 .917 90922 ESRD related services, day A 0.37 0.07 0.07 0.01 0.45 0.45 00XXX.00.00.000000090 36.6873 .917 90923 Esrd related services, day A 0.28 0.07 0.07 0.01 0.36 0.36 00XXX.00.00.000000090 36.6873 .917 90924 Esrd related services, day A 0.24 0.07 0.07 0.01 0.32 0.32 00XXX.00.00.000000090 36.6873 .917 90925 Esrd related services, day A 0.15 0.07 0.07 0.01 0.23 0.23 00XXX.00.00.000000090 36.6873 .917 90935 Hemodialysis, one evaluation A 1.22 1.34 1.34 0.10 2.66 2.66 00000.00.00.000000090 36.6873 .917 90937 Hemodialysis, repeated eval. A 2.11 2.32 2.32 0.18 4.61 4.61 00000.00.00.000000090 36.6873 .917 90945 Dialysis, one evaluation A 1.28 1.27 1.27 0.08 2.63 2.63 00000.00.00.000000090 36.6873 .917 90947 Dialysis, repeated eval. A 2.16 2.09 2.09 0.14 4.39 4.39 00000.00.00.000000090 36.6873 .917 90989 Dialysis training/complete X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90993 Dialysis training/incomplete X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 90997 Hemoperfusion A 1.84 2.02 2.02 0.16 4.02 4.02 00000.00.00.000000090 36.6873 .917 90999 Dialysis procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 91000 Esophageal intubation A 0.73 0.66 0.66 0.06 1.45 1.45 01000.00.00.000000030 36.6873 .917 91000TCEsophageal intubation A 0.00 0.07 0.07 0.01 0.08 0.08 01000.00.00.000000030 36.6873 .917 9100026Esophageal intubation A 0.73 0.59 0.59 0.05 1.37 1.37 01000.00.00.000000090 36.6873 .917 91010 Esophagus motility study A 1.25 2.16 2.16 0.17 3.58 3.58 01000.00.00.000000030 36.6873 .917 91010TCEsophagus motility study A 0.00 0.78 0.78 0.06 0.84 0.84 01000.00.00.000000030 36.6873 .917 9101026Esophagus motility study A 1.25 1.38 1.38 0.11 2.74 2.74 01000.00.00.000000090 36.6873 .917 91011 Esophagus motility study A 1.50 2.63 2.63 0.18 4.31 4.31 01000.00.00.000000030 36.6873 .917 91011TCEsophagus motility study A 0.00 0.98 0.98 0.07 1.05 1.05 01000.00.00.000000030 36.6873 .917 9101126Esophagus motility study A 1.50 1.65 1.65 0.11 3.26 3.26 01000.00.00.000000090 36.6873 .917 91012 Esophagus motility study A 1.46 2.71 2.71 0.23 4.40 4.40 01000.00.00.000000030 36.6873 .917 91012TCEsophagus motility study A 0.00 1.10 1.10 0.08 1.18 1.18 01000.00.00.000000030 36.6873 .917 9101226Esophagus motility study A 1.46 1.61 1.61 0.15 3.22 3.22 01000.00.00.000000090 36.6873 .917 91020 Gastric motility A 1.44 2.31 2.31 0.18 3.93 3.93 01000.00.00.000000030 36.6873 .917 91020TCGastric motility A 0.00 0.73 0.73 0.06 0.79 0.79 01000.00.00.000000030 36.6873 .917 9102026Gastric motility A 1.44 1.58 1.58 0.12 3.14 3.14 01000.00.00.000000090 36.6873 .917 91030 Acid perfusion of esophagus A 0.91 0.56 0.56 0.05 1.52 1.52 01000.00.00.000000030 36.6873 .917 91030TCAcid perfusion of esophagus A 0.00 0.21 0.21 0.02 0.23 0.23 01000.00.00.000000030 36.6873 .917 9103026Acid perfusion of esophagus A 0.91 0.35 0.35 0.03 1.29 1.29 01000.00.00.000000090 36.6873 .917 91032 Esophagus, acid reflux test A 1.21 1.96 1.96 0.16 3.33 3.33 01000.00.00.000000030 36.6873 .917 91032TCEsophagus, acid reflux test A 0.00 0.71 0.71 0.06 0.77 0.77 01000.00.00.000000030 36.6873 .917 9103226Esophagus, acid reflux test A 1.21 1.25 1.25 0.10 2.56 2.56 01000.00.00.000000090 36.6873 .917 91033 Prolonged acid reflux test A 1.30 2.71 2.71 0.25 4.26 4.26 01000.00.00.000000030 36.6873 .917 91033TCProlonged acid reflux test A 0.00 1.28 1.28 0.11 1.39 1.39 01000.00.00.000000030 36.6873 .917 9103326Prolonged acid reflux test A 1.30 1.43 1.43 0.14 2.87 2.87 01000.00.00.000000090 36.6873 .917 91052 Gastric analysis test A 0.79 0.82 0.82 0.07 1.68 1.68 01000.00.00.000000030 36.6873 .917 91052TCGastric analysis test A 0.00 0.32 0.32 0.03 0.35 0.35 01000.00.00.000000030 36.6873 .917 9105226Gastric analysis test A 0.79 0.50 0.50 0.04 1.33 1.33 01000.00.00.000000090 36.6873 .917 91055 Gastric intubation for smear A 0.94 0.80 0.80 0.06 1.80 1.80 01000.00.00.000000030 36.6873 .917 91055TCGastric intubation for smear A 0.00 0.29 0.29 0.02 0.31 0.31 01000.00.00.000000030 36.6873 .917 9105526Gastric intubation for smear A 0.94 0.51 0.51 0.04 1.49 1.49 01000.00.00.000000090 36.6873 .917 91060 Gastric saline load test A 0.45 0.71 0.71 0.06 1.22 1.22 01000.00.00.000000030 36.6873 .917 91060TCGastric saline load test A 0.00 0.21 0.21 0.02 0.23 0.23 01000.00.00.000000030 36.6873 .917 9106026Gastric saline load test A 0.45 0.50 0.50 0.04 0.99 0.99 01000.00.00.000000090 36.6873 .917 91065 Breath hydrogen test A 0.20 0.56 0.56 0.05 0.81 0.81 01000.00.00.000000010 36.6873 .917 91065TCBreath hydrogen test A 0.00 0.34 0.34 0.02 0.36 0.36 01000.00.00.000000010 36.6873 .917 9106526Breath hydrogen test A 0.20 0.22 0.22 0.03 0.45 0.45 01000.00.00.000000090 36.6873 .917 91100 Pass intestine bleeding tube A 1.08 0.56 0.56 0.05 1.69 1.69 00000.00.00.000000090 36.6873 .917 91105 Gastric intubation treatment A 0.37 0.41 0.41 0.04 0.82 0.82 00000.00.00.000000090 36.6873 .917 91122 Anal pressure record A 1.77 1.73 1.73 0.22 3.72 3.72 01000.00.00.000000030 36.6873 .917 91122TCAnal pressure record A 0.00 0.67 0.67 0.09 0.76 0.76 01000.00.00.000000030 36.6873 .917 9112226Anal pressure record A 1.77 1.06 1.06 0.13 2.96 2.96 01000.00.00.000000090 36.6873 .917 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 92002 Eye exam, new patient A 0.88 0.49 0.49 0.02 1.39 1.39 10XXX.00.00.000200090 36.6873 .917 92004 Eye exam, new patient A 1.67 0.57 0.57 0.02 2.26 2.26 10XXX.00.00.000200090 36.6873 .917 92012 Eye exam established pt A 0.67 0.44 0.44 0.02 1.13 1.13 10XXX.00.00.000200090 36.6873 .917 92014 Eye exam & treatment A 1.10 0.54 0.54 0.02 1.66 1.66 10XXX.00.00.000200090 36.6873 .917 92015 Refraction N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92018 New eye exam & treatment A 1.51 0.47 0.47 0.03 2.01 2.01 00XXX.00.00.000000090 36.6873 .917 92019 Eye exam & treatment A 1.31 0.47 0.47 0.03 1.81 1.81 10XXX.00.00.000000090 36.6873 .917 92020 Special eye evaluation A 0.37 0.29 0.29 0.01 0.67 0.67 10XXX.00.00.000200090 36.6873 .917 92060 Special eye evaluation A 0.69 0.39 0.39 0.02 1.10 1.10 01XXX.00.00.000200090 36.6873 .917 92060TCSpecial eye evaluation A 0.00 0.18 0.18 0.01 0.19 0.19 01XXX.00.00.000200090 36.6873 .917 9206026Special eye evaluation A 0.69 0.21 0.21 0.01 0.91 0.91 01XXX.00.00.000200090 36.6873 .917 92065 Orthoptic/pleoptic training A 0.37 0.36 0.36 0.01 0.74 0.74 01XXX.00.00.000200090 36.6873 .917 92065TCOrthoptic/pleoptic training A 0.00 0.16 0.16 0.00 0.16 0.16 01XXX.00.00.000200090 36.6873 .917 9206526Orthoptic/pleoptic training A 0.37 0.20 0.20 0.01 0.58 0.58 01XXX.00.00.000200090 36.6873 .917 92070 Fitting of contact lens A 0.70 1.20 1.20 0.06 1.96 1.96 10XXX.00.00.000300090 36.6873 .917 92081 Visual field examination(s) A 0.36 0.32 0.32 0.01 0.69 0.69 01XXX.00.00.000200010 36.6873 .917 92081TCVisual field examination(s) A 0.00 0.15 0.15 0.00 0.15 0.15 01XXX.00.00.000200010 36.6873 .917 9208126Visual field examination(s) A 0.36 0.17 0.17 0.01 0.54 0.54 01XXX.00.00.000200090 36.6873 .917 92082 Visual field examination(s) A 0.44 0.49 0.49 0.02 0.95 0.95 01XXX.00.00.000200010 36.6873 .917 92082TCVisual field examination(s) A 0.00 0.19 0.19 0.01 0.20 0.20 01XXX.00.00.000200010 36.6873 .917 9208226Visual field examination(s) A 0.44 0.30 0.30 0.01 0.75 0.75 01XXX.00.00.000200090 36.6873 .917 92083 Visual field examination(s) A 0.50 0.83 0.83 0.04 1.37 1.37 01XXX.00.00.000200010 36.6873 .917 92083TCVisual field examination(s) A 0.00 0.28 0.28 0.01 0.29 0.29 01XXX.00.00.000200010 36.6873 .917 9208326Visual field examination(s) A 0.50 0.55 0.55 0.03 1.08 1.08 01XXX.00.00.000200090 36.6873 .917 92100 Serial tonometry exam(s) A 0.92 0.25 0.25 0.01 1.18 1.18 10XXX.00.00.000200090 36.6873 .917 92120 Tonography & eye evaluation A 0.81 0.31 0.31 0.02 1.14 1.14 10XXX.00.00.000200090 36.6873 .917 92130 Water provocation tonography A 0.81 0.49 0.49 0.02 1.32 1.32 10XXX.00.00.000200090 36.6873 .917 92140 Glaucoma provocative tests A 0.50 0.30 0.30 0.01 0.81 0.81 10XXX.00.00.000200090 36.6873 .917 92225 Special eye exam, initial A 0.38 0.45 0.45 0.02 0.85 0.85 10XXX.00.00.000300090 36.6873 .917 92226 Special eye exam, subsequent A 0.33 0.40 0.40 0.02 0.75 0.75 10XXX.00.00.000300090 36.6873 .917 92230 Eye exam with photos A 0.60 0.69 0.69 0.04 1.33 1.33 10XXX.00.00.000300090 36.6873 .917 92235 Eye exam with photos A 0.81 1.58 1.58 0.09 2.48 2.48 01XXX.00.00.000300020 36.6873 .917 92235TCEye exam with photos A 0.00 0.99 0.99 0.06 1.05 1.05 01XXX.00.00.000300020 36.6873 .917 9223526Eye exam with photos A 0.81 0.59 0.59 0.03 1.43 1.43 01XXX.00.00.000300090 36.6873 .917 92240 Icg angiography A 1.10 1.58 1.58 0.09 2.77 2.77 01XXX.00.00.000300020 36.6873 .917 92240TCIcg angiography A 0.00 0.99 0.99 0.06 1.05 1.05 01XXX.00.00.000300020 36.6873 .917 9224026Icg angiography A 1.10 0.59 0.59 0.03 1.72 1.72 01XXX.00.00.000300090 36.6873 .917 92250 Eye exam with photos A 0.44 0.42 0.42 0.02 0.88 0.88 01XXX.00.00.000200020 36.6873 .917 92250TCEye exam with photos A 0.00 0.17 0.17 0.01 0.18 0.18 01XXX.00.00.000200020 36.6873 .917 9225026Eye exam with photos A 0.44 0.25 0.25 0.01 0.70 0.70 01XXX.00.00.000200090 36.6873 .917 92260 Ophthalmoscopy/dynamometry A 0.20 0.54 0.54 0.03 0.77 0.77 10XXX.00.00.000200090 36.6873 .917 92265 Eye muscle evaluation A 0.81 0.29 0.29 0.02 1.12 1.12 01XXX.00.00.000200030 36.6873 .917 92265TCEye muscle evaluation A 0.00 0.22 0.22 0.02 0.24 0.24 01XXX.00.00.000200030 36.6873 .917 9226526Eye muscle evaluation A 0.81 0.07 0.07 0.00 0.88 0.88 01XXX.00.00.000200090 36.6873 .917 92270 Electro-oculography A 0.81 0.67 0.67 0.05 1.53 1.53 01XXX.00.00.000200030 36.6873 .917 92270TCElectro-oculography A 0.00 0.30 0.30 0.02 0.32 0.32 01XXX.00.00.000200030 36.6873 .917 9227026Electro-oculography A 0.81 0.37 0.37 0.03 1.21 1.21 01XXX.00.00.000200090 36.6873 .917 92275 Electroretinography A 1.01 0.90 0.90 0.05 1.96 1.96 01XXX.00.00.000200030 36.6873 .917 92275TCElectroretinography A 0.00 0.39 0.39 0.02 0.41 0.41 01XXX.00.00.000200030 36.6873 .917 9227526Electroretinography A 1.01 0.51 0.51 0.03 1.55 1.55 01XXX.00.00.000200090 36.6873 .917 92283 Color vision examination A 0.17 0.29 0.29 0.01 0.47 0.47 01XXX.00.00.000200010 36.6873 .917 92283TCColor vision examination A 0.00 0.12 0.12 0.00 0.12 0.12 01XXX.00.00.000200010 36.6873 .917 9228326Color vision examination A 0.17 0.17 0.17 0.01 0.35 0.35 01XXX.00.00.000200090 36.6873 .917 92284 Dark adaptation eye exam A 0.24 0.45 0.45 0.02 0.71 0.71 01XXX.00.00.000200030 36.6873 .917 92284TCDark adaptation eye exam A 0.00 0.17 0.17 0.01 0.18 0.18 01XXX.00.00.000200030 36.6873 .917 9228426Dark adaptation eye exam A 0.24 0.28 0.28 0.01 0.53 0.53 01XXX.00.00.000200090 36.6873 .917 92285 Eye photography A 0.20 0.29 0.29 0.01 0.50 0.50 01XXX.00.00.000200020 36.6873 .917 92285TCEye photography A 0.00 0.11 0.11 0.00 0.11 0.11 01XXX.00.00.000200020 36.6873 .917 9228526Eye photography A 0.20 0.18 0.18 0.01 0.39 0.39 01XXX.00.00.000200090 36.6873 .917 92286 Internal eye photography A 0.66 1.22 1.22 0.07 1.95 1.95 01XXX.00.00.000200030 36.6873 .917 92286TCInternal eye photography A 0.00 0.39 0.39 0.02 0.41 0.41 01XXX.00.00.000200030 36.6873 .917 9228626Internal eye photography A 0.66 0.83 0.83 0.05 1.54 1.54 01XXX.00.00.000200090 36.6873 .917 92287 Internal eye photography A 0.81 1.52 1.52 0.08 2.41 2.41 10XXX.00.00.000200090 36.6873 .917 92310 Contact lens fitting N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92311 Contact lens fitting A 1.08 0.90 0.90 0.03 2.01 2.01 10XXX.00.00.000000090 36.6873 .917 92312 Contact lens fitting A 1.26 1.16 1.16 0.03 2.45 2.45 10XXX.00.00.000200090 36.6873 .917 92313 Contact lens fitting A 0.92 0.88 0.88 0.03 1.83 1.83 10XXX.00.00.000000090 36.6873 .917 92314 Prescription of contact lens N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92315 Prescription of contact lens A 0.45 0.66 0.66 0.03 1.14 1.14 10XXX.00.00.000000090 36.6873 .917 92316 Prescription of contact lens A 0.68 0.95 0.95 0.04 1.67 1.67 10XXX.00.00.000200090 36.6873 .917 92317 Prescription of contact lens A 0.45 0.39 0.39 0.02 0.86 0.86 10XXX.00.00.000000090 36.6873 .917 92325 Modification of contact lens A 0.00 0.38 0.38 0.01 0.39 0.39 05XXX.00.00.000000090 36.6873 .917 92326 Replacement of contact lens A 0.00 1.56 1.56 0.06 1.62 1.62 05XXX.00.00.000000090 36.6873 .917 92330 Fitting of artificial eye A 1.08 1.13 1.13 0.09 2.30 2.30 10XXX.00.00.000000090 36.6873 .917 92335 Fitting of artificial eye A 0.45 1.97 1.97 0.11 2.53 2.53 10XXX.00.00.000000090 36.6873 .917 92340 Fitting of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92341 Fitting of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92342 Fitting of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92352 Special spectacles fitting B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92353 Special spectacles fitting B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92354 Special spectacles fitting B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92355 Special spectacles fitting B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92358 Eye prosthesis service B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92370 Repair & adjust spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92371 Repair & adjust spectacles B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92390 Supply of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92391 Supply of contact lenses N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92392 Supply of low vision aids I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92393 Supply of artificial eye I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92395 Supply of spectacles I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92396 Supply of contact lenses I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92499 Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 92499TCEye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 9249926Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 92502 Ear and throat examination A 1.51 1.12 1.12 0.12 2.75 2.75 00000.00.00.000000090 36.6873 .917 92504 Ear microscopy examination A 0.18 0.26 0.26 0.02 0.46 0.46 10XXX.00.00.000000090 36.6873 .917 92506 Speech & hearing evaluation A 0.86 0.52 0.52 0.05 1.43 1.43 10XXX.00.00.000000090 36.6873 .917 92507 Speech/hearing therapy A 0.52 0.33 0.33 0.03 0.88 0.88 10XXX.00.00.000000090 36.6873 .917 92508 Speech/hearing therapy A 0.26 0.18 0.18 0.02 0.46 0.46 10XXX.00.00.000000090 36.6873 .917 92510 Rehab for ear implant A 1.50 1.36 1.36 0.15 3.01 3.01 10XXX.00.00.000000090 36.6873 .917 92511 Nasopharyngoscopy A 0.84 0.85 0.85 0.09 1.78 1.78 10000.00.00.000000090 36.6873 .917 92512 Nasal function studies A 0.55 0.47 0.47 0.05 1.07 1.07 10XXX.00.00.000000090 36.6873 .917 92516 Facial nerve function test A 0.43 0.39 0.39 0.04 0.86 0.86 10XXX.00.00.000000090 36.6873 .917 92520 Laryngeal function studies A 0.76 0.53 0.53 0.05 1.34 1.34 10XXX.00.00.000000090 36.6873 .917 92525 Oral function evaluation A 1.50 1.02 1.02 0.11 2.63 2.63 10XXX.00.00.000000090 36.6873 .917 92526 Oral function therapy A 0.55 0.47 0.47 0.05 1.07 1.07 10XXX.00.00.000000090 36.6873 .917 92531 Spontaneous nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92532 Positional nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92533 Caloric vestibular test B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92534 Optokinetic nystagmus B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92541 Spontaneous nystagmus test A 0.40 0.67 0.67 0.07 1.14 1.14 01XXX.00.00.000000020 36.6873 .917 92541TCSpontaneous nystagmus test A 0.00 0.22 0.22 0.02 0.24 0.24 01XXX.00.00.000000020 36.6873 .917 9254126Spontaneous nystagmus test A 0.40 0.45 0.45 0.05 0.90 0.90 01XXX.00.00.000000090 36.6873 .917 92542 Positional nystagmus test A 0.33 0.61 0.61 0.07 1.01 1.01 01XXX.00.00.000000020 36.6873 .917 92542TCPositional nystagmus test A 0.00 0.25 0.25 0.03 0.28 0.28 01XXX.00.00.000000020 36.6873 .917 9254226Positional nystagmus test A 0.33 0.36 0.36 0.04 0.73 0.73 01XXX.00.00.000000090 36.6873 .917 92543 Caloric vestibular test A 0.10 0.21 0.21 0.02 0.33 0.33 01XXX.00.00.000900020 36.6873 .917 92543TCCaloric vestibular test A 0.00 0.10 0.10 0.01 0.11 0.11 01XXX.00.00.000900020 36.6873 .917 9254326Caloric vestibular test A 0.10 0.11 0.11 0.01 0.22 0.22 01XXX.00.00.000900090 36.6873 .917 92544 Optokinetic nystagmus test A 0.26 0.47 0.47 0.05 0.78 0.78 01XXX.00.00.000000020 36.6873 .917 92544TCOptokinetic nystagmus test A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000000020 36.6873 .917 9254426Optokinetic nystagmus test A 0.26 0.27 0.27 0.03 0.56 0.56 01XXX.00.00.000000090 36.6873 .917 92545 Oscillating tracking test A 0.23 0.40 0.40 0.04 0.67 0.67 01XXX.00.00.000000020 36.6873 .917 92545TCOscillating tracking test A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000000020 36.6873 .917 9254526Oscillating tracking test A 0.23 0.20 0.20 0.02 0.45 0.45 01XXX.00.00.000000090 36.6873 .917 92546 Sinusoidal rotational test A 0.29 0.53 0.53 0.05 0.87 0.87 01XXX.00.00.000000020 36.6873 .917 92546TCSinusoidal rotational test A 0.00 0.23 0.23 0.02 0.25 0.25 01XXX.00.00.000000020 36.6873 .917 9254626Sinusoidal rotational test A 0.29 0.30 0.30 0.03 0.62 0.62 01XXX.00.00.000000090 36.6873 .917 92547 Supplemental electrical test A 0.00 0.53 0.53 0.06 0.59 0.59 03XXX.00.00.000000020 36.6873 .917 92548 Posturography A 0.50 1.85 1.85 0.19 2.54 2.54 01XXX.00.00.000000020 36.6873 .917 92548TCPosturography A 0.00 1.40 1.40 0.14 1.54 1.54 01XXX.00.00.000000020 36.6873 .917 9254826Posturography A 0.50 0.45 0.45 0.05 1.00 1.00 01XXX.00.00.000000090 36.6873 .917 92551 Pure tone hearing test, air N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92552 Pure tone audiometry, air A 0.00 0.42 0.42 0.04 0.46 0.46 03XXX.00.00.000200050 36.6873 .917 92553 Audiometry, air & bone A 0.00 0.63 0.63 0.07 0.70 0.70 03XXX.00.00.000200050 36.6873 .917 92555 Speech threshold audiometry A 0.00 0.36 0.36 0.04 0.40 0.40 03XXX.00.00.000200050 36.6873 .917 92556 Speech audiometry, complete A 0.00 0.54 0.54 0.06 0.60 0.60 03XXX.00.00.000200050 36.6873 .917 92557 Comprehensive hearing test A 0.00 1.13 1.13 0.13 1.26 1.26 03XXX.00.00.000200050 36.6873 .917 92559 Group audiometric testing N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92560 Bekesy audiometry, screen N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92561 Bekesy audiometry, diagnosis A 0.00 0.68 0.68 0.07 0.75 0.75 03XXX.00.00.000200050 36.6873 .917 92562 Loudness balance test A 0.00 0.39 0.39 0.04 0.43 0.43 03XXX.00.00.000200050 36.6873 .917 92563 Tone decay hearing test A 0.00 0.36 0.36 0.04 0.40 0.40 03XXX.00.00.000200050 36.6873 .917 92564 Sisi hearing test A 0.00 0.45 0.45 0.05 0.50 0.50 03XXX.00.00.000200050 36.6873 .917 92565 Stenger test, pure tone A 0.00 0.38 0.38 0.04 0.42 0.42 13XXX.00.00.000200050 36.6873 .917 92567 Tympanometry A 0.00 0.50 0.50 0.06 0.56 0.56 03XXX.00.00.000200050 36.6873 .917 92568 Acoustic reflex testing A 0.00 0.36 0.36 0.04 0.40 0.40 03XXX.00.00.000200050 36.6873 .917 92569 Acoustic reflex decay test A 0.00 0.39 0.39 0.04 0.43 0.43 03XXX.00.00.000200050 36.6873 .917 92571 Filtered speech hearing test A 0.00 0.37 0.37 0.04 0.41 0.41 13XXX.00.00.000200050 36.6873 .917 92572 Staggered spondaic word test A 0.00 0.08 0.08 0.01 0.09 0.09 03XXX.00.00.000200050 36.6873 .917 92573 Lombard test A 0.00 0.33 0.33 0.04 0.37 0.37 03XXX.00.00.000200050 36.6873 .917 92575 Sensorineural acuity test A 0.00 0.29 0.29 0.03 0.32 0.32 13XXX.00.00.000200050 36.6873 .917 92576 Synthetic sentence test A 0.00 0.42 0.42 0.05 0.47 0.47 13XXX.00.00.000200050 36.6873 .917 92577 Stenger test, speech A 0.00 0.68 0.68 0.08 0.76 0.76 13XXX.00.00.000200050 36.6873 .917 92579 Visual audiometry (vra) A 0.00 0.69 0.69 0.07 0.76 0.76 03XXX.00.00.000200050 36.6873 .917 92582 Conditioning play audiometry A 0.00 0.69 0.69 0.07 0.76 0.76 13XXX.00.00.000200050 36.6873 .917 92583 Select picture audiometry A 0.00 0.85 0.85 0.09 0.94 0.94 03XXX.00.00.000200050 36.6873 .917 92584 Electrocochleography A 0.00 2.36 2.36 0.25 2.61 2.61 03XXX.00.00.000200050 36.6873 .917 92585 Auditory evoked potential A 0.50 3.25 3.25 0.31 4.06 4.06 01XXX.00.00.000200050 36.6873 .917 92585TCAuditory evoked potential A 0.00 1.76 1.76 0.17 1.93 1.93 01XXX.00.00.000200050 36.6873 .917 9258526Auditory evoked potential A 0.50 1.49 1.49 0.14 2.13 2.13 01XXX.00.00.000200090 36.6873 .917 92587 Evoked auditory test A 0.13 1.35 1.35 0.13 1.61 1.61 01XXX.00.00.000200050 36.6873 .917 92587TCEvoked auditory test A 0.00 1.24 1.24 0.12 1.36 1.36 01XXX.00.00.000200050 36.6873 .917 9258726Evoked auditory test A 0.13 0.11 0.11 0.01 0.25 0.25 01XXX.00.00.000200090 36.6873 .917 92588 Evoked auditory test A 0.36 1.70 1.70 0.16 2.22 2.22 01XXX.00.00.000200050 36.6873 .917 92588TCEvoked auditory test A 0.00 1.40 1.40 0.14 1.54 1.54 01XXX.00.00.000200050 36.6873 .917 9258826Evoked auditory test A 0.36 0.30 0.30 0.02 0.68 0.68 01XXX.00.00.000200090 36.6873 .917 92589 Auditory function test(s) A 0.00 0.51 0.51 0.06 0.57 0.57 03XXX.00.00.000200050 36.6873 .917 92590 Hearing aid exam, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92591 Hearing aid exam, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92592 Hearing aid check, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92593 Hearing aid check, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92594 Electro hearing aid test,one N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92595 Electro hearingaid test,both N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 92596 Ear protector evaluation A 0.00 0.56 0.56 0.06 0.62 0.62 03XXX.00.00.000200050 36.6873 .917 92597 Oral speech device eval A 1.35 1.01 1.01 0.11 2.47 2.47 00XXX.00.00.000000090 36.6873 .917 92598 Modify oral speech device A 0.99 0.66 0.66 0.07 1.72 1.72 00XXX.00.00.000000090 36.6873 .917 92599 ENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 92599TCENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 9259926ENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 92950 Heart/lung resuscitation(CPR A 3.80 2.27 2.27 0.17 6.24 6.24 00000.00.00.000000090 36.6873 .917 92953 Temporary external pacing A 0.23 0.25 0.25 0.15 0.63 0.63 00000.00.00.000000090 36.6873 .917 92960 Heart electroconversion A 2.25 1.88 1.88 0.16 4.29 4.29 00000.00.00.000000090 36.6873 .917 92970 Cardioassist, internal A 3.52 3.47 3.47 0.41 7.40 7.40 00000.00.00.000000090 36.6873 .917 92971 Cardioassist, external A 1.77 1.11 1.11 0.08 2.96 2.96 00000.00.00.000000090 36.6873 .917 92975 Dissolve clot, heart vessel A 7.25 5.71 5.71 0.42 13.38 13.38 00000.00.00.002000090 36.6873 .917 92977 Dissolve clot, heart vessel A 0.00 7.68 7.68 0.54 8.22 8.22 05XXX.00.00.000000090 36.6873 .917 92978 Intravas us, heart (add-on) A 1.80 5.41 5.41 0.36 7.57 7.57 01ZZZ.00.00.000000090 36.6873 .917 92978TCIntravas us, heart (add-on) A 0.00 4.35 4.35 0.28 4.63 4.63 01ZZZ.00.00.000000090 36.6873 .917 9297826Intravas us, heart (add-on) A 1.80 1.06 1.06 0.08 2.94 2.94 01ZZZ.00.00.000000090 36.6873 .917 92979 Intravas us, heart (add-on) A 1.44 3.03 3.03 0.20 4.67 4.67 01ZZZ.00.00.000000090 36.6873 .917 92979TCIntravas us, heart (add-on) A 0.00 2.18 2.18 0.14 2.32 2.32 01ZZZ.00.00.000000090 36.6873 .917 9297926Intravas us, heart (add-on) A 1.44 0.85 0.85 0.06 2.35 2.35 01ZZZ.00.00.000000090 36.6873 .917 92980 Insert intracoronary stent A 14.84 16.32 16.32 1.22 32.38 32.38 00000.00.00.002000090 36.6873 .917 92981 Insert intracoronary stent A 4.17 4.59 4.59 0.44 9.20 9.20 00ZZZ.00.00.000000090 36.6873 .917 92982 Coronary artery dilation A 10.98 12.08 12.08 1.22 24.28 24.28 00000.00.00.002000090 36.6873 .917 92984 Coronary artery dilation A 2.97 3.27 3.27 0.44 6.68 6.68 00ZZZ.00.00.000000090 36.6873 .917 92986 Revision of aortic valve A 21.80 12.04 12.04 0.90 34.74 34.74 00090.09.84.072000090 36.6873 .917 92987 Revision of mitral valve A 22.70 12.20 12.20 0.91 35.81 35.81 00090.09.84.072000090 36.6873 .917 92990 Revision of pulmonary valve A 17.34 9.59 9.59 0.71 27.64 27.64 00090.09.84.072000090 36.6873 .917 92992 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 00090.09.84.072020090 36.6873 .917 92993 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 00090.09.84.072020090 36.6873 .917 92995 Coronary atherectomy A 12.09 13.30 13.30 1.22 26.61 26.61 00000.00.00.002000090 36.6873 .917 92996 Coronary atherectomy A 3.26 3.59 3.59 0.44 7.29 7.29 00ZZZ.00.00.000000090 36.6873 .917 92997 Pul art balloon repair, perc A 12.00 13.20 13.20 1.22 26.42 26.42 00000.00.00.002000090 36.6873 .917 92998 Pul art balloon repair, perc A 6.00 3.80 3.80 0.44 10.24 10.24 00ZZZ.00.00.000000090 36.6873 .917 93000 Electrocardiogram, complete A 0.17 0.59 0.59 0.04 0.80 0.80 04XXX.00.00.000000010 36.6873 .917 93005 Electrocardiogram, tracing A 0.00 0.43 0.43 0.03 0.46 0.46 03XXX.00.00.000000010 36.6873 .917 93010 Electrocardiogram report A 0.17 0.16 0.16 0.01 0.34 0.34 02XXX.00.00.000000090 36.6873 .917 93012 Transmission of ecg A 0.00 2.25 2.25 0.22 2.47 2.47 03XXX.00.00.000000010 36.6873 .917 93014 Report on transmitted ecg A 0.52 0.40 0.40 0.05 0.97 0.97 02XXX.00.00.000000090 36.6873 .917 93015 Cardiovascular stress test A 0.75 2.32 2.32 0.18 3.25 3.25 04XXX.00.00.000000030 36.6873 .917 93016 Cardiovascular stress test A 0.45 0.39 0.39 0.03 0.87 0.87 02XXX.00.00.000000030 36.6873 .917 93017 Cardiovascular stress test A 0.00 1.60 1.60 0.12 1.72 1.72 03XXX.00.00.000000030 36.6873 .917 93018 Cardiovascular stress test A 0.30 0.33 0.33 0.03 0.66 0.66 02XXX.00.00.000000090 36.6873 .917 93024 Cardiac drug stress test A 1.17 2.36 2.36 0.23 3.76 3.76 01XXX.00.00.000000030 36.6873 .917 93024TCCardiac drug stress test A 0.00 1.07 1.07 0.09 1.16 1.16 01XXX.00.00.000000030 36.6873 .917 9302426Cardiac drug stress test A 1.17 1.29 1.29 0.14 2.60 2.60 01XXX.00.00.000000090 36.6873 .917 93040 Rhythm ECG with report A 0.16 0.26 0.26 0.02 0.44 0.44 04XXX.00.00.000000010 36.6873 .917 93041 Rhythm ECG, tracing A 0.00 0.14 0.14 0.01 0.15 0.15 03XXX.00.00.000000010 36.6873 .917 93042 Rhythm ECG, report A 0.16 0.12 0.12 0.01 0.29 0.29 02XXX.00.00.000000090 36.6873 .917 93224 ECG monitor/report, 24 hrs A 0.52 3.83 3.83 0.31 4.66 4.66 04XXX.00.00.000000010 36.6873 .917 93225 ECG monitor/record, 24 hrs A 0.00 1.18 1.18 0.09 1.27 1.27 03XXX.00.00.000000010 36.6873 .917 93226 ECG monitor/report, 24 hrs A 0.00 2.08 2.08 0.16 2.24 2.24 03XXX.00.00.000000010 36.6873 .917 93227 ECG monitor/review, 24 hrs A 0.52 0.57 0.57 0.06 1.15 1.15 02XXX.00.00.000000090 36.6873 .917 93230 ECG monitor/report, 24 hrs A 0.52 4.09 4.09 0.34 4.95 4.95 04XXX.00.00.000000010 36.6873 .917 93231 Ecg monitor/record, 24 hrs A 0.00 1.45 1.45 0.11 1.56 1.56 03XXX.00.00.000000010 36.6873 .917 93232 ECG monitor/report, 24 hrs A 0.00 2.07 2.07 0.15 2.22 2.22 03XXX.00.00.000000090 36.6873 .917 93233 ECG monitor/review, 24 hrs A 0.52 0.57 0.57 0.08 1.17 1.17 02XXX.00.00.000000090 36.6873 .917 93235 ECG monitor/report, 24 hrs A 0.45 3.00 3.00 0.23 3.68 3.68 04XXX.00.00.000000010 36.6873 .917 93236 ECG monitor/report, 24 hrs A 0.00 2.50 2.50 0.17 2.67 2.67 03XXX.00.00.000000010 36.6873 .917 93237 ECG monitor/review, 24 hrs A 0.45 0.50 0.50 0.06 1.01 1.01 02XXX.00.00.000000090 36.6873 .917 93268 ECG record/review A 0.52 3.83 3.83 0.36 4.71 4.71 04XXX.00.00.000000010 36.6873 .917 93270 ECG recording A 0.00 1.18 1.18 0.09 1.27 1.27 03XXX.00.00.000000010 36.6873 .917 93271 Ecg/monitoring and anaylysis A 0.00 2.25 2.25 0.22 2.47 2.47 03XXX.00.00.000000010 36.6873 .917 93272 Ecg/review,interpret only A 0.52 0.40 0.40 0.05 0.97 0.97 02XXX.00.00.000000090 36.6873 .917 93278 ECG/signal-averaged A 0.25 1.38 1.38 0.18 1.81 1.81 01XXX.00.00.000000010 36.6873 .917 93278TCECG/signal-averaged A 0.00 1.10 1.10 0.12 1.22 1.22 01XXX.00.00.000000010 36.6873 .917 9327826ECG/signal-averaged A 0.25 0.28 0.28 0.06 0.59 0.59 01XXX.00.00.000000090 36.6873 .917 93303 Echo transthoracic A 1.30 4.68 4.68 0.36 6.34 6.34 01XXX.00.00.000000020 36.6873 .917 93303TCEcho transthoracic A 0.00 3.68 3.68 0.27 3.95 3.95 01XXX.00.00.000000020 36.6873 .917 9330326Echo transthoracic A 1.30 1.00 1.00 0.09 2.39 2.39 01XXX.00.00.000000090 36.6873 .917 93304 Echo transthoracic A 0.75 2.53 2.53 0.19 3.47 3.47 01XXX.00.00.000000020 36.6873 .917 93304TCEcho transthoracic A 0.00 1.85 1.85 0.14 1.99 1.99 01XXX.00.00.000000020 36.6873 .917 9330426Echo transthoracic A 0.75 0.68 0.68 0.05 1.48 1.48 01XXX.00.00.000000090 36.6873 .917 93307 Echo exam of heart A 0.92 4.68 4.68 0.36 5.96 5.96 01XXX.00.00.000000020 36.6873 .917 93307TCEcho exam of heart A 0.00 3.68 3.68 0.27 3.95 3.95 01XXX.00.00.000000090 36.6873 .917 9330726Echo exam of heart A 0.92 1.00 1.00 0.09 2.01 2.01 01XXX.00.00.000000090 36.6873 .917 93308 Echo exam of heart A 0.53 2.43 2.43 0.19 3.15 3.15 01XXX.00.00.000000020 36.6873 .917 93308TCEcho exam of heart A 0.00 1.85 1.85 0.14 1.99 1.99 01XXX.00.00.000000020 36.6873 .917 9330826Echo exam of heart A 0.53 0.58 0.58 0.05 1.16 1.16 01XXX.00.00.000000090 36.6873 .917 93312 Echo transesophageal A 2.20 4.95 4.95 0.45 7.60 7.60 01XXX.00.00.000000030 36.6873 .917 93312TCEcho transesophageal A 0.00 3.60 3.60 0.33 3.93 3.93 01XXX.00.00.000000030 36.6873 .917 9331226Echo transesophageal A 2.20 1.35 1.35 0.12 3.67 3.67 01XXX.00.00.000000090 36.6873 .917 93313 Echo transesophageal A 0.95 0.67 0.67 0.06 1.68 1.68 00XXX.00.00.000000090 36.6873 .917 93314 Echo transesophageal A 1.25 4.27 4.27 0.39 5.91 5.91 01XXX.00.00.000000090 36.6873 .917 93314TCEcho transesophageal A 0.00 3.60 3.60 0.33 3.93 3.93 01XXX.00.00.000000090 36.6873 .917 9331426Echo transesophageal A 1.25 0.67 0.67 0.06 1.98 1.98 01XXX.00.00.000000090 36.6873 .917 93315 Echo transesophageal A 2.78 4.95 4.95 0.45 8.18 8.18 01XXX.00.00.000000030 36.6873 .917 93315TCEcho transesophageal A 0.00 3.60 3.60 0.33 3.93 3.93 01XXX.00.00.000000030 36.6873 .917 9331526Echo transesophageal A 2.78 1.35 1.35 0.12 4.25 4.25 01XXX.00.00.000000090 36.6873 .917 93316 Echo transesophageal A 0.95 0.67 0.67 0.06 1.68 1.68 00XXX.00.00.000000090 36.6873 .917 93317 Echo transesophageal A 1.83 4.27 4.27 0.39 6.49 6.49 01XXX.00.00.000000090 36.6873 .917 93317TCEcho transesophageal A 0.00 3.60 3.60 0.33 3.93 3.93 01XXX.00.00.000000090 36.6873 .917 9331726Echo transesophageal A 1.83 0.67 0.67 0.06 2.56 2.56 01XXX.00.00.000000090 36.6873 .917 93320 Doppler echo exam, heart A 0.38 2.05 2.05 0.18 2.61 2.61 01ZZZ.00.00.000000020 36.6873 .917 93320TCDoppler echo exam, heart A 0.00 1.63 1.63 0.13 1.76 1.76 01ZZZ.00.00.000000020 36.6873 .917 9332026Doppler echo exam, heart A 0.38 0.42 0.42 0.05 0.85 0.85 01ZZZ.00.00.000000090 36.6873 .917 93321 Doppler echo exam, heart A 0.15 1.23 1.23 0.11 1.49 1.49 01ZZZ.00.00.000000020 36.6873 .917 93321TCDoppler echo exam, heart A 0.00 1.06 1.06 0.09 1.15 1.15 01ZZZ.00.00.000000020 36.6873 .917 9332126Doppler echo exam, heart A 0.15 0.17 0.17 0.02 0.34 0.34 01ZZZ.00.00.000000090 36.6873 .917 93325 Doppler color flow A 0.07 2.80 2.80 0.25 3.12 3.12 01ZZZ.00.00.000000020 36.6873 .917 93325TCDoppler color flow A 0.00 2.76 2.76 0.24 3.00 3.00 01ZZZ.00.00.000000020 36.6873 .917 9332526Doppler color flow A 0.07 0.04 0.04 0.01 0.12 0.12 01ZZZ.00.00.000000090 36.6873 .917 93350 Echo transthoracic A 0.78 2.54 2.54 0.24 3.56 3.56 01XXX.00.00.000000030 36.6873 .917 93350TCEcho transthoracic A 0.00 1.68 1.68 0.14 1.82 1.82 01XXX.00.00.000000030 36.6873 .917 9335026Echo transthoracic A 0.78 0.86 0.86 0.10 1.74 1.74 01XXX.00.00.000000090 36.6873 .917 93501 Right heart catheterization A 3.02 19.43 19.43 1.54 23.99 23.99 01000.00.00.002000030 36.6873 .917 93501TCRight heart catheterization A 0.00 16.11 16.11 1.20 17.31 17.31 01000.00.00.000000030 36.6873 .917 9350126Right heart catheterization A 3.02 3.32 3.32 0.34 6.68 6.68 01000.00.00.002000090 36.6873 .917 93503 Insert/place heart catheter A 2.91 2.37 2.37 0.36 5.64 5.64 00000.00.00.000000090 36.6873 .917 93505 Biopsy of heart lining A 4.38 4.92 4.92 0.46 9.76 9.76 01000.00.00.002000030 36.6873 .917 93505TCBiopsy of heart lining A 0.00 1.89 1.89 0.18 2.07 2.07 01000.00.00.000000030 36.6873 .917 9350526Biopsy of heart lining A 4.38 3.03 3.03 0.28 7.69 7.69 01000.00.00.002000090 36.6873 .917 93508 Cath placement, angiography A 4.10 14.79 14.79 0.98 19.87 19.87 01000.00.00.002000090 36.6873 .917 93508TCCath placement, angiography A 0.00 12.01 12.01 0.75 12.76 12.76 01000.00.00.000000090 36.6873 .917 9350826Cath placement, angiography A 4.10 2.78 2.78 0.23 7.11 7.11 01000.00.00.002000090 36.6873 .917 93510 Left heart catheterization A 4.33 38.28 38.28 2.86 45.47 45.47 01000.00.00.002000030 36.6873 .917 93510TCLeft heart catheterization A 0.00 35.22 35.22 2.63 37.85 37.85 01000.00.00.000000030 36.6873 .917 9351026Left heart catheterization A 4.33 3.06 3.06 0.23 7.62 7.62 01000.00.00.002000090 36.6873 .917 93511 Left heart catheterization A 5.03 36.91 36.91 2.76 44.70 44.70 01000.00.00.002000030 36.6873 .917 93511TCLeft heart catheterization A 0.00 34.29 34.29 2.56 36.85 36.85 01000.00.00.000000030 36.6873 .917 9351126Left heart catheterization A 5.03 2.62 2.62 0.20 7.85 7.85 01000.00.00.002000090 36.6873 .917 93514 Left heart catheterization A 7.05 38.84 38.84 2.94 48.83 48.83 01000.00.00.002000030 36.6873 .917 93514TCLeft heart catheterization A 0.00 34.29 34.29 2.56 36.85 36.85 01000.00.00.000000030 36.6873 .917 9351426Left heart catheterization A 7.05 4.55 4.55 0.38 11.98 11.98 01000.00.00.002000090 36.6873 .917 93524 Left heart catheterization A 6.95 49.45 49.45 3.69 60.09 60.09 01000.00.00.002000030 36.6873 .917 93524TCLeft heart catheterization A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000030 36.6873 .917 9352426Left heart catheterization A 6.95 4.65 4.65 0.34 11.94 11.94 01000.00.00.002000090 36.6873 .917 93526 Rt & Lt heart catheters A 5.99 51.48 51.48 3.83 61.30 61.30 01000.00.00.002000030 36.6873 .917 93526TCRt & Lt heart catheters A 0.00 46.03 46.03 3.44 49.47 49.47 01000.00.00.000000030 36.6873 .917 9352626Rt & Lt heart catheters A 5.99 5.45 5.45 0.39 11.83 11.83 01000.00.00.002000090 36.6873 .917 93527 Rt & Lt heart catheters A 7.28 51.94 51.94 3.85 63.07 63.07 01000.00.00.002000030 36.6873 .917 93527TCRt & Lt heart catheters A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000030 36.6873 .917 9352726Rt & Lt heart catheters A 7.28 7.14 7.14 0.50 14.92 14.92 01000.00.00.002000090 36.6873 .917 93528 Rt & Lt heart catheters A 9.00 49.23 49.23 3.68 61.91 61.91 01000.00.00.002000030 36.6873 .917 93528TCRt & Lt heart catheters A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000030 36.6873 .917 9352826Rt & Lt heart catheters A 9.00 4.43 4.43 0.33 13.76 13.76 01000.00.00.002000090 36.6873 .917 93529 Rt, Lt heart catheterization A 4.80 47.73 47.73 3.57 56.10 56.10 01000.00.00.002000030 36.6873 .917 93529TCRt, Lt heart catheterization A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000030 36.6873 .917 9352926Rt, Lt heart catheterization A 4.80 2.93 2.93 0.22 7.95 7.95 01000.00.00.002000090 36.6873 .917 93530 Rt heart cath, congenital A 4.23 19.72 19.72 1.54 25.49 25.49 01000.00.00.002000090 36.6873 .917 93530TCRt heart cath, congenital A 0.00 16.11 16.11 1.20 17.31 17.31 01000.00.00.000000090 36.6873 .917 9353026Rt heart cath, congenital A 4.23 3.61 3.61 0.34 8.18 8.18 01000.00.00.002000090 36.6873 .917 93531 R & l heart cath, congenital A 8.35 51.48 51.48 3.83 63.66 63.66 01000.00.00.002000090 36.6873 .917 93531TCR & l heart cath, congenital A 0.00 46.03 46.03 3.44 49.47 49.47 01000.00.00.000000090 36.6873 .917 9353126R & l heart cath, congenital A 8.35 5.45 5.45 0.39 14.19 14.19 01000.00.00.002000090 36.6873 .917 93532 R & l heart cath, congenital A 10.00 51.94 51.94 3.85 65.79 65.79 01000.00.00.002000090 36.6873 .917 93532TCR & l heart cath, congenital A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000090 36.6873 .917 9353226R & l heart cath, congenital A 10.00 7.14 7.14 0.50 17.64 17.64 01000.00.00.002000090 36.6873 .917 93533 R & l heart cath, congenital A 6.70 47.73 47.73 3.57 58.00 58.00 01000.00.00.002000090 36.6873 .917 93533TCR & l heart cath, congenital A 0.00 44.80 44.80 3.35 48.15 48.15 01000.00.00.000000090 36.6873 .917 9353326R & l heart cath, congenital A 6.70 2.93 2.93 0.22 9.85 9.85 01000.00.00.002000090 36.6873 .917 93536 Insert circulation assi A 4.85 5.34 5.34 0.71 10.90 10.90 00000.00.00.002000090 36.6873 .917 93539 Injection, cardiac cath A 0.40 0.88 0.44 0.20 1.48 1.04 20000.00.00.000000090 36.6873 .917 93540 Injection, cardiac cath A 0.43 0.88 0.47 0.20 1.51 1.10 20000.00.00.000000090 36.6873 .917 93541 Injection for lung angiogram A 0.29 0.32 0.32 0.16 0.77 0.77 00000.00.00.000000090 36.6873 .917 93542 Injection for heart x-rays A 0.29 0.32 0.32 0.16 0.77 0.77 00000.00.00.000000090 36.6873 .917 93543 Injection for heart x-rays A 0.29 0.57 0.32 0.11 0.97 0.72 20000.00.00.000000090 36.6873 .917 93544 Injection for aortography A 0.25 0.57 0.28 0.11 0.93 0.64 20000.00.00.000000090 36.6873 .917 93545 Injection for coronary xrays A 0.40 0.44 0.44 0.24 1.08 1.08 00000.00.00.000000090 36.6873 .917 93555 Imaging, cardiac cath A 0.81 6.25 6.25 0.42 7.48 7.48 01XXX.00.00.000000030 36.6873 .917 93555TCImaging, cardiac cath A 0.00 5.98 5.98 0.38 6.36 6.36 01XXX.00.00.000000030 36.6873 .917 9355526Imaging, cardiac cath A 0.81 0.27 0.27 0.04 1.12 1.12 01XXX.00.00.000000090 36.6873 .917 93556 Imaging, cardiac cath A 0.83 9.88 9.88 0.65 11.36 11.36 01XXX.00.00.000000030 36.6873 .917 93556TCImaging, cardiac cath A 0.00 9.43 9.43 0.58 10.01 10.01 01XXX.00.00.000000030 36.6873 .917 9355626Imaging, cardiac cath A 0.83 0.45 0.45 0.07 1.35 1.35 01XXX.00.00.000000090 36.6873 .917 93561 Cardiac output measurement A 0.50 1.05 1.05 0.16 1.71 1.71 01000.00.00.000000030 36.6873 .917 93561TCCardiac output measurement A 0.00 0.50 0.50 0.07 0.57 0.57 01000.00.00.000000030 36.6873 .917 9356126Cardiac output measurement A 0.50 0.55 0.55 0.09 1.14 1.14 01000.00.00.000000090 36.6873 .917 93562 Cardiac output measurement A 0.16 0.48 0.48 0.10 0.74 0.74 01000.00.00.000000030 36.6873 .917 93562TCCardiac output measurement A 0.00 0.30 0.30 0.04 0.34 0.34 01000.00.00.000000030 36.6873 .917 9356226Cardiac output measurement A 0.16 0.18 0.18 0.06 0.40 0.40 01000.00.00.000000090 36.6873 .917 93600 Bundle of His recording A 2.12 4.19 4.19 0.38 6.69 6.69 01000.00.00.000000030 36.6873 .917 93600TCBundle of His recording A 0.00 1.86 1.86 0.14 2.00 2.00 01000.00.00.000000030 36.6873 .917 9360026Bundle of His recording A 2.12 2.33 2.33 0.24 4.69 4.69 01000.00.00.000000090 36.6873 .917 93602 Intra-atrial recording A 2.12 2.83 2.83 0.22 5.17 5.17 01000.00.00.000000030 36.6873 .917 93602TCIntra-atrial recording A 0.00 1.06 1.06 0.08 1.14 1.14 01000.00.00.000000030 36.6873 .917 9360226Intra-atrial recording A 2.12 1.77 1.77 0.14 4.03 4.03 01000.00.00.000000090 36.6873 .917 93603 Right ventricular recording A 2.12 3.79 3.79 0.28 6.19 6.19 01000.00.00.000000030 36.6873 .917 93603TCRight ventricular recording A 0.00 1.60 1.60 0.12 1.72 1.72 01000.00.00.000000030 36.6873 .917 9360326Right ventricular recording A 2.12 2.19 2.19 0.16 4.47 4.47 01000.00.00.000000090 36.6873 .917 93607 Right ventricular recording A 3.26 3.63 3.63 0.28 7.17 7.17 01000.00.00.000000030 36.6873 .917 93607TCRight ventricular recording A 0.00 1.42 1.42 0.11 1.53 1.53 01000.00.00.000000030 36.6873 .917 9360726Right ventricular recording A 3.26 2.21 2.21 0.17 5.64 5.64 01000.00.00.000000090 36.6873 .917 93609 Mapping of tachycardia A 10.07 6.43 6.43 0.47 16.97 16.97 01000.00.00.000000030 36.6873 .917 93609TCMapping of tachycardia A 0.00 2.59 2.59 0.19 2.78 2.78 01000.00.00.000000030 36.6873 .917 9360926Mapping of tachycardia A 10.07 3.84 3.84 0.28 14.19 14.19 01000.00.00.000000090 36.6873 .917 93610 Intra-atrial pacing A 3.02 3.60 3.60 0.27 6.89 6.89 01000.00.00.000000030 36.6873 .917 93610TCIntra-atrial pacing A 0.00 1.29 1.29 0.10 1.39 1.39 01000.00.00.000000030 36.6873 .917 9361026Intra-atrial pacing A 3.02 2.31 2.31 0.17 5.50 5.50 01000.00.00.000000090 36.6873 .917 93612 Intraventricular pacing A 3.02 3.88 3.88 0.29 7.19 7.19 01000.00.00.000000030 36.6873 .917 93612TCIntraventricular pacing A 0.00 1.54 1.54 0.12 1.66 1.66 01000.00.00.000000030 36.6873 .917 9361226Intraventricular pacing A 3.02 2.34 2.34 0.17 5.53 5.53 01000.00.00.000000090 36.6873 .917 93615 Esophageal recording A 0.99 0.65 0.65 0.04 1.68 1.68 01000.00.00.000000030 36.6873 .917 93615TCEsophageal recording A 0.00 0.30 0.30 0.02 0.32 0.32 01000.00.00.000000030 36.6873 .917 9361526Esophageal recording A 0.99 0.35 0.35 0.02 1.36 1.36 01000.00.00.000000090 36.6873 .917 93616 Esophageal recording A 1.49 1.66 1.66 0.10 3.25 3.25 01000.00.00.000000030 36.6873 .917 93616TCEsophageal recording A 0.00 0.30 0.30 0.02 0.32 0.32 01000.00.00.000000030 36.6873 .917 9361626Esophageal recording A 1.49 1.36 1.36 0.08 2.93 2.93 01000.00.00.000000090 36.6873 .917 93618 Heart rhythm pacing A 4.26 8.47 8.47 0.72 13.45 13.45 01000.00.00.000000030 36.6873 .917 93618TCHeart rhythm pacing A 0.00 3.78 3.78 0.28 4.06 4.06 01000.00.00.000000030 36.6873 .917 9361826Heart rhythm pacing A 4.26 4.69 4.69 0.44 9.39 9.39 01000.00.00.000000090 36.6873 .917 93619 Electrophysiology evaluation A 7.32 15.39 15.39 1.40 24.11 24.11 01000.00.00.000000030 36.6873 .917 93619TCElectrophysiology evaluation A 0.00 7.34 7.34 0.54 7.88 7.88 01000.00.00.000000030 36.6873 .917 9361926Electrophysiology evaluation A 7.32 8.05 8.05 0.86 16.23 16.23 01000.00.00.000000090 36.6873 .917 93620 Electrophysiology evaluation A 11.59 21.29 21.29 1.55 34.43 34.43 01000.00.00.000000030 36.6873 .917 93620TCElectrophysiology evaluation A 0.00 8.54 8.54 0.60 9.14 9.14 01000.00.00.000000030 36.6873 .917 9362026Electrophysiology evaluation A 11.59 12.75 12.75 0.95 25.29 25.29 01000.00.00.000000090 36.6873 .917 93621 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 9362126Electrophysiology evaluation A 12.66 13.93 13.93 1.11 27.70 27.70 01000.00.00.000000090 36.6873 .917 93622 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 9362226Electrophysiology evaluation A 12.74 14.01 14.01 1.07 27.82 27.82 01000.00.00.000000090 36.6873 .917 93623 Stimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 93623TCStimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 9362326Stimulation, pacing heart A 2.85 2.78 2.78 0.20 5.83 5.83 01000.00.00.000000090 36.6873 .917 93624 Electrophysiologic study A 4.81 4.88 4.88 0.35 10.04 10.04 01000.00.00.000000030 36.6873 .917 93624TCElectrophysiologic study A 0.00 1.89 1.89 0.14 2.03 2.03 01000.00.00.000000030 36.6873 .917 9362426Electrophysiologic study A 4.81 2.99 2.99 0.21 8.01 8.01 01000.00.00.000000090 36.6873 .917 93631 Heart pacing, mapping A 7.60 11.62 11.62 1.37 20.59 20.59 01000.00.00.000000030 36.6873 .917 93631TCHeart pacing, mapping A 0.00 5.86 5.86 0.70 6.56 6.56 01000.00.00.000000030 36.6873 .917 9363126Heart pacing, mapping A 7.60 5.76 5.76 0.67 14.03 14.03 01000.00.00.000000090 36.6873 .917 93640 Evaluation heart device A 3.52 10.71 10.71 1.09 15.32 15.32 01000.00.00.000000030 36.6873 .917 93640TCEvaluation heart device A 0.00 6.84 6.84 0.48 7.32 7.32 01000.00.00.000000030 36.6873 .917 9364026Evaluation heart device A 3.52 3.87 3.87 0.61 8.00 8.00 01000.00.00.000000090 36.6873 .917 93641 Electrophysiology evaluation A 5.93 13.36 13.36 1.09 20.38 20.38 01000.00.00.000000030 36.6873 .917 93641TCElectrophysiology evaluation A 0.00 6.84 6.84 0.48 7.32 7.32 01000.00.00.000000030 36.6873 .917 9364126Electrophysiology evaluation A 5.93 6.52 6.52 0.61 13.06 13.06 01000.00.00.000000090 36.6873 .917 93642 Electrophysiology evaluation A 4.89 12.22 12.22 1.09 18.20 18.20 01000.00.00.000000030 36.6873 .917 93642TCElectrophysiology evaluation A 0.00 6.84 6.84 0.48 7.32 7.32 01000.00.00.000000030 36.6873 .917 9364226Electrophysiology evaluation A 4.89 5.38 5.38 0.61 10.88 10.88 01000.00.00.000000090 36.6873 .917 93650 Ablate heart dysrhythm focus A 10.51 11.56 11.56 1.34 23.41 23.41 00000.00.00.000000090 36.6873 .917 93651 Ablate heart dysrhythm focus A 16.25 17.83 17.83 1.34 35.42 35.42 00000.00.00.000000090 36.6873 .917 93652 Ablate heart dysrhythm focus A 17.68 17.83 17.83 1.34 36.85 36.85 00000.00.00.000000090 36.6873 .917 93660 Tilt table evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 93660TCTilt table evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 01000.00.00.000000030 36.6873 .917 9366026Tilt table evaluation A 1.89 1.44 1.44 0.17 3.50 3.50 01000.00.00.000000090 36.6873 .917 93720 Total body plethysmography A 0.17 0.89 0.86 0.10 1.16 1.13 24XXX.00.00.000000010 36.6873 .917 93721 Plethysmography tracing A 0.00 0.67 0.67 0.07 0.74 0.74 13XXX.00.00.000000010 36.6873 .917 93722 Plethysmography report A 0.17 0.22 0.19 0.03 0.42 0.39 22XXX.00.00.000000090 36.6873 .917 93724 Analyze pacemaker system A 4.89 6.66 6.66 0.50 12.05 12.05 01000.00.00.000000030 36.6873 .917 93724TCAnalyze pacemaker system A 0.00 3.78 3.78 0.28 4.06 4.06 01000.00.00.000000030 36.6873 .917 9372426Analyze pacemaker system A 4.89 2.88 2.88 0.22 7.99 7.99 01000.00.00.000000090 36.6873 .917 93731 Analyze pacemaker system A 0.45 0.79 0.79 0.07 1.31 1.31 01XXX.00.00.000000020 36.6873 .917 93731TCAnalyze pacemaker system A 0.00 0.47 0.47 0.04 0.51 0.51 01XXX.00.00.000000090 36.6873 .917 9373126Analyze pacemaker system A 0.45 0.32 0.32 0.03 0.80 0.80 01XXX.00.00.000000090 36.6873 .917 93732 Analyze pacemaker system A 0.92 0.91 0.91 0.08 1.91 1.91 01XXX.00.00.000000030 36.6873 .917 93732TCAnalyze pacemaker system A 0.00 0.49 0.49 0.04 0.53 0.53 01XXX.00.00.000000090 36.6873 .917 9373226Analyze pacemaker system A 0.92 0.42 0.42 0.04 1.38 1.38 01XXX.00.00.000000090 36.6873 .917 93733 Telephone analysis,pacemaker A 0.17 0.88 0.88 0.08 1.13 1.13 01XXX.00.00.000000020 36.6873 .917 93733TCTelephone analysis,pacemaker A 0.00 0.69 0.69 0.06 0.75 0.75 01XXX.00.00.000000020 36.6873 .917 9373326Telephone analysis,pacemaker A 0.17 0.19 0.19 0.02 0.38 0.38 01XXX.00.00.000000090 36.6873 .917 93734 Analyze pacemaker system A 0.38 0.64 0.64 0.06 1.08 1.08 01XXX.00.00.000000020 36.6873 .917 93734TCAnalyze pacemaker system A 0.00 0.33 0.33 0.03 0.36 0.36 01XXX.00.00.000000020 36.6873 .917 9373426Analyze pacemaker system A 0.38 0.31 0.31 0.03 0.72 0.72 01XXX.00.00.000000090 36.6873 .917 93735 Analyze pacemaker system A 0.74 0.85 0.85 0.08 1.67 1.67 01XXX.00.00.000000030 36.6873 .917 93735TCAnalyze pacemaker system A 0.00 0.42 0.42 0.04 0.46 0.46 01XXX.00.00.000000030 36.6873 .917 9373526Analyze pacemaker system A 0.74 0.43 0.43 0.04 1.21 1.21 01XXX.00.00.000000090 36.6873 .917 93736 Telephone analysis,pacemaker A 0.15 0.77 0.77 0.09 1.01 1.01 01XXX.00.00.000000020 36.6873 .917 93736TCTelephone analysis,pacemaker A 0.00 0.60 0.60 0.06 0.66 0.66 01XXX.00.00.000000020 36.6873 .917 9373626Telephone analysis,pacemaker A 0.15 0.17 0.17 0.03 0.35 0.35 01XXX.00.00.000000090 36.6873 .917 93737 Analyze cardio/defibrillator A 0.45 0.74 0.74 0.06 1.25 1.25 01XXX.00.00.000000030 36.6873 .917 93737TCAnalyze cardio/defibrillator A 0.00 0.47 0.47 0.04 0.51 0.51 01XXX.00.00.000000030 36.6873 .917 9373726Analyze cardio/defibrillator A 0.45 0.27 0.27 0.02 0.74 0.74 01XXX.00.00.000000090 36.6873 .917 93738 Analyze cardio/defibrillator A 0.92 0.88 0.88 0.07 1.87 1.87 01XXX.00.00.000000030 36.6873 .917 93738TCAnalyze cardio/defibrillator A 0.00 0.49 0.49 0.04 0.53 0.53 01XXX.00.00.000000030 36.6873 .917 9373826Analyze cardio/defibrillator A 0.92 0.39 0.39 0.03 1.34 1.34 01XXX.00.00.000000090 36.6873 .917 93740 Temperature gradient studies A 0.16 0.45 0.45 0.04 0.65 0.65 01XXX.00.00.000000020 36.6873 .917 93740TCTemperature gradient studies A 0.00 0.15 0.15 0.01 0.16 0.16 01XXX.00.00.000000020 36.6873 .917 9374026Temperature gradient studies A 0.16 0.30 0.30 0.03 0.49 0.49 01XXX.00.00.000000090 36.6873 .917 93760 Cephalic thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93762 Peripheral thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93770 Measure venous pressure A 0.16 0.20 0.20 0.02 0.38 0.38 01XXX.00.00.000000030 36.6873 .917 93770TCMeasure venous pressure A 0.00 0.03 0.03 0.00 0.03 0.03 01XXX.00.00.000000030 36.6873 .917 9377026Measure venous pressure A 0.16 0.17 0.17 0.02 0.35 0.35 01XXX.00.00.000000090 36.6873 .917 93784 Ambulatory BP monitoring N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93786 Ambulatory BP recording N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93788 Ambulatory BP analysis N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93790 Review/report BP recording N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 93797 Cardiac rehab A 0.18 0.20 0.20 0.02 0.40 0.40 10000.00.00.000000090 36.6873 .917 93798 Cardiac rehab/monitor A 0.28 0.47 0.47 0.04 0.79 0.79 10000.00.00.000000090 36.6873 .917 93799 Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 93875 Extracranial study A 0.22 1.29 1.29 0.18 1.69 1.69 01XXX.00.00.000200020 36.6873 .917 93875TCExtracranial study A 0.00 1.05 1.05 0.12 1.17 1.17 01XXX.00.00.000200020 36.6873 .917 9387526Extracranial study A 0.22 0.24 0.24 0.06 0.52 0.52 01XXX.00.00.000200090 36.6873 .917 93880 Extracranial study A 0.60 3.94 3.94 0.44 4.98 4.98 01XXX.00.00.000200020 36.6873 .917 93880TCExtracranial study A 0.00 3.55 3.55 0.40 3.95 3.95 01XXX.00.00.000200020 36.6873 .917 9388026Extracranial study A 0.60 0.39 0.39 0.04 1.03 1.03 01XXX.00.00.000200090 36.6873 .917 93882 Extracranial study A 0.40 2.62 2.62 0.29 3.31 3.31 01XXX.00.00.000000020 36.6873 .917 93882TCExtracranial study A 0.00 2.36 2.36 0.26 2.62 2.62 01XXX.00.00.000000020 36.6873 .917 9388226Extracranial study A 0.40 0.26 0.26 0.03 0.69 0.69 01XXX.00.00.000000090 36.6873 .917 93886 Intracranial study A 0.94 4.44 4.44 0.50 5.88 5.88 01XXX.00.00.000000020 36.6873 .917 93886TCIntracranial study A 0.00 4.02 4.02 0.45 4.47 4.47 01XXX.00.00.000000020 36.6873 .917 9388626Intracranial study A 0.94 0.42 0.42 0.05 1.41 1.41 01XXX.00.00.000000090 36.6873 .917 93888 Intracranial study A 0.62 2.96 2.96 0.34 3.92 3.92 01XXX.00.00.000000020 36.6873 .917 93888TCIntracranial study A 0.00 2.68 2.68 0.31 2.99 2.99 01XXX.00.00.000000020 36.6873 .917 9388826Intracranial study A 0.62 0.28 0.28 0.03 0.93 0.93 01XXX.00.00.000000090 36.6873 .917 93922 Extremity study A 0.25 1.38 1.38 0.19 1.82 1.82 01XXX.00.00.000200020 36.6873 .917 93922TCExtremity study A 0.00 1.10 1.10 0.14 1.24 1.24 01XXX.00.00.000200020 36.6873 .917 9392226Extremity study A 0.25 0.28 0.28 0.05 0.58 0.58 01XXX.00.00.000200090 36.6873 .917 93923 Extremity study A 0.45 2.58 2.58 0.35 3.38 3.38 01XXX.00.00.000200020 36.6873 .917 93923TCExtremity study A 0.00 2.08 2.08 0.26 2.34 2.34 01XXX.00.00.000200020 36.6873 .917 9392326Extremity study A 0.45 0.50 0.50 0.09 1.04 1.04 01XXX.00.00.000200090 36.6873 .917 93924 Extremity study A 0.50 2.81 2.81 0.39 3.70 3.70 01XXX.00.00.000200020 36.6873 .917 93924TCExtremity study A 0.00 2.26 2.26 0.29 2.55 2.55 01XXX.00.00.000200020 36.6873 .917 9392426Extremity study A 0.50 0.55 0.55 0.10 1.15 1.15 01XXX.00.00.000200090 36.6873 .917 93925 Lower extremity study A 0.58 3.96 3.96 0.44 4.98 4.98 01XXX.00.00.000200020 36.6873 .917 93925TCLower extremity study A 0.00 3.57 3.57 0.40 3.97 3.97 01XXX.00.00.000200020 36.6873 .917 9392526Lower extremity study A 0.58 0.39 0.39 0.04 1.01 1.01 01XXX.00.00.000200090 36.6873 .917 93926 Lower extremity study A 0.39 2.64 2.64 0.30 3.33 3.33 01XXX.00.00.000000020 36.6873 .917 93926TCLower extremity study A 0.00 2.38 2.38 0.27 2.65 2.65 01XXX.00.00.000000020 36.6873 .917 9392626Lower extremity study A 0.39 0.26 0.26 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 93930 Upper extremity study A 0.46 4.18 4.18 0.47 5.11 5.11 01XXX.00.00.000200020 36.6873 .917 93930TCUpper extremity study A 0.00 3.79 3.79 0.42 4.21 4.21 01XXX.00.00.000200020 36.6873 .917 9393026Upper extremity study A 0.46 0.39 0.39 0.05 0.90 0.90 01XXX.00.00.000200090 36.6873 .917 93931 Upper extremity study A 0.31 2.78 2.78 0.31 3.40 3.40 01XXX.00.00.000000020 36.6873 .917 93931TCUpper extremity study A 0.00 2.52 2.52 0.28 2.80 2.80 01XXX.00.00.000000020 36.6873 .917 9393126Upper extremity study A 0.31 0.26 0.26 0.03 0.60 0.60 01XXX.00.00.000000090 36.6873 .917 93965 Extremity study A 0.35 1.43 1.43 0.19 1.97 1.97 01XXX.00.00.000200020 36.6873 .917 93965TCExtremity study A 0.00 1.04 1.04 0.13 1.17 1.17 01XXX.00.00.000200020 36.6873 .917 9396526Extremity study A 0.35 0.39 0.39 0.06 0.80 0.80 01XXX.00.00.000200090 36.6873 .917 93970 Extremity study A 0.68 4.33 4.33 0.51 5.52 5.52 01XXX.00.00.000200020 36.6873 .917 93970TCExtremity study A 0.00 3.93 3.93 0.46 4.39 4.39 01XXX.00.00.000200020 36.6873 .917 9397026Extremity study A 0.68 0.40 0.40 0.05 1.13 1.13 01XXX.00.00.000200090 36.6873 .917 93971 Extremity study A 0.45 2.89 2.89 0.34 3.68 3.68 01XXX.00.00.000000020 36.6873 .917 93971TCExtremity study A 0.00 2.62 2.62 0.31 2.93 2.93 01XXX.00.00.000000020 36.6873 .917 9397126Extremity study A 0.45 0.27 0.27 0.03 0.75 0.75 01XXX.00.00.000000090 36.6873 .917 93975 Vascular study A 1.80 4.90 4.90 0.55 7.25 7.25 01XXX.00.00.000000020 36.6873 .917 93975TCVascular study A 0.00 4.48 4.48 0.50 4.98 4.98 01XXX.00.00.000000020 36.6873 .917 9397526Vascular study A 1.80 0.42 0.42 0.05 2.27 2.27 01XXX.00.00.000000090 36.6873 .917 93976 Vascular study A 1.21 3.27 3.27 0.37 4.85 4.85 01XXX.00.00.000000020 36.6873 .917 93976TCVascular study A 0.00 2.99 2.99 0.34 3.33 3.33 01XXX.00.00.000000020 36.6873 .917 9397626Vascular study A 1.21 0.28 0.28 0.03 1.52 1.52 01XXX.00.00.000000090 36.6873 .917 93978 Vascular study A 0.65 4.06 4.06 0.47 5.18 5.18 01XXX.00.00.000000020 36.6873 .917 93978TCVascular study A 0.00 3.67 3.67 0.42 4.09 4.09 01XXX.00.00.000000020 36.6873 .917 9397826Vascular study A 0.65 0.39 0.39 0.05 1.09 1.09 01XXX.00.00.000000090 36.6873 .917 93979 Vascular study A 0.44 2.70 2.70 0.31 3.45 3.45 01XXX.00.00.000000020 36.6873 .917 93979TCVascular study A 0.00 2.44 2.44 0.28 2.72 2.72 01XXX.00.00.000000020 36.6873 .917 9397926Vascular study A 0.44 0.26 0.26 0.03 0.73 0.73 01XXX.00.00.000000090 36.6873 .917 93980 Penile vascular study A 1.25 4.15 4.15 0.45 5.85 5.85 01XXX.00.00.000000020 36.6873 .917 93980TCPenile vascular study A 0.00 3.33 3.33 0.38 3.71 3.71 01XXX.00.00.000000020 36.6873 .917 9398026Penile vascular study A 1.25 0.82 0.82 0.07 2.14 2.14 01XXX.00.00.000000090 36.6873 .917 93981 Penile vascular study A 0.44 3.47 3.47 0.39 4.30 4.30 01XXX.00.00.000000020 36.6873 .917 93981TCPenile vascular study A 0.00 3.07 3.07 0.36 3.43 3.43 01XXX.00.00.000000020 36.6873 .917 9398126Penile vascular study A 0.44 0.40 0.40 0.03 0.87 0.87 01XXX.00.00.000000090 36.6873 .917 93990 Doppler flow testing A 0.25 2.57 2.57 0.29 3.11 3.11 01XXX.00.00.000000020 36.6873 .917 93990TCDoppler flow testing A 0.00 2.38 2.38 0.27 2.65 2.65 01XXX.00.00.000000020 36.6873 .917 9399026Doppler flow testing A 0.25 0.19 0.19 0.02 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 94010 Breathing capacity test A 0.17 0.68 0.68 0.05 0.90 0.90 01XXX.00.00.000000010 36.6873 .917 94010TCBreathing capacity test A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 9401026Breathing capacity test A 0.17 0.28 0.28 0.02 0.47 0.47 01XXX.00.00.000000090 36.6873 .917 94060 Evaluation of wheezing A 0.31 1.23 1.23 0.09 1.63 1.63 01XXX.00.00.000000090 36.6873 .917 94060TCEvaluation of wheezing A 0.00 0.89 0.89 0.06 0.95 0.95 01XXX.00.00.000000090 36.6873 .917 9406026Evaluation of wheezing A 0.31 0.34 0.34 0.03 0.68 0.68 01XXX.00.00.000000090 36.6873 .917 94070 Evaluation of wheezing A 0.60 1.77 1.77 0.13 2.50 2.50 01XXX.00.00.000000030 36.6873 .917 94070TCEvaluation of wheezing A 0.00 1.39 1.39 0.10 1.49 1.49 01XXX.00.00.000000030 36.6873 .917 9407026Evaluation of wheezing A 0.60 0.38 0.38 0.03 1.01 1.01 01XXX.00.00.000000090 36.6873 .917 94150 Vital capacity test B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 94150TCVital capacity test B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 9415026Vital capacity test B 0.00 0.00 0.00 0.00 0.00 0.00 91XXX.00.00.009999999 0.0000 .917 94200 Lung function test (MBC/MVV) A 0.11 0.36 0.36 0.03 0.50 0.50 01XXX.00.00.000000010 36.6873 .917 94200TCLung function test (MBC/MVV) A 0.00 0.24 0.24 0.02 0.26 0.26 01XXX.00.00.000000010 36.6873 .917 9420026Lung function test (MBC/MVV) A 0.11 0.12 0.12 0.01 0.24 0.24 01XXX.00.00.000000090 36.6873 .917 94240 Residual lung capacity A 0.26 0.88 0.88 0.07 1.21 1.21 01XXX.00.00.000000010 36.6873 .917 94240TCResidual lung capacity A 0.00 0.65 0.65 0.05 0.70 0.70 01XXX.00.00.000000010 36.6873 .917 9424026Residual lung capacity A 0.26 0.23 0.23 0.02 0.51 0.51 01XXX.00.00.000000090 36.6873 .917 94250 Expired gas collection A 0.11 0.25 0.25 0.02 0.38 0.38 01XXX.00.00.000000010 36.6873 .917 94250TCExpired gas collection A 0.00 0.13 0.13 0.01 0.14 0.14 01XXX.00.00.000000010 36.6873 .917 9425026Expired gas collection A 0.11 0.12 0.12 0.01 0.24 0.24 01XXX.00.00.000000090 36.6873 .917 94260 Thoracic gas volume A 0.13 0.66 0.66 0.06 0.85 0.85 01XXX.00.00.000000010 36.6873 .917 94260TCThoracic gas volume A 0.00 0.52 0.52 0.04 0.56 0.56 01XXX.00.00.000000010 36.6873 .917 9426026Thoracic gas volume A 0.13 0.14 0.14 0.02 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 94350 Lung nitrogen washout curve A 0.26 0.73 0.73 0.05 1.04 1.04 01XXX.00.00.000000010 36.6873 .917 94350TCLung nitrogen washout curve A 0.00 0.52 0.52 0.04 0.56 0.56 01XXX.00.00.000000010 36.6873 .917 9435026Lung nitrogen washout curve A 0.26 0.21 0.21 0.01 0.48 0.48 01XXX.00.00.000000090 36.6873 .917 94360 Measure airflow resistance A 0.26 1.11 1.11 0.07 1.44 1.44 01XXX.00.00.000000010 36.6873 .917 94360TCMeasure airflow resistance A 0.00 0.92 0.92 0.06 0.98 0.98 01XXX.00.00.000000010 36.6873 .917 9436026Measure airflow resistance A 0.26 0.19 0.19 0.01 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 94370 Breath airway closing volume A 0.26 0.40 0.40 0.03 0.69 0.69 01XXX.00.00.000000010 36.6873 .917 94370TCBreath airway closing volume A 0.00 0.26 0.26 0.02 0.28 0.28 01XXX.00.00.000000010 36.6873 .917 9437026Breath airway closing volume A 0.26 0.14 0.14 0.01 0.41 0.41 01XXX.00.00.000000090 36.6873 .917 94375 Respiratory flow volume loop A 0.31 0.67 0.67 0.04 1.02 1.02 01XXX.00.00.000000010 36.6873 .917 94375TCRespiratory flow volume loop A 0.00 0.46 0.46 0.03 0.49 0.49 01XXX.00.00.000000010 36.6873 .917 9437526Respiratory flow volume loop A 0.31 0.21 0.21 0.01 0.53 0.53 01XXX.00.00.000000090 36.6873 .917 94400 CO2 breathing response curve A 0.40 0.77 0.77 0.19 1.36 1.36 01XXX.00.00.000000020 36.6873 .917 94400TCCO2 breathing response curve A 0.00 0.30 0.30 0.06 0.36 0.36 01XXX.00.00.000000020 36.6873 .917 9440026CO2 breathing response curve A 0.40 0.47 0.47 0.13 1.00 1.00 01XXX.00.00.000000090 36.6873 .917 94450 Hypoxia response curve A 0.40 0.61 0.61 0.05 1.06 1.06 01XXX.00.00.000000020 36.6873 .917 94450TCHypoxia response curve A 0.00 0.37 0.37 0.03 0.40 0.40 01XXX.00.00.000000020 36.6873 .917 9445026Hypoxia response curve A 0.40 0.24 0.24 0.02 0.66 0.66 01XXX.00.00.000000090 36.6873 .917 94620 Pulmonary stress testing A 0.88 2.05 2.05 0.15 3.08 3.08 01XXX.00.00.000000030 36.6873 .917 94620TCPulmonary stress testing A 0.00 1.35 1.35 0.10 1.45 1.45 01XXX.00.00.000000030 36.6873 .917 9462026Pulmonary stress testing A 0.88 0.70 0.70 0.05 1.63 1.63 01XXX.00.00.000000090 36.6873 .917 94640 Airway inhalation treatment A 0.00 0.39 0.39 0.03 0.42 0.42 05XXX.00.00.000000090 36.6873 .917 94642 Aerosol inhalation treatment C 0.00 0.00 0.00 0.00 0.00 0.00 05XXX.00.00.000000090 36.6873 .917 94650 Pressure breathing (IPPB) A 0.00 0.37 0.37 0.03 0.40 0.40 05XXX.00.00.000000090 36.6873 .917 94651 Pressure breathing (IPPB) A 0.00 0.36 0.36 0.03 0.39 0.39 05XXX.00.00.000000090 36.6873 .917 94652 Pressure breathing (IPPB) A 0.00 0.41 0.41 0.08 0.49 0.49 05XXX.00.00.000000090 36.6873 .917 94656 Initial ventilator mgmt A 1.22 1.13 1.13 0.12 2.47 2.47 00XXX.00.00.000000090 36.6873 .917 94657 Cont. ventilator A 0.83 0.62 0.62 0.05 1.50 1.50 00XXX.00.00.000000090 36.6873 .917 94660 Pos airway pressure, CPAP A 0.76 0.71 0.71 0.06 1.53 1.53 00XXX.00.00.000000090 36.6873 .917 94662 Neg pressure ventilation,cnp A 0.76 0.30 0.30 0.02 1.08 1.08 00XXX.00.00.000000090 36.6873 .917 94664 Aerosol or vapor inhalations A 0.00 0.50 0.50 0.04 0.54 0.54 05XXX.00.00.000000020 36.6873 .917 94665 Aerosol or vapor inhalations A 0.00 0.46 0.46 0.05 0.51 0.51 05XXX.00.00.000000020 36.6873 .917 94667 Chest wall manipulation A 0.00 0.55 0.55 0.05 0.60 0.60 05XXX.00.00.000000090 36.6873 .917 94668 Chest wall manipulation A 0.00 0.34 0.34 0.03 0.37 0.37 05XXX.00.00.000000090 36.6873 .917 94680 Exhaled air analysis: O2 A 0.26 0.78 0.78 0.10 1.14 1.14 01XXX.00.00.000000020 36.6873 .917 94680TCExhaled air analysis: O2 A 0.00 0.49 0.49 0.07 0.56 0.56 01XXX.00.00.000000020 36.6873 .917 9468026Exhaled air analysis: O2 A 0.26 0.29 0.29 0.03 0.58 0.58 01XXX.00.00.000000090 36.6873 .917 94681 Exhaled air analysis: O2,CO2 A 0.20 1.54 1.54 0.17 1.91 1.91 01XXX.00.00.000000020 36.6873 .917 94681TCExhaled air analysis: O2,CO2 A 0.00 1.32 1.32 0.13 1.45 1.45 01XXX.00.00.000000020 36.6873 .917 9468126Exhaled air analysis: O2,CO2 A 0.20 0.22 0.22 0.04 0.46 0.46 01XXX.00.00.000000090 36.6873 .917 94690 Exhaled air analysis A 0.07 0.56 0.56 0.04 0.67 0.67 01XXX.00.00.000000010 36.6873 .917 94690TCExhaled air analysis A 0.00 0.51 0.51 0.04 0.55 0.55 01XXX.00.00.000000010 36.6873 .917 9469026Exhaled air analysis A 0.07 0.05 0.05 0.00 0.12 0.12 01XXX.00.00.000000090 36.6873 .917 94720 Monoxide diffusing capacity A 0.26 1.03 1.03 0.08 1.37 1.37 01XXX.00.00.000000010 36.6873 .917 94720TCMonoxide diffusing capacity A 0.00 0.80 0.80 0.06 0.86 0.86 01XXX.00.00.000000010 36.6873 .917 9472026Monoxide diffusing capacity A 0.26 0.23 0.23 0.02 0.51 0.51 01XXX.00.00.000000090 36.6873 .917 94725 Membrane diffusion capacity A 0.26 1.84 1.84 0.14 2.24 2.24 01XXX.00.00.000000010 36.6873 .917 94725TCMembrane diffusion capacity A 0.00 1.66 1.66 0.13 1.79 1.79 01XXX.00.00.000000010 36.6873 .917 9472526Membrane diffusion capacity A 0.26 0.18 0.18 0.01 0.45 0.45 01XXX.00.00.000000090 36.6873 .917 94750 Pulmonary compliance study A 0.23 0.80 0.80 0.06 1.09 1.09 01XXX.00.00.000000010 36.6873 .917 94750TCPulmonary compliance study A 0.00 0.55 0.55 0.04 0.59 0.59 01XXX.00.00.000000010 36.6873 .917 9475026Pulmonary compliance study A 0.23 0.25 0.25 0.02 0.50 0.50 01XXX.00.00.000000090 36.6873 .917 94760 Measure blood oxygen level A 0.00 0.25 0.25 0.02 0.27 0.27 03XXX.00.00.000000010 36.6873 .917 94761 Measure blood oxygen level A 0.00 0.64 0.64 0.06 0.70 0.70 03XXX.00.00.000000010 36.6873 .917 94762 Measure blood oxygen level A 0.00 1.08 1.08 0.10 1.18 1.18 03XXX.00.00.000000010 36.6873 .917 94770 Exhaled carbon dioxide test A 0.15 0.40 0.40 0.11 0.66 0.66 01XXX.00.00.000000010 36.6873 .917 94770TCExhaled carbon dioxide test A 0.00 0.29 0.29 0.08 0.37 0.37 01XXX.00.00.000000010 36.6873 .917 9477026Exhaled carbon dioxide test A 0.15 0.11 0.11 0.03 0.29 0.29 01XXX.00.00.000000090 36.6873 .917 94772 Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000010 36.6873 .917 94772TCBreath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000010 36.6873 .917 9477226Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 94799 Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 94799TCPulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 9479926Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 01XXX.00.00.000000090 36.6873 .917 95004 Allergy skin tests A 0.00 0.09 0.09 0.01 0.10 0.10 05XXX.00.00.000000020 36.6873 .917 95010 Sensitivity skin tests A 0.15 0.11 0.11 0.01 0.27 0.27 10XXX.00.00.000000090 36.6873 .917 95015 Sensitivity skin tests A 0.15 0.11 0.11 0.01 0.27 0.27 10XXX.00.00.000000090 36.6873 .917 95024 Allergy skin tests A 0.00 0.14 0.14 0.01 0.15 0.15 05XXX.00.00.000000020 36.6873 .917 95027 Skin end point titration A 0.00 0.14 0.14 0.01 0.15 0.15 03XXX.00.00.000000020 36.6873 .917 95028 Allergy skin tests A 0.00 0.22 0.22 0.01 0.23 0.23 03XXX.00.00.000000021G0025 36.6873 .917 95044 Allergy patch tests A 0.00 0.19 0.19 0.01 0.20 0.20 05XXX.00.00.000000020 36.6873 .917 95052 Photo patch test A 0.00 0.24 0.24 0.01 0.25 0.25 05XXX.00.00.000000020 36.6873 .917 95056 Photosensitivity tests A 0.00 0.17 0.17 0.01 0.18 0.18 15XXX.00.00.000000020 36.6873 .917 95060 Eye allergy tests A 0.00 0.33 0.33 0.02 0.35 0.35 03XXX.00.00.000000030 36.6873 .917 95065 Nose allergy test A 0.00 0.19 0.19 0.01 0.20 0.20 13XXX.00.00.000000030 36.6873 .917 95070 Bronchial allergy tests A 0.00 2.17 2.17 0.02 2.19 2.19 03XXX.00.00.000000030 36.6873 .917 95071 Bronchial allergy tests A 0.00 2.78 2.78 0.02 2.80 2.80 03XXX.00.00.000000030 36.6873 .917 95075 Ingestion challenge test A 0.95 1.97 1.97 0.02 2.94 2.94 10XXX.00.00.000000090 36.6873 .917 95078 Provocative testing A 0.00 0.24 0.24 0.02 0.26 0.26 03XXX.00.00.000000030 36.6873 .917 95115 Immunotherapy, one injection A 0.00 0.37 0.37 0.02 0.39 0.39 05000.00.00.000000090 36.6873 .917 95117 Immunotherapy injections A 0.00 0.48 0.48 0.02 0.50 0.50 05000.00.00.000000090 36.6873 .917 95120 Immunotherapy, one injection I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95125 Immunotherapy, many antigens I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95130 Immunotherapy, insect venom I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95131 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95132 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95133 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95134 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 95144 Antigen therapy services A 0.06 0.13 0.13 0.01 0.20 0.20 10000.00.00.000000090 36.6873 .917 95145 Antigen therapy services A 0.06 0.34 0.34 0.03 0.43 0.43 10000.00.00.000000090 36.6873 .917 95146 Antigen therapy services A 0.06 0.61 0.61 0.03 0.70 0.70 10000.00.00.000000090 36.6873 .917 95147 Antigen therapy services A 0.06 0.91 0.91 0.03 1.00 1.00 10000.00.00.000000090 36.6873 .917 95148 Antigen therapy services A 0.06 0.91 0.91 0.03 1.00 1.00 10000.00.00.000000090 36.6873 .917 95149 Antigen therapy services A 0.06 1.14 1.14 0.03 1.23 1.23 10000.00.00.000000090 36.6873 .917 95165 Antigen therapy services A 0.06 0.10 0.10 0.01 0.17 0.17 10000.00.00.000000090 36.6873 .917 95170 Antigen therapy services A 0.06 0.35 0.35 0.03 0.44 0.44 10000.00.00.000000090 36.6873 .917 95180 Rapid desensitization A 2.01 0.14 0.14 0.01 2.16 2.16 10000.00.00.000000090 36.6873 .917 95199 Allergy immunology services C 0.00 0.00 0.00 0.00 0.00 0.00 00000.00.00.000000090 36.6873 .917 95805 Multiple sleep latency test A 1.88 5.51 5.51 0.45 7.84 7.84 01XXX.00.00.000000010 36.6873 .917 95805TCMultiple sleep latency test A 0.00 4.95 4.95 0.38 5.33 5.33 01XXX.00.00.000000010 36.6873 .917 9580526Multiple sleep latency test A 1.88 0.56 0.56 0.07 2.51 2.51 01XXX.00.00.000000090 36.6873 .917 95806 Sleep study, unattended A 1.66 7.18 6.56 0.55 9.39 8.77 21XXX.00.00.000000090 36.6873 .917 95806TCSleep study, unattended A 0.00 4.73 4.73 0.36 5.09 5.09 01XXX.00.00.000000090 36.6873 .917 9580626Sleep study, unattended A 1.66 2.45 1.83 0.19 4.30 3.68 21XXX.00.00.000000090 36.6873 .917 95807 Sleep study, attended A 1.66 8.13 8.13 0.67 10.46 10.46 01XXX.00.00.000000010 36.6873 .917 95807TCSleep study, attended A 0.00 6.30 6.30 0.48 6.78 6.78 01XXX.00.00.000000010 36.6873 .917 9580726Sleep study, attended A 1.66 1.83 1.83 0.19 3.68 3.68 01XXX.00.00.000000090 36.6873 .917 95808 Polysomnography, 1-3 A 2.65 8.75 8.75 0.67 12.07 12.07 01XXX.00.00.000000010 36.6873 .917 95808TCPolysomnography, 1-3 A 0.00 6.30 6.30 0.48 6.78 6.78 01XXX.00.00.000000010 36.6873 .917 9580826Polysomnography, 1-3 A 2.65 2.45 2.45 0.19 5.29 5.29 01XXX.00.00.000000090 36.6873 .917 95810 Polysomnography, 4 or more A 3.53 8.75 8.75 0.67 12.95 12.95 01XXX.00.00.000000010 36.6873 .917 95810TCPolysomnography, 4 or more A 0.00 6.30 6.30 0.48 6.78 6.78 01XXX.00.00.000000010 36.6873 .917 9581026Polysomnography, 4 or more A 3.53 2.45 2.45 0.19 6.17 6.17 01XXX.00.00.000000090 36.6873 .917 95811 Polysomnography w/cpap A 3.80 9.19 9.19 0.70 13.69 13.69 01XXX.00.00.000000090 36.6873 .917 95811TCPolysomnography w/cpap A 0.00 6.62 6.62 0.50 7.12 7.12 01XXX.00.00.000000090 36.6873 .917 9581126Polysomnography w/cpap A 3.80 2.57 2.57 0.20 6.57 6.57 01XXX.00.00.000000090 36.6873 .917 95812 Electroencephalogram (EEG) A 1.08 1.85 1.85 0.15 3.08 3.08 01XXX.00.00.000000010 36.6873 .917 95812TCElectroencephalogram (EEG) A 0.00 1.35 1.35 0.11 1.46 1.46 01XXX.00.00.000000010 36.6873 .917 9581226Electroencephalogram (EEG) A 1.08 0.50 0.50 0.04 1.62 1.62 01XXX.00.00.000000090 36.6873 .917 95813 Electroencephalogram (EEG) A 1.73 1.85 1.85 0.15 3.73 3.73 01XXX.00.00.000000010 36.6873 .917 95813TCElectroencephalogram (EEG) A 0.00 1.35 1.35 0.11 1.46 1.46 01XXX.00.00.000000010 36.6873 .917 9581326Electroencephalogram (EEG) A 1.73 0.50 0.50 0.04 2.27 2.27 01XXX.00.00.000000090 36.6873 .917 95816 Electroencephalogram (EEG) A 1.08 1.54 1.54 0.13 2.75 2.75 01XXX.00.00.000000020 36.6873 .917 95816TCElectroencephalogram (EEG) A 0.00 1.26 1.26 0.10 1.36 1.36 01XXX.00.00.000000020 36.6873 .917 9581626Electroencephalogram (EEG) A 1.08 0.28 0.28 0.03 1.39 1.39 01XXX.00.00.000000090 36.6873 .917 95819 Electroencephalogram (EEG) A 1.08 1.80 1.80 0.14 3.02 3.02 01XXX.00.00.000000020 36.6873 .917 95819TCElectroencephalogram (EEG) A 0.00 1.30 1.30 0.10 1.40 1.40 01XXX.00.00.000000020 36.6873 .917 9581926Electroencephalogram (EEG) A 1.08 0.50 0.50 0.04 1.62 1.62 01XXX.00.00.000000090 36.6873 .917 95822 Sleep electroencephalogram A 1.08 2.28 2.28 0.18 3.54 3.54 01XXX.00.00.000000010 36.6873 .917 95822TCSleep electroencephalogram A 0.00 1.72 1.72 0.14 1.86 1.86 01XXX.00.00.000000010 36.6873 .917 9582226Sleep electroencephalogram A 1.08 0.56 0.56 0.04 1.68 1.68 01XXX.00.00.000000090 36.6873 .917 95824 Electroencephalography A 0.74 0.98 0.98 0.07 1.79 1.79 01XXX.00.00.000000010 36.6873 .917 95824TCElectroencephalography A 0.00 0.40 0.40 0.03 0.43 0.43 01XXX.00.00.000000010 36.6873 .917 9582426Electroencephalography A 0.74 0.58 0.58 0.04 1.36 1.36 01XXX.00.00.000000090 36.6873 .917 95827 Night electroencephalogram A 1.08 3.06 3.06 0.24 4.38 4.38 01XXX.00.00.000000010 36.6873 .917 95827TCNight electroencephalogram A 0.00 2.18 2.18 0.17 2.35 2.35 01XXX.00.00.000000010 36.6873 .917 9582726Night electroencephalogram A 1.08 0.88 0.88 0.07 2.03 2.03 01XXX.00.00.000000090 36.6873 .917 95829 Surgery electrocorticogram A 6.21 0.59 0.59 0.05 6.85 6.85 01XXX.00.00.000000010 36.6873 .917 95829TCSurgery electrocorticogram A 0.00 0.14 0.14 0.02 0.16 0.16 01XXX.00.00.000000010 36.6873 .917 9582926Surgery electrocorticogram A 6.21 0.45 0.45 0.03 6.69 6.69 01XXX.00.00.000000090 36.6873 .917 95830 Insert electrodes for EEG A 1.70 0.78 0.78 0.07 2.55 2.55 00XXX.00.00.000000090 36.6873 .917 95831 Limb muscle testing, manual A 0.28 0.29 0.29 0.03 0.60 0.60 10XXX.00.00.000000090 36.6873 .917 95832 Hand muscle testing, manual A 0.29 0.25 0.25 0.02 0.56 0.56 10XXX.00.00.000000090 36.6873 .917 95833 Body muscle testing, manual A 0.47 0.38 0.38 0.05 0.90 0.90 10XXX.00.00.000000090 36.6873 .917 95834 Body muscle testing, manual A 0.60 0.61 0.61 0.06 1.27 1.27 10XXX.00.00.000000090 36.6873 .917 95851 Range of motion measurements A 0.16 0.24 0.24 0.02 0.42 0.42 10XXX.00.00.000000090 36.6873 .917 95852 Range of motion measurements A 0.11 0.15 0.15 0.02 0.28 0.28 10XXX.00.00.000000090 36.6873 .917 95857 Tensilon test A 0.53 0.50 0.50 0.04 1.07 1.07 10XXX.00.00.000000090 36.6873 .917 95858 Tensilon test & myogram A 1.56 1.02 1.02 0.09 2.67 2.67 01XXX.00.00.000000030 36.6873 .917 95858TCTensilon test & myogram A 0.00 0.38 0.38 0.04 0.42 0.42 01XXX.00.00.000000030 36.6873 .917 9585826Tensilon test & myogram A 1.56 0.64 0.64 0.05 2.25 2.25 01XXX.00.00.000000090 36.6873 .917 95860 Muscle test, one limb A 0.96 1.09 1.09 0.09 2.14 2.14 01XXX.00.00.000000060 36.6873 .917 95860TCMuscle test, one limb A 0.00 0.36 0.36 0.03 0.39 0.39 01XXX.00.00.000000060 36.6873 .917 9586026Muscle test, one limb A 0.96 0.73 0.73 0.06 1.75 1.75 01XXX.00.00.000000090 36.6873 .917 95861 Muscle test, two limbs A 1.54 1.97 1.97 0.16 3.67 3.67 01XXX.00.00.000000060 36.6873 .917 95861TCMuscle test, two limbs A 0.00 0.70 0.70 0.06 0.76 0.76 01XXX.00.00.000000060 36.6873 .917 9586126Muscle test, two limbs A 1.54 1.27 1.27 0.10 2.91 2.91 01XXX.00.00.000000090 36.6873 .917 95863 Muscle test, 3 limbs A 1.87 2.30 2.30 0.18 4.35 4.35 01XXX.00.00.000000060 36.6873 .917 95863TCMuscle test, 3 limbs A 0.00 0.89 0.89 0.07 0.96 0.96 01XXX.00.00.000000060 36.6873 .917 9586326Muscle test, 3 limbs A 1.87 1.41 1.41 0.11 3.39 3.39 01XXX.00.00.000000090 36.6873 .917 95864 Muscle test, 4 limbs A 1.99 3.45 3.45 0.27 5.71 5.71 01XXX.00.00.000000060 36.6873 .917 95864TCMuscle test, 4 limbs A 0.00 1.70 1.70 0.13 1.83 1.83 01XXX.00.00.000000060 36.6873 .917 9586426Muscle test, 4 limbs A 1.99 1.75 1.75 0.14 3.88 3.88 01XXX.00.00.000000090 36.6873 .917 95867 Muscle test, head or neck A 0.79 1.13 1.13 0.09 2.01 2.01 01XXX.00.00.000000060 36.6873 .917 95867TCMuscle test, head or neck A 0.00 0.55 0.55 0.04 0.59 0.59 01XXX.00.00.000000060 36.6873 .917 9586726Muscle test, head or neck A 0.79 0.58 0.58 0.05 1.42 1.42 01XXX.00.00.000000090 36.6873 .917 95868 Muscle test, head or neck A 1.18 1.92 1.92 0.15 3.25 3.25 01XXX.00.00.000200060 36.6873 .917 95868TCMuscle test, head or neck A 0.00 0.66 0.66 0.05 0.71 0.71 01XXX.00.00.000200060 36.6873 .917 9586826Muscle test, head or neck A 1.18 1.26 1.26 0.10 2.54 2.54 01XXX.00.00.000200090 36.6873 .917 95869 Muscle test, thor paraspinal A 0.37 0.53 0.53 0.05 0.95 0.95 01XXX.00.00.000000060 36.6873 .917 95869TCMuscle test, thor paraspinal A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000000060 36.6873 .917 9586926Muscle test, thor paraspinal A 0.37 0.33 0.33 0.03 0.73 0.73 01XXX.00.00.000000090 36.6873 .917 95870 Muscle test, non-paraspinal A 0.37 0.53 0.53 0.05 0.95 0.95 01XXX.00.00.000000060 36.6873 .917 95870TCMuscle test, non-paraspinal A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000000060 36.6873 .917 9587026Muscle test, non-paraspinal A 0.37 0.33 0.33 0.03 0.73 0.73 01XXX.00.00.000000090 36.6873 .917 95872 Muscle test, one fiber A 1.50 1.25 1.25 0.11 2.86 2.86 01XXX.00.00.000000030 36.6873 .917 95872TCMuscle test, one fiber A 0.00 0.57 0.57 0.05 0.62 0.62 01XXX.00.00.000000030 36.6873 .917 9587226Muscle test, one fiber A 1.50 0.68 0.68 0.06 2.24 2.24 01XXX.00.00.000000090 36.6873 .917 95875 Limb exercise test A 1.34 0.60 0.60 0.10 2.04 2.04 01XXX.00.00.000000030 36.6873 .917 95875TCLimb exercise test A 0.00 0.38 0.38 0.06 0.44 0.44 01XXX.00.00.000000030 36.6873 .917 9587526Limb exercise test A 1.34 0.22 0.22 0.04 1.60 1.60 01XXX.00.00.000000090 36.6873 .917 95900 Motor nerve conduction test A 0.42 0.62 0.62 0.05 1.09 1.09 01XXX.00.00.000000070 36.6873 .917 95900TCMotor nerve conduction test A 0.00 0.27 0.27 0.02 0.29 0.29 01XXX.00.00.000000070 36.6873 .917 9590026Motor nerve conduction test A 0.42 0.35 0.35 0.03 0.80 0.80 01XXX.00.00.000000090 36.6873 .917 95903 Motor nerve conduction test A 0.60 0.59 0.59 0.05 1.24 1.24 01XXX.00.00.000000070 36.6873 .917 95903TCMotor nerve conduction test A 0.00 0.24 0.24 0.02 0.26 0.26 01XXX.00.00.000000070 36.6873 .917 9590326Motor nerve conduction test A 0.60 0.35 0.35 0.03 0.98 0.98 01XXX.00.00.000000090 36.6873 .917 95904 Sense nerve conduction test A 0.34 0.55 0.55 0.05 0.94 0.94 01XXX.00.00.000000070 36.6873 .917 95904TCSense nerve conduction test A 0.00 0.21 0.21 0.02 0.23 0.23 01XXX.00.00.000000070 36.6873 .917 9590426Sense nerve conduction test A 0.34 0.34 0.34 0.03 0.71 0.71 01XXX.00.00.000000090 36.6873 .917 95920 Intraoperative nerve testing A 2.11 2.67 2.67 0.20 4.98 4.98 01XXX.00.00.000000020 36.6873 .917 95920TCIntraoperative nerve testing A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000020 36.6873 .917 9592026Intraoperative nerve testing A 2.11 1.43 1.43 0.12 3.66 3.66 01XXX.00.00.000000090 36.6873 .917 95921 Autonomic nervous func test A 0.90 0.68 0.68 0.05 1.63 1.63 01XXX.00.00.000000020 36.6873 .917 95921TCAutonomic nervous func test A 0.00 0.36 0.36 0.03 0.39 0.39 01XXX.00.00.000000020 36.6873 .917 9592126Autonomic nervous func test A 0.90 0.32 0.32 0.02 1.24 1.24 01XXX.00.00.000000090 36.6873 .917 95922 Autonomic nervous func test A 0.96 0.70 0.70 0.06 1.72 1.72 01XXX.00.00.000000030 36.6873 .917 95922TCAutonomic nervous func test A 0.00 0.36 0.36 0.03 0.39 0.39 01XXX.00.00.000000030 36.6873 .917 9592226Autonomic nervous func test A 0.96 0.34 0.34 0.03 1.33 1.33 01XXX.00.00.000000090 36.6873 .917 95923 Autonomic nervous func test A 0.90 0.68 0.68 0.05 1.63 1.63 01XXX.00.00.000000030 36.6873 .917 95923TCAutonomic nervous func test A 0.00 0.36 0.36 0.03 0.39 0.39 01XXX.00.00.000000030 36.6873 .917 9592326Autonomic nervous func test A 0.90 0.32 0.32 0.02 1.24 1.24 01XXX.00.00.000000090 36.6873 .917 95925 Somatosensory testing A 0.54 1.51 1.51 0.12 2.17 2.17 01XXX.00.00.000200020 36.6873 .917 95925TCSomatosensory testing A 0.00 0.87 0.87 0.07 0.94 0.94 01XXX.00.00.000200020 36.6873 .917 9592526Somatosensory testing A 0.54 0.64 0.64 0.05 1.23 1.23 01XXX.00.00.000200090 36.6873 .917 95926 Somatosensory testing A 0.54 1.51 1.51 0.12 2.17 2.17 01XXX.00.00.000200020 36.6873 .917 95926TCSomatosensory testing A 0.00 0.87 0.87 0.07 0.94 0.94 01XXX.00.00.000200020 36.6873 .917 9592626Somatosensory testing A 0.54 0.64 0.64 0.05 1.23 1.23 01XXX.00.00.000200090 36.6873 .917 95927 Somatosensory testing A 0.54 1.51 1.51 0.12 2.17 2.17 01XXX.00.00.000000020 36.6873 .917 95927TCSomatosensory testing A 0.00 0.87 0.87 0.07 0.94 0.94 01XXX.00.00.000000020 36.6873 .917 9592726Somatosensory testing A 0.54 0.64 0.64 0.05 1.23 1.23 01XXX.00.00.000000090 36.6873 .917 95930 Visual evoked potential test A 0.35 0.83 0.83 0.05 1.23 1.23 01XXX.00.00.000200020 36.6873 .917 95930TCVisual evoked potential test A 0.00 0.25 0.25 0.01 0.26 0.26 01XXX.00.00.000200020 36.6873 .917 9593026Visual evoked potential test A 0.35 0.58 0.58 0.04 0.97 0.97 01XXX.00.00.000200090 36.6873 .917 95933 Blink reflex test A 0.59 1.25 1.25 0.10 1.94 1.94 01XXX.00.00.000000070 36.6873 .917 95933TCBlink reflex test A 0.00 0.75 0.75 0.06 0.81 0.81 01XXX.00.00.000000070 36.6873 .917 9593326Blink reflex test A 0.59 0.50 0.50 0.04 1.13 1.13 01XXX.00.00.000000090 36.6873 .917 95934 ’h’ reflex test A 0.51 0.54 0.54 0.05 1.10 1.10 01XXX.00.00.000100070 36.6873 .917 95934TC’h’ reflex test A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000100070 36.6873 .917 9593426’h’ reflex test A 0.51 0.34 0.34 0.03 0.88 0.88 01XXX.00.00.000100090 36.6873 .917 95936 ’h’ reflex test A 0.55 0.54 0.54 0.05 1.14 1.14 01XXX.00.00.000100070 36.6873 .917 95936TC’h’ reflex test A 0.00 0.20 0.20 0.02 0.22 0.22 01XXX.00.00.000100070 36.6873 .917 9593626’h’ reflex test A 0.55 0.34 0.34 0.03 0.92 0.92 01XXX.00.00.000100090 36.6873 .917 95937 Neuromuscular junction test A 0.65 0.77 0.77 0.07 1.49 1.49 01XXX.00.00.000000070 36.6873 .917 95937TCNeuromuscular junction test A 0.00 0.32 0.32 0.03 0.35 0.35 01XXX.00.00.000000070 36.6873 .917 9593726Neuromuscular junction test A 0.65 0.45 0.45 0.04 1.14 1.14 01XXX.00.00.000000090 36.6873 .917 95950 Ambulatory eeg monitoring A 1.51 7.25 7.25 0.60 9.36 9.36 01XXX.00.00.000000010 36.6873 .917 95950TCAmbulatory eeg monitoring A 0.00 6.04 6.04 0.50 6.54 6.54 01XXX.00.00.000000010 36.6873 .917 9595026Ambulatory eeg monitoring A 1.51 1.21 1.21 0.10 2.82 2.82 01XXX.00.00.000000090 36.6873 .917 95951 EEG monitoring/videorecord A 6.00 8.83 8.83 0.64 15.47 15.47 01XXX.00.00.000000010 36.6873 .917 95951TCEEG monitoring/videorecord A 0.00 7.33 7.33 0.53 7.86 7.86 01XXX.00.00.000000010 36.6873 .917 9595126EEG monitoring/videorecord A 6.00 1.50 1.50 0.11 7.61 7.61 01XXX.00.00.000000090 36.6873 .917 95953 EEG monitoring/computer A 3.08 7.25 7.25 0.60 10.93 10.93 01XXX.00.00.000000010 36.6873 .917 95953TCEEG monitoring/computer A 0.00 6.04 6.04 0.50 6.54 6.54 01XXX.00.00.000000010 36.6873 .917 9595326EEG monitoring/computer A 3.08 1.21 1.21 0.10 4.39 4.39 01XXX.00.00.000000090 36.6873 .917 95954 EEG monitoring/giving drugs A 2.45 2.32 2.32 0.28 5.05 5.05 01XXX.00.00.000000030 36.6873 .917 95954TCEEG monitoring/giving drugs A 0.00 0.45 0.45 0.06 0.51 0.51 01XXX.00.00.000000030 36.6873 .917 9595426EEG monitoring/giving drugs A 2.45 1.87 1.87 0.22 4.54 4.54 01XXX.00.00.000000090 36.6873 .917 95955 EEG during surgery A 1.01 2.90 2.90 0.30 4.21 4.21 01XXX.00.00.000000020 36.6873 .917 95955TCEEG during surgery A 0.00 1.87 1.87 0.19 2.06 2.06 01XXX.00.00.000000020 36.6873 .917 9595526EEG during surgery A 1.01 1.03 1.03 0.11 2.15 2.15 01XXX.00.00.000000090 36.6873 .917 95956 EEG monitoring/cable/radio A 3.08 7.54 7.54 0.61 11.23 11.23 01XXX.00.00.000000010 36.6873 .917 95956TCEEG monitoring/cable/radio A 0.00 6.04 6.04 0.50 6.54 6.54 01XXX.00.00.000000010 36.6873 .917 9595626EEG monitoring/cable/radio A 3.08 1.50 1.50 0.11 4.69 4.69 01XXX.00.00.000000090 36.6873 .917 95957 EEG digital analysis A 1.98 2.25 2.25 0.18 4.41 4.41 01XXX.00.00.000000010 36.6873 .917 95957TCEEG digital analysis A 0.00 1.62 1.62 0.13 1.75 1.75 01XXX.00.00.000000010 36.6873 .917 9595726EEG digital analysis A 1.98 0.63 0.63 0.05 2.66 2.66 01XXX.00.00.000000090 36.6873 .917 95958 EEG monitoring/function test A 4.25 4.89 4.89 0.52 9.66 9.66 01XXX.00.00.000000030 36.6873 .917 95958TCEEG monitoring/function test A 0.00 1.66 1.66 0.14 1.80 1.80 01XXX.00.00.000000030 36.6873 .917 9595826EEG monitoring/function test A 4.25 3.23 3.23 0.38 7.86 7.86 01XXX.00.00.000000090 36.6873 .917 95961 Electrode stimulation, brain A 2.97 2.67 2.67 0.20 5.84 5.84 01XXX.00.00.000000030 36.6873 .917 95961TCElectrode stimulation, brain A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 9596126Electrode stimulation, brain A 2.97 1.43 1.43 0.12 4.52 4.52 01XXX.00.00.000000090 36.6873 .917 95962 Electrode stimulation, brain A 3.21 2.67 2.67 0.20 6.08 6.08 01XXX.00.00.000000030 36.6873 .917 95962TCElectrode stimulation, brain A 0.00 1.24 1.24 0.08 1.32 1.32 01XXX.00.00.000000030 36.6873 .917 9596226Electrode stimulation, brain A 3.21 1.43 1.43 0.12 4.76 4.76 01XXX.00.00.000000090 36.6873 .917 95999 Neurological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 96100 Psychological testing A 0.00 1.68 1.68 0.20 1.88 1.88 00XXX.00.00.000000040 36.6873 .917 96105 Assessment of aphasia A 0.00 1.68 1.68 0.20 1.88 1.88 00XXX.00.00.000000040 36.6873 .917 96110 Developmental test, lim C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000040 36.6873 .917 96111 Developmental test, extend A 0.00 1.68 1.68 0.20 1.88 1.88 00XXX.00.00.000000040 36.6873 .917 96115 Neurobehavior status exam A 0.00 1.68 1.68 0.20 1.88 1.88 00XXX.00.00.000000040 36.6873 .917 96117 Neuropsych test battery A 0.00 1.68 1.68 0.20 1.88 1.88 00XXX.00.00.000000040 36.6873 .917 96400 Chemotherapy, (SC)/(IM) A 0.00 0.13 0.13 0.01 0.14 0.14 05XXX.00.00.000000090 36.6873 .917 96405 Intralesional chemo admin A 0.52 0.38 0.38 0.03 0.93 0.93 10000.00.00.002010090 36.6873 .917 96406 Intralesional chemo admin A 0.80 0.56 0.56 0.04 1.40 1.40 10000.00.00.002010090 36.6873 .917 96408 Chemotherapy, push technique A 0.00 0.92 0.92 0.06 0.98 0.98 05XXX.00.00.000000090 36.6873 .917 96410 Chemotherapy,infusion method A 0.00 1.47 1.47 0.09 1.56 1.56 05XXX.00.00.000000090 36.6873 .917 96412 Chemotherapy,infusion method A 0.00 1.10 1.10 0.08 1.18 1.18 05XXX.00.00.000000090 36.6873 .917 96414 Chemotherapy,infusion method A 0.00 1.27 1.27 0.09 1.36 1.36 05XXX.00.00.000000090 36.6873 .917 96420 Chemotherapy, push technique A 0.00 1.19 1.19 0.09 1.28 1.28 05XXX.00.00.000000090 36.6873 .917 96422 Chemotherapy,infusion method A 0.00 1.17 1.17 0.09 1.26 1.26 05XXX.00.00.000000090 36.6873 .917 96423 Chemotherapy,infusion method A 0.00 0.46 0.46 0.03 0.49 0.49 05XXX.00.00.000000090 36.6873 .917 96425 Chemotherapy,infusion method A 0.00 1.36 1.36 0.09 1.45 1.45 05XXX.00.00.000000090 36.6873 .917 96440 Chemotherapy, intracavitary A 2.37 0.81 0.81 0.06 3.24 3.24 00000.00.00.000000091A4550 36.6873 .917 96445 Chemotherapy, intracavitary A 2.20 0.98 0.98 0.09 3.27 3.27 10000.00.00.000000091A4550 36.6873 .917 96450 Chemotherapy, into CNS A 1.89 0.87 0.87 0.06 2.82 2.82 10000.00.00.000000091A4550 36.6873 .917 96520 Pump refilling, maintenance A 0.00 0.85 0.85 0.06 0.91 0.91 05XXX.00.00.000000090 36.6873 .917 96530 Pump refilling, maintenance A 0.00 1.01 1.01 0.07 1.08 1.08 05XXX.00.00.000000090 36.6873 .917 96542 Chemotherapy injection A 1.42 1.09 1.09 0.13 2.64 2.64 10XXX.00.00.000000090 36.6873 .917 96545 Provide chemotherapy agent B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 96549 Chemotherapy, unspecified C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 96900 Ultraviolet light therapy A 0.00 0.38 0.38 0.03 0.41 0.41 05XXX.00.00.000000090 36.6873 .917 96902 Trichogram B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 96910 Photochemotherapy with UV-B A 0.00 0.55 0.55 0.04 0.59 0.59 05XXX.00.00.000000090 36.6873 .917 96912 Photochemotherapy with UV-A A 0.00 0.63 0.63 0.05 0.68 0.68 05XXX.00.00.000000090 36.6873 .917 96913 Photochemotherapy, UV-A or B A 0.00 1.29 1.29 0.10 1.39 1.39 05XXX.00.00.000000090 36.6873 .917 96999 Dermatological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 97001 Pt evaluation A 1.20 0.35 0.35 0.11 1.66 1.66 07XXX.00.00.000000090 36.6873 .917 97002 Pt re-evaluation A 0.60 0.04 0.04 0.01 0.65 0.65 07XXX.00.00.000000090 36.6873 .917 97003 Ot evaluation A 1.20 0.35 0.35 0.11 1.66 1.66 07XXX.00.00.000000090 36.6873 .917 97004 Ot re-evaluation A 0.60 0.04 0.04 0.01 0.65 0.65 07XXX.00.00.000000090 36.6873 .917 97010 Hot or cold packs therapy B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 97012 Mechanical traction therapy A 0.25 0.19 0.19 0.02 0.46 0.46 07XXX.00.00.000000090 36.6873 .917 97014 Electric stimulation therapy A 0.18 0.20 0.20 0.02 0.40 0.40 07XXX.00.00.000000090 36.6873 .917 97016 Vasopneumatic device therapy A 0.18 0.25 0.25 0.02 0.45 0.45 07XXX.00.00.000000090 36.6873 .917 97018 Paraffin bath therapy A 0.06 0.24 0.24 0.03 0.33 0.33 07XXX.00.00.000000090 36.6873 .917 97020 Microwave therapy A 0.06 0.20 0.20 0.02 0.28 0.28 07XXX.00.00.000000090 36.6873 .917 97022 Whirlpool therapy A 0.17 0.19 0.19 0.02 0.38 0.38 07XXX.00.00.000000090 36.6873 .917 97024 Diathermy treatment A 0.06 0.21 0.21 0.02 0.29 0.29 07XXX.00.00.000000090 36.6873 .917 97026 Infrared therapy A 0.06 0.19 0.19 0.02 0.27 0.27 07XXX.00.00.000000090 36.6873 .917 97028 Ultraviolet therapy A 0.08 0.19 0.19 0.01 0.28 0.28 07XXX.00.00.000000090 36.6873 .917 97032 Electrical stimulation A 0.25 0.14 0.14 0.01 0.40 0.40 07XXX.00.00.000000090 36.6873 .917 97033 Electric current therapy A 0.26 0.14 0.14 0.02 0.42 0.42 07XXX.00.00.000000090 36.6873 .917 97034 Contrast bath therapy A 0.21 0.10 0.10 0.01 0.32 0.32 07XXX.00.00.000000090 36.6873 .917 97035 Ultrasound therapy A 0.21 0.11 0.11 0.01 0.33 0.33 07XXX.00.00.000000090 36.6873 .917 97036 Hydrotherapy A 0.28 0.21 0.21 0.02 0.51 0.51 07XXX.00.00.000000090 36.6873 .917 97039 Physical therapy treatment A 0.20 0.24 0.24 0.03 0.47 0.47 07XXX.00.00.000000090 36.6873 .917 97110 Therapeutic exercises A 0.45 0.13 0.13 0.02 0.60 0.60 07XXX.00.00.000000090 36.6873 .917 97112 Neuromuscular reeducation A 0.45 0.13 0.13 0.01 0.59 0.59 07XXX.00.00.000000090 36.6873 .917 97113 Aquatic therapy/exercises A 0.44 0.20 0.20 0.02 0.66 0.66 07XXX.00.00.000000090 36.6873 .917 97116 Gait training therapy A 0.40 0.11 0.11 0.01 0.52 0.52 07XXX.00.00.000000090 36.6873 .917 97122 Manual traction therapy A 0.42 0.11 0.11 0.01 0.54 0.54 07XXX.00.00.000000090 36.6873 .917 97124 Massage therapy A 0.35 0.11 0.11 0.01 0.47 0.47 07XXX.00.00.000000090 36.6873 .917 97139 Physical medicine procedure A 0.21 0.16 0.16 0.02 0.39 0.39 07XXX.00.00.000000090 36.6873 .917 97150 Group therapeutic procedures A 0.27 0.20 0.20 0.02 0.49 0.49 07XXX.00.00.000000090 36.6873 .917 97250 Myofascial release A 0.45 0.35 0.35 0.04 0.84 0.84 07000.00.00.000000090 36.6873 .917 97260 Regional manipulation A 0.19 0.20 0.20 0.02 0.41 0.41 07000.00.00.000000090 36.6873 .917 97261 Supplemental manipulations A 0.12 0.11 0.11 0.01 0.24 0.24 07000.00.00.000000090 36.6873 .917 97265 Joint mobilization A 0.45 0.35 0.35 0.04 0.84 0.84 07XXX.00.00.000000090 36.6873 .917 97504 Orthotic training A 0.45 0.14 0.14 0.02 0.61 0.61 07XXX.00.00.000000090 36.6873 .917 97520 Prosthetic training A 0.45 0.15 0.15 0.02 0.62 0.62 07XXX.00.00.000000090 36.6873 .917 97530 Therapeutic activities A 0.44 0.17 0.17 0.02 0.63 0.63 07XXX.00.00.000000090 36.6873 .917 97535 Self care mngment training A 0.45 0.17 0.17 0.02 0.64 0.64 07XXX.00.00.000000090 36.6873 .917 97537 Community/work reintegration A 0.45 0.17 0.17 0.02 0.64 0.64 07XXX.00.00.000000090 36.6873 .917 97542 Wheelchair mngement training A 0.25 0.17 0.17 0.02 0.44 0.44 07XXX.00.00.000000090 36.6873 .917 97545 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 07XXX.00.00.000000090 36.6873 .917 97546 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 07XXX.00.00.000000090 36.6873 .917 97703 Prosthetic checkout A 0.25 0.18 0.18 0.03 0.46 0.46 07XXX.00.00.000000090 36.6873 .917 97750 Physical performance test A 0.45 0.24 0.24 0.03 0.72 0.72 07XXX.00.00.000000090 36.6873 .917 97770 Cognitive skills development A 0.44 0.28 0.28 0.03 0.75 0.75 07XXX.00.00.000000090 36.6873 .917 97780 Acupuncture w/o stim N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 97781 Acupuncture w/stim N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 97799 Physical medicine procedure C 0.00 0.00 0.00 0.00 0.00 0.00 07XXX.00.00.000000090 36.6873 .917 98925 Osteopathic manipulation A 0.45 0.25 0.25 0.02 0.72 0.72 00000.00.00.000000090 36.6873 .917 98926 Osteopathic manipulation A 0.65 0.40 0.40 0.03 1.08 1.08 00000.00.00.000000090 36.6873 .917 98927 Osteopathic manipulation A 0.87 0.38 0.38 0.03 1.28 1.28 00000.00.00.000000090 36.6873 .917 98928 Osteopathic manipulation A 1.03 0.42 0.42 0.04 1.49 1.49 00000.00.00.000000090 36.6873 .917 98929 Osteopathic manipulation A 1.19 0.39 0.39 0.03 1.61 1.61 00000.00.00.000000090 36.6873 .917 98940 Chiropractic manipulation A 0.45 0.29 0.29 0.01 0.75 0.75 10000.00.00.000000090 36.6873 .917 98941 Chiropractic manipulation A 0.65 0.29 0.29 0.01 0.95 0.95 10000.00.00.000000090 36.6873 .917 98942 Chiropractic manipulation A 0.87 0.29 0.29 0.01 1.17 1.17 10000.00.00.000000090 36.6873 .917 98943 Chiropractic manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99000 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99001 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99002 Device handling B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99024 Post-op follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99025 Initial surgical evaluation B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99050 Medical services after hrs B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99052 Medical services at night B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99054 Medical services,unusual hrs B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99056 Non-office medical services B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99058 Office emergency care B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99070 Special supplies B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99071 Patient education materials B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99075 Medical testimony N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99078 Group health education B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99080 Special reports or forms B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99082 Unusual physician travel C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 99090 Computer data analysis B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99100 Special anesthesia service B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99116 Anesthesia with hypothermia B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99135 Special anesthesia procedure B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99140 Emergency anesthesia B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99141 Sedation, iv/im or inhalant B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99142 Sedation, oral/rectal/nasal B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99175 Induction of vomiting A 0.00 1.33 1.33 0.10 1.43 1.43 05XXX.00.00.000000090 36.6873 .917 99183 Hyperbaric oxygen therapy A 2.34 1.67 1.67 0.11 4.12 4.12 00XXX.00.00.000000090 36.6873 .917 99185 Regional hypothermia A 0.00 0.61 0.61 0.04 0.65 0.65 05XXX.00.00.000000090 36.6873 .917 99186 Total body hypothermia A 0.00 1.70 1.70 0.52 2.22 2.22 05XXX.00.00.000000090 36.6873 .917 99190 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99191 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99192 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99195 Phlebotomy A 0.00 0.42 0.42 0.03 0.45 0.45 05XXX.00.00.000000090 36.6873 .917 99199 Special service or report C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 99201 Office/outpatient visit, new A 0.45 0.42 0.37 0.04 0.91 0.86 30XXX.00.00.000000090 36.6873 .917 99202 Office/outpatient visit, new A 0.88 0.51 0.45 0.05 1.44 1.38 30XXX.00.00.000000090 36.6873 .917 99203 Office/outpatient visit, new A 1.34 0.59 0.52 0.06 1.99 1.92 30XXX.00.00.000000090 36.6873 .917 99204 Office/outpatient visit, new A 2.00 0.88 0.78 0.08 2.96 2.86 30XXX.00.00.000000090 36.6873 .917 99205 Office/outpatient visit, new A 2.67 0.96 0.85 0.09 3.72 3.61 30XXX.00.00.000000090 36.6873 .917 99211 Office/outpatient visit, est A 0.17 0.21 0.19 0.02 0.40 0.38 30XXX.00.00.000000090 36.6873 .917 99212 Office/outpatient visit, est A 0.45 0.32 0.28 0.02 0.79 0.75 30XXX.00.00.000000090 36.6873 .917 99213 Office/outpatient visit, est A 0.67 0.43 0.38 0.03 1.13 1.08 30XXX.00.00.000000090 36.6873 .917 99214 Office/outpatient visit, est A 1.10 0.57 0.50 0.04 1.71 1.64 30XXX.00.00.000000090 36.6873 .917 99215 Office/outpatient visit, est A 1.77 0.86 0.76 0.07 2.70 2.60 30XXX.00.00.000000090 36.6873 .917 99217 Observation care discharge A 1.28 0.52 0.52 0.04 1.84 1.84 00XXX.00.00.000000090 36.6873 .917 99218 Observation care A 1.28 0.68 0.68 0.06 2.02 2.02 00XXX.00.00.000000090 36.6873 .917 99219 Observation care A 2.14 1.05 1.05 0.09 3.28 3.28 00XXX.00.00.000000090 36.6873 .917 99220 Observation care A 2.99 1.14 1.14 0.09 4.22 4.22 00XXX.00.00.000000090 36.6873 .917 99221 Initial hospital care A 1.28 0.67 0.67 0.06 2.01 2.01 00XXX.00.00.000000090 36.6873 .917 99222 Initial hospital care A 2.14 1.04 1.04 0.09 3.27 3.27 00XXX.00.00.000000090 36.6873 .917 99223 Initial hospital care A 2.99 1.13 1.13 0.08 4.20 4.20 00XXX.00.00.000000090 36.6873 .917 99231 Subsequent hospital care A 0.64 0.38 0.38 0.03 1.05 1.05 00XXX.00.00.000000090 36.6873 .917 99232 Subsequent hospital care A 1.06 0.45 0.45 0.04 1.55 1.55 00XXX.00.00.000000090 36.6873 .917 99233 Subsequent hospital care A 1.51 0.60 0.60 0.05 2.16 2.16 00XXX.00.00.000000090 36.6873 .917 99234 Observ/hosp same date A 2.56 0.68 0.68 0.06 3.30 3.30 00XXX.00.00.000000090 36.6873 .917 99235 Observ/hosp same date A 3.42 1.05 1.05 0.09 4.56 4.56 00XXX.00.00.000000090 36.6873 .917 99236 Observ/hosp same date A 4.27 1.14 1.14 0.09 5.50 5.50 00XXX.00.00.000000090 36.6873 .917 99238 Hospital discharge day A 1.28 0.51 0.51 0.04 1.83 1.83 00XXX.00.00.000000090 36.6873 .917 99239 Hospital discharge day A 1.75 0.51 0.51 0.04 2.30 2.30 00XXX.00.00.000000090 36.6873 .917 99241 Office consultation A 0.64 0.64 0.64 0.08 1.36 1.36 10XXX.00.00.000000090 36.6873 .917 99242 Office consultation A 1.29 0.77 0.77 0.09 2.15 2.15 10XXX.00.00.000000090 36.6873 .917 99243 Office consultation A 1.72 0.97 0.97 0.10 2.79 2.79 10XXX.00.00.000000090 36.6873 .917 99244 Office consultation A 2.58 1.23 1.23 0.11 3.92 3.92 10XXX.00.00.000000090 36.6873 .917 99245 Office consultation A 3.43 1.69 1.69 0.16 5.28 5.28 10XXX.00.00.000000090 36.6873 .917 99251 Initial inpatient consult A 0.66 0.67 0.67 0.08 1.41 1.41 00XXX.00.00.000000090 36.6873 .917 99252 Initial inpatient consult A 1.32 0.76 0.76 0.09 2.17 2.17 00XXX.00.00.000000090 36.6873 .917 99253 Initial inpatient consult A 1.82 0.95 0.95 0.10 2.87 2.87 00XXX.00.00.000000090 36.6873 .917 99254 Initial inpatient consult A 2.64 1.20 1.20 0.11 3.95 3.95 00XXX.00.00.000000090 36.6873 .917 99255 Initial inpatient consult A 3.65 1.57 1.57 0.14 5.36 5.36 00XXX.00.00.000000090 36.6873 .917 99261 Follow-up inpatient consult A 0.42 0.33 0.33 0.03 0.78 0.78 00XXX.00.00.000000090 36.6873 .917 99262 Follow-up inpatient consult A 0.85 0.46 0.46 0.04 1.35 1.35 00XXX.00.00.000000090 36.6873 .917 99263 Follow-up inpatient consult A 1.27 0.67 0.67 0.04 1.98 1.98 00XXX.00.00.000000090 36.6873 .917 99271 Confirmatory consultation A 0.45 0.58 0.58 0.07 1.10 1.10 10XXX.00.00.000000090 36.6873 .917 99272 Confirmatory consultation A 0.84 0.71 0.71 0.09 1.64 1.64 10XXX.00.00.000000090 36.6873 .917 99273 Confirmatory consultation A 1.19 1.02 1.02 0.11 2.32 2.32 10XXX.00.00.000000090 36.6873 .917 99274 Confirmatory consultation A 1.73 1.22 1.22 0.11 3.06 3.06 10XXX.00.00.000000090 36.6873 .917 99275 Confirmatory consultation A 2.31 1.74 1.74 0.17 4.22 4.22 00XXX.00.00.000000090 36.6873 .917 99281 Emergency dept visit A 0.33 0.28 0.28 0.01 0.62 0.62 00XXX.00.00.000000090 36.6873 .917 99282 Emergency dept visit A 0.55 0.38 0.38 0.03 0.96 0.96 00XXX.00.00.000000090 36.6873 .917 99283 Emergency dept visit A 1.24 0.49 0.49 0.04 1.77 1.77 00XXX.00.00.000000090 36.6873 .917 99284 Emergency dept visit A 1.95 0.70 0.70 0.06 2.71 2.71 00XXX.00.00.000000090 36.6873 .917 99285 Emergency dept visit A 3.06 1.13 1.13 0.08 4.27 4.27 00XXX.00.00.000000090 36.6873 .917 99288 Direct advanced life support B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99291 Critical care, first hour A 4.00 1.43 1.43 0.11 5.54 5.54 00XXX.00.00.000000090 36.6873 .917 99292 Critical care, addl 30 min A 2.00 0.63 0.63 0.04 2.67 2.67 00XXX.00.00.000000090 36.6873 .917 99295 Neonatal critical care A 16.00 5.08 5.08 1.55 22.63 22.63 00XXX.00.00.000000090 36.6873 .917 99296 Neonatal critical care A 8.00 2.46 2.46 0.77 11.23 11.23 00XXX.00.00.000000090 36.6873 .917 99297 Neonatal critical care A 4.00 1.23 1.23 0.38 5.61 5.61 00XXX.00.00.000000090 36.6873 .917 99301 Nursing facility care A 1.20 0.45 0.45 0.03 1.68 1.68 00XXX.00.00.000000090 36.6873 .917 99302 Nursing facility care A 1.61 0.50 0.50 0.04 2.15 2.15 00XXX.00.00.000000090 36.6873 .917 99303 Nursing facility care A 2.01 0.95 0.95 0.07 3.03 3.03 00XXX.00.00.000000090 36.6873 .917 99311 Nursing facility care,subseq A 0.60 0.34 0.34 0.03 0.97 0.97 00XXX.00.00.000000090 36.6873 .917 99312 Nursing facility care,subseq A 1.00 0.41 0.41 0.03 1.44 1.44 00XXX.00.00.000000090 36.6873 .917 99313 Nursing facility care,subseq A 1.42 0.46 0.46 0.04 1.92 1.92 00XXX.00.00.000000090 36.6873 .917 99315 Nursing fac discharge day A 1.13 0.51 0.51 0.04 1.68 1.68 00XXX.00.00.000000090 36.6873 .917 99316 Nursing fac discharge day A 1.50 0.51 0.51 0.04 2.05 2.05 00XXX.00.00.000000090 36.6873 .917 99321 Rest home visit, new patient A 0.71 0.37 0.37 0.03 1.11 1.11 00XXX.00.00.000000090 36.6873 .917 99322 Rest home visit, new patient A 1.01 0.51 0.51 0.05 1.57 1.57 00XXX.00.00.000000090 36.6873 .917 99323 Rest home visit, new patient A 1.28 0.73 0.73 0.06 2.07 2.07 00XXX.00.00.000000090 36.6873 .917 99331 Rest home visit, estab pat A 0.60 0.28 0.28 0.02 0.90 0.90 00XXX.00.00.000000090 36.6873 .917 99332 Rest home visit, estab pat A 0.80 0.36 0.36 0.03 1.19 1.19 00XXX.00.00.000000090 36.6873 .917 99333 Rest home visit, estab pat A 1.00 0.44 0.44 0.02 1.46 1.46 00XXX.00.00.000000090 36.6873 .917 99341 Home visit, new patient A 1.01 0.53 0.53 0.05 1.59 1.59 00XXX.00.00.000000090 36.6873 .917 99342 Home visit, new patient A 1.52 0.60 0.60 0.05 2.17 2.17 00XXX.00.00.000000090 36.6873 .917 99343 Home visit, new patient A 2.27 0.77 0.77 0.06 3.10 3.10 00XXX.00.00.000000090 36.6873 .917 99344 Home visit, new patient A 3.03 0.85 0.85 0.09 3.97 3.97 00XXX.00.00.000000090 36.6873 .917 99345 Home visit, new patient A 3.79 0.85 0.85 0.09 4.73 4.73 00XXX.00.00.000000090 36.6873 .917 99347 Home visit, estab patient A 0.76 0.45 0.45 0.04 1.25 1.25 00XXX.00.00.000000090 36.6873 .917 99348 Home visit, estab patient A 1.26 0.53 0.53 0.04 1.83 1.83 00XXX.00.00.000000090 36.6873 .917 99349 Home visit, estab patient A 2.02 0.61 0.61 0.05 2.68 2.68 00XXX.00.00.000000090 36.6873 .917 99350 Home visit, estab patient A 3.03 0.76 0.76 0.07 3.86 3.86 00XXX.00.00.000000090 36.6873 .917 99351 Home visit, estab patient D 0.83 0.45 0.45 0.04 1.32 1.32 00XXX.00.00.000000090 36.6873 .917 99352 Home visit, estab patient D 1.12 0.53 0.53 0.04 1.69 1.69 00XXX.00.00.000000090 36.6873 .917 99353 Home visit, estab patient D 1.48 0.61 0.61 0.05 2.14 2.14 00XXX.00.00.000000090 36.6873 .917 99354 Prolonged service, office A 1.77 0.76 0.76 0.07 2.60 2.60 10XXX.00.00.000000090 36.6873 .917 99355 Prolonged service, office A 1.77 0.76 0.76 0.07 2.60 2.60 10XXX.00.00.000000090 36.6873 .917 99356 Prolonged service, inpatient A 1.71 0.85 0.85 0.08 2.64 2.64 00XXX.00.00.000000090 36.6873 .917 99357 Prolonged service, inpatient A 1.71 0.85 0.85 0.08 2.64 2.64 00XXX.00.00.000000090 36.6873 .917 99358 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99359 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99360 Physician standby services X 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99361 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99362 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99371 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99372 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99373 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99374 Home health care supervision B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99375 Home health care supervision A 1.73 0.51 0.51 0.04 2.28 2.28 00XXX.00.00.000000090 36.6873 .917 99376 Care plan oversight/over 60 D 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99377 Hospice care supervision B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99378 Hospice care supervision A 1.73 0.51 0.51 0.04 2.28 2.28 00XXX.00.00.000000090 36.6873 .917 99379 Nursing fac care supervision B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99380 Nursing fac care supervision B 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99381 Preventive visit, new,infant N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99382 Preventive visit,new,age 1-4 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99383 Preventive visit,new,age5-11 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99384 Preventive visit, new, 12-17 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99385 Preventive visit, new, 18-39 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99386 Preventive visit, new, 40-64 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99387 Preventive visit,new,65&over N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99391 Preventive visit, est,infant N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99392 Preventive visit,est,age 1-4 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99393 Preventive visit,est,age5-11 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99394 Preventive visit, est, 12-17 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99395 Preventive visit, est, 18-39 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99396 Preventive visit, est, 40-64 N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99397 Preventive visit,est,65&over N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99401 Preventive counseling, indiv N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99402 Preventive counseling, indiv N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99403 Preventive counseling, indiv N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99404 Preventive counseling, indiv N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99411 Preventive counseling, group N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99412 Preventive counseling, group N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99420 Health risk assessment test N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99429 Unlisted preventive service N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99431 Initial care, normal newborn A 1.17 1.21 1.21 0.08 2.46 2.46 00XXX.00.00.000000090 36.6873 .917 99432 Newborn care not in hospital A 1.26 1.31 1.31 0.08 2.65 2.65 00XXX.00.00.000000090 36.6873 .917 99433 Normal newborn care,hospital A 0.62 0.64 0.64 0.04 1.30 1.30 00XXX.00.00.000000090 36.6873 .917 99435 Hospital NB discharge day A 1.50 1.55 1.55 0.10 3.15 3.15 00XXX.00.00.000000090 36.6873 .917 99436 Attendance, birth A 1.50 1.55 1.55 0.10 3.15 3.15 00XXX.00.00.000000090 36.6873 .917 99440 Newborn resuscitation A 2.93 3.04 3.04 0.19 6.16 6.16 00XXX.00.00.000000090 36.6873 .917 99450 Life/disability evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 99XXX.00.00.009999999 0.0000 .917 99455 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 99456 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917 99499 Unlisted E/M service C 0.00 0.00 0.00 0.00 0.00 0.00 00XXX.00.00.000000090 36.6873 .917