,,2003 National Physician Fee Schedule Relative Value File ,,,,,,,,,,,,,,,,,,,,,,,
,,CPT codes and descriptions only are copyright 2002 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. ,,,,,,,,,,,,,,,,,,,,,,,
,,Dental codes (D codes) are copyright 2002 American Dental Association.  All Rights Reserved.,,,,,,,,,,,,,,,,,,,,,,,
,,REVISED 8/5/2003,,,,,,,,,,,,,,,,,,,,,,,
,,,,NOT USED,,FULLY, ,FULLY,,,FULLY,FULLY,,,,,,,,,,,,,PHYSICIAN
,,,,FOR,,IMPLEMENTED,NON-FAC,IMPLEMENTED,FACILITY ,,IMPLEMENTED,IMPLEMENTED,,,,,,,,,,,,,SUPERVISION OF
,,,STATUS,MEDICARE ,WORK,NON-FAC,NA,FACILITY,NA,MP,NON-FACILITY,FACILITY,PCTC,GLOB,PRE,INTRA,POST,MULT,BILAT,ASST,CO-,TEAM,ENDO,CONV,DIAGNOSTIC
HCPCS,MOD,DESCRIPTION,CODE,PAYMENT,RVU,PE RVU,INDICATOR,PE RVU,INDICATOR,RVU,TOTAL,TOTAL,IND,DAYS,OP,OP,OP,PROC,SURG,SURG,SURG,SURG,BASE,FACTOR,PROCEDURES
A0021,,Outside state ambulance serv,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0080,,Noninterest escort in non er,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0090,,Interest escort in non er,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0100,,Nonemergency transport taxi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0110,,Nonemergency transport bus,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0120,,Noner transport mini-bus,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0130,,Noner transport wheelch van,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0140,,Nonemergency transport air,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0160,,Noner transport case worker,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0170,,Transport parking fees/tolls,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0180,,Noner transport lodgng recip,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0190,,Noner transport meals recip,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0200,,Noner transport lodgng escrt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0210,,Noner transport meals escort,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0225,,Neonatal emergency transport,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0380,,Basic life support mileage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0382,,Basic support routine suppls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0384,,Bls defibrillation supplies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0390,,Advanced life support mileag,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0392,,Als defibrillation supplies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0394,,Als IV drug therapy supplies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0396,,Als esophageal intub suppls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0398,,Als routine disposble suppls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0420,,Ambulance waiting 1/2 hr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0422,,Ambulance 02 life sustaining,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0424,,Extra ambulance attendant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0425,,Ground mileage,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0426,,Als 1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0427,,ALS1-emergency,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0428,,bls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0429,,BLS-emergency,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0430,,Fixed wing air transport,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0431,,Rotary wing air transport,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0432,,PI volunteer ambulance co,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0433,,als 2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0434,,Specialty care transport,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0435,,Fixed wing air mileage,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0436,,Rotary wing air mileage,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0888,,Noncovered ambulance mileage,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A0999,,Unlisted ambulance service,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4206,,1 CC sterile syringe&needle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4207,,2 CC sterile syringe&needle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4208,,3 CC sterile syringe&needle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4209,,5+ CC sterile syringe&needle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4210,,Nonneedle injection device,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4211,,Supp for self-adm injections,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4212,,Non coring needle or stylet,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4213,,20+ CC syringe only,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4214,,30 CC sterile water/saline,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4215,,Sterile needle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4220,,Infusion pump refill kit,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4221,,Maint drug infus cath per wk,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4222,,Drug infusion pump supplies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4230,,Infus insulin pump non needl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4231,,Infusion insulin pump needle,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4232,,Syringe w/needle insulin 3cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4244,,Alcohol or peroxide per pint,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4245,,Alcohol wipes per box,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4246,,Betadine/phisohex solution,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4247,,Betadine/iodine swabs/wipes,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4250,,Urine reagent strips/tablets,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4253,,Blood glucose/reagent strips,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4254,,Battery for glucose monitor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4255,,Glucose monitor platforms,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4256,,Calibrator solution/chips,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4257,,Replace Lensshield Cartridge,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4258,,Lancet device each,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4259,,Lancets per box,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4260,,Levonorgestrel implant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4261,,Cervical cap contraceptive,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4262,,Temporary tear duct plug,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4263,,Permanent tear duct plug,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4265,,Paraffin,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4266,,Diaphragm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4267,,Male condom,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4268,,Female condom,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4269,,Spermicide,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4270,,Disposable endoscope sheath,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4280,,Brst prsths adhsv attchmnt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4281,,Replacement breastpump tube,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4282,,Replacement breastpump adpt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4283,,Replacement breastpump cap,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4284,,Replcmnt breast pump shield,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4285,,Replcmnt breast pump bottle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4286,,Replcmnt breastpump lok ring,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4290,,Sacral nerve stim test lead,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4300,,Cath impl vasc access portal,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4301,,Implantable access syst perc,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4305,,Drug delivery system >=50 ML,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4306,,Drug delivery system <=5 ML,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4310,,Insert tray w/o bag/cath,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4311,,Catheter w/o bag 2-way latex,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4312,,Cath w/o bag 2-way silicone,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4313,,Catheter w/bag 3-way,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4314,,Cath w/drainage 2-way latex,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4315,,Cath w/drainage 2-way silcne,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4316,,Cath w/drainage 3-way,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4319,,Sterile H2O irrigation solut,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4320,,Irrigation tray,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4321,,Cath therapeutic irrig agent,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4322,,Irrigation syringe,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4323,,Saline irrigation solution,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4324,,Male ext cath w/adh coating,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4325,,Male ext cath w/adh strip,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4326,,Male external catheter,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4327,,Fem urinary collect dev cup,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4328,,Fem urinary collect pouch,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4330,,Stool collection pouch,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4331,,Extension drainage tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4332,,Lubricant for cath insertion,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4333,,Urinary cath anchor device,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4334,,Urinary cath leg strap,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4335,,Incontinence supply,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4338,,Indwelling catheter latex,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4340,,Indwelling catheter special,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4344,,Cath indw foley 2 way silicn,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4346,,Cath indw foley 3 way,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4347,,Male external catheter,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4348,,Male ext cath extended wear,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4351,,Straight tip urine catheter,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4352,,Coude tip urinary catheter,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4353,,Intermittent urinary cath,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4354,,Cath insertion tray w/bag,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4355,,Bladder irrigation tubing,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4356,,Ext ureth clmp or compr dvc,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4357,,Bedside drainage bag,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4358,,Urinary leg or abdomen bag,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4359,,Urinary suspensory w/o leg b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4360,,Adult incontinence garment,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4361,,Ostomy face plate,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4362,,Solid skin barrier,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4364,,"Adhesive, liquid or equal",P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4365,,Adhesive remover wipes,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4367,,Ostomy belt,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4368,,Ostomy filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4369,,Skin barrier liquid per oz,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4370,,Skin barrier paste per oz,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4371,,Skin barrier powder per oz,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4372,,Skin barrier solid 4x4 equiv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4373,,Skin barrier with flange,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4374,,Skin barrier extended wear,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4375,,Drainable plastic pch w fcpl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4376,,Drainable rubber pch w fcplt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4377,,Drainable plstic pch w/o fp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4378,,Drainable rubber pch w/o fp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4379,,Urinary plastic pouch w fcpl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4380,,Urinary rubber pouch w fcplt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4381,,Urinary plastic pouch w/o fp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4382,,Urinary hvy plstc pch w/o fp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4383,,Urinary rubber pouch w/o fp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4384,,Ostomy faceplt/silicone ring,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4385,,Ost skn barrier sld ext wear,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4386,,Ost skn barrier w flng ex wr,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4387,,Ost clsd pouch w att st barr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4388,,Drainable pch w ex wear barr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4389,,Drainable pch w st wear barr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4390,,Drainable pch ex wear convex,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4391,,Urinary pouch w ex wear barr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4392,,Urinary pouch w st wear barr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4393,,Urine pch w ex wear bar conv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4394,,Ostomy pouch liq deodorant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4395,,Ostomy pouch solid deodorant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4396,,Peristomal hernia supprt blt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4397,,Irrigation supply sleeve,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4398,,Ostomy irrigation bag,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4399,,Ostomy irrig cone/cath w brs,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4400,,Ostomy irrigation set,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4402,,Lubricant per ounce,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4404,,Ostomy ring each,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4405,,Nonpectin based ostomy paste,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4406,,Pectin based ostomy paste,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4407,,Ext wear ost skn barr <=4sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4408,,Ext wear ost skn barr >4sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4409,,Ost skn barr w flng <=4 sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4410,,Ost skn barr w flng >4sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4413,,2 pc drainable ost pouch,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4414,,Ostomy sknbarr w flng <=4sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4415,,Ostomy skn barr w flng >4sq”,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4421,,Ostomy supply misc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4422,,Ost pouch absorbent material,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4450,,Non-waterproof tape,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4452,,Waterproof tape,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4454,,Tape all types all sizes,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4455,,Adhesive remover per ounce,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4458,,Reusable enema bag,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4460,,Elastic compression bandage,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4462,,Abdmnl drssng holder/binder,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4464,,Joint support device/garment,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4465,,Non-elastic extremity binder,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4470,,Gravlee jet washer,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4480,,Vabra aspirator,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4481,,Tracheostoma filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4483,,Moisture exchanger,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4490,,Above knee surgical stocking,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4495,,Thigh length surg stocking,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4500,,Below knee surgical stocking,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4510,,Full length surg stocking,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4521,,Adult size diaper sm each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4522,,Adult size diaper med each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4523,,Adult size diaper lg each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4524,,Adult size diaper xl each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4525,,Adult size brief sm each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4526,,Adult size brief med each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4527,,Adult size brief lg each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4528,,Adult size brief xl each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4529,,Child size diaper sm/med ea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4530,,Child size diaper lg each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4531,,Child size brief sm/med each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4532,,Child size brief lg each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4533,,Youth size diaper each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4534,,Youth size brief each,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4535,,Disp incont liner/shield ea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4536,,Prot underwr wshbl any sz ea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4537,,Under pad reusable any sz ea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4538,,Diaper sv ea reusable diaper,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4550,,Surgical trays,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4554,,Disposable underpads,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4556,,"Electrodes, pair",P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4557,,"Lead wires, pair",P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4558,,Conductive paste or gel,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4561,,"Pessary rubber, any type",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4562,,"Pessary, non rubber,any type",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4565,,Slings,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4570,,Splint,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4572,,Rib belt,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4575,,Hyperbaric o2 chamber disps,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4580,,Cast supplies (plaster),I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4590,,Special casting material,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4595,,TENS suppl 2 lead per month,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4606,,Oxygen probe used w oximeter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4608,,Transtracheal oxygen cath,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4609,,Trach suction cath clsed sys,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4610,,Trach sctn cath 72h clsedsys,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4611,,Heavy duty battery,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4612,,Battery cables,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4613,,Battery charger,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4614,,Hand-held PEFR meter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4615,,Cannula nasal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4616,,Tubing (oxygen) per foot,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4617,,Mouth piece,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4618,,Breathing circuits,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4619,,Face tent,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4620,,Variable concentration mask,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4621,,Tracheotomy mask or collar,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4622,,Tracheostomy or larngectomy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4623,,Tracheostomy inner cannula,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4624,,Tracheal suction tube,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4625,,Trach care kit for new trach,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4626,,Tracheostomy cleaning brush,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4627,,Spacer bag/reservoir,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4628,,Oropharyngeal suction cath,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4629,,Tracheostomy care kit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4630,,Repl bat t.e.n.s. own by pt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4631,,Wheelchair battery,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4632,,Infus pump rplcemnt battery,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4633,,Uvl replacement bulb,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4634,,Replacement bulb th lightbox,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4635,,Underarm crutch pad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4636,,Handgrip for cane etc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4637,,Repl tip cane/crutch/walker,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4639,,Infrared ht sys replcmnt pad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4640,,Alternating pressure pad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4641,,Diagnostic imaging agent,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4642,,Satumomab pendetide per dose,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4643,,High dose contrast MRI,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4644,,Contrast 100-199 MGs iodine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4645,,Contrast 200-299 MGs iodine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4646,,Contrast 300-399 MGs iodine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4647,,Supp- paramagnetic contr mat,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4649,,Surgical supplies,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4651,,Calibrated microcap tube,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4652,,Microcapillary tube sealant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4653,,PD catheter anchor belt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4656,,Needle any size,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4657,,Syringe w/wo needle,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4660,,Sphyg/bp app w cuff and stet,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4663,,Dialysis blood pressure cuff,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4670,,"Automatic bp monitor, dial",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4680,,"Activated carbon filter, ea",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4690,,"Dialyzer, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4706,,Bicarbonate conc sol per gal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4707,,Bicarbonate conc pow per pac,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4708,,Acetate conc sol per gallon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4709,,Acid conc sol per gallon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4712,,Sterile water inj per 10 ml,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4714,,Treated water per gallon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4719,,"""Y set"" tubing",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4720,,Dialysat sol fld vol > 249cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4721,,Dialysat sol fld vol > 999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4722,,Dialys sol fld vol > 1999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4723,,Dialys sol fld vol > 2999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4724,,Dialys sol fld vol > 3999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4725,,Dialys sol fld vol > 4999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4726,,Dialys sol fld vol > 5999cc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4730,,"Fistula cannulation set, ea",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4736,,"Topical anesthetic, per gram",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4737,,Inj anesthetic per 10 ml,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4740,,Shunt accessory,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4750,,Art or venous blood tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4755,,Comb art/venous blood tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4760,,"Dialysate sol test kit, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4765,,Dialysate conc pow per pack,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4766,,Dialysate conc sol add 10 ml,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4770,,Blood collection tube/vacuum,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4771,,Serum clotting time tube,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4772,,Blood glucose test strips,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4773,,Occult blood test strips,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4774,,Ammonia test strips,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4801,,Heparin per 1000 units,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4802,,Protamine sulfate per 50 mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4860,,Disposable catheter tips,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4870,,Plumb/elec wk hm hemo equip,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4890,,Repair/maint cont hemo equip,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
A4911,,Drain bag/bottle,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4913,,Misc dialysis supplies noc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4918,,Venous pressure clamp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4927,,Non-sterile gloves,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4928,,Surgical mask,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4929,,"Tourniquet for dialysis, ea",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4930,,"Sterile, gloves per pair",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4931,,Reusable oral thermometer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A4932,,Reusable rectal thermometer,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5051,,Pouch clsd w barr attached,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5052,,Clsd ostomy pouch w/o barr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5053,,Clsd ostomy pouch faceplate,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5054,,Clsd ostomy pouch w/flange,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5055,,Stoma cap,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5061,,Pouch drainable w barrier at,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5062,,Drnble ostomy pouch w/o barr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5063,,Drain ostomy pouch w/flange,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5071,,Urinary pouch w/barrier,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5072,,Urinary pouch w/o barrier,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5073,,Urinary pouch on barr w/flng,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5081,,Continent stoma plug,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5082,,Continent stoma catheter,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5093,,Ostomy accessory convex inse,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5102,,Bedside drain btl w/wo tube,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5105,,Urinary suspensory,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5112,,Urinary leg bag,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5113,,Latex leg strap,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5114,,Foam/fabric leg strap,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5119,,Skin barrier wipes box pr 50,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5121,,Solid skin barrier 6x6,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5122,,Solid skin barrier 8x8,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5123,,Skin barrier with flange,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5126,,Disk/foam pad +or- adhesive,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5131,,Appliance cleaner,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5200,,Percutaneous catheter anchor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5500,,Diab shoe for density insert,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5501,,Diabetic custom molded shoe,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5503,,Diabetic shoe w/roller/rockr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5504,,Diabetic shoe with wedge,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5505,,Diab shoe w/metatarsal bar,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5506,,Diabetic shoe w/off set heel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5507,,Modification diabetic shoe,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5508,,Diabetic deluxe shoe,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5509,,Direct heat form shoe insert,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5510,,Compression form shoe insert,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A5511,,Custom fab molded shoe inser,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6000,,Wound warming wound cover,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6010,,Collagen based wound filler,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6011,,Collagen gel/paste wound fil,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6021,,Collagen dressing <=16 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6022,,Collagen drsg>6<=48 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6023,,Collagen dressing >48 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6024,,Collagen dsg wound filler,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6025,,"Silicone gel sheet, each",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6154,,Wound pouch each,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6196,,Alginate dressing <=16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6197,,Alginate drsg >16 <=48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6198,,alginate dressing > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6199,,Alginate drsg wound filler,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6200,,Compos drsg <=16 no border,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6201,,Compos drsg >16<=48 no bdr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6202,,Compos drsg >48 no border,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6203,,Composite drsg <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6204,,Composite drsg >16<=48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6205,,Composite drsg > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6206,,Contact layer <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6207,,Contact layer >16<= 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6208,,Contact layer > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6209,,Foam drsg <=16 sq in w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6210,,Foam drg >16<=48 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6211,,Foam drg > 48 sq in w/o brdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6212,,Foam drg <=16 sq in w/border,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6213,,Foam drg >16<=48 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6214,,Foam drg > 48 sq in w/border,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6215,,Foam dressing wound filler,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6216,,Non-sterile gauze<=16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6217,,Non-sterile gauze>16<=48 sq,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6218,,Non-sterile gauze > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6219,,Gauze <= 16 sq in w/border,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6220,,Gauze >16 <=48 sq in w/bordr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6221,,Gauze > 48 sq in w/border,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6222,,Gauze <=16 in no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6223,,Gauze >16<=48 no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6224,,Gauze > 48 in no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6228,,Gauze <= 16 sq in water/sal,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6229,,Gauze >16<=48 sq in watr/sal,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6230,,Gauze > 48 sq in water/salne,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6231,,Hydrogel dsg<=16 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6232,,Hydrogel dsg>16<=48 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6233,,Hydrogel dressing >48 sq in,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6234,,Hydrocolld drg <=16 w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6235,,Hydrocolld drg >16<=48 w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6236,,Hydrocolld drg > 48 in w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6237,,Hydrocolld drg <=16 in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6238,,Hydrocolld drg >16<=48 w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6239,,Hydrocolld drg > 48 in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6240,,Hydrocolld drg filler paste,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6241,,Hydrocolloid drg filler dry,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6242,,Hydrogel drg <=16 in w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6243,,Hydrogel drg >16<=48 w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6244,,Hydrogel drg >48 in w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6245,,Hydrogel drg <= 16 in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6246,,Hydrogel drg >16<=48 in w/b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6247,,Hydrogel drg > 48 sq in w/b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6248,,Hydrogel drsg gel filler,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6250,,Skin seal protect moisturizr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6251,,Absorpt drg <=16 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6252,,Absorpt drg >16 <=48 w/o bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6253,,Absorpt drg > 48 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6254,,Absorpt drg <=16 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6255,,Absorpt drg >16<=48 in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6256,,Absorpt drg > 48 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6257,,Transparent film <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6258,,Transparent film >16<=48 in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6259,,Transparent film > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6260,,Wound cleanser any type/size,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6261,,Wound filler gel/paste /oz,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6262,,Wound filler dry form / gram,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6263,,Non-sterile elastic gauze/yd,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6264,,Non-sterile no elastic gauze,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6265,,Tape per 18 sq inches,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6266,,Impreg gauze no h20/sal/yard,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6402,,Sterile gauze <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6403,,Sterile gauze>16 <= 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6404,,Sterile gauze > 48 sq in,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6405,,Sterile elastic gauze /yd,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6406,,Sterile non-elastic gauze/yd,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6410,,Sterile eye pad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6411,,Non-sterile eye pad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6412,,Occlusive eye patch,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6421,,Pad bandage >=3 <5in w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6422,,Conf bandage ns >=3<5”w/roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6424,,Conf bandage ns >=5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6426,,Conf bandage s >=3<5” w/roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6428,,Conf bandage s >=5” w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6430,,Lt compres bdg >=3<5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6432,,Lt compres bdg >=5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6434,,Mo compres bdg >=3<5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6436,,Hi compres bdg >=3<5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6438,,Self-adher bdg >=3<5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6440,,Zinc paste bdg >=3<5”w /roll,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6501,,Compres burngarment bodysuit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6502,,Compres burngarment chinstrp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6503,,Compres burngarment facehood,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6504,,Cmprsburngarment glove-wrist,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6505,,Cmprsburngarment glove-elbow,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6506,,Cmprsburngrmnt glove-axilla,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6507,,Cmprs burngarment foot-knee,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6508,,Cmprs burngarment foot-thigh,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6509,,Compres burn garment jacket,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6510,,Compres burn garment leotard,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6511,,Compres burn garment panty,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A6512,,"Compres burn garment, noc",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7000,,Disposable canister for pump,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7001,,Nondisposable pump canister,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7002,,Tubing used w suction pump,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7003,,Nebulizer administration set,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7004,,Disposable nebulizer sml vol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7005,,Nondisposable nebulizer set,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7006,,Filtered nebulizer admin set,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7007,,Lg vol nebulizer disposable,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7008,,Disposable nebulizer prefill,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7009,,Nebulizer reservoir bottle,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7010,,Disposable corrugated tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7011,,Nondispos corrugated tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7012,,Nebulizer water collec devic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7013,,Disposable compressor filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7014,,Compressor nondispos filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7015,,Aerosol mask used w nebulize,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7016,,Nebulizer dome & mouthpiece,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7017,,Nebulizer not used w oxygen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7018,,Water distilled w/nebulizer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7019,,Saline solution dispenser,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7020,,Sterile H2O or NSS w lgv neb,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7025,,Replace chest compress vest,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7026,,Replace chst cmprss sys hose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7030,,CPAP full face mask,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7031,,Replacement facemask interfa,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7032,,Replacement nasal cushion,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7033,,Replacement nasal pillows,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7034,,Nasal application device,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7035,,Pos airway press headgear,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7036,,Pos airway press chinstrap,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7037,,Pos airway pressure tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7038,,Pos airway pressure filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7039,,"Filter, non disposable w pap",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7042,,Implanted pleural catheter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7043,,Vacuum drainagebottle/tubing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7044,,PAP oral interface,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7501,,Tracheostoma valve w diaphra,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7502,,Replacement diaphragm/fplate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7503,,HMES filter holder or cap,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7504,,Tracheostoma HMES filter,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7505,,HMES or trach valve housing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7506,,HMES/trachvalve adhesivedisk,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7507,,Integrated filter & holder,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7508,,Housing & Integrated Adhesiv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A7509,,Heat & moisture exchange sys,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9150,,Misc/exper non-prescript dru,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9270,,Non-covered item or service,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9300,,Exercise equipment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9500,,Technetium TC 99m sestamibi,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9502,,Technetium TC99M tetrofosmin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9503,,Technetium TC 99m medronate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9504,,Technetium tc 99m apcitide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9505,,Thallous chloride TL 201/mci,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9507,,Indium/111 capromab pendetid,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9508,,Iobenguane sulfate I-131,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9510,,Technetium TC99m Disofenin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9511,,Technetium TC 99m depreotide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9512,,Technetiumtc99mpertechnetate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9513,,Technetium tc-99m mebrofenin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9514,,Technetiumtc99mpyrophosphate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9515,,Technetium tc-99m pentetate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9516,,I-123 sodium iodide capsule,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9517,,I-131 sodium iodide capsule,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9518,,I-131 sodium iodide solution,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9519,,Technetiumtc-99mmacroag albu,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9520,,Technetiumtc-99m sulfur clld,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9521,,Technetiumtc-99m exametazine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9522,,Indium111ibritumomabtiuxetan,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9523,,Yttrium90ibritumomabtiuxetan,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9524,,Iodinated I-131 serumalbumin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9600,,Strontium-89 chloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9603,,I-131sodiumiodidecap per mci,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9605,,Samarium sm153 lexidronamm,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9699,,Noc therapeutic radiopharm,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9700,,Echocardiography Contrast,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9900,,Supply/accessory/service,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
A9901,,Delivery/set up/dispensing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0120,,Periodic oral evaluation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0140,,Limit oral eval problm focus,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0150,,Comprehensve oral evaluation,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0160,,Extensv oral eval prob focus,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0170,,"Re-eval,est pt,problem focus",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0180,,Comp periodontal evaluation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0210,,Intraor complete film series,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0220,,Intraoral periapical first f,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0230,,Intraoral periapical ea add,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0240,,Intraoral occlusal film,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0250,,Extraoral first film,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0260,,Extraoral ea additional film,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0270,,Dental bitewing single film,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0272,,Dental bitewings two films,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0274,,Dental bitewings four films,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0277,,Vert bitewings-sev to eight,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0290,,Dental film skull/facial bon,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0310,,Dental saliography,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0320,,Dental tmj arthrogram incl i,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0321,,Dental other tmj films,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0322,,Dental tomographic survey,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0330,,Dental panoramic film,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0340,,Dental cephalometric film,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0350,,Oral/facial images,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0415,,Bacteriologic study,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0425,,Caries susceptibility test,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0460,,Pulp vitality test,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0470,,Diagnostic casts,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0472,,"Gross exam, prep & report",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0473,,"Micro exam, prep & report",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0474,,Micro w exam of surg margins,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0480,,Cytopath smear prep & report,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D0501,,Histopathologic examinations,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0502,,Other oral pathology procedu,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D0999,,Unspecified diagnostic proce,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D1110,,Dental prophylaxis adult,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1120,,Dental prophylaxis child,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1201,,Topical fluor w prophy child,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1203,,Topical fluor w/o prophy chi,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1204,,Topical fluor w/o prophy adu,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1205,,Topical fluoride w/ prophy a,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1310,,Nutri counsel-control caries,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1320,,Tobacco counseling,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1330,,Oral hygiene instruction,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1351,,Dental sealant per tooth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D1510,,Space maintainer fxd unilat,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D1515,,Fixed bilat space maintainer,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D1520,,Remove unilat space maintain,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D1525,,Remove bilat space maintain,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D1550,,Recement space maintainer,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D2110,,Amalgam one surface primary,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2120,,Amalgam two surfaces primary,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2130,,Amalgam three surfaces prima,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2131,,Amalgam four/more surf prima,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2140,,Amalgam one surface permanen,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2150,,Amalgam two surfaces permane,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2160,,Amalgam three surfaces perma,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2161,,Amalgam 4 or > surfaces perm,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2330,,Resin one surface-anterior,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2331,,Resin two surfaces-anterior,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2332,,Resin three surfaces-anterio,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2335,,Resin 4/> surf or w incis an,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2336,,Composite resin crown,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2337,,Compo resin crown ant-perm,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2380,,Resin one surf poster primar,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2381,,Resin two surf poster primar,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2382,,Resin three/more surf post p,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2385,,Resin one surf poster perman,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2386,,Resin two surf poster perman,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2387,,Resin three/more surf post p,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2388,,"Resin four/more, post perm",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2390,,Ant resin-based cmpst crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2391,,Post 1 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2392,,Post 2 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2393,,Post 3 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2394,,Post >=4srfc resinbase cmpst,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2410,,Dental gold foil one surface,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2420,,Dental gold foil two surface,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2430,,Dental gold foil three surfa,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2510,,Dental inlay metalic 1 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2520,,Dental inlay metallic 2 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2530,,Dental inlay metl 3/more sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2542,,Dental onlay metallic 2 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2543,,Dental onlay metallic 3 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2544,,Dental onlay metl 4/more sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2610,,Inlay porcelain/ceramic 1 su,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2620,,Inlay porcelain/ceramic 2 su,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2630,,Dental onlay porc 3/more sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2642,,Dental onlay porcelin 2 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2643,,Dental onlay porcelin 3 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2644,,Dental onlay porc 4/more sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2650,,Inlay composite/resin one su,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2651,,Inlay composite/resin two su,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2652,,Dental inlay resin 3/mre sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2662,,Dental onlay resin 2 surface,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2663,,Dental onlay resin 3 surface,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2664,,Dental onlay resin 4/mre sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2710,,Crown resin laboratory,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2720,,Crown resin w/ high noble me,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2721,,Crown resin w/ base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2722,,Crown resin w/ noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2740,,Crown porcelain/ceramic subs,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2750,,Crown porcelain w/ h noble m,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2751,,Crown porcelain fused base m,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2752,,Crown porcelain w/ noble met,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2780,,Crown 3/4 cast hi noble met,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2781,,Crown 3/4 cast base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2782,,Crown 3/4 cast noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2783,,Crown 3/4 porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2790,,Crown full cast high noble m,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2791,,Crown full cast base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2792,,Crown full cast noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2799,,Provisional crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2910,,Dental recement inlay,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2920,,Dental recement crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2930,,Prefab stnlss steel crwn pri,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2931,,Prefab stnlss steel crown pe,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2932,,Prefabricated resin crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2933,,Prefab stainless steel crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2940,,Dental sedative filling,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2950,,Core build-up incl any pins,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2951,,Tooth pin retention,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2952,,Post and core cast + crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2953,,Each addtnl cast post,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2954,,Prefab post/core + crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2955,,Post removal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2957,,Each addtnl prefab post,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2960,,Laminate labial veneer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2961,,Lab labial veneer resin,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2962,,Lab labial veneer porcelain,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2970,,Temporary- fractured tooth,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D2980,,Crown repair,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D2999,,Dental unspec restorative pr,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D3110,,Pulp cap direct,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3120,,Pulp cap indirect,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3220,,Therapeutic pulpotomy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3221,,Gross pulpal debridement,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3230,,Pulpal therapy anterior prim,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3240,,Pulpal therapy posterior pri,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3310,,Anterior,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3320,,Root canal therapy 2 canals,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3330,,Root canal therapy 3 canals,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3331,,Non-surg tx root canal obs,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3332,,Incomplete endodontic tx,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3333,,Internal root repair,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3346,,Retreat root canal anterior,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3347,,Retreat root canal bicuspid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3348,,Retreat root canal molar,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3351,,Apexification/recalc initial,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3352,,Apexification/recalc interim,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3353,,Apexification/recalc final,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3410,,Apicoect/perirad surg anter,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3421,,Root surgery bicuspid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3425,,Root surgery molar,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3426,,Root surgery ea add root,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3430,,Retrograde filling,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3450,,Root amputation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3460,,Endodontic endosseous implan,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D3470,,Intentional replantation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3910,,Isolation- tooth w rubb dam,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3920,,Tooth splitting,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3950,,Canal prep/fitting of dowel,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D3999,,Endodontic procedure,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4210,,Gingivectomy/plasty per quad,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4211,,Gingivectomy/plasty per toot,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4220,,Gingival curettage per quadr,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4240,,Gingival flap proc w/ planin,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4241,,Gngvl flap w rootplan 1-3 th,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4245,,Apically positioned flap,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4249,,Crown lengthen hard tissue,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4260,,Osseous surgery per quadrant,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4261,,Osseous surgl-3teethperquad,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4263,,Bone replce graft first site,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4264,,Bone replce graft each add,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4265,,Bio mtrls to aid soft/os reg,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4266,,Guided tiss regen resorble,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4267,,Guided tiss regen nonresorb,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4268,,Surgical revision procedure,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4270,,Pedicle soft tissue graft pr,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4271,,Free soft tissue graft proc,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4273,,Subepithelial tissue graft,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4274,,Distal/proximal wedge proc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4275,,Soft tissue allograft,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4276,,Con tissue w dble ped graft,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4320,,Provision splnt intracoronal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4321,,Provisional splint extracoro,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4341,,Periodontal scaling & root,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4342,,Periodontal scaling 1-3teeth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4355,,Full mouth debridement,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4381,,Localized chemo delivery,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D4910,,Periodontal maint procedures,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4920,,Unscheduled dressing change,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D4999,,Unspecified periodontal proc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5110,,Dentures complete maxillary,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5120,,Dentures complete mandible,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5130,,Dentures immediat maxillary,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5140,,Dentures immediat mandible,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5211,,Dentures maxill part resin,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5212,,Dentures mand part resin,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5213,,Dentures maxill part metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5214,,Dentures mandibl part metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5281,,Removable partial denture,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5410,,Dentures adjust cmplt maxil,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5411,,Dentures adjust cmplt mand,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5421,,Dentures adjust part maxill,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5422,,Dentures adjust part mandbl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5510,,Dentur repr broken compl bas,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5520,,Replace denture teeth complt,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5610,,Dentures repair resin base,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5620,,Rep part denture cast frame,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5630,,Rep partial denture clasp,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5640,,Replace part denture teeth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5650,,Add tooth to partial denture,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5660,,Add clasp to partial denture,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5670,,Replc tth&acrlc on mtl frmwk,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5671,,Replc tth&acrlc mandibular,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5710,,Dentures rebase cmplt maxil,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5711,,Dentures rebase cmplt mand,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5720,,Dentures rebase part maxill,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5721,,Dentures rebase part mandbl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5730,,Denture reln cmplt maxil ch,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5731,,Denture reln cmplt mand chr,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5740,,Denture reln part maxil chr,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5741,,Denture reln part mand chr,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5750,,Denture reln cmplt max lab,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5751,,Denture reln cmplt mand lab,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5760,,Denture reln part maxil lab,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5761,,Denture reln part mand lab,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5810,,Denture interm cmplt maxill,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5811,,Denture interm cmplt mandbl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5820,,Denture interm part maxill,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5821,,Denture interm part mandbl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5850,,Denture tiss conditn maxill,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5851,,Denture tiss condtin mandbl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5860,,Overdenture complete,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5861,,Overdenture partial,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5862,,Precision attachment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5867,,Replacement of precision att,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5875,,Prosthesis modification,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5899,,Removable prosthodontic proc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5911,,Facial moulage sectional,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5912,,Facial moulage complete,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5913,,Nasal prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5914,,Auricular prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5915,,Orbital prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5916,,Ocular prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5919,,Facial prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5922,,Nasal septal prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5923,,Ocular prosthesis interim,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5924,,Cranial prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5925,,Facial augmentation implant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5926,,Replacement nasal prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5927,,Auricular replacement,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5928,,Orbital replacement,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5929,,Facial replacement,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5931,,Surgical obturator,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5932,,Postsurgical obturator,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5933,,Refitting of obturator,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5934,,Mandibular flange prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5935,,Mandibular denture prosth,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5936,,Temp obturator prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5937,,Trismus appliance,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5951,,Feeding aid,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5952,,Pediatric speech aid,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5953,,Adult speech aid,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5954,,Superimposed prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5955,,Palatal lift prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5958,,Intraoral con def inter plt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5959,,Intraoral con def mod palat,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5960,,Modify speech aid prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5982,,Surgical stent,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5983,,Radiation applicator,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5984,,Radiation shield,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5985,,Radiation cone locator,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5986,,Fluoride applicator,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5987,,Commissure splint,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D5988,,Surgical splint,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D5999,,Maxillofacial prosthesis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6010,,Odontics endosteal implant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6020,,Odontics abutment placement,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6040,,Odontics eposteal implant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6050,,Odontics transosteal implnt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6053,,Implnt/abtmnt spprt remv dnt,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6054,,Implnt/abtmnt spprt remvprtl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6055,,Implant connecting bar,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6056,,Prefabricated abutment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6057,,Custom abutment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6058,,Abutment supported crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6059,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6060,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6061,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6062,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6063,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6064,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6065,,Implant supported crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6066,,Implant supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6067,,Implant supported mtl crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6068,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6069,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6070,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6071,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6072,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6073,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6074,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6075,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6076,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6077,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6078,,Implnt/abut suprtd fixd dent,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6079,,Implnt/abut suprtd fixd dent,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6080,,Implant maintenance,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6090,,Repair implant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6095,,Odontics repr abutment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6100,,Removal of implant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6199,,Implant procedure,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6210,,Prosthodont high noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6211,,Bridge base metal cast,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6212,,Bridge noble metal cast,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6240,,Bridge porcelain high noble,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6241,,Bridge porcelain base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6242,,Bridge porcelain nobel metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6245,,Bridge porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6250,,Bridge resin w/high noble,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6251,,Bridge resin base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6252,,Bridge resin w/noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6253,,Provisional pontic,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6519,,Inlay/onlay porce/ceramic,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6520,,Dental retainer two surfaces,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6530,,Retainer metallic 3+ surface,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6543,,Dental retainr onlay 3 surf,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6544,,Dental retainr onlay 4/more,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6545,,Dental retainr cast metl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6548,,Porcelain/ceramic retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6600,,Porcelain/ceramic inlay 2srf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6601,,Porc/ceram inlay >= 3 surfac,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6602,,Cst hgh nble mtl inlay 2 srf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6603,,Cst hgh nble mtl inlay >=3sr,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6604,,Cst bse mtl inlay 2 surfaces,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6605,,Cst bse mtl inlay >= 3 surfa,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6606,,Cast noble metal inlay 2 sur,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6607,,Cst noble mtl inlay >=3 surf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6608,,Onlay porc/crmc 2 surfaces,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6609,,Onlay porc/crmc >=3 surfaces,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6610,,Onlay cst hgh nbl mtl 2 srfc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6611,,Onlay cst hgh nbl mtl >=3srf,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6612,,Onlay cst base mtl 2 surface,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6613,,Onlay cst base mtl >=3 surfa,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6614,,Onlay cst nbl mtl 2 surfaces,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6615,,Onlay cst nbl mtl >=3 surfac,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6720,,Retain crown resin w hi nble,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6721,,Crown resin w/base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6722,,Crown resin w/noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6740,,Crown porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6750,,Crown porcelain high noble,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6751,,Crown porcelain base metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6752,,Crown porcelain noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6780,,Crown 3/4 high noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6781,,Crown 3/4 cast based metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6782,,Crown 3/4 cast noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6783,,Crown 3/4 porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6790,,Crown full high noble metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6791,,Crown full base metal cast,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6792,,Crown full noble metal cast,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6793,,Provisional retainer crown,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6920,,Dental connector bar,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D6930,,Dental recement bridge,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6940,,Stress breaker,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6950,,Precision attachment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6970,,Post & core plus retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6971,,Cast post bridge retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6972,,Prefab post & core plus reta,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6973,,Core build up for retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6975,,Coping metal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6976,,Each addtnl cast post,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6977,,Each addtl prefab post,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6980,,Bridge repair,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6985,,Pediatric partial denture fx,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D6999,,Fixed prosthodontic proc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7110,,Oral surgery single tooth,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7111,,Coronal remnants deciduous t,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7120,,Each add tooth extraction,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7130,,Tooth root removal,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7140,,Extraction erupted tooth/exr,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7210,,Rem imp tooth w mucoper flp,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7220,,Impact tooth remov soft tiss,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7230,,Impact tooth remov part bony,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7240,,Impact tooth remov comp bony,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7241,,Impact tooth rem bony w/comp,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7250,,Tooth root removal,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7260,,Oral antral fistula closure,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7261,,Primary closure sinus perf,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7270,,Tooth reimplantation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7272,,Tooth transplantation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7280,,Exposure impact tooth orthod,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7281,,Exposure tooth aid eruption,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7282,,Mobilize erupted/malpos toot,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7285,,Biopsy of oral tissue hard,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7286,,Biopsy of oral tissue soft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7287,,Cytology sample collection,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7290,,Repositioning of teeth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7291,,Transseptal fiberotomy,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7310,,Alveoplasty w/ extraction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7320,,Alveoplasty w/o extraction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7340,,Vestibuloplasty ridge extens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7350,,Vestibuloplasty exten graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7410,,Rad exc lesion up to 1.25 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7411,,Excision benign lesion>1.25c,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7412,,Excision benign lesion compl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7413,,Excision malig lesion<=1.25c,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7414,,Excision malig lesion>1.25cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7415,,Excision malig les complicat,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7420,,Lesion > 1.25 cm,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7430,,Exc benign tumor  to 1.25 cm,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7431,,Benign tumor exc > 1.25 cm,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7440,,Malig tumor exc to 1.25 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7441,,Malig tumor > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7450,,Rem odontogen cyst to 1.25cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7451,,Rem odontogen cyst > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7460,,Rem nonodonto cyst to 1.25cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7461,,Rem nonodonto cyst > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7465,,Lesion destruction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7471,,Rem exostosis any site,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7472,,Removal of torus palatinus,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7473,,Remove torus mandibularis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7480,,Partial ostectomy,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7485,,Surg reduct osseoustuberosit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7490,,Mandible resection,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7510,,I&d absc intraoral soft tiss,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7520,,I&d abscess extraoral,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7530,,Removal fb skin/areolar tiss,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7540,,Removal of fb reaction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7550,,Removal of sloughed off bone,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7560,,Maxillary sinusotomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7610,,Maxilla open reduct simple,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7620,,Clsd reduct simpl maxilla fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7630,,Open red simpl mandible fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7640,,Clsd red simpl mandible fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7650,,Open red simp malar/zygom fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7660,,Clsd red simp malar/zygom fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7670,,Closd rductn splint alveolus,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7671,,Alveolus open reduction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7680,,Reduct simple facial bone fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7710,,Maxilla open reduct compound,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7720,,Clsd reduct compd maxilla fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7730,,Open reduct compd mandble fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7740,,Clsd reduct compd mandble fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7750,,Open red comp malar/zygma fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7760,,Clsd red comp malar/zygma fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7770,,Open reduc compd alveolus fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7771,,Alveolus clsd reduc stblz te,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7780,,Reduct compnd facial bone fx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7810,,Tmj open reduct-dislocation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7820,,Closed tmp manipulation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7830,,Tmj manipulation under anest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7840,,Removal of tmj condyle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7850,,Tmj meniscectomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7852,,Tmj repair of joint disc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7854,,Tmj excisn of joint membrane,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7856,,Tmj cutting of a muscle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7858,,Tmj reconstruction,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7860,,Tmj cutting into joint,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7865,,Tmj reshaping components,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7870,,Tmj aspiration joint fluid,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7871,,Lysis + lavage w catheters,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7872,,Tmj diagnostic arthroscopy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7873,,Tmj arthroscopy lysis adhesn,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7874,,Tmj arthroscopy disc reposit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7875,,Tmj arthroscopy synovectomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7876,,Tmj arthroscopy discectomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7877,,Tmj arthroscopy debridement,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7880,,Occlusal orthotic appliance,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7899,,Tmj unspecified therapy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7910,,Dent sutur recent wnd to 5cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7911,,Dental suture wound to 5 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7912,,Suture complicate wnd > 5 cm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7920,,Dental skin graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7940,,Reshaping bone orthognathic,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D7941,,Bone cutting ramus closed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7943,,Cutting ramus open w/graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7944,,Bone cutting segmented,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7945,,Bone cutting body mandible,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7946,,Reconstruction maxilla total,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7947,,Reconstruct maxilla segment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7948,,Reconstruct midface no graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7949,,Reconstruct midface w/graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7950,,Mandible graft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7955,,Repair maxillofacial defects,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7960,,Frenulectomy/frenulotomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7970,,Excision hyperplastic tissue,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7971,,Excision pericoronal gingiva,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7972,,Surg redct fibrous tuberosit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7980,,Sialolithotomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7981,,Excision of salivary gland,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7982,,Sialodochoplasty,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7983,,Closure of salivary fistula,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7990,,Emergency tracheotomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7991,,Dental coronoidectomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7995,,Synthetic graft facial bones,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7996,,Implant mandible for augment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7997,,Appliance removal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D7999,,Oral surgery procedure,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8010,,Limited dental tx primary,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8020,,Limited dental tx transition,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8030,,Limited dental tx adolescent,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8040,,Limited dental tx adult,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8050,,Intercep dental tx primary,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8060,,Intercep dental tx transitn,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8070,,Compre dental tx transition,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8080,,Compre dental tx adolescent,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8090,,Compre dental tx adult,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8210,,Orthodontic rem appliance tx,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8220,,Fixed appliance therapy habt,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8660,,Preorthodontic tx visit,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8670,,Periodic orthodontc tx visit,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8680,,Orthodontic retention,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8690,,Orthodontic treatment,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8691,,Repair ortho appliance,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8692,,Replacement retainer,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D8999,,Orthodontic procedure,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9110,,Tx dental pain minor proc,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9210,,Dent anesthesia w/o surgery,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9211,,Regional block anesthesia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9212,,Trigeminal block anesthesia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9215,,Local anesthesia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9220,,General anesthesia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9221,,General anesthesia ea ad 15m,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9230,,Analgesia,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9241,,Intravenous sedation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9242,,IV sedation ea ad 30 m,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9248,,Sedation (non-iv),R,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9310,,Dental consultation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9410,,Dental house call,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9420,,Hospital call,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9430,,Office visit during hours,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9440,,Office visit after hours,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9450,,Case presentation tx plan,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9610,,Dent therapeutic drug inject,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9630,,Other drugs/medicaments,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9910,,Dent appl desensitizing med,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9911,,Appl desensitizing resin,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9920,,Behavior management,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9930,,Treatment of complications,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9940,,Dental occlusal guard,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9941,,Fabrication athletic guard,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9950,,Occlusion analysis,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9951,,Limited occlusal adjustment,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9952,,Complete occlusal adjustment,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
D9970,,Enamel microabrasion,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9971,,Odontoplasty 1-2 teeth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9972,,Extrnl bleaching per arch,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9973,,Extrnl bleaching per tooth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9974,,Intrnl bleaching per tooth,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
D9999,,Adjunctive procedure,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0001,,Drawing blood for specimen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0002,,Temporary urinary catheter,D,,0.50,3.32,,0.17,,0.03,3.85,0.70,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0004,,ECG transm phys review & int,D,,0.52,7.10,,7.10,,0.45,8.07,8.07,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0005,,ECG 24 hour recording,D,,0.00,1.18,,1.18,,0.07,1.25,1.25,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0006,,ECG transmission & analysis,D,,0.00,5.71,,5.71,,0.36,6.07,6.07,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0007,,ECG phy review & interpret,D,,0.52,0.21,,0.21,,0.02,0.75,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0008,,Admin influenza virus vac,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0009,,Admin pneumococcal vaccine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0010,,Admin hepatitis b vaccine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0015,,Post symptom ECG tracing,D,,0.00,5.71,,5.71,,0.36,6.07,6.07,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0025,,Collagen skin test kit,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0026,,Fecal leukocyte examination,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0027,,Semen analysis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0030,,PET imaging prev PET single,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0030,TC,PET imaging prev PET single,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0030,26,PET imaging prev PET single,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0031,,PET imaging prev PET multple,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0031,TC,PET imaging prev PET multple,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0031,26,PET imaging prev PET multple,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0032,,PET follow SPECT 78464 singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0032,TC,PET follow SPECT 78464 singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0032,26,PET follow SPECT 78464 singl,A,,1.50,0.52,,0.52,,0.05,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0033,,PET follow SPECT 78464 mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0033,TC,PET follow SPECT 78464 mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0033,26,PET follow SPECT 78464 mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0034,,PET follow SPECT 76865 singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0034,TC,PET follow SPECT 76865 singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0034,26,PET follow SPECT 76865 singl,A,,1.50,0.52,,0.52,,0.05,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0035,,PET follow SPECT 78465 mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0035,TC,PET follow SPECT 78465 mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0035,26,PET follow SPECT 78465 mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0036,,PET follow cornry angio sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0036,TC,PET follow cornry angio sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0036,26,PET follow cornry angio sing,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0037,,PET follow cornry angio mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0037,TC,PET follow cornry angio mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0037,26,PET follow cornry angio mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0038,,PET follow myocard perf sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0038,TC,PET follow myocard perf sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0038,26,PET follow myocard perf sing,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0039,,PET follow myocard perf mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0039,TC,PET follow myocard perf mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0039,26,PET follow myocard perf mult,A,,1.87,0.70,,0.70,,0.07,2.64,2.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0040,,PET follow stress echo singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0040,TC,PET follow stress echo singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0040,26,PET follow stress echo singl,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0041,,PET follow stress echo mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0041,TC,PET follow stress echo mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0041,26,PET follow stress echo mult,A,,1.87,0.70,,0.70,,0.05,2.62,2.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0042,,PET follow ventriculogm sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0042,TC,PET follow ventriculogm sing,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0042,26,PET follow ventriculogm sing,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0043,,PET follow ventriculogm mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0043,TC,PET follow ventriculogm mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0043,26,PET follow ventriculogm mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0044,,PET following rest ECG singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0044,TC,PET following rest ECG singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0044,26,PET following rest ECG singl,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0045,,PET following rest ECG mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0045,TC,PET following rest ECG mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0045,26,PET following rest ECG mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0046,,PET follow stress ECG singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0046,TC,PET follow stress ECG singl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0046,26,PET follow stress ECG singl,A,,1.50,0.52,,0.52,,0.04,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0047,,PET follow stress ECG mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0047,TC,PET follow stress ECG mult,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0047,26,PET follow stress ECG mult,A,,1.87,0.70,,0.70,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0050,,Residual urine by ultrasound,D,,0.00,0.81,,0.81,,0.04,0.85,0.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0101,,CA screen;pelvic/breast exam,A,,0.45,0.51,,0.17,,0.01,0.97,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0102,,Prostate ca screening; dre,A,,0.17,0.38,,0.06,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0103,,"Psa, total screening",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0104,,CA screen;flexi sigmoidscope,A,,0.96,1.82,,0.52,,0.05,2.83,1.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0105,,Colorectal scrn; hi risk ind,A,,3.70,8.03,,1.72,,0.20,11.93,5.62,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0106,,Colon CA screen;barium enema,A,,0.99,2.56,,2.56,NA,0.15,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0106,TC,Colon CA screen;barium enema,A,,0.00,2.22,,2.22,NA,0.11,2.33,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
G0106,26,Colon CA screen;barium enema,A,,0.99,0.34,,0.34,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0107,,CA screen; fecal blood test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0108,,Diab manage trn  per indiv,A,,0.00,0.82,,0.82,NA,0.01,0.83,0.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0109,,Diab manage trn ind/group,A,,0.00,0.48,,0.48,NA,0.01,0.49,0.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0110,,Nett pulm-rehab educ; ind,R,,0.90,0.71,,0.30,,0.03,1.64,1.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0111,,Nett pulm-rehab educ; group,R,,0.27,0.29,,0.14,,0.01,0.57,0.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0112,,"Nett;nutrition guid, initial",R,,1.72,1.22,,0.67,,0.05,2.99,2.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0113,,"Nett;nutrition guid,subseqnt",R,,1.29,0.84,,0.42,,0.04,2.17,1.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0114,,Nett; psychosocial consult,R,,1.20,0.50,,0.38,,0.03,1.73,1.61,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0115,,Nett; psychological testing,R,,1.20,0.65,,0.38,,0.04,1.89,1.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0116,,Nett; psychosocial counsel,R,,1.11,1.02,,0.34,,0.04,2.17,1.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0117,,Glaucoma scrn hgh risk direc,T,,0.45,0.94,,0.21,,0.02,1.41,0.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0118,,Glaucoma scrn hgh risk direc,T,,0.17,0.81,,0.08,,0.01,0.99,0.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0120,,Colon ca scrn; barium enema,A,,0.99,2.56,,2.56,NA,0.15,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0120,TC,Colon ca scrn; barium enema,A,,0.00,2.22,,2.22,NA,0.11,2.33,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0120,26,Colon ca scrn; barium enema,A,,0.99,0.34,,0.34,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0121,,Colon ca scrn not hi rsk ind,A,,3.70,8.03,,1.72,,0.20,11.93,5.62,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0122,,Colon ca scrn; barium enema,N,+,0.99,2.61,,2.61,NA,0.15,3.75,3.75,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0122,TC,Colon ca scrn; barium enema,N,+,0.00,2.22,,2.22,NA,0.11,2.33,2.33,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0122,26,Colon ca scrn; barium enema,N,+,0.99,0.39,,0.39,,0.04,1.42,1.42,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0123,,Screen cerv/vag thin layer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0124,,Screen c/v thin layer by MD,A,,0.42,0.19,,0.19,,0.01,0.62,0.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0125,,PET image pulmonary nodule,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0125,TC,PET image pulmonary nodule,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0125,26,PET image pulmonary nodule,A,,1.50,0.52,,0.52,,0.05,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0127,,Trim nail(s),R,,0.17,0.26,,0.07,,0.01,0.44,0.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0128,,CORF skilled nursing service,R,,0.08,0.03,,0.03,,0.01,0.12,0.12,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0130,,Single energy x-ray study,A,,0.22,0.90,,0.90,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0130,TC,Single energy x-ray study,A,,0.00,0.79,,0.79,NA,0.04,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0130,26,Single energy x-ray study,A,,0.22,0.11,,0.11,,0.01,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0131,,"CT scan, bone density study",D,,0.25,3.18,,3.18,,0.14,3.57,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0131,TC,"CT scan, bone density study",D,,0.00,3.05,,3.05,,0.13,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0131,26,"CT scan, bone density study",D,,0.25,0.13,,0.13,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0132,,"CT scan, bone density study",D,,0.22,0.90,,0.90,,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0132,TC,"CT scan, bone density study",D,,0.00,0.79,,0.79,,0.04,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0132,26,"CT scan, bone density study",D,,0.22,0.11,,0.11,,0.01,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0141,,"Scr c/v cyto,autosys and md",A,,0.42,0.19,,0.19,,0.01,0.62,0.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0143,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0144,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0145,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0147,,"Scr c/v cyto, automated sys",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0148,,"Scr c/v cyto, autosys, rescr",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0166,,"Extrnl counterpulse, per tx",A,,0.07,5.57,,0.03,,0.01,5.65,0.11,0,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0167,,Hyperbaric oz tx;no md reqrd,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0168,,Wound closure by adhesive,A,,0.45,2.24,,0.18,,0.01,2.70,0.64,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
G0173,,"Stereo radoisurgery,complete",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0175,,"OPPS Service,sched team conf",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0176,,OPPS/PHP;activity therapy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0177,,OPPS/PHP; train & educ serv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0179,,MD recertification HHA PT,A,,0.45,1.09,,1.09,NA,0.01,1.55,1.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0180,,MD certification HHA patient,A,,0.67,1.31,,1.31,NA,0.02,2.00,2.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0181,,Home health care supervision,A,,1.73,1.56,,1.56,NA,0.06,3.35,3.35,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0182,,Hospice care supervision,A,,1.73,1.75,,1.75,NA,0.06,3.54,3.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0185,,Transpuppillary thermotx,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
G0186,,"Dstry eye lesn,fdr vssl tech",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
G0187,,"Dstry mclr drusen,photocoag",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
G0192,,Immunization oral/intranasal,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0193,,Endoscopicstudyswallowfunctn,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0194,,Sensorytestingendoscopicstud,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0195,,Clinicalevalswallowingfunct,D,,1.50,1.95,,0.76,,0.07,3.52,2.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0196,,Evalofswallowingwithradioopa,D,,1.50,1.95,,0.76,,0.07,3.52,2.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0197,,Evalofptforprescipspeechdevi,D,,1.35,2.11,,0.75,,0.04,3.50,2.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0198,,Patientadapation&trainforspe,D,,0.99,1.14,,0.58,,0.03,2.16,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0199,,Reevaluationofpatientusespec,D,,1.01,1.92,,0.56,,0.03,2.96,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0200,,Evalofpatientprescipofvoicep,D,,1.35,2.11,,0.75,,0.04,3.50,2.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0201,,Modifortraininginusevoicepro,D,,0.99,1.14,,0.58,,0.03,2.16,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0202,,Screeningmammographydigital,A,,0.70,2.80,,2.80,NA,0.09,3.59,3.59,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0202,TC,Screeningmammographydigital,A,,0.00,2.53,,2.53,NA,0.06,2.59,2.59,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0202,26,Screeningmammographydigital,A,,0.70,0.27,,0.27,,0.03,1.00,1.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0204,,Diagnosticmammographydigital,A,,0.87,2.84,,2.84,NA,0.10,3.81,3.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0204,TC,Diagnosticmammographydigital,A,,0.00,2.50,,2.50,NA,0.06,2.56,2.56,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0204,26,Diagnosticmammographydigital,A,,0.87,0.34,,0.34,,0.04,1.25,1.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
G0206,,Diagnosticmammographydigital,A,,0.70,2.28,,2.28,NA,0.09,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0206,TC,Diagnosticmammographydigital,A,,0.00,2.01,,2.01,NA,0.05,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0206,26,Diagnosticmammographydigital,A,,0.70,0.27,,0.27,,0.04,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0210,,PET img wholebody dxlung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0210,TC,PET img wholebody dxlung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0210,26,PET img wholebody dxlung,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0211,,PET img wholbody init lung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0211,TC,PET img wholbody init lung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0211,26,PET img wholbody init lung,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0212,,PET img wholebod restag lung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0212,TC,PET img wholebod restag lung,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0212,26,PET img wholebod restag lung,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0213,,PET img wholbody dx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0213,TC,PET img wholbody dx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0213,26,PET img wholbody dx,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0214,,PET img wholebod init,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0214,TC,PET img wholebod init,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0214,26,PET img wholebod init,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0215,,PETimg wholebod restag,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0215,TC,PETimg wholebod restag,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0215,26,PETimg wholebod restag,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0216,,PET img wholebod dx melanoma,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0216,TC,PET img wholebod dx melanoma,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0216,26,PET img wholebod dx melanoma,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0217,,PET img wholebod init melan,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0217,TC,PET img wholebod init melan,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0217,26,PET img wholebod init melan,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0218,,PET img wholebod restag mela,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0218,TC,PET img wholebod restag mela,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0218,26,PET img wholebod restag mela,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0219,,PET img wholbod melano nonco,N,+,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0219,TC,PET img wholbod melano nonco,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
G0219,26,PET img wholbod melano nonco,N,+,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0220,,PET img wholebod dx lymphoma,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0220,TC,PET img wholebod dx lymphoma,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0220,26,PET img wholebod dx lymphoma,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0221,,PET imag wholbod init lympho,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0221,TC,PET imag wholbod init lympho,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0221,26,PET imag wholbod init lympho,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0222,,PET imag wholbod resta lymph,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0222,TC,PET imag wholbod resta lymph,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0222,26,PET imag wholbod resta lymph,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0223,,PET imag wholbod reg dx head,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0223,TC,PET imag wholbod reg dx head,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0223,26,PET imag wholbod reg dx head,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0224,,PET imag wholbod reg ini hea,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0224,TC,PET imag wholbod reg ini hea,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0224,26,PET imag wholbod reg ini hea,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0225,,PET whol restag headneckonly,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0225,TC,PET whol restag headneckonly,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0225,26,PET whol restag headneckonly,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0226,,PET img wholbody dx esophagl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0226,TC,PET img wholbody dx esophagl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0226,26,PET img wholbody dx esophagl,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0227,,PET img wholbod ini esophage,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0227,TC,PET img wholbod ini esophage,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0227,26,PET img wholbod ini esophage,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0228,,PET img wholbod restg esopha,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0228,TC,PET img wholbod restg esopha,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0228,26,PET img wholbod restg esopha,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0229,,PET img metaboloc brain pres,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0229,TC,PET img metaboloc brain pres,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0229,26,PET img metaboloc brain pres,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0230,,PET myocard viability post,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0230,TC,PET myocard viability post,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0230,26,PET myocard viability post,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0231,,PET WhBD colorec; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0231,TC,PET WhBD colorec; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0231,26,PET WhBD colorec; gamma cam,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0232,,PET whbd lymphoma; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0232,TC,PET whbd lymphoma; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0232,26,PET whbd lymphoma; gamma cam,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0233,,PET whbd melanoma; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0233,TC,PET whbd melanoma; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0233,26,PET whbd melanoma; gamma cam,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0234,,PET WhBD pulm nod; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0234,TC,PET WhBD pulm nod; gamma cam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0234,26,PET WhBD pulm nod; gamma cam,A,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0236,,Digital film convert diag ma,A,,0.06,0.44,,0.44,NA,0.02,0.52,0.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0236,TC,Digital film convert diag ma,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0236,26,Digital film convert diag ma,A,,0.06,0.02,,0.02,,0.01,0.09,0.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0237,,Therapeutic procd strg endur,A,,0.00,0.47,,0.47,NA,0.02,0.49,0.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0238,,"Oth resp proc, indiv",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0239,,"Oth resp proc, group",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0240,,Critic care by MD transport,D,,4.00,1.60,,1.60,,0.14,5.74,5.74,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0241,,Each additional 30 minutes,D,,2.00,0.80,,0.80,,0.07,2.87,2.87,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0242,,Multisource photon ster plan,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0243,,Multisour photon stero treat,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0244,,Observ care by facility topt,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0245,,Initial foot exam pt lops,R,,0.88,0.77,,0.32,,0.05,1.70,1.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0246,,Followup eval of foot pt lop,R,,0.45,0.52,,0.16,,0.02,0.99,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0247,,Routine footcare pt w lops,R,,0.50,0.52,,0.21,,0.05,1.07,0.76,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0248,,Demonstrate use home inr mon,R,,0.00,4.30,,4.30,NA,0.01,4.31,4.31,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0249,,"Provide test material,equipm",R,,0.00,3.35,,3.35,NA,0.01,3.36,3.36,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0250,,MD review interpret of test,R,,0.18,0.07,,0.07,,0.01,0.26,0.26,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0251,,Linear acc based stero radio,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0252,,PET imaging initial dx,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0252,TC,PET imaging initial dx,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0252,26,PET imaging initial dx,N,+,1.50,0.60,,0.60,,0.04,2.14,2.14,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0253,,PET image brst dection recur,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0253,TC,PET image brst dection recur,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0253,26,PET image brst dection recur,A,,1.87,0.73,,0.73,,0.07,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0254,,PET image brst eval to tx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0254,TC,PET image brst eval to tx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0254,26,PET image brst eval to tx,A,,1.87,0.73,,0.73,,0.07,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0255,,Current percep threshold tst,N,+,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0255,TC,Current percep threshold tst,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
G0255,26,Current percep threshold tst,N,+,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0256,,Prostate brachy w palladium,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0257,,Unsched dialysis ESRD pt hos,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0258,,IV infusion during obs stay,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0259,,Inject for sacroiliac joint,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0260,,Inj for sacroiliac jt anesth,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0261,,Prostate brachy w iodine see,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0262,,Sm intestinal image capsule,A,,2.12,18.67,,18.67,NA,0.08,20.87,20.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0262,TC,Sm intestinal image capsule,A,,0.00,17.84,,17.84,NA,0.06,17.90,17.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0262,26,Sm intestinal image capsule,A,,2.12,0.83,,0.83,,0.02,2.97,2.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0263,,"Adm with CHF, CP, asthma",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0264,,"Assmt otr CHF, CP, asthma",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0265,,Cryopresevation Freeze+stora,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0266,,Thawing + expansion froz cel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0267,,Bone marrow or psc harvest,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0268,,Removal of impacted wax md,A,,0.61,0.57,,0.24,,0.04,1.22,0.89,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
G0269,,Occlusive device in vein art,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0270,,MNT subs tx for change dx,A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0271,,Group MNT 2 or more 30 mins,A,,0.00,0.18,,0.18,NA,0.01,0.19,0.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0272,,Naso/oro gastric tube pl MD,A,,0.32,0.13,,0.13,NA,0.02,0.47,0.47,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
G0273,,"Pretx planning, non-Hodgkins",A,,0.86,11.36,,11.36,NA,0.28,12.50,12.50,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
G0273,TC,"Pretx planning, non-Hodgkins",A,,0.00,11.02,,11.02,NA,0.25,11.27,11.27,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
G0273,26,"Pretx planning, non-Hodgkins",A,,0.86,0.34,,0.34,,0.03,1.23,1.23,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
G0274,,"Radiopharm tx, non-Hodgkins",A,,2.07,3.42,,3.42,NA,0.20,5.69,5.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0274,TC,"Radiopharm tx, non-Hodgkins",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0274,26,"Radiopharm tx, non-Hodgkins",A,,2.07,0.81,,0.81,,0.08,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0275,,"Renal angio, cardiac cath",A,,0.25,0.10,,0.10,,0.01,0.36,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0278,,"Iliac art angio,cardiac cath",A,,0.25,0.10,,0.10,,0.01,0.36,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0279,,"Excorp shock tx, elbow epi",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0280,,Excorp shock tx other than,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0281,,Elec stim unattend for press,A,,0.18,0.16,,0.16,,0.01,0.35,0.35,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0282,,Elect stim wound care not pd,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0283,,Elec stim other than wound,A,,0.18,0.16,,0.16,,0.01,0.35,0.35,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0288,,"Recon, CTA for surg plan",A,,0.00,10.57,,10.57,NA,0.15,10.72,10.72,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0289,,"Arthro, loose body + chondro",A,,1.48,0.58,,0.58,,0.27,2.33,2.33,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
G0290,,"Drug-eluting stents, single",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0291,,"Drug-eluting stents,each add",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0292,,"Adm exp drugs,clinical trial",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0293,,"Non-cov surg proc,clin trial",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0294,,"Non-cov proc, clinical trial",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0295,,Electromagnetic therapy onc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G0296,,PET imge restag thyrod cance,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G0296,TC,PET imge restag thyrod cance,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
G0296,26,PET imge restag thyrod cance,A,,1.87,0.73,,0.73,,0.07,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
G9001,,"MCCD, initial rate",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9002,,"MCCD,maintenance rate",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9003,,"MCCD, risk adj hi, initial",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9004,,"MCCD, risk adj lo, initial",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9005,,"MCCD, risk adj, maintenance",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9006,,"MCCD, Home monitoring",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9007,,"MCCD, sch team conf",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9008,,"Mccd,phys coor-care ovrsght",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9009,,"MCCD, risk adj, level 3",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9010,,"MCCD, risk adj, level 4",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9011,,"MCCD, risk adj, level 5",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9012,,Other Specified Case Mgmt,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
G9016,,Demo-smoking cessation coun,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0001,,Alcohol and/or drug assess,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0002,,Alcohol and/or drug screenin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0003,,Alcohol and/or drug screenin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0004,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0005,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0006,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0007,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0008,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0009,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0010,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0011,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0012,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0013,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0014,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0015,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0016,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0017,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0018,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0019,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0020,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0021,,Alcohol and/or drug training,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0022,,Alcohol and/or drug interven,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0023,,Alcohol and/or drug outreach,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0024,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0025,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0026,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0027,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0028,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0029,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0030,,Alcohol and/or drug hotline,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0031,,MH health assess by non-md,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0032,,MH svc plan dev by non-md,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0033,,Oral med adm direct observe,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0034,,Med trng & support per 15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0035,,MH partial hosp tx under 24h,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0036,,Comm psy face-face per 15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0037,,Comm psy sup tx pgm per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0038,,Self-help/peer svc per 15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0039,,Asser com tx face-face/15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0040,,Assert comm tx pgm per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0041,,Fos c chld non-ther per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0042,,Fos c chld non-ther per mon,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0043,,"Supported housing, per diem",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0044,,"Supported housing, per month",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0045,,Respite not-in-home per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0046,,"Mental health service, nos",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0047,,Alcohol/drug abuse svc nos,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H0048,,Spec coll non-blood:a/d test,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1000,,Prenatal care atrisk assessm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1001,,Antepartum management,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1002,,Carecoordination prenatal,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1003,,Prenatal at risk education,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1004,,Follow up home visit/prental,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1005,,Prenatalcare enhanced srv pk,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1010,,Nonmed family planning ed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H1011,,Family assessment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H2000,,Comp multidisipln evaluation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
H2001,,Rehabilitation program 1/2 d,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0120,,Tetracyclin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0130,,Abciximab injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0150,,Injection adenosine 6 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0151,,Adenosine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0170,,Adrenalin epinephrin inject,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0190,,Inj biperiden lactate/5 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0200,,Alatrofloxacin mesylate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0205,,Alglucerase injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0207,,Amifostine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0210,,Methyldopate hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0256,,Alpha 1 proteinase inhibitor,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0270,,Alprostadil for injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0275,,Alprostadil urethral suppos,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0280,,Aminophyllin 250 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0282,,Amiodarone HCl,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0285,,Amphotericin B,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0286,,Amphotericin B lipid complex,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0287,,Amphotericin b lipid complex,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0288,,Ampho b cholesteryl sulfate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0289,,Amphotericin b liposome inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0290,,Ampicillin 500 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0295,,Ampicillin sodium per 1.5 gm,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0300,,Amobarbital 125 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0330,,Succinycholine chloride inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0350,,Injection anistreplase 30 u,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0360,,Hydralazine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0380,,Inj metaraminol bitartrate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0390,,Chloroquine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0395,,Arbutamine HCl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0456,,Azithromycin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0460,,Atropine sulfate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0470,,Dimecaprol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0475,,Baclofen 10 MG injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0476,,Baclofen intrathecal trial,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0500,,Dicyclomine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0515,,Inj benztropine mesylate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0520,,Bethanechol chloride inject,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0530,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0540,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0550,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0560,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0570,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0580,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0585,,Botulinum toxin a per unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0587,,Botulinum toxin type B,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0592,,Buprenorphine hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0600,,Edetate calcium disodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0610,,Calcium gluconate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0620,,Calcium glycer & lact/10 ML,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0630,,Calcitonin salmon injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0635,,Calcitriol injection,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0636,,Inj calcitriol per 0.1 mcg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0637,,Caspofungin acetate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0640,,Leucovorin calcium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0670,,Inj mepivacaine HCL/10 ml,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0690,,Cefazolin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0692,,Cefepime HCl for injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0694,,Cefoxitin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0696,,Ceftriaxone sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0697,,Sterile cefuroxime injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0698,,Cefotaxime sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0702,,Betamethasone acet&sod phosp,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0704,,Betamethasone sod phosp/4 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0706,,Caffeine citrate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0710,,Cephapirin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0713,,Inj ceftazidime per 500 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0715,,Ceftizoxime sodium / 500 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0720,,Chloramphenicol sodium injec,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0725,,Chorionic gonadotropin/1000u,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0735,,Clonidine hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0740,,Cidofovir injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0743,,Cilastatin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0744,,Ciprofloxacin iv,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0745,,Inj codeine phosphate /30 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0760,,Colchicine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0770,,Colistimethate sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0780,,Prochlorperazine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0800,,Corticotropin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0835,,Inj cosyntropin per 0.25 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0850,,Cytomegalovirus imm IV /vial,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0880,,Darbepoetin alfa injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0895,,Deferoxamine mesylate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0900,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0945,,Brompheniramine maleate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J0970,,Estradiol valerate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1000,,Depo-estradiol cypionate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1020,,Methylprednisolone 20 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1030,,Methylprednisolone 40 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1040,,Methylprednisolone 80 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1050,,Medroxyprogesterone inj,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1051,,Medroxyprogesterone inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1055,,Medrxyprogester acetate inj,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1056,,MA/EC contraceptiveinjection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1060,,Testosterone cypionate 1 ML,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1070,,Testosterone cypionat 100 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1080,,Testosterone cypionat 200 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1094,,Inj dexamethasone acetate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1095,,Inj dexamethasone acetate,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1100,,Dexamethasone sodium phos,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1110,,Inj dihydroergotamine mesylt,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1120,,Acetazolamid sodium injectio,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1160,,Digoxin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1165,,Phenytoin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1170,,Hydromorphone injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1180,,Dyphylline injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1190,,Dexrazoxane HCl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1200,,Diphenhydramine hcl injectio,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1205,,Chlorothiazide sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1212,,Dimethyl sulfoxide 50% 50 ML,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1230,,Methadone injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1240,,Dimenhydrinate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1245,,Dipyridamole injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1250,,Inj dobutamine HCL/250 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1260,,Dolasetron mesylate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1270,,"Injection, doxercalciferol",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1320,,Amitriptyline injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1325,,Epoprostenol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1327,,Eptifibatide injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1330,,Ergonovine maleate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1364,,Erythro lactobionate /500 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1380,,Estradiol valerate 10 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1390,,Estradiol valerate 20 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1410,,Inj estrogen conjugate 25 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1435,,Injection estrone per 1 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1436,,Etidronate disodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1438,,Etanercept injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1440,,Filgrastim 300 mcg injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1441,,Filgrastim 480 mcg injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1450,,Fluconazole,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1452,,Intraocular Fomivirsen na,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1455,,Foscarnet sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1460,,Gamma globulin 1 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1470,,Gamma globulin 2 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1480,,Gamma globulin 3 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1490,,Gamma globulin 4 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1500,,Gamma globulin 5 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1510,,Gamma globulin 6 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1520,,Gamma globulin 7 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1530,,Gamma globulin 8 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1540,,Gamma globulin 9 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1550,,Gamma globulin 10 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1560,,Gamma globulin > 10 CC inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1561,,Immune globulin 500 mg,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1563,,IV immune globulin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1564,,Immune globulin 10 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1565,,RSV-ivig,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1570,,Ganciclovir sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1580,,Garamycin gentamicin inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1590,,Gatifloxacin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1600,,Gold sodium thiomaleate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1610,,Glucagon hydrochloride/1 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1620,,Gonadorelin hydroch/ 100 mcg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1626,,Granisetron HCl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1630,,Haloperidol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1631,,Haloperidol decanoate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1642,,Inj heparin sodium per 10 u,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1644,,Inj heparin sodium per 1000u,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1645,,Dalteparin sodium,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1650,,Inj enoxaparin sodium,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1652,,Fondaparinux sodium,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1655,,Tinzaparin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1670,,Tetanus immune globulin inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1700,,Hydrocortisone acetate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1710,,Hydrocortisone sodium ph inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1720,,Hydrocortisone sodium succ i,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1730,,Diazoxide injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1742,,Ibutilide fumarate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1745,,Infliximab injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1750,,Iron dextran,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1755,,Iron sucrose injection,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1756,,Iron sucrose injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1785,,Injection imiglucerase /unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1790,,Droperidol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1800,,Propranolol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1810,,Droperidol/fentanyl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1815,,Insulin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1817,,Insulin for insulin pump use,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1820,,Insulin injection,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1825,,Interferon beta-1a,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1830,,Interferon beta-1b / .25 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1835,,Itraconazole injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1840,,Kanamycin sulfate 500 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1850,,Kanamycin sulfate 75 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1885,,Ketorolac tromethamine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1890,,Cephalothin sodium injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1910,,Kutapressin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1940,,Furosemide injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1950,,Leuprolide acetate /3.75 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1955,,Inj levocarnitine per 1 gm,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1956,,Levofloxacin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1960,,Levorphanol tartrate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1980,,Hyoscyamine sulfate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J1990,,Chlordiazepoxide injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2000,,Lidocaine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2010,,Lincomycin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2020,,Linezolid injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2060,,Lorazepam injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2150,,Mannitol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2175,,Meperidine hydrochl /100 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2180,,Meperidine/promethazine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2210,,Methylergonovin maleate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2250,,Inj midazolam hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2260,,Inj milrinone lactate / 5 ML,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2270,,Morphine sulfate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2271,,Morphine so4 injection 100mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2275,,Morphine sulfate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2300,,Inj nalbuphine hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2310,,Inj naloxone hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2320,,Nandrolone decanoate 50 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2321,,Nandrolone decanoate 100 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2322,,Nandrolone decanoate 200 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2324,,Nesiritide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2352,,Octreotide acetate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2355,,Oprelvekin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2360,,Orphenadrine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2370,,Phenylephrine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2400,,Chloroprocaine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2405,,Ondansetron hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2410,,Oxymorphone hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2430,,Pamidronate disodium /30 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2440,,Papaverin hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2460,,Oxytetracycline injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2500,,Paricalcitol,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2501,,Paricalcitol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2510,,Penicillin g procaine inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2515,,Pentobarbital sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2540,,Penicillin g potassium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2543,,Piperacillin/tazobactam,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2545,,Pentamidine isethionte/300mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2550,,Promethazine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2560,,Phenobarbital sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2590,,Oxytocin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2597,,Inj desmopressin acetate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2650,,Prednisolone acetate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2670,,Totazoline hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2675,,Inj progesterone per 50 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2680,,Fluphenazine decanoate 25 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2690,,Procainamide hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2700,,Oxacillin sodium injeciton,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2710,,Neostigmine methylslfte inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2720,,Inj protamine sulfate/10 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2725,,Inj protirelin per 250 mcg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2730,,Pralidoxime chloride inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2760,,Phentolaine mesylate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2765,,Metoclopramide hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2770,,Quinupristin/dalfopristin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2780,,Ranitidine hydrochloride inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2788,,Rho d immune globulin 50 mcg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2790,,Rho d immune globulin inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2792,,"Rho(D) immune globulin h, sd",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2795,,Ropivacaine HCl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2800,,Methocarbamol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2810,,Inj theophylline per 40 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2820,,Sargramostim injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2910,,Aurothioglucose injeciton,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2912,,Sodium chloride injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2915,,NA Ferric Gluconate Complex,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2916,,Na ferric gluconate complex,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2920,,Methylprednisolone injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2930,,Methylprednisolone injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2940,,Somatrem injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2941,,Somatropin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2950,,Promazine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2993,,Reteplase injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2995,,Inj streptokinase /250000 IU,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J2997,,Alteplase recombinant,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3000,,Streptomycin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3010,,Fentanyl citrate injeciton,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3030,,Sumatriptan succinate / 6 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3070,,Pentazocine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3100,,Tenecteplase injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3105,,Terbutaline sulfate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3120,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3130,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3140,,Testosterone suspension inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3150,,Testosteron propionate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3230,,Chlorpromazine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3240,,Thyrotropin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3245,,Tirofiban hydrochloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3250,,Trimethobenzamide hcl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3260,,Tobramycin sulfate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3265,,Injection torsemide 10 mg/ml,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3280,,Thiethylperazine maleate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3301,,Triamcinolone acetonide inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3302,,Triamcinolone diacetate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3303,,Triamcinolone hexacetonl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3305,,Inj trimetrexate glucoronate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3310,,Perphenazine injeciton,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3315,,Triptorelin pamoate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3320,,Spectinomycn di-hcl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3350,,Urea injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3360,,Diazepam injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3364,,Urokinase 5000 IU injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3365,,"Urokinase 250,000 IU inj",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3370,,Vancomycin hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3395,,Verteporfin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3400,,Triflupromazine hcl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3410,,Hydroxyzine hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3420,,Vitamin b12 injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3430,,Vitamin k phytonadione inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3470,,Hyaluronidase injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3475,,Inj magnesium sulfate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3480,,Inj potassium chloride,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3485,,Zidovudine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3487,,Zoledronic acid,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3490,,Drugs unclassified injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3520,,Edetate disodium per 150 mg,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3530,,Nasal vaccine inhalation,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3535,,Metered dose inhaler drug,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3570,,Laetrile amygdalin vit B17,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J3590,,Unclassified biologics,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7030,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7040,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7042,,5% dextrose/normal saline,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7050,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7051,,Sterile saline/water,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7060,,5% dextrose/water,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7070,,D5w infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7100,,Dextran 40 infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7110,,Dextran 75 infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7120,,Ringers lactate infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7130,,Hypertonic saline solution,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7190,,Factor viii,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7191,,Factor VIII (porcine),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7192,,Factor viii recombinant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7193,,Factor IX non-recombinant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7194,,Factor ix complex,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7195,,Factor IX recombinant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7197,,Antithrombin iii injection,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7198,,Anti-inhibitor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7199,,Hemophilia clot factor noc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7300,,Intraut copper contraceptive,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7302,,Levonorgestrel iu contracept,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7308,,Aminolevulinic acid hcl top,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7310,,Ganciclovir long act implant,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7316,,Sodium hyaluronate injection,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7317,,Sodium hyaluronate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7320,,Hylan G-F 20 injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7330,,Cultured chondrocytes implnt,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7340,,Metabolic active D/E tissue,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7342,,Metabolically active tissue,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7350,,Injectable human tissue,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7500,,Azathioprine oral 50mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7501,,Azathioprine parenteral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7502,,Cyclosporine oral 100 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7504,,Lymphocyte immune globulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7505,,Monoclonal antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7506,,Prednisone oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7507,,Tacrolimus oral per 1 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7508,,Tacrolimus oral per 5 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7509,,Methylprednisolone oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7510,,Prednisolone oral per 5 mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7511,,Antithymocyte globuln rabbit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7513,,"Daclizumab, parenteral",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7515,,Cyclosporine oral 25 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7516,,Cyclosporin parenteral 250mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7517,,Mycophenolate mofetil oral,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7520,,"Sirolimus, oral",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7525,,Tacrolimus injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7599,,Immunosuppressive drug noc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7608,,Acetylcysteine inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7618,,Albuterol inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7619,,Albuterol inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7622,,Beclomethasone inhalatn sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7624,,Betamethasone inhalation sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7626,,Budesonide inhalation sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7628,,Bitolterol mes inhal sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7629,,Bitolterol mes inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7631,,Cromolyn sodium inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7633,,Budesonide concentrated sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7635,,Atropine inhal sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7636,,Atropine inhal sol unit dose,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7637,,Dexamethasone inhal sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7638,,Dexamethasone inhal sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7639,,Dornase alpha inhal sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7641,,"Flunisolide, inhalation sol",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7642,,Glycopyrrolate inhal sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7643,,Glycopyrrolate inhal sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7644,,Ipratropium brom inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7648,,Isoetharine hcl inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7649,,Isoetharine hcl inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7658,,Isoproterenolhcl inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7659,,Isoproterenol hcl inh sol ud,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7668,,Metaproterenol inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7669,,Metaproterenol inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7680,,Terbutaline so4 inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7681,,Terbutaline so4 inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7682,,Tobramycin inhalation sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7683,,Triamcinolone inh sol con,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7684,,Triamcinolone inh sol u d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7699,,Inhalation solution for DME,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J7799,,Non-inhalation drug for DME,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8499,,Oral prescrip drug non chemo,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8510,,Oral busulfan,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8520,,"Capecitabine, oral, 150 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8521,,"Capecitabine, oral, 500 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8530,,Cyclophosphamide oral 25 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8560,,Etoposide oral 50 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8600,,Melphalan oral 2 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8610,,Methotrexate oral 2.5 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8700,,Temozolmide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J8999,,Oral prescription drug chemo,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9000,,Doxorubic hcl 10 MG vl chemo,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9001,,Doxorubicin hcl liposome inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9010,,Alemtuzumab injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9015,,Aldesleukin/single use vial,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9017,,Arsenic trioxide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9020,,Asparaginase injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9031,,Bcg live intravesical vac,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9040,,Bleomycin sulfate injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9045,,Carboplatin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9050,,Carmus bischl nitro inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9060,,Cisplatin 10 MG injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9062,,Cisplatin 50 MG injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9065,,Inj cladribine per 1 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9070,,Cyclophosphamide 100 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9080,,Cyclophosphamide 200 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9090,,Cyclophosphamide 500 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9091,,Cyclophosphamide 1.0 grm inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9092,,Cyclophosphamide 2.0 grm inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9093,,Cyclophosphamide lyophilized,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9094,,Cyclophosphamide lyophilized,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9095,,Cyclophosphamide lyophilized,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9096,,Cyclophosphamide lyophilized,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9097,,Cyclophosphamide lyophilized,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9100,,Cytarabine hcl 100 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9110,,Cytarabine hcl 500 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9120,,Dactinomycin actinomycin d,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9130,,Dacarbazine 10 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9140,,Dacarbazine 200 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9150,,Daunorubicin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9151,,Daunorubicin citrate liposom,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9160,,"Denileukin diftitox, 300 mcg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9165,,Diethylstilbestrol injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9170,,Docetaxel,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9180,,Epirubicin HCl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9181,,Etoposide 10 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9182,,Etoposide 100 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9185,,Fludarabine phosphate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9190,,Fluorouracil injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9200,,Floxuridine injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9201,,Gemcitabine HCl,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9202,,Goserelin acetate implant,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9206,,Irinotecan injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9208,,Ifosfomide injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9209,,Mesna injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9211,,Idarubicin hcl injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9212,,Interferon alfacon-1,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9213,,Interferon alfa-2a inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9214,,Interferon alfa-2b inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9215,,Interferon alfa-n3 inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9216,,Interferon gamma 1-b inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9217,,Leuprolide acetate suspnsion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9218,,Leuprolide acetate injeciton,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9219,,Leuprolide acetate implant,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9230,,Mechlorethamine hcl inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9245,,Inj melphalan hydrochl 50 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9250,,Methotrexate sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9260,,Methotrexate sodium inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9265,,Paclitaxel injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9266,,Pegaspargase/singl dose vial,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9268,,Pentostatin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9270,,Plicamycin (mithramycin) inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9280,,Mitomycin 5 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9290,,Mitomycin 20 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9291,,Mitomycin 40 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9293,,Mitoxantrone hydrochl / 5 MG,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9300,,Gemtuzumab ozogamicin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9310,,Rituximab cancer treatment,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9320,,Streptozocin injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9340,,Thiotepa injection,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9350,,Topotecan,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9355,,Trastuzumab,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9357,,"Valrubicin, 200 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9360,,Vinblastine sulfate inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9370,,Vincristine sulfate 1 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9375,,Vincristine sulfate 2 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9380,,Vincristine sulfate 5 MG inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9390,,Vinorelbine tartrate/10 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9600,,Porfimer sodium,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
J9999,,Chemotherapy drug,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
M0064,,Visit for drug monitoring,A,,0.37,0.35,,0.12,,0.01,0.73,0.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
M0075,,Cellular therapy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
M0076,,Prolotherapy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
M0100,,Intragastric hypothermia,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
M0300,,IV chelationtherapy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
M0301,,Fabric wrapping of aneurysm,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P2028,,Cephalin floculation test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P2029,,Congo red blood test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P2031,,Hair analysis,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P2033,,Blood thymol turbidity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P2038,,Blood mucoprotein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P3000,,Screen pap by tech w md supv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P3001,,Screening pap smear by phys,A,,0.42,0.19,,0.19,,0.01,0.62,0.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
P7001,,Culture bacterial urine,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9010,,Whole blood for transfusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9011,,Blood split unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9012,,Cryoprecipitate each unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9016,,RBC leukocytes reduced,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9017,,One donor fresh frozn plasma,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9019,,"Platelets, each unit",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9020,,Plaelet rich plasma unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9021,,Red blood cells unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9022,,Washed red blood cells unit,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9023,,"Frozen plasma, pooled, sd",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9031,,Platelets leukocytes reduced,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9032,,"Platelets, irradiated",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9033,,Platelets leukoreduced irrad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9034,,"Platelets, pheresis",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9035,,Platelet pheres leukoreduced,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9036,,Platelet pheresis irradiated,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9037,,Plate pheres leukoredu irrad,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9038,,RBC irradiated,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9039,,RBC deglycerolized,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9040,,RBC leukoreduced irradiated,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9041,,"Albumin (human),5%, 50ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9043,,"Plasma protein fract,5%,50ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9044,,Cryoprecipitatereducedplasma,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9045,,"Albumin (human), 5%, 250 ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9046,,"Albumin (human), 25%, 20 ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9047,,"Albumin (human), 25%, 50ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9048,,"Plasmaprotein fract,5%,250ml",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9050,,"Granulocytes, pheresis unit",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9603,,One-way allow prorated miles,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9604,,One-way allow prorated trip,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9612,,Catheterize for urine spec,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
P9615,,Urine specimen collect mult,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0035,,Cardiokymography,A,,0.17,0.46,,0.46,NA,0.03,0.66,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
Q0035,TC,Cardiokymography,A,,0.00,0.39,,0.39,NA,0.02,0.41,0.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
Q0035,26,Cardiokymography,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
Q0091,,Obtaining screen pap smear,A,,0.37,0.68,,0.14,,0.01,1.06,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
Q0092,,Set up port xray equipment,A,,0.00,0.32,,0.32,NA,0.01,0.33,0.33,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
Q0111,,Wet mounts/ w preparations,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0112,,Potassium hydroxide preps,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0113,,Pinworm examinations,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0114,,Fern test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0115,,Post-coital mucous exam,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0136,,Non esrd epoetin alpha inj,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0144,,"Azithromycin dihydrate, oral",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0163,,Diphenhydramine HCl 50mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0164,,Prochlorperazine maleate 5mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0165,,Prochlorperazine maleate10mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0166,,Granisetron HCl 1 mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0167,,Dronabinol 2.5mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0168,,Dronabinol 5mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0169,,Promethazine HCl 12.5mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0170,,Promethazine HCl 25 mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0171,,Chlorpromazine HCl 10mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0172,,Chlorpromazine HCl 25mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0173,,Trimethobenzamide HCl 250mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0174,,Thiethylperazine maleate10mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0175,,Perphenazine 4mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0176,,Perphenazine 8mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0177,,Hydroxyzine pamoate 25mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0178,,Hydroxyzine pamoate 50mg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0179,,Ondansetron HCl 8mg oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0180,,Dolasetron mesylate oral,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0181,,Unspecified oral anti-emetic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0183,,Nonmetabolic active tissue,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0184,,Metabolically active tissue,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q0187,,Factor viia recombinant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q1001,,Ntiol category 1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q1002,,Ntiol category 2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q1003,,Ntiol category 3,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q1004,,Ntiol category 4,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q1005,,Ntiol category 5,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2001,,Oral cabergoline 0.5 mg,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2002,,Elliotts b solution per ml,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2003,,"Aprotinin, 10,000 kiu",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2004,,Bladder calculi irrig sol,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2005,,Corticorelin ovine triflutat,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2006,,Digoxin immune fab (ovine),E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2007,,Ethanolamine oleate 100 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2008,,"Fomepizole, 15 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2009,,"Fosphenytoin, 50 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2010,,"Glatiramer acetate, per dose",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2011,,"Hemin, per 1 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2012,,"Pegademase bovine, 25 iu",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2013,,Pentastarch 10% solution,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2014,,"Sermorelin acetate, 0.5 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2017,,"Teniposide, 50 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2018,,"Urofollitropin, 75 iu",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2019,,Basiliximab,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2020,,Histrelin acetate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2021,,Lepirudin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q2022,,VonWillebrandFactrCmplxperIU,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3000,,Rubidium RB-82,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q3001,,Brachytherapy Radioelements,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3002,,Gallium ga 67,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3003,,Technetium tc99m bicisate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3004,,Xenon xe 133,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3005,,Technetium tc99m mertiatide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3006,,Technetium tc99m glucepatate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3007,,Sodium phosphate p32,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3008,,Indium 111-in pentetreotide,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3009,,Technetium tc99m oxidronate,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3010,,Technetium tc99mlabeledrbcs,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3011,,Chromic phosphate p32,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3012,,Cyanocobalamin cobalt co57,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3014,,Telehealth facility fee,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3017,,ALS assessment,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3019,,ALS emer trans no ALS serv,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3020,,ALS nonemer trans no ALS ser,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3021,,Ped hepatitis b vaccine inj,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3022,,Hepatitis b vaccine adult ds,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3023,,Injection hepatitis Bvaccine,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3025,,IM inj interferon beta 1-a,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3026,,Subc inj interferon beta-1a,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3030,,Sodium hyaluronate 20-25 mg,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q3031,,Collagen skin test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q4001,,Cast sup body cast plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4002,,Cast sup body cast fiberglas,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4003,,Cast sup shoulder cast plstr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4004,,Cast sup shoulder cast fbrgl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4005,,Cast sup long arm adult plst,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4006,,Cast sup long arm adult fbrg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4007,,Cast sup long arm ped plster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4008,,Cast sup long arm ped fbrgls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4009,,Cast sup sht arm adult plstr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4010,,Cast sup sht arm adult fbrgl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4011,,Cast sup sht arm ped plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4012,,Cast sup sht arm ped fbrglas,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4013,,Cast sup gauntlet plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4014,,Cast sup gauntlet fiberglass,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4015,,Cast sup gauntlet ped plster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4016,,Cast sup gauntlet ped fbrgls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4017,,Cast sup lng arm splint plst,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4018,,Cast sup lng arm splint fbrg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4019,,Cast sup lng arm splnt ped p,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4020,,Cast sup lng arm splnt ped f,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4021,,Cast sup sht arm splint plst,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4022,,Cast sup sht arm splint fbrg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4023,,Cast sup sht arm splnt ped p,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4024,,Cast sup sht arm splnt ped f,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4025,,Cast sup hip spica plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4026,,Cast sup hip spica fiberglas,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4027,,Cast sup hip spica ped plstr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4028,,Cast sup hip spica ped fbrgl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4029,,Cast sup long leg plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4030,,Cast sup long leg fiberglass,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4031,,Cast sup lng leg ped plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4032,,Cast sup lng leg ped fbrgls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4033,,Cast sup lng leg cylinder pl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4034,,Cast sup lng leg cylinder fb,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4035,,Cast sup lngleg cylndr ped p,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4036,,Cast sup lngleg cylndr ped f,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4037,,Cast sup shrt leg plaster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4038,,Cast sup shrt leg fiberglass,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4039,,Cast sup shrt leg ped plster,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4040,,Cast sup shrt leg ped fbrgls,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4041,,Cast sup lng leg splnt plstr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4042,,Cast sup lng leg splnt fbrgl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4043,,Cast sup lng leg splnt ped p,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4044,,Cast sup lng leg splnt ped f,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4045,,Cast sup sht leg splnt plstr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4046,,Cast sup sht leg splnt fbrgl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4047,,Cast sup sht leg splnt ped p,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4048,,Cast sup sht leg splnt ped f,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4049,,"Finger splint, static",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4050,,Cast supplies unlisted,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4051,,Splint supplies misc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q4052,,"Octreotide injection, depot",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q4053,,"Injection, PegFilgrastim 1mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q4076,,Dopamine hcl 40 mg,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q4077,,"Treprostinil, 1 mg",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q4078,,"Ammonia N-13, per dose",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
Q9920,,Epoetin with hct <= 20,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9921,,Epoetin with hct = 21,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9922,,Epoetin with hct = 22,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9923,,Epoetin with hct = 23,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9924,,Epoetin with hct = 24,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9925,,Epoetin with hct = 25,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9926,,Epoetin with hct = 26,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9927,,Epoetin with hct = 27,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9928,,Epoetin with hct = 28,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9929,,Epoetin with hct = 29,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9930,,Epoetin with hct = 30,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9931,,Epoetin with hct = 31,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9932,,Epoetin with hct = 32,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9933,,Epoetin with hct = 33,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9934,,Epoetin with hct = 34,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9935,,Epoetin with hct = 35,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9936,,Epoetin with hct = 36,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9937,,Epoetin with hct = 37,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9938,,Epoetin with hct = 38,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9939,,Epoetin with hct = 39,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
Q9940,,Epoetin with hct >= 40,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
R0070,,Transport portable x-ray,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
R0075,,Transport port x-ray multipl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
R0076,,Transport portable EKG,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0009,,"Injection, butorphanol tartr",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0012,,"Butorphanol tartrate, nasal",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0014,,"Tacrine hydrochloride, 10 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0016,,"Injection, amikacin sulfate",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0017,,"Injection, aminocaproic acid",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0020,,"Injection, bupivicaine hydro",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0021,,"Injection, cefoperazone sod",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0023,,"Injection, cimetidine hydroc",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0028,,"Injection, famotidine, 20 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0030,,"Injection, metronidazole",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0032,,"Injection, nafcillin sodium",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0034,,"Injection, ofloxacin, 400 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0039,,"Injection, sulfamethoxazole",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0040,,"Injection, ticarcillin disod",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0071,,"Injection, acyclovir sodium",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0072,,"Injection, amikacin sulfate",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0073,,"Injection, aztreonam, 500 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0074,,"Injection, cefotetan disodiu",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0077,,"Injection, clindamycin phosp",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0078,,"Injection, fosphenytoin sodi",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0079,,Octreotide 100 mcg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0080,,"Injection, pentamidine iseth",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0081,,"Injection, piperacillin sodi",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0085,,"injection, gatifloxacin",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0087,,Alemtuzumab 30 mg,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0088,,Imatinib 100 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0090,,"Sildenafil citrate, 25 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0091,,Granisetron 1mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0092,,Hydromorphone 250 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0093,,Morphine 500 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0106,,Bupropion HCL SR 60 tablets,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0108,,Mercaptopurine 50 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0112,,Inj darbepoetin,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0114,,Treprostinil sodium inject,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0122,,Inj menotropins 75 iu,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0124,,Inj urofollitropin 75 iu,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0126,,Inj follitropin alfa 75 iu,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0128,,Inj follitropin beta 75 iu,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0130,,Inj c gonadotropin 5000 iu,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0132,,Inj ganirelix acetat 250 mcg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0155,,Epoprostenol dilutant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0156,,"Exemestane, 25 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0157,,"Becaplermin gel 1%, 0.5 gm",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0170,,Anastrozole 1 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0171,,Bumetanide 0.5 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0172,,Chlorambucil 2 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0173,,Dexamethasone 4 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0174,,Dolasetron 50 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0175,,Flutamide 125 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0176,,Hydroxyurea 500 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0177,,Levamisole 50 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0178,,Lomustine 10 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0179,,Megestrol 20 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0181,,Ondansetron 4 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0182,,Procarbazine 5 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0183,,Prochlorperazine 5 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0187,,Tamoxifen 10 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0189,,Testosterone pellet 75 mg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0190,,"Mifepristone, oral, 200 mg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0191,,"Misoprostol, oral, 200 mcg",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0195,,Pneumococcal conjugate vac,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0199,,Med abortion inc all ex drug,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0206,,Surgery in office,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0208,,Paramed intrcept nonvol,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0209,,WC van mileage per mi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0215,,Nonemerg transp mileage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0220,,Medical conference by physic,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0221,,"Medical conference, 60 min",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0250,,Comp geriatr assmt team,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0255,,Hospice refer visit nonmd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0260,,H&P for surgery,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0302,,Completed EPSDT,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0310,,Hospitalist visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0340,,Lifestyle mod 1st stage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0341,,Lifestyle mod 2 or 3 stage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0342,,Lifestyle mod 4th stage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0390,,Rout foot care per visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0395,,Impression casting ft,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0400,,Global eswl kidney,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0500,,Dispos cont lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0504,,Singl prscrp lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0506,,Bifoc prscp lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0508,,Trifoc prscrp lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0510,,Non-prscrp lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0512,,Daily cont lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0514,,Color cont lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0516,,Safety frames,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0518,,Sunglass frames,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0580,,Polycarb lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0581,,Nonstnd lens,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0590,,Misc integral lens serv,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0592,,Comp cont lens eval,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0601,,Screening proctoscopy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0605,,"Digital rectal examination,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0610,,Annual gynecological examina,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0612,,Annual gynecological examina,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0620,,Routine ophthalmological exa,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0621,,Routine ophthalmological exa,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0622,,Phys exam for college,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0630,,Removal of sutures,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0800,,Laser in situ keratomileusis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0810,,Photorefractive keratectomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0812,,Phototherap keratect,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0820,,Computerized corneal topogra,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S0830,,Ultrasound pachymetry,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1001,,Deluxe item,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1002,,Custom item,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1015,,IV tubing extension set,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1016,,Non-pvc intravenous administ,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1025,,Inhal nitric oxide neonate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1030,,Gluc monitor purchase,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S1031,,Gluc monitor rental,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2053,,Transplantation of small int,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2054,,Transplantation of multivisc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2055,,Harvesting of donor multivis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2060,,Lobar lung transplantation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2061,,Donor lobectomy (lung),I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2065,,Simult panc kidn trans,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2080,,Laup,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2102,,Islet cell tissue transplant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2103,,Adrenal tissue transplant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2107,,Adoptive immunotherapy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2112,,Knee arthroscp harv,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2115,,Periacetabular osteotomy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2120,,Low density lipoprotein(LDL),I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2130,,ERA of reflux saphenous vein,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2140,,Cord blood harvesting,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2142,,Cord blood-derived stem-cell,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2150,,BMT harv/transpl 28d pkg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2180,,Donor leukocyte infusion,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2202,,Echosclerotherapy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2205,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2206,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2207,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2208,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2209,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2211,,Transv carotid stent placemt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2250,,Uterine artery emboliz,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2260,,Induced abortion 17-24 weeks,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2300,,"Arthroscopy, shoulder, surgi",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2340,,Chemodenervation of abductor,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2341,,Chemodenerv adduct vocal,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2342,,Nasal endoscop po debrid,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2350,,"Diskectomy, anterior, with d",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2351,,"Diskectomy, anterior, with d",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2360,,Vertebroplast cerv 1st,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2361,,Vertebroplast cerv addl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2370,,Intradiscal electrothermal,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2371,,Each additional interspace,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2400,,Fetal surg congen hernia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2401,,Fetal surg urin trac obstr,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2402,,Fetal surg cong cyst malf,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2403,,Fetal surg pulmon sequest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2404,,Fetal surg myelomeningo,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2405,,Fetal surg sacrococ teratoma,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2409,,Fetal surg noc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S2411,,Fetoscop laser ther TTTS,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3600,,Stat lab,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3601,,Stat lab home/nf,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3620,,Newborn metabolic screening,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3630,,Eosinophil blood count,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3645,,HIV-1 antibody testing of or,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3650,,"Saliva test, hormone level;",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3652,,"Saliva test, hormone level;",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3701,,NMP-22 assay,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3708,,Gastrointestinal fat absorpt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3818,,BRCA1 gene anal,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3819,,BRCA2 gene anal,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3830,,Gene test HNPCC comp,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3831,,Gene test HNPCC single,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3835,,Gene test cystic fibrosis,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3837,,Gene test hemochromato,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3900,,Surface EMG,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3902,,Ballistocardiogram,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S3904,,Masters two step,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4005,,Interim labor facility globa,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4011,,IVF package,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4013,,Compl GIFT case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4014,,Compl ZIFT case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4015,,Complete IVF nos case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4016,,Frozen IVF case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4017,,IVF canc a stim case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4018,,F EMB trns canc case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4020,,IVF canc a aspir case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4021,,IVF canc p aspir case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4022,,Asst oocyte fert case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4023,,Incompl donor egg case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4025,,Donor serv IVF case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4026,,Procure donor sperm,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4027,,Store prev froz embryos,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4028,,Microsurg epi sperm asp,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4030,,Sperm procure init visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4031,,Sperm procure subs visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4035,,Stimulated IUI case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4036,,Intravag cult case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4037,,Cryo embryo transf case rate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4040,,Monit store cryo embryo 30 d,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4980,,Levonorgestrel ius,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4981,,Insert levonorgestrel ius,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4989,,Contracept IUD,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4990,,Nicotine patch legend,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4991,,Nicotine patch nonlegend,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4993,,Contraceptive pills for bc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S4995,,Smoking cessation gum,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5000,,"Prescription drug, generic",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5001,,"Prescription drug,brand name",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5010,,5% dextrose and 0.45% saline,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5011,,5% dextrose in lactated ring,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5012,,5% dextrose with potassium,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5013,,5%dextrose/0.45%saline1000ml,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5014,,D5W/0.45NS w KCl and MGS04,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5035,,HIT routine device maint,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5036,,HIT device repair,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5497,,HIT cath care noc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5498,,HIT simple cath care,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5501,,HIT complex cath care,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5502,,HIT interim cath care,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5517,,HIT declotting kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5518,,HIT cath repair kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5520,,HIT picc insert kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5521,,HIT midline cath insert kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5522,,HIT picc insert no supp,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S5523,,HIP midline cath insert kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8002,,Ibritumomab tiuxetan,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8003,,"Ibritumomab tiuxetan,perdose",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8030,,Tantalum ring application,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8035,,Magnetic source imaging,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8037,,mrcp,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8040,,Topographic brain mapping,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8042,,MRI low field,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8049,,Intraoperative radiation the,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8055,,Us guidance fetal reduct,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8080,,Scintimammography,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8085,,Fluorine-18 fluorodeoxygluco,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8092,,Electron beam computed tomog,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8095,,Wig (for medically-induced h,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8096,,Portable peak flow meter,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8097,,Asthma kit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8100,,Spacer without mask,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8101,,Spacer with mask,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8105,,Oximeter for measuring blood,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8110,,Peak expiratory flow rate (p,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8180,,Trach shower protector,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8181,,Trach tube holder,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8182,,Humidifier non-servo,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8183,,Humidifier dual servo,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8185,,Flutter device,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8186,,Swivel adaptor,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8189,,Trach supply noc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8190,,Electronic spirometer,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8200,,Chest compression vest,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8205,,Chest compression system gen,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8210,,Mucus trap,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8260,,Oral orthotic for treatment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8262,,Mandib ortho repos device,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8265,,Haberman feeder,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8401,,Child-size diaper,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8403,,Adult-size pull-up brief,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8404,,Child-size pull-up brief,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8405,,"Incontinence liners, each",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8415,,Supplies for home delivery,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8420,,Custom gradient sleev/glov,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8421,,Ready gradient sleev/glov,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8422,,Custom grad sleeve med,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8423,,Custom grad sleeve heavy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8424,,Ready gradient sleeve,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8425,,Custom grad glove med,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8426,,Custom grad glove heavy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8427,,Ready gradient glove,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8428,,Ready gradient gauntlet,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8429,,Gradient pressure wrap,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8430,,Padding for comprssn bdg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8431,,Compression bandage,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8433,,Skin support/breast prosth,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8450,,Splint digit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8451,,Splint wrist or ankle,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8452,,Splint elbow,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8490,,100 insulin syringes,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8945,,PT phonophoresis 30 mins,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8950,,"Complex lymphedema therapy,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S8999,,Resuscitation bag,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9001,,Home uterine monitor with or,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9007,,Ultrafiltration monitor,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9015,,Automated EEG monitoring,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9022,,Digital subtraction angiogra,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9024,,Paranasal sinus ultrasound,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9025,,Omnicardiogram/cardiointegra,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9034,,ESWL for gallstones,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9055,,Procuren or other growth fac,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9056,,Coma stimulation per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9061,,Medical supplies and equipme,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9075,,Smoking cessation treatment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9083,,Urgent care center global,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9088,,Services provided in urgent,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9090,,Vertebral axial decompressio,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9092,,Canolith repositioning,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9098,,Home phototherapy visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9105,,Evaluation by ocularist,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9109,,CHF telemonitoring month,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9117,,Back school visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9122,,Home health aide or certifie,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9123,,"Nursing care, in the home; b",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9124,,"Nursing care, in the home; b",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9125,,"Respite care, in the home, p",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9126,,"Hospice care, in the home, p",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9127,,"Social work visit, in the ho",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9128,,"Speech therapy, in the home,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9129,,"Occupational therapy, in the",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9131,,PT in the home per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9140,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9141,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9145,,Insulin pump initiation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9208,,Home mgmt preterm labor,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9209,,Home mgmt PPROM,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9211,,Home mgmt gest hypertension,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9212,,Hm postpar hyper per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9213,,Hm preeclamp per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9214,,Hm gest dm per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9216,,Gest hyper w nurs diem,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9217,,Postpar hyper w nurs diem,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9218,,Preeclamp w nurs diem,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9325,,HIT pain mgmt per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9326,,HIT cont pain per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9327,,HIT int pain per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9328,,HIT pain imp pump diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9329,,HIT chemo per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9330,,HIT cont chem diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9331,,HIT intermit chemo diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9336,,HIT cont anticoag diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9338,,HIT immunotherapy diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9339,,HIT periton dialysis diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9340,,HIT enteral per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9341,,HIT enteral grav diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9342,,HIT enteral pump diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9343,,HIT enteral bolus nurs,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9345,,HIT anti-hemophil diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9346,,HIT alpha-1-proteinas diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9347,,HIT longterm infusion diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9348,,HIT sympathomim diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9349,,HIT tocolysis diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9351,,HIT cont antiemetic diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9353,,HIT cont insulin diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9355,,HIT chelation diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9357,,HIT enzyme replace diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9359,,HIT anti-tnf per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9361,,HIT diuretic infus diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9363,,HIT anti-spasmotic diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9364,,HIT tpn total diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9365,,HIT tpn 1 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9366,,HIT tpn 2 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9367,,HIT tpn 3 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9368,,HIT tpn over 3l diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9370,,HT inj antiemetic diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9372,,HT inj anticoag diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9373,,HIT hydra total diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9374,,HIT hydra 1 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9375,,HIT hydra 2 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9376,,HIT hydra 3 liter diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9377,,HIT hydra over 3l diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9379,,HIT noc per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9381,,HIT high risk/escort,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9401,,Anticoag clinic per session,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9430,,Pharmacy comp/disp serv,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9435,,Medical foods for inborn err,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9436,,Lamaze class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9437,,Childbirth refresher class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9438,,Cesarean birth class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9439,,VBAC class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9441,,Asthma education,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9442,,Birthing class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9443,,Lactation class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9444,,Parenting class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9445,,PT education noc individ,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9446,,PT education noc group,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9447,,Infant safety class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9449,,Weight mgmt class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9451,,Exercise class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9452,,Nutrition class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9453,,Smoking cessation class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9454,,Stress mgmt class,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9455,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9460,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9465,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9470,,"Nutritional counseling, diet",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9472,,Cardiac rehabilitation progr,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9473,,Pulmonary rehabilitation pro,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9474,,Enterostomal therapy by a re,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9475,,Ambulatory setting substance,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9480,,Intensive outpatient psychia,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9485,,Crisis intervention mental h,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9494,,HIT antibiotic total diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9497,,HIT antibiotic q3h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9500,,HIT antibiotic q24h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9501,,HIT antibiotic q12h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9502,,HIT antibiotic q8h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9503,,HIT antibiotic q6h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9504,,HIT antibiotic q4h diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9524,,Nursing services related to,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9529,,Venipuncture home/snf,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9537,,HT hem horm inj diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9538,,HIT blood products diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9542,,HT inj noc per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9543,,Administration of medication,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9546,,Home inf blood prod nurs ser,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9558,,HT inj growth horm diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9559,,HIT inj interferon diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9560,,HT inj hormone diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9562,,Palivizumab home inj perdiem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9590,,In home irrigation therapy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9800,,HT rn per hour,F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9802,,Specialty drug admin/nsg srv,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9803,,Each additional hour,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9810,,HT pharm per hour,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9970,,Health club membership yr,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9975,,Transplant related per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9981,,Med record copy admin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9982,,Med record copy per page,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9986,,Not medically necessary svc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9989,,Services outside US,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9990,,Services provided as part of,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9991,,Services provided as part of,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9992,,Transportation costs to and,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9994,,Lodging costs (e.g. hotel ch,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9996,,Meals for clinical trial par,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
S9999,,Sales tax,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1000,,Private duty/independent nsg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1001,,Nursing assessment/evaluatn,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1002,,RN services up to 15 minutes,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1003,,LPN/LVN services up to 15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1004,,Nsg aide service up to 15min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1005,,Respite care service 15 min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1006,,Family/Couple Counseling,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1007,,Treatment Plan Development,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1008,,Day Treatment for Individual,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1009,,Child Sitting Services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1010,,Meals when Receive Services,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1011,,Alcohol/Substance Abuse NOC,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1012,,Alcohol/Substance Abuse Skil,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1013,,Sign Lang/Oral Interpreter,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1014,,"Telehealth transmit, per min",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1015,,Clinic service,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1016,,Case management,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1017,,Targeted case management,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1018,,School-based IEP ser bundled,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1019,,Personal care ser per 15 min,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1020,,Personal care ser per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1021,,HH Aide or cn aide per visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1022,,Contracted services per day,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1023,,Program intake assessment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1024,,Team evaluation & management,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1025,,"Ped compr care pkg, per diem",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1026,,"Ped compr care pkg, per hour",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1027,,Family training & counseling,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1028,,Home environment assessment,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1029,,Dwelling lead investigation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1030,,RN home care per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1031,,LPN home care per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1500,,Reusable diaper/pant,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1502,,Medication admin visit,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T1999,,NOC retail items andsupplies,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2001,,N-et; patient attend/escort,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2002,,N-et; per diem,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2003,,N-et; encounter/trip,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2004,,N-et; commerc carrier pass,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2005,,N-et; stretcher van,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2006,,"Amb response & trt, no trans",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
T2007,,Non-emer transport wait time,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2020,,Vision svcs frames purchases,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2025,,Eyeglasses delux frames,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2100,,Lens spher single plano 4.00,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2101,,Single visn sphere 4.12-7.00,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2102,,Singl visn sphere 7.12-20.00,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2103,,Spherocylindr 4.00d/12-2.00d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2104,,Spherocylindr 4.00d/2.12-4d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2105,,Spherocylinder 4.00d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2106,,Spherocylinder 4.00d/>6.00d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2107,,Spherocylinder 4.25d/12-2d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2108,,Spherocylinder 4.25d/2.12-4d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2109,,Spherocylinder 4.25d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2110,,Spherocylinder 4.25d/over 6d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2111,,Spherocylindr 7.25d/.25-2.25,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2112,,Spherocylindr 7.25d/2.25-4d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2113,,Spherocylindr 7.25d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2114,,Spherocylinder over 12.00d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2115,,Lens lenticular bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2116,,Nonaspheric lens bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2117,,Aspheric lens bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2118,,Lens aniseikonic single,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2199,,Lens single vision not oth c,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2200,,Lens spher bifoc plano 4.00d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2201,,Lens sphere bifocal 4.12-7.0,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2202,,Lens sphere bifocal 7.12-20.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2203,,Lens sphcyl bifocal 4.00d/.1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2204,,Lens sphcy bifocal 4.00d/2.1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2205,,Lens sphcy bifocal 4.00d/4.2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2206,,Lens sphcy bifocal 4.00d/ove,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2207,,Lens sphcy bifocal 4.25-7d/.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2208,,Lens sphcy bifocal 4.25-7/2.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2209,,Lens sphcy bifocal 4.25-7/4.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2210,,Lens sphcy bifocal 4.25-7/ov,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2211,,Lens sphcy bifo 7.25-12/.25-,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2212,,Lens sphcyl bifo 7.25-12/2.2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2213,,Lens sphcyl bifo 7.25-12/4.2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2214,,Lens sphcyl bifocal over 12.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2215,,Lens lenticular bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2216,,Lens lenticular nonaspheric,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2217,,Lens lenticular aspheric bif,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2218,,Lens aniseikonic bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2219,,Lens bifocal seg width over,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2220,,Lens bifocal add over 3.25d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2299,,Lens bifocal speciality,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2300,,Lens sphere trifocal 4.00d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2301,,Lens sphere trifocal 4.12-7.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2302,,Lens sphere trifocal 7.12-20,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2303,,Lens sphcy trifocal 4.0/.12-,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2304,,Lens sphcy trifocal 4.0/2.25,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2305,,Lens sphcy trifocal 4.0/4.25,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2306,,Lens sphcyl trifocal 4.00/>6,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2307,,Lens sphcy trifocal 4.25-7/.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2308,,Lens sphc trifocal 4.25-7/2.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2309,,Lens sphc trifocal 4.25-7/4.,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2310,,Lens sphc trifocal 4.25-7/>6,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2311,,Lens sphc trifo 7.25-12/.25-,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2312,,Lens sphc trifo 7.25-12/2.25,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2313,,Lens sphc trifo 7.25-12/4.25,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2314,,Lens sphcyl trifocal over 12,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2315,,Lens lenticular trifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2316,,Lens lenticular nonaspheric,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2317,,Lens lenticular aspheric tri,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2318,,Lens aniseikonic trifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2319,,Lens trifocal seg width > 28,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2320,,Lens trifocal add over 3.25d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2399,,Lens trifocal speciality,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2410,,Lens variab asphericity sing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2430,,Lens variable asphericity bi,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2499,,Variable asphericity lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2500,,Contact lens pmma spherical,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2501,,Cntct lens pmma-toric/prism,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2502,,Contact lens pmma bifocal,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2503,,Cntct lens pmma color vision,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2510,,Cntct gas permeable sphericl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2511,,Cntct toric prism ballast,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2512,,Cntct lens gas permbl bifocl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2513,,Contact lens extended wear,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2520,,Contact lens hydrophilic,P,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2521,,Cntct lens hydrophilic toric,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2522,,Cntct lens hydrophil bifocl,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2523,,Cntct lens hydrophil extend,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2530,,Contact lens gas impermeable,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2531,,Contact lens gas permeable,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2599,,Contact lens/es other type,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2600,,Hand held low vision aids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2610,,Single lens spectacle mount,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2615,,Telescop/othr compound lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2623,,Plastic eye prosth custom,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2624,,Polishing artifical eye,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2625,,Enlargemnt of eye prosthesis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2626,,Reduction of eye prosthesis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2627,,Scleral cover shell,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2628,,Fabrication & fitting,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2629,,Prosthetic eye other type,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2630,,Anter chamber intraocul lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2631,,Iris support intraoclr lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2632,,Post chmbr intraocular lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2700,,Balance lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2710,,Glass/plastic slab off prism,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2715,,Prism lens/es,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2718,,Fresnell prism press-on lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2730,,Special base curve,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2740,,Rose tint plastic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2741,,Non-rose tint plastic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2742,,Rose tint glass,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2743,,Non-rose tint glass,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2744,,Tint photochromatic lens/es,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2750,,Anti-reflective coating,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2755,,UV lens/es,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2760,,Scratch resistant coating,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2770,,Occluder lens/es,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2780,,Oversize lens/es,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2781,,Progressive lens per lens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2785,,Corneal tissue processing,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2790,,Amniotic membrane,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V2799,,Miscellaneous vision service,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5008,,Hearing screening,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5010,,Assessment for hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5011,,Hearing aid fitting/checking,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5014,,Hearing aid repair/modifying,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5020,,Conformity evaluation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5030,,Body-worn hearing aid air,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5040,,Body-worn hearing aid bone,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5050,,Hearing aid monaural in ear,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5060,,Behind ear hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5070,,Glasses air conduction,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5080,,Glasses bone conduction,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5090,,Hearing aid dispensing fee,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5095,,Implant mid ear hearing pros,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5100,,Body-worn bilat hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5110,,Hearing aid dispensing fee,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5120,,Body-worn binaur hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5130,,In ear binaural hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5140,,Behind ear binaur hearing ai,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5150,,Glasses binaural hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5160,,Dispensing fee binaural,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5170,,Within ear cros hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5180,,Behind ear cros hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5190,,Glasses cros hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5200,,Cros hearing aid dispens fee,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5210,,In ear bicros hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5220,,Behind ear bicros hearing ai,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5230,,Glasses bicros hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5240,,Dispensing fee bicros,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5241,,"Dispensing fee, monaural",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5242,,"Hearing aid, monaural, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5243,,"Hearing aid, monaural, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5244,,"Hearing aid, prog, mon, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5245,,"Hearing aid, prog, mon, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5246,,"Hearing aid, prog, mon, ite",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5247,,"Hearing aid, prog, mon, bte",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5248,,"Hearing aid, binaural, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5249,,"Hearing aid, binaural, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5250,,"Hearing aid, prog, bin, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5251,,"Hearing aid, prog, bin, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5252,,"Hearing aid, prog, bin, ite",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5253,,"Hearing aid, prog, bin, bte",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5254,,"Hearing id, digit, mon, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5255,,"Hearing aid, digit, mon, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5256,,"Hearing aid, digit, mon, ite",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5257,,"Hearing aid, digit, mon, bte",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5258,,"Hearing aid, digit, bin, cic",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5259,,"Hearing aid, digit, bin, itc",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5260,,"Hearing aid, digit, bin, ite",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5261,,"Hearing aid, digit, bin, bte",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5262,,"Hearing aid, disp, monaural",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5263,,"Hearing aid, disp, binaural",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5264,,Ear mold/insert,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5265,,"Ear mold/insert, disp",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5266,,Battery for hearing device,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5267,,Hearing aid supply/accessory,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5268,,ALD Telephone Amplifier,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5269,,"Alerting device, any type",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5270,,"ALD, TV amplifier, any type",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5271,,"ALD, TV caption decoder",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5272,,Tdd,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5273,,ALD for cochlear implant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5274,,ALD unspecified,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5275,,Ear impression,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5298,,Hearing aid noc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5299,,Hearing service,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
V5336,,Repair communication device,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
V5362,,Speech screening,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
V5363,,Language screening,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
V5364,,Dysphagia screening,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
0001T,,Endovas repr abdo ao aneurys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0002T,,Endovas repr abdo ao aneurys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0003T,,Cervicography,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0005T,,Perc cath stent/brain cv art,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0006T,,Perc cath stent/brain cv art,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0007T,,Perc cath stent/brain cv art,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0008T,,Upper gi endoscopy w/suture,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0009T,,Endometrial cryoablation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0010T,,"Tb test, gamma interferon",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0012T,,Osteochondral knee autograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0013T,,Osteochondral knee allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0014T,,"Meniscal transplant, knee",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0016T,,Thermotx choroid vasc lesion,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0017T,,Photocoagulat macular drusen,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
0018T,,Transcranial magnetic stimul,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0019T,,"Extracorp shock wave tx, ms",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
0020T,,"Extracorp shock wave tx, ft",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0021T,,"Fetal oximetry, trnsvag/cerv",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0023T,,"Phenotype drug test, hiv 1",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0024T,,Transcath cardiac reduction,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0025T,,Ultrasonic pachymetry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
0026T,,Measure remnant lipoproteins,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0027T,,Endoscopic epidural lysis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0028T,,Dexa body composition study,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0029T,,Magnetic tx for incontinence,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0030T,,Antiprothrombin antibody,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0031T,,Speculoscopy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0032T,,Speculoscopy w/direct sample,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0033T,,Endovasc taa repr incl subcl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0034T,,Endovasc taa repr w/o subcl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0035T,,"Insert endovasc prosth, taa",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0036T,,"Endovasc prosth, taa, add-on",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0037T,,Artery transpose/endovas taa,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0038T,,Rad endovasc taa rpr w/cover,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0039T,,"Rad s/i, endovasc taa repair",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0040T,,"Rad s/i, endovasc taa prosth",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0041T,,Detect ur infect agnt w/cpas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0042T,,"Ct perfusion w/contrast, cbf",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0043T,,Co expired gas analysis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
0044T,,Whole body photography,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
10021,,Fna w/o image,A,,1.27,2.37,,0.53,,0.07,3.71,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
10022,,Fna w/image,A,,1.27,2.66,,0.44,,0.05,3.98,1.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
10040,,Acne surgery,A,,1.18,1.10,,0.71,,0.05,2.33,1.94,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10060,,Drainage of skin abscess,A,,1.17,1.49,,0.67,,0.08,2.74,1.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10061,,Drainage of skin abscess,A,,2.40,1.88,,1.41,,0.17,4.45,3.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10080,,Drainage of pilonidal cyst,A,,1.17,2.13,,0.73,,0.09,3.39,1.99,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10081,,Drainage of pilonidal cyst,A,,2.45,2.90,,1.55,,0.19,5.54,4.19,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10120,,Remove foreign body,A,,1.22,1.54,,0.36,,0.10,2.86,1.68,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10121,,Remove foreign body,A,,2.69,2.96,,1.79,,0.25,5.90,4.73,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10140,,Drainage of hematoma/fluid,A,,1.53,1.49,,0.87,,0.15,3.17,2.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10160,,Puncture drainage of lesion,A,,1.20,0.77,,0.42,,0.11,2.08,1.73,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
10180,,"Complex drainage, wound",A,,2.25,1.48,,1.27,,0.25,3.98,3.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11000,,Debride infected skin,A,,0.60,0.64,,0.24,,0.05,1.29,0.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11001,,Debride infected skin add-on,A,,0.30,0.38,,0.11,,0.02,0.70,0.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11010,,"Debride skin, fx",A,,4.20,2.40,,1.96,,0.45,7.05,6.61,0,010,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
11011,,"Debride skin/muscle, fx",A,,4.95,3.83,,2.60,,0.53,9.31,8.08,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
11012,,"Debride skin/muscle/bone, fx",A,,6.88,5.51,,4.23,,0.89,13.28,12.00,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
11040,,"Debride skin, partial",A,,0.50,0.52,,0.21,,0.05,1.07,0.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11041,,"Debride skin, full",A,,0.82,0.66,,0.33,,0.06,1.54,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11042,,Debride skin/tissue,A,,1.12,0.97,,0.47,,0.09,2.18,1.68,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11043,,Debride tissue/muscle,A,,2.38,3.57,,2.64,,0.24,6.19,5.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11044,,Debride tissue/muscle/bone,A,,3.06,4.73,,3.91,,0.34,8.13,7.31,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11055,,Trim skin lesion,R,,0.43,0.51,,0.18,,0.02,0.96,0.63,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11056,,"Trim skin lesions, 2 to 4",R,,0.61,0.58,,0.26,,0.03,1.22,0.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11057,,"Trim skin lesions, over 4",R,,0.79,0.65,,0.33,,0.04,1.48,1.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11100,,Biopsy of skin lesion,A,,0.81,1.24,,0.38,,0.04,2.09,1.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11101,,"Biopsy, skin add-on",A,,0.41,0.38,,0.20,,0.02,0.81,0.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11200,,Removal of skin tags,A,,0.77,1.23,,0.31,,0.04,2.04,1.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11201,,Remove skin tags add-on,A,,0.29,0.56,,0.12,,0.02,0.87,0.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11300,,Shave skin lesion,A,,0.51,0.99,,0.22,,0.03,1.53,0.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11301,,Shave skin lesion,A,,0.85,1.10,,0.39,,0.04,1.99,1.28,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11302,,Shave skin lesion,A,,1.05,1.30,,0.48,,0.05,2.40,1.58,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11303,,Shave skin lesion,A,,1.24,1.59,,0.54,,0.06,2.89,1.84,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11305,,Shave skin lesion,A,,0.67,0.84,,0.27,,0.04,1.55,0.98,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11306,,Shave skin lesion,A,,0.99,1.10,,0.43,,0.05,2.14,1.47,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11307,,Shave skin lesion,A,,1.14,1.29,,0.50,,0.05,2.48,1.69,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11308,,Shave skin lesion,A,,1.41,1.45,,0.61,,0.07,2.93,2.09,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11310,,Shave skin lesion,A,,0.73,1.11,,0.33,,0.04,1.88,1.10,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11311,,Shave skin lesion,A,,1.05,1.23,,0.50,,0.05,2.33,1.60,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11312,,Shave skin lesion,A,,1.20,1.43,,0.57,,0.06,2.69,1.83,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11313,,Shave skin lesion,A,,1.62,1.81,,0.74,,0.09,3.52,2.45,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11400,,Exc tr-ext b9+marg 0.5 < cm,A,,0.85,2.08,,0.96,,0.06,2.99,1.87,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11401,,Exc tr-ext b9+marg 0.6-1 cm,A,,1.23,2.12,,1.08,,0.09,3.44,2.40,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11402,,Exc tr-ext b9+marg 1.1-2 cm,A,,1.51,2.28,,1.14,,0.12,3.91,2.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11403,,Exc tr-ext b9+marg 2.1-3 cm,A,,1.79,2.50,,1.35,,0.16,4.45,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11404,,Exc tr-ext b9+marg 3.1-4 cm,A,,2.06,2.84,,1.42,,0.18,5.08,3.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11406,,Exc tr-ext b9+marg > 4.0 cm,A,,2.76,3.24,,1.68,,0.25,6.25,4.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11420,,Exc h-f-nk-sp b9+marg 0.5 <,A,,0.98,1.81,,1.00,,0.08,2.87,2.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11421,,Exc h-f-nk-sp b9+marg 0.6-1,A,,1.42,2.12,,1.18,,0.11,3.65,2.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11422,,Exc h-f-nk-sp b9+marg 1.1-2,A,,1.63,2.30,,1.38,,0.14,4.07,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11423,,Exc h-f-nk-sp b9+marg 2.1-3,A,,2.01,2.66,,1.49,,0.17,4.84,3.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11424,,Exc h-f-nk-sp b9+marg 3.1-4,A,,2.43,2.93,,1.64,,0.21,5.57,4.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11426,,Exc h-f-nk-sp b9+marg > 4 cm,A,,3.78,3.75,,2.15,,0.34,7.87,6.27,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11440,,Exc face-mm b9+marg 0.5 < cm,A,,1.06,2.27,,1.41,,0.08,3.41,2.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11441,,Exc face-mm b9+marg 0.6-1 cm,A,,1.48,2.40,,1.59,,0.11,3.99,3.18,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11442,,Exc face-mm b9+marg 1.1-2 cm,A,,1.72,2.66,,1.66,,0.14,4.52,3.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11443,,Exc face-mm b9+marg 2.1-3 cm,A,,2.29,3.04,,1.90,,0.18,5.51,4.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11444,,Exc face-mm b9+marg 3.1-4 cm,A,,3.14,3.64,,2.28,,0.25,7.03,5.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11446,,Exc face-mm b9+marg > 4 cm,A,,4.49,4.26,,2.88,,0.30,9.05,7.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11450,,"Removal, sweat gland lesion",A,,2.73,4.12,,0.98,,0.26,7.11,3.97,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11451,,"Removal, sweat gland lesion",A,,3.95,4.98,,1.43,,0.39,9.32,5.77,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
11462,,"Removal, sweat gland lesion",A,,2.51,4.10,,0.95,,0.23,6.84,3.69,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
11463,,"Removal, sweat gland lesion",A,,3.95,5.60,,1.57,,0.40,9.95,5.92,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
11470,,"Removal, sweat gland lesion",A,,3.25,4.54,,1.23,,0.30,8.09,4.78,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11471,,"Removal, sweat gland lesion",A,,4.41,5.69,,1.72,,0.40,10.50,6.53,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
11600,,Exc tr-ext mlg+marg 0.5 < cm,A,,1.31,2.53,,0.99,,0.09,3.93,2.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11601,,Exc tr-ext mlg+marg 0.6-1 cm,A,,1.80,2.60,,1.24,,0.12,4.52,3.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11602,,Exc tr-ext mlg+marg 1.1-2 cm,A,,1.95,2.73,,1.29,,0.13,4.81,3.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11603,,Exc tr-ext mlg+marg 2.1-3 cm,A,,2.19,2.96,,1.35,,0.16,5.31,3.70,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11604,,Exc tr-ext mlg+marg 3.1-4 cm,A,,2.40,3.27,,1.41,,0.18,5.85,3.99,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11606,,Exc tr-ext mlg+marg > 4 cm,A,,3.43,3.96,,1.76,,0.28,7.67,5.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11620,,Exc h-f-nk-sp mlg+marg 0.5 <,A,,1.19,2.49,,0.97,,0.09,3.77,2.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11621,,Exc h-f-nk-sp mlg+marg 0.6-1,A,,1.76,2.60,,1.27,,0.12,4.48,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11622,,Exc h-f-nk-sp mlg+marg 1.1-2,A,,2.09,2.87,,1.42,,0.15,5.11,3.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11623,,Exc h-f-nk-sp mlg+marg 2.1-3,A,,2.61,3.22,,1.62,,0.20,6.03,4.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11624,,Exc h-f-nk-sp mlg+marg 3.1-4,A,,3.06,3.61,,1.81,,0.25,6.92,5.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11626,,Exc h-f-nk-sp mlg+mar > 4 cm,A,,4.30,4.56,,2.44,,0.35,9.21,7.09,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11640,,Exc face-mm malig+marg 0.5 <,A,,1.35,2.54,,1.14,,0.10,3.99,2.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11641,,Exc face-mm malig+marg 0.6-1,A,,2.16,2.92,,1.57,,0.15,5.23,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11642,,Exc face-mm malig+marg 1.1-2,A,,2.59,3.30,,1.77,,0.18,6.07,4.54,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11643,,Exc face-mm malig+marg 2.1-3,A,,3.10,3.70,,2.01,,0.24,7.04,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11644,,Exc face-mm malig+marg 3.1-4,A,,4.03,4.63,,2.56,,0.33,8.99,6.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11646,,Exc face-mm mlg+marg > 4 cm,A,,5.95,5.73,,3.60,,0.46,12.14,10.01,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11719,,Trim nail(s),R,,0.17,0.25,,0.07,,0.01,0.43,0.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11720,,"Debride nail, 1-5",A,,0.32,0.34,,0.13,,0.02,0.68,0.47,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11721,,"Debride nail, 6 or more",A,,0.54,0.44,,0.21,,0.04,1.02,0.79,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11730,,Removal of nail plate,A,,1.13,0.81,,0.44,,0.09,2.03,1.66,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11732,,"Remove nail plate, add-on",A,,0.57,0.30,,0.23,,0.05,0.92,0.85,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
11740,,Drain blood from under nail,A,,0.37,0.82,,0.14,,0.03,1.22,0.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11750,,Removal of nail bed,A,,1.86,1.72,,0.77,,0.16,3.74,2.79,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11752,,Remove nail bed/finger tip,A,,2.67,2.11,,1.76,,0.33,5.11,4.76,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11755,,"Biopsy, nail unit",A,,1.31,1.11,,0.56,,0.06,2.48,1.93,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11760,,Repair of nail bed,A,,1.58,1.80,,1.25,,0.17,3.55,3.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11762,,Reconstruction of nail bed,A,,2.89,2.24,,1.88,,0.32,5.45,5.09,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11765,,"Excision of nail fold, toe",A,,0.69,1.13,,0.49,,0.05,1.87,1.23,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11770,,Removal of pilonidal lesion,A,,2.61,2.98,,1.23,,0.24,5.83,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
11771,,Removal of pilonidal lesion,A,,5.74,5.50,,3.91,,0.56,11.80,10.21,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11772,,Removal of pilonidal lesion,A,,6.98,6.41,,4.36,,0.68,14.07,12.02,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11900,,Injection into skin lesions,A,,0.52,0.75,,0.22,,0.02,1.29,0.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11901,,Added skin lesions injection,A,,0.80,0.72,,0.36,,0.03,1.55,1.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11920,,Correct skin color defects,R,,1.61,2.16,,0.80,,0.17,3.94,2.58,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11921,,Correct skin color defects,R,,1.93,2.52,,1.00,,0.21,4.66,3.14,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11922,,Correct skin color defects,R,,0.49,0.38,,0.26,,0.05,0.92,0.80,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
11950,,Therapy for contour defects,R,,0.84,1.22,,0.42,,0.06,2.12,1.32,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11951,,Therapy for contour defects,R,,1.19,1.61,,0.52,,0.10,2.90,1.81,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11952,,Therapy for contour defects,R,,1.69,1.97,,0.70,,0.17,3.83,2.56,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11954,,Therapy for contour defects,R,,1.85,2.59,,0.93,,0.19,4.63,2.97,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11960,,Insert tissue expander(s),A,,9.08,10.94,NA,10.94,,0.88,20.90,20.90,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11970,,Replace tissue expander,A,,7.06,4.98,NA,4.98,,0.77,12.81,12.81,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
11971,,Remove tissue expander(s),A,,2.13,6.33,,3.86,,0.21,8.67,6.20,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
11975,,Insert contraceptive cap,N,+,1.48,1.44,,0.58,,0.14,3.06,2.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
11976,,Removal of contraceptive cap,R,,1.78,1.62,,0.70,,0.17,3.57,2.65,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11977,,Removal/reinsert contra cap,N,+,3.30,2.30,,1.28,,0.31,5.91,4.89,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
11980,,Implant hormone pellet(s),A,,1.48,1.07,,0.56,,0.10,2.65,2.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
11981,,Insert drug implant device,A,,1.48,1.59,,0.58,,0.14,3.21,2.20,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11982,,Remove drug implant device,A,,1.78,1.71,,0.70,,0.17,3.66,2.65,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
11983,,Remove/insert drug implant,A,,3.30,2.30,,1.28,,0.31,5.91,4.89,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
12001,,Repair superficial wound(s),A,,1.70,2.16,,0.44,,0.13,3.99,2.27,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12002,,Repair superficial wound(s),A,,1.86,2.23,,0.92,,0.15,4.24,2.93,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12004,,Repair superficial wound(s),A,,2.24,2.51,,1.03,,0.17,4.92,3.44,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12005,,Repair superficial wound(s),A,,2.86,3.07,,1.22,,0.23,6.16,4.31,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12006,,Repair superficial wound(s),A,,3.67,3.69,,1.53,,0.31,7.67,5.51,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12007,,Repair superficial wound(s),A,,4.12,4.16,,1.83,,0.37,8.65,6.32,0,010,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
12011,,Repair superficial wound(s),A,,1.76,2.34,,0.44,,0.14,4.24,2.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12013,,Repair superficial wound(s),A,,1.99,2.49,,0.96,,0.16,4.64,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12014,,Repair superficial wound(s),A,,2.46,2.77,,1.08,,0.18,5.41,3.72,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12015,,Repair superficial wound(s),A,,3.19,3.38,,1.27,,0.24,6.81,4.70,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12016,,Repair superficial wound(s),A,,3.93,3.81,,1.55,,0.32,8.06,5.80,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12017,,Repair superficial wound(s),A,,4.71,1.90,NA,1.90,,0.39,7.00,7.00,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
12018,,Repair superficial wound(s),A,,5.53,2.27,NA,2.27,,0.46,8.26,8.26,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
12020,,Closure of split wound,A,,2.62,2.55,,1.42,,0.24,5.41,4.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12021,,Closure of split wound,A,,1.84,1.70,,1.02,,0.19,3.73,3.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12031,,Layer closure of wound(s),A,,2.15,2.29,,0.77,,0.15,4.59,3.07,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12032,,Layer closure of wound(s),A,,2.47,2.98,,1.28,,0.15,5.60,3.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12034,,Layer closure of wound(s),A,,2.92,3.21,,1.44,,0.21,6.34,4.57,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12035,,Layer closure of wound(s),A,,3.43,3.15,,1.67,,0.30,6.88,5.40,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12036,,Layer closure of wound(s),A,,4.05,5.26,,2.46,,0.41,9.72,6.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12037,,Layer closure of wound(s),A,,4.67,5.62,,2.80,,0.49,10.78,7.96,0,010,0.10,0.80,0.10,2,0,0,1,0,,36.7856,09
12041,,Layer closure of wound(s),A,,2.37,2.48,,0.83,,0.17,5.02,3.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12042,,Layer closure of wound(s),A,,2.74,3.17,,1.41,,0.17,6.08,4.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12044,,Layer closure of wound(s),A,,3.14,3.26,,1.60,,0.24,6.64,4.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12045,,Layer closure of wound(s),A,,3.64,3.58,,1.87,,0.34,7.56,5.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12046,,Layer closure of wound(s),A,,4.25,5.53,,2.55,,0.40,10.18,7.20,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
12047,,Layer closure of wound(s),A,,4.65,6.15,,2.89,,0.41,11.21,7.95,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
12051,,Layer closure of wound(s),A,,2.47,3.16,,1.41,,0.16,5.79,4.04,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12052,,Layer closure of wound(s),A,,2.77,3.12,,1.38,,0.17,6.06,4.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12053,,Layer closure of wound(s),A,,3.12,3.26,,1.54,,0.20,6.58,4.86,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12054,,Layer closure of wound(s),A,,3.46,3.60,,1.64,,0.25,7.31,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12055,,Layer closure of wound(s),A,,4.43,4.60,,2.19,,0.35,9.38,6.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
12056,,Layer closure of wound(s),A,,5.24,6.62,,3.05,,0.43,12.29,8.72,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
12057,,Layer closure of wound(s),A,,5.96,6.14,,3.73,,0.50,12.60,10.19,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
13100,,Repair of wound or lesion,A,,3.12,3.50,,1.84,,0.21,6.83,5.17,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13101,,Repair of wound or lesion,A,,3.92,3.76,,2.29,,0.22,7.90,6.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13102,,Repair wound/lesion add-on,A,,1.24,0.76,,0.58,,0.10,2.10,1.92,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
13120,,Repair of wound or lesion,A,,3.30,3.60,,1.88,,0.23,7.13,5.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13121,,Repair of wound or lesion,A,,4.33,3.99,,2.39,,0.25,8.57,6.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13122,,Repair wound/lesion add-on,A,,1.44,0.89,,0.65,,0.12,2.45,2.21,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
13131,,Repair of wound or lesion,A,,3.79,3.88,,2.21,,0.25,7.92,6.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13132,,Repair of wound or lesion,A,,5.95,4.72,,3.25,,0.32,10.99,9.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13133,,Repair wound/lesion add-on,A,,2.19,1.22,,1.05,,0.17,3.58,3.41,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
13150,,Repair of wound or lesion,A,,3.81,5.29,,2.64,,0.29,9.39,6.74,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13151,,Repair of wound or lesion,A,,4.45,5.27,,3.08,,0.28,10.00,7.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13152,,Repair of wound or lesion,A,,6.33,6.01,,3.98,,0.38,12.72,10.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
13153,,Repair wound/lesion add-on,A,,2.38,1.37,,1.16,,0.18,3.93,3.72,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
13160,,Late closure of wound,A,,10.48,6.33,NA,6.33,,1.19,18.00,18.00,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14000,,Skin tissue rearrangement,A,,5.89,7.60,,4.65,,0.46,13.95,11.00,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14001,,Skin tissue rearrangement,A,,8.47,8.94,,5.96,,0.65,18.06,15.08,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14020,,Skin tissue rearrangement,A,,6.59,8.10,,5.35,,0.50,15.19,12.44,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14021,,Skin tissue rearrangement,A,,10.06,9.53,,7.12,,0.69,20.28,17.87,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14040,,Skin tissue rearrangement,A,,7.87,8.77,,7.05,,0.55,17.19,15.47,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14041,,Skin tissue rearrangement,A,,11.49,11.01,,8.91,,0.71,23.21,21.11,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14060,,Skin tissue rearrangement,A,,8.50,9.48,,7.84,,0.59,18.57,16.93,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14061,,Skin tissue rearrangement,A,,12.29,12.05,,9.77,,0.75,25.09,22.81,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14300,,Skin tissue rearrangement,A,,11.76,11.44,,9.36,,0.88,24.08,22.00,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
14350,,Skin tissue rearrangement,A,,9.61,6.36,NA,6.36,,1.09,17.06,17.06,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15000,,Skin graft,A,,4.00,3.66,,2.22,,0.37,8.03,6.59,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15001,,Skin graft add-on,A,,1.00,1.26,,0.42,,0.11,2.37,1.53,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
15050,,Skin pinch graft,A,,4.30,5.12,,3.99,,0.46,9.88,8.75,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15100,,Skin split graft,A,,9.05,11.70,,8.09,,0.94,21.69,18.08,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15101,,Skin split graft add-on,A,,1.72,3.27,,1.48,,0.18,5.17,3.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15120,,Skin split graft,A,,9.83,10.23,,8.03,,0.90,20.96,18.76,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15121,,Skin split graft add-on,A,,2.67,4.19,,1.85,,0.27,7.13,4.79,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,36.7856,09
15200,,Skin full graft,A,,8.03,9.60,,5.54,,0.73,18.36,14.30,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15201,,Skin full graft add-on,A,,1.32,1.05,,0.64,,0.14,2.51,2.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
15220,,Skin full graft,A,,7.87,9.74,,6.18,,0.68,18.29,14.73,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15221,,Skin full graft add-on,A,,1.19,0.93,,0.58,,0.12,2.24,1.89,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15240,,Skin full graft,A,,9.04,9.25,,7.01,,0.80,19.09,16.85,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15241,,Skin full graft add-on,A,,1.86,1.47,,0.94,,0.17,3.50,2.97,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15260,,Skin full graft,A,,10.06,9.91,,8.90,,0.63,20.60,19.59,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15261,,Skin full graft add-on,A,,2.23,2.91,,1.60,,0.17,5.31,4.00,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15342,,"Cultured skin graft, 25 cm",A,,1.00,2.06,,0.75,,0.09,3.15,1.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
15343,,Culture skn graft addl 25 cm,A,,0.25,0.26,,0.10,,0.02,0.53,0.37,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15350,,Skin homograft,A,,4.00,8.44,,4.34,,0.42,12.86,8.76,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15351,,Skin homograft add-on,A,,1.00,0.95,,0.41,,0.11,2.06,1.52,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15400,,Skin heterograft,A,,4.00,4.84,,4.84,,0.40,9.24,9.24,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15401,,Skin heterograft add-on,A,,1.00,1.25,,0.46,,0.11,2.36,1.57,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15570,,Form skin pedicle flap,A,,9.21,8.16,,6.07,,0.96,18.33,16.24,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15572,,Form skin pedicle flap,A,,9.27,7.75,,5.80,,0.93,17.95,16.00,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15574,,Form skin pedicle flap,A,,9.88,8.32,,6.84,,0.92,19.12,17.64,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15576,,Form skin pedicle flap,A,,8.69,8.91,,6.29,,0.72,18.32,15.70,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15600,,Skin graft,A,,1.91,6.13,,2.34,,0.19,8.23,4.44,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15610,,Skin graft,A,,2.42,3.39,,2.62,,0.25,6.06,5.29,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15620,,Skin graft,A,,2.94,6.74,,3.39,,0.28,9.96,6.61,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15630,,Skin graft,A,,3.27,6.19,,3.66,,0.28,9.74,7.21,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15650,,Transfer skin pedicle flap,A,,3.97,6.17,,3.73,,0.36,10.50,8.06,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15732,,"Muscle-skin graft, head/neck",A,,17.84,12.70,NA,12.70,,1.50,32.04,32.04,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15734,,"Muscle-skin graft, trunk",A,,17.79,12.73,NA,12.73,,1.91,32.43,32.43,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15736,,"Muscle-skin graft, arm",A,,16.27,11.81,NA,11.81,,1.78,29.86,29.86,0,090,0.10,0.71,0.19,2,0,1,1,0,,36.7856,09
15738,,"Muscle-skin graft, leg",A,,17.92,12.25,NA,12.25,,1.95,32.12,32.12,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15740,,Island pedicle flap graft,A,,10.25,9.00,,7.05,,0.62,19.87,17.92,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15750,,Neurovascular pedicle graft,A,,11.41,8.20,NA,8.20,,1.16,20.77,20.77,0,090,0.10,0.71,0.19,2,0,2,0,0,,36.7856,09
15756,,Free myo/skin flap microvasc,A,,35.23,20.85,NA,20.85,,3.11,59.19,59.19,0,090,0.10,0.71,0.19,2,0,2,2,0,,36.7856,09
15757,,"Free skin flap, microvasc",A,,35.23,21.96,NA,21.96,,3.37,60.56,60.56,0,090,0.10,0.71,0.19,2,0,2,2,0,,36.7856,09
15758,,"Free fascial flap, microvasc",A,,35.10,22.00,NA,22.00,,3.52,60.62,60.62,0,090,0.10,0.71,0.19,2,0,2,2,0,,36.7856,09
15760,,Composite skin graft,A,,8.74,9.10,,6.62,,0.72,18.56,16.08,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15770,,Derma-fat-fascia graft,A,,7.52,6.08,NA,6.08,,0.78,14.38,14.38,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15775,,Hair transplant punch grafts,R,,3.96,2.87,,1.35,,0.43,7.26,5.74,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15776,,Hair transplant punch grafts,R,,5.54,5.75,,2.89,,0.60,11.89,9.03,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15780,,Abrasion treatment of skin,A,,7.29,6.61,,6.58,,0.41,14.31,14.28,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15781,,Abrasion treatment of skin,A,,4.85,5.07,,4.80,,0.27,10.19,9.92,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15782,,Abrasion treatment of skin,A,,4.32,4.30,,4.15,,0.21,8.83,8.68,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15783,,Abrasion treatment of skin,A,,4.29,4.72,,3.57,,0.26,9.27,8.12,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15786,,"Abrasion, lesion, single",A,,2.03,1.77,,1.29,,0.11,3.91,3.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
15787,,"Abrasion, lesions, add-on",A,,0.33,0.32,,0.16,,0.02,0.67,0.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
15788,,"Chemical peel, face, epiderm",R,,2.09,3.14,,1.03,,0.11,5.34,3.23,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15789,,"Chemical peel, face, dermal",R,,4.92,6.17,,3.51,,0.27,11.36,8.70,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15792,,"Chemical peel, nonfacial",R,,1.86,2.96,,2.17,,0.10,4.92,4.13,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15793,,"Chemical peel, nonfacial",A,,3.74,3.50,NA,3.50,,0.17,7.41,7.41,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15810,,Salabrasion,A,,4.74,3.73,,3.73,,0.42,8.89,8.89,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15811,,Salabrasion,A,,5.39,6.09,,4.73,,0.52,12.00,10.64,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15819,,"Plastic surgery, neck",A,,9.38,6.67,NA,6.67,,0.77,16.82,16.82,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15820,,Revision of lower eyelid,A,,5.15,7.12,,5.25,,0.30,12.57,10.70,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
15821,,Revision of lower eyelid,A,,5.72,7.47,,5.41,,0.31,13.50,11.44,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
15822,,Revision of upper eyelid,A,,4.45,6.06,,4.23,,0.22,10.73,8.90,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
15823,,Revision of upper eyelid,A,,7.05,8.06,,6.13,,0.32,15.43,13.50,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
15824,,Removal of forehead wrinkles,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
15825,,Removal of neck wrinkles,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
15826,,Removal of brow wrinkles,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
15828,,Removal of face wrinkles,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
15829,,Removal of skin wrinkles,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
15831,,Excise excessive skin tissue,A,,12.40,7.69,NA,7.69,,1.30,21.39,21.39,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15832,,Excise excessive skin tissue,A,,11.59,7.68,NA,7.68,,1.21,20.48,20.48,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15833,,Excise excessive skin tissue,A,,10.64,7.06,NA,7.06,,1.17,18.87,18.87,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15834,,Excise excessive skin tissue,A,,10.85,6.95,NA,6.95,,1.18,18.98,18.98,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15835,,Excise excessive skin tissue,A,,11.67,6.93,NA,6.93,,1.13,19.73,19.73,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15836,,Excise excessive skin tissue,A,,9.34,6.18,NA,6.18,,0.95,16.47,16.47,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15837,,Excise excessive skin tissue,A,,8.43,7.40,,6.42,,0.78,16.61,15.63,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15838,,Excise excessive skin tissue,A,,7.13,5.68,NA,5.68,,0.58,13.39,13.39,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15839,,Excise excessive skin tissue,A,,9.38,7.21,,5.75,,0.88,17.47,16.01,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15840,,Graft for face nerve palsy,A,,13.26,9.75,NA,9.75,,1.15,24.16,24.16,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15841,,Graft for face nerve palsy,A,,23.26,14.51,NA,14.51,,2.65,40.42,40.42,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15842,,Flap for face nerve palsy,A,,37.96,22.78,NA,22.78,,3.99,64.73,64.73,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15845,,"Skin and muscle repair, face",A,,12.57,8.47,NA,8.47,,0.80,21.84,21.84,0,090,0.10,0.71,0.19,2,0,2,0,0,,36.7856,09
15850,,Removal of sutures,B,+,0.78,1.44,,0.30,,0.04,2.26,1.12,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
15851,,Removal of sutures,A,,0.86,1.64,,0.34,,0.05,2.55,1.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
15852,,"Dressing change,not for burn",A,,0.86,1.75,,0.36,,0.07,2.68,1.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
15860,,Test for blood flow in graft,A,,1.95,1.30,,0.81,,0.13,3.38,2.89,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15876,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15877,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15878,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15879,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
15920,,Removal of tail bone ulcer,A,,7.95,5.49,NA,5.49,,0.83,14.27,14.27,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15922,,Removal of tail bone ulcer,A,,9.90,7.31,NA,7.31,,1.06,18.27,18.27,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15931,,Remove sacrum pressure sore,A,,9.24,5.56,NA,5.56,,0.95,15.75,15.75,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15933,,Remove sacrum pressure sore,A,,10.85,7.98,NA,7.98,,1.14,19.97,19.97,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15934,,Remove sacrum pressure sore,A,,12.69,8.29,NA,8.29,,1.35,22.33,22.33,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15935,,Remove sacrum pressure sore,A,,14.57,9.96,NA,9.96,,1.56,26.09,26.09,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15936,,Remove sacrum pressure sore,A,,12.38,8.79,NA,8.79,,1.32,22.49,22.49,0,090,0.10,0.71,0.19,2,0,1,1,0,,36.7856,09
15937,,Remove sacrum pressure sore,A,,14.21,10.25,NA,10.25,,1.51,25.97,25.97,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15940,,Remove hip pressure sore,A,,9.34,5.92,NA,5.92,,0.98,16.24,16.24,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15941,,Remove hip pressure sore,A,,11.43,9.80,NA,9.80,,1.23,22.46,22.46,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15944,,Remove hip pressure sore,A,,11.46,8.59,NA,8.59,,1.21,21.26,21.26,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15945,,Remove hip pressure sore,A,,12.69,9.51,NA,9.51,,1.38,23.58,23.58,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
15946,,Remove hip pressure sore,A,,21.57,13.95,NA,13.95,,2.32,37.84,37.84,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15950,,Remove thigh pressure sore,A,,7.54,5.15,NA,5.15,,0.80,13.49,13.49,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
15951,,Remove thigh pressure sore,A,,10.72,7.99,NA,7.99,,1.14,19.85,19.85,0,090,0.10,0.71,0.19,2,0,0,1,0,,36.7856,09
15952,,Remove thigh pressure sore,A,,11.39,7.39,NA,7.39,,1.19,19.97,19.97,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15953,,Remove thigh pressure sore,A,,12.63,8.79,NA,8.79,,1.38,22.80,22.80,0,090,0.10,0.71,0.19,2,0,1,1,0,,36.7856,09
15956,,Remove thigh pressure sore,A,,15.52,10.40,NA,10.40,,1.64,27.56,27.56,0,090,0.10,0.71,0.19,2,0,1,1,0,,36.7856,09
15958,,Remove thigh pressure sore,A,,15.48,10.72,NA,10.72,,1.66,27.86,27.86,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
15999,,Removal of pressure sore,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
16000,,Initial treatment of burn(s),A,,0.89,1.07,,0.27,,0.06,2.02,1.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16010,,Treatment of burn(s),A,,0.87,1.19,,0.36,,0.07,2.13,1.30,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16015,,Treatment of burn(s),A,,2.35,1.89,,0.94,,0.22,4.46,3.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16020,,Treatment of burn(s),A,,0.80,1.13,,0.26,,0.06,1.99,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16025,,Treatment of burn(s),A,,1.85,1.88,,0.67,,0.16,3.89,2.68,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16030,,Treatment of burn(s),A,,2.08,3.05,,0.91,,0.18,5.31,3.17,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
16035,,"Incision of burn scab, initi",A,,3.75,1.50,NA,1.50,,0.36,5.61,5.61,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
16036,,"Incise burn scab, addl incis",A,,1.50,0.62,NA,0.62,,0.11,2.23,2.23,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17000,,Destroy benign/premlg lesion,A,,0.60,1.04,,0.27,,0.03,1.67,0.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17003,,"Destroy lesions, 2-14",A,,0.15,0.12,,0.07,,0.01,0.28,0.23,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17004,,"Destroy lesions, 15 or more",A,,2.79,2.45,,1.27,,0.12,5.36,4.18,0,010,0.10,0.80,0.10,0,0,1,0,0,,36.7856,09
17106,,Destruction of skin lesions,A,,4.59,4.77,,3.21,,0.28,9.64,8.08,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
17107,,Destruction of skin lesions,A,,9.16,7.30,,5.37,,0.53,16.99,15.06,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
17108,,Destruction of skin lesions,A,,13.20,9.35,,7.66,,0.89,23.44,21.75,0,090,0.10,0.71,0.19,2,0,0,0,0,,36.7856,09
17110,,"Destruct lesion, 1-14",A,,0.65,1.71,,0.45,,0.04,2.40,1.14,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17111,,"Destruct lesion, 15 or more",A,,0.92,1.75,,0.56,,0.04,2.71,1.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17250,,"Chemical cautery, tissue",A,,0.50,1.23,,0.34,,0.04,1.77,0.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
17260,,Destruction of skin lesions,A,,0.91,1.37,,0.41,,0.04,2.32,1.36,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17261,,Destruction of skin lesions,A,,1.17,1.62,,0.55,,0.05,2.84,1.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17262,,Destruction of skin lesions,A,,1.58,1.89,,0.75,,0.07,3.54,2.40,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17263,,Destruction of skin lesions,A,,1.79,2.07,,0.82,,0.08,3.94,2.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17264,,Destruction of skin lesions,A,,1.94,2.25,,0.86,,0.08,4.27,2.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17266,,Destruction of skin lesions,A,,2.34,2.57,,0.96,,0.11,5.02,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17270,,Destruction of skin lesions,A,,1.32,1.70,,0.60,,0.06,3.08,1.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17271,,Destruction of skin lesions,A,,1.49,1.79,,0.71,,0.06,3.34,2.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17272,,Destruction of skin lesions,A,,1.77,2.00,,0.85,,0.07,3.84,2.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17273,,Destruction of skin lesions,A,,2.05,2.23,,0.96,,0.09,4.37,3.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17274,,Destruction of skin lesions,A,,2.59,2.61,,1.18,,0.11,5.31,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17276,,Destruction of skin lesions,A,,3.20,3.03,,1.42,,0.15,6.38,4.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17280,,Destruction of skin lesions,A,,1.17,1.61,,0.53,,0.05,2.83,1.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17281,,Destruction of skin lesions,A,,1.72,1.92,,0.82,,0.07,3.71,2.61,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17282,,Destruction of skin lesions,A,,2.04,2.17,,0.98,,0.09,4.30,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17283,,Destruction of skin lesions,A,,2.64,2.58,,1.23,,0.11,5.33,3.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17284,,Destruction of skin lesions,A,,3.21,2.99,,1.49,,0.14,6.34,4.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17286,,Destruction of skin lesions,A,,4.44,3.78,,2.18,,0.22,8.44,6.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17304,,"1 stage mohs, up to 5 spec",A,,7.60,8.09,,3.66,,0.31,16.00,11.57,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17305,,"2 stage mohs, up to 5 spec",A,,2.85,3.81,,1.37,,0.12,6.78,4.34,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17306,,"3 stage mohs, up to 5 spec",A,,2.85,3.81,,1.38,,0.12,6.78,4.35,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17307,,Mohs addl stage up to 5 spec,A,,2.85,3.82,,1.40,,0.12,6.79,4.37,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17310,,Mohs any stage > 5 spec each,A,,0.62,1.48,,0.31,,0.05,2.15,0.98,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
17340,,Cryotherapy of skin,A,,0.76,0.38,,0.26,,0.04,1.18,1.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17360,,Skin peel therapy,A,,1.43,1.59,,0.72,,0.06,3.08,2.21,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
17380,,Hair removal by electrolysis,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
17999,,Skin tissue procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
19000,,Drainage of breast lesion,A,,0.84,1.20,,0.29,,0.07,2.11,1.20,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
19001,,Drain breast lesion add-on,A,,0.42,0.82,,0.14,,0.03,1.27,0.59,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
19020,,Incision of breast lesion,A,,3.57,6.81,,3.39,,0.35,10.73,7.31,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19030,,Injection for breast x-ray,A,,1.53,3.56,,0.52,,0.07,5.16,2.12,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
19100,,Bx breast percut w/o image,A,,1.27,1.43,,0.44,,0.10,2.80,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
19101,,"Biopsy of breast, open",A,,3.18,5.02,,1.89,,0.20,8.40,5.27,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
19102,,Bx breast percut w/image,A,,2.00,4.86,,0.68,,0.13,6.99,2.81,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
19103,,Bx breast percut w/device,A,,3.70,12.31,,1.27,,0.16,16.17,5.13,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
19110,,Nipple exploration,A,,4.30,8.62,,4.43,,0.44,13.36,9.17,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19112,,Excise breast duct fistula,A,,3.67,9.15,,3.08,,0.38,13.20,7.13,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
19120,,Removal of breast lesion,A,,5.56,4.92,,3.09,,0.56,11.04,9.21,0,090,0.10,0.71,0.19,2,0,1,0,0,,36.7856,09
19125,,"Excision, breast lesion",A,,6.06,5.05,,3.26,,0.61,11.72,9.93,0,090,0.10,0.71,0.19,2,0,1,1,0,,36.7856,09
19126,,"Excision, addl breast lesion",A,,2.93,1.02,NA,1.02,,0.30,4.25,4.25,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,36.7856,09
19140,,Removal of breast tissue,A,,5.14,9.35,,3.65,,0.52,15.01,9.31,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19160,,Removal of breast tissue,A,,5.99,4.52,NA,4.52,,0.61,11.12,11.12,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
19162,,"Remove breast tissue, nodes",A,,13.53,7.88,NA,7.88,,1.38,22.79,22.79,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19180,,Removal of breast,A,,8.80,5.93,NA,5.93,,0.88,15.61,15.61,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19182,,Removal of breast,A,,7.73,4.98,NA,4.98,,0.79,13.50,13.50,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19200,,Removal of breast,A,,15.49,9.07,NA,9.07,,1.51,26.07,26.07,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19220,,Removal of breast,A,,15.72,9.12,NA,9.12,,1.56,26.40,26.40,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19240,,Removal of breast,A,,16.00,8.74,NA,8.74,,1.62,26.36,26.36,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19260,,Removal of chest wall lesion,A,,15.44,9.13,NA,9.13,,1.64,26.21,26.21,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
19271,,Revision of chest wall,A,,18.90,11.31,NA,11.31,,2.27,32.48,32.48,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
19272,,Extensive chest wall surgery,A,,21.55,12.24,NA,12.24,,2.54,36.33,36.33,0,090,0.10,0.71,0.19,2,0,2,1,0,,36.7856,09
19290,,"Place needle wire, breast",A,,1.27,2.89,,0.43,,0.06,4.22,1.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
19291,,"Place needle wire, breast",A,,0.63,1.69,,0.21,,0.03,2.35,0.87,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
19295,,"Place breast clip, percut",A,,0.00,2.65,,2.65,NA,0.01,2.66,2.66,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
19316,,Suspension of breast,A,,10.69,7.57,NA,7.57,,1.15,19.41,19.41,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19318,,Reduction of large breast,A,,15.62,11.72,NA,11.72,,1.69,29.03,29.03,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19324,,Enlarge breast,A,,5.85,4.25,NA,4.25,,0.63,10.73,10.73,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
19325,,Enlarge breast with implant,A,,8.45,6.25,NA,6.25,,0.90,15.60,15.60,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
19328,,Removal of breast implant,A,,5.68,4.54,NA,4.54,,0.61,10.83,10.83,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19330,,Removal of implant material,A,,7.59,5.20,NA,5.20,,0.81,13.60,13.60,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19340,,Immediate breast prosthesis,A,,6.33,3.19,NA,3.19,,0.68,10.20,10.20,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,,36.7856,09
19342,,Delayed breast prosthesis,A,,11.20,7.83,NA,7.83,,1.21,20.24,20.24,0,090,0.10,0.71,0.19,2,1,0,1,0,,36.7856,09
19350,,Breast reconstruction,A,,8.92,13.45,,6.80,,0.95,23.32,16.67,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19355,,Correct inverted nipple(s),A,,7.57,13.63,,5.41,,0.80,22.00,13.78,0,090,0.10,0.71,0.19,2,1,0,0,0,,36.7856,09
19357,,Breast reconstruction,A,,18.16,9.82,NA,9.82,,1.96,29.94,29.94,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19361,,Breast reconstruction,A,,19.26,10.27,NA,10.27,,2.08,31.61,31.61,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19364,,Breast reconstruction,A,,41.00,25.22,NA,25.22,,3.91,70.13,70.13,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19366,,Breast reconstruction,A,,21.28,10.27,NA,10.27,,2.27,33.82,33.82,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19367,,Breast reconstruction,A,,25.73,17.47,NA,17.47,,2.78,45.98,45.98,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19368,,Breast reconstruction,A,,32.42,21.08,NA,21.08,,3.51,57.01,57.01,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19369,,Breast reconstruction,A,,29.82,20.65,NA,20.65,,3.24,53.71,53.71,0,090,0.10,0.71,0.19,2,1,2,1,0,,36.7856,09
19370,,Surgery of breast capsule,A,,8.05,6.08,NA,6.08,,0.86,14.99,14.99,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19371,,Removal of breast capsule,A,,9.35,7.15,NA,7.15,,1.01,17.51,17.51,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19380,,Revise breast reconstruction,A,,9.14,7.05,NA,7.05,,0.98,17.17,17.17,0,090,0.10,0.71,0.19,2,1,1,0,0,,36.7856,09
19396,,Design custom breast implant,A,,2.17,6.25,,1.02,,0.23,8.65,3.42,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
19499,,Breast surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
20000,,Incision of abscess,A,,2.12,2.16,,1.18,,0.17,4.45,3.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20005,,Incision of deep abscess,A,,3.42,3.03,,2.21,,0.34,6.79,5.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20100,,"Explore wound, neck",A,,10.08,5.82,,4.37,,0.99,16.89,15.44,0,010,0.10,0.80,0.10,2,1,2,0,0,,36.7856,09
20101,,"Explore wound, chest",A,,3.22,2.90,,1.50,,0.24,6.36,4.96,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20102,,"Explore wound, abdomen",A,,3.94,3.39,,1.75,,0.35,7.68,6.04,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
20103,,"Explore wound, extremity",A,,5.30,4.26,,3.02,,0.57,10.13,8.89,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
20150,,Excise epiphyseal bar,A,,13.69,8.96,NA,8.96,,0.96,23.61,23.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20200,,Muscle biopsy,A,,1.46,1.70,,0.61,,0.17,3.33,2.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20205,,Deep muscle biopsy,A,,2.35,3.87,,0.96,,0.23,6.45,3.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20206,,"Needle biopsy, muscle",A,,0.99,3.15,,0.35,,0.06,4.20,1.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20220,,"Bone biopsy, trocar/needle",A,,1.27,4.87,,2.93,,0.06,6.20,4.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20225,,"Bone biopsy, trocar/needle",A,,1.87,4.37,,3.02,,0.11,6.35,5.00,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20240,,"Bone biopsy, excisional",A,,3.23,4.22,NA,4.22,,0.33,7.78,7.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20245,,"Bone biopsy, excisional",A,,7.78,6.91,NA,6.91,,0.44,15.13,15.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20250,,Open bone biopsy,A,,5.03,4.37,NA,4.37,,0.50,9.90,9.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20251,,Open bone biopsy,A,,5.56,4.92,NA,4.92,,0.79,11.27,11.27,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
20500,,Injection of sinus tract,A,,1.23,5.89,,3.82,,0.10,7.22,5.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20501,,Inject sinus tract for x-ray,A,,0.76,3.14,,0.26,,0.03,3.93,1.05,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20520,,Removal of foreign body,A,,1.85,5.60,,3.59,,0.17,7.62,5.61,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20525,,Removal of foreign body,A,,3.50,6.84,,4.38,,0.40,10.74,8.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20526,,"Ther injection, carp tunnel",A,,0.94,0.77,,0.41,,0.06,1.77,1.41,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
20550,,Inj tendon sheath/ligament,A,,0.75,0.76,,0.24,,0.06,1.57,1.05,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20551,,Inject tendon origin/insert,A,,0.75,0.70,,0.34,,0.06,1.51,1.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20552,,"Inject trigger point, 1 or 2",A,,0.66,0.66,,0.30,,0.06,1.38,1.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20553,,"Inject trigger points, =/> 3",A,,0.75,0.75,,0.34,,0.06,1.56,1.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20600,,"Drain/inject, joint/bursa",A,,0.66,0.66,,0.36,,0.06,1.38,1.08,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
20605,,"Drain/inject, joint/bursa",A,,0.68,0.78,,0.37,,0.06,1.52,1.11,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
20610,,"Drain/inject, joint/bursa",A,,0.79,0.97,,0.42,,0.08,1.84,1.29,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
20612,,Aspirate/inj ganglion cyst,A,,0.70,0.77,,0.28,,0.06,1.53,1.04,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
20615,,Treatment of bone cyst,A,,2.28,4.87,,2.69,,0.19,7.34,5.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20650,,Insert and remove bone pin,A,,2.23,5.08,,3.29,,0.28,7.59,5.80,0,010,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
20660,,"Apply, rem fixation device",A,,2.51,2.28,NA,2.28,,0.48,5.27,5.27,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
20661,,Application of head brace,A,,4.89,6.91,NA,6.91,,0.92,12.72,12.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20662,,Application of pelvis brace,A,,6.07,6.27,NA,6.27,,0.81,13.15,13.15,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
20663,,Application of thigh brace,A,,5.43,5.58,NA,5.58,,0.77,11.78,11.78,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
20664,,Halo brace application,A,,8.06,8.62,NA,8.62,,1.49,18.17,18.17,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20665,,Removal of fixation device,A,,1.31,2.14,,1.30,,0.17,3.62,2.78,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
20670,,Removal of support implant,A,,1.74,6.09,,3.55,,0.23,8.06,5.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
20680,,Removal of support implant,A,,3.35,5.37,,5.37,,0.46,9.18,9.18,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
20690,,Apply bone fixation device,A,,3.52,1.82,NA,1.82,,0.47,5.81,5.81,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20692,,Apply bone fixation device,A,,6.41,3.05,NA,3.05,,0.60,10.06,10.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20693,,Adjust bone fixation device,A,,5.86,13.20,NA,13.20,,0.85,19.91,19.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20694,,Remove bone fixation device,A,,4.16,9.45,,6.56,,0.57,14.18,11.29,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20802,,"Replantation, arm, complete",A,,41.15,27.57,NA,27.57,,5.81,74.53,74.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20805,,"Replant forearm, complete",A,,50.00,43.16,NA,43.16,,3.95,97.11,97.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20808,,"Replantation hand, complete",A,,61.65,49.60,NA,49.60,,6.49,117.74,117.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20816,,"Replantation digit, complete",A,,30.94,46.54,NA,46.54,,3.01,80.49,80.49,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20822,,"Replantation digit, complete",A,,25.59,42.54,NA,42.54,,3.07,71.20,71.20,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20824,,"Replantation thumb, complete",A,,30.94,45.41,NA,45.41,,3.48,79.83,79.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20827,,"Replantation thumb, complete",A,,26.41,45.08,NA,45.08,,3.21,74.70,74.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20838,,"Replantation foot, complete",A,,41.41,28.58,NA,28.58,,5.85,75.84,75.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
20900,,Removal of bone for graft,A,,5.58,6.60,,6.39,,0.77,12.95,12.74,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20902,,Removal of bone for graft,A,,7.55,9.17,NA,9.17,,1.06,17.78,17.78,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20910,,Remove cartilage for graft,A,,5.34,8.85,,6.69,,0.50,14.69,12.53,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
20912,,Remove cartilage for graft,A,,6.35,7.49,NA,7.49,,0.55,14.39,14.39,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
20920,,Removal of fascia for graft,A,,5.31,5.57,NA,5.57,,0.54,11.42,11.42,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
20922,,Removal of fascia for graft,A,,6.61,8.97,,6.40,,0.88,16.46,13.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20924,,Removal of tendon for graft,A,,6.48,7.16,NA,7.16,,0.82,14.46,14.46,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20926,,Removal of tissue for graft,A,,5.53,6.42,NA,6.42,,0.73,12.68,12.68,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
20930,,Spinal bone allograft,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
20931,,Spinal bone allograft,A,,1.81,0.96,NA,0.96,,0.34,3.11,3.11,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,,36.7856,09
20936,,Spinal bone autograft,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
20937,,Spinal bone autograft,A,,2.79,1.49,NA,1.49,,0.43,4.71,4.71,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
20938,,Spinal bone autograft,A,,3.02,1.59,NA,1.59,,0.52,5.13,5.13,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
20950,,"Fluid pressure, muscle",A,,1.26,2.24,NA,2.24,,0.16,3.66,3.66,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
20955,,"Fibula bone graft, microvasc",A,,39.21,29.76,NA,29.76,,4.35,73.32,73.32,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20956,,"Iliac bone graft, microvasc",A,,39.27,28.79,NA,28.79,,5.77,73.83,73.83,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20957,,"Mt bone graft, microvasc",A,,40.65,21.19,NA,21.19,,5.74,67.58,67.58,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20962,,"Other bone graft, microvasc",A,,39.27,28.28,NA,28.28,,5.19,72.74,72.74,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20969,,"Bone/skin graft, microvasc",A,,43.92,32.14,NA,32.14,,4.34,80.40,80.40,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20970,,"Bone/skin graft, iliac crest",A,,43.06,30.05,NA,30.05,,4.64,77.75,77.75,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20972,,"Bone/skin graft, metatarsal",A,,42.99,18.39,NA,18.39,,6.07,67.45,67.45,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
20973,,"Bone/skin graft, great toe",A,,45.76,28.24,NA,28.24,,4.65,78.65,78.65,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
20974,,Electrical bone stimulation,A,,0.62,0.42,,0.33,,0.09,1.13,1.04,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
20975,,Electrical bone stimulation,A,,2.60,1.38,NA,1.38,,0.42,4.40,4.40,0,000,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
20979,,Us bone stimulation,A,,0.62,0.73,,0.35,,0.04,1.39,1.01,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
20999,,Musculoskeletal surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
21010,,Incision of jaw joint,A,,10.14,7.16,NA,7.16,,0.54,17.84,17.84,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21015,,Resection of facial tumor,A,,5.29,7.09,NA,7.09,,0.52,12.90,12.90,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21025,,"Excision of bone, lower jaw",A,,10.06,7.35,,6.87,,0.79,18.20,17.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21026,,Excision of facial bone(s),A,,4.85,5.39,,5.08,,0.40,10.64,10.33,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21029,,Contour of face bone lesion,A,,7.71,6.96,,6.15,,0.74,15.41,14.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21030,,Excise max/zygoma b9 tumor,A,,3.89,4.36,,3.64,,0.60,8.85,8.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21031,,"Remove exostosis, mandible",A,,3.24,3.35,,2.17,,0.28,6.87,5.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21032,,"Remove exostosis, maxilla",A,,3.24,3.32,,2.29,,0.27,6.83,5.80,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21034,,Excise max/zygoma mlg tumor,A,,16.17,10.67,,10.64,,1.37,28.21,28.18,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21040,,Excise mandible lesion,A,,3.89,3.76,,2.58,,0.19,7.84,6.66,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21041,,Removal of jaw bone lesion,D,,6.71,5.68,,4.46,,0.56,12.95,11.73,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21044,,Removal of jaw bone lesion,A,,11.86,7.96,NA,7.96,,0.87,20.69,20.69,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21045,,Extensive jaw surgery,A,,16.17,10.29,NA,10.29,,1.20,27.66,27.66,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21046,,Remove mandible cyst complex,A,,13.00,10.42,NA,10.42,,1.01,24.43,24.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21047,,Excise lwr jaw cyst w/repair,A,,18.75,9.87,NA,9.87,,1.53,30.15,30.15,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21048,,Remove maxilla cyst complex,A,,13.50,10.63,NA,10.63,,1.01,25.14,25.14,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21049,,Excis uppr jaw cyst w/repair,A,,18.00,9.55,NA,9.55,,1.01,28.56,28.56,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21050,,Removal of jaw joint,A,,10.77,11.63,NA,11.63,,0.84,23.24,23.24,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21060,,Remove jaw joint cartilage,A,,10.23,10.09,NA,10.09,,1.16,21.48,21.48,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21070,,Remove coronoid process,A,,8.20,5.98,NA,5.98,,0.67,14.85,14.85,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21076,,Prepare face/oral prosthesis,A,,13.42,9.49,,7.13,,1.36,24.27,21.91,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
21077,,Prepare face/oral prosthesis,A,,33.75,23.88,,17.94,,3.43,61.06,55.12,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21079,,Prepare face/oral prosthesis,A,,22.34,16.88,,12.41,,1.59,40.81,36.34,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21080,,Prepare face/oral prosthesis,A,,25.10,18.97,,13.94,,2.55,46.62,41.59,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21081,,Prepare face/oral prosthesis,A,,22.88,17.28,,12.71,,1.87,42.03,37.46,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21082,,Prepare face/oral prosthesis,A,,20.87,14.77,,11.10,,1.46,37.10,33.43,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21083,,Prepare face/oral prosthesis,A,,19.30,14.58,,10.72,,1.96,35.84,31.98,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21084,,Prepare face/oral prosthesis,A,,22.51,17.01,,12.51,,1.57,41.09,36.59,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21085,,Prepare face/oral prosthesis,A,,9.00,6.37,,4.79,,0.65,16.02,14.44,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
21086,,Prepare face/oral prosthesis,A,,24.92,18.83,,13.84,,1.86,45.61,40.62,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21087,,Prepare face/oral prosthesis,A,,24.92,17.63,,13.24,,2.22,44.77,40.38,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21088,,Prepare face/oral prosthesis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,0,0,0,,36.7856,09
21089,,Prepare face/oral prosthesis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,1,0,0,,36.7856,09
21100,,Maxillofacial fixation,A,,4.22,5.93,,4.05,,0.18,10.33,8.45,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21110,,Interdental fixation,A,,5.21,5.31,,4.32,,0.28,10.80,9.81,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21116,,"Injection, jaw joint x-ray",A,,0.81,7.71,,0.29,,0.05,8.57,1.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
21120,,Reconstruction of chin,A,,4.93,9.80,,6.08,,0.29,15.02,11.30,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
21121,,Reconstruction of chin,A,,7.64,7.94,,6.21,,0.56,16.14,14.41,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21122,,Reconstruction of chin,A,,8.52,7.63,NA,7.63,,0.59,16.74,16.74,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21123,,Reconstruction of chin,A,,11.16,8.08,NA,8.08,,1.16,20.40,20.40,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21125,,"Augmentation, lower jaw bone",A,,10.62,9.53,,8.07,,0.72,20.87,19.41,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21127,,"Augmentation, lower jaw bone",A,,11.12,9.80,,7.50,,0.76,21.68,19.38,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21137,,Reduction of forehead,A,,9.82,8.03,NA,8.03,,0.53,18.38,18.38,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21138,,Reduction of forehead,A,,12.19,9.40,NA,9.40,,1.47,23.06,23.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21139,,Reduction of forehead,A,,14.61,9.78,NA,9.78,,1.02,25.41,25.41,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21141,,"Reconstruct midface, lefort",A,,18.10,10.79,NA,10.79,,1.63,30.52,30.52,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21142,,"Reconstruct midface, lefort",A,,18.81,12.16,NA,12.16,,1.16,32.13,32.13,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21143,,"Reconstruct midface, lefort",A,,19.58,11.10,NA,11.10,,0.90,31.58,31.58,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21145,,"Reconstruct midface, lefort",A,,19.94,11.25,NA,11.25,,2.09,33.28,33.28,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21146,,"Reconstruct midface, lefort",A,,20.71,11.92,NA,11.92,,2.13,34.76,34.76,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21147,,"Reconstruct midface, lefort",A,,21.77,12.15,NA,12.15,,1.52,35.44,35.44,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21150,,"Reconstruct midface, lefort",A,,25.24,16.33,NA,16.33,,1.09,42.66,42.66,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21151,,"Reconstruct midface, lefort",A,,28.30,19.93,NA,19.93,,1.98,50.21,50.21,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21154,,"Reconstruct midface, lefort",A,,30.52,19.84,NA,19.84,,4.86,55.22,55.22,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21155,,"Reconstruct midface, lefort",A,,34.45,20.75,NA,20.75,,5.48,60.68,60.68,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21159,,"Reconstruct midface, lefort",A,,42.38,25.58,NA,25.58,,6.74,74.70,74.70,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21160,,"Reconstruct midface, lefort",A,,46.44,26.69,NA,26.69,,4.39,77.52,77.52,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21172,,Reconstruct orbit/forehead,A,,27.80,15.82,NA,15.82,,1.91,45.53,45.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21175,,Reconstruct orbit/forehead,A,,33.17,20.06,NA,20.06,,5.16,58.39,58.39,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21179,,Reconstruct entire forehead,A,,22.25,17.84,NA,17.84,,2.48,42.57,42.57,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21180,,Reconstruct entire forehead,A,,25.19,18.59,NA,18.59,,2.15,45.93,45.93,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21181,,Contour cranial bone lesion,A,,9.90,8.34,NA,8.34,,0.97,19.21,19.21,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21182,,Reconstruct cranial bone,A,,32.19,21.89,NA,21.89,,2.53,56.61,56.61,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21183,,Reconstruct cranial bone,A,,35.31,23.87,NA,23.87,,2.75,61.93,61.93,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21184,,Reconstruct cranial bone,A,,38.24,24.30,NA,24.30,,4.12,66.66,66.66,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21188,,Reconstruction of midface,A,,22.46,15.62,NA,15.62,,1.85,39.93,39.93,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21193,,Reconst lwr jaw w/o graft,A,,17.15,10.78,NA,10.78,,1.53,29.46,29.46,0,090,0.10,0.69,0.21,2,2,2,1,0,,36.7856,09
21194,,Reconst lwr jaw w/graft,A,,19.84,12.72,NA,12.72,,1.39,33.95,33.95,0,090,0.10,0.69,0.21,2,2,2,0,0,,36.7856,09
21195,,Reconst lwr jaw w/o fixation,A,,17.24,12.35,NA,12.35,,1.20,30.79,30.79,0,090,0.10,0.69,0.21,2,2,2,0,0,,36.7856,09
21196,,Reconst lwr jaw w/fixation,A,,18.91,12.91,NA,12.91,,1.62,33.44,33.44,0,090,0.10,0.69,0.21,2,2,2,1,0,,36.7856,09
21198,,Reconstr lwr jaw segment,A,,14.16,11.66,NA,11.66,,1.05,26.87,26.87,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21199,,Reconstr lwr jaw w/advance,A,,16.00,9.29,NA,9.29,,1.26,26.55,26.55,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21206,,Reconstruct upper jaw bone,A,,14.10,9.72,NA,9.72,,1.01,24.83,24.83,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21208,,Augmentation of facial bones,A,,10.23,9.69,,8.36,,0.92,20.84,19.51,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21209,,Reduction of facial bones,A,,6.72,7.97,,5.79,,0.60,15.29,13.11,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21210,,Face bone graft,A,,10.23,8.99,,8.14,,0.88,20.10,19.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21215,,Lower jaw bone graft,A,,10.77,8.90,,7.08,,1.04,20.71,18.89,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
21230,,Rib cartilage graft,A,,10.77,10.06,NA,10.06,,0.96,21.79,21.79,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21235,,Ear cartilage graft,A,,6.72,12.21,,8.03,,0.52,19.45,15.27,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21240,,Reconstruction of jaw joint,A,,14.05,11.30,NA,11.30,,1.15,26.50,26.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21242,,Reconstruction of jaw joint,A,,12.95,11.07,NA,11.07,,1.40,25.42,25.42,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21243,,Reconstruction of jaw joint,A,,20.79,13.76,NA,13.76,,1.85,36.40,36.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21244,,Reconstruction of lower jaw,A,,11.86,9.17,NA,9.17,,0.95,21.98,21.98,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21245,,Reconstruction of jaw,A,,11.86,12.18,,10.18,,0.88,24.92,22.92,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21246,,Reconstruction of jaw,A,,12.47,10.33,,10.33,,1.21,24.01,24.01,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21247,,Reconstruct lower jaw bone,A,,22.63,16.39,NA,16.39,,2.21,41.23,41.23,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21248,,Reconstruction of jaw,A,,11.48,8.99,,7.76,,1.01,21.48,20.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21249,,Reconstruction of jaw,A,,17.52,11.51,,10.20,,1.39,30.42,29.11,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21255,,Reconstruct lower jaw bone,A,,16.72,11.44,NA,11.44,,1.13,29.29,29.29,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21256,,Reconstruction of orbit,A,,16.19,13.27,NA,13.27,,1.04,30.50,30.50,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21260,,Revise eye sockets,A,,16.52,10.71,NA,10.71,,1.25,28.48,28.48,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21261,,Revise eye sockets,A,,31.49,20.59,NA,20.59,,2.20,54.28,54.28,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21263,,Revise eye sockets,A,,28.42,12.98,NA,12.98,,2.16,43.56,43.56,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21267,,Revise eye sockets,A,,18.90,14.48,NA,14.48,,1.35,34.73,34.73,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21268,,Revise eye sockets,A,,24.48,16.12,NA,16.12,,0.79,41.39,41.39,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21270,,"Augmentation, cheek bone",A,,10.23,9.54,,9.54,,0.73,20.50,20.50,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21275,,"Revision, orbitofacial bones",A,,11.24,10.78,NA,10.78,,1.03,23.05,23.05,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21280,,Revision of eyelid,A,,6.03,6.07,NA,6.07,,0.27,12.37,12.37,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21282,,Revision of eyelid,A,,3.49,5.15,NA,5.15,,0.21,8.85,8.85,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
21295,,Revision of jaw muscle/bone,A,,1.53,4.35,NA,4.35,,0.13,6.01,6.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21296,,Revision of jaw muscle/bone,A,,4.25,4.55,NA,4.55,,0.30,9.10,9.10,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21299,,Cranio/maxillofacial surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
21300,,Treatment of skull fracture,A,,0.72,2.73,,0.26,,0.09,3.54,1.07,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
21310,,Treatment of nose fracture,A,,0.58,2.68,,0.15,,0.05,3.31,0.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
21315,,Treatment of nose fracture,A,,1.51,3.43,,1.27,,0.12,5.06,2.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
21320,,Treatment of nose fracture,A,,1.85,4.83,,2.03,,0.15,6.83,4.03,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
21325,,Treatment of nose fracture,A,,3.77,3.67,NA,3.67,,0.31,7.75,7.75,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21330,,Treatment of nose fracture,A,,5.38,5.51,NA,5.51,,0.48,11.37,11.37,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21335,,Treatment of nose fracture,A,,8.61,7.16,NA,7.16,,0.64,16.41,16.41,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21336,,Treat nasal septal fracture,A,,5.72,5.55,NA,5.55,,0.45,11.72,11.72,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21337,,Treat nasal septal fracture,A,,2.70,5.23,,3.25,,0.22,8.15,6.17,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21338,,Treat nasoethmoid fracture,A,,6.46,5.96,NA,5.96,,0.53,12.95,12.95,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21339,,Treat nasoethmoid fracture,A,,8.09,6.70,NA,6.70,,0.76,15.55,15.55,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21340,,Treatment of nose fracture,A,,10.77,9.09,NA,9.09,,0.85,20.71,20.71,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21343,,Treatment of sinus fracture,A,,12.95,9.77,NA,9.77,,1.06,23.78,23.78,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21344,,Treatment of sinus fracture,A,,19.72,13.44,NA,13.44,,1.72,34.88,34.88,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21345,,Treat nose/jaw fracture,A,,8.16,9.73,,7.91,,0.60,18.49,16.67,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21346,,Treat nose/jaw fracture,A,,10.61,10.05,NA,10.05,,0.85,21.51,21.51,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
21347,,Treat nose/jaw fracture,A,,12.69,9.50,NA,9.50,,1.14,23.33,23.33,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21348,,Treat nose/jaw fracture,A,,16.69,10.93,NA,10.93,,1.50,29.12,29.12,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21355,,Treat cheek bone fracture,A,,3.77,4.40,,2.28,,0.29,8.46,6.34,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
21356,,Treat cheek bone fracture,A,,4.15,3.23,NA,3.23,,0.36,7.74,7.74,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
21360,,Treat cheek bone fracture,A,,6.46,5.63,NA,5.63,,0.52,12.61,12.61,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21365,,Treat cheek bone fracture,A,,14.95,11.31,NA,11.31,,1.30,27.56,27.56,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21366,,Treat cheek bone fracture,A,,17.77,11.90,NA,11.90,,1.41,31.08,31.08,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21385,,Treat eye socket fracture,A,,9.16,7.53,NA,7.53,,0.64,17.33,17.33,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21386,,Treat eye socket fracture,A,,9.16,7.97,NA,7.97,,0.76,17.89,17.89,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21387,,Treat eye socket fracture,A,,9.70,8.22,NA,8.22,,0.78,18.70,18.70,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21390,,Treat eye socket fracture,A,,10.13,8.47,NA,8.47,,0.70,19.30,19.30,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21395,,Treat eye socket fracture,A,,12.68,9.79,NA,9.79,,1.09,23.56,23.56,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21400,,Treat eye socket fracture,A,,1.40,3.12,,1.05,,0.12,4.64,2.57,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21401,,Treat eye socket fracture,A,,3.26,4.83,,3.11,,0.34,8.43,6.71,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21406,,Treat eye socket fracture,A,,7.01,6.75,NA,6.75,,0.59,14.35,14.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21407,,Treat eye socket fracture,A,,8.61,7.75,NA,7.75,,0.67,17.03,17.03,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21408,,Treat eye socket fracture,A,,12.38,10.01,NA,10.01,,1.24,23.63,23.63,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21421,,Treat mouth roof fracture,A,,5.14,7.44,,6.09,,0.42,13.00,11.65,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21422,,Treat mouth roof fracture,A,,8.32,7.49,NA,7.49,,0.69,16.50,16.50,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21423,,Treat mouth roof fracture,A,,10.40,8.02,NA,8.02,,0.95,19.37,19.37,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21431,,Treat craniofacial fracture,A,,7.05,6.68,NA,6.68,,0.58,14.31,14.31,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21432,,Treat craniofacial fracture,A,,8.61,7.74,NA,7.74,,0.55,16.90,16.90,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21433,,Treat craniofacial fracture,A,,25.35,17.10,NA,17.10,,2.46,44.91,44.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21435,,Treat craniofacial fracture,A,,17.25,12.56,NA,12.56,,1.66,31.47,31.47,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21436,,Treat craniofacial fracture,A,,28.04,17.16,NA,17.16,,2.32,47.52,47.52,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
21440,,Treat dental ridge fracture,A,,2.70,5.68,,3.64,,0.22,8.60,6.56,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21445,,Treat dental ridge fracture,A,,5.38,7.04,,5.17,,0.55,12.97,11.10,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21450,,Treat lower jaw fracture,A,,2.97,6.87,,2.74,,0.23,10.07,5.94,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21451,,Treat lower jaw fracture,A,,4.87,6.63,,5.65,,0.39,11.89,10.91,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21452,,Treat lower jaw fracture,A,,1.98,9.39,,4.20,,0.14,11.51,6.32,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21453,,Treat lower jaw fracture,A,,5.54,7.52,,6.40,,0.49,13.55,12.43,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21454,,Treat lower jaw fracture,A,,6.46,5.78,NA,5.78,,0.55,12.79,12.79,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
21461,,Treat lower jaw fracture,A,,8.09,9.26,,7.94,,0.73,18.08,16.76,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21462,,Treat lower jaw fracture,A,,9.79,10.56,,8.08,,0.80,21.15,18.67,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21465,,Treat lower jaw fracture,A,,11.91,7.87,NA,7.87,,0.84,20.62,20.62,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21470,,Treat lower jaw fracture,A,,15.34,9.93,NA,9.93,,1.36,26.63,26.63,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21480,,Reset dislocated jaw,A,,0.61,1.58,,0.18,,0.05,2.24,0.84,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
21485,,Reset dislocated jaw,A,,3.99,3.85,,3.39,,0.31,8.15,7.69,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
21490,,Repair dislocated jaw,A,,11.86,7.57,NA,7.57,,1.31,20.74,20.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21493,,Treat hyoid bone fracture,A,,1.27,3.38,NA,3.38,,0.10,4.75,4.75,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
21494,,Treat hyoid bone fracture,A,,6.28,5.06,NA,5.06,,0.44,11.78,11.78,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21495,,Treat hyoid bone fracture,A,,5.69,5.00,NA,5.00,,0.41,11.10,11.10,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21497,,Interdental wiring,A,,3.86,4.75,,3.97,,0.31,8.92,8.14,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21499,,Head surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
21501,,Drain neck/chest lesion,A,,3.81,4.39,,3.59,,0.36,8.56,7.76,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21502,,Drain chest lesion,A,,7.12,7.44,NA,7.44,,0.79,15.35,15.35,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21510,,Drainage of bone lesion,A,,5.74,7.16,NA,7.16,,0.67,13.57,13.57,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21550,,Biopsy of neck/chest,A,,2.06,2.33,,1.22,,0.13,4.52,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
21555,,"Remove lesion, neck/chest",A,,4.35,4.26,,2.44,,0.41,9.02,7.20,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21556,,"Remove lesion, neck/chest",A,,5.57,3.21,NA,3.21,,0.51,9.29,9.29,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21557,,"Remove tumor, neck/chest",A,,8.88,7.68,NA,7.68,,0.85,17.41,17.41,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21600,,Partial removal of rib,A,,6.89,7.57,NA,7.57,,0.81,15.27,15.27,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21610,,Partial removal of rib,A,,14.61,11.24,NA,11.24,,1.85,27.70,27.70,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21615,,Removal of rib,A,,9.87,8.07,NA,8.07,,1.20,19.14,19.14,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
21616,,Removal of rib and nerves,A,,12.04,9.27,NA,9.27,,1.31,22.62,22.62,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
21620,,Partial removal of sternum,A,,6.79,8.04,NA,8.04,,0.77,15.60,15.60,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21627,,Sternal debridement,A,,6.81,12.58,NA,12.58,,0.82,20.21,20.21,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21630,,Extensive sternum surgery,A,,17.38,13.52,NA,13.52,,1.95,32.85,32.85,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21632,,Extensive sternum surgery,A,,18.14,12.17,NA,12.17,,2.16,32.47,32.47,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21700,,Revision of neck muscle,A,,6.19,9.22,,7.25,,0.31,15.72,13.75,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21705,,Revision of neck muscle/rib,A,,9.60,7.62,NA,7.62,,0.92,18.14,18.14,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21720,,Revision of neck muscle,A,,5.68,7.95,,7.01,,0.80,14.43,13.49,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21725,,Revision of neck muscle,A,,6.99,7.45,NA,7.45,,0.90,15.34,15.34,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21740,,Reconstruction of sternum,A,,16.50,12.48,NA,12.48,,2.03,31.01,31.01,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21742,,Repair stern/nuss w/o scope,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21743,,Repair sternum/nuss w/scope,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21750,,Repair of sternum separation,A,,10.77,9.85,NA,9.85,,1.35,21.97,21.97,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21800,,Treatment of rib fracture,A,,0.96,2.38,,1.08,,0.09,3.43,2.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21805,,Treatment of rib fracture,A,,2.75,4.71,NA,4.71,,0.29,7.75,7.75,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
21810,,Treatment of rib fracture(s),A,,6.86,7.06,NA,7.06,,0.60,14.52,14.52,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
21820,,Treat sternum fracture,A,,1.28,2.92,,1.56,,0.15,4.35,2.99,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21825,,Treat sternum fracture,A,,7.41,10.26,NA,10.26,,0.84,18.51,18.51,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
21899,,Neck/chest surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
21920,,Biopsy soft tissue of back,A,,2.06,2.45,,0.75,,0.12,4.63,2.93,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
21925,,Biopsy soft tissue of back,A,,4.49,11.93,,4.68,,0.44,16.86,9.61,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21930,,"Remove lesion, back or flank",A,,5.00,4.60,,2.62,,0.49,10.09,8.11,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
21935,,"Remove tumor, back",A,,17.96,13.01,NA,13.01,,1.87,32.84,32.84,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
22100,,Remove part of neck vertebra,A,,9.73,8.38,NA,8.38,,1.55,19.66,19.66,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22101,,"Remove part, thorax vertebra",A,,9.81,8.57,NA,8.57,,1.51,19.89,19.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22102,,"Remove part, lumbar vertebra",A,,9.81,8.77,NA,8.77,,1.46,20.04,20.04,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22103,,Remove extra spine segment,A,,2.34,1.24,NA,1.24,,0.37,3.95,3.95,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
22110,,Remove part of neck vertebra,A,,12.74,10.66,NA,10.66,,2.20,25.60,25.60,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22112,,"Remove part, thorax vertebra",A,,12.81,10.54,NA,10.54,,1.96,25.31,25.31,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22114,,"Remove part, lumbar vertebra",A,,12.81,10.45,NA,10.45,,1.98,25.24,25.24,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22116,,Remove extra spine segment,A,,2.32,1.19,NA,1.19,,0.40,3.91,3.91,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
22210,,Revision of neck spine,A,,23.82,17.10,NA,17.10,,4.23,45.15,45.15,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22212,,Revision of thorax spine,A,,19.42,14.61,NA,14.61,,2.78,36.81,36.81,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
22214,,Revision of lumbar spine,A,,19.45,15.09,NA,15.09,,2.78,37.32,37.32,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22216,,"Revise, extra spine segment",A,,6.04,3.21,NA,3.21,,0.98,10.23,10.23,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
22220,,Revision of neck spine,A,,21.37,15.50,NA,15.50,,3.65,40.52,40.52,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22222,,Revision of thorax spine,A,,21.52,13.08,NA,13.08,,3.08,37.68,37.68,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
22224,,Revision of lumbar spine,A,,21.52,15.72,NA,15.72,,3.20,40.44,40.44,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22226,,"Revise, extra spine segment",A,,6.04,3.17,NA,3.17,,1.01,10.22,10.22,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
22305,,Treat spine process fracture,A,,2.05,3.40,,2.82,,0.29,5.74,5.16,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
22310,,Treat spine fracture,A,,2.61,5.04,,4.44,,0.37,8.02,7.42,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
22315,,Treat spine fracture,A,,8.84,8.64,NA,8.64,,1.37,18.85,18.85,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
22318,,Treat odontoid fx w/o graft,A,,21.50,14.63,NA,14.63,,4.26,40.39,40.39,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22319,,Treat odontoid fx w/graft,A,,24.00,17.14,NA,17.14,,4.76,45.90,45.90,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22325,,Treat spine fracture,A,,18.30,13.88,NA,13.88,,2.61,34.79,34.79,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22326,,Treat neck spine fracture,A,,19.59,15.00,NA,15.00,,3.54,38.13,38.13,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22327,,Treat thorax spine fracture,A,,19.20,14.24,NA,14.24,,2.75,36.19,36.19,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22328,,Treat each add spine fx,A,,4.61,2.33,NA,2.33,,0.66,7.60,7.60,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
22505,,Manipulation of spine,A,,1.87,4.80,,3.19,,0.27,6.94,5.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
22520,,Percut vertebroplasty thor,A,,8.91,3.98,NA,3.98,,0.99,13.88,13.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
22521,,Percut vertebroplasty lumb,A,,8.34,3.81,NA,3.81,,0.93,13.08,13.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
22522,,Percut vertebroplasty addl,A,,4.31,1.73,NA,1.73,,0.33,6.37,6.37,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
22548,,Neck spine fusion,A,,25.82,16.22,NA,16.22,,4.98,47.02,47.02,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22554,,Neck spine fusion,A,,18.62,12.63,NA,12.63,,3.51,34.76,34.76,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22556,,Thorax spine fusion,A,,23.46,14.89,NA,14.89,,3.78,42.13,42.13,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22558,,Lumbar spine fusion,A,,22.28,13.40,NA,13.40,,3.18,38.86,38.86,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22585,,Additional spinal fusion,A,,5.53,2.87,NA,2.87,,0.98,9.38,9.38,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22590,,Spine & skull spinal fusion,A,,20.51,13.62,NA,13.62,,3.81,37.94,37.94,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22595,,Neck spinal fusion,A,,19.39,13.12,NA,13.12,,3.62,36.13,36.13,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22600,,Neck spine fusion,A,,16.14,11.40,NA,11.40,,2.89,30.43,30.43,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22610,,Thorax spine fusion,A,,16.02,11.56,NA,11.56,,2.66,30.24,30.24,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22612,,Lumbar spine fusion,A,,21.00,14.36,NA,14.36,,3.28,38.64,38.64,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22614,,"Spine fusion, extra segment",A,,6.44,3.44,NA,3.44,,1.04,10.92,10.92,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22630,,Lumbar spine fusion,A,,20.84,14.01,NA,14.01,,3.79,38.64,38.64,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
22632,,"Spine fusion, extra segment",A,,5.23,2.74,NA,2.74,,0.90,8.87,8.87,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22800,,Fusion of spine,A,,18.25,13.02,NA,13.02,,2.71,33.98,33.98,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22802,,Fusion of spine,A,,30.88,19.99,NA,19.99,,4.42,55.29,55.29,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22804,,Fusion of spine,A,,36.27,23.15,NA,23.15,,5.23,64.65,64.65,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22808,,Fusion of spine,A,,26.27,16.72,NA,16.72,,4.36,47.35,47.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22810,,Fusion of spine,A,,30.27,18.75,NA,18.75,,4.49,53.51,53.51,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22812,,Fusion of spine,A,,32.70,20.27,NA,20.27,,4.67,57.64,57.64,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22818,,"Kyphectomy, 1-2 segments",A,,31.83,19.49,NA,19.49,,5.01,56.33,56.33,0,090,0.11,0.76,0.13,2,0,2,2,2,,36.7856,09
22819,,"Kyphectomy, 3 or more",A,,36.44,20.58,NA,20.58,,5.20,62.22,62.22,0,090,0.11,0.76,0.13,2,0,2,2,2,,36.7856,09
22830,,Exploration of spinal fusion,A,,10.85,8.32,NA,8.32,,1.73,20.90,20.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22840,,Insert spine fixation device,A,,12.54,6.67,NA,6.67,,2.03,21.24,21.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
22841,,Insert spine fixation device,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
22842,,Insert spine fixation device,A,,12.58,6.69,NA,6.69,,2.04,21.31,21.31,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22843,,Insert spine fixation device,A,,13.46,6.78,NA,6.78,,2.10,22.34,22.34,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22844,,Insert spine fixation device,A,,16.44,8.99,NA,8.99,,2.42,27.85,27.85,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22845,,Insert spine fixation device,A,,11.96,6.24,NA,6.24,,2.22,20.42,20.42,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22846,,Insert spine fixation device,A,,12.42,6.51,NA,6.51,,2.26,21.19,21.19,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22847,,Insert spine fixation device,A,,13.80,7.21,NA,7.21,,2.36,23.37,23.37,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22848,,Insert pelv fixation device,A,,6.00,3.27,NA,3.27,,0.88,10.15,10.15,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22849,,Reinsert spinal fixation,A,,18.51,13.75,NA,13.75,,2.87,35.13,35.13,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22850,,Remove spine fixation device,A,,9.52,8.50,NA,8.50,,1.51,19.53,19.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22851,,Apply spine prosth device,A,,6.71,3.45,NA,3.45,,1.11,11.27,11.27,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
22852,,Remove spine fixation device,A,,9.01,8.26,NA,8.26,,1.40,18.67,18.67,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22855,,Remove spine fixation device,A,,15.13,11.24,NA,11.24,,2.74,29.11,29.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22899,,Spine surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
22900,,Remove abdominal wall lesion,A,,5.80,4.29,NA,4.29,,0.58,10.67,10.67,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
22999,,Abdomen surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
23000,,Removal of calcium deposits,A,,4.36,8.97,,7.38,,0.50,13.83,12.24,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23020,,Release shoulder joint,A,,8.93,10.95,NA,10.95,,1.23,21.11,21.11,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23030,,Drain shoulder lesion,A,,3.43,6.24,,4.54,,0.42,10.09,8.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
23031,,Drain shoulder bursa,A,,2.74,6.00,,4.34,,0.33,9.07,7.41,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
23035,,Drain shoulder bone lesion,A,,8.61,15.81,NA,15.81,,1.19,25.61,25.61,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23040,,Exploratory shoulder surgery,A,,9.20,12.15,NA,12.15,,1.28,22.63,22.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23044,,Exploratory shoulder surgery,A,,7.12,11.01,NA,11.01,,0.97,19.10,19.10,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23065,,Biopsy shoulder tissues,A,,2.27,2.71,,1.33,,0.14,5.12,3.74,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
23066,,Biopsy shoulder tissues,A,,4.16,7.96,,6.49,,0.50,12.62,11.15,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23075,,Removal of shoulder lesion,A,,2.39,5.36,,3.21,,0.25,8.00,5.85,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
23076,,Removal of shoulder lesion,A,,7.63,8.42,NA,8.42,,0.87,16.92,16.92,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23077,,Remove tumor of shoulder,A,,16.09,14.26,NA,14.26,,1.81,32.16,32.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23100,,Biopsy of shoulder joint,A,,6.03,9.13,NA,9.13,,0.81,15.97,15.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23101,,Shoulder joint surgery,A,,5.58,9.14,NA,9.14,,0.77,15.49,15.49,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23105,,Remove shoulder joint lining,A,,8.23,10.55,NA,10.55,,1.13,19.91,19.91,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23106,,Incision of collarbone joint,A,,5.96,9.25,NA,9.25,,0.82,16.03,16.03,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23107,,Explore treat shoulder joint,A,,8.62,10.74,NA,10.74,,1.19,20.55,20.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23120,,"Partial removal, collar bone",A,,7.11,9.97,NA,9.97,,0.99,18.07,18.07,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23125,,Removal of collar bone,A,,9.39,11.08,NA,11.08,,1.27,21.74,21.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23130,,"Remove shoulder bone, part",A,,7.55,10.20,NA,10.20,,1.06,18.81,18.81,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23140,,Removal of bone lesion,A,,6.89,8.64,NA,8.64,,0.82,16.35,16.35,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23145,,Removal of bone lesion,A,,9.09,12.05,NA,12.05,,1.24,22.38,22.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23146,,Removal of bone lesion,A,,7.83,11.37,NA,11.37,,1.11,20.31,20.31,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23150,,Removal of humerus lesion,A,,8.48,10.37,NA,10.37,,1.14,19.99,19.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23155,,Removal of humerus lesion,A,,10.35,12.62,NA,12.62,,1.20,24.17,24.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23156,,Removal of humerus lesion,A,,8.68,10.74,NA,10.74,,1.18,20.60,20.60,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23170,,Remove collar bone lesion,A,,6.86,11.17,NA,11.17,,0.84,18.87,18.87,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23172,,Remove shoulder blade lesion,A,,6.90,10.70,NA,10.70,,0.95,18.55,18.55,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23174,,Remove humerus lesion,A,,9.51,12.19,NA,12.19,,1.30,23.00,23.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23180,,Remove collar bone lesion,A,,8.53,16.82,NA,16.82,,1.18,26.53,26.53,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23182,,Remove shoulder blade lesion,A,,8.15,16.90,NA,16.90,,1.08,26.13,26.13,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23184,,Remove humerus lesion,A,,9.38,17.08,NA,17.08,,1.24,27.70,27.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23190,,Partial removal of scapula,A,,7.24,8.72,NA,8.72,,0.97,16.93,16.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23195,,Removal of head of humerus,A,,9.81,11.11,NA,11.11,,1.38,22.30,22.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23200,,Removal of collar bone,A,,12.08,14.52,NA,14.52,,1.48,28.08,28.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23210,,Removal of shoulder blade,A,,12.49,14.47,NA,14.47,,1.61,28.57,28.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23220,,Partial removal of humerus,A,,14.56,15.73,NA,15.73,,2.03,32.32,32.32,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23221,,Partial removal of humerus,A,,17.74,17.13,NA,17.13,,2.51,37.38,37.38,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23222,,Partial removal of humerus,A,,23.92,21.02,NA,21.02,,3.37,48.31,48.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23330,,Remove shoulder foreign body,A,,1.85,5.75,,3.77,,0.18,7.78,5.80,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
23331,,Remove shoulder foreign body,A,,7.38,10.06,NA,10.06,,1.02,18.46,18.46,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23332,,Remove shoulder foreign body,A,,11.62,12.40,NA,12.40,,1.62,25.64,25.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23350,,Injection for shoulder x-ray,A,,1.00,7.30,,0.34,,0.05,8.35,1.39,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
23395,,"Muscle transfer,shoulder/arm",A,,16.85,14.27,NA,14.27,,2.29,33.41,33.41,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23397,,Muscle transfers,A,,16.13,14.61,NA,14.61,,2.24,32.98,32.98,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23400,,Fixation of shoulder blade,A,,13.54,14.58,NA,14.58,,1.91,30.03,30.03,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23405,,Incision of tendon & muscle,A,,8.37,9.69,NA,9.69,,1.12,19.18,19.18,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23406,,Incise tendon(s) & muscle(s),A,,10.79,11.89,NA,11.89,,1.48,24.16,24.16,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
23410,,"Repair rotator cuff, acute",A,,12.45,12.81,NA,12.81,,1.72,26.98,26.98,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23412,,"Repair rotator cuff, chronic",A,,13.31,13.32,NA,13.32,,1.86,28.49,28.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23415,,Release of shoulder ligament,A,,9.97,10.45,NA,10.45,,1.39,21.81,21.81,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23420,,Repair of shoulder,A,,13.30,14.31,NA,14.31,,1.86,29.47,29.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23430,,Repair biceps tendon,A,,9.98,11.50,NA,11.50,,1.40,22.88,22.88,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23440,,Remove/transplant tendon,A,,10.48,11.82,NA,11.82,,1.47,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23450,,Repair shoulder capsule,A,,13.40,13.30,NA,13.30,,1.86,28.56,28.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23455,,Repair shoulder capsule,A,,14.37,13.88,NA,13.88,,2.01,30.26,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23460,,Repair shoulder capsule,A,,15.37,14.46,NA,14.46,,2.17,32.00,32.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23462,,Repair shoulder capsule,A,,15.30,14.13,NA,14.13,,2.16,31.59,31.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23465,,Repair shoulder capsule,A,,15.85,14.31,NA,14.31,,1.61,31.77,31.77,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23466,,Repair shoulder capsule,A,,14.22,13.84,NA,13.84,,2.00,30.06,30.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23470,,Reconstruct shoulder joint,A,,17.15,12.42,NA,12.42,,2.40,31.97,31.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23472,,Reconstruct shoulder joint,A,,21.10,14.64,NA,14.64,,2.37,38.11,38.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23480,,Revision of collar bone,A,,11.18,12.16,NA,12.16,,1.56,24.90,24.90,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
23485,,Revision of collar bone,A,,13.43,13.35,NA,13.35,,1.84,28.62,28.62,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23490,,Reinforce clavicle,A,,11.86,12.24,NA,12.24,,1.11,25.21,25.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23491,,Reinforce shoulder bones,A,,14.21,13.76,NA,13.76,,2.00,29.97,29.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23500,,Treat clavicle fracture,A,,2.08,4.08,,2.60,,0.26,6.42,4.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23505,,Treat clavicle fracture,A,,3.69,6.20,,4.12,,0.50,10.39,8.31,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23515,,Treat clavicle fracture,A,,7.41,8.43,NA,8.43,,1.03,16.87,16.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23520,,Treat clavicle dislocation,A,,2.16,4.12,,2.68,,0.26,6.54,5.10,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23525,,Treat clavicle dislocation,A,,3.60,6.00,,3.98,,0.44,10.04,8.02,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23530,,Treat clavicle dislocation,A,,7.31,8.20,NA,8.20,,0.85,16.36,16.36,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23532,,Treat clavicle dislocation,A,,8.01,8.60,NA,8.60,,1.13,17.74,17.74,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
23540,,Treat clavicle dislocation,A,,2.23,4.68,,2.57,,0.24,7.15,5.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23545,,Treat clavicle dislocation,A,,3.25,5.26,,3.69,,0.39,8.90,7.33,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23550,,Treat clavicle dislocation,A,,7.24,8.37,NA,8.37,,0.94,16.55,16.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23552,,Treat clavicle dislocation,A,,8.45,9.03,NA,9.03,,1.18,18.66,18.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23570,,Treat shoulder blade fx,A,,2.23,4.06,,2.77,,0.29,6.58,5.29,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23575,,Treat shoulder blade fx,A,,4.06,6.41,,4.37,,0.53,11.00,8.96,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
23585,,Treat scapula fracture,A,,8.96,9.58,NA,9.58,,1.25,19.79,19.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23600,,Treat humerus fracture,A,,2.93,5.91,,3.74,,0.39,9.23,7.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23605,,Treat humerus fracture,A,,4.87,8.79,,6.83,,0.67,14.33,12.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23615,,Treat humerus fracture,A,,9.35,10.47,NA,10.47,,1.31,21.13,21.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23616,,Treat humerus fracture,A,,21.27,16.24,NA,16.24,,2.98,40.49,40.49,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
23620,,Treat humerus fracture,A,,2.40,5.62,,3.47,,0.32,8.34,6.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23625,,Treat humerus fracture,A,,3.93,7.75,,5.75,,0.53,12.21,10.21,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23630,,Treat humerus fracture,A,,7.35,8.44,NA,8.44,,1.03,16.82,16.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23650,,Treat shoulder dislocation,A,,3.39,5.74,,3.58,,0.31,9.44,7.28,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23655,,Treat shoulder dislocation,A,,4.57,4.38,NA,4.38,,0.52,9.47,9.47,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23660,,Treat shoulder dislocation,A,,7.49,8.24,NA,8.24,,1.01,16.74,16.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23665,,Treat dislocation/fracture,A,,4.47,7.93,,5.99,,0.60,13.00,11.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23670,,Treat dislocation/fracture,A,,7.90,8.93,NA,8.93,,1.10,17.93,17.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23675,,Treat dislocation/fracture,A,,6.05,8.66,,6.87,,0.83,15.54,13.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
23680,,Treat dislocation/fracture,A,,10.06,10.06,NA,10.06,,1.39,21.51,21.51,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23700,,Fixation of shoulder,A,,2.52,3.65,NA,3.65,,0.35,6.52,6.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
23800,,Fusion of shoulder joint,A,,14.16,14.66,NA,14.66,,1.97,30.79,30.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
23802,,Fusion of shoulder joint,A,,16.60,13.91,NA,13.91,,2.34,32.85,32.85,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23900,,Amputation of arm & girdle,A,,19.72,15.69,NA,15.69,,2.47,37.88,37.88,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
23920,,Amputation at shoulder joint,A,,14.61,14.02,NA,14.02,,1.92,30.55,30.55,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
23921,,Amputation follow-up surgery,A,,5.49,6.90,NA,6.90,,0.78,13.17,13.17,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
23929,,Shoulder surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
23930,,Drainage of arm lesion,A,,2.94,6.19,,4.05,,0.32,9.45,7.31,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
23931,,Drainage of arm bursa,A,,1.79,5.97,,3.88,,0.21,7.97,5.88,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
23935,,Drain arm/elbow bone lesion,A,,6.09,13.61,NA,13.61,,0.84,20.54,20.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24000,,Exploratory elbow surgery,A,,5.82,6.17,NA,6.17,,0.77,12.76,12.76,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
24006,,Release elbow joint,A,,9.31,8.70,NA,8.70,,1.27,19.28,19.28,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
24065,,Biopsy arm/elbow soft tissue,A,,2.08,5.87,,3.35,,0.14,8.09,5.57,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
24066,,Biopsy arm/elbow soft tissue,A,,5.21,8.94,,6.82,,0.61,14.76,12.64,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24075,,Remove arm/elbow lesion,A,,3.92,8.20,,6.14,,0.43,12.55,10.49,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24076,,Remove arm/elbow lesion,A,,6.30,7.34,NA,7.34,,0.70,14.34,14.34,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24077,,Remove tumor of arm/elbow,A,,11.76,13.78,NA,13.78,,1.32,26.86,26.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24100,,Biopsy elbow joint lining,A,,4.93,5.79,NA,5.79,,0.62,11.34,11.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24101,,Explore/treat elbow joint,A,,6.13,6.96,NA,6.96,,0.84,13.93,13.93,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24102,,Remove elbow joint lining,A,,8.03,7.95,NA,7.95,,1.09,17.07,17.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24105,,Removal of elbow bursa,A,,3.61,5.38,NA,5.38,,0.49,9.48,9.48,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24110,,Remove humerus lesion,A,,7.39,10.13,NA,10.13,,0.99,18.51,18.51,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24115,,Remove/graft bone lesion,A,,9.63,10.52,NA,10.52,,1.15,21.30,21.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24116,,Remove/graft bone lesion,A,,11.81,12.57,NA,12.57,,1.66,26.04,26.04,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24120,,Remove elbow lesion,A,,6.65,6.95,NA,6.95,,0.87,14.47,14.47,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24125,,Remove/graft bone lesion,A,,7.89,7.28,NA,7.28,,0.88,16.05,16.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24126,,Remove/graft bone lesion,A,,8.31,8.03,NA,8.03,,0.90,17.24,17.24,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24130,,Removal of head of radius,A,,6.25,7.05,NA,7.05,,0.87,14.17,14.17,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24134,,Removal of arm bone lesion,A,,9.73,16.46,NA,16.46,,1.31,27.50,27.50,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24136,,Remove radius bone lesion,A,,7.99,6.55,NA,6.55,,0.85,15.39,15.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24138,,Remove elbow bone lesion,A,,8.05,8.03,NA,8.03,,1.12,17.20,17.20,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24140,,Partial removal of arm bone,A,,9.18,17.56,NA,17.56,,1.23,27.97,27.97,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24145,,Partial removal of radius,A,,7.58,11.64,NA,11.64,,1.01,20.23,20.23,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24147,,Partial removal of elbow,A,,7.54,11.64,NA,11.64,,1.04,20.22,20.22,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24149,,Radical resection of elbow,A,,14.20,11.19,NA,11.19,,1.90,27.29,27.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24150,,Extensive humerus surgery,A,,13.27,15.23,NA,15.23,,1.81,30.31,30.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24151,,Extensive humerus surgery,A,,15.58,16.96,NA,16.96,,2.19,34.73,34.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24152,,Extensive radius surgery,A,,10.06,9.83,NA,9.83,,1.19,21.08,21.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24153,,Extensive radius surgery,A,,11.54,7.06,NA,7.06,,0.64,19.24,19.24,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24155,,Removal of elbow joint,A,,11.73,9.42,NA,9.42,,1.42,22.57,22.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24160,,Remove elbow joint implant,A,,7.83,6.95,NA,6.95,,1.07,15.85,15.85,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24164,,Remove radius head implant,A,,6.23,5.95,NA,5.95,,0.84,13.02,13.02,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
24200,,Removal of arm foreign body,A,,1.76,5.73,,3.35,,0.15,7.64,5.26,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
24201,,Removal of arm foreign body,A,,4.56,8.91,,7.06,,0.56,14.03,12.18,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24220,,Injection for elbow x-ray,A,,1.31,11.02,,0.46,,0.07,12.40,1.84,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
24300,,Manipulate elbow w/anesth,A,,3.75,5.53,NA,5.53,,0.49,9.77,9.77,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24301,,Muscle/tendon transfer,A,,10.20,9.22,NA,9.22,,1.30,20.72,20.72,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
24305,,Arm tendon lengthening,A,,7.45,7.79,NA,7.79,,0.98,16.22,16.22,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
24310,,Revision of arm tendon,A,,5.98,8.53,NA,8.53,,0.74,15.25,15.25,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
24320,,Repair of arm tendon,A,,10.56,11.05,NA,11.05,,1.00,22.61,22.61,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
24330,,Revision of arm muscles,A,,9.60,8.87,NA,8.87,,1.21,19.68,19.68,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24331,,Revision of arm muscles,A,,10.65,9.48,NA,9.48,,1.41,21.54,21.54,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24332,,"Tenolysis, triceps",A,,7.45,5.21,NA,5.21,,0.77,13.43,13.43,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24340,,Repair of biceps tendon,A,,7.89,7.86,NA,7.86,,1.08,16.83,16.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24341,,Repair arm tendon/muscle,A,,7.90,7.86,NA,7.86,,1.08,16.84,16.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24342,,Repair of ruptured tendon,A,,10.62,9.44,NA,9.44,,1.48,21.54,21.54,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24343,,Repr elbow lat ligmnt w/tiss,A,,8.65,7.89,NA,7.89,,1.13,17.67,17.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24344,,Reconstruct elbow lat ligmnt,A,,14.00,11.18,NA,11.18,,1.83,27.01,27.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24345,,Repr elbw med ligmnt w/tissu,A,,8.65,7.89,NA,7.89,,1.13,17.67,17.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24346,,Reconstruct elbow med ligmnt,A,,14.00,11.18,NA,11.18,,1.83,27.01,27.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24350,,Repair of tennis elbow,A,,5.25,6.44,NA,6.44,,0.72,12.41,12.41,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24351,,Repair of tennis elbow,A,,5.91,6.93,NA,6.93,,0.82,13.66,13.66,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24352,,Repair of tennis elbow,A,,6.43,7.19,NA,7.19,,0.90,14.52,14.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24354,,Repair of tennis elbow,A,,6.48,7.15,NA,7.15,,0.88,14.51,14.51,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24356,,Revision of tennis elbow,A,,6.68,7.33,NA,7.33,,0.90,14.91,14.91,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24360,,Reconstruct elbow joint,A,,12.34,9.65,NA,9.65,,1.69,23.68,23.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24361,,Reconstruct elbow joint,A,,14.08,10.64,NA,10.64,,1.95,26.67,26.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24362,,Reconstruct elbow joint,A,,14.99,12.41,NA,12.41,,1.92,29.32,29.32,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24363,,Replace elbow joint,A,,18.49,11.53,NA,11.53,,2.52,32.54,32.54,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24365,,Reconstruct head of radius,A,,8.39,7.31,NA,7.31,,1.11,16.81,16.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24366,,Reconstruct head of radius,A,,9.13,7.69,NA,7.69,,1.28,18.10,18.10,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24400,,Revision of humerus,A,,11.06,12.99,NA,12.99,,1.53,25.58,25.58,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24410,,Revision of humerus,A,,14.82,14.11,NA,14.11,,1.89,30.82,30.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24420,,Revision of humerus,A,,13.44,17.27,NA,17.27,,1.82,32.53,32.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24430,,Repair of humerus,A,,12.81,13.18,NA,13.18,,1.80,27.79,27.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24435,,Repair humerus with graft,A,,13.17,14.37,NA,14.37,,1.84,29.38,29.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24470,,Revision of elbow joint,A,,8.74,8.50,NA,8.50,,1.23,18.47,18.47,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24495,,Decompression of forearm,A,,8.12,10.28,NA,10.28,,0.92,19.32,19.32,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24498,,Reinforce humerus,A,,11.92,12.68,NA,12.68,,1.67,26.27,26.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24500,,Treat humerus fracture,A,,3.21,5.31,,3.38,,0.41,8.93,7.00,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24505,,Treat humerus fracture,A,,5.17,9.31,,7.10,,0.72,15.20,12.99,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24515,,Treat humerus fracture,A,,11.65,11.58,NA,11.58,,1.63,24.86,24.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24516,,Treat humerus fracture,A,,11.65,12.14,NA,12.14,,1.63,25.42,25.42,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
24530,,Treat humerus fracture,A,,3.50,6.52,,4.97,,0.47,10.49,8.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24535,,Treat humerus fracture,A,,6.87,9.14,,6.89,,0.96,16.97,14.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24538,,Treat humerus fracture,A,,9.43,10.85,NA,10.85,,1.25,21.53,21.53,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24545,,Treat humerus fracture,A,,10.46,10.37,NA,10.37,,1.47,22.30,22.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24546,,Treat humerus fracture,A,,15.69,13.83,NA,13.83,,2.18,31.70,31.70,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
24560,,Treat humerus fracture,A,,2.80,5.10,,3.16,,0.35,8.25,6.31,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24565,,Treat humerus fracture,A,,5.56,8.24,,6.05,,0.74,14.54,12.35,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24566,,Treat humerus fracture,A,,7.79,10.34,NA,10.34,,1.10,19.23,19.23,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24575,,Treat humerus fracture,A,,10.66,8.43,NA,8.43,,1.44,20.53,20.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24576,,Treat humerus fracture,A,,2.86,4.85,,3.31,,0.38,8.09,6.55,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24577,,Treat humerus fracture,A,,5.79,8.47,,6.32,,0.81,15.07,12.92,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24579,,Treat humerus fracture,A,,11.60,11.31,NA,11.31,,1.62,24.53,24.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24582,,Treat humerus fracture,A,,8.55,10.77,NA,10.77,,1.20,20.52,20.52,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24586,,Treat elbow fracture,A,,15.21,11.05,NA,11.05,,2.12,28.38,28.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24587,,Treat elbow fracture,A,,15.16,10.88,NA,10.88,,2.14,28.18,28.18,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24600,,Treat elbow dislocation,A,,4.23,7.12,,5.11,,0.49,11.84,9.83,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24605,,Treat elbow dislocation,A,,5.42,5.09,NA,5.09,,0.72,11.23,11.23,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24615,,Treat elbow dislocation,A,,9.42,7.97,NA,7.97,,1.31,18.70,18.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24620,,Treat elbow fracture,A,,6.98,6.71,NA,6.71,,0.90,14.59,14.59,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24635,,Treat elbow fracture,A,,13.19,16.64,NA,16.64,,1.84,31.67,31.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24640,,Treat elbow dislocation,A,,1.20,3.54,,1.84,,0.11,4.85,3.15,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
24650,,Treat radius fracture,A,,2.16,4.81,,2.92,,0.28,7.25,5.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24655,,Treat radius fracture,A,,4.40,7.66,,5.41,,0.58,12.64,10.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24665,,Treat radius fracture,A,,8.14,9.72,NA,9.72,,1.13,18.99,18.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24666,,Treat radius fracture,A,,9.49,10.48,NA,10.48,,1.32,21.29,21.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24670,,Treat ulnar fracture,A,,2.54,4.71,,3.13,,0.33,7.58,6.00,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24675,,Treat ulnar fracture,A,,4.72,7.86,,5.68,,0.65,13.23,11.05,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
24685,,Treat ulnar fracture,A,,8.80,10.08,NA,10.08,,1.23,20.11,20.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24800,,Fusion of elbow joint,A,,11.20,9.94,NA,9.94,,1.41,22.55,22.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24802,,Fusion/graft of elbow joint,A,,13.69,11.56,NA,11.56,,1.89,27.14,27.14,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24900,,Amputation of upper arm,A,,9.60,11.21,NA,11.21,,1.18,21.99,21.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24920,,Amputation of upper arm,A,,9.54,12.82,NA,12.82,,1.22,23.58,23.58,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
24925,,Amputation follow-up surgery,A,,7.07,9.68,NA,9.68,,0.95,17.70,17.70,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24930,,Amputation follow-up surgery,A,,10.25,11.78,NA,11.78,,1.23,23.26,23.26,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24931,,Amputate upper arm & implant,A,,12.72,9.23,NA,9.23,,1.56,23.51,23.51,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24935,,Revision of amputation,A,,15.56,12.63,NA,12.63,,1.58,29.77,29.77,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
24940,,Revision of upper arm,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
24999,,Upper arm/elbow surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
25000,,Incision of tendon sheath,A,,3.38,7.59,NA,7.59,,0.45,11.42,11.42,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25001,,Incise flexor carpi radialis,A,,3.38,4.37,NA,4.37,,0.45,8.20,8.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25020,,Decompress forearm 1 space,A,,5.92,11.38,NA,11.38,,0.76,18.06,18.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25023,,Decompress forearm 1 space,A,,12.96,17.36,NA,17.36,,1.52,31.84,31.84,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25024,,Decompress forearm 2 spaces,A,,9.50,8.08,NA,8.08,,1.24,18.82,18.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25025,,Decompress forarm 2 spaces,A,,16.54,11.75,NA,11.75,,2.18,30.47,30.47,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25028,,Drainage of forearm lesion,A,,5.25,10.17,NA,10.17,,0.61,16.03,16.03,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25031,,Drainage of forearm bursa,A,,4.14,10.14,NA,10.14,,0.50,14.78,14.78,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25035,,Treat forearm bone lesion,A,,7.36,16.87,NA,16.87,,0.98,25.21,25.21,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25040,,Explore/treat wrist joint,A,,7.18,9.48,NA,9.48,,0.96,17.62,17.62,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25065,,Biopsy forearm soft tissues,A,,1.99,2.58,,2.58,,0.12,4.69,4.69,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
25066,,Biopsy forearm soft tissues,A,,4.13,8.42,NA,8.42,,0.49,13.04,13.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25075,,Removel forearm lesion subcu,A,,3.74,7.39,NA,7.39,,0.40,11.53,11.53,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25076,,Removel forearm lesion deep,A,,4.92,12.88,NA,12.88,,0.59,18.39,18.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25077,,"Remove tumor, forearm/wrist",A,,9.76,15.51,NA,15.51,,1.10,26.37,26.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25085,,Incision of wrist capsule,A,,5.50,11.29,NA,11.29,,0.71,17.50,17.50,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25100,,Biopsy of wrist joint,A,,3.90,7.66,NA,7.66,,0.50,12.06,12.06,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25101,,Explore/treat wrist joint,A,,4.69,8.02,NA,8.02,,0.60,13.31,13.31,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25105,,Remove wrist joint lining,A,,5.85,11.25,NA,11.25,,0.77,17.87,17.87,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
25107,,Remove wrist joint cartilage,A,,6.43,11.62,NA,11.62,,0.82,18.87,18.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25110,,Remove wrist tendon lesion,A,,3.92,8.62,NA,8.62,,0.48,13.02,13.02,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25111,,Remove wrist tendon lesion,A,,3.39,6.67,NA,6.67,,0.42,10.48,10.48,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25112,,Reremove wrist tendon lesion,A,,4.53,7.49,NA,7.49,,0.54,12.56,12.56,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25115,,Remove wrist/forearm lesion,A,,8.82,17.36,NA,17.36,,1.11,27.29,27.29,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25116,,Remove wrist/forearm lesion,A,,7.11,16.36,NA,16.36,,0.90,24.37,24.37,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
25118,,Excise wrist tendon sheath,A,,4.37,8.09,NA,8.09,,0.55,13.01,13.01,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25119,,Partial removal of ulna,A,,6.04,11.54,NA,11.54,,0.80,18.38,18.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25120,,Removal of forearm lesion,A,,6.10,15.31,NA,15.31,,0.81,22.22,22.22,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
25125,,Remove/graft forearm lesion,A,,7.48,16.39,NA,16.39,,1.02,24.89,24.89,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25126,,Remove/graft forearm lesion,A,,7.55,15.93,NA,15.93,,1.00,24.48,24.48,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25130,,Removal of wrist lesion,A,,5.26,8.44,NA,8.44,,0.66,14.36,14.36,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25135,,Remove & graft wrist lesion,A,,6.89,9.27,NA,9.27,,0.89,17.05,17.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25136,,Remove & graft wrist lesion,A,,5.97,8.50,NA,8.50,,0.58,15.05,15.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25145,,Remove forearm bone lesion,A,,6.37,15.73,NA,15.73,,0.82,22.92,22.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25150,,Partial removal of ulna,A,,7.09,12.28,NA,12.28,,0.96,20.33,20.33,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
25151,,Partial removal of radius,A,,7.39,16.28,NA,16.28,,0.93,24.60,24.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25170,,Extensive forearm surgery,A,,11.09,17.76,NA,17.76,,1.52,30.37,30.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25210,,Removal of wrist bone,A,,5.95,8.84,NA,8.84,,0.73,15.52,15.52,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
25215,,Removal of wrist bones,A,,7.89,12.52,NA,12.52,,1.02,21.43,21.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
25230,,Partial removal of radius,A,,5.23,8.35,NA,8.35,,0.66,14.24,14.24,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
25240,,Partial removal of ulna,A,,5.17,11.07,NA,11.07,,0.69,16.93,16.93,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
25246,,Injection for wrist x-ray,A,,1.45,10.27,,0.50,,0.07,11.79,2.02,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
25248,,Remove forearm foreign body,A,,5.14,10.23,NA,10.23,,0.54,15.91,15.91,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25250,,Removal of wrist prosthesis,A,,6.60,6.19,NA,6.19,,0.84,13.63,13.63,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25251,,Removal of wrist prosthesis,A,,9.57,8.08,NA,8.08,,1.15,18.80,18.80,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
25259,,Manipulate wrist w/anesthes,A,,3.75,5.46,NA,5.46,,0.50,9.71,9.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25260,,Repair forearm tendon/muscle,A,,7.80,17.12,NA,17.12,,0.97,25.89,25.89,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
25263,,Repair forearm tendon/muscle,A,,7.82,16.99,NA,16.99,,0.94,25.75,25.75,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
25265,,Repair forearm tendon/muscle,A,,9.88,17.71,NA,17.71,,1.19,28.78,28.78,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
25270,,Repair forearm tendon/muscle,A,,6.00,16.17,NA,16.17,,0.76,22.93,22.93,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
25272,,Repair forearm tendon/muscle,A,,7.04,16.74,NA,16.74,,0.89,24.67,24.67,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
25274,,Repair forearm tendon/muscle,A,,8.75,17.17,NA,17.17,,1.14,27.06,27.06,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
25275,,Repair forearm tendon sheath,A,,8.50,7.44,NA,7.44,,1.13,17.07,17.07,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
25280,,Revise wrist/forearm tendon,A,,7.22,16.29,NA,16.29,,0.91,24.42,24.42,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
25290,,Incise wrist/forearm tendon,A,,5.29,18.62,NA,18.62,,0.66,24.57,24.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
25295,,Release wrist/forearm tendon,A,,6.55,15.93,NA,15.93,,0.86,23.34,23.34,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
25300,,Fusion of tendons at wrist,A,,8.80,10.06,NA,10.06,,1.07,19.93,19.93,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25301,,Fusion of tendons at wrist,A,,8.40,9.98,NA,9.98,,1.08,19.46,19.46,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25310,,Transplant forearm tendon,A,,8.14,16.74,NA,16.74,,1.01,25.89,25.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
25312,,Transplant forearm tendon,A,,9.57,17.49,NA,17.49,,1.22,28.28,28.28,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
25315,,Revise palsy hand tendon(s),A,,10.20,18.31,NA,18.31,,1.26,29.77,29.77,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25316,,Revise palsy hand tendon(s),A,,12.33,19.71,NA,19.71,,1.74,33.78,33.78,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25320,,Repair/revise wrist joint,A,,10.77,11.50,NA,11.50,,1.32,23.59,23.59,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25332,,Revise wrist joint,A,,11.41,9.34,NA,9.34,,1.46,22.21,22.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25335,,Realignment of hand,A,,12.88,14.95,NA,14.95,,1.66,29.49,29.49,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25337,,Reconstruct ulna/radioulnar,A,,10.17,13.85,NA,13.85,,1.31,25.33,25.33,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25350,,Revision of radius,A,,8.78,16.98,NA,16.98,,1.17,26.93,26.93,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25355,,Revision of radius,A,,10.17,17.60,NA,17.60,,1.44,29.21,29.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25360,,Revision of ulna,A,,8.43,16.89,NA,16.89,,1.17,26.49,26.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25365,,Revise radius & ulna,A,,12.40,18.51,NA,18.51,,1.67,32.58,32.58,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25370,,Revise radius or ulna,A,,13.36,18.42,NA,18.42,,1.88,33.66,33.66,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25375,,Revise radius & ulna,A,,13.04,19.42,NA,19.42,,1.84,34.30,34.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25390,,Shorten radius or ulna,A,,10.40,17.69,NA,17.69,,1.38,29.47,29.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25391,,Lengthen radius or ulna,A,,13.65,19.37,NA,19.37,,1.73,34.75,34.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25392,,Shorten radius & ulna,A,,13.95,18.37,NA,18.37,,1.73,34.05,34.05,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25393,,Lengthen radius & ulna,A,,15.87,20.63,NA,20.63,,1.87,38.37,38.37,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25394,,"Repair carpal bone, shorten",A,,10.40,8.29,NA,8.29,,1.40,20.09,20.09,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25400,,Repair radius or ulna,A,,10.92,18.22,NA,18.22,,1.50,30.64,30.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25405,,Repair/graft radius or ulna,A,,14.38,20.48,NA,20.48,,1.95,36.81,36.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25415,,Repair radius & ulna,A,,13.35,19.39,NA,19.39,,1.87,34.61,34.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25420,,Repair/graft radius & ulna,A,,16.33,21.34,NA,21.34,,2.20,39.87,39.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25425,,Repair/graft radius or ulna,A,,13.21,26.80,NA,26.80,,1.61,41.62,41.62,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25426,,Repair/graft radius & ulna,A,,15.82,20.12,NA,20.12,,2.23,38.17,38.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25430,,Vasc graft into carpal bone,A,,9.25,7.62,NA,7.62,,1.07,17.94,17.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25431,,Repair nonunion carpal bone,A,,10.44,6.38,NA,6.38,,0.56,17.38,17.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25440,,Repair/graft wrist bone,A,,10.44,11.25,NA,11.25,,1.41,23.10,23.10,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25441,,Reconstruct wrist joint,A,,12.90,10.14,NA,10.14,,1.83,24.87,24.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25442,,Reconstruct wrist joint,A,,10.85,9.00,NA,9.00,,1.24,21.09,21.09,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25443,,Reconstruct wrist joint,A,,10.39,8.89,NA,8.89,,1.30,20.58,20.58,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25444,,Reconstruct wrist joint,A,,11.15,9.17,NA,9.17,,1.43,21.75,21.75,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25445,,Reconstruct wrist joint,A,,9.69,8.18,NA,8.18,,1.26,19.13,19.13,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
25446,,Wrist replacement,A,,16.55,12.17,NA,12.17,,2.20,30.92,30.92,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25447,,Repair wrist joint(s),A,,10.37,8.76,NA,8.76,,1.34,20.47,20.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25449,,Remove wrist joint implant,A,,14.49,10.89,NA,10.89,,1.77,27.15,27.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25450,,Revision of wrist joint,A,,7.87,13.09,NA,13.09,,0.88,21.84,21.84,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25455,,Revision of wrist joint,A,,9.49,14.28,NA,14.28,,1.07,24.84,24.84,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25490,,Reinforce radius,A,,9.54,16.71,NA,16.71,,1.19,27.44,27.44,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25491,,Reinforce ulna,A,,9.96,17.58,NA,17.58,,1.41,28.95,28.95,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25492,,Reinforce radius and ulna,A,,12.33,18.06,NA,18.06,,1.62,32.01,32.01,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25500,,Treat fracture of radius,A,,2.45,4.37,,2.93,,0.28,7.10,5.66,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25505,,Treat fracture of radius,A,,5.21,8.04,,5.81,,0.69,13.94,11.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25515,,Treat fracture of radius,A,,9.18,10.00,NA,10.00,,1.22,20.40,20.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25520,,Treat fracture of radius,A,,6.26,8.23,,6.43,,0.85,15.34,13.54,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25525,,Treat fracture of radius,A,,12.24,11.92,NA,11.92,,1.68,25.84,25.84,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
25526,,Treat fracture of radius,A,,12.98,15.40,NA,15.40,,1.80,30.18,30.18,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
25530,,Treat fracture of ulna,A,,2.09,4.42,,2.92,,0.27,6.78,5.28,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25535,,Treat fracture of ulna,A,,5.14,7.81,,5.86,,0.68,13.63,11.68,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25545,,Treat fracture of ulna,A,,8.90,10.14,NA,10.14,,1.23,20.27,20.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25560,,Treat fracture radius & ulna,A,,2.44,4.41,,2.90,,0.27,7.12,5.61,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25565,,Treat fracture radius & ulna,A,,5.63,8.28,,6.02,,0.76,14.67,12.41,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25574,,Treat fracture radius & ulna,A,,7.01,9.05,NA,9.05,,0.96,17.02,17.02,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
25575,,Treat fracture radius/ulna,A,,10.45,10.98,NA,10.98,,1.46,22.89,22.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25600,,Treat fracture radius/ulna,A,,2.63,4.75,,3.11,,0.34,7.72,6.08,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25605,,Treat fracture radius/ulna,A,,5.81,8.51,,6.27,,0.81,15.13,12.89,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25611,,Treat fracture radius/ulna,A,,7.77,10.37,NA,10.37,,1.08,19.22,19.22,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25620,,Treat fracture radius/ulna,A,,8.55,9.91,NA,9.91,,1.17,19.63,19.63,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25622,,Treat wrist bone fracture,A,,2.61,4.70,,3.08,,0.33,7.64,6.02,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25624,,Treat wrist bone fracture,A,,4.53,7.73,,5.49,,0.61,12.87,10.63,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25628,,Treat wrist bone fracture,A,,8.43,9.95,NA,9.95,,1.14,19.52,19.52,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25630,,Treat wrist bone fracture,A,,2.88,4.86,,3.14,,0.37,8.11,6.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25635,,Treat wrist bone fracture,A,,4.39,7.68,,4.75,,0.39,12.46,9.53,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25645,,Treat wrist bone fracture,A,,7.25,9.47,NA,9.47,,0.93,17.65,17.65,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25650,,Treat wrist bone fracture,A,,3.05,4.91,,3.21,,0.37,8.33,6.63,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25651,,Pin ulnar styloid fracture,A,,5.36,5.69,NA,5.69,,0.72,11.77,11.77,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25652,,Treat fracture ulnar styloid,A,,7.60,6.85,NA,6.85,,1.02,15.47,15.47,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
25660,,Treat wrist dislocation,A,,4.76,5.49,NA,5.49,,0.59,10.84,10.84,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25670,,Treat wrist dislocation,A,,7.92,9.73,NA,9.73,,1.07,18.72,18.72,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25671,,Pin radioulnar dislocation,A,,6.00,6.02,NA,6.02,,0.81,12.83,12.83,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25675,,Treat wrist dislocation,A,,4.67,7.52,,5.43,,0.57,12.76,10.67,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25676,,Treat wrist dislocation,A,,8.04,9.78,NA,9.78,,1.10,18.92,18.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25680,,Treat wrist fracture,A,,5.99,6.48,NA,6.48,,0.61,13.08,13.08,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25685,,Treat wrist fracture,A,,9.78,10.44,NA,10.44,,1.25,21.47,21.47,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25690,,Treat wrist dislocation,A,,5.50,7.21,NA,7.21,,0.78,13.49,13.49,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25695,,Treat wrist dislocation,A,,8.34,9.86,NA,9.86,,1.07,19.27,19.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25800,,Fusion of wrist joint,A,,9.76,10.92,NA,10.92,,1.30,21.98,21.98,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25805,,Fusion/graft of wrist joint,A,,11.28,11.81,NA,11.81,,1.51,24.60,24.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25810,,Fusion/graft of wrist joint,A,,10.57,11.34,NA,11.34,,1.37,23.28,23.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25820,,Fusion of hand bones,A,,7.45,9.68,NA,9.68,,0.96,18.09,18.09,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25825,,Fuse hand bones with graft,A,,9.27,10.66,NA,10.66,,1.20,21.13,21.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25830,,"Fusion, radioulnar jnt/ulna",A,,10.06,17.12,NA,17.12,,1.27,28.45,28.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
25900,,Amputation of forearm,A,,9.01,14.48,NA,14.48,,1.08,24.57,24.57,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25905,,Amputation of forearm,A,,9.12,15.75,NA,15.75,,1.06,25.93,25.93,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25907,,Amputation follow-up surgery,A,,7.80,15.19,NA,15.19,,1.01,24.00,24.00,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25909,,Amputation follow-up surgery,A,,8.96,15.62,NA,15.62,,1.07,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25915,,Amputation of forearm,A,,17.08,23.14,NA,23.14,,2.41,42.63,42.63,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25920,,Amputate hand at wrist,A,,8.68,9.91,NA,9.91,,1.06,19.65,19.65,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25922,,Amputate hand at wrist,A,,7.42,9.06,NA,9.06,,0.93,17.41,17.41,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25924,,Amputation follow-up surgery,A,,8.46,10.25,NA,10.25,,1.07,19.78,19.78,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25927,,Amputation of hand,A,,8.80,14.18,NA,14.18,,1.02,24.00,24.00,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
25929,,Amputation follow-up surgery,A,,7.59,7.83,NA,7.83,,0.89,16.31,16.31,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
25931,,Amputation follow-up surgery,A,,7.81,15.09,NA,15.09,,0.88,23.78,23.78,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
25999,,Forearm or wrist surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
26010,,Drainage of finger abscess,A,,1.54,5.97,,1.78,,0.14,7.65,3.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
26011,,Drainage of finger abscess,A,,2.19,12.48,,2.48,,0.25,14.92,4.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
26020,,Drain hand tendon sheath,A,,4.67,5.31,NA,5.31,,0.59,10.57,10.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26025,,Drainage of palm bursa,A,,4.82,5.18,NA,5.18,,0.60,10.60,10.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26030,,Drainage of palm bursa(s),A,,5.93,5.85,NA,5.85,,0.72,12.50,12.50,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26034,,Treat hand bone lesion,A,,6.23,6.04,NA,6.04,,0.79,13.06,13.06,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26035,,Decompress fingers/hand,A,,9.51,7.99,NA,7.99,,1.12,18.62,18.62,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26037,,Decompress fingers/hand,A,,7.25,6.48,NA,6.48,,0.87,14.60,14.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26040,,Release palm contracture,A,,3.33,3.75,NA,3.75,,0.45,7.53,7.53,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26045,,Release palm contracture,A,,5.56,5.30,NA,5.30,,0.74,11.60,11.60,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26055,,Incise finger tendon sheath,A,,2.69,15.46,,3.59,,0.36,18.51,6.64,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26060,,Incision of finger tendon,A,,2.81,3.28,NA,3.28,,0.35,6.44,6.44,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26070,,Explore/treat hand joint,A,,3.69,3.32,NA,3.32,,0.35,7.36,7.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26075,,Explore/treat finger joint,A,,3.79,3.67,NA,3.67,,0.40,7.86,7.86,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26080,,Explore/treat finger joint,A,,4.24,4.58,NA,4.58,,0.52,9.34,9.34,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26100,,Biopsy hand joint lining,A,,3.67,3.90,NA,3.90,,0.45,8.02,8.02,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
26105,,Biopsy finger joint lining,A,,3.71,3.93,NA,3.93,,0.45,8.09,8.09,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
26110,,Biopsy finger joint lining,A,,3.53,3.80,NA,3.80,,0.44,7.77,7.77,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26115,,Removel hand lesion subcut,A,,3.86,14.42,,4.43,,0.48,18.76,8.77,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26116,,"Removel hand lesion, deep",A,,5.53,5.66,NA,5.66,,0.69,11.88,11.88,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26117,,"Remove tumor, hand/finger",A,,8.55,6.94,NA,6.94,,1.01,16.50,16.50,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26121,,Release palm contracture,A,,7.54,6.72,NA,6.72,,0.94,15.20,15.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26123,,Release palm contracture,A,,9.29,8.65,NA,8.65,,1.17,19.11,19.11,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26125,,Release palm contracture,A,,4.61,2.51,NA,2.51,,0.57,7.69,7.69,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
26130,,Remove wrist joint lining,A,,5.42,5.12,NA,5.12,,0.65,11.19,11.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26135,,"Revise finger joint, each",A,,6.96,6.20,NA,6.20,,0.87,14.03,14.03,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26140,,"Revise finger joint, each",A,,6.17,5.75,NA,5.75,,0.76,12.68,12.68,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26145,,"Tendon excision, palm/finger",A,,6.32,5.78,NA,5.78,,0.77,12.87,12.87,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26160,,Remove tendon sheath lesion,A,,3.15,18.94,,3.86,,0.39,22.48,7.40,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26170,,"Removal of palm tendon, each",A,,4.77,4.72,NA,4.72,,0.60,10.09,10.09,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26180,,Removal of finger tendon,A,,5.18,5.10,NA,5.10,,0.64,10.92,10.92,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26185,,Remove finger bone,A,,5.25,5.62,NA,5.62,,0.67,11.54,11.54,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
26200,,Remove hand bone lesion,A,,5.51,5.14,NA,5.14,,0.71,11.36,11.36,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26205,,Remove/graft bone lesion,A,,7.70,6.69,NA,6.69,,0.95,15.34,15.34,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26210,,Removal of finger lesion,A,,5.15,5.12,NA,5.12,,0.64,10.91,10.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26215,,Remove/graft finger lesion,A,,7.10,6.07,NA,6.07,,0.77,13.94,13.94,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26230,,Partial removal of hand bone,A,,6.33,5.68,NA,5.68,,0.84,12.85,12.85,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26235,,"Partial removal, finger bone",A,,6.19,5.62,NA,5.62,,0.78,12.59,12.59,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26236,,"Partial removal, finger bone",A,,5.32,5.17,NA,5.17,,0.66,11.15,11.15,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26250,,Extensive hand surgery,A,,7.55,6.23,NA,6.23,,0.92,14.70,14.70,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26255,,Extensive hand surgery,A,,12.43,9.26,NA,9.26,,1.05,22.74,22.74,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26260,,Extensive finger surgery,A,,7.03,5.98,NA,5.98,,0.83,13.84,13.84,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26261,,Extensive finger surgery,A,,9.09,6.22,NA,6.22,,0.84,16.15,16.15,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26262,,Partial removal of finger,A,,5.67,5.18,NA,5.18,,0.70,11.55,11.55,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26320,,Removal of implant from hand,A,,3.98,4.50,NA,4.50,,0.49,8.97,8.97,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26340,,Manipulate finger w/anesth,A,,2.50,4.64,NA,4.64,,0.30,7.44,7.44,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
26350,,Repair finger/hand tendon,A,,5.99,20.03,NA,20.03,,0.73,26.75,26.75,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26352,,Repair/graft hand tendon,A,,7.68,20.50,NA,20.50,,0.93,29.11,29.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26356,,Repair finger/hand tendon,A,,8.07,21.49,NA,21.49,,0.99,30.55,30.55,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26357,,Repair finger/hand tendon,A,,8.58,21.19,NA,21.19,,1.02,30.79,30.79,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26358,,Repair/graft hand tendon,A,,9.14,21.74,NA,21.74,,1.07,31.95,31.95,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26370,,Repair finger/hand tendon,A,,7.11,20.67,NA,20.67,,0.90,28.68,28.68,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26372,,Repair/graft hand tendon,A,,8.76,22.00,NA,22.00,,1.06,31.82,31.82,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26373,,Repair finger/hand tendon,A,,8.16,21.56,NA,21.56,,0.98,30.70,30.70,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26390,,Revise hand/finger tendon,A,,9.19,16.75,NA,16.75,,1.09,27.03,27.03,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26392,,Repair/graft hand tendon,A,,10.26,22.55,NA,22.55,,1.26,34.07,34.07,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26410,,Repair hand tendon,A,,4.63,16.30,NA,16.30,,0.57,21.50,21.50,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26412,,Repair/graft hand tendon,A,,6.31,17.39,NA,17.39,,0.80,24.50,24.50,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26415,,"Excision, hand/finger tendon",A,,8.34,15.90,NA,15.90,,0.77,25.01,25.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26416,,Graft hand or finger tendon,A,,9.37,18.56,NA,18.56,,1.20,29.13,29.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26418,,Repair finger tendon,A,,4.25,16.13,NA,16.13,,0.50,20.88,20.88,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26420,,Repair/graft finger tendon,A,,6.77,17.69,NA,17.69,,0.83,25.29,25.29,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26426,,Repair finger/hand tendon,A,,6.15,17.16,NA,17.16,,0.77,24.08,24.08,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26428,,Repair/graft finger tendon,A,,7.21,18.24,NA,18.24,,0.84,26.29,26.29,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26432,,Repair finger tendon,A,,4.02,13.36,NA,13.36,,0.48,17.86,17.86,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26433,,Repair finger tendon,A,,4.56,14.27,NA,14.27,,0.56,19.39,19.39,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26434,,Repair/graft finger tendon,A,,6.09,14.67,NA,14.67,,0.71,21.47,21.47,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26437,,Realignment of tendons,A,,5.82,14.40,NA,14.40,,0.74,20.96,20.96,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26440,,Release palm/finger tendon,A,,5.02,18.87,NA,18.87,,0.62,24.51,24.51,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26442,,Release palm & finger tendon,A,,8.16,20.31,NA,20.31,,0.94,29.41,29.41,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26445,,Release hand/finger tendon,A,,4.31,18.71,NA,18.71,,0.54,23.56,23.56,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26449,,Release forearm/hand tendon,A,,7.00,20.02,NA,20.02,,0.84,27.86,27.86,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26450,,Incision of palm tendon,A,,3.67,8.57,NA,8.57,,0.46,12.70,12.70,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26455,,Incision of finger tendon,A,,3.64,8.45,NA,8.45,,0.47,12.56,12.56,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26460,,Incise hand/finger tendon,A,,3.46,8.20,NA,8.20,,0.44,12.10,12.10,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26471,,Fusion of finger tendons,A,,5.73,14.06,NA,14.06,,0.73,20.52,20.52,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26474,,Fusion of finger tendons,A,,5.32,14.31,NA,14.31,,0.69,20.32,20.32,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26476,,Tendon lengthening,A,,5.18,13.80,NA,13.80,,0.62,19.60,19.60,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26477,,Tendon shortening,A,,5.15,14.01,NA,14.01,,0.60,19.76,19.76,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
26478,,Lengthening of hand tendon,A,,5.80,14.65,NA,14.65,,0.77,21.22,21.22,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26479,,Shortening of hand tendon,A,,5.74,14.65,NA,14.65,,0.76,21.15,21.15,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26480,,Transplant hand tendon,A,,6.69,19.94,NA,19.94,,0.84,27.47,27.47,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26483,,Transplant/graft hand tendon,A,,8.29,20.43,NA,20.43,,1.03,29.75,29.75,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26485,,Transplant palm tendon,A,,7.70,20.34,NA,20.34,,0.94,28.98,28.98,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26489,,Transplant/graft palm tendon,A,,9.55,17.04,NA,17.04,,0.98,27.57,27.57,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26490,,Revise thumb tendon,A,,8.41,15.54,NA,15.54,,1.05,25.00,25.00,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26492,,Tendon transfer with graft,A,,9.62,16.15,NA,16.15,,1.19,26.96,26.96,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26494,,Hand tendon/muscle transfer,A,,8.47,16.14,NA,16.14,,1.13,25.74,25.74,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26496,,Revise thumb tendon,A,,9.59,15.87,NA,15.87,,1.17,26.63,26.63,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26497,,Finger tendon transfer,A,,9.57,16.32,NA,16.32,,1.17,27.06,27.06,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26498,,Finger tendon transfer,A,,14.00,18.71,NA,18.71,,1.74,34.45,34.45,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26499,,Revision of finger,A,,8.98,17.02,NA,17.02,,0.94,26.94,26.94,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26500,,Hand tendon reconstruction,A,,5.96,14.98,NA,14.98,,0.66,21.60,21.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26502,,Hand tendon reconstruction,A,,7.14,15.27,NA,15.27,,0.87,23.28,23.28,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26504,,Hand tendon reconstruction,A,,7.47,15.08,NA,15.08,,0.84,23.39,23.39,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26508,,Release thumb contracture,A,,6.01,14.59,NA,14.59,,0.76,21.36,21.36,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26510,,Thumb tendon transfer,A,,5.43,14.30,NA,14.30,,0.71,20.44,20.44,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26516,,Fusion of knuckle joint,A,,7.15,15.07,NA,15.07,,0.90,23.12,23.12,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26517,,Fusion of knuckle joints,A,,8.83,16.41,NA,16.41,,0.96,26.20,26.20,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26518,,Fusion of knuckle joints,A,,9.02,16.12,NA,16.12,,1.13,26.27,26.27,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26520,,Release knuckle contracture,A,,5.30,18.85,NA,18.85,,0.65,24.80,24.80,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26525,,Release finger contracture,A,,5.33,19.02,NA,19.02,,0.66,25.01,25.01,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
26530,,Revise knuckle joint,A,,6.69,6.04,NA,6.04,,0.86,13.59,13.59,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26531,,Revise knuckle with implant,A,,7.91,6.95,NA,6.95,,1.01,15.87,15.87,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26535,,Revise finger joint,A,,5.24,3.69,NA,3.69,,0.66,9.59,9.59,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26536,,Revise/implant finger joint,A,,6.37,10.32,NA,10.32,,0.80,17.49,17.49,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26540,,Repair hand joint,A,,6.43,14.89,NA,14.89,,0.81,22.13,22.13,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
26541,,Repair hand joint with graft,A,,8.62,16.25,NA,16.25,,1.12,25.99,25.99,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26542,,Repair hand joint with graft,A,,6.78,14.78,NA,14.78,,0.87,22.43,22.43,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26545,,Reconstruct finger joint,A,,6.92,15.52,NA,15.52,,0.79,23.23,23.23,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26546,,Repair nonunion hand,A,,8.92,16.15,NA,16.15,,1.14,26.21,26.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
26548,,Reconstruct finger joint,A,,8.03,16.02,NA,16.02,,0.98,25.03,25.03,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26550,,Construct thumb replacement,A,,21.24,23.47,NA,23.47,,1.80,46.51,46.51,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26551,,Great toe-hand transfer,A,,46.58,36.90,NA,36.90,,6.57,90.05,90.05,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26553,,"Single transfer, toe-hand",A,,46.27,28.16,NA,28.16,,1.99,76.42,76.42,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26554,,"Double transfer, toe-hand",A,,54.95,38.79,NA,38.79,,7.76,101.50,101.50,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26555,,Positional change of finger,A,,16.63,22.51,NA,22.51,,2.13,41.27,41.27,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26556,,Toe joint transfer,A,,47.26,34.27,NA,34.27,,6.67,88.20,88.20,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26560,,Repair of web finger,A,,5.38,12.99,NA,12.99,,0.60,18.97,18.97,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26561,,Repair of web finger,A,,10.92,16.12,NA,16.12,,0.69,27.73,27.73,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26562,,Repair of web finger,A,,15.00,19.37,NA,19.37,,0.98,35.35,35.35,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26565,,Correct metacarpal flaw,A,,6.74,14.95,NA,14.95,,0.84,22.53,22.53,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26567,,Correct finger deformity,A,,6.82,14.88,NA,14.88,,0.84,22.54,22.54,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26568,,Lengthen metacarpal/finger,A,,9.08,20.41,NA,20.41,,1.10,30.59,30.59,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26580,,Repair hand deformity,A,,18.18,15.87,NA,15.87,,1.46,35.51,35.51,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26587,,Reconstruct extra finger,A,,14.05,6.36,,4.76,,1.12,21.53,19.93,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26590,,Repair finger deformity,A,,17.96,17.46,NA,17.46,,1.32,36.74,36.74,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26591,,Repair muscles of hand,A,,3.25,13.80,NA,13.80,,0.37,17.42,17.42,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26593,,Release muscles of hand,A,,5.31,13.78,NA,13.78,,0.64,19.73,19.73,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26596,,Excision constricting tissue,A,,8.95,9.86,NA,9.86,,0.87,19.68,19.68,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26600,,Treat metacarpal fracture,A,,1.96,4.36,,2.83,,0.25,6.57,5.04,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26605,,Treat metacarpal fracture,A,,2.85,6.33,,4.45,,0.38,9.56,7.68,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26607,,Treat metacarpal fracture,A,,5.36,8.46,NA,8.46,,0.70,14.52,14.52,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26608,,Treat metacarpal fracture,A,,5.36,9.07,NA,9.07,,0.73,15.16,15.16,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26615,,Treat metacarpal fracture,A,,5.33,8.49,NA,8.49,,0.70,14.52,14.52,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26641,,Treat thumb dislocation,A,,3.94,6.70,,4.86,,0.42,11.06,9.22,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26645,,Treat thumb fracture,A,,4.41,7.51,,5.35,,0.54,12.46,10.30,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26650,,Treat thumb fracture,A,,5.72,9.24,NA,9.24,,0.77,15.73,15.73,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26665,,Treat thumb fracture,A,,7.60,9.52,NA,9.52,,0.97,18.09,18.09,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
26670,,Treat hand dislocation,A,,3.69,6.53,,4.75,,0.36,10.58,8.80,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26675,,Treat hand dislocation,A,,4.64,6.66,,4.57,,0.56,11.86,9.77,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26676,,Pin hand dislocation,A,,5.52,9.30,NA,9.30,,0.76,15.58,15.58,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26685,,Treat hand dislocation,A,,6.98,9.14,NA,9.14,,0.95,17.07,17.07,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
26686,,Treat hand dislocation,A,,7.94,9.73,NA,9.73,,1.05,18.72,18.72,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
26700,,Treat knuckle dislocation,A,,3.69,5.13,,2.96,,0.35,9.17,7.00,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26705,,Treat knuckle dislocation,A,,4.19,6.47,,4.41,,0.50,11.16,9.10,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26706,,Pin knuckle dislocation,A,,5.12,5.98,NA,5.98,,0.64,11.74,11.74,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26715,,Treat knuckle dislocation,A,,5.74,8.65,NA,8.65,,0.75,15.14,15.14,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26720,,"Treat finger fracture, each",A,,1.66,3.22,,1.69,,0.20,5.08,3.55,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26725,,"Treat finger fracture, each",A,,3.33,5.47,,3.28,,0.43,9.23,7.04,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26727,,"Treat finger fracture, each",A,,5.23,9.18,NA,9.18,,0.69,15.10,15.10,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26735,,"Treat finger fracture, each",A,,5.98,8.91,NA,8.91,,0.77,15.66,15.66,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26740,,"Treat finger fracture, each",A,,1.94,4.01,,2.67,,0.24,6.19,4.85,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26742,,"Treat finger fracture, each",A,,3.85,7.41,,5.28,,0.49,11.75,9.62,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26746,,"Treat finger fracture, each",A,,5.81,8.98,NA,8.98,,0.74,15.53,15.53,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26750,,"Treat finger fracture, each",A,,1.70,3.82,,2.41,,0.19,5.71,4.30,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26755,,"Treat finger fracture, each",A,,3.10,5.25,,3.10,,0.37,8.72,6.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26756,,"Pin finger fracture, each",A,,4.39,8.89,NA,8.89,,0.56,13.84,13.84,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26765,,"Treat finger fracture, each",A,,4.17,7.97,NA,7.97,,0.51,12.65,12.65,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26770,,Treat finger dislocation,A,,3.02,4.98,,2.71,,0.27,8.27,6.00,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26775,,Treat finger dislocation,A,,3.71,6.25,,4.06,,0.43,10.39,8.20,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26776,,Pin finger dislocation,A,,4.80,9.01,NA,9.01,,0.63,14.44,14.44,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26785,,Treat finger dislocation,A,,4.21,7.94,NA,7.94,,0.54,12.69,12.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26820,,Thumb fusion with graft,A,,8.26,16.22,NA,16.22,,1.11,25.59,25.59,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26841,,Fusion of thumb,A,,7.13,15.46,NA,15.46,,0.97,23.56,23.56,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
26842,,Thumb fusion with graft,A,,8.24,16.24,NA,16.24,,1.10,25.58,25.58,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26843,,Fusion of hand joint,A,,7.61,14.93,NA,14.93,,0.99,23.53,23.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26844,,Fusion/graft of hand joint,A,,8.73,16.20,NA,16.20,,1.12,26.05,26.05,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26850,,Fusion of knuckle,A,,6.97,14.89,NA,14.89,,0.89,22.75,22.75,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26852,,Fusion of knuckle with graft,A,,8.46,15.84,NA,15.84,,1.05,25.35,25.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26860,,Fusion of finger joint,A,,4.69,13.75,NA,13.75,,0.60,19.04,19.04,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26861,,"Fusion of finger jnt, add-on",A,,1.74,0.96,NA,0.96,,0.22,2.92,2.92,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
26862,,Fusion/graft of finger joint,A,,7.37,15.38,NA,15.38,,0.92,23.67,23.67,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
26863,,Fuse/graft added joint,A,,3.90,2.17,NA,2.17,,0.51,6.58,6.58,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
26910,,Amputate metacarpal bone,A,,7.60,14.07,NA,14.07,,0.90,22.57,22.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26951,,Amputation of finger/thumb,A,,4.59,13.06,NA,13.06,,0.56,18.21,18.21,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26952,,Amputation of finger/thumb,A,,6.31,14.25,NA,14.25,,0.74,21.30,21.30,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26989,,Hand/finger surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,0,1,,36.7856,09
26990,,Drainage of pelvis lesion,A,,7.48,16.35,NA,16.35,,0.92,24.75,24.75,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
26991,,Drainage of pelvis bursa,A,,6.68,11.94,,9.87,,0.85,19.47,17.40,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
26992,,Drainage of bone lesion,A,,13.02,20.25,NA,20.25,,1.75,35.02,35.02,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
27000,,Incision of hip tendon,A,,5.62,7.78,NA,7.78,,0.76,14.16,14.16,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27001,,Incision of hip tendon,A,,6.94,8.52,NA,8.52,,0.95,16.41,16.41,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27003,,Incision of hip tendon,A,,7.34,9.52,NA,9.52,,0.93,17.79,17.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27005,,Incision of hip tendon,A,,9.66,10.84,NA,10.84,,1.36,21.86,21.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27006,,Incision of hip tendons,A,,9.68,10.84,NA,10.84,,1.33,21.85,21.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27025,,Incision of hip/thigh fascia,A,,11.16,10.70,NA,10.70,,1.38,23.24,23.24,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
27030,,Drainage of hip joint,A,,13.01,12.69,NA,12.69,,1.81,27.51,27.51,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27033,,Exploration of hip joint,A,,13.39,12.81,NA,12.81,,1.87,28.07,28.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27035,,Denervation of hip joint,A,,16.69,17.51,NA,17.51,,1.70,35.90,35.90,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27036,,Excision of hip joint/muscle,A,,12.88,14.25,NA,14.25,,1.80,28.93,28.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27040,,Biopsy of soft tissues,A,,2.87,6.16,,3.97,,0.21,9.24,7.05,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
27041,,Biopsy of soft tissues,A,,9.89,8.60,NA,8.60,,1.01,19.50,19.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27047,,Remove hip/pelvis lesion,A,,7.45,9.54,,7.15,,0.79,17.78,15.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27048,,Remove hip/pelvis lesion,A,,6.25,8.06,NA,8.06,,0.73,15.04,15.04,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27049,,"Remove tumor, hip/pelvis",A,,13.66,13.54,NA,13.54,,1.60,28.80,28.80,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27050,,Biopsy of sacroiliac joint,A,,4.36,7.42,NA,7.42,,0.53,12.31,12.31,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
27052,,Biopsy of hip joint,A,,6.23,8.71,NA,8.71,,0.85,15.79,15.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27054,,Removal of hip joint lining,A,,8.54,11.05,NA,11.05,,1.17,20.76,20.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27060,,Removal of ischial bursa,A,,5.43,7.63,NA,7.63,,0.60,13.66,13.66,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27062,,Remove femur lesion/bursa,A,,5.37,7.59,NA,7.59,,0.74,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27065,,Removal of hip bone lesion,A,,5.90,9.09,NA,9.09,,0.76,15.75,15.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27066,,Removal of hip bone lesion,A,,10.33,12.88,NA,12.88,,1.42,24.63,24.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27067,,Remove/graft hip bone lesion,A,,13.83,14.91,NA,14.91,,1.95,30.69,30.69,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27070,,Partial removal of hip bone,A,,10.72,18.36,NA,18.36,,1.36,30.44,30.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27071,,Partial removal of hip bone,A,,11.46,19.32,NA,19.32,,1.51,32.29,32.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27075,,Extensive hip surgery,A,,35.00,25.82,NA,25.82,,2.22,63.04,63.04,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27076,,Extensive hip surgery,A,,22.12,20.29,NA,20.29,,2.86,45.27,45.27,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27077,,Extensive hip surgery,A,,40.00,29.14,NA,29.14,,3.18,72.32,72.32,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27078,,Extensive hip surgery,A,,13.44,15.81,NA,15.81,,1.67,30.92,30.92,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27079,,Extensive hip surgery,A,,13.75,15.34,NA,15.34,,1.86,30.95,30.95,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27080,,Removal of tail bone,A,,6.39,7.66,NA,7.66,,0.80,14.85,14.85,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27086,,Remove hip foreign body,A,,1.87,5.13,,3.97,,0.17,7.17,6.01,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
27087,,Remove hip foreign body,A,,8.54,9.19,NA,9.19,,1.09,18.82,18.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27090,,Removal of hip prosthesis,A,,11.15,8.95,NA,8.95,,1.55,21.65,21.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27091,,Removal of hip prosthesis,A,,22.14,14.22,NA,14.22,,3.11,39.47,39.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27093,,Injection for hip x-ray,A,,1.30,12.50,,0.50,,0.09,13.89,1.89,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
27095,,Injection for hip x-ray,A,,1.50,11.47,,0.54,,0.10,13.07,2.14,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
27096,,Inject sacroiliac joint,A,,1.40,10.28,,0.34,,0.08,11.76,1.82,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
27097,,Revision of hip tendon,A,,8.80,9.44,NA,9.44,,1.22,19.46,19.46,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27098,,Transfer tendon to pelvis,A,,8.83,9.88,NA,9.88,,1.24,19.95,19.95,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27100,,Transfer of abdominal muscle,A,,11.08,13.03,NA,13.03,,1.57,25.68,25.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27105,,Transfer of spinal muscle,A,,11.77,12.72,NA,12.72,,1.66,26.15,26.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27110,,Transfer of iliopsoas muscle,A,,13.26,13.59,NA,13.59,,1.38,28.23,28.23,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27111,,Transfer of iliopsoas muscle,A,,12.15,12.43,NA,12.43,,1.48,26.06,26.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27120,,Reconstruction of hip socket,A,,18.01,12.05,NA,12.05,,2.45,32.51,32.51,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27122,,Reconstruction of hip socket,A,,14.98,11.19,NA,11.19,,2.08,28.25,28.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27125,,Partial hip replacement,A,,14.69,10.75,NA,10.75,,2.05,27.49,27.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27130,,Total hip arthroplasty,A,,20.12,13.58,NA,13.58,,2.82,36.52,36.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27132,,Total hip arthroplasty,A,,23.30,15.87,NA,15.87,,3.26,42.43,42.43,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27134,,Revise hip joint replacement,A,,28.52,18.20,NA,18.20,,3.97,50.69,50.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27137,,Revise hip joint replacement,A,,21.17,14.24,NA,14.24,,2.97,38.38,38.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27138,,Revise hip joint replacement,A,,22.17,14.72,NA,14.72,,3.11,40.00,40.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27140,,Transplant femur ridge,A,,12.24,12.27,NA,12.27,,1.67,26.18,26.18,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27146,,Incision of hip bone,A,,17.43,16.51,NA,16.51,,2.27,36.21,36.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27147,,Revision of hip bone,A,,20.58,17.71,NA,17.71,,2.61,40.90,40.90,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27151,,Incision of hip bones,A,,22.51,12.83,NA,12.83,,3.12,38.46,38.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27156,,Revision of hip bones,A,,24.63,20.37,NA,20.37,,3.48,48.48,48.48,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27158,,Revision of pelvis,A,,19.74,16.00,NA,16.00,,2.60,38.34,38.34,0,090,0.10,0.69,0.21,2,2,2,0,0,,36.7856,09
27161,,Incision of neck of femur,A,,16.71,14.57,NA,14.57,,2.32,33.60,33.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27165,,Incision/fixation of femur,A,,17.91,15.11,NA,15.11,,2.51,35.53,35.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27170,,Repair/graft femur head/neck,A,,16.07,14.30,NA,14.30,,2.20,32.57,32.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27175,,Treat slipped epiphysis,A,,8.46,7.39,NA,7.39,,1.19,17.04,17.04,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27176,,Treat slipped epiphysis,A,,12.05,10.20,NA,10.20,,1.68,23.93,23.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27177,,Treat slipped epiphysis,A,,15.08,11.88,NA,11.88,,2.11,29.07,29.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27178,,Treat slipped epiphysis,A,,11.99,9.63,NA,9.63,,1.68,23.30,23.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27179,,Revise head/neck of femur,A,,12.98,11.01,NA,11.01,,1.84,25.83,25.83,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27181,,Treat slipped epiphysis,A,,14.68,11.17,NA,11.17,,1.74,27.59,27.59,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27185,,Revision of femur epiphysis,A,,9.18,10.51,NA,10.51,,1.29,20.98,20.98,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27187,,Reinforce hip bones,A,,13.54,13.81,NA,13.81,,1.89,29.24,29.24,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27193,,Treat pelvic ring fracture,A,,5.56,7.39,,5.47,,0.77,13.72,11.80,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27194,,Treat pelvic ring fracture,A,,9.65,9.40,,7.71,,1.32,20.37,18.68,0,090,0.10,0.69,0.21,2,0,0,2,0,,36.7856,09
27200,,Treat tail bone fracture,A,,1.84,3.25,,1.83,,0.22,5.31,3.89,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
27202,,Treat tail bone fracture,A,,7.04,22.21,NA,22.21,,0.69,29.94,29.94,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
27215,,Treat pelvic fracture(s),A,,10.05,10.59,NA,10.59,,1.37,22.01,22.01,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
27216,,Treat pelvic ring fracture,A,,15.19,14.82,NA,14.82,,2.15,32.16,32.16,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
27217,,Treat pelvic ring fracture,A,,14.11,13.07,NA,13.07,,1.95,29.13,29.13,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
27218,,Treat pelvic ring fracture,A,,20.15,14.41,NA,14.41,,2.85,37.41,37.41,0,090,0.10,0.69,0.21,2,0,2,2,0,,36.7856,09
27220,,Treat hip socket fracture,A,,6.18,7.73,,5.82,,0.85,14.76,12.85,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27222,,Treat hip socket fracture,A,,12.70,10.44,NA,10.44,,1.77,24.91,24.91,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27226,,Treat hip wall fracture,A,,14.91,10.98,NA,10.98,,2.07,27.96,27.96,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27227,,Treat hip fracture(s),A,,23.45,17.40,NA,17.40,,3.24,44.09,44.09,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27228,,Treat hip fracture(s),A,,27.16,19.68,NA,19.68,,3.77,50.61,50.61,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27230,,Treat thigh fracture,A,,5.50,8.01,,6.44,,0.73,14.24,12.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27232,,Treat thigh fracture,A,,10.68,9.48,NA,9.48,,1.45,21.61,21.61,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27235,,Treat thigh fracture,A,,12.16,11.34,NA,11.34,,1.71,25.21,25.21,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27236,,Treat thigh fracture,A,,15.60,11.28,NA,11.28,,2.18,29.06,29.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27238,,Treat thigh fracture,A,,5.52,6.55,NA,6.55,,0.76,12.83,12.83,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27240,,Treat thigh fracture,A,,12.50,10.52,NA,10.52,,1.69,24.71,24.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27244,,Treat thigh fracture,A,,15.94,13.24,NA,13.24,,2.23,31.41,31.41,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27245,,Treat thigh fracture,A,,20.31,15.64,NA,15.64,,2.85,38.80,38.80,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27246,,Treat thigh fracture,A,,4.71,7.73,,6.19,,0.66,13.10,11.56,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27248,,Treat thigh fracture,A,,10.45,10.25,NA,10.25,,1.45,22.15,22.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27250,,Treat hip dislocation,A,,6.95,6.49,NA,6.49,,0.68,14.12,14.12,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27252,,Treat hip dislocation,A,,10.39,8.43,NA,8.43,,1.37,20.19,20.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27253,,Treat hip dislocation,A,,12.92,11.14,NA,11.14,,1.81,25.87,25.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27254,,Treat hip dislocation,A,,18.26,14.04,NA,14.04,,2.52,34.82,34.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27256,,Treat hip dislocation,A,,4.12,4.45,NA,4.45,,0.49,9.06,9.06,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
27257,,Treat hip dislocation,A,,5.22,4.77,NA,4.77,,0.56,10.55,10.55,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
27258,,Treat hip dislocation,A,,15.43,14.26,NA,14.26,,2.06,31.75,31.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27259,,Treat hip dislocation,A,,21.55,17.51,NA,17.51,,2.99,42.05,42.05,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27265,,Treat hip dislocation,A,,5.05,6.25,NA,6.25,,0.65,11.95,11.95,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27266,,Treat hip dislocation,A,,7.49,7.69,NA,7.69,,1.04,16.22,16.22,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27275,,Manipulation of hip joint,A,,2.27,3.75,NA,3.75,,0.31,6.33,6.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
27280,,Fusion of sacroiliac joint,A,,13.39,14.60,NA,14.60,,1.98,29.97,29.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27282,,Fusion of pubic bones,A,,11.34,12.54,NA,12.54,,1.14,25.02,25.02,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27284,,Fusion of hip joint,A,,23.45,18.80,NA,18.80,,2.36,44.61,44.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27286,,Fusion of hip joint,A,,23.45,19.33,NA,19.33,,2.37,45.15,45.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27290,,Amputation of leg at hip,A,,23.28,17.03,NA,17.03,,2.94,43.25,43.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27295,,Amputation of leg at hip,A,,18.65,14.46,NA,14.46,,2.35,35.46,35.46,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27299,,Pelvis/hip joint surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,36.7856,09
27301,,Drain thigh/knee lesion,A,,6.49,16.43,,14.49,,0.80,23.72,21.78,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27303,,Drainage of bone lesion,A,,8.28,15.57,NA,15.57,,1.14,24.99,24.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27305,,Incise thigh tendon & fascia,A,,5.92,9.50,NA,9.50,,0.77,16.19,16.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27306,,Incision of thigh tendon,A,,4.62,7.93,NA,7.93,,0.62,13.17,13.17,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27307,,Incision of thigh tendons,A,,5.80,8.53,NA,8.53,,0.78,15.11,15.11,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
27310,,Exploration of knee joint,A,,9.27,10.40,NA,10.40,,1.29,20.96,20.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27315,,"Partial removal, thigh nerve",A,,6.97,4.45,NA,4.45,,0.79,12.21,12.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27320,,"Partial removal, thigh nerve",A,,6.30,4.68,NA,4.68,,0.78,11.76,11.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27323,,"Biopsy, thigh soft tissues",A,,2.28,6.01,,3.57,,0.17,8.46,6.02,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
27324,,"Biopsy, thigh soft tissues",A,,4.90,7.14,NA,7.14,,0.59,12.63,12.63,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27327,,Removal of thigh lesion,A,,4.47,8.59,,6.51,,0.50,13.56,11.48,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27328,,Removal of thigh lesion,A,,5.57,7.28,NA,7.28,,0.66,13.51,13.51,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27329,,"Remove tumor, thigh/knee",A,,14.14,14.74,NA,14.74,,1.68,30.56,30.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27330,,"Biopsy, knee joint lining",A,,4.97,6.61,NA,6.61,,0.66,12.24,12.24,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27331,,Explore/treat knee joint,A,,5.88,7.83,NA,7.83,,0.81,14.52,14.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27332,,Removal of knee cartilage,A,,8.27,9.06,NA,9.06,,1.15,18.48,18.48,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27333,,Removal of knee cartilage,A,,7.30,8.59,NA,8.59,,1.03,16.92,16.92,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27334,,Remove knee joint lining,A,,8.70,9.97,NA,9.97,,1.21,19.88,19.88,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27335,,Remove knee joint lining,A,,10.00,10.83,NA,10.83,,1.41,22.24,22.24,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27340,,Removal of kneecap bursa,A,,4.18,6.26,NA,6.26,,0.58,11.02,11.02,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27345,,Removal of knee cyst,A,,5.92,7.70,NA,7.70,,0.81,14.43,14.43,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27347,,Remove knee cyst,A,,5.78,7.45,NA,7.45,,0.76,13.99,13.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27350,,Removal of kneecap,A,,8.17,9.17,NA,9.17,,1.15,18.49,18.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27355,,Remove femur lesion,A,,7.65,10.74,NA,10.74,,1.07,19.46,19.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27356,,Remove femur lesion/graft,A,,9.48,11.74,NA,11.74,,1.29,22.51,22.51,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27357,,Remove femur lesion/graft,A,,10.53,12.24,NA,12.24,,1.48,24.25,24.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27358,,Remove femur lesion/fixation,A,,4.74,2.59,NA,2.59,,0.67,8.00,8.00,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,36.7856,09
27360,,"Partial removal, leg bone(s)",A,,10.50,18.97,NA,18.97,,1.42,30.89,30.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27365,,Extensive leg surgery,A,,16.27,14.68,NA,14.68,,2.26,33.21,33.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27370,,Injection for knee x-ray,A,,0.96,11.98,,0.33,,0.06,13.00,1.35,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
27372,,Removal of foreign body,A,,5.07,8.64,,6.69,,0.62,14.33,12.38,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27380,,Repair of kneecap tendon,A,,7.16,8.67,NA,8.67,,1.00,16.83,16.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27381,,Repair/graft kneecap tendon,A,,10.34,10.37,NA,10.37,,1.44,22.15,22.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27385,,Repair of thigh muscle,A,,7.76,9.02,NA,9.02,,1.09,17.87,17.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27386,,Repair/graft of thigh muscle,A,,10.56,11.17,NA,11.17,,1.49,23.22,23.22,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27390,,Incision of thigh tendon,A,,5.33,8.20,NA,8.20,,0.69,14.22,14.22,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
27391,,Incision of thigh tendons,A,,7.20,9.33,NA,9.33,,0.99,17.52,17.52,0,090,0.10,0.69,0.21,2,0,0,1,0,,36.7856,09
27392,,Incision of thigh tendons,A,,9.20,11.43,NA,11.43,,1.23,21.86,21.86,0,090,0.10,0.69,0.21,2,2,2,1,0,,36.7856,09
27393,,Lengthening of thigh tendon,A,,6.39,8.74,NA,8.74,,0.90,16.03,16.03,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27394,,Lengthening of thigh tendons,A,,8.50,11.13,NA,11.13,,1.17,20.80,20.80,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
27395,,Lengthening of thigh tendons,A,,11.73,14.02,NA,14.02,,1.63,27.38,27.38,0,090,0.10,0.69,0.21,2,2,2,1,0,,36.7856,09
27396,,Transplant of thigh tendon,A,,7.86,11.02,NA,11.02,,1.11,19.99,19.99,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27397,,Transplants of thigh tendons,A,,11.28,12.48,NA,12.48,,1.58,25.34,25.34,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
27400,,Revise thigh muscles/tendons,A,,9.02,11.20,NA,11.20,,1.18,21.40,21.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27403,,Repair of knee cartilage,A,,8.33,9.19,NA,9.19,,1.16,18.68,18.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27405,,Repair of knee ligament,A,,8.65,10.04,NA,10.04,,1.21,19.90,19.90,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27407,,Repair of knee ligament,A,,10.28,10.74,NA,10.74,,1.38,22.40,22.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27409,,Repair of knee ligaments,A,,12.90,12.29,NA,12.29,,1.75,26.94,26.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27418,,Repair degenerated kneecap,A,,10.85,11.28,NA,11.28,,1.51,23.64,23.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27420,,Revision of unstable kneecap,A,,9.83,10.02,NA,10.02,,1.38,21.23,21.23,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27422,,Revision of unstable kneecap,A,,9.78,10.04,NA,10.04,,1.37,21.19,21.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27424,,Revision/removal of kneecap,A,,9.81,10.00,NA,10.00,,1.38,21.19,21.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27425,,Lat retinacular release open,A,,5.22,7.58,NA,7.58,,0.73,13.53,13.53,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27427,,"Reconstruction, knee",A,,9.36,9.64,NA,9.64,,1.29,20.29,20.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27428,,"Reconstruction, knee",A,,14.00,12.86,NA,12.86,,1.95,28.81,28.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27429,,"Reconstruction, knee",A,,15.52,13.68,NA,13.68,,2.18,31.38,31.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27430,,Revision of thigh muscles,A,,9.67,10.08,NA,10.08,,1.35,21.10,21.10,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27435,,Incision of knee joint,A,,9.49,9.91,NA,9.91,,1.33,20.73,20.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27437,,Revise kneecap,A,,8.46,7.31,NA,7.31,,1.18,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27438,,Revise kneecap with implant,A,,11.23,8.71,NA,8.71,,1.56,21.50,21.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27440,,Revision of knee joint,A,,10.43,6.23,NA,6.23,,1.42,18.08,18.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27441,,Revision of knee joint,A,,10.82,6.90,NA,6.90,,1.49,19.21,19.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27442,,Revision of knee joint,A,,11.89,9.09,NA,9.09,,1.68,22.66,22.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27443,,Revision of knee joint,A,,10.93,8.85,NA,8.85,,1.52,21.30,21.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27445,,Revision of knee joint,A,,17.68,12.52,NA,12.52,,2.49,32.69,32.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27446,,Revision of knee joint,A,,15.84,11.50,NA,11.50,,2.22,29.56,29.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27447,,Total knee arthroplasty,A,,21.48,14.82,NA,14.82,,3.00,39.30,39.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27448,,Incision of thigh,A,,11.06,12.41,NA,12.41,,1.51,24.98,24.98,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27450,,Incision of thigh,A,,13.98,14.20,NA,14.20,,1.96,30.14,30.14,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27454,,Realignment of thigh bone,A,,17.56,16.02,NA,16.02,,2.46,36.04,36.04,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27455,,Realignment of knee,A,,12.82,12.70,NA,12.70,,1.78,27.30,27.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27457,,Realignment of knee,A,,13.45,11.87,NA,11.87,,1.88,27.20,27.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27465,,Shortening of thigh bone,A,,13.87,14.06,NA,14.06,,1.86,29.79,29.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27466,,Lengthening of thigh bone,A,,16.33,16.39,NA,16.39,,1.92,34.64,34.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27468,,Shorten/lengthen thighs,A,,18.97,16.56,NA,16.56,,2.68,38.21,38.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27470,,Repair of thigh,A,,16.07,16.45,NA,16.45,,2.24,34.76,34.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27472,,Repair/graft of thigh,A,,17.72,17.33,NA,17.33,,2.49,37.54,37.54,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27475,,Surgery to stop leg growth,A,,8.64,9.62,NA,9.62,,1.13,19.39,19.39,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27477,,Surgery to stop leg growth,A,,9.85,10.08,NA,10.08,,1.31,21.24,21.24,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27479,,Surgery to stop leg growth,A,,12.80,12.35,NA,12.35,,1.81,26.96,26.96,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27485,,Surgery to stop leg growth,A,,8.84,9.79,NA,9.79,,1.24,19.87,19.87,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27486,,Revise/replace knee joint,A,,19.27,13.67,NA,13.67,,2.70,35.64,35.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27487,,Revise/replace knee joint,A,,25.27,16.83,NA,16.83,,3.54,45.64,45.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27488,,Removal of knee prosthesis,A,,15.74,11.83,NA,11.83,,2.21,29.78,29.78,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27495,,Reinforce thigh,A,,15.55,16.19,NA,16.19,,2.18,33.92,33.92,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27496,,Decompression of thigh/knee,A,,6.11,8.25,NA,8.25,,0.77,15.13,15.13,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27497,,Decompression of thigh/knee,A,,7.17,8.28,NA,8.28,,0.84,16.29,16.29,0,090,0.10,0.69,0.21,2,1,0,2,0,,36.7856,09
27498,,Decompression of thigh/knee,A,,7.99,8.67,NA,8.67,,0.97,17.63,17.63,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27499,,Decompression of thigh/knee,A,,9.00,9.28,NA,9.28,,1.18,19.46,19.46,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27500,,Treatment of thigh fracture,A,,5.92,10.40,,7.84,,0.80,17.12,14.56,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27501,,Treatment of thigh fracture,A,,5.92,11.65,,9.09,,0.83,18.40,15.84,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27502,,Treatment of thigh fracture,A,,10.58,11.60,NA,11.60,,1.49,23.67,23.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27503,,Treatment of thigh fracture,A,,10.58,11.64,NA,11.64,,1.49,23.71,23.71,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27506,,Treatment of thigh fracture,A,,17.45,14.57,NA,14.57,,2.33,34.35,34.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27507,,Treatment of thigh fracture,A,,13.99,12.74,NA,12.74,,1.95,28.68,28.68,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27508,,Treatment of thigh fracture,A,,5.83,7.42,,5.52,,0.80,14.05,12.15,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27509,,Treatment of thigh fracture,A,,7.71,9.50,NA,9.50,,1.08,18.29,18.29,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27510,,Treatment of thigh fracture,A,,9.13,7.39,NA,7.39,,1.26,17.78,17.78,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27511,,Treatment of thigh fracture,A,,13.64,13.34,NA,13.34,,1.91,28.89,28.89,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27513,,Treatment of thigh fracture,A,,17.92,15.66,NA,15.66,,2.51,36.09,36.09,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27514,,Treatment of thigh fracture,A,,17.30,14.78,NA,14.78,,2.41,34.49,34.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27516,,Treat thigh fx growth plate,A,,5.37,8.20,,6.00,,0.74,14.31,12.11,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27517,,Treat thigh fx growth plate,A,,8.78,9.86,,7.97,,1.22,19.86,17.97,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27519,,Treat thigh fx growth plate,A,,15.02,13.83,NA,13.83,,2.09,30.94,30.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27520,,Treat kneecap fracture,A,,2.86,5.79,,3.90,,0.38,9.03,7.14,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27524,,Treat kneecap fracture,A,,10.00,9.05,NA,9.05,,1.40,20.45,20.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27530,,Treat knee fracture,A,,3.78,6.31,,4.45,,0.51,10.60,8.74,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27532,,Treat knee fracture,A,,7.30,7.79,,5.87,,1.02,16.11,14.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27535,,Treat knee fracture,A,,11.50,12.23,NA,12.23,,1.61,25.34,25.34,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27536,,Treat knee fracture,A,,15.65,12.09,NA,12.09,,2.19,29.93,29.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27538,,Treat knee fracture(s),A,,4.87,7.97,,5.73,,0.67,13.51,11.27,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27540,,Treat knee fracture,A,,13.10,10.55,NA,10.55,,1.80,25.45,25.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27550,,Treat knee dislocation,A,,5.76,7.57,,5.83,,0.68,14.01,12.27,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27552,,Treat knee dislocation,A,,7.90,8.23,NA,8.23,,1.10,17.23,17.23,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27556,,Treat knee dislocation,A,,14.41,14.69,NA,14.69,,2.01,31.11,31.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27557,,Treat knee dislocation,A,,16.77,15.93,NA,15.93,,2.37,35.07,35.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27558,,Treat knee dislocation,A,,17.72,16.13,NA,16.13,,2.51,36.36,36.36,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27560,,Treat kneecap dislocation,A,,3.82,6.20,,3.99,,0.40,10.42,8.21,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27562,,Treat kneecap dislocation,A,,5.79,5.85,NA,5.85,,0.69,12.33,12.33,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27566,,Treat kneecap dislocation,A,,12.23,10.20,NA,10.20,,1.73,24.16,24.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27570,,Fixation of knee joint,A,,1.74,3.45,NA,3.45,,0.24,5.43,5.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
27580,,Fusion of knee,A,,19.37,16.57,NA,16.57,,2.70,38.64,38.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27590,,Amputate leg at thigh,A,,12.03,12.59,NA,12.59,,1.35,25.97,25.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27591,,Amputate leg at thigh,A,,12.68,14.63,NA,14.63,,1.63,28.94,28.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27592,,Amputate leg at thigh,A,,10.02,12.18,NA,12.18,,1.17,23.37,23.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27594,,Amputation follow-up surgery,A,,6.92,9.10,NA,9.10,,0.82,16.84,16.84,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27596,,Amputation follow-up surgery,A,,10.60,12.65,NA,12.65,,1.24,24.49,24.49,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27598,,Amputate lower leg at knee,A,,10.53,11.61,NA,11.61,,1.24,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27599,,Leg surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,36.7856,09
27600,,Decompression of lower leg,A,,5.65,7.85,NA,7.85,,0.68,14.18,14.18,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27601,,Decompression of lower leg,A,,5.64,7.79,NA,7.79,,0.69,14.12,14.12,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27602,,Decompression of lower leg,A,,7.35,8.13,NA,8.13,,0.85,16.33,16.33,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27603,,Drain lower leg lesion,A,,4.94,16.03,,10.71,,0.56,21.53,16.21,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27604,,Drain lower leg bursa,A,,4.47,11.74,,8.69,,0.54,16.75,13.70,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27605,,Incision of achilles tendon,A,,2.87,10.88,,4.01,,0.38,14.13,7.26,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
27606,,Incision of achilles tendon,A,,4.14,13.17,,5.24,,0.57,17.88,9.95,0,010,0.10,0.80,0.10,2,1,1,1,0,,36.7856,09
27607,,Treat lower leg bone lesion,A,,7.97,14.85,NA,14.85,,1.08,23.90,23.90,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27610,,Explore/treat ankle joint,A,,8.34,10.90,NA,10.90,,1.15,20.39,20.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27612,,Exploration of ankle joint,A,,7.33,8.61,NA,8.61,,1.01,16.95,16.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27613,,Biopsy lower leg soft tissue,A,,2.17,5.93,,3.16,,0.16,8.26,5.49,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
27614,,Biopsy lower leg soft tissue,A,,5.66,11.55,,7.39,,0.62,17.83,13.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27615,,"Remove tumor, lower leg",A,,12.56,16.85,NA,16.85,,1.39,30.80,30.80,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
27618,,Remove lower leg lesion,A,,5.09,11.86,,6.86,,0.54,17.49,12.49,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27619,,Remove lower leg lesion,A,,8.40,13.36,,9.46,,1.01,22.77,18.87,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27620,,Explore/treat ankle joint,A,,5.98,8.48,NA,8.48,,0.83,15.29,15.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27625,,Remove ankle joint lining,A,,8.30,10.10,NA,10.10,,1.16,19.56,19.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27626,,Remove ankle joint lining,A,,8.91,10.79,NA,10.79,,1.23,20.93,20.93,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27630,,Removal of tendon lesion,A,,4.80,11.52,,7.24,,0.60,16.92,12.64,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27635,,Remove lower leg bone lesion,A,,7.78,11.58,NA,11.58,,1.06,20.42,20.42,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27637,,Remove/graft leg bone lesion,A,,9.85,12.91,NA,12.91,,1.38,24.14,24.14,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27638,,Remove/graft leg bone lesion,A,,10.57,13.24,NA,13.24,,1.47,25.28,25.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27640,,Partial removal of tibia,A,,11.37,18.94,NA,18.94,,1.54,31.85,31.85,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27641,,Partial removal of fibula,A,,9.24,16.89,NA,16.89,,1.22,27.35,27.35,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27645,,Extensive lower leg surgery,A,,14.17,18.70,NA,18.70,,1.98,34.85,34.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27646,,Extensive lower leg surgery,A,,12.66,17.64,NA,17.64,,1.55,31.85,31.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27647,,Extensive ankle/heel surgery,A,,12.24,11.52,NA,11.52,,1.64,25.40,25.40,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27648,,Injection for ankle x-ray,A,,0.96,9.75,,0.34,,0.05,10.76,1.35,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
27650,,Repair achilles tendon,A,,9.69,9.79,NA,9.79,,1.35,20.83,20.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27652,,Repair/graft achilles tendon,A,,10.33,10.02,NA,10.02,,1.45,21.80,21.80,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27654,,Repair of achilles tendon,A,,10.02,10.51,NA,10.51,,1.41,21.94,21.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27656,,Repair leg fascia defect,A,,4.57,12.84,,6.76,,0.48,17.89,11.81,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27658,,"Repair of leg tendon, each",A,,4.98,13.20,,9.52,,0.68,18.86,15.18,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27659,,"Repair of leg tendon, each",A,,6.81,14.89,,10.27,,0.96,22.66,18.04,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27664,,"Repair of leg tendon, each",A,,4.59,15.00,,9.66,,0.63,20.22,14.88,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
27665,,"Repair of leg tendon, each",A,,5.40,14.63,,9.79,,0.75,20.78,15.94,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27675,,Repair lower leg tendons,A,,7.18,8.63,NA,8.63,,1.01,16.82,16.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27676,,Repair lower leg tendons,A,,8.42,9.68,NA,9.68,,1.15,19.25,19.25,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27680,,Release of lower leg tendon,A,,5.74,8.48,NA,8.48,,0.80,15.02,15.02,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
27681,,Release of lower leg tendons,A,,6.82,8.98,NA,8.98,,0.92,16.72,16.72,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
27685,,Revision of lower leg tendon,A,,6.50,10.50,,8.74,,0.91,17.91,16.15,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
27686,,Revise lower leg tendons,A,,7.46,15.11,,10.39,,1.05,23.62,18.90,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
27687,,Revision of calf tendon,A,,6.24,8.90,NA,8.90,,0.88,16.02,16.02,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27690,,Revise lower leg tendon,A,,8.71,9.75,NA,9.75,,1.22,19.68,19.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27691,,Revise lower leg tendon,A,,9.96,11.37,NA,11.37,,1.40,22.73,22.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27692,,Revise additional leg tendon,A,,1.87,0.95,NA,0.95,,0.26,3.08,3.08,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
27695,,Repair of ankle ligament,A,,6.51,9.63,NA,9.63,,0.90,17.04,17.04,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27696,,Repair of ankle ligaments,A,,8.27,9.97,NA,9.97,,1.16,19.40,19.40,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27698,,Repair of ankle ligament,A,,9.36,9.72,NA,9.72,,1.31,20.39,20.39,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27700,,Revision of ankle joint,A,,9.29,5.81,NA,5.81,,1.24,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27702,,Reconstruct ankle joint,A,,13.67,10.57,NA,10.57,,1.92,26.16,26.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27703,,"Reconstruction, ankle joint",A,,15.87,11.36,NA,11.36,,2.24,29.47,29.47,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27704,,Removal of ankle implant,A,,7.62,5.75,NA,5.75,,0.61,13.98,13.98,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27705,,Incision of tibia,A,,10.38,11.94,NA,11.94,,1.44,23.76,23.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27707,,Incision of fibula,A,,4.37,8.83,NA,8.83,,0.60,13.80,13.80,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27709,,Incision of tibia & fibula,A,,9.95,11.93,NA,11.93,,1.39,23.27,23.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27712,,Realignment of lower leg,A,,14.25,14.10,NA,14.10,,2.00,30.35,30.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27715,,Revision of lower leg,A,,14.39,15.50,NA,15.50,,2.00,31.89,31.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27720,,Repair of tibia,A,,11.79,14.12,NA,14.12,,1.66,27.57,27.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27722,,Repair/graft of tibia,A,,11.82,13.88,NA,13.88,,1.65,27.35,27.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27724,,Repair/graft of tibia,A,,18.20,17.61,NA,17.61,,2.10,37.91,37.91,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27725,,Repair of lower leg,A,,15.59,16.06,NA,16.06,,2.20,33.85,33.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27727,,Repair of lower leg,A,,14.01,14.96,NA,14.96,,1.84,30.81,30.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27730,,Repair of tibia epiphysis,A,,7.41,21.22,,10.17,,0.75,29.38,18.33,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27732,,Repair of fibula epiphysis,A,,5.32,14.21,,8.71,,0.63,20.16,14.66,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27734,,Repair lower leg epiphyses,A,,8.48,9.91,NA,9.91,,0.85,19.24,19.24,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27740,,Repair of leg epiphyses,A,,9.30,23.90,,11.76,,1.31,34.51,22.37,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27742,,Repair of leg epiphyses,A,,10.30,16.69,,10.97,,1.55,28.54,22.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27745,,Reinforce tibia,A,,10.07,12.05,NA,12.05,,1.38,23.50,23.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27750,,Treatment of tibia fracture,A,,3.19,5.93,,4.10,,0.43,9.55,7.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27752,,Treatment of tibia fracture,A,,5.84,8.53,,6.34,,0.82,15.19,13.00,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27756,,Treatment of tibia fracture,A,,6.78,11.38,NA,11.38,,0.94,19.10,19.10,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27758,,Treatment of tibia fracture,A,,11.67,12.42,NA,12.42,,1.52,25.61,25.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27759,,Treatment of tibia fracture,A,,13.76,13.74,NA,13.74,,1.93,29.43,29.43,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27760,,Treatment of ankle fracture,A,,3.01,5.69,,3.91,,0.39,9.09,7.31,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27762,,Treatment of ankle fracture,A,,5.25,7.99,,5.87,,0.71,13.95,11.83,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27766,,Treatment of ankle fracture,A,,8.36,8.68,NA,8.68,,1.17,18.21,18.21,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27780,,Treatment of fibula fracture,A,,2.65,5.61,,3.71,,0.33,8.59,6.69,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27781,,Treatment of fibula fracture,A,,4.40,6.84,,4.69,,0.57,11.81,9.66,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27784,,Treatment of fibula fracture,A,,7.11,8.92,NA,8.92,,0.98,17.01,17.01,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27786,,Treatment of ankle fracture,A,,2.84,5.66,,3.83,,0.37,8.87,7.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27788,,Treatment of ankle fracture,A,,4.45,6.92,,4.75,,0.61,11.98,9.81,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27792,,Treatment of ankle fracture,A,,7.66,8.40,NA,8.40,,1.07,17.13,17.13,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27808,,Treatment of ankle fracture,A,,2.83,6.81,,4.62,,0.38,10.02,7.83,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27810,,Treatment of ankle fracture,A,,5.13,8.08,,5.88,,0.71,13.92,11.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27814,,Treatment of ankle fracture,A,,10.68,11.19,NA,11.19,,1.50,23.37,23.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27816,,Treatment of ankle fracture,A,,2.89,6.27,,4.63,,0.37,9.53,7.89,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27818,,Treatment of ankle fracture,A,,5.50,8.22,,6.02,,0.74,14.46,12.26,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27822,,Treatment of ankle fracture,A,,11.00,13.50,NA,13.50,,1.29,25.79,25.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27823,,Treatment of ankle fracture,A,,13.00,14.56,NA,14.56,,1.65,29.21,29.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27824,,Treat lower leg fracture,A,,2.89,6.73,,4.63,,0.39,10.01,7.91,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27825,,Treat lower leg fracture,A,,6.19,8.70,,6.50,,0.85,15.74,13.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27826,,Treat lower leg fracture,A,,8.54,12.17,NA,12.17,,1.19,21.90,21.90,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27827,,Treat lower leg fracture,A,,14.06,15.23,NA,15.23,,1.96,31.25,31.25,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27828,,Treat lower leg fracture,A,,16.23,15.93,NA,15.93,,2.27,34.43,34.43,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27829,,Treat lower leg joint,A,,5.49,8.94,NA,8.94,,0.77,15.20,15.20,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
27830,,Treat lower leg dislocation,A,,3.79,5.77,,4.31,,0.44,10.00,8.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27831,,Treat lower leg dislocation,A,,4.56,5.53,NA,5.53,,0.61,10.70,10.70,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27832,,Treat lower leg dislocation,A,,6.49,8.61,NA,8.61,,0.91,16.01,16.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27840,,Treat ankle dislocation,A,,4.58,6.11,NA,6.11,,0.47,11.16,11.16,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27842,,Treat ankle dislocation,A,,6.21,5.25,NA,5.25,,0.76,12.22,12.22,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27846,,Treat ankle dislocation,A,,9.79,10.58,NA,10.58,,1.36,21.73,21.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27848,,Treat ankle dislocation,A,,11.20,11.92,NA,11.92,,1.55,24.67,24.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27860,,Fixation of ankle joint,A,,2.34,3.76,NA,3.76,,0.31,6.41,6.41,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
27870,,"Fusion of ankle joint, open",A,,13.91,14.08,NA,14.08,,1.95,29.94,29.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27871,,Fusion of tibiofibular joint,A,,9.17,11.36,NA,11.36,,1.29,21.82,21.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27880,,Amputation of lower leg,A,,11.85,11.88,NA,11.88,,1.38,25.11,25.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27881,,Amputation of lower leg,A,,12.34,13.55,NA,13.55,,1.59,27.48,27.48,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27882,,Amputation of lower leg,A,,8.94,12.97,NA,12.97,,1.03,22.94,22.94,0,090,0.10,0.69,0.21,2,1,0,1,0,,36.7856,09
27884,,Amputation follow-up surgery,A,,8.21,10.83,NA,10.83,,0.95,19.99,19.99,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
27886,,Amputation follow-up surgery,A,,9.32,11.37,NA,11.37,,1.13,21.82,21.82,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27888,,Amputation of foot at ankle,A,,9.67,11.23,NA,11.23,,1.26,22.16,22.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
27889,,Amputation of foot at ankle,A,,9.98,10.58,NA,10.58,,1.19,21.75,21.75,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
27892,,Decompression of leg,A,,7.39,8.26,NA,8.26,,0.86,16.51,16.51,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27893,,Decompression of leg,A,,7.35,8.11,NA,8.11,,0.90,16.36,16.36,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
27894,,Decompression of leg,A,,10.49,9.56,NA,9.56,,1.25,21.30,21.30,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
27899,,Leg/ankle surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
28001,,Drainage of bursa of foot,A,,2.73,5.63,,3.23,,0.31,8.67,6.27,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
28002,,Treatment of foot infection,A,,4.62,6.93,,4.33,,0.56,12.11,9.51,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
28003,,Treatment of foot infection,A,,8.41,11.29,,10.81,,1.03,20.73,20.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28005,,Treat foot bone lesion,A,,8.68,10.68,NA,10.68,,1.14,20.50,20.50,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28008,,Incision of foot fascia,A,,4.45,8.11,,6.33,,0.56,13.12,11.34,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28010,,Incision of toe tendon,A,,2.84,7.56,,5.29,,0.39,10.79,8.52,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28011,,Incision of toe tendons,A,,4.14,9.37,,7.07,,0.58,14.09,11.79,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28020,,Exploration of foot joint,A,,5.01,9.32,,6.74,,0.64,14.97,12.39,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28022,,Exploration of foot joint,A,,4.67,8.13,,6.33,,0.62,13.42,11.62,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28024,,Exploration of toe joint,A,,4.38,8.30,,6.56,,0.50,13.18,11.44,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28030,,Removal of foot nerve,A,,6.15,3.46,NA,3.46,,0.85,10.46,10.46,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28035,,Decompression of tibia nerve,A,,5.09,9.32,,5.50,,0.71,15.12,11.30,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28043,,Excision of foot lesion,A,,3.54,7.53,,5.21,,0.45,11.52,9.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28045,,Excision of foot lesion,A,,4.72,8.14,,5.91,,0.62,13.48,11.25,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28046,,"Resection of tumor, foot",A,,10.18,12.35,,10.95,,1.13,23.66,22.26,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28050,,Biopsy of foot joint lining,A,,4.25,7.78,,6.03,,0.55,12.58,10.83,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28052,,Biopsy of foot joint lining,A,,3.94,8.10,,6.14,,0.51,12.55,10.59,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28054,,Biopsy of toe joint lining,A,,3.45,8.01,,5.96,,0.45,11.91,9.86,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28060,,"Partial removal, foot fascia",A,,5.23,8.76,,6.63,,0.69,14.68,12.55,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28062,,Removal of foot fascia,A,,6.52,9.62,,6.52,,0.85,16.99,13.89,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28070,,Removal of foot joint lining,A,,5.10,7.95,,6.12,,0.68,13.73,11.90,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28072,,Removal of foot joint lining,A,,4.58,8.50,,7.07,,0.64,13.72,12.29,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28080,,Removal of foot lesion,A,,3.58,7.89,,5.68,,0.50,11.97,9.76,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28086,,Excise foot tendon sheath,A,,4.78,11.42,,7.64,,0.66,16.86,13.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28088,,Excise foot tendon sheath,A,,3.86,9.48,,6.95,,0.52,13.86,11.33,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28090,,Removal of foot lesion,A,,4.41,8.05,,5.73,,0.57,13.03,10.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28092,,Removal of toe lesions,A,,3.64,8.48,,6.17,,0.46,12.58,10.27,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28100,,Removal of ankle/heel lesion,A,,5.66,11.90,,7.91,,0.76,18.32,14.33,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28102,,Remove/graft foot lesion,A,,7.73,9.27,NA,9.27,,0.97,17.97,17.97,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
28103,,Remove/graft foot lesion,A,,6.50,10.07,,7.46,,0.89,17.46,14.85,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
28104,,Removal of foot lesion,A,,5.12,8.79,,6.99,,0.69,14.60,12.80,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28106,,Remove/graft foot lesion,A,,7.16,6.84,NA,6.84,,1.01,15.01,15.01,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28107,,Remove/graft foot lesion,A,,5.56,10.01,,7.09,,0.74,16.31,13.39,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
28108,,Removal of toe lesions,A,,4.16,7.42,,5.44,,0.52,12.10,10.12,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28110,,Part removal of metatarsal,A,,4.08,8.95,,7.08,,0.49,13.52,11.65,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28111,,Part removal of metatarsal,A,,5.01,10.65,,7.86,,0.63,16.29,13.50,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28112,,Part removal of metatarsal,A,,4.49,9.66,,7.66,,0.60,14.75,12.75,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28113,,Part removal of metatarsal,A,,4.79,9.24,,7.32,,0.63,14.66,12.74,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28114,,Removal of metatarsal heads,A,,9.79,14.07,,11.12,,1.36,25.22,22.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28116,,Revision of foot,A,,7.75,8.88,,6.83,,1.03,17.66,15.61,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28118,,Removal of heel bone,A,,5.96,9.52,,7.26,,0.79,16.27,14.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28119,,Removal of heel spur,A,,5.39,8.54,,6.23,,0.74,14.67,12.36,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28120,,Part removal of ankle/heel,A,,5.40,12.72,,10.02,,0.69,18.81,16.11,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28122,,Partial removal of foot bone,A,,7.29,11.28,,9.68,,0.96,19.53,17.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28124,,Partial removal of toe,A,,4.81,9.52,,7.87,,0.65,14.98,13.33,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28126,,Partial removal of toe,A,,3.52,8.27,,7.11,,0.49,12.28,11.12,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28130,,Removal of ankle bone,A,,8.11,9.03,NA,9.03,,1.11,18.25,18.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28140,,Removal of metatarsal,A,,6.91,10.80,,7.99,,0.84,18.55,15.74,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28150,,Removal of toe,A,,4.09,8.94,,7.33,,0.52,13.55,11.94,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28153,,Partial removal of toe,A,,3.66,8.27,,5.96,,0.49,12.42,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28160,,Partial removal of toe,A,,3.74,8.58,,7.50,,0.51,12.83,11.75,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28171,,Extensive foot surgery,A,,9.60,8.48,NA,8.48,,1.13,19.21,19.21,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
28173,,Extensive foot surgery,A,,8.80,11.13,,8.87,,1.04,20.97,18.71,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28175,,Extensive foot surgery,A,,6.05,9.58,,6.90,,0.75,16.38,13.70,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28190,,Removal of foot foreign body,A,,1.96,6.41,,3.42,,0.16,8.53,5.54,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
28192,,Removal of foot foreign body,A,,4.64,8.20,,5.59,,0.52,13.36,10.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28193,,Removal of foot foreign body,A,,5.73,8.77,,6.70,,0.63,15.13,13.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28200,,Repair of foot tendon,A,,4.60,8.41,,6.53,,0.59,13.60,11.72,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28202,,Repair/graft of foot tendon,A,,6.84,11.55,,7.11,,0.86,19.25,14.81,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28208,,Repair of foot tendon,A,,4.37,8.15,,6.10,,0.59,13.11,11.06,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28210,,Repair/graft of foot tendon,A,,6.35,9.60,,6.56,,0.77,16.72,13.68,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
28220,,Release of foot tendon,A,,4.53,7.94,,6.29,,0.63,13.10,11.45,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28222,,Release of foot tendons,A,,5.62,8.34,,7.12,,0.77,14.73,13.51,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28225,,Release of foot tendon,A,,3.66,7.72,,5.83,,0.50,11.88,9.99,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28226,,Release of foot tendons,A,,4.53,7.99,,6.80,,0.62,13.14,11.95,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28230,,Incision of foot tendon(s),A,,4.24,8.10,,7.09,,0.59,12.93,11.92,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28232,,Incision of toe tendon,A,,3.39,8.14,,6.78,,0.48,12.01,10.65,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28234,,Incision of foot tendon,A,,3.37,8.22,,6.25,,0.46,12.05,10.08,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28238,,Revision of foot tendon,A,,7.73,10.31,,7.61,,1.08,19.12,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28240,,Release of big toe,A,,4.36,8.05,,6.67,,0.61,13.02,11.64,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28250,,Revision of foot fascia,A,,5.92,9.00,,7.08,,0.81,15.73,13.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28260,,Release of midfoot joint,A,,7.96,9.47,,7.73,,1.08,18.51,16.77,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28261,,Revision of foot tendon,A,,11.73,11.02,,9.66,,1.66,24.41,23.05,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28262,,Revision of foot and ankle,A,,15.83,17.31,,15.44,,2.22,35.36,33.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28264,,Release of midfoot joint,A,,10.35,11.28,,11.28,,1.46,23.09,23.09,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
28270,,Release of foot contracture,A,,4.76,8.70,,7.46,,0.67,14.13,12.89,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28272,,"Release of toe joint, each",A,,3.80,7.59,,5.63,,0.52,11.91,9.95,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28280,,Fusion of toes,A,,5.19,9.25,,7.16,,0.72,15.16,13.07,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28285,,Repair of hammertoe,A,,4.59,8.76,,6.85,,0.64,13.99,12.08,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28286,,Repair of hammertoe,A,,4.56,8.62,,6.80,,0.64,13.82,12.00,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28288,,Partial removal of foot bone,A,,4.74,9.14,,8.50,,0.65,14.53,13.89,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28289,,Repair hallux rigidus,A,,7.04,11.61,,9.63,,0.96,19.61,17.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28290,,Correction of bunion,A,,5.66,9.89,,9.25,,0.79,16.34,15.70,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28292,,Correction of bunion,A,,7.04,9.86,,7.77,,0.98,17.88,15.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28293,,Correction of bunion,A,,9.15,8.28,,5.99,,1.28,18.71,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28294,,Correction of bunion,A,,8.56,10.47,,7.96,,1.16,20.19,17.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28296,,Correction of bunion,A,,9.18,10.94,,8.74,,1.28,21.40,19.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28297,,Correction of bunion,A,,9.18,11.96,,10.51,,1.31,22.45,21.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28298,,Correction of bunion,A,,7.94,10.07,,8.40,,1.12,19.13,17.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28299,,Correction of bunion,A,,10.58,11.36,,9.11,,1.24,23.18,20.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28300,,Incision of heel bone,A,,9.54,15.04,,9.59,,1.31,25.89,20.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28302,,Incision of ankle bone,A,,9.55,14.76,,9.53,,1.15,25.46,20.23,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28304,,Incision of midfoot bones,A,,9.16,10.31,,7.89,,1.00,20.47,18.05,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28305,,Incise/graft midfoot bones,A,,10.50,14.76,,9.73,,0.55,25.81,20.78,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28306,,Incision of metatarsal,A,,5.86,9.21,,6.48,,0.81,15.88,13.15,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28307,,Incision of metatarsal,A,,6.33,13.36,,8.20,,0.71,20.40,15.24,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28308,,Incision of metatarsal,A,,5.29,7.88,,5.45,,0.74,13.91,11.48,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28309,,Incision of metatarsals,A,,12.78,10.66,NA,10.66,,1.64,25.08,25.08,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28310,,Revision of big toe,A,,5.43,9.14,,6.99,,0.76,15.33,13.18,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28312,,Revision of toe,A,,4.55,8.87,,7.70,,0.62,14.04,12.87,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28313,,Repair deformity of toe,A,,5.01,9.36,,9.36,,0.68,15.05,15.05,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28315,,Removal of sesamoid bone,A,,4.86,7.91,,5.75,,0.66,13.43,11.27,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28320,,Repair of foot bones,A,,9.18,9.14,NA,9.14,,1.27,19.59,19.59,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28322,,Repair of metatarsals,A,,8.34,11.91,,8.67,,1.17,21.42,18.18,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28340,,Resect enlarged toe tissue,A,,6.98,9.40,,6.86,,0.98,17.36,14.82,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28341,,Resect enlarged toe,A,,8.41,9.50,,7.14,,1.18,19.09,16.73,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28344,,Repair extra toe(s),A,,4.26,8.82,,5.99,,0.60,13.68,10.85,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28345,,Repair webbed toe(s),A,,5.92,9.33,,7.70,,0.84,16.09,14.46,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28360,,Reconstruct cleft foot,A,,13.34,13.96,NA,13.96,,1.88,29.18,29.18,0,090,0.10,0.69,0.21,2,0,2,0,0,,36.7856,09
28400,,Treatment of heel fracture,A,,2.16,6.16,,4.90,,0.29,8.61,7.35,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28405,,Treatment of heel fracture,A,,4.57,7.06,,6.09,,0.63,12.26,11.29,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28406,,Treatment of heel fracture,A,,6.31,9.13,NA,9.13,,0.87,16.31,16.31,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28415,,Treat heel fracture,A,,15.97,15.68,NA,15.68,,2.24,33.89,33.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28420,,Treat/graft heel fracture,A,,16.64,16.03,NA,16.03,,2.29,34.96,34.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28430,,Treatment of ankle fracture,A,,2.09,5.58,,4.27,,0.27,7.94,6.63,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28435,,Treatment of ankle fracture,A,,3.40,5.82,,4.89,,0.47,9.69,8.76,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28436,,Treatment of ankle fracture,A,,4.71,8.17,NA,8.17,,0.66,13.54,13.54,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
28445,,Treat ankle fracture,A,,15.62,14.08,NA,14.08,,1.29,30.99,30.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28450,,"Treat midfoot fracture, each",A,,1.90,5.53,,4.16,,0.25,7.68,6.31,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28455,,"Treat midfoot fracture, each",A,,3.09,5.46,,5.08,,0.43,8.98,8.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28456,,Treat midfoot fracture,A,,2.68,6.50,NA,6.50,,0.36,9.54,9.54,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28465,,"Treat midfoot fracture, each",A,,7.01,8.48,NA,8.48,,0.87,16.36,16.36,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28470,,Treat metatarsal fracture,A,,1.99,4.77,,3.44,,0.26,7.02,5.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28475,,Treat metatarsal fracture,A,,2.97,5.37,,4.59,,0.41,8.75,7.97,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28476,,Treat metatarsal fracture,A,,3.38,7.01,NA,7.01,,0.46,10.85,10.85,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28485,,Treat metatarsal fracture,A,,5.71,8.18,NA,8.18,,0.80,14.69,14.69,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28490,,Treat big toe fracture,A,,1.09,2.86,,2.18,,0.13,4.08,3.40,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28495,,Treat big toe fracture,A,,1.58,2.96,,2.31,,0.19,4.73,4.08,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28496,,Treat big toe fracture,A,,2.33,10.94,,5.26,,0.32,13.59,7.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28505,,Treat big toe fracture,A,,3.81,11.49,,6.99,,0.50,15.80,11.30,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28510,,Treatment of toe fracture,A,,1.09,2.55,,2.17,,0.13,3.77,3.39,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28515,,Treatment of toe fracture,A,,1.46,2.80,,2.26,,0.17,4.43,3.89,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28525,,Treat toe fracture,A,,3.32,11.14,,6.62,,0.44,14.90,10.38,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28530,,Treat sesamoid bone fracture,A,,1.06,3.07,,2.81,,0.13,4.26,4.00,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28531,,Treat sesamoid bone fracture,A,,2.35,11.17,,4.20,,0.33,13.85,6.88,0,090,0.10,0.69,0.21,2,0,1,2,0,,36.7856,09
28540,,Treat foot dislocation,A,,2.04,3.82,,3.82,,0.24,6.10,6.10,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28545,,Treat foot dislocation,A,,2.45,4.11,,4.11,,0.33,6.89,6.89,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28546,,Treat foot dislocation,A,,3.20,9.17,,6.25,,0.46,12.83,9.91,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28555,,Repair foot dislocation,A,,6.30,13.38,,8.67,,0.88,20.56,15.85,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28570,,Treat foot dislocation,A,,1.66,4.23,,4.00,,0.22,6.11,5.88,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28575,,Treat foot dislocation,A,,3.31,6.02,,5.69,,0.45,9.78,9.45,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28576,,Treat foot dislocation,A,,4.17,11.89,,6.88,,0.56,16.62,11.61,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28585,,Repair foot dislocation,A,,7.99,9.70,,8.46,,1.13,18.82,17.58,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28600,,Treat foot dislocation,A,,1.89,4.58,,4.15,,0.24,6.71,6.28,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28605,,Treat foot dislocation,A,,2.71,5.24,,5.20,,0.35,8.30,8.26,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28606,,Treat foot dislocation,A,,4.90,16.53,,7.41,,0.68,22.11,12.99,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28615,,Repair foot dislocation,A,,7.77,9.71,NA,9.71,,1.09,18.57,18.57,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28630,,Treat toe dislocation,A,,1.70,2.39,,2.39,,0.17,4.26,4.26,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
28635,,Treat toe dislocation,A,,1.91,2.60,,2.60,,0.24,4.75,4.75,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
28636,,Treat toe dislocation,A,,2.77,7.15,,3.21,,0.39,10.31,6.37,0,010,0.10,0.80,0.10,2,0,1,2,0,,36.7856,09
28645,,Repair toe dislocation,A,,4.22,6.72,,4.42,,0.58,11.52,9.22,0,090,0.10,0.69,0.21,2,0,1,1,0,,36.7856,09
28660,,Treat toe dislocation,A,,1.23,3.15,,2.47,,0.11,4.49,3.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
28665,,Treat toe dislocation,A,,1.92,2.63,,2.63,,0.24,4.79,4.79,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
28666,,Treat toe dislocation,A,,2.66,7.78,,2.94,,0.38,10.82,5.98,0,010,0.10,0.80,0.10,2,0,1,2,0,,36.7856,09
28675,,Repair of toe dislocation,A,,2.92,9.64,,5.13,,0.41,12.97,8.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28705,,Fusion of foot bones,A,,18.80,15.42,NA,15.42,,2.13,36.35,36.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28715,,Fusion of foot bones,A,,13.10,12.85,NA,12.85,,1.84,27.79,27.79,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28725,,Fusion of foot bones,A,,11.61,11.67,NA,11.67,,1.63,24.91,24.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28730,,Fusion of foot bones,A,,10.76,11.03,NA,11.03,,1.51,23.30,23.30,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28735,,Fusion of foot bones,A,,10.85,10.81,NA,10.81,,1.51,23.17,23.17,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28737,,Revision of foot bones,A,,9.64,9.45,NA,9.45,,1.36,20.45,20.45,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28740,,Fusion of foot bones,A,,8.02,13.73,,9.19,,1.13,22.88,18.34,0,090,0.10,0.69,0.21,2,0,2,1,0,,36.7856,09
28750,,Fusion of big toe joint,A,,7.30,14.99,,9.59,,1.03,23.32,17.92,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28755,,Fusion of big toe joint,A,,4.74,9.24,,6.76,,0.66,14.64,12.16,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
28760,,Fusion of big toe joint,A,,7.75,10.17,,7.89,,1.07,18.99,16.71,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28800,,Amputation of midfoot,A,,8.21,9.11,NA,9.11,,0.98,18.30,18.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
28805,,Amputation thru metatarsal,A,,8.39,9.05,NA,9.05,,0.97,18.41,18.41,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
28810,,Amputation toe & metatarsal,A,,6.21,7.96,NA,7.96,,0.70,14.87,14.87,0,090,0.10,0.69,0.21,2,0,0,0,0,,36.7856,09
28820,,Amputation of toe,A,,4.41,11.19,,7.26,,0.51,16.11,12.18,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28825,,Partial amputation of toe,A,,3.59,10.58,,7.11,,0.43,14.60,11.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,36.7856,09
28899,,Foot/toes surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
29000,,Application of body cast,A,,2.25,3.08,,1.74,,0.30,5.63,4.29,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29010,,Application of body cast,A,,2.06,3.07,,1.72,,0.27,5.40,4.05,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29015,,Application of body cast,A,,2.41,2.97,,1.60,,0.21,5.59,4.22,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29020,,Application of body cast,A,,2.11,3.27,,1.44,,0.16,5.54,3.71,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29025,,Application of body cast,A,,2.40,3.16,,1.86,,0.26,5.82,4.52,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29035,,Application of body cast,A,,1.77,3.10,,1.53,,0.24,5.11,3.54,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29040,,Application of body cast,A,,2.22,2.48,,1.54,,0.35,5.05,4.11,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29044,,Application of body cast,A,,2.12,3.42,,1.83,,0.29,5.83,4.24,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29046,,Application of body cast,A,,2.41,3.12,,2.01,,0.34,5.87,4.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29049,,Application of figure eight,A,,0.89,1.10,,0.57,,0.12,2.11,1.58,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29055,,Application of shoulder cast,A,,1.78,2.54,,1.44,,0.24,4.56,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29058,,Application of shoulder cast,A,,1.31,1.36,,0.76,,0.14,2.81,2.21,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29065,,Application of long arm cast,A,,0.87,1.15,,0.70,,0.12,2.14,1.69,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29075,,Application of forearm cast,A,,0.77,1.09,,0.64,,0.11,1.97,1.52,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29085,,Apply hand/wrist cast,A,,0.87,1.13,,0.62,,0.11,2.11,1.60,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29086,,Apply finger cast,A,,0.62,0.72,,0.55,,0.06,1.40,1.23,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29105,,Apply long arm splint,A,,0.87,1.08,,0.51,,0.11,2.06,1.49,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29125,,Apply forearm splint,A,,0.59,0.91,,0.40,,0.06,1.56,1.05,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29126,,Apply forearm splint,A,,0.77,1.13,,0.47,,0.06,1.96,1.30,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29130,,Application of finger splint,A,,0.50,0.44,,0.17,,0.05,0.99,0.72,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29131,,Application of finger splint,A,,0.55,0.71,,0.24,,0.03,1.29,0.82,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29200,,Strapping of chest,A,,0.65,0.80,,0.36,,0.04,1.49,1.05,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29220,,Strapping of low back,A,,0.64,0.75,,0.40,,0.07,1.46,1.11,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29240,,Strapping of shoulder,A,,0.71,0.88,,0.39,,0.05,1.64,1.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29260,,Strapping of elbow or wrist,A,,0.55,0.77,,0.34,,0.04,1.36,0.93,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29280,,Strapping of hand or finger,A,,0.51,0.81,,0.34,,0.04,1.36,0.89,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29305,,Application of hip cast,A,,2.03,2.91,,1.65,,0.29,5.23,3.97,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29325,,Application of hip casts,A,,2.32,3.09,,1.83,,0.31,5.72,4.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29345,,Application of long leg cast,A,,1.40,1.55,,1.02,,0.19,3.14,2.61,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29355,,Application of long leg cast,A,,1.53,1.53,,1.07,,0.20,3.26,2.80,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29358,,Apply long leg cast brace,A,,1.43,1.80,,1.04,,0.19,3.42,2.66,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29365,,Application of long leg cast,A,,1.18,1.44,,0.90,,0.17,2.79,2.25,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29405,,Apply short leg cast,A,,0.86,1.07,,0.67,,0.12,2.05,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29425,,Apply short leg cast,A,,1.01,1.08,,0.70,,0.14,2.23,1.85,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29435,,Apply short leg cast,A,,1.18,1.37,,0.89,,0.17,2.72,2.24,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29440,,Addition of walker to cast,A,,0.57,0.63,,0.27,,0.07,1.27,0.91,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29445,,Apply rigid leg cast,A,,1.78,1.64,,0.95,,0.24,3.66,2.97,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29450,,Application of leg cast,A,,2.08,1.39,,1.08,,0.13,3.60,3.29,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29505,,"Application, long leg splint",A,,0.69,1.06,,0.47,,0.06,1.81,1.22,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29515,,Application lower leg splint,A,,0.73,0.80,,0.47,,0.07,1.60,1.27,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29520,,Strapping of hip,A,,0.54,0.88,,0.44,,0.02,1.44,1.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29530,,Strapping of knee,A,,0.57,0.82,,0.35,,0.04,1.43,0.96,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29540,,Strapping of ankle and/or ft,A,,0.51,0.39,,0.32,,0.04,0.94,0.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29550,,Strapping of toes,A,,0.47,0.40,,0.27,,0.05,0.92,0.79,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29580,,Application of paste boot,A,,0.57,0.60,,0.35,,0.05,1.22,0.97,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29590,,Application of foot splint,A,,0.76,0.49,,0.30,,0.06,1.31,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29700,,Removal/revision of cast,A,,0.57,0.81,,0.29,,0.07,1.45,0.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29705,,Removal/revision of cast,A,,0.76,0.74,,0.39,,0.10,1.60,1.25,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
29710,,Removal/revision of cast,A,,1.34,1.41,,0.71,,0.17,2.92,2.22,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
29715,,Removal/revision of cast,A,,0.94,1.08,,0.41,,0.08,2.10,1.43,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
29720,,Repair of body cast,A,,0.68,1.00,,0.39,,0.10,1.78,1.17,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29730,,Windowing of cast,A,,0.75,0.73,,0.35,,0.10,1.58,1.20,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29740,,Wedging of cast,A,,1.12,1.04,,0.50,,0.15,2.31,1.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
29750,,Wedging of clubfoot cast,A,,1.26,1.00,,0.59,,0.16,2.42,2.01,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
29799,,Casting/strapping procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
29800,,Jaw arthroscopy/surgery,A,,6.43,9.06,NA,9.06,,0.84,16.33,16.33,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
29804,,Jaw arthroscopy/surgery,A,,8.14,8.53,NA,8.53,,0.66,17.33,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29805,,"Shoulder arthroscopy, dx",A,,5.89,7.85,NA,7.85,,0.84,14.58,14.58,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
29806,,Shoulder arthroscopy/surgery,A,,14.37,11.17,NA,11.17,,2.00,27.54,27.54,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,36.7856,09
29807,,Shoulder arthroscopy/surgery,A,,13.90,10.93,NA,10.93,,1.94,26.77,26.77,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,36.7856,09
29819,,Shoulder arthroscopy/surgery,A,,7.62,6.87,NA,6.87,,1.07,15.56,15.56,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,36.7856,09
29820,,Shoulder arthroscopy/surgery,A,,7.07,6.39,NA,6.39,,0.99,14.45,14.45,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29821,,Shoulder arthroscopy/surgery,A,,7.72,6.89,NA,6.89,,1.08,15.69,15.69,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29822,,Shoulder arthroscopy/surgery,A,,7.43,6.77,NA,6.77,,1.04,15.24,15.24,0,090,0.10,0.69,0.21,3,1,2,0,0,29805,36.7856,09
29823,,Shoulder arthroscopy/surgery,A,,8.17,7.32,NA,7.32,,1.15,16.64,16.64,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29824,,Shoulder arthroscopy/surgery,A,,8.25,7.46,NA,7.46,,1.15,16.86,16.86,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29825,,Shoulder arthroscopy/surgery,A,,7.62,6.86,NA,6.86,,1.06,15.54,15.54,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29826,,Shoulder arthroscopy/surgery,A,,8.99,7.63,NA,7.63,,1.26,17.88,17.88,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,36.7856,09
29827,,Arthroscop rotator cuff repr,A,,15.36,11.55,NA,11.55,,1.86,28.77,28.77,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29830,,Elbow arthroscopy,A,,5.76,5.47,NA,5.47,,0.79,12.02,12.02,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
29834,,Elbow arthroscopy/surgery,A,,6.28,5.96,NA,5.96,,0.86,13.10,13.10,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,36.7856,09
29835,,Elbow arthroscopy/surgery,A,,6.48,6.02,NA,6.02,,0.88,13.38,13.38,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,36.7856,09
29836,,Elbow arthroscopy/surgery,A,,7.55,6.83,NA,6.83,,1.06,15.44,15.44,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,36.7856,09
29837,,Elbow arthroscopy/surgery,A,,6.87,6.27,NA,6.27,,0.96,14.10,14.10,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,36.7856,09
29838,,Elbow arthroscopy/surgery,A,,7.71,6.98,NA,6.98,,1.07,15.76,15.76,0,090,0.10,0.69,0.21,3,1,0,0,0,29830,36.7856,09
29840,,Wrist arthroscopy,A,,5.54,5.49,NA,5.49,,0.69,11.72,11.72,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
29843,,Wrist arthroscopy/surgery,A,,6.01,5.74,NA,5.74,,0.82,12.57,12.57,0,090,0.10,0.69,0.21,3,1,2,1,0,29840,36.7856,09
29844,,Wrist arthroscopy/surgery,A,,6.37,5.96,NA,5.96,,0.86,13.19,13.19,0,090,0.10,0.69,0.21,3,1,2,0,0,29840,36.7856,09
29845,,Wrist arthroscopy/surgery,A,,7.52,6.61,NA,6.61,,0.84,14.97,14.97,0,090,0.10,0.69,0.21,3,1,2,1,0,29840,36.7856,09
29846,,Wrist arthroscopy/surgery,A,,6.75,6.19,NA,6.19,,0.89,13.83,13.83,0,090,0.10,0.69,0.21,3,1,0,0,0,29840,36.7856,09
29847,,Wrist arthroscopy/surgery,A,,7.08,6.33,NA,6.33,,0.91,14.32,14.32,0,090,0.10,0.69,0.21,3,1,2,0,0,29840,36.7856,09
29848,,Wrist endoscopy/surgery,A,,5.44,5.69,NA,5.69,,0.72,11.85,11.85,0,090,0.10,0.69,0.21,2,1,1,0,0,,36.7856,09
29850,,Knee arthroscopy/surgery,A,,8.19,5.27,NA,5.27,,0.74,14.20,14.20,0,090,0.10,0.69,0.21,2,1,0,2,0,,36.7856,09
29851,,Knee arthroscopy/surgery,A,,13.10,9.94,NA,9.94,,1.81,24.85,24.85,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
29855,,Tibial arthroscopy/surgery,A,,10.62,8.79,NA,8.79,,1.50,20.91,20.91,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
29856,,Tibial arthroscopy/surgery,A,,14.14,10.74,NA,10.74,,2.00,26.88,26.88,0,090,0.10,0.69,0.21,2,1,2,2,0,,36.7856,09
29860,,"Hip arthroscopy, dx",A,,8.05,7.06,NA,7.06,,1.14,16.25,16.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29861,,Hip arthroscopy/surgery,A,,9.15,7.48,NA,7.48,,1.29,17.92,17.92,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,36.7856,09
29862,,Hip arthroscopy/surgery,A,,9.90,8.58,NA,8.58,,1.39,19.87,19.87,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,36.7856,09
29863,,Hip arthroscopy/surgery,A,,9.90,8.53,NA,8.53,,1.40,19.83,19.83,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,36.7856,09
29870,,"Knee arthroscopy, dx",A,,5.07,5.00,NA,5.00,,0.67,10.74,10.74,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
29871,,Knee arthroscopy/drainage,A,,6.55,5.98,NA,5.98,,0.88,13.41,13.41,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,36.7856,09
29873,,Knee arthroscopy/surgery,A,,6.00,6.56,NA,6.56,,0.73,13.29,13.29,0,090,0.10,0.69,0.21,2,1,1,1,0,,36.7856,09
29874,,Knee arthroscopy/surgery,A,,7.05,6.27,NA,6.27,,0.87,14.19,14.19,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29875,,Knee arthroscopy/surgery,A,,6.31,5.98,NA,5.98,,0.88,13.17,13.17,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29876,,Knee arthroscopy/surgery,A,,7.92,7.12,NA,7.12,,1.11,16.15,16.15,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,36.7856,09
29877,,Knee arthroscopy/surgery,A,,7.35,6.81,NA,6.81,,1.03,15.19,15.19,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29879,,Knee arthroscopy/surgery,A,,8.04,7.21,NA,7.21,,1.13,16.38,16.38,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29880,,Knee arthroscopy/surgery,A,,8.50,7.46,NA,7.46,,1.19,17.15,17.15,0,090,0.10,0.69,0.21,3,1,0,1,0,29870,36.7856,09
29881,,Knee arthroscopy/surgery,A,,7.76,7.04,NA,7.04,,1.09,15.89,15.89,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29882,,Knee arthroscopy/surgery,A,,8.65,7.34,NA,7.34,,1.09,17.08,17.08,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,36.7856,09
29883,,Knee arthroscopy/surgery,A,,11.05,9.16,NA,9.16,,1.33,21.54,21.54,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,36.7856,09
29884,,Knee arthroscopy/surgery,A,,7.33,6.76,NA,6.76,,1.03,15.12,15.12,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,36.7856,09
29885,,Knee arthroscopy/surgery,A,,9.09,7.98,NA,7.98,,1.27,18.34,18.34,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,36.7856,09
29886,,Knee arthroscopy/surgery,A,,7.54,6.94,NA,6.94,,1.06,15.54,15.54,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,36.7856,09
29887,,Knee arthroscopy/surgery,A,,9.04,7.95,NA,7.95,,1.27,18.26,18.26,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,36.7856,09
29888,,Knee arthroscopy/surgery,A,,13.90,10.42,NA,10.42,,1.95,26.27,26.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29889,,Knee arthroscopy/surgery,A,,16.00,12.48,NA,12.48,,2.11,30.59,30.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29891,,Ankle arthroscopy/surgery,A,,8.40,7.50,NA,7.50,,1.17,17.07,17.07,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
29892,,Ankle arthroscopy/surgery,A,,9.00,7.77,NA,7.77,,1.26,18.03,18.03,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
29893,,"Scope, plantar fasciotomy",A,,5.22,3.88,NA,3.88,,0.74,9.84,9.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29894,,Ankle arthroscopy/surgery,A,,7.21,5.61,NA,5.61,,1.01,13.83,13.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29895,,Ankle arthroscopy/surgery,A,,6.99,5.60,NA,5.60,,0.97,13.56,13.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29897,,Ankle arthroscopy/surgery,A,,7.18,6.04,NA,6.04,,1.01,14.23,14.23,0,090,0.10,0.69,0.21,2,1,2,0,0,,36.7856,09
29898,,Ankle arthroscopy/surgery,A,,8.32,6.28,NA,6.28,,1.14,15.74,15.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29899,,Ankle arthroscopy/surgery,A,,13.91,10.58,NA,10.58,,1.95,26.44,26.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,36.7856,09
29900,,"Mcp joint arthroscopy, dx",A,,5.42,5.92,NA,5.92,,0.75,12.09,12.09,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
29901,,"Mcp joint arthroscopy, surg",A,,6.13,6.30,NA,6.30,,0.85,13.28,13.28,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
29902,,"Mcp joint arthroscopy, surg",A,,6.70,6.61,NA,6.61,,0.93,14.24,14.24,0,090,0.10,0.69,0.21,2,1,0,0,0,,36.7856,09
29999,,Arthroscopy of joint,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,0,,36.7856,09
30000,,Drainage of nose lesion,A,,1.43,2.52,,1.47,,0.10,4.05,3.00,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
30020,,Drainage of nose lesion,A,,1.43,2.71,,1.56,,0.08,4.22,3.07,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
30100,,Intranasal biopsy,A,,0.94,1.33,,0.52,,0.06,2.33,1.52,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
30110,,Removal of nose polyp(s),A,,1.63,2.80,,0.87,,0.12,4.55,2.62,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
30115,,Removal of nose polyp(s),A,,4.35,4.49,NA,4.49,,0.31,9.15,9.15,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
30117,,Removal of intranasal lesion,A,,3.16,4.97,,3.15,,0.22,8.35,6.53,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30118,,Removal of intranasal lesion,A,,9.69,8.17,NA,8.17,,0.66,18.52,18.52,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
30120,,Revision of nose,A,,5.27,5.97,,5.97,,0.41,11.65,11.65,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30124,,Removal of nose lesion,A,,3.10,3.31,NA,3.31,,0.20,6.61,6.61,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30125,,Removal of nose lesion,A,,7.16,6.42,NA,6.42,,0.54,14.12,14.12,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30130,,Removal of turbinate bones,A,,3.38,3.94,NA,3.94,,0.22,7.54,7.54,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
30140,,Removal of turbinate bones,A,,3.43,4.58,NA,4.58,,0.24,8.25,8.25,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
30150,,Partial removal of nose,A,,9.14,8.56,NA,8.56,,0.76,18.46,18.46,0,090,0.10,0.76,0.14,2,0,1,1,0,,36.7856,09
30160,,Removal of nose,A,,9.58,8.47,NA,8.47,,0.78,18.83,18.83,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
30200,,Injection treatment of nose,A,,0.78,1.21,,0.44,,0.06,2.05,1.28,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
30210,,Nasal sinus therapy,A,,1.08,2.15,,0.59,,0.08,3.31,1.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
30220,,Insert nasal septal button,A,,1.54,2.51,,0.84,,0.11,4.16,2.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
30300,,Remove nasal foreign body,A,,1.04,2.60,,0.38,,0.07,3.71,1.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
30310,,Remove nasal foreign body,A,,1.96,1.88,NA,1.88,,0.14,3.98,3.98,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
30320,,Remove nasal foreign body,A,,4.52,5.24,NA,5.24,,0.36,10.12,10.12,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
30400,,Reconstruction of nose,R,,9.83,8.81,NA,8.81,,0.80,19.44,19.44,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
30410,,Reconstruction of nose,R,,12.98,10.50,NA,10.50,,1.08,24.56,24.56,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30420,,Reconstruction of nose,R,,15.88,12.20,NA,12.20,,1.24,29.32,29.32,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30430,,Revision of nose,R,,7.21,7.14,NA,7.14,,0.62,14.97,14.97,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30435,,Revision of nose,R,,11.71,10.22,NA,10.22,,1.10,23.03,23.03,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30450,,Revision of nose,R,,18.65,13.82,NA,13.82,,1.53,34.00,34.00,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30460,,Revision of nose,A,,9.96,9.12,NA,9.12,,0.85,19.93,19.93,0,090,0.10,0.76,0.14,2,0,2,2,0,,36.7856,09
30462,,Revision of nose,A,,19.57,14.40,NA,14.40,,1.92,35.89,35.89,0,090,0.10,0.76,0.14,2,0,2,2,0,,36.7856,09
30465,,Repair nasal stenosis,A,,11.64,8.64,NA,8.64,,0.97,21.25,21.25,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
30520,,Repair of nasal septum,A,,5.70,5.85,NA,5.85,,0.41,11.96,11.96,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30540,,Repair nasal defect,A,,7.75,6.43,NA,6.43,,0.53,14.71,14.71,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30545,,Repair nasal defect,A,,11.38,9.58,NA,9.58,,0.80,21.76,21.76,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
30560,,Release of nasal adhesions,A,,1.26,2.33,,1.50,,0.09,3.68,2.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
30580,,Repair upper jaw fistula,A,,6.69,4.97,,4.97,,0.50,12.16,12.16,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30600,,Repair mouth/nose fistula,A,,6.02,4.93,,4.93,,0.70,11.65,11.65,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
30620,,Intranasal reconstruction,A,,5.97,6.54,NA,6.54,,0.45,12.96,12.96,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30630,,Repair nasal septum defect,A,,7.12,7.08,NA,7.08,,0.51,14.71,14.71,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
30801,,"Cauterization, inner nose",A,,1.09,2.55,,2.30,,0.08,3.72,3.47,0,010,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
30802,,"Cauterization, inner nose",A,,2.03,3.10,,2.84,,0.15,5.28,5.02,0,010,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
30901,,Control of nosebleed,A,,1.21,1.40,,0.33,,0.09,2.70,1.63,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
30903,,Control of nosebleed,A,,1.54,3.14,,0.51,,0.12,4.80,2.17,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
30905,,Control of nosebleed,A,,1.97,3.79,,0.78,,0.15,5.91,2.90,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
30906,,Repeat control of nosebleed,A,,2.45,4.19,,1.23,,0.17,6.81,3.85,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
30915,,"Ligation, nasal sinus artery",A,,7.20,7.03,NA,7.03,,0.50,14.73,14.73,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30920,,"Ligation, upper jaw artery",A,,9.83,8.48,NA,8.48,,0.69,19.00,19.00,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
30930,,"Therapy, fracture of nose",A,,1.26,2.16,NA,2.16,,0.09,3.51,3.51,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
30999,,Nasal surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
31000,,"Irrigation, maxillary sinus",A,,1.15,2.43,,0.64,,0.08,3.66,1.87,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
31002,,"Irrigation, sphenoid sinus",A,,1.91,2.03,NA,2.03,,0.14,4.08,4.08,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31020,,"Exploration, maxillary sinus",A,,2.94,4.30,,3.64,,0.20,7.44,6.78,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31030,,"Exploration, maxillary sinus",A,,5.92,4.77,,4.60,,0.42,11.11,10.94,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31032,,"Explore sinus, remove polyps",A,,6.57,6.06,NA,6.06,,0.47,13.10,13.10,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31040,,Exploration behind upper jaw,A,,9.42,6.97,NA,6.97,,0.71,17.10,17.10,0,090,0.10,0.76,0.14,2,0,1,1,0,,36.7856,09
31050,,"Exploration, sphenoid sinus",A,,5.28,5.04,NA,5.04,,0.39,10.71,10.71,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31051,,Sphenoid sinus surgery,A,,7.11,6.51,NA,6.51,,0.55,14.17,14.17,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31070,,Exploration of frontal sinus,A,,4.28,5.00,NA,5.00,,0.30,9.58,9.58,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31075,,Exploration of frontal sinus,A,,9.16,8.16,NA,8.16,,0.64,17.96,17.96,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31080,,Removal of frontal sinus,A,,11.42,8.78,NA,8.78,,0.78,20.98,20.98,0,090,0.10,0.76,0.14,2,1,2,0,0,,36.7856,09
31081,,Removal of frontal sinus,A,,12.75,9.73,NA,9.73,,1.84,24.32,24.32,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31084,,Removal of frontal sinus,A,,13.51,10.49,NA,10.49,,0.96,24.96,24.96,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31085,,Removal of frontal sinus,A,,14.20,10.73,NA,10.73,,1.18,26.11,26.11,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31086,,Removal of frontal sinus,A,,12.86,10.42,NA,10.42,,0.90,24.18,24.18,0,090,0.10,0.76,0.14,2,1,2,0,0,,36.7856,09
31087,,Removal of frontal sinus,A,,13.10,10.43,NA,10.43,,1.15,24.68,24.68,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31090,,Exploration of sinuses,A,,9.53,8.89,NA,8.89,,0.66,19.08,19.08,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31200,,Removal of ethmoid sinus,A,,4.97,5.70,NA,5.70,,0.25,10.92,10.92,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31201,,Removal of ethmoid sinus,A,,8.37,7.76,NA,7.76,,0.58,16.71,16.71,0,090,0.10,0.76,0.14,2,1,1,0,0,,36.7856,09
31205,,Removal of ethmoid sinus,A,,10.24,8.39,NA,8.39,,0.58,19.21,19.21,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31225,,Removal of upper jaw,A,,19.23,15.01,NA,15.01,,1.38,35.62,35.62,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31230,,Removal of upper jaw,A,,21.94,16.66,NA,16.66,,1.57,40.17,40.17,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
31231,,"Nasal endoscopy, dx",A,,1.10,1.99,,0.59,,0.08,3.17,1.77,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
31233,,"Nasal/sinus endoscopy, dx",A,,2.18,2.63,,1.19,,0.16,4.97,3.53,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31235,,"Nasal/sinus endoscopy, dx",A,,2.64,2.90,,1.45,,0.18,5.72,4.27,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31237,,"Nasal/sinus endoscopy, surg",A,,2.98,3.17,,1.61,,0.21,6.36,4.80,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31238,,"Nasal/sinus endoscopy, surg",A,,3.26,3.71,,1.82,,0.23,7.20,5.31,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31239,,"Nasal/sinus endoscopy, surg",A,,8.70,6.51,NA,6.51,,0.46,15.67,15.67,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31240,,"Nasal/sinus endoscopy, surg",A,,2.61,1.55,NA,1.55,,0.18,4.34,4.34,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31254,,Revision of ethmoid sinus,A,,4.65,2.71,NA,2.71,,0.32,7.68,7.68,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31255,,Removal of ethmoid sinus,A,,6.96,4.01,NA,4.01,,0.49,11.46,11.46,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31256,,Exploration maxillary sinus,A,,3.29,1.95,NA,1.95,,0.23,5.47,5.47,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31267,,"Endoscopy, maxillary sinus",A,,5.46,3.16,NA,3.16,,0.38,9.00,9.00,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31276,,"Sinus endoscopy, surgical",A,,8.85,5.05,NA,5.05,,0.62,14.52,14.52,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
31287,,"Nasal/sinus endoscopy, surg",A,,3.92,2.30,NA,2.30,,0.27,6.49,6.49,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31288,,"Nasal/sinus endoscopy, surg",A,,4.58,2.67,NA,2.67,,0.32,7.57,7.57,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31290,,"Nasal/sinus endoscopy, surg",A,,17.24,11.56,NA,11.56,,1.20,30.00,30.00,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31291,,"Nasal/sinus endoscopy, surg",A,,18.19,11.87,NA,11.87,,1.73,31.79,31.79,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31292,,"Nasal/sinus endoscopy, surg",A,,14.76,10.05,NA,10.05,,0.99,25.80,25.80,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31293,,"Nasal/sinus endoscopy, surg",A,,16.21,10.76,NA,10.76,,0.97,27.94,27.94,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31294,,"Nasal/sinus endoscopy, surg",A,,19.06,12.32,NA,12.32,,1.04,32.42,32.42,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
31299,,Sinus surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
31300,,Removal of larynx lesion,A,,14.29,17.26,NA,17.26,,0.99,32.54,32.54,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31320,,"Diagnostic incision, larynx",A,,5.26,12.98,NA,12.98,,0.40,18.64,18.64,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31360,,Removal of larynx,A,,17.08,19.03,NA,19.03,,1.20,37.31,37.31,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31365,,Removal of larynx,A,,24.16,22.76,NA,22.76,,1.72,48.64,48.64,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31367,,Partial removal of larynx,A,,21.86,23.63,NA,23.63,,1.57,47.06,47.06,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31368,,Partial removal of larynx,A,,27.09,28.25,NA,28.25,,1.90,57.24,57.24,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31370,,Partial removal of larynx,A,,21.38,23.28,NA,23.28,,1.51,46.17,46.17,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31375,,Partial removal of larynx,A,,20.21,20.86,NA,20.86,,1.43,42.50,42.50,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31380,,Partial removal of larynx,A,,20.21,20.88,NA,20.88,,1.40,42.49,42.49,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31382,,Partial removal of larynx,A,,20.52,22.86,NA,22.86,,1.44,44.82,44.82,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31390,,Removal of larynx & pharynx,A,,27.53,28.42,NA,28.42,,1.95,57.90,57.90,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31395,,Reconstruct larynx & pharynx,A,,31.09,34.27,NA,34.27,,2.27,67.63,67.63,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31400,,Revision of larynx,A,,10.31,15.66,NA,15.66,,0.72,26.69,26.69,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
31420,,Removal of epiglottis,A,,10.22,15.35,NA,15.35,,0.71,26.28,26.28,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31500,,Insert emergency airway,A,,2.33,0.67,NA,0.67,,0.15,3.15,3.15,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
31502,,Change of windpipe airway,A,,0.65,1.98,,0.26,,0.04,2.67,0.95,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31505,,Diagnostic laryngoscopy,A,,0.61,0.67,,0.23,,0.04,1.32,0.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31510,,Laryngoscopy with biopsy,A,,1.92,2.83,,0.98,,0.15,4.90,3.05,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,36.7856,09
31511,,"Remove foreign body, larynx",A,,2.16,3.12,,0.75,,0.16,5.44,3.07,0,000,0.00,0.00,0.00,3,0,1,0,0,31505,36.7856,09
31512,,Removal of larynx lesion,A,,2.07,3.07,,1.07,,0.16,5.30,3.30,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,36.7856,09
31513,,Injection into vocal cord,A,,2.10,1.28,NA,1.28,,0.15,3.53,3.53,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,36.7856,09
31515,,Laryngoscopy for aspiration,A,,1.80,2.39,,0.85,,0.12,4.31,2.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31520,,Diagnostic laryngoscopy,A,,2.56,1.38,NA,1.38,,0.17,4.11,4.11,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
31525,,Diagnostic laryngoscopy,A,,2.63,2.91,,1.48,,0.18,5.72,4.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31526,,Diagnostic laryngoscopy,A,,2.57,1.54,NA,1.54,,0.18,4.29,4.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31527,,Laryngoscopy for treatment,A,,3.27,1.71,NA,1.71,,0.21,5.19,5.19,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,36.7856,09
31528,,Laryngoscopy and dilation,A,,2.37,1.26,NA,1.26,,0.16,3.79,3.79,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,36.7856,09
31529,,Laryngoscopy and dilation,A,,2.68,1.55,NA,1.55,,0.18,4.41,4.41,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,36.7856,09
31530,,Operative laryngoscopy,A,,3.39,1.75,NA,1.75,,0.24,5.38,5.38,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,36.7856,09
31531,,Operative laryngoscopy,A,,3.59,2.12,NA,2.12,,0.25,5.96,5.96,0,000,0.00,0.00,0.00,3,0,0,0,0,31526,36.7856,09
31535,,Operative laryngoscopy,A,,3.16,1.82,NA,1.82,,0.22,5.20,5.20,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,36.7856,09
31536,,Operative laryngoscopy,A,,3.56,2.09,NA,2.09,,0.25,5.90,5.90,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,36.7856,09
31540,,Operative laryngoscopy,A,,4.13,2.40,NA,2.40,,0.29,6.82,6.82,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,36.7856,09
31541,,Operative laryngoscopy,A,,4.53,2.64,NA,2.64,,0.32,7.49,7.49,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,36.7856,09
31560,,Operative laryngoscopy,A,,5.46,3.05,NA,3.05,,0.38,8.89,8.89,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,36.7856,09
31561,,Operative laryngoscopy,A,,6.00,3.26,NA,3.26,,0.42,9.68,9.68,0,000,0.00,0.00,0.00,3,0,0,0,0,31526,36.7856,09
31570,,Laryngoscopy with injection,A,,3.87,4.16,,2.23,,0.24,8.27,6.34,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,36.7856,09
31571,,Laryngoscopy with injection,A,,4.27,2.45,NA,2.45,,0.30,7.02,7.02,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,36.7856,09
31575,,Diagnostic laryngoscopy,A,,1.10,2.07,,0.57,,0.08,3.25,1.75,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31576,,Laryngoscopy with biopsy,A,,1.97,2.45,,1.02,,0.13,4.55,3.12,0,000,0.00,0.00,0.00,3,0,1,0,0,31575,36.7856,09
31577,,"Remove foreign body, larynx",A,,2.47,2.93,,1.25,,0.17,5.57,3.89,0,000,0.00,0.00,0.00,3,0,0,0,0,31575,36.7856,09
31578,,Removal of larynx lesion,A,,2.84,3.19,,1.24,,0.20,6.23,4.28,0,000,0.00,0.00,0.00,3,0,0,0,0,31575,36.7856,09
31579,,Diagnostic laryngoscopy,A,,2.26,2.94,,1.20,,0.16,5.36,3.62,0,000,0.00,0.00,0.00,3,0,1,0,0,31575,36.7856,09
31580,,Revision of larynx,A,,12.38,16.18,NA,16.18,,0.87,29.43,29.43,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31582,,Revision of larynx,A,,21.62,21.69,NA,21.69,,1.52,44.83,44.83,0,090,0.10,0.76,0.14,2,0,1,1,0,,36.7856,09
31584,,Treat larynx fracture,A,,19.64,18.64,NA,18.64,,1.42,39.70,39.70,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31585,,Treat larynx fracture,A,,4.64,8.94,NA,8.94,,0.30,13.88,13.88,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31586,,Treat larynx fracture,A,,8.03,12.77,NA,12.77,,0.56,21.36,21.36,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31587,,Revision of larynx,A,,11.99,14.23,NA,14.23,,0.88,27.10,27.10,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31588,,Revision of larynx,A,,13.11,17.11,NA,17.11,,0.92,31.14,31.14,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
31590,,Reinnervate larynx,A,,6.97,12.52,NA,12.52,,0.50,19.99,19.99,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31595,,Larynx nerve surgery,A,,8.34,11.32,NA,11.32,,0.62,20.28,20.28,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31599,,Larynx surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
31600,,Incision of windpipe,A,,7.18,3.05,NA,3.05,,0.34,10.57,10.57,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31601,,Incision of windpipe,A,,4.45,2.15,NA,2.15,,0.39,6.99,6.99,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
31603,,Incision of windpipe,A,,4.15,1.75,NA,1.75,,0.35,6.25,6.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31605,,Incision of windpipe,A,,3.58,1.21,NA,1.21,,0.33,5.12,5.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31610,,Incision of windpipe,A,,8.76,10.79,NA,10.79,,0.69,20.24,20.24,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
31611,,Surgery/speech prosthesis,A,,5.64,10.19,NA,10.19,,0.40,16.23,16.23,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31612,,Puncture/clear windpipe,A,,0.91,1.49,,0.42,,0.06,2.46,1.39,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
31613,,Repair windpipe opening,A,,4.59,8.88,NA,8.88,,0.37,13.84,13.84,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
31614,,Repair windpipe opening,A,,7.12,12.24,NA,12.24,,0.51,19.87,19.87,0,090,0.10,0.76,0.14,2,0,1,0,0,,36.7856,09
31615,,Visualization of windpipe,A,,2.09,3.74,,1.17,,0.14,5.97,3.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31622,,Dx bronchoscope/wash,A,,2.78,3.44,,1.15,,0.14,6.36,4.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31623,,Dx bronchoscope/brush,A,,2.88,3.18,,1.14,,0.14,6.20,4.16,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31624,,Dx bronchoscope/lavage,A,,2.88,2.89,,1.14,,0.13,5.90,4.15,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31625,,Bronchoscopy w/biopsy(s),A,,3.37,1.30,NA,1.30,,0.16,4.83,4.83,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31628,,"Bronchoscopy/lung bx, each",A,,3.81,3.36,,1.40,,0.14,7.31,5.35,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31629,,"Bronchoscopy/needle bx, each",A,,3.37,1.27,NA,1.27,,0.13,4.77,4.77,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31630,,Bronchoscopy dilate/fx repr,A,,3.82,1.97,NA,1.97,,0.30,6.09,6.09,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31631,,"Bronchoscopy, dilate w/stent",A,,4.37,2.01,NA,2.01,,0.31,6.69,6.69,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31635,,Bronchoscopy w/fb removal,A,,3.68,1.67,NA,1.67,,0.21,5.56,5.56,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31640,,Bronchoscopy w/tumor excise,A,,4.94,2.34,NA,2.34,,0.37,7.65,7.65,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31641,,"Bronchoscopy, treat blockage",A,,5.03,2.13,NA,2.13,,0.30,7.46,7.46,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31643,,Diag bronchoscope/catheter,A,,3.50,1.32,NA,1.32,,0.15,4.97,4.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31645,,"Bronchoscopy, clear airways",A,,3.16,1.22,NA,1.22,,0.13,4.51,4.51,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,36.7856,09
31646,,"Bronchoscopy, reclear airway",A,,2.72,1.09,NA,1.09,,0.12,3.93,3.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31656,,"Bronchoscopy, inj for x-ray",A,,2.17,0.93,NA,0.93,,0.10,3.20,3.20,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
31700,,Insertion of airway catheter,A,,1.34,2.34,,0.69,,0.07,3.75,2.10,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
31708,,Instill airway contrast dye,A,,1.41,0.60,NA,0.60,,0.06,2.07,2.07,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31710,,Insertion of airway catheter,A,,1.30,0.71,NA,0.71,,0.06,2.07,2.07,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31715,,Injection for bronchus x-ray,A,,1.11,0.61,NA,0.61,,0.06,1.78,1.78,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
31717,,Bronchial brush biopsy,A,,2.12,3.40,,0.88,,0.09,5.61,3.09,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31720,,Clearance of airways,A,,1.06,1.86,,0.33,,0.06,2.98,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31725,,Clearance of airways,A,,1.96,0.60,NA,0.60,,0.10,2.66,2.66,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31730,,"Intro, windpipe wire/tube",A,,2.85,2.42,,1.10,,0.15,5.42,4.10,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
31750,,Repair of windpipe,A,,13.02,16.00,NA,16.00,,1.02,30.04,30.04,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31755,,Repair of windpipe,A,,15.93,19.11,NA,19.11,,1.15,36.19,36.19,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31760,,Repair of windpipe,A,,22.35,12.34,NA,12.34,,1.48,36.17,36.17,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31766,,Reconstruction of windpipe,A,,30.43,16.11,NA,16.11,,3.16,49.70,49.70,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31770,,Repair/graft of bronchus,A,,22.51,14.25,NA,14.25,,2.27,39.03,39.03,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31775,,Reconstruct bronchus,A,,23.54,15.35,NA,15.35,,2.91,41.80,41.80,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
31780,,Reconstruct windpipe,A,,17.72,12.85,NA,12.85,,1.55,32.12,32.12,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31781,,Reconstruct windpipe,A,,23.53,14.74,NA,14.74,,2.04,40.31,40.31,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31785,,Remove windpipe lesion,A,,17.23,12.68,NA,12.68,,1.36,31.27,31.27,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31786,,Remove windpipe lesion,A,,23.98,15.62,NA,15.62,,2.20,41.80,41.80,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31800,,Repair of windpipe injury,A,,7.43,6.79,NA,6.79,,0.67,14.89,14.89,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31805,,Repair of windpipe injury,A,,13.13,10.71,NA,10.71,,1.45,25.29,25.29,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
31820,,Closure of windpipe lesion,A,,4.49,8.08,,7.96,,0.35,12.92,12.80,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31825,,Repair of windpipe defect,A,,6.81,11.16,,11.16,,0.50,18.47,18.47,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31830,,Revise windpipe scar,A,,4.50,7.97,,7.97,,0.36,12.83,12.83,0,090,0.10,0.76,0.14,2,0,0,0,0,,36.7856,09
31899,,Airways surgical procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
32000,,Drainage of chest,A,,1.54,3.11,,0.50,,0.07,4.72,2.11,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
32002,,Treatment of collapsed lung,A,,2.19,0.85,NA,0.85,,0.11,3.15,3.15,0,000,0.00,0.00,0.00,0,0,1,1,0,,36.7856,09
32005,,Treat lung lining chemically,A,,2.19,0.87,NA,0.87,,0.17,3.23,3.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32020,,Insertion of chest tube,A,,3.98,1.44,NA,1.44,,0.36,5.78,5.78,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
32035,,Exploration of chest,A,,8.67,7.97,NA,7.97,,1.02,17.66,17.66,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32036,,Exploration of chest,A,,9.68,8.69,NA,8.69,,1.20,19.57,19.57,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32095,,Biopsy through chest wall,A,,8.36,8.13,NA,8.13,,0.99,17.48,17.48,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32100,,Exploration/biopsy of chest,A,,15.24,10.39,NA,10.39,,1.45,27.08,27.08,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32110,,Explore/repair chest,A,,23.00,12.89,NA,12.89,,1.63,37.52,37.52,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32120,,Re-exploration of chest,A,,11.54,9.49,NA,9.49,,1.42,22.45,22.45,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32124,,Explore chest free adhesions,A,,12.72,9.42,NA,9.42,,1.51,23.65,23.65,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32140,,Removal of lung lesion(s),A,,13.93,9.97,NA,9.97,,1.68,25.58,25.58,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32141,,Remove/treat lung lesions,A,,14.00,9.87,NA,9.87,,1.72,25.59,25.59,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32150,,Removal of lung lesion(s),A,,14.15,9.84,NA,9.84,,1.60,25.59,25.59,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32151,,Remove lung foreign body,A,,14.21,10.50,NA,10.50,,1.49,26.20,26.20,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32160,,Open chest heart massage,A,,9.30,6.31,NA,6.31,,1.01,16.62,16.62,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32200,,"Drain, open, lung lesion",A,,15.29,10.04,NA,10.04,,1.46,26.79,26.79,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32201,,"Drain, percut, lung lesion",A,,4.00,5.54,NA,5.54,,0.18,9.72,9.72,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
32215,,Treat chest lining,A,,11.33,9.44,NA,9.44,,1.34,22.11,22.11,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32220,,Release of lung,A,,24.00,13.45,NA,13.45,,2.39,39.84,39.84,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32225,,Partial release of lung,A,,13.96,10.11,NA,10.11,,1.70,25.77,25.77,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32310,,Removal of chest lining,A,,13.44,9.75,NA,9.75,,1.65,24.84,24.84,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32320,,Free/remove chest lining,A,,24.00,13.18,NA,13.18,,2.50,39.68,39.68,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32400,,Needle biopsy chest lining,A,,1.76,1.86,,0.57,,0.07,3.69,2.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32402,,Open biopsy chest lining,A,,7.56,8.06,NA,8.06,,0.91,16.53,16.53,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32405,,"Biopsy, lung or mediastinum",A,,1.93,2.38,,0.65,,0.09,4.40,2.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32420,,Puncture/clear lung,A,,2.18,0.85,NA,0.85,,0.11,3.14,3.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32440,,Removal of lung,A,,25.00,12.43,NA,12.43,,2.56,39.99,39.99,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32442,,Sleeve pneumonectomy,A,,26.24,14.04,NA,14.04,,3.12,43.40,43.40,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32445,,Removal of lung,A,,25.09,13.48,NA,13.48,,3.11,41.68,41.68,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32480,,Partial removal of lung,A,,23.75,12.47,NA,12.47,,2.24,38.46,38.46,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32482,,Bilobectomy,A,,25.00,12.50,NA,12.50,,2.35,39.85,39.85,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32484,,Segmentectomy,A,,20.69,10.93,NA,10.93,,2.54,34.16,34.16,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32486,,Sleeve lobectomy,A,,23.92,12.63,NA,12.63,,3.00,39.55,39.55,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32488,,Completion pneumonectomy,A,,25.71,13.20,NA,13.20,,3.18,42.09,42.09,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32491,,Lung volume reduction,R,,21.25,11.97,NA,11.97,,2.66,35.88,35.88,0,090,0.10,0.76,0.14,2,1,2,1,0,,36.7856,09
32500,,Partial removal of lung,A,,22.00,11.79,NA,11.79,,1.77,35.56,35.56,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32501,,Repair bronchus add-on,A,,4.69,1.54,NA,1.54,,0.56,6.79,6.79,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
32520,,Remove lung & revise chest,A,,21.68,10.87,NA,10.87,,2.71,35.26,35.26,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32522,,Remove lung & revise chest,A,,24.20,11.71,NA,11.71,,2.84,38.75,38.75,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32525,,Remove lung & revise chest,A,,26.50,12.42,NA,12.42,,3.25,42.17,42.17,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32540,,Removal of lung lesion,A,,14.64,9.12,NA,9.12,,1.84,25.60,25.60,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32601,,"Thoracoscopy, diagnostic",A,,5.46,3.61,NA,3.61,,0.63,9.70,9.70,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32602,,"Thoracoscopy, diagnostic",A,,5.96,3.76,NA,3.76,,0.70,10.42,10.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32603,,"Thoracoscopy, diagnostic",A,,7.81,4.19,NA,4.19,,0.76,12.76,12.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32604,,"Thoracoscopy, diagnostic",A,,8.78,4.74,NA,4.74,,0.97,14.49,14.49,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32605,,"Thoracoscopy, diagnostic",A,,6.93,4.26,NA,4.26,,0.86,12.05,12.05,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32606,,"Thoracoscopy, diagnostic",A,,8.40,4.57,NA,4.57,,0.99,13.96,13.96,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
32650,,"Thoracoscopy, surgical",A,,10.75,6.50,NA,6.50,,1.25,18.50,18.50,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32651,,"Thoracoscopy, surgical",A,,12.91,7.05,NA,7.05,,1.50,21.46,21.46,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32652,,"Thoracoscopy, surgical",A,,18.66,9.74,NA,9.74,,2.30,30.70,30.70,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32653,,"Thoracoscopy, surgical",A,,12.87,6.78,NA,6.78,,1.55,21.20,21.20,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32654,,"Thoracoscopy, surgical",A,,12.44,7.20,NA,7.20,,1.51,21.15,21.15,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32655,,"Thoracoscopy, surgical",A,,13.10,7.07,NA,7.07,,1.53,21.70,21.70,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32656,,"Thoracoscopy, surgical",A,,12.91,7.53,NA,7.53,,1.61,22.05,22.05,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32657,,"Thoracoscopy, surgical",A,,13.65,7.42,NA,7.42,,1.64,22.71,22.71,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32658,,"Thoracoscopy, surgical",A,,11.63,7.01,NA,7.01,,1.47,20.11,20.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32659,,"Thoracoscopy, surgical",A,,11.59,7.12,NA,7.12,,1.39,20.10,20.10,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32660,,"Thoracoscopy, surgical",A,,17.43,9.05,NA,9.05,,2.09,28.57,28.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32661,,"Thoracoscopy, surgical",A,,13.25,7.47,NA,7.47,,1.66,22.38,22.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32662,,"Thoracoscopy, surgical",A,,16.44,8.51,NA,8.51,,2.01,26.96,26.96,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32663,,"Thoracoscopy, surgical",A,,18.47,10.22,NA,10.22,,2.28,30.97,30.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
32664,,"Thoracoscopy, surgical",A,,14.20,7.48,NA,7.48,,1.70,23.38,23.38,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
32665,,"Thoracoscopy, surgical",A,,15.54,8.02,NA,8.02,,1.79,25.35,25.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
32800,,Repair lung hernia,A,,13.69,9.82,NA,9.82,,1.51,25.02,25.02,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32810,,Close chest after drainage,A,,13.05,10.08,NA,10.08,,1.55,24.68,24.68,0,090,0.10,0.76,0.14,2,0,2,0,0,,36.7856,09
32815,,Close bronchial fistula,A,,23.15,13.56,NA,13.56,,2.84,39.55,39.55,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32820,,Reconstruct injured chest,A,,21.48,13.98,NA,13.98,,2.31,37.77,37.77,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32850,,Donor pneumonectomy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
32851,,"Lung transplant, single",A,,38.63,20.19,NA,20.19,,4.90,63.72,63.72,0,090,0.10,0.76,0.14,2,0,2,1,2,,36.7856,09
32852,,Lung transplant with bypass,A,,41.80,21.70,NA,21.70,,5.17,68.67,68.67,0,090,0.10,0.76,0.14,2,0,2,1,2,,36.7856,09
32853,,"Lung transplant, double",A,,47.81,23.60,NA,23.60,,6.13,77.54,77.54,0,090,0.10,0.76,0.14,2,2,2,1,2,,36.7856,09
32854,,Lung transplant with bypass,A,,50.98,24.25,NA,24.25,,6.41,81.64,81.64,0,090,0.10,0.76,0.14,2,2,2,1,2,,36.7856,09
32900,,Removal of rib(s),A,,20.27,12.20,NA,12.20,,2.42,34.89,34.89,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32905,,Revise & repair chest wall,A,,20.75,12.57,NA,12.57,,2.54,35.86,35.86,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32906,,Revise & repair chest wall,A,,26.77,14.61,NA,14.61,,3.30,44.68,44.68,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32940,,Revision of lung,A,,19.43,11.85,NA,11.85,,2.47,33.75,33.75,0,090,0.10,0.76,0.14,2,0,2,1,0,,36.7856,09
32960,,Therapeutic pneumothorax,A,,1.84,2.15,,0.57,,0.12,4.11,2.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32997,,Total lung lavage,A,,6.00,1.93,NA,1.93,,0.55,8.48,8.48,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
32999,,Chest surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
33010,,Drainage of heart sac,A,,2.24,0.98,NA,0.98,,0.13,3.35,3.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
33011,,Repeat drainage of heart sac,A,,2.24,1.02,NA,1.02,,0.13,3.39,3.39,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
33015,,Incision of heart sac,A,,6.80,4.52,NA,4.52,,0.64,11.96,11.96,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33020,,Incision of heart sac,A,,12.61,8.01,NA,8.01,,1.50,22.12,22.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33025,,Incision of heart sac,A,,12.09,7.88,NA,7.88,,1.50,21.47,21.47,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33030,,Partial removal of heart sac,A,,18.71,12.30,NA,12.30,,2.40,33.41,33.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33031,,Partial removal of heart sac,A,,21.79,13.57,NA,13.57,,2.78,38.14,38.14,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33050,,Removal of heart sac lesion,A,,14.36,10.31,NA,10.31,,1.73,26.40,26.40,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33120,,Removal of heart lesion,A,,24.56,16.05,NA,16.05,,3.06,43.67,43.67,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33130,,Removal of heart lesion,A,,21.39,12.74,NA,12.74,,2.51,36.64,36.64,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33140,,Heart revascularize (tmr),A,,20.00,10.67,NA,10.67,,2.27,32.94,32.94,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33141,,Heart tmr w/other procedure,A,,4.84,1.57,NA,1.57,,0.55,6.96,6.96,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
33200,,Insertion of heart pacemaker,A,,12.48,9.72,NA,9.72,,1.17,23.37,23.37,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33201,,Insertion of heart pacemaker,A,,10.18,9.71,NA,9.71,,1.21,21.10,21.10,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33206,,Insertion of heart pacemaker,A,,6.67,5.69,NA,5.69,,0.50,12.86,12.86,0,090,0.09,0.84,0.07,2,0,1,2,0,,36.7856,09
33207,,Insertion of heart pacemaker,A,,8.04,6.23,NA,6.23,,0.57,14.84,14.84,0,090,0.09,0.84,0.07,2,0,1,2,0,,36.7856,09
33208,,Insertion of heart pacemaker,A,,8.13,6.43,NA,6.43,,0.54,15.10,15.10,0,090,0.09,0.84,0.07,2,0,1,2,0,,36.7856,09
33210,,Insertion of heart electrode,A,,3.30,1.28,NA,1.28,,0.17,4.75,4.75,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
33211,,Insertion of heart electrode,A,,3.40,1.34,NA,1.34,,0.17,4.91,4.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
33212,,Insertion of pulse generator,A,,5.52,4.62,NA,4.62,,0.44,10.58,10.58,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33213,,Insertion of pulse generator,A,,6.37,5.06,NA,5.06,,0.46,11.89,11.89,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33214,,Upgrade of pacemaker system,A,,7.75,6.19,NA,6.19,,0.52,14.46,14.46,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
33215,,Reposition pacing-defib lead,A,,4.76,3.15,NA,3.15,,0.36,8.27,8.27,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33216,,"Insert lead pace-defib, one",A,,5.78,5.32,NA,5.32,,0.36,11.46,11.46,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33217,,"Insert lead pace-defib, dual",A,,5.75,5.58,NA,5.58,,0.36,11.69,11.69,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33218,,"Repair lead pace-defib, one",A,,5.44,4.68,NA,4.68,,0.40,10.52,10.52,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33220,,"Repair lead pace-defib, dual",A,,5.52,4.69,NA,4.69,,0.39,10.60,10.60,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33222,,"Revise pocket, pacemaker",A,,4.96,4.08,NA,4.08,,0.39,9.43,9.43,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33223,,"Revise pocket, pacing-defib",A,,6.46,5.41,NA,5.41,,0.44,12.31,12.31,0,090,0.09,0.84,0.07,2,0,0,0,0,,36.7856,09
33224,,Insert pacing lead & connect,A,,9.05,3.92,NA,3.92,,0.36,13.33,13.33,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
33225,,L ventric pacing lead add-on,A,,8.34,3.11,NA,3.11,,0.36,11.81,11.81,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
33226,,Reposition l ventric lead,A,,8.69,3.79,NA,3.79,,0.36,12.84,12.84,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
33233,,Removal of pacemaker system,A,,3.29,4.12,NA,4.12,,0.22,7.63,7.63,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33234,,Removal of pacemaker system,A,,7.82,5.66,NA,5.66,,0.56,14.04,14.04,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33235,,Removal pacemaker electrode,A,,9.40,6.50,NA,6.50,,0.68,16.58,16.58,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33236,,Remove electrode/thoracotomy,A,,12.60,9.38,NA,9.38,,1.49,23.47,23.47,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
33237,,Remove electrode/thoracotomy,A,,13.71,9.78,NA,9.78,,1.57,25.06,25.06,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
33238,,Remove electrode/thoracotomy,A,,15.22,9.27,NA,9.27,,1.56,26.05,26.05,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
33240,,Insert pulse generator,A,,7.60,5.77,NA,5.77,,0.53,13.90,13.90,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33241,,Remove pulse generator,A,,3.24,3.71,NA,3.71,,0.21,7.16,7.16,0,090,0.09,0.84,0.07,2,0,0,1,0,,36.7856,09
33243,,Remove eltrd/thoracotomy,A,,22.64,10.90,NA,10.90,,2.53,36.07,36.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33244,,"Remove eltrd, transven",A,,13.76,8.43,NA,8.43,,1.05,23.24,23.24,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
33245,,Insert epic eltrd pace-defib,A,,14.30,11.02,NA,11.02,,1.28,26.60,26.60,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33246,,Insert epic eltrd/generator,A,,20.71,14.36,NA,14.36,,2.22,37.29,37.29,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33249,,Eltrd/insert pace-defib,A,,14.23,9.27,NA,9.27,,0.80,24.30,24.30,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
33250,,Ablate heart dysrhythm focus,A,,21.85,14.42,NA,14.42,,1.01,37.28,37.28,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33251,,Ablate heart dysrhythm focus,A,,24.88,14.53,NA,14.53,,2.41,41.82,41.82,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33253,,Reconstruct atria,A,,31.06,16.79,NA,16.79,,3.68,51.53,51.53,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33261,,Ablate heart dysrhythm focus,A,,24.88,14.79,NA,14.79,,2.82,42.49,42.49,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33282,,Implant pat-active ht record,A,,4.17,4.91,NA,4.91,,0.39,9.47,9.47,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33284,,Remove pat-active ht record,A,,2.50,4.39,NA,4.39,,0.23,7.12,7.12,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33300,,Repair of heart wound,A,,17.92,12.08,NA,12.08,,1.91,31.91,31.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33305,,Repair of heart wound,A,,21.44,13.53,NA,13.53,,2.68,37.65,37.65,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33310,,Exploratory heart surgery,A,,18.51,12.43,NA,12.43,,2.26,33.20,33.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33315,,Exploratory heart surgery,A,,22.37,13.74,NA,13.74,,2.90,39.01,39.01,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33320,,Repair major blood vessel(s),A,,16.79,11.44,NA,11.44,,1.66,29.89,29.89,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33321,,Repair major vessel,A,,20.20,12.72,NA,12.72,,2.70,35.62,35.62,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33322,,Repair major blood vessel(s),A,,20.62,13.32,NA,13.32,,2.51,36.45,36.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33330,,Insert major vessel graft,A,,21.43,12.93,NA,12.93,,2.49,36.85,36.85,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33332,,Insert major vessel graft,A,,23.96,13.18,NA,13.18,,2.45,39.59,39.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33335,,Insert major vessel graft,A,,30.01,16.23,NA,16.23,,3.79,50.03,50.03,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33400,,Repair of aortic valve,A,,28.50,15.00,NA,15.00,,3.09,46.59,46.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33401,,"Valvuloplasty, open",A,,23.91,13.33,NA,13.33,,2.71,39.95,39.95,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33403,,"Valvuloplasty, w/cp bypass",A,,24.89,13.71,NA,13.71,,2.48,41.08,41.08,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33404,,Prepare heart-aorta conduit,A,,28.54,13.94,NA,13.94,,3.31,45.79,45.79,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33405,,Replacement of aortic valve,A,,35.00,17.52,NA,17.52,,3.86,56.38,56.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33406,,Replacement of aortic valve,A,,37.50,18.31,NA,18.31,,4.07,59.88,59.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33410,,Replacement of aortic valve,A,,32.46,16.00,NA,16.00,,4.11,52.57,52.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33411,,Replacement of aortic valve,A,,36.25,17.97,NA,17.97,,4.16,58.38,58.38,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33412,,Replacement of aortic valve,A,,42.00,19.77,NA,19.77,,4.66,66.43,66.43,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33413,,Replacement of aortic valve,A,,43.50,20.10,NA,20.10,,4.26,67.86,67.86,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33414,,Repair of aortic valve,A,,30.35,17.98,NA,17.98,,3.79,52.12,52.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33415,,"Revision, subvalvular tissue",A,,27.15,16.05,NA,16.05,,3.25,46.45,46.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33416,,Revise ventricle muscle,A,,30.35,16.41,NA,16.41,,3.85,50.61,50.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33417,,Repair of aortic valve,A,,28.53,17.51,NA,17.51,,3.58,49.62,49.62,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33420,,Revision of mitral valve,A,,22.70,10.12,NA,10.12,,1.48,34.30,34.30,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
33422,,Revision of mitral valve,A,,25.94,13.03,NA,13.03,,3.30,42.27,42.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33425,,Repair of mitral valve,A,,27.00,12.58,NA,12.58,,3.00,42.58,42.58,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33426,,Repair of mitral valve,A,,33.00,16.42,NA,16.42,,3.87,53.29,53.29,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33427,,Repair of mitral valve,A,,40.00,18.59,NA,18.59,,4.30,62.89,62.89,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33430,,Replacement of mitral valve,A,,33.50,16.54,NA,16.54,,3.95,53.99,53.99,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33460,,Revision of tricuspid valve,A,,23.60,14.13,NA,14.13,,3.02,40.75,40.75,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33463,,"Valvuloplasty, tricuspid",A,,25.62,14.87,NA,14.87,,3.17,43.66,43.66,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33464,,"Valvuloplasty, tricuspid",A,,27.33,15.47,NA,15.47,,3.47,46.27,46.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33465,,Replace tricuspid valve,A,,28.79,15.80,NA,15.80,,3.61,48.20,48.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33468,,Revision of tricuspid valve,A,,30.12,20.10,NA,20.10,,4.00,54.22,54.22,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33470,,Revision of pulmonary valve,A,,20.81,13.67,NA,13.67,,2.81,37.29,37.29,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33471,,"Valvotomy, pulmonary valve",A,,22.25,12.72,NA,12.72,,3.00,37.97,37.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33472,,Revision of pulmonary valve,A,,22.25,15.25,NA,15.25,,2.92,40.42,40.42,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33474,,Revision of pulmonary valve,A,,23.04,13.42,NA,13.42,,2.84,39.30,39.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33475,,"Replacement, pulmonary valve",A,,33.00,18.87,NA,18.87,,2.64,54.51,54.51,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33476,,Revision of heart chamber,A,,25.77,14.07,NA,14.07,,2.40,42.24,42.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33478,,Revision of heart chamber,A,,26.74,15.15,NA,15.15,,3.56,45.45,45.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33496,,"Repair, prosth valve clot",A,,27.25,17.18,NA,17.18,,3.44,47.87,47.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33500,,Repair heart vessel fistula,A,,25.55,13.86,NA,13.86,,2.80,42.21,42.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33501,,Repair heart vessel fistula,A,,17.78,10.55,NA,10.55,,2.05,30.38,30.38,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
33502,,Coronary artery correction,A,,21.04,17.04,NA,17.04,,2.51,40.59,40.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33503,,Coronary artery graft,A,,21.78,14.05,NA,14.05,,1.42,37.25,37.25,0,090,0.09,0.84,0.07,2,0,0,1,0,,36.7856,09
33504,,Coronary artery graft,A,,24.66,16.92,NA,16.92,,3.04,44.62,44.62,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33505,,Repair artery w/tunnel,A,,26.84,18.36,NA,18.36,,1.52,46.72,46.72,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33506,,"Repair artery, translocation",A,,35.50,19.69,NA,19.69,,3.19,58.38,58.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33508,,Endoscopic vein harvest,A,,0.31,0.11,NA,0.11,,0.03,0.45,0.45,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
33510,,"CABG, vein, single",A,,29.00,15.52,NA,15.52,,3.13,47.65,47.65,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33511,,"CABG, vein, two",A,,30.00,16.21,NA,16.21,,3.34,49.55,49.55,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33512,,"CABG, vein, three",A,,31.80,16.75,NA,16.75,,3.70,52.25,52.25,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33513,,"CABG, vein, four",A,,32.00,16.91,NA,16.91,,3.99,52.90,52.90,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33514,,"CABG, vein, five",A,,32.75,17.16,NA,17.16,,4.37,54.28,54.28,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33516,,"Cabg, vein, six or more",A,,35.00,17.91,NA,17.91,,4.62,57.53,57.53,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33517,,"CABG, artery-vein, single",A,,2.57,0.84,NA,0.84,,0.32,3.73,3.73,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33518,,"CABG, artery-vein, two",A,,4.85,1.58,NA,1.58,,0.61,7.04,7.04,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33519,,"CABG, artery-vein, three",A,,7.12,2.31,NA,2.31,,0.89,10.32,10.32,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33521,,"CABG, artery-vein, four",A,,9.40,3.05,NA,3.05,,1.18,13.63,13.63,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33522,,"CABG, artery-vein, five",A,,11.67,3.79,NA,3.79,,1.48,16.94,16.94,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33523,,"Cabg, art-vein, six or more",A,,13.95,4.50,NA,4.50,,1.78,20.23,20.23,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33530,,"Coronary artery, bypass/reop",A,,5.86,1.90,NA,1.90,,0.73,8.49,8.49,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33533,,"CABG, arterial, single",A,,30.00,15.67,NA,15.67,,3.24,48.91,48.91,0,090,0.09,0.82,0.09,2,0,2,0,0,,36.7856,09
33534,,"CABG, arterial, two",A,,32.20,16.81,NA,16.81,,3.63,52.64,52.64,0,090,0.09,0.82,0.09,2,0,2,0,0,,36.7856,09
33535,,"CABG, arterial, three",A,,34.50,17.30,NA,17.30,,3.97,55.77,55.77,0,090,0.09,0.82,0.09,2,0,2,0,0,,36.7856,09
33536,,"Cabg, arterial, four or more",A,,37.50,17.63,NA,17.63,,3.29,58.42,58.42,0,090,0.09,0.82,0.09,2,0,2,0,0,,36.7856,09
33542,,Removal of heart lesion,A,,28.85,17.43,NA,17.43,,3.61,49.89,49.89,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33545,,Repair of heart damage,A,,36.78,20.01,NA,20.01,,4.40,61.19,61.19,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33572,,Open coronary endarterectomy,A,,4.45,1.44,NA,1.44,,0.55,6.44,6.44,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
33600,,Closure of valve,A,,29.51,16.89,NA,16.89,,2.30,48.70,48.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33602,,Closure of valve,A,,28.54,16.43,NA,16.43,,2.90,47.87,47.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33606,,Anastomosis/artery-aorta,A,,30.74,18.23,NA,18.23,,3.59,52.56,52.56,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33608,,Repair anomaly w/conduit,A,,31.09,17.62,NA,17.62,,4.17,52.88,52.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33610,,Repair by enlargement,A,,30.61,18.66,NA,18.66,,4.02,53.29,53.29,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33611,,Repair double ventricle,A,,34.00,19.21,NA,19.21,,3.28,56.49,56.49,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33612,,Repair double ventricle,A,,35.00,19.97,NA,19.97,,4.44,59.41,59.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33615,,"Repair, modified fontan",A,,34.00,18.80,NA,18.80,,3.15,55.95,55.95,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33617,,Repair single ventricle,A,,37.00,21.91,NA,21.91,,4.09,63.00,63.00,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33619,,Repair single ventricle,A,,45.00,27.24,NA,27.24,,4.71,76.95,76.95,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33641,,Repair heart septum defect,A,,21.39,11.95,NA,11.95,,2.67,36.01,36.01,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33645,,Revision of heart veins,A,,24.82,14.27,NA,14.27,,3.27,42.36,42.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33647,,Repair heart septum defects,A,,28.73,17.65,NA,17.65,,3.37,49.75,49.75,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33660,,Repair of heart defects,A,,30.00,17.37,NA,17.37,,2.82,50.19,50.19,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33665,,Repair of heart defects,A,,28.60,17.67,NA,17.67,,3.81,50.08,50.08,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33670,,Repair of heart chambers,A,,35.00,16.19,NA,16.19,,2.18,53.37,53.37,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33681,,Repair heart septum defect,A,,30.61,18.07,NA,18.07,,3.53,52.21,52.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33684,,Repair heart septum defect,A,,29.65,16.93,NA,16.93,,3.77,50.35,50.35,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33688,,Repair heart septum defect,A,,30.62,14.40,NA,14.40,,3.89,48.91,48.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33690,,Reinforce pulmonary artery,A,,19.55,13.65,NA,13.65,,2.56,35.76,35.76,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33692,,Repair of heart defects,A,,30.75,17.47,NA,17.47,,3.77,51.99,51.99,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33694,,Repair of heart defects,A,,34.00,18.41,NA,18.41,,4.27,56.68,56.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33697,,Repair of heart defects,A,,36.00,19.61,NA,19.61,,4.54,60.15,60.15,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33702,,Repair of heart defects,A,,26.54,16.85,NA,16.85,,3.45,46.84,46.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33710,,Repair of heart defects,A,,29.71,18.23,NA,18.23,,3.85,51.79,51.79,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33720,,Repair of heart defect,A,,26.56,16.34,NA,16.34,,3.21,46.11,46.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33722,,Repair of heart defect,A,,28.41,17.91,NA,17.91,,3.80,50.12,50.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33730,,Repair heart-vein defect(s),A,,34.25,18.02,NA,18.02,,2.85,55.12,55.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33732,,Repair heart-vein defect,A,,28.16,17.20,NA,17.20,,2.78,48.14,48.14,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33735,,Revision of heart chamber,A,,21.39,12.25,NA,12.25,,1.12,34.76,34.76,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33736,,Revision of heart chamber,A,,23.52,15.56,NA,15.56,,2.70,41.78,41.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33737,,Revision of heart chamber,A,,21.76,14.86,NA,14.86,,2.93,39.55,39.55,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33750,,Major vessel shunt,A,,21.41,13.38,NA,13.38,,1.74,36.53,36.53,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33755,,Major vessel shunt,A,,21.79,12.25,NA,12.25,,2.93,36.97,36.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33762,,Major vessel shunt,A,,21.79,13.40,NA,13.40,,1.59,36.78,36.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33764,,Major vessel shunt & graft,A,,21.79,13.15,NA,13.15,,1.93,36.87,36.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33766,,Major vessel shunt,A,,22.76,15.33,NA,15.33,,3.04,41.13,41.13,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33767,,Major vessel shunt,A,,24.50,15.19,NA,15.19,,3.14,42.83,42.83,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33770,,Repair great vessels defect,A,,37.00,17.97,NA,17.97,,4.49,59.46,59.46,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33771,,Repair great vessels defect,A,,34.65,14.95,NA,14.95,,4.67,54.27,54.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33774,,Repair great vessels defect,A,,30.98,16.58,NA,16.58,,4.18,51.74,51.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33775,,Repair great vessels defect,A,,32.20,16.92,NA,16.92,,4.34,53.46,53.46,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33776,,Repair great vessels defect,A,,34.04,18.41,NA,18.41,,4.58,57.03,57.03,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33777,,Repair great vessels defect,A,,33.46,17.41,NA,17.41,,4.51,55.38,55.38,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33778,,Repair great vessels defect,A,,40.00,20.72,NA,20.72,,4.83,65.55,65.55,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33779,,Repair great vessels defect,A,,36.21,18.16,NA,18.16,,2.40,56.77,56.77,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33780,,Repair great vessels defect,A,,41.75,22.40,NA,22.40,,5.21,69.36,69.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33781,,Repair great vessels defect,A,,36.45,15.41,NA,15.41,,4.91,56.77,56.77,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33786,,Repair arterial trunk,A,,39.00,20.17,NA,20.17,,4.69,63.86,63.86,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33788,,Revision of pulmonary artery,A,,26.62,15.38,NA,15.38,,3.32,45.32,45.32,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33800,,Aortic suspension,A,,16.24,12.45,NA,12.45,,1.11,29.80,29.80,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
33802,,Repair vessel defect,A,,17.66,13.02,NA,13.02,,1.56,32.24,32.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33803,,Repair vessel defect,A,,19.60,13.51,NA,13.51,,2.63,35.74,35.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33813,,Repair septal defect,A,,20.65,14.94,NA,14.94,,2.78,38.37,38.37,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33814,,Repair septal defect,A,,25.77,16.47,NA,16.47,,2.52,44.76,44.76,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33820,,Revise major vessel,A,,16.29,11.45,NA,11.45,,2.10,29.84,29.84,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33822,,Revise major vessel,A,,17.32,13.84,NA,13.84,,2.33,33.49,33.49,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33824,,Revise major vessel,A,,19.52,12.63,NA,12.63,,2.61,34.76,34.76,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33840,,Remove aorta constriction,A,,20.63,13.95,NA,13.95,,2.36,36.94,36.94,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33845,,Remove aorta constriction,A,,22.12,15.13,NA,15.13,,2.90,40.15,40.15,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33851,,Remove aorta constriction,A,,21.27,14.80,NA,14.80,,2.86,38.93,38.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33852,,Repair septal defect,A,,23.71,15.34,NA,15.34,,3.19,42.24,42.24,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33853,,Repair septal defect,A,,31.72,18.90,NA,18.90,,4.23,54.85,54.85,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33860,,Ascending aortic graft,A,,38.00,18.90,NA,18.90,,4.30,61.20,61.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33861,,Ascending aortic graft,A,,42.00,20.18,NA,20.18,,4.24,66.42,66.42,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33863,,Ascending aortic graft,A,,45.00,21.14,NA,21.14,,4.60,70.74,70.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33870,,Transverse aortic arch graft,A,,44.00,20.83,NA,20.83,,5.09,69.92,69.92,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33875,,Thoracic aortic graft,A,,33.06,17.10,NA,17.10,,4.08,54.24,54.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33877,,Thoracoabdominal graft,A,,42.60,21.75,NA,21.75,,5.07,69.42,69.42,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33910,,Remove lung artery emboli,A,,24.59,14.28,NA,14.28,,3.06,41.93,41.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33915,,Remove lung artery emboli,A,,21.02,12.37,NA,12.37,,1.20,34.59,34.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33916,,Surgery of great vessel,A,,25.83,14.94,NA,14.94,,3.04,43.81,43.81,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33917,,Repair pulmonary artery,A,,24.50,15.94,NA,15.94,,3.17,43.61,43.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33918,,Repair pulmonary atresia,A,,26.45,15.59,NA,15.59,,3.42,45.46,45.46,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33919,,Repair pulmonary atresia,A,,40.00,21.68,NA,21.68,,3.48,65.16,65.16,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33920,,Repair pulmonary atresia,A,,31.95,16.90,NA,16.90,,3.61,52.46,52.46,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33922,,Transect pulmonary artery,A,,23.52,14.38,NA,14.38,,2.30,40.20,40.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
33924,,Remove pulmonary shunt,A,,5.50,1.82,NA,1.82,,0.74,8.06,8.06,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
33930,,Removal of donor heart/lung,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
33935,,"Transplantation, heart/lung",R,,60.96,27.89,NA,27.89,,8.15,97.00,97.00,0,090,0.09,0.84,0.07,2,0,2,1,2,,36.7856,09
33940,,Removal of donor heart,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
33945,,Transplantation of heart,R,,42.10,21.79,NA,21.79,,5.42,69.31,69.31,0,090,0.09,0.84,0.07,2,0,2,1,2,,36.7856,09
33960,,External circulation assist,A,,19.36,4.96,NA,4.96,,2.14,26.46,26.46,0,000,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
33961,,External circulation assist,A,,10.93,3.65,NA,3.65,,1.47,16.05,16.05,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
33967,,Insert ia percut device,A,,4.85,1.90,,1.87,,0.28,7.03,7.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
33968,,Remove aortic assist device,A,,0.64,0.23,NA,0.23,,0.07,0.94,0.94,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
33970,,Aortic circulation assist,A,,6.75,2.29,NA,2.29,,0.70,9.74,9.74,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
33971,,Aortic circulation assist,A,,9.69,8.18,NA,8.18,,0.97,18.84,18.84,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33973,,Insert balloon device,A,,9.76,3.31,NA,3.31,,1.01,14.08,14.08,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
33974,,Remove intra-aortic balloon,A,,14.41,10.98,NA,10.98,,1.48,26.87,26.87,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
33975,,Implant ventricular device,A,,21.00,6.28,NA,6.28,,1.72,29.00,29.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
33976,,Implant ventricular device,A,,23.00,7.52,NA,7.52,,2.82,33.34,33.34,0,XXX,0.00,0.00,0.00,2,2,2,0,0,,36.7856,09
33977,,Remove ventricular device,A,,19.29,10.50,NA,10.50,,2.44,32.23,32.23,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
33978,,Remove ventricular device,A,,21.73,11.37,NA,11.37,,2.66,35.76,35.76,0,090,0.09,0.84,0.07,2,2,2,0,0,,36.7856,09
33979,,Insert intracorporeal device,A,,46.00,17.88,,17.88,,3.98,67.86,67.86,0,XXX,0.00,0.00,0.00,2,2,2,0,0,,36.7856,09
33980,,Remove intracorporeal device,A,,56.25,26.47,NA,26.47,,4.60,87.32,87.32,0,090,0.09,0.84,0.07,2,2,2,0,0,,36.7856,09
33999,,Cardiac surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
34001,,Removal of artery clot,A,,12.91,5.85,NA,5.85,,1.46,20.22,20.22,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34051,,Removal of artery clot,A,,15.21,6.91,NA,6.91,,1.90,24.02,24.02,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34101,,Removal of artery clot,A,,10.00,4.71,NA,4.71,,1.11,15.82,15.82,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34111,,Removal of arm artery clot,A,,10.00,4.77,NA,4.77,,0.85,15.62,15.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34151,,Removal of artery clot,A,,25.00,10.24,NA,10.24,,1.84,37.08,37.08,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34201,,Removal of artery clot,A,,10.03,5.03,NA,5.03,,1.02,16.08,16.08,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34203,,Removal of leg artery clot,A,,16.50,7.46,NA,7.46,,1.37,25.33,25.33,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34401,,Removal of vein clot,A,,25.00,10.05,NA,10.05,,1.20,36.25,36.25,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34421,,Removal of vein clot,A,,12.00,5.88,NA,5.88,,0.95,18.83,18.83,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34451,,Removal of vein clot,A,,27.00,10.76,NA,10.76,,1.59,39.35,39.35,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34471,,Removal of vein clot,A,,10.18,4.93,NA,4.93,,0.90,16.01,16.01,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
34490,,Removal of vein clot,A,,9.86,6.12,NA,6.12,,0.73,16.71,16.71,0,090,0.09,0.84,0.07,2,1,1,0,0,,36.7856,09
34501,,"Repair valve, femoral vein",A,,16.00,9.25,NA,9.25,,1.37,26.62,26.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34502,,Reconstruct vena cava,A,,26.95,10.98,NA,10.98,,2.99,40.92,40.92,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
34510,,Transposition of vein valve,A,,18.95,10.27,NA,10.27,,1.60,30.82,30.82,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34520,,Cross-over vein graft,A,,17.95,9.30,NA,9.30,,1.41,28.66,28.66,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34530,,Leg vein fusion,A,,16.64,8.74,NA,8.74,,2.06,27.44,27.44,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
34800,,Endovasc abdo repair w/tube,A,,20.75,8.94,NA,8.94,,1.49,31.18,31.18,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
34802,,Endovasc abdo repr w/device,A,,23.00,9.69,NA,9.69,,1.65,34.34,34.34,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
34804,,Endovasc abdo repr w/device,A,,23.00,9.69,NA,9.69,,1.65,34.34,34.34,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
34808,,Endovasc abdo occlud device,A,,4.13,1.40,NA,1.40,,0.29,5.82,5.82,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
34812,,"Xpose for endoprosth, femorl",A,,6.75,2.29,NA,2.29,,0.49,9.53,9.53,0,000,0.00,0.00,0.00,2,1,2,2,0,,36.7856,09
34813,,Femoral endovas graft add-on,A,,4.80,1.60,NA,1.60,,0.34,6.74,6.74,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
34820,,"Xpose for endoprosth, iliac",A,,9.75,3.30,NA,3.30,,0.70,13.75,13.75,0,000,0.00,0.00,0.00,2,1,2,2,0,,36.7856,09
34825,,"Endovasc extend prosth, init",A,,12.00,5.95,NA,5.95,,0.86,18.81,18.81,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
34826,,"Endovasc exten prosth, addl",A,,4.13,1.41,NA,1.41,,0.29,5.83,5.83,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
34830,,Open aortic tube prosth repr,A,,32.59,13.31,NA,13.31,,2.34,48.24,48.24,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
34831,,Open aortoiliac prosth repr,A,,35.34,11.68,NA,11.68,,2.53,49.55,49.55,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
34832,,Open aortofemor prosth repr,A,,35.34,14.38,NA,14.38,,2.53,52.25,52.25,0,090,0.09,0.84,0.07,2,0,0,2,0,,36.7856,09
34833,,"Xpose for endoprosth, iliac",A,,12.00,4.98,NA,4.98,,0.70,17.68,17.68,0,000,0.00,0.00,0.00,2,1,2,2,0,,36.7856,09
34834,,"Xpose, endoprosth, brachial",A,,5.35,2.48,NA,2.48,,0.49,8.32,8.32,0,000,0.00,0.00,0.00,2,1,2,2,0,,36.7856,09
34900,,Endovasc iliac repr w/graft,A,,16.38,8.24,NA,8.24,,1.49,26.11,26.11,0,090,0.09,0.84,0.07,2,0,2,2,0,,36.7856,09
35001,,Repair defect of artery,A,,19.64,8.39,NA,8.39,,2.44,30.47,30.47,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35002,,"Repair artery rupture, neck",A,,21.00,9.07,NA,9.07,,1.82,31.89,31.89,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35005,,Repair defect of artery,A,,18.12,7.79,NA,7.79,,1.35,27.26,27.26,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35011,,Repair defect of artery,A,,18.00,7.40,NA,7.40,,1.30,26.70,26.70,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35013,,"Repair artery rupture, arm",A,,22.00,8.74,NA,8.74,,1.91,32.65,32.65,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35021,,Repair defect of artery,A,,19.65,8.61,NA,8.61,,1.93,30.19,30.19,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35022,,"Repair artery rupture, chest",A,,23.18,9.43,NA,9.43,,1.99,34.60,34.60,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35045,,Repair defect of arm artery,A,,17.57,8.61,NA,8.61,,1.25,27.43,27.43,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35081,,Repair defect of artery,A,,28.01,11.65,NA,11.65,,3.20,42.86,42.86,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35082,,"Repair artery rupture, aorta",A,,38.50,14.60,NA,14.60,,4.07,57.17,57.17,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35091,,Repair defect of artery,A,,35.40,13.91,NA,13.91,,4.09,53.40,53.40,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35092,,"Repair artery rupture, aorta",A,,45.00,16.93,NA,16.93,,4.31,66.24,66.24,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35102,,Repair defect of artery,A,,30.76,12.33,NA,12.33,,3.44,46.53,46.53,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35103,,"Repair artery rupture, groin",A,,40.50,15.39,NA,15.39,,3.79,59.68,59.68,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35111,,Repair defect of artery,A,,25.00,10.18,NA,10.18,,1.81,36.99,36.99,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35112,,"Repair artery rupture,spleen",A,,30.00,11.65,NA,11.65,,1.95,43.60,43.60,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35121,,Repair defect of artery,A,,30.00,12.07,NA,12.07,,2.93,45.00,45.00,0,090,0.09,0.84,0.07,2,1,2,0,0,,36.7856,09
35122,,"Repair artery rupture, belly",A,,35.00,13.46,NA,13.46,,3.54,52.00,52.00,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35131,,Repair defect of artery,A,,25.00,10.38,NA,10.38,,2.11,37.49,37.49,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35132,,"Repair artery rupture, groin",A,,30.00,11.82,NA,11.82,,2.48,44.30,44.30,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35141,,Repair defect of artery,A,,20.00,8.50,NA,8.50,,1.65,30.15,30.15,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35142,,"Repair artery rupture, thigh",A,,23.30,9.56,NA,9.56,,1.75,34.61,34.61,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35151,,Repair defect of artery,A,,22.64,9.54,NA,9.54,,1.93,34.11,34.11,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35152,,"Repair artery rupture, knee",A,,25.62,10.42,NA,10.42,,1.93,37.97,37.97,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35161,,Repair defect of artery,A,,18.76,8.70,NA,8.70,,2.21,29.67,29.67,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35162,,Repair artery rupture,A,,19.78,8.86,NA,8.86,,2.21,30.85,30.85,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35180,,Repair blood vessel lesion,A,,13.62,6.35,NA,6.35,,1.44,21.41,21.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35182,,Repair blood vessel lesion,A,,30.00,12.30,NA,12.30,,1.88,44.18,44.18,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35184,,Repair blood vessel lesion,A,,18.00,7.79,NA,7.79,,1.34,27.13,27.13,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35188,,Repair blood vessel lesion,A,,14.28,6.58,NA,6.58,,1.53,22.39,22.39,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35189,,Repair blood vessel lesion,A,,28.00,11.46,NA,11.46,,2.12,41.58,41.58,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35190,,Repair blood vessel lesion,A,,12.75,5.88,NA,5.88,,1.33,19.96,19.96,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35201,,Repair blood vessel lesion,A,,16.14,7.02,NA,7.02,,1.17,24.33,24.33,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35206,,Repair blood vessel lesion,A,,13.25,7.51,NA,7.51,,1.04,21.80,21.80,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35207,,Repair blood vessel lesion,A,,10.15,9.76,NA,9.76,,1.15,21.06,21.06,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
35211,,Repair blood vessel lesion,A,,22.12,13.77,NA,13.77,,2.83,38.72,38.72,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35216,,Repair blood vessel lesion,A,,18.75,11.67,NA,11.67,,2.17,32.59,32.59,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35221,,Repair blood vessel lesion,A,,24.39,10.09,NA,10.09,,1.79,36.27,36.27,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35226,,Repair blood vessel lesion,A,,14.50,8.95,NA,8.95,,0.84,24.29,24.29,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35231,,Repair blood vessel lesion,A,,20.00,9.24,NA,9.24,,1.32,30.56,30.56,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35236,,Repair blood vessel lesion,A,,17.11,8.89,NA,8.89,,1.19,27.19,27.19,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35241,,Repair blood vessel lesion,A,,23.12,14.42,NA,14.42,,2.90,40.44,40.44,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35246,,Repair blood vessel lesion,A,,26.45,14.23,NA,14.23,,2.22,42.90,42.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35251,,Repair blood vessel lesion,A,,30.20,12.03,NA,12.03,,1.87,44.10,44.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35256,,Repair blood vessel lesion,A,,18.36,9.43,NA,9.43,,1.32,29.11,29.11,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35261,,Repair blood vessel lesion,A,,17.80,7.43,NA,7.43,,1.34,26.57,26.57,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35266,,Repair blood vessel lesion,A,,14.91,7.98,NA,7.98,,1.16,24.05,24.05,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35271,,Repair blood vessel lesion,A,,22.12,13.57,NA,13.57,,2.77,38.46,38.46,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35276,,Repair blood vessel lesion,A,,24.25,13.84,NA,13.84,,2.37,40.46,40.46,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35281,,Repair blood vessel lesion,A,,28.00,11.41,NA,11.41,,1.82,41.23,41.23,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35286,,Repair blood vessel lesion,A,,16.16,8.73,NA,8.73,,1.36,26.25,26.25,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35301,,Rechanneling of artery,A,,18.70,8.26,NA,8.26,,2.23,29.19,29.19,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35311,,Rechanneling of artery,A,,27.00,10.92,NA,10.92,,2.75,40.67,40.67,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35321,,Rechanneling of artery,A,,16.00,6.72,NA,6.72,,1.36,24.08,24.08,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35331,,Rechanneling of artery,A,,26.20,10.82,NA,10.82,,2.71,39.73,39.73,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35341,,Rechanneling of artery,A,,25.11,10.41,NA,10.41,,2.87,38.39,38.39,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35351,,Rechanneling of artery,A,,23.00,9.63,NA,9.63,,2.29,34.92,34.92,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35355,,Rechanneling of artery,A,,18.50,8.12,NA,8.12,,1.80,28.42,28.42,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35361,,Rechanneling of artery,A,,28.20,11.37,NA,11.37,,2.66,42.23,42.23,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35363,,Rechanneling of artery,A,,30.20,12.12,NA,12.12,,2.77,45.09,45.09,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35371,,Rechanneling of artery,A,,14.72,6.58,NA,6.58,,1.32,22.62,22.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35372,,Rechanneling of artery,A,,18.00,7.73,NA,7.73,,1.53,27.26,27.26,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35381,,Rechanneling of artery,A,,15.81,7.21,NA,7.21,,1.80,24.82,24.82,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35390,,"Reoperation, carotid add-on",A,,3.19,1.07,NA,1.07,,0.38,4.64,4.64,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35400,,Angioscopy,A,,3.00,1.05,NA,1.05,,0.34,4.39,4.39,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,36.7856,09
35450,,Repair arterial blockage,A,,10.07,4.02,NA,4.02,,0.84,14.93,14.93,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35452,,Repair arterial blockage,A,,6.91,3.09,NA,3.09,,0.76,10.76,10.76,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35454,,Repair arterial blockage,A,,6.04,2.77,NA,2.77,,0.67,9.48,9.48,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35456,,Repair arterial blockage,A,,7.35,3.21,NA,3.21,,0.82,11.38,11.38,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35458,,Repair arterial blockage,A,,9.49,3.92,NA,3.92,,1.09,14.50,14.50,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35459,,Repair arterial blockage,A,,8.63,3.59,NA,3.59,,0.96,13.18,13.18,0,000,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
35460,,Repair venous blockage,A,,6.04,2.63,NA,2.63,,0.66,9.33,9.33,0,000,0.00,0.00,0.00,2,1,1,1,0,,36.7856,09
35470,,Repair arterial blockage,A,,8.63,3.89,NA,3.89,,0.50,13.02,13.02,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35471,,Repair arterial blockage,A,,10.07,4.53,NA,4.53,,0.50,15.10,15.10,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35472,,Repair arterial blockage,A,,6.91,3.26,NA,3.26,,0.39,10.56,10.56,0,000,0.00,0.00,0.00,2,1,0,1,0,,36.7856,09
35473,,Repair arterial blockage,A,,6.04,2.95,NA,2.95,,0.34,9.33,9.33,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35474,,Repair arterial blockage,A,,7.36,2.94,NA,2.94,,0.40,10.70,10.70,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35475,,Repair arterial blockage,R,,9.49,4.12,NA,4.12,,0.47,14.08,14.08,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35476,,Repair venous blockage,A,,6.04,2.88,NA,2.88,,0.27,9.19,9.19,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
35480,,"Atherectomy, open",A,,11.08,4.50,NA,4.50,,1.13,16.71,16.71,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35481,,"Atherectomy, open",A,,7.61,3.38,NA,3.38,,0.84,11.83,11.83,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35482,,"Atherectomy, open",A,,6.65,3.04,NA,3.04,,0.75,10.44,10.44,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35483,,"Atherectomy, open",A,,8.10,3.47,NA,3.47,,0.81,12.38,12.38,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35484,,"Atherectomy, open",A,,10.44,4.19,NA,4.19,,1.13,15.76,15.76,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35485,,"Atherectomy, open",A,,9.49,4.02,NA,4.02,,1.06,14.57,14.57,0,000,0.00,0.00,0.00,2,0,2,2,0,,36.7856,09
35490,,"Atherectomy, percutaneous",A,,11.08,4.80,NA,4.80,,0.55,16.43,16.43,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
35491,,"Atherectomy, percutaneous",A,,7.61,3.32,NA,3.32,,0.49,11.42,11.42,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
35492,,"Atherectomy, percutaneous",A,,6.65,3.20,NA,3.20,,0.43,10.28,10.28,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
35493,,"Atherectomy, percutaneous",A,,8.10,3.86,NA,3.86,,0.47,12.43,12.43,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
35494,,"Atherectomy, percutaneous",A,,10.44,4.46,NA,4.46,,0.48,15.38,15.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
35495,,"Atherectomy, percutaneous",A,,9.49,4.46,NA,4.46,,0.51,14.46,14.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
35500,,Harvest vein for bypass,A,,6.45,2.07,NA,2.07,,0.63,9.15,9.15,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35501,,Artery bypass graft,A,,19.19,7.43,NA,7.43,,2.33,28.95,28.95,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35506,,Artery bypass graft,A,,19.67,8.13,NA,8.13,,2.33,30.13,30.13,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35507,,Artery bypass graft,A,,19.67,8.09,NA,8.09,,2.27,30.03,30.03,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35508,,Artery bypass graft,A,,18.65,7.85,NA,7.85,,2.34,28.84,28.84,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35509,,Artery bypass graft,A,,18.07,7.54,NA,7.54,,2.12,27.73,27.73,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35511,,Artery bypass graft,A,,21.20,8.69,NA,8.69,,1.74,31.63,31.63,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35515,,Artery bypass graft,A,,18.65,7.93,NA,7.93,,2.26,28.84,28.84,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35516,,Artery bypass graft,A,,16.32,5.80,NA,5.80,,1.88,24.00,24.00,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35518,,Artery bypass graft,A,,21.20,8.49,NA,8.49,,1.78,31.47,31.47,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35521,,Artery bypass graft,A,,22.20,9.33,NA,9.33,,1.82,33.35,33.35,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35526,,Artery bypass graft,A,,29.95,12.00,NA,12.00,,2.18,44.13,44.13,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35531,,Artery bypass graft,A,,36.20,14.13,NA,14.13,,2.91,53.24,53.24,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35533,,Artery bypass graft,A,,28.00,11.36,NA,11.36,,2.35,41.71,41.71,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35536,,Artery bypass graft,A,,31.70,12.58,NA,12.58,,2.62,46.90,46.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35541,,Artery bypass graft,A,,25.80,10.72,NA,10.72,,2.74,39.26,39.26,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35546,,Artery bypass graft,A,,25.54,10.48,NA,10.48,,2.84,38.86,38.86,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35548,,Artery bypass graft,A,,21.57,9.06,NA,9.06,,2.45,33.08,33.08,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35549,,Artery bypass graft,A,,23.35,9.81,NA,9.81,,2.77,35.93,35.93,0,090,0.09,0.84,0.07,2,2,2,1,0,,36.7856,09
35551,,Artery bypass graft,A,,26.67,10.89,NA,10.89,,3.19,40.75,40.75,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35556,,Artery bypass graft,A,,21.76,9.24,NA,9.24,,2.48,33.48,33.48,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35558,,Artery bypass graft,A,,21.20,8.99,NA,8.99,,1.58,31.77,31.77,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35560,,Artery bypass graft,A,,32.00,12.78,NA,12.78,,2.73,47.51,47.51,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35563,,Artery bypass graft,A,,24.20,10.09,NA,10.09,,1.68,35.97,35.97,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35565,,Artery bypass graft,A,,23.20,9.71,NA,9.71,,1.71,34.62,34.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35566,,Artery bypass graft,A,,26.92,11.67,NA,11.67,,3.02,41.61,41.61,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35571,,Artery bypass graft,A,,24.06,11.90,NA,11.90,,2.14,38.10,38.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35572,,Harvest femoropopliteal vein,A,,6.82,2.57,NA,2.57,,0.63,10.02,10.02,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
35582,,Vein bypass graft,A,,27.13,11.09,NA,11.09,,3.11,41.33,41.33,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35583,,Vein bypass graft,A,,22.37,10.39,NA,10.39,,2.53,35.29,35.29,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35585,,Vein bypass graft,A,,28.39,14.29,NA,14.29,,3.21,45.89,45.89,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35587,,Vein bypass graft,A,,24.75,12.58,NA,12.58,,2.17,39.50,39.50,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35600,,Harvest artery for cabg,A,,4.95,1.62,NA,1.62,,0.60,7.17,7.17,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35601,,Artery bypass graft,A,,17.50,7.33,NA,7.33,,2.08,26.91,26.91,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35606,,Artery bypass graft,A,,18.71,7.75,NA,7.75,,2.17,28.63,28.63,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35612,,Artery bypass graft,A,,15.76,6.72,NA,6.72,,1.72,24.20,24.20,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35616,,Artery bypass graft,A,,15.70,6.78,NA,6.78,,1.84,24.32,24.32,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35621,,Artery bypass graft,A,,20.00,8.67,NA,8.67,,1.68,30.35,30.35,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35623,,"Bypass graft, not vein",A,,24.00,9.98,NA,9.98,,1.91,35.89,35.89,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35626,,Artery bypass graft,A,,27.75,10.93,NA,10.93,,2.89,41.57,41.57,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35631,,Artery bypass graft,A,,34.00,13.41,NA,13.41,,2.83,50.24,50.24,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35636,,Artery bypass graft,A,,29.50,12.11,NA,12.11,,2.37,43.98,43.98,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35641,,Artery bypass graft,A,,24.57,10.27,NA,10.27,,2.83,37.67,37.67,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35642,,Artery bypass graft,A,,17.98,7.86,NA,7.86,,1.84,27.68,27.68,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35645,,Artery bypass graft,A,,17.47,7.69,NA,7.69,,1.91,27.07,27.07,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35646,,Artery bypass graft,A,,31.00,13.00,NA,13.00,,3.63,47.63,47.63,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35647,,Artery bypass graft,A,,28.00,11.76,NA,11.76,,3.28,43.04,43.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35650,,Artery bypass graft,A,,19.00,7.77,NA,7.77,,1.64,28.41,28.41,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35651,,Artery bypass graft,A,,25.04,10.50,NA,10.50,,2.53,38.07,38.07,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35654,,Artery bypass graft,A,,25.00,10.34,NA,10.34,,2.10,37.44,37.44,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35656,,Artery bypass graft,A,,19.53,8.22,NA,8.22,,2.21,29.96,29.96,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35661,,Artery bypass graft,A,,19.00,8.09,NA,8.09,,1.50,28.59,28.59,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35663,,Artery bypass graft,A,,22.00,9.44,NA,9.44,,1.55,32.99,32.99,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35665,,Artery bypass graft,A,,21.00,8.98,NA,8.98,,1.76,31.74,31.74,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35666,,Artery bypass graft,A,,22.19,11.72,NA,11.72,,2.19,36.10,36.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35671,,Artery bypass graft,A,,19.33,10.39,NA,10.39,,1.68,31.40,31.40,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35681,,Composite bypass graft,A,,1.60,0.55,NA,0.55,,0.18,2.33,2.33,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35682,,Composite bypass graft,A,,7.20,2.44,NA,2.44,,0.83,10.47,10.47,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,36.7856,09
35683,,Composite bypass graft,A,,8.50,2.88,NA,2.88,,0.98,12.36,12.36,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,36.7856,09
35685,,Bypass graft patency/patch,A,,4.05,1.52,NA,1.52,,0.25,5.82,5.82,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35686,,Bypass graft/av fist patency,A,,3.35,1.26,NA,1.26,,0.21,4.82,4.82,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35691,,Arterial transposition,A,,18.05,7.54,NA,7.54,,2.06,27.65,27.65,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35693,,Arterial transposition,A,,15.36,6.59,NA,6.59,,1.80,23.75,23.75,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35694,,Arterial transposition,A,,19.16,7.83,NA,7.83,,2.13,29.12,29.12,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35695,,Arterial transposition,A,,19.16,7.78,NA,7.78,,2.19,29.13,29.13,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35700,,"Reoperation, bypass graft",A,,3.08,1.03,NA,1.03,,0.36,4.47,4.47,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
35701,,"Exploration, carotid artery",A,,8.50,4.59,NA,4.59,,0.64,13.73,13.73,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35721,,"Exploration, femoral artery",A,,7.18,5.13,NA,5.13,,0.59,12.90,12.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35741,,Exploration popliteal artery,A,,8.00,5.34,NA,5.34,,0.60,13.94,13.94,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35761,,Exploration of artery/vein,A,,5.37,4.42,NA,4.42,,0.60,10.39,10.39,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35800,,Explore neck vessels,A,,7.02,3.90,NA,3.90,,0.79,11.71,11.71,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35820,,Explore chest vessels,A,,12.88,4.19,NA,4.19,,1.61,18.68,18.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35840,,Explore abdominal vessels,A,,9.77,5.10,NA,5.10,,1.06,15.93,15.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35860,,Explore limb vessels,A,,5.55,3.54,NA,3.54,,0.63,9.72,9.72,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35870,,Repair vessel graft defect,A,,22.17,9.95,NA,9.95,,2.47,34.59,34.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35875,,Removal of clot in graft,A,,10.13,6.30,NA,6.30,,0.97,17.40,17.40,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
35876,,Removal of clot in graft,A,,17.00,8.80,NA,8.80,,1.88,27.68,27.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35879,,Revise graft w/vein,A,,16.00,7.61,NA,7.61,,1.35,24.96,24.96,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35881,,Revise graft w/vein,A,,18.00,8.46,NA,8.46,,1.44,27.90,27.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
35901,,"Excision, graft, neck",A,,8.19,5.82,NA,5.82,,0.90,14.91,14.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35903,,"Excision, graft, extremity",A,,9.39,8.08,NA,8.08,,1.03,18.50,18.50,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35905,,"Excision, graft, thorax",A,,31.25,15.12,NA,15.12,,2.15,48.52,48.52,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
35907,,"Excision, graft, abdomen",A,,35.00,14.57,NA,14.57,,2.17,51.74,51.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36000,,Place needle in vein,A,,0.18,0.66,,0.05,,0.01,0.85,0.24,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36002,,Pseudoaneurysm injection trt,A,,1.96,2.45,,1.00,,0.10,4.51,3.06,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36005,,Injection ext venography,A,,0.95,8.51,,0.32,,0.04,9.50,1.31,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36010,,Place catheter in vein,A,,2.43,0.81,NA,0.81,,0.16,3.40,3.40,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36011,,Place catheter in vein,A,,3.14,1.05,NA,1.05,,0.17,4.36,4.36,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36012,,Place catheter in vein,A,,3.52,1.18,NA,1.18,,0.17,4.87,4.87,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36013,,Place catheter in artery,A,,2.52,0.67,NA,0.67,,0.17,3.36,3.36,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36014,,Place catheter in artery,A,,3.02,1.02,NA,1.02,,0.14,4.18,4.18,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36015,,Place catheter in artery,A,,3.52,1.18,NA,1.18,,0.16,4.86,4.86,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36100,,Establish access to artery,A,,3.02,1.12,NA,1.12,,0.18,4.32,4.32,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36120,,Establish access to artery,A,,2.01,0.67,NA,0.67,,0.11,2.79,2.79,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36140,,Establish access to artery,A,,2.01,0.66,NA,0.66,,0.12,2.79,2.79,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36145,,Artery to vein shunt,A,,2.01,0.68,NA,0.68,,0.10,2.79,2.79,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36160,,Establish access to aorta,A,,2.52,0.86,NA,0.86,,0.20,3.58,3.58,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36200,,Place catheter in aorta,A,,3.02,1.04,NA,1.04,,0.15,4.21,4.21,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36215,,Place catheter in artery,A,,4.68,1.62,NA,1.62,,0.22,6.52,6.52,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36216,,Place catheter in artery,A,,5.28,1.81,NA,1.81,,0.24,7.33,7.33,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36217,,Place catheter in artery,A,,6.30,2.21,NA,2.21,,0.32,8.83,8.83,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36218,,Place catheter in artery,A,,1.01,0.35,NA,0.35,,0.05,1.41,1.41,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36245,,Place catheter in artery,A,,4.68,1.69,NA,1.69,,0.23,6.60,6.60,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36246,,Place catheter in artery,A,,5.28,1.83,NA,1.83,,0.26,7.37,7.37,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36247,,Place catheter in artery,A,,6.30,2.17,NA,2.17,,0.32,8.79,8.79,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
36248,,Place catheter in artery,A,,1.01,0.36,NA,0.36,,0.06,1.43,1.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36260,,Insertion of infusion pump,A,,9.71,5.50,NA,5.50,,1.00,16.21,16.21,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
36261,,Revision of infusion pump,A,,5.45,3.33,NA,3.33,,0.50,9.28,9.28,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
36262,,Removal of infusion pump,A,,4.02,2.48,NA,2.48,,0.43,6.93,6.93,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
36299,,Vessel injection procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
36400,,Bl draw < 3 yrs fem/jugular,A,,0.38,0.89,,0.10,,0.01,1.28,0.49,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36405,,Bl draw < 3 yrs scalp vein,A,,0.31,0.33,,0.08,,0.01,0.65,0.40,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36406,,Bl draw < 3 yrs other vein,A,,0.18,0.37,,0.05,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36410,,Non-routine bl draw > 3 yrs,A,,0.18,0.39,,0.05,,0.01,0.58,0.24,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36415,,Routine venipuncture,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
36416,,Capillary blood draw,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
36420,,Vein access cutdown < 1 yr,A,,1.01,0.31,NA,0.31,,0.09,1.41,1.41,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36425,,Vein access cutdown > 1 yr,A,,0.76,0.22,NA,0.22,,0.05,1.03,1.03,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36430,,Blood transfusion service,A,,0.00,1.01,,1.01,NA,0.05,1.06,1.06,5,XXX,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36440,,"Bl push transfuse, 2 yr or <",A,,1.03,0.29,NA,0.29,,0.08,1.40,1.40,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36450,,"Bl exchange/transfuse, nb",A,,2.23,0.72,NA,0.72,,0.16,3.11,3.11,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36455,,Bl exchange/transfuse non-nb,A,,2.43,0.85,NA,0.85,,0.10,3.38,3.38,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36460,,"Transfusion service, fetal",A,,6.59,2.27,NA,2.27,,0.56,9.42,9.42,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
36468,,"Injection(s), spider veins",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36469,,"Injection(s), spider veins",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36470,,Injection therapy of vein,A,,1.09,2.33,,0.39,,0.10,3.52,1.58,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
36471,,Injection therapy of veins,A,,1.57,2.68,,0.55,,0.15,4.40,2.27,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
36481,,"Insertion of catheter, vein",A,,6.99,2.80,NA,2.80,,0.40,10.19,10.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36488,,"Insertion of catheter, vein",A,,1.35,0.74,NA,0.74,,0.09,2.18,2.18,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36489,,"Insertion of catheter, vein",A,,2.50,4.11,,1.04,,0.08,6.69,3.62,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36490,,"Insertion of catheter, vein",A,,1.67,0.83,NA,0.83,,0.17,2.67,2.67,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36491,,"Insertion of catheter, vein",A,,1.43,0.76,NA,0.76,,0.13,2.32,2.32,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36493,,Repositioning of cvc,A,,1.21,0.86,NA,0.86,,0.06,2.13,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36500,,"Insertion of catheter, vein",A,,3.52,1.26,NA,1.26,,0.14,4.92,4.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36510,,"Insertion of catheter, vein",A,,1.09,0.72,NA,0.72,,0.06,1.87,1.87,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36511,,Apheresis wbc,A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36512,,Apheresis rbc,A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36513,,Apheresis platelets,A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36514,,Apheresis plasma,A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36515,,"Apheresis, adsorp/reinfuse",A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36516,,"Apheresis, selective",A,,1.74,0.70,NA,0.70,,0.06,2.50,2.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36520,,Plasma and/or cell exchange,D,,1.74,1.07,,1.07,,0.06,2.87,2.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36521,,Apheresis w/ adsorp/reinfuse,D,,1.74,1.07,,1.07,,0.06,2.87,2.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36522,,Photopheresis,A,,1.67,6.77,,1.15,,0.07,8.51,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36530,,Insertion of infusion pump,R,,6.20,3.70,NA,3.70,,0.56,10.46,10.46,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
36531,,Revision of infusion pump,R,,4.87,3.25,NA,3.25,,0.44,8.56,8.56,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
36532,,Removal of infusion pump,R,,3.30,1.52,NA,1.52,,0.34,5.16,5.16,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
36533,,Insertion of access device,A,,5.32,13.55,,3.38,,0.49,19.36,9.19,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
36534,,Revision of access device,A,,2.80,1.46,NA,1.46,,0.19,4.45,4.45,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
36535,,Removal of access device,A,,2.27,2.81,,1.82,,0.21,5.29,4.30,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
36536,,Remove cva device obstruct,A,,3.60,33.54,,1.47,,0.23,37.37,5.30,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36537,,Remove cva lumen obstruct,A,,0.75,7.69,,0.49,,0.04,8.48,1.28,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36540,,Collect blood venous device,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
36550,,Declot vascular device,A,,0.00,0.38,,0.38,NA,0.31,0.69,0.69,9,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
36600,,Withdrawal of arterial blood,A,,0.32,0.41,,0.09,,0.02,0.75,0.43,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36620,,"Insertion catheter, artery",A,,1.15,0.24,NA,0.24,,0.06,1.45,1.45,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36625,,"Insertion catheter, artery",A,,2.11,0.53,NA,0.53,,0.16,2.80,2.80,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
36640,,"Insertion catheter, artery",A,,2.10,0.72,NA,0.72,,0.18,3.00,3.00,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36660,,"Insertion catheter, artery",A,,1.40,0.45,NA,0.45,,0.08,1.93,1.93,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
36680,,"Insert needle, bone cavity",A,,1.20,0.62,NA,0.62,,0.08,1.90,1.90,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
36800,,Insertion of cannula,A,,2.43,1.76,NA,1.76,,0.17,4.36,4.36,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36810,,Insertion of cannula,A,,3.97,2.24,NA,2.24,,0.40,6.61,6.61,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36815,,Insertion of cannula,A,,2.62,1.26,NA,1.26,,0.26,4.14,4.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36819,,Av fusion/uppr arm vein,A,,14.00,6.41,NA,6.41,,1.56,21.97,21.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36820,,Av fusion/forearm vein,A,,14.00,6.43,NA,6.43,,1.56,21.99,21.99,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
36821,,Av fusion direct any site,A,,8.93,4.94,NA,4.94,,0.97,14.84,14.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36822,,Insertion of cannula(s),A,,5.42,7.14,NA,7.14,,0.63,13.19,13.19,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
36823,,Insertion of cannula(s),A,,21.00,10.38,NA,10.38,,2.18,33.56,33.56,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
36825,,Artery-vein autograft,A,,9.84,5.48,NA,5.48,,1.09,16.41,16.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36830,,Artery-vein nonautograft,A,,12.00,6.04,NA,6.04,,1.32,19.36,19.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36831,,Open thrombect av fistula,A,,8.00,3.93,NA,3.93,,0.79,12.72,12.72,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36832,,"Av fistula revision, open",A,,10.50,5.53,NA,5.53,,1.13,17.16,17.16,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36833,,Av fistula revision,A,,11.95,6.00,NA,6.00,,1.29,19.24,19.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36834,,Repair A-V aneurysm,A,,9.93,3.79,NA,3.79,,1.06,14.78,14.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
36835,,Artery to vein shunt,A,,7.15,4.52,NA,4.52,,0.80,12.47,12.47,0,090,0.09,0.84,0.07,2,0,1,0,0,,36.7856,09
36860,,External cannula declotting,A,,2.01,2.62,,1.34,,0.10,4.73,3.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36861,,Cannula declotting,A,,2.52,1.46,NA,1.46,,0.14,4.12,4.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
36870,,Percut thrombect av fistula,A,,5.16,42.32,,2.39,,0.23,47.71,7.78,0,090,0.09,0.84,0.07,2,1,1,2,0,,36.7856,09
37140,,Revision of circulation,A,,23.60,10.31,NA,10.31,,1.21,35.12,35.12,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
37145,,Revision of circulation,A,,24.61,10.93,NA,10.93,,2.48,38.02,38.02,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
37160,,Revision of circulation,A,,21.60,9.14,NA,9.14,,2.16,32.90,32.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37180,,Revision of circulation,A,,24.61,10.27,NA,10.27,,2.63,37.51,37.51,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37181,,Splice spleen/kidney veins,A,,26.68,10.86,NA,10.86,,2.67,40.21,40.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37182,,Insert hepatic shunt (tips),A,,17.00,6.37,NA,6.37,,1.49,24.86,24.86,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
37183,,Remove hepatic shunt (tips),A,,8.00,3.12,NA,3.12,,0.43,11.55,11.55,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
37195,,"Thrombolytic therapy, stroke",A,,0.00,8.02,,8.02,NA,0.38,8.40,8.40,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
37200,,Transcatheter biopsy,A,,4.56,1.55,NA,1.55,,0.19,6.30,6.30,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37201,,Transcatheter therapy infuse,A,,5.00,2.53,NA,2.53,,0.24,7.77,7.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37202,,Transcatheter therapy infuse,A,,5.68,3.10,NA,3.10,,0.38,9.16,9.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37203,,Transcatheter retrieval,A,,5.03,2.55,NA,2.55,,0.23,7.81,7.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37204,,Transcatheter occlusion,A,,18.14,6.11,NA,6.11,,0.91,25.16,25.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37205,,Transcatheter stent,A,,8.28,3.79,NA,3.79,,0.43,12.50,12.50,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
37206,,Transcatheter stent add-on,A,,4.13,1.48,NA,1.48,,0.22,5.83,5.83,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
37207,,Transcatheter stent,A,,8.28,3.53,NA,3.53,,0.89,12.70,12.70,0,000,0.00,0.00,0.00,2,1,2,2,0,,36.7856,09
37208,,Transcatheter stent add-on,A,,4.13,1.41,NA,1.41,,0.44,5.98,5.98,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,36.7856,09
37209,,Exchange arterial catheter,A,,2.27,0.77,NA,0.77,,0.11,3.15,3.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
37250,,Iv us first vessel add-on,A,,2.10,0.77,NA,0.77,,0.17,3.04,3.04,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,36.7856,09
37251,,Iv us each add vessel add-on,A,,1.60,0.57,NA,0.57,,0.14,2.31,2.31,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,36.7856,09
37500,,Endoscopy ligate perf veins,A,,11.00,8.70,NA,8.70,,0.40,20.10,20.10,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
37501,,Vascular endoscopy procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,1,1,0,,36.7856,09
37565,,Ligation of neck vein,A,,10.88,5.08,NA,5.08,,0.45,16.41,16.41,0,090,0.09,0.84,0.07,2,0,0,1,0,,36.7856,09
37600,,Ligation of neck artery,A,,11.25,6.30,NA,6.30,,0.40,17.95,17.95,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37605,,Ligation of neck artery,A,,13.11,6.48,NA,6.48,,0.77,20.36,20.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37606,,Ligation of neck artery,A,,6.28,3.98,NA,3.98,,0.79,11.05,11.05,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
37607,,Ligation of a-v fistula,A,,6.16,3.65,NA,3.65,,0.67,10.48,10.48,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
37609,,Temporal artery procedure,A,,3.00,7.02,,2.52,,0.21,10.23,5.73,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
37615,,Ligation of neck artery,A,,5.73,3.64,NA,3.64,,0.57,9.94,9.94,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37616,,Ligation of chest artery,A,,16.49,10.58,NA,10.58,,1.93,29.00,29.00,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37617,,Ligation of abdomen artery,A,,22.06,9.42,NA,9.42,,1.69,33.17,33.17,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37618,,Ligation of extremity artery,A,,4.84,3.49,NA,3.49,,0.54,8.87,8.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37620,,Revision of major vein,A,,10.56,5.40,NA,5.40,,0.75,16.71,16.71,0,090,0.09,0.84,0.07,2,0,1,1,0,,36.7856,09
37650,,Revision of major vein,A,,7.80,4.65,NA,4.65,,0.56,13.01,13.01,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
37660,,Revision of major vein,A,,21.00,9.32,NA,9.32,,1.17,31.49,31.49,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37700,,Revise leg vein,A,,3.73,3.14,NA,3.14,,0.40,7.27,7.27,0,090,0.09,0.84,0.07,2,1,1,0,0,,36.7856,09
37720,,Removal of leg vein,A,,5.66,3.63,NA,3.63,,0.61,9.90,9.90,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
37730,,Removal of leg veins,A,,7.33,4.51,NA,4.51,,0.77,12.61,12.61,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
37735,,Removal of leg veins/lesion,A,,10.53,5.77,NA,5.77,,1.17,17.47,17.47,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
37760,,"Ligation, leg veins, open",A,,10.47,5.63,NA,5.63,,1.11,17.21,17.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37780,,Revision of leg vein,A,,3.84,2.96,NA,2.96,,0.41,7.21,7.21,0,090,0.09,0.84,0.07,2,1,1,1,0,,36.7856,09
37785,,Revise secondary varicosity,A,,3.84,6.98,,2.85,,0.41,11.23,7.10,0,090,0.09,0.84,0.07,2,1,1,0,0,,36.7856,09
37788,,"Revascularization, penis",A,,22.01,11.50,NA,11.50,,1.35,34.86,34.86,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
37790,,Penile venous occlusion,A,,8.34,6.11,NA,6.11,,0.63,15.08,15.08,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
37799,,Vascular surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
38100,,"Removal of spleen, total",A,,14.50,6.56,NA,6.56,,1.30,22.36,22.36,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38101,,"Removal of spleen, partial",A,,15.31,6.94,NA,6.94,,1.38,23.63,23.63,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38102,,"Removal of spleen, total",A,,4.80,1.68,NA,1.68,,0.49,6.97,6.97,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
38115,,Repair of ruptured spleen,A,,15.82,7.04,NA,7.04,,1.40,24.26,24.26,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38120,,"Laparoscopy, splenectomy",A,,17.00,7.37,NA,7.37,,1.73,26.10,26.10,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
38129,,"Laparoscope proc, spleen",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
38200,,Injection for spleen x-ray,A,,2.64,0.92,NA,0.92,,0.12,3.68,3.68,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38204,,Bl donor search management,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38205,,Harvest allogenic stem cells,R,,1.50,0.61,NA,0.61,,0.05,2.16,2.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38206,,Harvest auto stem cells,R,,1.50,0.61,NA,0.61,,0.05,2.16,2.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38207,,Cryopreserve stem cells,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38208,,Thaw preserved stem cells,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38209,,Wash harvest stem cells,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38210,,T-cell depletion of harvest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38211,,Tumor cell deplete of harvst,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38212,,Rbc depletion of harvest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38213,,Platelet deplete of harvest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38214,,Volume deplete of harvest,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38215,,Harvest stem cell concentrte,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
38220,,Bone marrow aspiration,A,,1.08,4.64,,0.43,,0.03,5.75,1.54,0,XXX,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
38221,,Bone marrow biopsy,A,,1.37,4.79,,0.54,,0.04,6.20,1.95,0,XXX,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
38230,,Bone marrow collection,R,,4.54,2.42,NA,2.42,,0.25,7.21,7.21,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
38231,,Stem cell collection,D,,1.50,0.61,,0.61,,0.05,2.16,2.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38240,,Bone marrow/stem transplant,R,,2.24,0.84,NA,0.84,,0.08,3.16,3.16,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38241,,Bone marrow/stem transplant,R,,2.24,0.84,NA,0.84,,0.08,3.16,3.16,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38242,,Lymphocyte infuse transplant,A,,1.71,0.70,NA,0.70,,0.05,2.46,2.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
38300,,"Drainage, lymph node lesion",A,,1.99,4.51,,2.59,,0.15,6.65,4.73,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
38305,,"Drainage, lymph node lesion",A,,6.00,8.72,,6.29,,0.36,15.08,12.65,0,090,0.11,0.73,0.16,2,0,1,0,0,,36.7856,09
38308,,Incision of lymph channels,A,,6.45,5.70,NA,5.70,,0.51,12.66,12.66,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38380,,Thoracic duct procedure,A,,7.46,7.55,NA,7.55,,0.68,15.69,15.69,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38381,,Thoracic duct procedure,A,,12.88,9.83,NA,9.83,,1.58,24.29,24.29,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38382,,Thoracic duct procedure,A,,10.08,9.18,NA,9.18,,1.08,20.34,20.34,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38500,,"Biopsy/removal, lymph nodes",A,,3.75,3.04,,2.56,,0.28,7.07,6.59,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
38505,,"Needle biopsy, lymph nodes",A,,1.14,3.13,,1.09,,0.09,4.36,2.32,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
38510,,"Biopsy/removal, lymph nodes",A,,6.43,5.41,NA,5.41,,0.38,12.22,12.22,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
38520,,"Biopsy/removal, lymph nodes",A,,6.67,5.55,NA,5.55,,0.52,12.74,12.74,0,090,0.11,0.73,0.16,2,1,1,0,0,,36.7856,09
38525,,"Biopsy/removal, lymph nodes",A,,6.07,4.40,NA,4.40,,0.48,10.95,10.95,0,090,0.11,0.73,0.16,2,1,1,0,0,,36.7856,09
38530,,"Biopsy/removal, lymph nodes",A,,7.98,5.84,NA,5.84,,0.63,14.45,14.45,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38542,,"Explore deep node(s), neck",A,,5.91,6.00,NA,6.00,,0.50,12.41,12.41,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38550,,"Removal, neck/armpit lesion",A,,6.92,4.90,NA,4.90,,0.69,12.51,12.51,0,090,0.11,0.73,0.16,2,0,0,0,0,,36.7856,09
38555,,"Removal, neck/armpit lesion",A,,14.14,10.28,NA,10.28,,1.46,25.88,25.88,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38562,,"Removal, pelvic lymph nodes",A,,10.49,6.53,NA,6.53,,0.97,17.99,17.99,0,090,0.11,0.73,0.16,2,2,2,1,0,,36.7856,09
38564,,"Removal, abdomen lymph nodes",A,,10.83,6.27,NA,6.27,,1.06,18.16,18.16,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38570,,"Laparoscopy, lymph node biop",A,,9.25,4.47,NA,4.47,,0.89,14.61,14.61,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
38571,,"Laparoscopy, lymphadenectomy",A,,14.68,6.10,NA,6.10,,0.80,21.58,21.58,0,010,0.10,0.80,0.10,2,2,2,2,0,,36.7856,09
38572,,"Laparoscopy, lymphadenectomy",A,,16.59,7.40,NA,7.40,,1.32,25.31,25.31,0,010,0.10,0.80,0.10,2,2,2,2,0,,36.7856,09
38589,,"Laparoscope proc, lymphatic",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
38700,,"Removal of lymph nodes, neck",A,,8.24,13.43,NA,13.43,,0.60,22.27,22.27,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38720,,"Removal of lymph nodes, neck",A,,13.61,15.95,NA,15.95,,1.03,30.59,30.59,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38724,,"Removal of lymph nodes, neck",A,,14.54,16.51,NA,16.51,,1.10,32.15,32.15,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38740,,Remove armpit lymph nodes,A,,10.03,5.79,NA,5.79,,0.69,16.51,16.51,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38745,,Remove armpit lymph nodes,A,,13.10,8.25,NA,8.25,,0.90,22.25,22.25,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38746,,Remove thoracic lymph nodes,A,,4.89,1.60,NA,1.60,,0.55,7.04,7.04,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
38747,,Remove abdominal lymph nodes,A,,4.89,1.70,NA,1.70,,0.50,7.09,7.09,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
38760,,Remove groin lymph nodes,A,,12.95,7.14,NA,7.14,,0.88,20.97,20.97,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38765,,Remove groin lymph nodes,A,,19.98,11.22,NA,11.22,,1.50,32.70,32.70,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38770,,Remove pelvis lymph nodes,A,,13.23,6.79,NA,6.79,,0.99,21.01,21.01,0,090,0.11,0.73,0.16,2,1,2,1,0,,36.7856,09
38780,,Remove abdomen lymph nodes,A,,16.59,9.28,NA,9.28,,1.60,27.47,27.47,0,090,0.11,0.73,0.16,2,0,2,1,0,,36.7856,09
38790,,Inject for lymphatic x-ray,A,,1.29,31.59,,0.45,,0.09,32.97,1.83,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
38792,,Identify sentinel node,A,,0.52,0.18,NA,0.18,,0.04,0.74,0.74,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
38794,,Access thoracic lymph duct,A,,4.45,1.54,NA,1.54,,0.17,6.16,6.16,0,090,0.11,0.73,0.16,2,0,0,0,0,,36.7856,09
38999,,Blood/lymph system procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
39000,,Exploration of chest,A,,6.10,7.58,NA,7.58,,0.73,14.41,14.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39010,,Exploration of chest,A,,11.79,7.19,NA,7.19,,1.46,20.44,20.44,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39200,,Removal chest lesion,A,,13.62,7.30,NA,7.30,,1.65,22.57,22.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39220,,Removal chest lesion,A,,17.42,9.05,NA,9.05,,2.10,28.57,28.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39400,,Visualization of chest,A,,5.61,4.59,NA,4.59,,0.69,10.89,10.89,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
39499,,Chest procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
39501,,Repair diaphragm laceration,A,,13.19,7.73,NA,7.73,,1.38,22.30,22.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39502,,Repair paraesophageal hernia,A,,16.33,8.22,NA,8.22,,1.68,26.23,26.23,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39503,,Repair of diaphragm hernia,A,,95.00,34.45,NA,34.45,,3.52,132.97,132.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39520,,Repair of diaphragm hernia,A,,16.10,9.68,NA,9.68,,1.83,27.61,27.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39530,,Repair of diaphragm hernia,A,,15.41,8.56,NA,8.56,,1.66,25.63,25.63,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39531,,Repair of diaphragm hernia,A,,16.42,8.75,NA,8.75,,1.83,27.00,27.00,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39540,,Repair of diaphragm hernia,A,,13.32,7.77,NA,7.77,,1.38,22.47,22.47,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39541,,Repair of diaphragm hernia,A,,14.41,7.86,NA,7.86,,1.52,23.79,23.79,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39545,,Revision of diaphragm,A,,13.37,9.29,NA,9.29,,1.55,24.21,24.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39560,,"Resect diaphragm, simple",A,,12.00,7.53,NA,7.53,,1.35,20.88,20.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39561,,"Resect diaphragm, complex",A,,17.50,9.76,NA,9.76,,1.97,29.23,29.23,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
39599,,Diaphragm surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
40490,,Biopsy of lip,A,,1.22,1.73,,0.62,,0.06,3.01,1.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
40500,,Partial excision of lip,A,,4.28,5.89,,5.69,,0.31,10.48,10.28,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40510,,Partial excision of lip,A,,4.70,6.76,,6.51,,0.38,11.84,11.59,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40520,,Partial excision of lip,A,,4.67,7.77,,6.87,,0.42,12.86,11.96,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40525,,Reconstruct lip with flap,A,,7.55,8.36,NA,8.36,,0.68,16.59,16.59,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40527,,Reconstruct lip with flap,A,,9.13,9.24,NA,9.24,,0.82,19.19,19.19,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40530,,Partial removal of lip,A,,5.40,6.60,,6.24,,0.47,12.47,12.11,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40650,,Repair lip,A,,3.64,5.44,,4.81,,0.31,9.39,8.76,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40652,,Repair lip,A,,4.26,6.83,,6.80,,0.39,11.48,11.45,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40654,,Repair lip,A,,5.31,7.71,,7.50,,0.48,13.50,13.29,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40700,,Repair cleft lip/nasal,A,,12.79,10.32,NA,10.32,,0.93,24.04,24.04,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40701,,Repair cleft lip/nasal,A,,15.85,12.70,NA,12.70,,1.36,29.91,29.91,0,090,0.09,0.81,0.10,2,2,2,0,0,,36.7856,09
40702,,Repair cleft lip/nasal,A,,13.04,9.54,NA,9.54,,1.01,23.59,23.59,0,090,0.09,0.81,0.10,2,2,2,0,0,,36.7856,09
40720,,Repair cleft lip/nasal,A,,13.55,11.93,NA,11.93,,1.31,26.79,26.79,0,090,0.09,0.81,0.10,2,1,0,0,0,,36.7856,09
40761,,Repair cleft lip/nasal,A,,14.72,12.39,NA,12.39,,1.41,28.52,28.52,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40799,,Lip surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
40800,,Drainage of mouth lesion,A,,1.17,1.82,,0.87,,0.09,3.08,2.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40801,,Drainage of mouth lesion,A,,2.53,2.42,,1.55,,0.18,5.13,4.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40804,,"Removal, foreign body, mouth",A,,1.24,2.31,,1.03,,0.09,3.64,2.36,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
40805,,"Removal, foreign body, mouth",A,,2.69,2.75,,1.75,,0.17,5.61,4.61,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
40806,,Incision of lip fold,A,,0.31,0.96,,0.86,,0.02,1.29,1.19,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
40808,,Biopsy of mouth lesion,A,,0.96,1.94,,1.02,,0.07,2.97,2.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40810,,Excision of mouth lesion,A,,1.31,2.07,,1.16,,0.09,3.47,2.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40812,,Excise/repair mouth lesion,A,,2.31,2.43,,1.72,,0.17,4.91,4.20,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40814,,Excise/repair mouth lesion,A,,3.42,3.34,,2.98,,0.26,7.02,6.66,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40816,,Excision of mouth lesion,A,,3.67,3.46,,3.17,,0.27,7.40,7.11,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
40818,,Excise oral mucosa for graft,A,,2.41,4.11,,4.11,,0.14,6.66,6.66,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40819,,Excise lip or cheek fold,A,,2.41,3.57,,3.55,,0.17,6.15,6.13,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40820,,Treatment of mouth lesion,A,,1.28,2.47,,2.30,,0.08,3.83,3.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
40830,,Repair mouth laceration,A,,1.76,2.53,,2.50,,0.14,4.43,4.40,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
40831,,Repair mouth laceration,A,,2.46,2.78,,2.78,,0.21,5.45,5.45,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
40840,,Reconstruction of mouth,R,,8.73,6.14,,6.14,,0.79,15.66,15.66,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
40842,,Reconstruction of mouth,R,,8.73,6.00,,6.00,,0.65,15.38,15.38,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40843,,Reconstruction of mouth,R,,12.10,7.31,,7.31,,0.84,20.25,20.25,0,090,0.09,0.81,0.10,2,2,2,0,0,,36.7856,09
40844,,Reconstruction of mouth,R,,16.01,8.98,,8.95,,1.63,26.62,26.59,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
40845,,Reconstruction of mouth,R,,18.58,10.94,,10.94,,1.47,30.99,30.99,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
40899,,Mouth surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
41000,,Drainage of mouth lesion,A,,1.30,2.38,,1.50,,0.09,3.77,2.89,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41005,,Drainage of mouth lesion,A,,1.26,2.26,,1.47,,0.09,3.61,2.82,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41006,,Drainage of mouth lesion,A,,3.24,3.75,,3.40,,0.25,7.24,6.89,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41007,,Drainage of mouth lesion,A,,3.10,3.87,,3.19,,0.22,7.19,6.51,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41008,,Drainage of mouth lesion,A,,3.37,3.60,,3.28,,0.24,7.21,6.89,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41009,,Drainage of mouth lesion,A,,3.59,3.67,,3.27,,0.25,7.51,7.11,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41010,,Incision of tongue fold,A,,1.06,3.26,,3.26,,0.06,4.38,4.38,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41015,,Drainage of mouth lesion,A,,3.96,4.22,,3.23,,0.29,8.47,7.48,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41016,,Drainage of mouth lesion,A,,4.07,4.15,,3.38,,0.28,8.50,7.73,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41017,,Drainage of mouth lesion,A,,4.07,4.16,,3.32,,0.32,8.55,7.71,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41018,,Drainage of mouth lesion,A,,5.10,4.55,,3.79,,0.35,10.00,9.24,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41100,,Biopsy of tongue,A,,1.63,2.36,,1.40,,0.12,4.11,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41105,,Biopsy of tongue,A,,1.42,2.18,,1.32,,0.10,3.70,2.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41108,,Biopsy of floor of mouth,A,,1.05,2.04,,1.10,,0.08,3.17,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41110,,Excision of tongue lesion,A,,1.51,2.44,,1.31,,0.11,4.06,2.93,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41112,,Excision of tongue lesion,A,,2.73,3.38,,2.71,,0.20,6.31,5.64,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
41113,,Excision of tongue lesion,A,,3.19,3.40,,2.94,,0.23,6.82,6.36,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
41114,,Excision of tongue lesion,A,,8.47,5.44,NA,5.44,,0.64,14.55,14.55,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41115,,Excision of tongue fold,A,,1.74,2.61,,2.54,,0.13,4.48,4.41,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41116,,Excision of mouth lesion,A,,2.44,3.40,,3.40,,0.17,6.01,6.01,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
41120,,Partial removal of tongue,A,,9.77,8.88,NA,8.88,,0.70,19.35,19.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41130,,Partial removal of tongue,A,,11.15,9.66,NA,9.66,,0.81,21.62,21.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41135,,Tongue and neck surgery,A,,23.09,15.99,NA,15.99,,1.66,40.74,40.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41140,,Removal of tongue,A,,25.50,17.32,NA,17.32,,1.85,44.67,44.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41145,,"Tongue removal, neck surgery",A,,30.06,21.30,NA,21.30,,2.11,53.47,53.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41150,,"Tongue, mouth, jaw surgery",A,,23.04,17.16,NA,17.16,,1.67,41.87,41.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41153,,"Tongue, mouth, neck surgery",A,,23.77,17.77,NA,17.77,,1.71,43.25,43.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41155,,"Tongue, jaw, & neck surgery",A,,27.72,19.97,NA,19.97,,2.02,49.71,49.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
41250,,Repair tongue laceration,A,,1.91,2.88,,1.71,,0.15,4.94,3.77,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41251,,Repair tongue laceration,A,,2.27,2.72,,2.00,,0.18,5.17,4.45,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41252,,Repair tongue laceration,A,,2.97,3.50,,2.34,,0.23,6.70,5.54,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41500,,Fixation of tongue,A,,3.71,4.33,NA,4.33,,0.26,8.30,8.30,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41510,,Tongue to lip surgery,A,,3.42,4.80,NA,4.80,,0.24,8.46,8.46,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41520,,"Reconstruction, tongue fold",A,,2.73,3.03,,3.03,,0.19,5.95,5.95,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41599,,Tongue and mouth surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
41800,,Drainage of gum lesion,A,,1.17,1.97,,1.37,,0.09,3.23,2.63,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41805,,"Removal foreign body, gum",A,,1.24,1.95,,1.95,,0.09,3.28,3.28,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41806,,"Removal foreign body,jawbone",A,,2.69,2.57,,2.45,,0.22,5.48,5.36,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41820,,"Excision, gum, each quadrant",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
41821,,Excision of gum flap,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
41822,,Excision of gum lesion,R,,2.31,2.83,,0.96,,0.24,5.38,3.51,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41823,,Excision of gum lesion,R,,3.30,3.58,,3.00,,0.29,7.17,6.59,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41825,,Excision of gum lesion,A,,1.31,2.40,,2.36,,0.10,3.81,3.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41826,,Excision of gum lesion,A,,2.31,2.64,,2.64,,0.17,5.12,5.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
41827,,Excision of gum lesion,A,,3.42,3.58,,3.58,,0.25,7.25,7.25,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
41828,,Excision of gum lesion,R,,3.09,3.01,,2.40,,0.22,6.32,5.71,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41830,,Removal of gum tissue,R,,3.35,3.30,,2.94,,0.23,6.88,6.52,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
41850,,Treatment of gum lesion,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
41870,,Gum graft,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
41872,,Repair gum,R,,2.59,2.88,,2.88,,0.18,5.65,5.65,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41874,,Repair tooth socket,R,,3.09,2.88,,2.40,,0.23,6.20,5.72,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
41899,,Dental surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
42000,,Drainage mouth roof lesion,A,,1.23,2.53,,1.53,,0.10,3.86,2.86,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42100,,Biopsy roof of mouth,A,,1.31,2.51,,2.50,,0.10,3.92,3.91,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42104,,"Excision lesion, mouth roof",A,,1.64,2.57,,2.57,,0.12,4.33,4.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42106,,"Excision lesion, mouth roof",A,,2.10,2.64,,2.64,,0.16,4.90,4.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42107,,"Excision lesion, mouth roof",A,,4.44,4.11,,4.11,,0.32,8.87,8.87,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42120,,Remove palate/lesion,A,,6.17,6.11,NA,6.11,,0.44,12.72,12.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42140,,Excision of uvula,A,,1.62,3.91,,3.37,,0.12,5.65,5.11,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42145,,"Repair palate, pharynx/uvula",A,,8.05,7.50,NA,7.50,,0.56,16.11,16.11,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42160,,Treatment mouth roof lesion,A,,1.80,3.28,,2.70,,0.13,5.21,4.63,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42180,,Repair palate,A,,2.50,2.99,,2.11,,0.19,5.68,4.80,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42182,,Repair palate,A,,3.83,3.47,,3.06,,0.27,7.57,7.16,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42200,,Reconstruct cleft palate,A,,12.00,10.14,NA,10.14,,0.97,23.11,23.11,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42205,,Reconstruct cleft palate,A,,13.29,9.23,NA,9.23,,0.82,23.34,23.34,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42210,,Reconstruct cleft palate,A,,14.50,9.51,NA,9.51,,1.24,25.25,25.25,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42215,,Reconstruct cleft palate,A,,8.82,8.69,NA,8.69,,0.96,18.47,18.47,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42220,,Reconstruct cleft palate,A,,7.02,6.73,NA,6.73,,0.41,14.16,14.16,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42225,,Reconstruct cleft palate,A,,9.54,9.15,NA,9.15,,0.75,19.44,19.44,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42226,,Lengthening of palate,A,,10.01,9.52,NA,9.52,,0.73,20.26,20.26,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42227,,Lengthening of palate,A,,9.52,8.09,NA,8.09,,0.70,18.31,18.31,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42235,,Repair palate,A,,7.87,6.18,NA,6.18,,0.49,14.54,14.54,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42260,,Repair nose to lip fistula,A,,9.80,6.99,,6.99,,0.85,17.64,17.64,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42280,,"Preparation, palate mold",A,,1.54,1.43,,0.75,,0.12,3.09,2.41,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42281,,"Insertion, palate prosthesis",A,,1.93,1.81,,0.97,,0.14,3.88,3.04,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42299,,Palate/uvula surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
42300,,Drainage of salivary gland,A,,1.93,2.65,,1.89,,0.15,4.73,3.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42305,,Drainage of salivary gland,A,,6.07,5.29,NA,5.29,,0.46,11.82,11.82,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42310,,Drainage of salivary gland,A,,1.56,2.32,,1.65,,0.11,3.99,3.32,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42320,,Drainage of salivary gland,A,,2.35,2.77,,2.13,,0.17,5.29,4.65,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42325,,Create salivary cyst drain,A,,2.75,3.36,,1.15,,0.17,6.28,4.07,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42326,,Create salivary cyst drain,A,,3.78,3.34,,1.76,,0.34,7.46,5.88,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42330,,Removal of salivary stone,A,,2.21,2.78,,1.05,,0.16,5.15,3.42,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42335,,Removal of salivary stone,A,,3.31,3.66,,3.66,,0.23,7.20,7.20,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42340,,Removal of salivary stone,A,,4.60,4.80,,4.80,,0.34,9.74,9.74,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42400,,Biopsy of salivary gland,A,,0.78,2.49,,0.39,,0.06,3.33,1.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
42405,,Biopsy of salivary gland,A,,3.29,3.40,,3.34,,0.24,6.93,6.87,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42408,,Excision of salivary cyst,A,,4.54,4.54,,4.54,,0.34,9.42,9.42,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42409,,Drainage of salivary cyst,A,,2.81,3.39,,3.39,,0.20,6.40,6.40,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42410,,Excise parotid gland/lesion,A,,9.34,7.87,NA,7.87,,0.77,17.98,17.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42415,,Excise parotid gland/lesion,A,,16.89,12.47,NA,12.47,,1.26,30.62,30.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42420,,Excise parotid gland/lesion,A,,19.59,14.03,NA,14.03,,1.45,35.07,35.07,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42425,,Excise parotid gland/lesion,A,,13.02,10.46,NA,10.46,,0.98,24.46,24.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42426,,Excise parotid gland/lesion,A,,21.26,14.83,NA,14.83,,1.57,37.66,37.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42440,,Excise submaxillary gland,A,,6.97,5.98,NA,5.98,,0.51,13.46,13.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42450,,Excise sublingual gland,A,,4.62,4.78,,4.78,,0.34,9.74,9.74,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42500,,Repair salivary duct,A,,4.30,4.84,,4.84,,0.30,9.44,9.44,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42505,,Repair salivary duct,A,,6.18,5.46,,5.46,,0.44,12.08,12.08,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42507,,Parotid duct diversion,A,,6.11,5.98,NA,5.98,,0.66,12.75,12.75,0,090,0.09,0.81,0.10,2,2,2,0,0,,36.7856,09
42508,,Parotid duct diversion,A,,9.10,8.12,NA,8.12,,0.64,17.86,17.86,0,090,0.09,0.81,0.10,2,2,2,0,0,,36.7856,09
42509,,Parotid duct diversion,A,,11.54,9.65,NA,9.65,,1.24,22.43,22.43,0,090,0.09,0.81,0.10,2,2,0,0,0,,36.7856,09
42510,,Parotid duct diversion,A,,8.15,7.09,NA,7.09,,0.57,15.81,15.81,0,090,0.09,0.81,0.10,2,2,2,1,0,,36.7856,09
42550,,Injection for salivary x-ray,A,,1.25,12.74,,0.43,,0.06,14.05,1.74,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
42600,,Closure of salivary fistula,A,,4.82,6.30,,5.67,,0.34,11.46,10.83,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42650,,Dilation of salivary duct,A,,0.77,1.09,,0.40,,0.06,1.92,1.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
42660,,Dilation of salivary duct,A,,1.13,1.18,,1.18,,0.07,2.38,2.38,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
42665,,Ligation of salivary duct,A,,2.53,3.51,,3.51,,0.17,6.21,6.21,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42699,,Salivary surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
42700,,Drainage of tonsil abscess,A,,1.62,3.27,,1.88,,0.12,5.01,3.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42720,,Drainage of throat abscess,A,,5.42,4.88,,4.76,,0.39,10.69,10.57,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42725,,Drainage of throat abscess,A,,10.72,8.52,NA,8.52,,0.80,20.04,20.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42800,,Biopsy of throat,A,,1.39,3.09,,2.62,,0.10,4.58,4.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42802,,Biopsy of throat,A,,1.54,3.18,,2.70,,0.11,4.83,4.35,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42804,,Biopsy of upper nose/throat,A,,1.24,3.05,,2.57,,0.09,4.38,3.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42806,,Biopsy of upper nose/throat,A,,1.58,3.52,,2.76,,0.12,5.22,4.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42808,,Excise pharynx lesion,A,,2.30,5.06,,3.15,,0.17,7.53,5.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42809,,Remove pharynx foreign body,A,,1.81,3.50,,1.74,,0.13,5.44,3.68,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
42810,,Excision of neck cyst,A,,3.25,5.52,,4.50,,0.25,9.02,8.00,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42815,,Excision of neck cyst,A,,7.07,6.58,NA,6.58,,0.53,14.18,14.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42820,,Remove tonsils and adenoids,A,,3.91,4.25,NA,4.25,,0.28,8.44,8.44,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42821,,Remove tonsils and adenoids,A,,4.29,4.23,NA,4.23,,0.30,8.82,8.82,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42825,,Removal of tonsils,A,,3.42,3.69,NA,3.69,,0.24,7.35,7.35,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42826,,Removal of tonsils,A,,3.38,3.75,NA,3.75,,0.23,7.36,7.36,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42830,,Removal of adenoids,A,,2.57,2.42,NA,2.42,,0.18,5.17,5.17,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42831,,Removal of adenoids,A,,2.71,2.55,NA,2.55,,0.19,5.45,5.45,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42835,,Removal of adenoids,A,,2.30,3.15,NA,3.15,,0.17,5.62,5.62,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42836,,Removal of adenoids,A,,3.18,3.68,NA,3.68,,0.22,7.08,7.08,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42842,,Extensive surgery of throat,A,,8.76,7.82,NA,7.82,,0.61,17.19,17.19,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42844,,Extensive surgery of throat,A,,14.31,11.36,NA,11.36,,1.04,26.71,26.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42845,,Extensive surgery of throat,A,,24.29,17.44,NA,17.44,,1.76,43.49,43.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42860,,Excision of tonsil tags,A,,2.22,3.08,NA,3.08,,0.16,5.46,5.46,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42870,,Excision of lingual tonsil,A,,5.40,6.10,NA,6.10,,0.38,11.88,11.88,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
42890,,Partial removal of pharynx,A,,12.94,10.82,NA,10.82,,0.91,24.67,24.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42892,,Revision of pharyngeal walls,A,,15.83,12.34,NA,12.34,,1.14,29.31,29.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42894,,Revision of pharyngeal walls,A,,22.88,16.97,NA,16.97,,1.64,41.49,41.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42900,,Repair throat wound,A,,5.25,3.76,NA,3.76,,0.39,9.40,9.40,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42950,,Reconstruction of throat,A,,8.10,7.52,NA,7.52,,0.58,16.20,16.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
42953,,"Repair throat, esophagus",A,,8.96,8.99,NA,8.99,,0.73,18.68,18.68,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42955,,Surgical opening of throat,A,,7.39,6.53,NA,6.53,,0.63,14.55,14.55,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42960,,Control throat bleeding,A,,2.33,2.11,NA,2.11,,0.17,4.61,4.61,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
42961,,Control throat bleeding,A,,5.59,5.27,NA,5.27,,0.40,11.26,11.26,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42962,,Control throat bleeding,A,,7.14,6.18,NA,6.18,,0.51,13.83,13.83,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42970,,Control nose/throat bleeding,A,,5.43,3.77,NA,3.77,,0.37,9.57,9.57,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
42971,,Control nose/throat bleeding,A,,6.21,5.81,NA,5.81,,0.45,12.47,12.47,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42972,,Control nose/throat bleeding,A,,7.20,5.54,NA,5.54,,0.54,13.28,13.28,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
42999,,Throat surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
43020,,Incision of esophagus,A,,8.09,6.46,NA,6.46,,0.70,15.25,15.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43030,,Throat muscle surgery,A,,7.69,6.93,NA,6.93,,0.60,15.22,15.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43045,,Incision of esophagus,A,,20.12,11.08,NA,11.08,,2.15,33.35,33.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43100,,Excision of esophagus lesion,A,,9.19,7.20,NA,7.20,,0.79,17.18,17.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43101,,Excision of esophagus lesion,A,,16.24,8.62,NA,8.62,,1.81,26.67,26.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43107,,Removal of esophagus,A,,40.00,18.02,NA,18.02,,3.29,61.31,61.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43108,,Removal of esophagus,A,,34.19,15.85,NA,15.85,,3.78,53.82,53.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43112,,Removal of esophagus,A,,43.50,19.49,NA,19.49,,3.67,66.66,66.66,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43113,,Removal of esophagus,A,,35.27,16.48,NA,16.48,,4.33,56.08,56.08,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43116,,Partial removal of esophagus,A,,31.22,18.82,NA,18.82,,2.62,52.66,52.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43117,,Partial removal of esophagus,A,,40.00,17.09,NA,17.09,,3.51,60.60,60.60,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43118,,Partial removal of esophagus,A,,33.20,15.40,NA,15.40,,3.56,52.16,52.16,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43121,,Partial removal of esophagus,A,,29.19,13.36,NA,13.36,,3.44,45.99,45.99,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43122,,Partial removal of esophagus,A,,40.00,17.29,NA,17.29,,3.27,60.56,60.56,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43123,,Partial removal of esophagus,A,,33.20,15.82,NA,15.82,,3.96,52.98,52.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43124,,Removal of esophagus,A,,27.32,14.94,NA,14.94,,2.95,45.21,45.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43130,,Removal of esophagus pouch,A,,11.75,8.86,NA,8.86,,1.06,21.67,21.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43135,,Removal of esophagus pouch,A,,16.10,9.91,NA,9.91,,1.85,27.86,27.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43200,,Esophagus endoscopy,A,,1.59,7.97,,1.18,,0.11,9.67,2.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43201,,Esoph scope w/submucous inj,A,,2.09,4.44,,1.27,,0.12,6.65,3.48,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43202,,"Esophagus endoscopy, biopsy",A,,1.89,6.25,,1.13,,0.12,8.26,3.14,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43204,,Esoph scope w/sclerosis inj,A,,3.77,1.67,NA,1.67,,0.18,5.62,5.62,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43205,,Esophagus endoscopy/ligation,A,,3.79,1.68,NA,1.68,,0.17,5.64,5.64,0,000,0.00,0.00,0.00,3,0,0,0,0,43200,36.7856,09
43215,,Esophagus endoscopy,A,,2.60,1.23,NA,1.23,,0.17,4.00,4.00,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43216,,Esophagus endoscopy/lesion,A,,2.40,1.18,NA,1.18,,0.15,3.73,3.73,0,000,0.00,0.00,0.00,3,0,0,0,0,43200,36.7856,09
43217,,Esophagus endoscopy,A,,2.90,1.33,NA,1.33,,0.17,4.40,4.40,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43219,,Esophagus endoscopy,A,,2.80,1.40,NA,1.40,,0.16,4.36,4.36,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43220,,"Esoph endoscopy, dilation",A,,2.10,1.10,NA,1.10,,0.12,3.32,3.32,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43226,,"Esoph endoscopy, dilation",A,,2.34,1.17,NA,1.17,,0.12,3.63,3.63,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43227,,"Esoph endoscopy, repair",A,,3.60,1.60,NA,1.60,,0.18,5.38,5.38,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43228,,"Esoph endoscopy, ablation",A,,3.77,1.72,NA,1.72,,0.25,5.74,5.74,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,36.7856,09
43231,,Esoph endoscopy w/us exam,A,,3.19,1.57,NA,1.57,,0.20,4.96,4.96,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,36.7856,09
43232,,Esoph endoscopy w/us fn bx,A,,4.48,2.10,NA,2.10,,0.26,6.84,6.84,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,36.7856,09
43234,,"Upper GI endoscopy, exam",A,,2.01,4.28,,1.04,,0.13,6.42,3.18,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43235,,"Uppr gi endoscopy, diagnosis",A,,2.39,5.85,,1.06,,0.13,8.37,3.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43236,,Uppr gi scope w/submuc inj,A,,2.92,4.70,,1.26,,0.14,7.76,4.32,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43239,,"Upper GI endoscopy, biopsy",A,,2.87,6.17,,1.23,,0.14,9.18,4.24,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43240,,Esoph endoscope w/drain cyst,A,,6.86,2.70,NA,2.70,,0.36,9.92,9.92,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43241,,Upper GI endoscopy with tube,A,,2.59,1.14,NA,1.14,,0.14,3.87,3.87,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43242,,Uppr gi endoscopy w/us fn bx,A,,7.31,2.83,NA,2.83,,0.29,10.43,10.43,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,36.7856,09
43243,,Upper gi endoscopy & inject,A,,4.57,1.86,NA,1.86,,0.21,6.64,6.64,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43244,,Upper GI endoscopy/ligation,A,,5.05,2.03,NA,2.03,,0.21,7.29,7.29,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,36.7856,09
43245,,Uppr gi scope dilate strictr,A,,3.18,13.87,,1.34,,0.18,17.23,4.70,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43246,,Place gastrostomy tube,A,,4.33,1.75,NA,1.75,,0.24,6.32,6.32,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,36.7856,09
43247,,Operative upper GI endoscopy,A,,3.39,1.42,NA,1.42,,0.17,4.98,4.98,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43248,,Uppr gi endoscopy/guide wire,A,,3.15,1.35,NA,1.35,,0.15,4.65,4.65,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43249,,"Esoph endoscopy, dilation",A,,2.90,1.26,NA,1.26,,0.15,4.31,4.31,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43250,,Upper GI endoscopy/tumor,A,,3.20,1.35,NA,1.35,,0.17,4.72,4.72,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43251,,Operative upper GI endoscopy,A,,3.70,1.53,NA,1.53,,0.19,5.42,5.42,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43255,,Operative upper GI endoscopy,A,,4.82,1.95,NA,1.95,,0.20,6.97,6.97,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43256,,Uppr gi endoscopy w stent,A,,4.35,1.77,NA,1.77,,0.23,6.35,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43258,,Operative upper GI endoscopy,A,,4.55,1.85,NA,1.85,,0.22,6.62,6.62,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,36.7856,09
43259,,Endoscopic ultrasound exam,A,,4.89,1.95,NA,1.95,,0.22,7.06,7.06,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,36.7856,09
43260,,Endo cholangiopancreatograph,A,,5.96,2.44,NA,2.44,,0.27,8.67,8.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43261,,Endo cholangiopancreatograph,A,,6.27,2.55,NA,2.55,,0.29,9.11,9.11,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43262,,Endo cholangiopancreatograph,A,,7.39,2.96,NA,2.96,,0.34,10.69,10.69,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43263,,Endo cholangiopancreatograph,A,,7.29,2.93,NA,2.93,,0.28,10.50,10.50,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43264,,Endo cholangiopancreatograph,A,,8.90,3.49,NA,3.49,,0.41,12.80,12.80,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43265,,Endo cholangiopancreatograph,A,,10.02,3.89,NA,3.89,,0.42,14.33,14.33,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43267,,Endo cholangiopancreatograph,A,,7.39,2.96,NA,2.96,,0.34,10.69,10.69,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43268,,Endo cholangiopancreatograph,A,,7.39,2.96,NA,2.96,,0.34,10.69,10.69,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43269,,Endo cholangiopancreatograph,A,,8.21,3.24,NA,3.24,,0.28,11.73,11.73,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43271,,Endo cholangiopancreatograph,A,,7.39,2.95,NA,2.95,,0.34,10.68,10.68,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,36.7856,09
43272,,Endo cholangiopancreatograph,A,,7.39,2.96,NA,2.96,,0.34,10.69,10.69,0,000,0.00,0.00,0.00,3,0,0,0,0,43260,36.7856,09
43280,,"Laparoscopy, fundoplasty",A,,17.25,8.20,NA,8.20,,1.76,27.21,27.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43289,,"Laparoscope proc, esoph",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
43300,,Repair of esophagus,A,,9.14,7.25,NA,7.25,,0.85,17.24,17.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43305,,Repair esophagus and fistula,A,,17.39,12.70,NA,12.70,,1.36,31.45,31.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43310,,Repair of esophagus,A,,25.39,14.66,NA,14.66,,3.18,43.23,43.23,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43312,,Repair esophagus and fistula,A,,28.42,18.20,NA,18.20,,3.38,50.00,50.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43313,,Esophagoplasty congenital,A,,45.28,21.66,NA,21.66,,5.43,72.37,72.37,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43314,,Tracheo-esophagoplasty cong,A,,50.27,23.68,NA,23.68,,5.53,79.48,79.48,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43320,,Fuse esophagus & stomach,A,,19.93,10.45,NA,10.45,,1.59,31.97,31.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43324,,Revise esophagus & stomach,A,,20.57,9.48,NA,9.48,,1.72,31.77,31.77,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43325,,Revise esophagus & stomach,A,,20.06,9.85,NA,9.85,,1.65,31.56,31.56,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43326,,Revise esophagus & stomach,A,,19.74,10.49,NA,10.49,,1.84,32.07,32.07,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43330,,Repair of esophagus,A,,19.77,9.56,NA,9.56,,1.52,30.85,30.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43331,,Repair of esophagus,A,,20.13,11.13,NA,11.13,,1.93,33.19,33.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43340,,Fuse esophagus & intestine,A,,19.61,10.61,NA,10.61,,1.53,31.75,31.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43341,,Fuse esophagus & intestine,A,,20.85,12.08,NA,12.08,,2.14,35.07,35.07,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43350,,"Surgical opening, esophagus",A,,15.78,10.17,NA,10.17,,1.15,27.10,27.10,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43351,,"Surgical opening, esophagus",A,,18.35,10.61,NA,10.61,,1.51,30.47,30.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43352,,"Surgical opening, esophagus",A,,15.26,9.72,NA,9.72,,1.28,26.26,26.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43360,,Gastrointestinal repair,A,,35.70,16.54,NA,16.54,,3.00,55.24,55.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43361,,Gastrointestinal repair,A,,40.50,18.38,NA,18.38,,3.52,62.40,62.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43400,,Ligate esophagus veins,A,,21.20,10.34,NA,10.34,,0.99,32.53,32.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43401,,Esophagus surgery for veins,A,,22.09,10.35,NA,10.35,,1.73,34.17,34.17,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43405,,Ligate/staple esophagus,A,,20.01,9.51,NA,9.51,,1.63,31.15,31.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43410,,Repair esophagus wound,A,,13.47,8.93,NA,8.93,,1.15,23.55,23.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43415,,Repair esophagus wound,A,,25.00,12.26,NA,12.26,,1.92,39.18,39.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43420,,Repair esophagus opening,A,,14.35,8.92,NA,8.92,,0.86,24.13,24.13,0,090,0.09,0.81,0.10,2,0,0,1,0,,36.7856,09
43425,,Repair esophagus opening,A,,21.03,11.22,NA,11.22,,2.03,34.28,34.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43450,,Dilate esophagus,A,,1.38,1.38,,0.62,,0.07,2.83,2.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43453,,Dilate esophagus,A,,1.51,0.67,NA,0.67,,0.08,2.26,2.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43456,,Dilate esophagus,A,,2.57,1.04,NA,1.04,,0.14,3.75,3.75,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43458,,Dilate esophagus,A,,3.06,1.23,NA,1.23,,0.17,4.46,4.46,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43460,,Pressure treatment esophagus,A,,3.80,1.50,NA,1.50,,0.21,5.51,5.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43496,,"Free jejunum flap, microvasc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43499,,Esophagus surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
43500,,Surgical opening of stomach,A,,11.05,5.08,NA,5.08,,0.84,16.97,16.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43501,,Surgical repair of stomach,A,,20.04,8.60,NA,8.60,,1.55,30.19,30.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43502,,Surgical repair of stomach,A,,23.13,9.77,NA,9.77,,1.83,34.73,34.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43510,,Surgical opening of stomach,A,,13.08,7.53,NA,7.53,,0.90,21.51,21.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43520,,Incision of pyloric muscle,A,,9.99,5.81,NA,5.81,,0.84,16.64,16.64,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43600,,Biopsy of stomach,A,,1.91,1.02,NA,1.02,,0.11,3.04,3.04,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43605,,Biopsy of stomach,A,,11.98,5.39,NA,5.39,,0.93,18.30,18.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43610,,Excision of stomach lesion,A,,14.60,6.69,NA,6.69,,1.14,22.43,22.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43611,,Excision of stomach lesion,A,,17.84,7.93,NA,7.93,,1.38,27.15,27.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43620,,Removal of stomach,A,,30.04,12.69,NA,12.69,,2.29,45.02,45.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43621,,Removal of stomach,A,,30.73,12.88,NA,12.88,,2.36,45.97,45.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43622,,Removal of stomach,A,,32.53,13.48,NA,13.48,,2.48,48.49,48.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43631,,"Removal of stomach, partial",A,,22.59,9.45,NA,9.45,,1.99,34.03,34.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43632,,"Removal of stomach, partial",A,,22.59,9.46,NA,9.46,,2.00,34.05,34.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43633,,"Removal of stomach, partial",A,,23.10,9.64,NA,9.64,,2.05,34.79,34.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43634,,"Removal of stomach, partial",A,,25.12,10.41,NA,10.41,,2.18,37.71,37.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43635,,"Removal of stomach, partial",A,,2.06,0.72,NA,0.72,,0.21,2.99,2.99,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
43638,,"Removal of stomach, partial",A,,29.00,11.77,NA,11.77,,2.24,43.01,43.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43639,,"Removal of stomach, partial",A,,29.65,12.01,NA,12.01,,2.31,43.97,43.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43640,,Vagotomy & pylorus repair,A,,17.02,7.52,NA,7.52,,1.51,26.05,26.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43641,,Vagotomy & pylorus repair,A,,17.27,7.63,NA,7.63,,1.53,26.43,26.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43651,,"Laparoscopy, vagus nerve",A,,10.15,4.59,NA,4.59,,1.03,15.77,15.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
43652,,"Laparoscopy, vagus nerve",A,,12.15,5.37,NA,5.37,,1.25,18.77,18.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
43653,,"Laparoscopy, gastrostomy",A,,7.73,4.23,NA,4.23,,0.78,12.74,12.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43659,,"Laparoscope proc, stom",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
43750,,Place gastrostomy tube,A,,4.49,2.62,NA,2.62,,0.33,7.44,7.44,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
43752,,Nasal/orogastric w/stent,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
43760,,Change gastrostomy tube,A,,1.10,1.42,,0.46,,0.07,2.59,1.63,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43761,,Reposition gastrostomy tube,A,,2.01,0.80,NA,0.80,,0.10,2.91,2.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
43800,,Reconstruction of pylorus,A,,13.69,6.44,NA,6.44,,1.07,21.20,21.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43810,,Fusion of stomach and bowel,A,,14.65,6.74,NA,6.74,,1.10,22.49,22.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43820,,Fusion of stomach and bowel,A,,15.37,6.96,NA,6.96,,1.18,23.51,23.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43825,,Fusion of stomach and bowel,A,,19.22,8.30,NA,8.30,,1.50,29.02,29.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43830,,Place gastrostomy tube,A,,9.53,4.91,NA,4.91,,0.69,15.13,15.13,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43831,,Place gastrostomy tube,A,,7.84,4.28,NA,4.28,,0.81,12.93,12.93,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43832,,Place gastrostomy tube,A,,15.60,7.46,NA,7.46,,1.13,24.19,24.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43840,,Repair of stomach lesion,A,,15.56,7.02,NA,7.02,,1.20,23.78,23.78,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43842,,Gastroplasty for obesity,A,,18.47,11.21,NA,11.21,,1.51,31.19,31.19,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43843,,Gastroplasty for obesity,A,,18.65,10.81,NA,10.81,,1.53,30.99,30.99,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
43846,,Gastric bypass for obesity,A,,24.05,13.23,NA,13.23,,1.96,39.24,39.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43847,,Gastric bypass for obesity,A,,26.92,14.86,NA,14.86,,2.14,43.92,43.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43848,,Revision gastroplasty,A,,29.39,15.91,NA,15.91,,2.39,47.69,47.69,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43850,,Revise stomach-bowel fusion,A,,24.72,10.14,NA,10.14,,1.97,36.83,36.83,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43855,,Revise stomach-bowel fusion,A,,26.16,10.73,NA,10.73,,2.01,38.90,38.90,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43860,,Revise stomach-bowel fusion,A,,25.00,10.30,NA,10.30,,2.03,37.33,37.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43865,,Revise stomach-bowel fusion,A,,26.52,10.85,NA,10.85,,2.15,39.52,39.52,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43870,,Repair stomach opening,A,,9.69,5.05,NA,5.05,,0.71,15.45,15.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43880,,Repair stomach-bowel fistula,A,,24.65,10.67,NA,10.67,,1.94,37.26,37.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
43999,,Stomach surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
44005,,Freeing of bowel adhesion,A,,16.23,7.20,NA,7.20,,1.39,24.82,24.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44010,,Incision of small bowel,A,,12.52,6.32,NA,6.32,,1.05,19.89,19.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44015,,Insert needle cath bowel,A,,2.62,0.91,NA,0.91,,0.25,3.78,3.78,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44020,,Explore small intestine,A,,13.99,6.40,NA,6.40,,1.20,21.59,21.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44021,,Decompress small bowel,A,,14.08,6.84,NA,6.84,,1.18,22.10,22.10,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44025,,Incision of large bowel,A,,14.28,6.49,NA,6.49,,1.21,21.98,21.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44050,,Reduce bowel obstruction,A,,14.03,6.42,NA,6.42,,1.15,21.60,21.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44055,,Correct malrotation of bowel,A,,22.00,9.20,NA,9.20,,1.32,32.52,32.52,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44100,,Biopsy of bowel,A,,2.01,1.06,NA,1.06,,0.12,3.19,3.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44110,,Excise intestine lesion(s),A,,11.81,5.69,NA,5.69,,1.00,18.50,18.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44111,,Excision of bowel lesion(s),A,,14.29,7.05,NA,7.05,,1.22,22.56,22.56,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44120,,Removal of small intestine,A,,17.00,7.45,NA,7.45,,1.46,25.91,25.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44121,,Removal of small intestine,A,,4.45,1.56,NA,1.56,,0.46,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44125,,Removal of small intestine,A,,17.54,7.64,NA,7.64,,1.49,26.67,26.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44126,,"Enterectomy w/o taper, cong",A,,35.50,17.79,NA,17.79,,0.36,53.65,53.65,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44127,,"Enterectomy w/taper, cong",A,,41.00,20.28,NA,20.28,,0.41,61.69,61.69,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44128,,"Enterectomy cong, add-on",A,,4.45,1.73,NA,1.73,,0.45,6.63,6.63,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44130,,Bowel to bowel fusion,A,,14.49,6.57,NA,6.57,,1.23,22.29,22.29,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44132,,"Enterectomy, cadaver donor",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
44133,,"Enterectomy, live donor",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
44135,,"Intestine transplnt, cadaver",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
44136,,"Intestine transplant, live",R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
44139,,Mobilization of colon,A,,2.23,0.78,NA,0.78,,0.21,3.22,3.22,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44140,,Partial removal of colon,A,,21.00,8.86,NA,8.86,,2.14,32.00,32.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44141,,Partial removal of colon,A,,19.51,10.20,NA,10.20,,1.95,31.66,31.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44143,,Partial removal of colon,A,,22.99,10.89,NA,10.89,,2.02,35.90,35.90,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44144,,Partial removal of colon,A,,21.53,9.70,NA,9.70,,1.89,33.12,33.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44145,,Partial removal of colon,A,,26.42,11.04,NA,11.04,,2.22,39.68,39.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44146,,Partial removal of colon,A,,27.54,13.12,NA,13.12,,2.20,42.86,42.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44147,,Partial removal of colon,A,,20.71,8.85,NA,8.85,,1.74,31.30,31.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44150,,Removal of colon,A,,23.95,12.20,NA,12.20,,2.05,38.20,38.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44151,,Removal of colon/ileostomy,A,,26.88,13.55,NA,13.55,,1.97,42.40,42.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44152,,Removal of colon/ileostomy,A,,27.83,11.94,NA,11.94,,2.36,42.13,42.13,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44153,,Removal of colon/ileostomy,A,,30.59,14.74,NA,14.74,,2.33,47.66,47.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44155,,Removal of colon/ileostomy,A,,27.86,13.56,NA,13.56,,2.26,43.68,43.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44156,,Removal of colon/ileostomy,A,,30.79,15.19,NA,15.19,,2.19,48.17,48.17,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44160,,Removal of colon,A,,18.62,7.93,NA,7.93,,1.86,28.41,28.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44200,,"Laparoscopy, enterolysis",A,,14.44,6.38,NA,6.38,,1.46,22.28,22.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44201,,"Laparoscopy, jejunostomy",A,,9.78,4.63,NA,4.63,,0.97,15.38,15.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,36.7856,09
44202,,Lap resect s/intestine singl,A,,22.04,9.14,NA,9.14,,2.16,33.34,33.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44203,,"Lap resect s/intestine, addl",A,,4.45,1.56,NA,1.56,,0.46,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44204,,Laparo partial colectomy,A,,25.08,10.21,NA,10.21,,2.55,37.84,37.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44205,,Lap colectomy part w/ileum,A,,22.23,9.07,NA,9.07,,2.23,33.53,33.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44206,,Lap part colectomy w/stoma,A,,27.00,11.22,NA,11.22,,2.02,40.24,40.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44207,,L colectomy/coloproctostomy,A,,30.00,11.82,NA,11.82,,2.22,44.04,44.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44208,,L colectomy/coloproctostomy,A,,32.00,13.42,NA,13.42,,2.20,47.62,47.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44209,,"Laparoscope proc, intestine",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
44210,,Laparo total proctocolectomy,A,,28.00,12.11,NA,12.11,,2.05,42.16,42.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44211,,Laparo total proctocolectomy,A,,35.00,15.02,NA,15.02,,2.33,52.35,52.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44212,,Laparo total proctocolectomy,A,,32.50,14.16,NA,14.16,,2.26,48.92,48.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44238,,"Laparoscope proc, intestine",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
44239,,"Laparoscope proc, rectum",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
44300,,Open bowel to skin,A,,12.11,5.63,NA,5.63,,0.88,18.62,18.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44310,,Ileostomy/jejunostomy,A,,15.95,6.88,NA,6.88,,1.13,23.96,23.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44312,,Revision of ileostomy,A,,8.02,4.09,NA,4.09,,0.54,12.65,12.65,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
44314,,Revision of ileostomy,A,,15.05,6.71,NA,6.71,,0.99,22.75,22.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44316,,Devise bowel pouch,A,,21.09,8.71,NA,8.71,,1.41,31.21,31.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44320,,Colostomy,A,,17.64,7.83,NA,7.83,,1.28,26.75,26.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44322,,Colostomy with biopsies,A,,11.98,8.75,NA,8.75,,1.18,21.91,21.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44340,,Revision of colostomy,A,,7.72,4.35,NA,4.35,,0.56,12.63,12.63,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
44345,,Revision of colostomy,A,,15.43,7.03,NA,7.03,,1.11,23.57,23.57,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44346,,Revision of colostomy,A,,16.99,7.54,NA,7.54,,1.20,25.73,25.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44360,,Small bowel endoscopy,A,,2.59,1.36,NA,1.36,,0.14,4.09,4.09,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44361,,Small bowel endoscopy/biopsy,A,,2.87,1.45,NA,1.45,,0.15,4.47,4.47,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,36.7856,09
44363,,Small bowel endoscopy,A,,3.50,1.64,NA,1.64,,0.19,5.33,5.33,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,36.7856,09
44364,,Small bowel endoscopy,A,,3.74,1.76,NA,1.76,,0.21,5.71,5.71,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,36.7856,09
44365,,Small bowel endoscopy,A,,3.31,1.63,NA,1.63,,0.18,5.12,5.12,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,36.7856,09
44366,,Small bowel endoscopy,A,,4.41,2.01,NA,2.01,,0.22,6.64,6.64,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,36.7856,09
44369,,Small bowel endoscopy,A,,4.52,2.01,NA,2.01,,0.23,6.76,6.76,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,36.7856,09
44370,,Small bowel endoscopy/stent,A,,4.80,2.15,NA,2.15,,0.21,7.16,7.16,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,36.7856,09
44372,,Small bowel endoscopy,A,,4.41,2.00,NA,2.00,,0.27,6.68,6.68,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,36.7856,09
44373,,Small bowel endoscopy,A,,3.50,1.72,NA,1.72,,0.19,5.41,5.41,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,36.7856,09
44376,,Small bowel endoscopy,A,,5.26,2.30,NA,2.30,,0.29,7.85,7.85,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
44377,,Small bowel endoscopy/biopsy,A,,5.53,2.43,NA,2.43,,0.28,8.24,8.24,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,36.7856,09
44378,,Small bowel endoscopy,A,,7.13,2.99,NA,2.99,,0.37,10.49,10.49,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,36.7856,09
44379,,S bowel endoscope w/stent,A,,7.47,3.11,NA,3.11,,0.38,10.96,10.96,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,36.7856,09
44380,,Small bowel endoscopy,A,,1.05,0.78,NA,0.78,,0.08,1.91,1.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44382,,Small bowel endoscopy,A,,1.27,0.87,NA,0.87,,0.09,2.23,2.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44383,,Ileoscopy w/stent,A,,2.94,1.42,NA,1.42,,0.13,4.49,4.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44385,,Endoscopy of bowel pouch,A,,1.82,4.53,,0.96,,0.12,6.47,2.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44386,,"Endoscopy, bowel pouch/biop",A,,2.12,5.99,,1.09,,0.15,8.26,3.36,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
44388,,Colon endoscopy,A,,2.82,6.49,,1.38,,0.18,9.49,4.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
44389,,Colonoscopy with biopsy,A,,3.13,7.24,,1.51,,0.18,10.55,4.82,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,36.7856,09
44390,,Colonoscopy for foreign body,A,,3.83,6.96,,1.73,,0.22,11.01,5.78,0,000,0.00,0.00,0.00,3,0,0,0,0,44388,36.7856,09
44391,,Colonoscopy for bleeding,A,,4.32,6.01,,1.73,,0.23,10.56,6.28,0,000,0.00,0.00,0.00,3,0,0,0,0,44388,36.7856,09
44392,,Colonoscopy & polypectomy,A,,3.82,7.44,,1.74,,0.23,11.49,5.79,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,36.7856,09
44393,,"Colonoscopy, lesion removal",A,,4.84,7.76,,2.12,,0.27,12.87,7.23,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,36.7856,09
44394,,Colonoscopy w/snare,A,,4.43,7.96,,1.98,,0.26,12.65,6.67,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,36.7856,09
44397,,Colonoscopy w/stent,A,,4.71,2.06,NA,2.06,,0.28,7.05,7.05,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,36.7856,09
44500,,"Intro, gastrointestinal tube",A,,0.49,0.36,NA,0.36,,0.02,0.87,0.87,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
44602,,"Suture, small intestine",A,,16.03,6.63,NA,6.63,,1.07,23.73,23.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44603,,"Suture, small intestine",A,,18.66,7.52,NA,7.52,,1.39,27.57,27.57,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44604,,"Suture, large intestine",A,,16.03,6.69,NA,6.69,,1.42,24.14,24.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44605,,Repair of bowel lesion,A,,19.53,8.66,NA,8.66,,1.54,29.73,29.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44615,,Intestinal stricturoplasty,A,,15.93,6.89,NA,6.89,,1.39,24.21,24.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44620,,Repair bowel opening,A,,12.20,5.48,NA,5.48,,1.05,18.73,18.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44625,,Repair bowel opening,A,,15.05,6.49,NA,6.49,,1.30,22.84,22.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44626,,Repair bowel opening,A,,25.36,10.09,NA,10.09,,2.53,37.98,37.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44640,,Repair bowel-skin fistula,A,,21.65,8.82,NA,8.82,,1.46,31.93,31.93,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44650,,Repair bowel fistula,A,,22.57,9.13,NA,9.13,,1.49,33.19,33.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44660,,Repair bowel-bladder fistula,A,,21.36,8.56,NA,8.56,,1.14,31.06,31.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44661,,Repair bowel-bladder fistula,A,,24.81,9.80,NA,9.80,,1.53,36.14,36.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44680,,"Surgical revision, intestine",A,,15.40,6.64,NA,6.64,,1.37,23.41,23.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44700,,Suspend bowel w/prosthesis,A,,16.11,6.88,NA,6.88,,1.21,24.20,24.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44701,,Intraop colon lavage add-on,A,,3.10,1.07,NA,1.07,,0.21,4.38,4.38,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44799,,Intestine surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
44800,,Excision of bowel pouch,A,,11.23,5.50,NA,5.50,,1.11,17.84,17.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44820,,Excision of mesentery lesion,A,,12.09,5.63,NA,5.63,,1.03,18.75,18.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44850,,Repair of mesentery,A,,10.74,5.13,NA,5.13,,0.99,16.86,16.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44899,,Bowel surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
44900,,"Drain app abscess, open",A,,10.14,4.87,NA,4.87,,0.84,15.85,15.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44901,,"Drain app abscess, percut",A,,3.38,4.51,NA,4.51,,0.17,8.06,8.06,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
44950,,Appendectomy,A,,10.00,4.50,NA,4.50,,0.88,15.38,15.38,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44955,,Appendectomy add-on,A,,1.53,0.55,NA,0.55,,0.16,2.24,2.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
44960,,Appendectomy,A,,12.34,5.52,NA,5.52,,1.09,18.95,18.95,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
44970,,"Laparoscopy, appendectomy",A,,8.70,4.22,NA,4.22,,0.88,13.80,13.80,0,090,0.09,0.81,0.10,2,0,2,2,0,,36.7856,09
44979,,"Laparoscope proc, app",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
45000,,Drainage of pelvic abscess,A,,4.52,3.08,NA,3.08,,0.37,7.97,7.97,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
45005,,Drainage of rectal abscess,A,,1.99,4.51,,1.57,,0.18,6.68,3.74,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
45020,,Drainage of rectal abscess,A,,4.72,3.38,NA,3.38,,0.41,8.51,8.51,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
45100,,Biopsy of rectum,A,,3.68,2.49,NA,2.49,,0.33,6.50,6.50,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
45108,,Removal of anorectal lesion,A,,4.76,3.02,NA,3.02,,0.46,8.24,8.24,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
45110,,Removal of rectum,A,,28.00,12.51,NA,12.51,,2.26,42.77,42.77,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45111,,Partial removal of rectum,A,,16.48,7.35,NA,7.35,,1.60,25.43,25.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45112,,Removal of rectum,A,,30.54,12.07,NA,12.07,,2.35,44.96,44.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45113,,Partial proctectomy,A,,30.58,12.98,NA,12.98,,2.13,45.69,45.69,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45114,,Partial removal of rectum,A,,27.32,11.19,NA,11.19,,2.28,40.79,40.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45116,,Partial removal of rectum,A,,24.58,10.22,NA,10.22,,2.00,36.80,36.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45119,,Remove rectum w/reservoir,A,,30.84,12.85,NA,12.85,,2.13,45.82,45.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45120,,Removal of rectum,A,,24.60,10.31,NA,10.31,,2.28,37.19,37.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45121,,Removal of rectum and colon,A,,27.04,11.34,NA,11.34,,2.66,41.04,41.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45123,,Partial proctectomy,A,,16.71,7.02,NA,7.02,,1.04,24.77,24.77,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45126,,Pelvic exenteration,A,,45.16,19.41,NA,19.41,,3.23,67.80,67.80,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
45130,,Excision of rectal prolapse,A,,16.44,6.93,NA,6.93,,1.12,24.49,24.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45135,,Excision of rectal prolapse,A,,19.28,8.54,NA,8.54,,1.52,29.34,29.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45136,,Excise ileoanal reservior,A,,27.30,12.31,NA,12.31,,2.72,42.33,42.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45150,,Excision of rectal stricture,A,,5.67,3.08,NA,3.08,,0.46,9.21,9.21,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
45160,,Excision of rectal lesion,A,,15.32,6.78,NA,6.78,,1.07,23.17,23.17,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45170,,Excision of rectal lesion,A,,11.49,5.39,NA,5.39,,0.89,17.77,17.77,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45190,,"Destruction, rectal tumor",A,,9.74,5.12,NA,5.12,,0.76,15.62,15.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45300,,Proctosigmoidoscopy dx,A,,0.38,1.33,,0.23,,0.05,1.76,0.66,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45303,,Proctosigmoidoscopy dilate,A,,0.44,1.58,,0.26,,0.06,2.08,0.76,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45305,,Proctosigmoidoscopy w/bx,A,,1.01,1.58,,0.45,,0.09,2.68,1.55,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45307,,Proctosigmoidoscopy fb,A,,0.94,2.52,,0.42,,0.15,3.61,1.51,0,000,0.00,0.00,0.00,3,0,0,0,0,45300,36.7856,09
45308,,Proctosigmoidoscopy removal,A,,0.83,1.52,,0.39,,0.13,2.48,1.35,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45309,,Proctosigmoidoscopy removal,A,,2.01,2.39,,0.79,,0.17,4.57,2.97,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45315,,Proctosigmoidoscopy removal,A,,1.40,2.55,,0.59,,0.20,4.15,2.19,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45317,,Proctosigmoidoscopy bleed,A,,1.50,1.84,,0.62,,0.20,3.54,2.32,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45320,,Proctosigmoidoscopy ablate,A,,1.58,1.80,,0.66,,0.20,3.58,2.44,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45321,,Proctosigmoidoscopy volvul,A,,1.17,0.51,NA,0.51,,0.17,1.85,1.85,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45327,,Proctosigmoidoscopy w/stent,A,,1.65,0.86,NA,0.86,,0.10,2.61,2.61,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,36.7856,09
45330,,Diagnostic sigmoidoscopy,A,,0.96,1.82,,0.52,,0.05,2.83,1.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45331,,Sigmoidoscopy and biopsy,A,,1.15,2.24,,0.53,,0.07,3.46,1.75,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45332,,Sigmoidoscopy w/fb removal,A,,1.79,3.96,,0.75,,0.11,5.86,2.65,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45333,,Sigmoidoscopy & polypectomy,A,,1.79,3.57,,0.75,,0.12,5.48,2.66,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45334,,Sigmoidoscopy for bleeding,A,,2.73,1.08,NA,1.08,,0.16,3.97,3.97,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45335,,Sigmoidoscope w/submuc inj,A,,1.36,2.48,,0.65,,0.07,3.91,2.08,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45337,,Sigmoidoscopy & decompress,A,,2.36,0.95,NA,0.95,,0.15,3.46,3.46,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45338,,Sigmoidoscpy w/tumr remove,A,,2.34,4.29,,0.95,,0.15,6.78,3.44,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45339,,Sigmoidoscopy w/ablate tumr,A,,3.14,3.26,,1.23,,0.17,6.57,4.54,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45340,,Sig w/balloon dilation,A,,1.66,7.19,,0.76,,0.07,8.92,2.49,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45341,,Sigmoidoscopy w/ultrasound,A,,2.60,1.37,NA,1.37,,0.20,4.17,4.17,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45342,,Sigmoidoscopy w/us guide bx,A,,4.06,1.81,NA,1.81,,0.23,6.10,6.10,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45345,,Sigmoidoscopy w/stent,A,,2.92,1.40,NA,1.40,,0.15,4.47,4.47,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,36.7856,09
45355,,Surgical colonoscopy,A,,3.52,1.24,NA,1.24,,0.26,5.02,5.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45378,,Diagnostic colonoscopy,A,,3.70,8.03,,1.72,,0.20,11.93,5.62,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45378,53,Diagnostic colonoscopy,A,,0.96,1.82,,0.52,,0.05,2.83,1.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45379,,Colonoscopy w/fb removal,A,,4.69,8.34,,2.08,,0.25,13.28,7.02,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45380,,Colonoscopy and biopsy,A,,4.44,8.46,,2.00,,0.21,13.11,6.65,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45381,,"Colonoscope, submucous inj",A,,4.20,6.15,,1.70,,0.21,10.56,6.11,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45382,,Colonoscopy/control bleeding,A,,5.69,9.73,,2.23,,0.27,15.69,8.19,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45383,,Lesion removal colonoscopy,A,,5.87,9.34,,2.50,,0.32,15.53,8.69,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45384,,Lesion remove colonoscopy,A,,4.70,9.07,,2.09,,0.24,14.01,7.03,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45385,,Lesion removal colonoscopy,A,,5.31,9.24,,2.31,,0.28,14.83,7.90,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45386,,Colonoscope dilate stricture,A,,4.58,15.29,,1.84,,0.21,20.08,6.63,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45387,,Colonoscopy w/stent,A,,5.91,2.52,NA,2.52,,0.33,8.76,8.76,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,36.7856,09
45500,,Repair of rectum,A,,7.29,4.14,NA,4.14,,0.56,11.99,11.99,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
45505,,Repair of rectum,A,,7.58,3.70,NA,3.70,,0.50,11.78,11.78,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
45520,,Treatment of rectal prolapse,A,,0.55,0.77,,0.19,,0.04,1.36,0.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
45540,,Correct rectal prolapse,A,,16.27,7.90,NA,7.90,,1.17,25.34,25.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45541,,Correct rectal prolapse,A,,13.40,6.78,NA,6.78,,0.88,21.06,21.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45550,,Repair rectum/remove sigmoid,A,,23.00,10.15,NA,10.15,,1.58,34.73,34.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45560,,Repair of rectocele,A,,10.58,5.89,NA,5.89,,0.73,17.20,17.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45562,,Exploration/repair of rectum,A,,15.38,7.30,NA,7.30,,1.15,23.83,23.83,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45563,,Exploration/repair of rectum,A,,23.47,10.90,NA,10.90,,1.84,36.21,36.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45800,,Repair rect/bladder fistula,A,,17.77,7.91,NA,7.91,,1.14,26.82,26.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45805,,Repair fistula w/colostomy,A,,20.78,9.91,NA,9.91,,1.47,32.16,32.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45820,,Repair rectourethral fistula,A,,18.48,8.15,NA,8.15,,1.17,27.80,27.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45825,,Repair fistula w/colostomy,A,,21.25,10.13,NA,10.13,,0.97,32.35,32.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
45900,,Reduction of rectal prolapse,A,,2.61,1.02,NA,1.02,,0.17,3.80,3.80,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
45905,,Dilation of anal sphincter,A,,2.30,11.46,,0.94,,0.14,13.90,3.38,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
45910,,Dilation of rectal narrowing,A,,2.80,15.87,,1.12,,0.14,18.81,4.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
45915,,Remove rectal obstruction,A,,3.14,4.65,,1.10,,0.17,7.96,4.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
45999,,Rectum surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
46020,,Placement of seton,A,,2.90,3.12,,2.38,,0.22,6.24,5.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46030,,Removal of rectal marker,A,,1.23,3.00,,1.19,,0.11,4.34,2.53,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
46040,,Incision of rectal abscess,A,,4.96,5.34,,3.05,,0.48,10.78,8.49,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46045,,Incision of rectal abscess,A,,4.32,2.77,NA,2.77,,0.40,7.49,7.49,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46050,,Incision of anal abscess,A,,1.19,3.52,,1.32,,0.11,4.82,2.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46060,,Incision of rectal abscess,A,,5.69,3.71,NA,3.71,,0.52,9.92,9.92,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46070,,Incision of anal septum,A,,2.71,2.40,NA,2.40,,0.27,5.38,5.38,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
46080,,Incision of anal sphincter,A,,2.49,3.61,,1.60,,0.23,6.33,4.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46083,,Incise external hemorrhoid,A,,1.40,4.66,,1.53,,0.12,6.18,3.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46200,,Removal of anal fissure,A,,3.42,3.84,,2.35,,0.30,7.56,6.07,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46210,,Removal of anal crypt,A,,2.67,5.08,,2.17,,0.26,8.01,5.10,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
46211,,Removal of anal crypts,A,,4.25,5.20,,2.88,,0.37,9.82,7.50,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
46220,,Removal of anal tag,A,,1.56,1.26,,0.55,,0.14,2.96,2.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46221,,Ligation of hemorrhoid(s),A,,2.04,1.71,,1.07,,0.12,3.87,3.23,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46230,,Removal of anal tags,A,,2.57,4.26,,1.65,,0.22,7.05,4.44,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46250,,Hemorrhoidectomy,A,,3.89,5.32,,2.65,,0.43,9.64,6.97,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46255,,Hemorrhoidectomy,A,,4.60,6.00,,2.87,,0.51,11.11,7.98,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46257,,Remove hemorrhoids & fissure,A,,5.40,3.05,NA,3.05,,0.59,9.04,9.04,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46258,,Remove hemorrhoids & fistula,A,,5.73,3.19,NA,3.19,,0.64,9.56,9.56,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
46260,,Hemorrhoidectomy,A,,6.37,3.92,NA,3.92,,0.68,10.97,10.97,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46261,,Remove hemorrhoids & fissure,A,,7.08,4.04,NA,4.04,,0.70,11.82,11.82,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46262,,Remove hemorrhoids & fistula,A,,7.50,4.26,NA,4.26,,0.76,12.52,12.52,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46270,,Removal of anal fistula,A,,3.72,5.01,,2.56,,0.36,9.09,6.64,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46275,,Removal of anal fistula,A,,4.56,4.66,,2.76,,0.40,9.62,7.72,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46280,,Removal of anal fistula,A,,5.98,3.69,NA,3.69,,0.50,10.17,10.17,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46285,,Removal of anal fistula,A,,4.09,4.07,,2.60,,0.34,8.50,7.03,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46288,,Repair anal fistula,A,,7.13,4.19,NA,4.19,,0.60,11.92,11.92,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46320,,Removal of hemorrhoid clot,A,,1.61,3.86,,1.54,,0.14,5.61,3.29,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46500,,Injection into hemorrhoid(s),A,,1.61,2.71,,0.57,,0.12,4.44,2.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46600,,Diagnostic anoscopy,A,,0.50,0.80,,0.15,,0.04,1.34,0.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
46604,,Anoscopy and dilation,A,,1.31,0.96,,0.46,,0.09,2.36,1.86,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,36.7856,09
46606,,Anoscopy and biopsy,A,,0.81,0.87,,0.28,,0.07,1.75,1.16,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,36.7856,09
46608,,"Anoscopy, remove for body",A,,1.51,1.83,,0.47,,0.13,3.47,2.11,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,36.7856,09
46610,,"Anoscopy, remove lesion",A,,1.32,1.42,,0.47,,0.12,2.86,1.91,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,36.7856,09
46611,,Anoscopy,A,,1.81,2.00,,0.64,,0.15,3.96,2.60,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,36.7856,09
46612,,"Anoscopy, remove lesions",A,,2.34,2.45,,0.84,,0.18,4.97,3.36,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,36.7856,09
46614,,"Anoscopy, control bleeding",A,,2.01,1.79,,0.69,,0.14,3.94,2.84,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,36.7856,09
46615,,Anoscopy,A,,2.68,1.73,,0.94,,0.23,4.64,3.85,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,36.7856,09
46700,,Repair of anal stricture,A,,9.13,4.64,NA,4.64,,0.56,14.33,14.33,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46705,,Repair of anal stricture,A,,6.90,4.06,NA,4.06,,0.73,11.69,11.69,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46706,,Repr of anal fistula w/glue,A,,2.39,1.24,NA,1.24,,0.17,3.80,3.80,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46715,,Repair of anovaginal fistula,A,,7.20,4.23,NA,4.23,,0.76,12.19,12.19,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
46716,,Repair of anovaginal fistula,A,,15.07,7.38,NA,7.38,,1.30,23.75,23.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46730,,Construction of absent anus,A,,26.75,12.23,NA,12.23,,2.03,41.01,41.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46735,,Construction of absent anus,A,,32.17,14.08,NA,14.08,,2.64,48.89,48.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46740,,Construction of absent anus,A,,30.00,12.54,NA,12.54,,1.99,44.53,44.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46742,,Repair of imperforated anus,A,,35.80,18.00,NA,18.00,,2.63,56.43,56.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46744,,Repair of cloacal anomaly,A,,52.63,21.43,NA,21.43,,2.27,76.33,76.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46746,,Repair of cloacal anomaly,A,,58.22,25.90,NA,25.90,,2.51,86.63,86.63,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46748,,Repair of cloacal anomaly,A,,64.21,25.75,NA,25.75,,2.77,92.73,92.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46750,,Repair of anal sphincter,A,,10.25,5.63,NA,5.63,,0.69,16.57,16.57,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46751,,Repair of anal sphincter,A,,8.77,6.38,NA,6.38,,0.78,15.93,15.93,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46753,,Reconstruction of anus,A,,8.29,4.01,NA,4.01,,0.58,12.88,12.88,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46754,,Removal of suture from anus,A,,2.20,5.44,,1.36,,0.12,7.76,3.68,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
46760,,Repair of anal sphincter,A,,14.43,7.07,NA,7.07,,0.86,22.36,22.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46761,,Repair of anal sphincter,A,,13.84,6.57,NA,6.57,,0.84,21.25,21.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46762,,Implant artificial sphincter,A,,12.71,5.72,NA,5.72,,0.71,19.14,19.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
46900,,"Destruction, anal lesion(s)",A,,1.91,3.44,,0.75,,0.13,5.48,2.79,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46910,,"Destruction, anal lesion(s)",A,,1.86,3.74,,1.46,,0.14,5.74,3.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46916,,"Cryosurgery, anal lesion(s)",A,,1.86,3.36,,1.67,,0.09,5.31,3.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46917,,"Laser surgery, anal lesions",A,,1.86,4.72,,1.52,,0.16,6.74,3.54,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46922,,Excision of anal lesion(s),A,,1.86,3.86,,1.43,,0.17,5.89,3.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46924,,"Destruction, anal lesion(s)",A,,2.76,5.09,,1.69,,0.20,8.05,4.65,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46934,,Destruction of hemorrhoids,A,,3.51,6.23,,3.58,,0.26,10.00,7.35,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46935,,Destruction of hemorrhoids,A,,2.43,4.23,,0.86,,0.17,6.83,3.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46936,,Destruction of hemorrhoids,A,,3.69,5.91,,3.43,,0.30,9.90,7.42,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46937,,Cryotherapy of rectal lesion,A,,2.69,4.41,,1.77,,0.12,7.22,4.58,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
46938,,Cryotherapy of rectal lesion,A,,4.66,5.03,,3.25,,0.40,10.09,8.31,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
46940,,Treatment of anal fissure,A,,2.32,3.14,,0.81,,0.17,5.63,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
46942,,Treatment of anal fissure,A,,2.04,2.86,,0.69,,0.14,5.04,2.87,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
46945,,Ligation of hemorrhoids,A,,1.84,3.93,,2.15,,0.17,5.94,4.16,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46946,,Ligation of hemorrhoids,A,,2.58,4.99,,2.45,,0.22,7.79,5.25,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
46999,,Anus surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
47000,,Needle biopsy of liver,A,,1.90,8.24,,0.65,,0.09,10.23,2.64,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
47001,,"Needle biopsy, liver add-on",A,,1.90,0.67,NA,0.67,,0.18,2.75,2.75,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,36.7856,09
47010,,"Open drainage, liver lesion",A,,16.01,9.66,NA,9.66,,0.65,26.32,26.32,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47011,,"Percut drain, liver lesion",A,,3.70,4.38,NA,4.38,,0.17,8.25,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
47015,,Inject/aspirate liver cyst,A,,15.11,7.84,NA,7.84,,0.86,23.81,23.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47100,,Wedge biopsy of liver,A,,11.67,6.30,NA,6.30,,0.75,18.72,18.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47120,,Partial removal of liver,A,,35.50,16.55,NA,16.55,,2.29,54.34,54.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47122,,Extensive removal of liver,A,,55.13,23.43,NA,23.43,,3.60,82.16,82.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47125,,Partial removal of liver,A,,49.19,21.42,NA,21.42,,3.18,73.79,73.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47130,,Partial removal of liver,A,,53.35,22.88,NA,22.88,,3.47,79.70,79.70,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47133,,Removal of donor liver,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
47134,,"Partial removal, donor liver",R,,39.15,13.56,NA,13.56,,3.98,56.69,56.69,0,XXX,0.00,0.00,0.00,2,0,2,1,2,,36.7856,09
47135,,Transplantation of liver,R,,81.52,42.52,NA,42.52,,8.13,132.17,132.17,0,090,0.09,0.81,0.10,2,0,2,1,2,,36.7856,09
47136,,Transplantation of liver,R,,68.60,41.83,NA,41.83,,6.93,117.36,117.36,0,090,0.09,0.81,0.10,2,0,2,1,2,,36.7856,09
47300,,Surgery for liver lesion,A,,15.08,7.53,NA,7.53,,0.97,23.58,23.58,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47350,,Repair liver wound,A,,19.56,9.21,NA,9.21,,1.25,30.02,30.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47360,,Repair liver wound,A,,26.92,12.51,NA,12.51,,1.71,41.14,41.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47361,,Repair liver wound,A,,47.12,19.57,NA,19.57,,3.11,69.80,69.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47362,,Repair liver wound,A,,18.51,9.54,NA,9.54,,1.22,29.27,29.27,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47370,,Laparo ablate liver tumor rf,A,,19.69,9.72,NA,9.72,,0.85,30.26,30.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47371,,Laparo ablate liver cryosurg,A,,19.69,9.72,NA,9.72,,0.85,30.26,30.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47379,,"Laparoscope procedure, liver",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
47380,,Open ablate liver tumor rf,A,,23.00,11.01,NA,11.01,,0.85,34.86,34.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47381,,Open ablate liver tumor cryo,A,,23.27,11.12,NA,11.12,,0.85,35.24,35.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47382,,Percut ablate liver rf,A,,15.19,6.25,NA,6.25,,1.14,22.58,22.58,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
47399,,Liver surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
47400,,Incision of liver duct,A,,32.49,14.44,NA,14.44,,1.82,48.75,48.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47420,,Incision of bile duct,A,,19.88,9.15,NA,9.15,,1.70,30.73,30.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47425,,Incision of bile duct,A,,19.83,9.22,NA,9.22,,1.60,30.65,30.65,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47460,,Incise bile duct sphincter,A,,18.04,8.96,NA,8.96,,1.24,28.24,28.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47480,,Incision of gallbladder,A,,10.82,6.58,NA,6.58,,0.85,18.25,18.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47490,,Incision of gallbladder,A,,7.23,7.49,NA,7.49,,0.33,15.05,15.05,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
47500,,Injection for liver x-rays,A,,1.96,0.66,NA,0.66,,0.09,2.71,2.71,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
47505,,Injection for liver x-rays,A,,0.76,2.65,,0.26,,0.03,3.44,1.05,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
47510,,"Insert catheter, bile duct",A,,7.83,4.69,NA,4.69,,0.36,12.88,12.88,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
47511,,Insert bile duct drain,A,,10.50,10.37,NA,10.37,,0.47,21.34,21.34,0,090,0.09,0.81,0.10,2,1,1,0,0,,36.7856,09
47525,,Change bile duct catheter,A,,5.55,3.25,NA,3.25,,0.24,9.04,9.04,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
47530,,Revise/reinsert bile tube,A,,5.85,4.93,NA,4.93,,0.29,11.07,11.07,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
47550,,Bile duct endoscopy add-on,A,,3.02,1.04,NA,1.04,,0.30,4.36,4.36,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
47552,,Biliary endoscopy thru skin,A,,6.04,2.44,NA,2.44,,0.42,8.90,8.90,0,000,0.00,0.00,0.00,2,0,1,1,0,,36.7856,09
47553,,Biliary endoscopy thru skin,A,,6.35,2.64,NA,2.64,,0.30,9.29,9.29,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,36.7856,09
47554,,Biliary endoscopy thru skin,A,,9.06,3.44,NA,3.44,,0.74,13.24,13.24,0,000,0.00,0.00,0.00,3,0,1,1,0,47552,36.7856,09
47555,,Biliary endoscopy thru skin,A,,7.56,3.05,NA,3.05,,0.35,10.96,10.96,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,36.7856,09
47556,,Biliary endoscopy thru skin,A,,8.56,3.39,NA,3.39,,0.38,12.33,12.33,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,36.7856,09
47560,,Laparoscopy w/cholangio,A,,4.89,1.84,NA,1.84,,0.49,7.22,7.22,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
47561,,Laparo w/cholangio/biopsy,A,,5.18,2.13,NA,2.13,,0.49,7.80,7.80,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
47562,,Laparoscopic cholecystectomy,A,,11.09,5.01,NA,5.01,,1.13,17.23,17.23,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47563,,Laparo cholecystectomy/graph,A,,11.94,5.27,NA,5.27,,1.21,18.42,18.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47564,,Laparo cholecystectomy/explr,A,,14.23,6.08,NA,6.08,,1.44,21.75,21.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47570,,Laparo cholecystoenterostomy,A,,12.58,5.50,NA,5.50,,1.28,19.36,19.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47579,,"Laparoscope proc, biliary",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
47600,,Removal of gallbladder,A,,13.58,6.67,NA,6.67,,1.16,21.41,21.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47605,,Removal of gallbladder,A,,14.69,7.03,NA,7.03,,1.25,22.97,22.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47610,,Removal of gallbladder,A,,18.82,8.59,NA,8.59,,1.61,29.02,29.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47612,,Removal of gallbladder,A,,18.78,8.45,NA,8.45,,1.60,28.83,28.83,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47620,,Removal of gallbladder,A,,20.64,9.12,NA,9.12,,1.77,31.53,31.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47630,,Remove bile duct stone,A,,9.11,3.08,NA,3.08,,0.46,12.65,12.65,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
47700,,Exploration of bile ducts,A,,15.62,8.51,NA,8.51,,1.40,25.53,25.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47701,,Bile duct revision,A,,27.81,13.06,NA,13.06,,3.00,43.87,43.87,0,090,0.09,0.81,0.10,2,0,0,0,0,,36.7856,09
47711,,Excision of bile duct tumor,A,,23.03,11.02,NA,11.02,,1.98,36.03,36.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47712,,Excision of bile duct tumor,A,,30.24,13.63,NA,13.63,,2.67,46.54,46.54,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47715,,Excision of bile duct cyst,A,,18.80,8.75,NA,8.75,,1.59,29.14,29.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47716,,Fusion of bile duct cyst,A,,16.44,8.20,NA,8.20,,1.41,26.05,26.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47720,,Fuse gallbladder & bowel,A,,15.91,8.48,NA,8.48,,1.37,25.76,25.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47721,,Fuse upper gi structures,A,,19.12,9.60,NA,9.60,,1.63,30.35,30.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47740,,Fuse gallbladder & bowel,A,,18.48,9.40,NA,9.40,,1.59,29.47,29.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47741,,Fuse gallbladder & bowel,A,,21.34,10.33,NA,10.33,,1.82,33.49,33.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47760,,Fuse bile ducts and bowel,A,,25.85,11.93,NA,11.93,,2.21,39.99,39.99,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47765,,Fuse liver ducts & bowel,A,,24.88,12.37,NA,12.37,,2.18,39.43,39.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47780,,Fuse bile ducts and bowel,A,,26.50,12.17,NA,12.17,,2.27,40.94,40.94,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47785,,Fuse bile ducts and bowel,A,,31.18,14.49,NA,14.49,,2.69,48.36,48.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47800,,Reconstruction of bile ducts,A,,23.30,11.15,NA,11.15,,1.95,36.40,36.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47801,,"Placement, bile duct support",A,,15.17,10.03,NA,10.03,,0.69,25.89,25.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47802,,Fuse liver duct & intestine,A,,21.55,11.13,NA,11.13,,1.84,34.52,34.52,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47900,,Suture bile duct injury,A,,19.90,9.91,NA,9.91,,1.65,31.46,31.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
47999,,Bile tract surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
48000,,Drainage of abdomen,A,,28.07,12.40,NA,12.40,,1.32,41.79,41.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48001,,"Placement of drain, pancreas",A,,35.45,14.70,NA,14.70,,1.90,52.05,52.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48005,,Resect/debride pancreas,A,,42.17,16.99,NA,16.99,,2.26,61.42,61.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48020,,Removal of pancreatic stone,A,,15.70,7.38,NA,7.38,,1.36,24.44,24.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48100,,"Biopsy of pancreas, open",A,,12.23,6.83,NA,6.83,,1.08,20.14,20.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48102,,"Needle biopsy, pancreas",A,,4.68,8.84,,2.38,,0.20,13.72,7.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
48120,,Removal of pancreas lesion,A,,15.85,7.36,NA,7.36,,1.35,24.56,24.56,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48140,,Partial removal of pancreas,A,,22.94,10.51,NA,10.51,,2.12,35.57,35.57,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48145,,Partial removal of pancreas,A,,24.02,11.18,NA,11.18,,2.25,37.45,37.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48146,,Pancreatectomy,A,,26.40,13.29,NA,13.29,,2.43,42.12,42.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48148,,Removal of pancreatic duct,A,,17.34,8.98,NA,8.98,,1.61,27.93,27.93,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48150,,Partial removal of pancreas,A,,48.00,21.38,NA,21.38,,4.43,73.81,73.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48152,,Pancreatectomy,A,,43.75,20.25,NA,20.25,,4.07,68.07,68.07,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48153,,Pancreatectomy,A,,47.89,21.58,NA,21.58,,4.40,73.87,73.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48154,,Pancreatectomy,A,,44.10,20.13,NA,20.13,,4.10,68.33,68.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48155,,Removal of pancreas,A,,24.64,13.48,NA,13.48,,2.30,40.42,40.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48160,,Pancreas removal/transplant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
48180,,Fuse pancreas and bowel,A,,24.72,10.85,NA,10.85,,2.24,37.81,37.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48400,,"Injection, intraop add-on",A,,1.95,0.67,NA,0.67,,0.10,2.72,2.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
48500,,Surgery of pancreatic cyst,A,,15.28,7.24,NA,7.24,,1.35,23.87,23.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48510,,Drain pancreatic pseudocyst,A,,14.31,7.49,NA,7.49,,1.07,22.87,22.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48511,,Drain pancreatic pseudocyst,A,,4.00,3.72,NA,3.72,,0.17,7.89,7.89,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
48520,,Fuse pancreas cyst and bowel,A,,15.59,7.21,NA,7.21,,1.41,24.21,24.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48540,,Fuse pancreas cyst and bowel,A,,19.72,8.62,NA,8.62,,1.82,30.16,30.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48545,,Pancreatorrhaphy,A,,18.18,8.68,NA,8.68,,1.61,28.47,28.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48547,,Duodenal exclusion,A,,25.83,10.79,NA,10.79,,2.30,38.92,38.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
48550,,Donor pancreatectomy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
48554,,Transpl allograft pancreas,R,,34.17,11.94,NA,11.94,,3.30,49.41,49.41,0,090,0.09,0.81,0.10,2,0,2,2,2,,36.7856,09
48556,,"Removal, allograft pancreas",A,,15.71,8.46,NA,8.46,,1.52,25.69,25.69,0,090,0.09,0.81,0.10,2,0,2,2,2,,36.7856,09
48999,,Pancreas surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
49000,,Exploration of abdomen,A,,11.68,6.06,NA,6.06,,1.17,18.91,18.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49002,,Reopening of abdomen,A,,10.49,5.96,NA,5.96,,1.06,17.51,17.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49010,,Exploration behind abdomen,A,,12.28,6.93,NA,6.93,,1.22,20.43,20.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49020,,Drain abdominal abscess,A,,22.84,11.41,NA,11.41,,1.31,35.56,35.56,0,090,0.09,0.81,0.10,2,0,2,0,0,,36.7856,09
49021,,Drain abdominal abscess,A,,3.38,5.28,NA,5.28,,0.16,8.82,8.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49040,,"Drain, open, abdom abscess",A,,13.52,8.19,NA,8.19,,0.84,22.55,22.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49041,,"Drain, percut, abdom abscess",A,,4.00,5.61,NA,5.61,,0.18,9.79,9.79,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
49060,,"Drain, open, retrop abscess",A,,15.86,9.58,NA,9.58,,0.77,26.21,26.21,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
49061,,"Drain, percut, retroper absc",A,,3.70,5.62,NA,5.62,,0.17,9.49,9.49,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
49062,,Drain to peritoneal cavity,A,,11.36,7.07,NA,7.07,,1.08,19.51,19.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49080,,"Puncture, peritoneal cavity",A,,1.35,4.39,,0.47,,0.07,5.81,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49081,,Removal of abdominal fluid,A,,1.26,3.07,,0.58,,0.06,4.39,1.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49085,,Remove abdomen foreign body,A,,12.14,6.56,NA,6.56,,0.88,19.58,19.58,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
49180,,"Biopsy, abdominal mass",A,,1.73,8.22,,0.59,,0.08,10.03,2.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49200,,Removal of abdominal lesion,A,,10.25,6.27,NA,6.27,,0.92,17.44,17.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49201,,"Remove abdom lesion, complex",A,,14.84,8.56,NA,8.56,,1.47,24.87,24.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49215,,Excise sacral spine tumor,A,,33.50,14.74,NA,14.74,,2.48,50.72,50.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49220,,"Multiple surgery, abdomen",A,,14.88,7.63,NA,7.63,,1.51,24.02,24.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49250,,Excision of umbilicus,A,,8.35,5.08,NA,5.08,,0.84,14.27,14.27,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
49255,,Removal of omentum,A,,11.14,6.49,NA,6.49,,1.12,18.75,18.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49320,,Diag laparo separate proc,A,,5.10,3.01,NA,3.01,,0.50,8.61,8.61,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
49321,,"Laparoscopy, biopsy",A,,5.40,2.99,NA,2.99,,0.53,8.92,8.92,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
49322,,"Laparoscopy, aspiration",A,,5.70,3.42,NA,3.42,,0.57,9.69,9.69,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
49323,,Laparo drain lymphocele,A,,9.48,4.03,NA,4.03,,0.88,14.39,14.39,0,090,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
49329,,"Laparo proc, abdm/per/oment",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
49400,,Air injection into abdomen,A,,1.88,0.80,NA,0.80,,0.11,2.79,2.79,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49419,,Insrt abdom cath for chemotx,A,,6.65,3.81,NA,3.81,,0.55,11.01,11.01,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
49420,,"Insert abdom drain, temp",A,,2.22,0.97,NA,0.97,,0.13,3.32,3.32,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
49421,,"Insert abdom drain, perm",A,,5.54,4.06,NA,4.06,,0.55,10.15,10.15,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
49422,,Remove perm cannula/catheter,A,,6.25,2.93,NA,2.93,,0.63,9.81,9.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
49423,,Exchange drainage catheter,A,,1.46,0.68,NA,0.68,,0.07,2.21,2.21,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
49424,,"Assess cyst, contrast inject",A,,0.76,0.44,NA,0.44,,0.03,1.23,1.23,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
49425,,Insert abdomen-venous drain,A,,11.37,6.69,NA,6.69,,1.21,19.27,19.27,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49426,,Revise abdomen-venous shunt,A,,9.63,6.07,NA,6.07,,0.93,16.63,16.63,0,090,0.09,0.81,0.10,2,0,1,0,0,,36.7856,09
49427,,"Injection, abdominal shunt",A,,0.89,0.48,NA,0.48,,0.05,1.42,1.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
49428,,Ligation of shunt,A,,6.06,3.16,NA,3.16,,0.31,9.53,9.53,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
49429,,Removal of shunt,A,,7.40,3.44,NA,3.44,,0.81,11.65,11.65,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
49491,,Rpr hern preemie reduc,A,,11.13,5.51,NA,5.51,,1.10,17.74,17.74,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49492,,"Rpr ing hern premie, blocked",A,,14.03,6.28,NA,6.28,,1.47,21.78,21.78,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49495,,"Rpr ing hernia baby, reduc",A,,5.89,3.48,NA,3.48,,0.58,9.95,9.95,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49496,,"Rpr ing hernia baby, blocked",A,,8.79,6.11,NA,6.11,,0.92,15.82,15.82,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49500,,"Rpr ing hernia, init, reduce",A,,5.48,3.34,NA,3.34,,0.46,9.28,9.28,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49501,,"Rpr ing hernia, init blocked",A,,8.88,4.43,NA,4.43,,0.76,14.07,14.07,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49505,,Prp i/hern init reduc>5 yr,A,,7.60,4.48,,4.01,,0.65,12.73,12.26,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49507,,Prp i/hern init block>5 yr,A,,9.57,6.01,NA,6.01,,0.83,16.41,16.41,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49520,,"Rerepair ing hernia, reduce",A,,9.63,5.34,NA,5.34,,0.84,15.81,15.81,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49521,,"Rerepair ing hernia, blocked",A,,11.97,5.68,NA,5.68,,1.04,18.69,18.69,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49525,,"Repair ing hernia, sliding",A,,8.57,4.83,NA,4.83,,0.74,14.14,14.14,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49540,,Repair lumbar hernia,A,,10.39,5.51,NA,5.51,,0.90,16.80,16.80,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49550,,"Rpr rem hernia, init, reduce",A,,8.63,4.42,NA,4.42,,0.75,13.80,13.80,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49553,,"Rpr fem hernia, init blocked",A,,9.44,4.84,NA,4.84,,0.83,15.11,15.11,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49555,,"Rerepair fem hernia, reduce",A,,9.03,5.17,NA,5.17,,0.79,14.99,14.99,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49557,,"Rerepair fem hernia, blocked",A,,11.15,5.42,NA,5.42,,0.97,17.54,17.54,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49560,,"Rpr ventral hern init, reduc",A,,11.57,5.95,NA,5.95,,1.00,18.52,18.52,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49561,,"Rpr ventral hern init, block",A,,14.25,6.53,NA,6.53,,1.23,22.01,22.01,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49565,,"Rerepair ventrl hern, reduce",A,,11.57,6.11,NA,6.11,,1.00,18.68,18.68,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49566,,"Rerepair ventrl hern, block",A,,14.40,6.60,NA,6.60,,1.24,22.24,22.24,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49568,,Hernia repair w/mesh,A,,4.89,1.71,NA,1.71,,0.50,7.10,7.10,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
49570,,"Rpr epigastric hern, reduce",A,,5.69,3.43,NA,3.43,,0.50,9.62,9.62,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49572,,"Rpr epigastric hern, blocked",A,,6.73,3.91,NA,3.91,,0.58,11.22,11.22,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49580,,"Rpr umbil hern, reduc < 5 yr",A,,4.11,2.92,NA,2.92,,0.34,7.37,7.37,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49582,,"Rpr umbil hern, block < 5 yr",A,,6.65,4.86,NA,4.86,,0.57,12.08,12.08,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49585,,"Rpr umbil hern, reduc > 5 yr",A,,6.23,4.04,NA,4.04,,0.53,10.80,10.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49587,,"Rpr umbil hern, block > 5 yr",A,,7.56,4.15,NA,4.15,,0.65,12.36,12.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49590,,Repair spigilian hernia,A,,8.54,4.85,NA,4.85,,0.74,14.13,14.13,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49600,,Repair umbilical lesion,A,,10.96,6.07,NA,6.07,,1.13,18.16,18.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49605,,Repair umbilical lesion,A,,76.00,29.89,NA,29.89,,2.57,108.46,108.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49606,,Repair umbilical lesion,A,,18.60,9.06,NA,9.06,,2.22,29.88,29.88,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49610,,Repair umbilical lesion,A,,10.50,6.77,NA,6.77,,0.77,18.04,18.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49611,,Repair umbilical lesion,A,,8.92,9.64,NA,9.64,,0.65,19.21,19.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49650,,Laparo hernia repair initial,A,,6.27,3.23,NA,3.23,,0.64,10.14,10.14,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49651,,Laparo hernia repair recur,A,,8.24,4.28,NA,4.28,,0.84,13.36,13.36,0,090,0.09,0.81,0.10,2,1,2,1,0,,36.7856,09
49659,,"Laparo proc, hernia repair",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
49900,,Repair of abdominal wall,A,,12.28,6.65,NA,6.65,,1.23,20.16,20.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,36.7856,09
49904,,"Omental flap, extra-abdom",A,,20.00,15.98,NA,15.98,,1.91,37.89,37.89,0,090,0.10,0.80,0.10,2,0,1,1,1,,36.7856,09
49905,,"Omental flap, intra-abdom",A,,6.55,2.34,NA,2.34,,0.61,9.50,9.50,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
49906,,"Free omental flap, microvasc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,1,1,0,,36.7856,09
49999,,Abdomen surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
50010,,Exploration of kidney,A,,10.98,6.48,NA,6.48,,0.79,18.25,18.25,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50020,,"Renal abscess, open drain",A,,14.66,13.74,NA,13.74,,0.80,29.20,29.20,0,090,0.08,0.83,0.09,2,0,1,1,0,,36.7856,09
50021,,"Renal abscess, percut drain",A,,3.38,9.98,NA,9.98,,0.15,13.51,13.51,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
50040,,Drainage of kidney,A,,14.94,10.83,NA,10.83,,0.82,26.59,26.59,0,090,0.08,0.83,0.09,2,0,1,1,0,,36.7856,09
50045,,Exploration of kidney,A,,15.46,7.88,NA,7.88,,1.06,24.40,24.40,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50060,,Removal of kidney stone,A,,19.30,9.13,NA,9.13,,1.14,29.57,29.57,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50065,,Incision of kidney,A,,20.79,8.01,NA,8.01,,1.13,29.93,29.93,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
50070,,Incision of kidney,A,,20.32,9.53,NA,9.53,,1.20,31.05,31.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50075,,Removal of kidney stone,A,,25.34,11.61,NA,11.61,,1.51,38.46,38.46,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50080,,Removal of kidney stone,A,,14.71,10.16,NA,10.16,,0.86,25.73,25.73,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
50081,,Removal of kidney stone,A,,21.80,12.23,NA,12.23,,1.30,35.33,35.33,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50100,,Revise kidney blood vessels,A,,16.09,9.66,NA,9.66,,1.64,27.39,27.39,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50120,,Exploration of kidney,A,,15.91,8.08,NA,8.08,,1.04,25.03,25.03,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50125,,Explore and drain kidney,A,,16.52,8.36,NA,8.36,,1.07,25.95,25.95,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50130,,Removal of kidney stone,A,,17.29,8.41,NA,8.41,,1.04,26.74,26.74,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50135,,Exploration of kidney,A,,19.18,9.05,NA,9.05,,1.18,29.41,29.41,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50200,,Biopsy of kidney,A,,2.63,0.93,NA,0.93,,0.12,3.68,3.68,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
50205,,Biopsy of kidney,A,,11.31,6.20,NA,6.20,,0.94,18.45,18.45,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50220,,"Remove kidney, open",A,,17.15,8.57,NA,8.57,,1.16,26.88,26.88,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50225,,"Removal kidney open, complex",A,,20.23,9.46,NA,9.46,,1.26,30.95,30.95,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50230,,"Removal kidney open, radical",A,,22.07,10.04,NA,10.04,,1.35,33.46,33.46,0,090,0.08,0.83,0.09,2,0,2,2,0,,36.7856,09
50234,,Removal of kidney & ureter,A,,22.40,10.14,NA,10.14,,1.37,33.91,33.91,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50236,,Removal of kidney & ureter,A,,24.86,13.21,NA,13.21,,1.50,39.57,39.57,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50240,,Partial removal of kidney,A,,22.00,12.33,NA,12.33,,1.36,35.69,35.69,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50280,,Removal of kidney lesion,A,,15.67,7.95,NA,7.95,,0.99,24.61,24.61,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50290,,Removal of kidney lesion,A,,14.73,7.80,NA,7.80,,1.11,23.64,23.64,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50300,,Removal of donor kidney,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
50320,,Removal of donor kidney,A,,22.21,10.24,NA,10.24,,1.78,34.23,34.23,0,090,0.08,0.83,0.09,0,1,2,1,0,,36.7856,09
50340,,Removal of kidney,A,,12.15,9.07,NA,9.07,,1.15,22.37,22.37,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50360,,Transplantation of kidney,A,,31.53,17.43,NA,17.43,,2.97,51.93,51.93,0,090,0.08,0.83,0.09,2,0,2,2,2,,36.7856,09
50365,,Transplantation of kidney,A,,36.81,21.07,NA,21.07,,3.51,61.39,61.39,0,090,0.08,0.83,0.09,2,1,2,2,2,,36.7856,09
50370,,Remove transplanted kidney,A,,13.72,9.47,NA,9.47,,1.26,24.45,24.45,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50380,,Reimplantation of kidney,A,,20.76,13.49,NA,13.49,,1.80,36.05,36.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50390,,Drainage of kidney lesion,A,,1.96,0.66,NA,0.66,,0.09,2.71,2.71,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50392,,Insert kidney drain,A,,3.38,1.13,NA,1.13,,0.15,4.66,4.66,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50393,,Insert ureteral tube,A,,4.16,1.39,NA,1.39,,0.18,5.73,5.73,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50394,,Injection for kidney x-ray,A,,0.76,2.44,,0.26,,0.04,3.24,1.06,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50395,,Create passage to kidney,A,,3.38,1.13,NA,1.13,,0.16,4.67,4.67,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50396,,Measure kidney pressure,A,,2.09,0.87,NA,0.87,,0.10,3.06,3.06,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50398,,Change kidney tube,A,,1.46,1.19,,0.49,,0.07,2.72,2.02,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50400,,Revision of kidney/ureter,A,,19.50,9.19,NA,9.19,,1.21,29.90,29.90,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50405,,Revision of kidney/ureter,A,,23.93,11.44,NA,11.44,,1.45,36.82,36.82,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50500,,Repair of kidney wound,A,,19.57,10.59,NA,10.59,,1.45,31.61,31.61,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50520,,Close kidney-skin fistula,A,,17.23,10.04,NA,10.04,,1.26,28.53,28.53,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50525,,Repair renal-abdomen fistula,A,,22.27,11.99,NA,11.99,,1.51,35.77,35.77,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50526,,Repair renal-abdomen fistula,A,,24.02,13.43,NA,13.43,,1.62,39.07,39.07,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
50540,,Revision of horseshoe kidney,A,,19.93,9.97,NA,9.97,,1.28,31.18,31.18,0,090,0.08,0.83,0.09,2,2,2,1,0,,36.7856,09
50541,,Laparo ablate renal cyst,A,,16.00,6.37,NA,6.37,,0.99,23.36,23.36,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50542,,Laparo ablate renal mass,A,,20.00,8.34,NA,8.34,,1.36,29.70,29.70,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50543,,Laparo partial nephrectomy,A,,25.50,10.48,NA,10.48,,1.36,37.34,37.34,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50544,,"Laparoscopy, pyeloplasty",A,,22.40,8.56,NA,8.56,,1.41,32.37,32.37,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50545,,Laparo radical nephrectomy,A,,24.00,9.14,NA,9.14,,1.53,34.67,34.67,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50546,,Laparoscopic nephrectomy,A,,20.48,7.95,NA,7.95,,1.37,29.80,29.80,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50547,,Laparo removal donor kidney,A,,25.50,10.79,NA,10.79,,2.04,38.33,38.33,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50548,,Laparo remove k/ureter,A,,24.40,9.18,NA,9.18,,1.49,35.07,35.07,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50549,,"Laparoscope proc, renal",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
50551,,Kidney endoscopy,A,,5.60,4.06,,1.84,,0.33,9.99,7.77,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50553,,Kidney endoscopy,A,,5.99,14.02,,2.00,,0.35,20.36,8.34,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50555,,Kidney endoscopy & biopsy,A,,6.53,16.01,,2.17,,0.38,22.92,9.08,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,36.7856,09
50557,,Kidney endoscopy & treatment,A,,6.62,14.80,,2.18,,0.39,21.81,9.19,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,36.7856,09
50559,,Renal endoscopy/radiotracer,A,,6.78,2.31,NA,2.31,,0.27,9.36,9.36,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,36.7856,09
50561,,Kidney endoscopy & treatment,A,,7.59,14.09,,2.51,,0.44,22.12,10.54,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,36.7856,09
50562,,Renal scope w/tumor resect,A,,10.92,4.02,NA,4.02,,0.84,15.78,15.78,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50570,,Kidney endoscopy,A,,9.54,3.13,NA,3.13,,0.56,13.23,13.23,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50572,,Kidney endoscopy,A,,10.35,3.41,NA,3.41,,0.64,14.40,14.40,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,36.7856,09
50574,,Kidney endoscopy & biopsy,A,,11.02,3.64,NA,3.64,,0.65,15.31,15.31,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,36.7856,09
50575,,Kidney endoscopy,A,,13.98,4.60,NA,4.60,,0.84,19.42,19.42,0,000,0.00,0.00,0.00,3,1,1,0,0,50570,36.7856,09
50576,,Kidney endoscopy & treatment,A,,10.99,3.60,NA,3.60,,0.66,15.25,15.25,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,36.7856,09
50578,,Renal endoscopy/radiotracer,A,,11.35,3.73,NA,3.73,,0.67,15.75,15.75,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,36.7856,09
50580,,Kidney endoscopy & treatment,A,,11.86,3.90,NA,3.90,,0.70,16.46,16.46,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,36.7856,09
50590,,Fragmenting of kidney stone,A,,9.09,10.73,,4.94,,0.54,20.36,14.57,0,090,0.08,0.83,0.09,2,1,1,0,0,,36.7856,09
50600,,Exploration of ureter,A,,15.84,8.11,NA,8.11,,0.99,24.94,24.94,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50605,,Insert ureteral support,A,,15.46,8.26,NA,8.26,,1.13,24.85,24.85,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50610,,Removal of ureter stone,A,,15.92,8.44,NA,8.44,,1.08,25.44,25.44,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50620,,Removal of ureter stone,A,,15.16,7.64,NA,7.64,,0.91,23.71,23.71,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50630,,Removal of ureter stone,A,,14.94,7.60,NA,7.60,,0.90,23.44,23.44,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50650,,Removal of ureter,A,,17.41,8.83,NA,8.83,,1.07,27.31,27.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50660,,Removal of ureter,A,,19.55,9.57,NA,9.57,,1.19,30.31,30.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50684,,Injection for ureter x-ray,A,,0.76,12.61,,0.25,,0.04,13.41,1.05,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
50686,,Measure ureter pressure,A,,1.51,2.45,,0.67,,0.09,4.05,2.27,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
50688,,Change of ureter tube,A,,1.17,1.69,NA,1.69,,0.06,2.92,2.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
50690,,Injection for ureter x-ray,A,,1.16,12.77,,0.39,,0.06,13.99,1.61,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
50700,,Revision of ureter,A,,15.21,8.75,NA,8.75,,0.86,24.82,24.82,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50715,,Release of ureter,A,,18.90,11.71,NA,11.71,,1.68,32.29,32.29,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50722,,Release of ureter,A,,16.35,9.56,NA,9.56,,1.41,27.32,27.32,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50725,,Release/revise ureter,A,,18.49,9.86,NA,9.86,,1.44,29.79,29.79,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50727,,Revise ureter,A,,8.18,5.79,NA,5.79,,0.51,14.48,14.48,0,090,0.08,0.83,0.09,2,0,2,2,0,,36.7856,09
50728,,Revise ureter,A,,12.02,7.55,NA,7.55,,0.88,20.45,20.45,0,090,0.08,0.83,0.09,2,0,2,2,0,,36.7856,09
50740,,Fusion of ureter & kidney,A,,18.42,9.09,NA,9.09,,1.49,29.00,29.00,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50750,,Fusion of ureter & kidney,A,,19.51,9.63,NA,9.63,,1.24,30.38,30.38,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
50760,,Fusion of ureters,A,,18.42,9.37,NA,9.37,,1.25,29.04,29.04,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50770,,Splicing of ureters,A,,19.51,9.55,NA,9.55,,1.25,30.31,30.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50780,,Reimplant ureter in bladder,A,,18.36,9.22,NA,9.22,,1.20,28.78,28.78,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50782,,Reimplant ureter in bladder,A,,19.54,11.06,NA,11.06,,1.13,31.73,31.73,0,090,0.08,0.83,0.09,2,1,2,2,0,,36.7856,09
50783,,Reimplant ureter in bladder,A,,20.55,10.18,NA,10.18,,1.35,32.08,32.08,0,090,0.08,0.83,0.09,2,1,2,2,0,,36.7856,09
50785,,Reimplant ureter in bladder,A,,20.52,9.96,NA,9.96,,1.30,31.78,31.78,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50800,,Implant ureter in bowel,A,,14.52,8.99,NA,8.99,,0.92,24.43,24.43,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50810,,Fusion of ureter & bowel,A,,20.05,12.28,NA,12.28,,1.78,34.11,34.11,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50815,,Urine shunt to intestine,A,,19.93,10.98,NA,10.98,,1.31,32.22,32.22,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50820,,Construct bowel bladder,A,,21.89,11.33,NA,11.33,,1.38,34.60,34.60,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50825,,Construct bowel bladder,A,,28.18,14.12,NA,14.12,,1.81,44.11,44.11,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50830,,Revise urine flow,A,,31.28,14.80,NA,14.80,,2.20,48.28,48.28,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50840,,Replace ureter by bowel,A,,20.00,10.92,NA,10.92,,1.26,32.18,32.18,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50845,,Appendico-vesicostomy,A,,20.89,9.62,NA,9.62,,1.26,31.77,31.77,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50860,,Transplant ureter to skin,A,,15.36,8.23,NA,8.23,,1.01,24.60,24.60,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50900,,Repair of ureter,A,,13.62,7.40,NA,7.40,,0.98,22.00,22.00,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50920,,Closure ureter/skin fistula,A,,14.33,7.95,NA,7.95,,0.84,23.12,23.12,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50930,,Closure ureter/bowel fistula,A,,18.72,9.48,NA,9.48,,1.57,29.77,29.77,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
50940,,Release of ureter,A,,14.51,7.65,NA,7.65,,1.04,23.20,23.20,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50945,,Laparoscopy ureterolithotomy,A,,17.00,6.99,NA,6.99,,1.15,25.14,25.14,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50947,,Laparo new ureter/bladder,A,,24.50,9.90,NA,9.90,,1.99,36.39,36.39,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50948,,Laparo new ureter/bladder,A,,22.50,8.85,NA,8.85,,1.83,33.18,33.18,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
50949,,"Laparoscope proc, ureter",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,0,,36.7856,09
50951,,Endoscopy of ureter,A,,5.84,4.50,,1.92,,0.35,10.69,8.11,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50953,,Endoscopy of ureter,A,,6.24,13.95,,2.06,,0.37,20.56,8.67,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,36.7856,09
50955,,Ureter endoscopy & biopsy,A,,6.75,17.98,,2.26,,0.38,25.11,9.39,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,36.7856,09
50957,,Ureter endoscopy & treatment,A,,6.79,13.79,,2.24,,0.40,20.98,9.43,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,36.7856,09
50959,,Ureter endoscopy & tracer,A,,4.40,1.45,NA,1.45,,0.18,6.03,6.03,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,36.7856,09
50961,,Ureter endoscopy & treatment,A,,6.05,17.61,,1.99,,0.35,24.01,8.39,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,36.7856,09
50970,,Ureter endoscopy,A,,7.14,2.36,NA,2.36,,0.43,9.93,9.93,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50972,,Ureter endoscopy & catheter,A,,6.89,2.32,NA,2.32,,0.39,9.60,9.60,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50974,,Ureter endoscopy & biopsy,A,,9.17,3.01,NA,3.01,,0.53,12.71,12.71,0,000,0.00,0.00,0.00,3,1,0,0,0,50970,36.7856,09
50976,,Ureter endoscopy & treatment,A,,9.04,2.99,NA,2.99,,0.53,12.56,12.56,0,000,0.00,0.00,0.00,3,1,0,0,0,50970,36.7856,09
50978,,Ureter endoscopy & tracer,A,,5.10,1.74,NA,1.74,,0.30,7.14,7.14,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
50980,,Ureter endoscopy & treatment,A,,6.85,2.26,NA,2.26,,0.41,9.52,9.52,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
51000,,Drainage of bladder,A,,0.78,1.87,,0.25,,0.05,2.70,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51005,,Drainage of bladder,A,,1.02,3.05,,0.35,,0.08,4.15,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51010,,Drainage of bladder,A,,3.53,5.71,,2.08,,0.23,9.47,5.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
51020,,Incise & treat bladder,A,,6.71,5.08,NA,5.08,,0.42,12.21,12.21,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51030,,Incise & treat bladder,A,,6.77,5.36,NA,5.36,,0.42,12.55,12.55,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
51040,,Incise & drain bladder,A,,4.40,3.80,NA,3.80,,0.27,8.47,8.47,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51045,,Incise bladder/drain ureter,A,,6.77,5.46,NA,5.46,,0.47,12.70,12.70,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
51050,,Removal of bladder stone,A,,6.92,4.53,NA,4.53,,0.42,11.87,11.87,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51060,,Removal of ureter stone,A,,8.85,5.65,NA,5.65,,0.54,15.04,15.04,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51065,,Remove ureter calculus,A,,8.85,5.50,NA,5.50,,0.53,14.88,14.88,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
51080,,Drainage of bladder abscess,A,,5.96,5.14,NA,5.14,,0.35,11.45,11.45,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51500,,Removal of bladder cyst,A,,10.14,5.85,NA,5.85,,0.88,16.87,16.87,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51520,,Removal of bladder lesion,A,,9.29,5.87,NA,5.87,,0.58,15.74,15.74,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51525,,Removal of bladder lesion,A,,13.97,7.28,NA,7.28,,0.85,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51530,,Removal of bladder lesion,A,,12.38,7.08,NA,7.08,,0.82,20.28,20.28,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51535,,Repair of ureter lesion,A,,12.57,7.63,NA,7.63,,0.90,21.10,21.10,0,090,0.08,0.83,0.09,2,1,2,1,0,,36.7856,09
51550,,Partial removal of bladder,A,,15.66,7.97,NA,7.97,,1.05,24.68,24.68,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51555,,Partial removal of bladder,A,,21.23,10.19,NA,10.19,,1.37,32.79,32.79,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51565,,Revise bladder & ureter(s),A,,21.62,10.66,NA,10.66,,1.40,33.68,33.68,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51570,,Removal of bladder,A,,24.24,11.71,NA,11.71,,1.59,37.54,37.54,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51575,,Removal of bladder & nodes,A,,30.45,14.33,NA,14.33,,1.88,46.66,46.66,0,090,0.08,0.83,0.09,2,2,2,1,0,,36.7856,09
51580,,Remove bladder/revise tract,A,,31.08,14.97,NA,14.97,,1.94,47.99,47.99,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51585,,Removal of bladder & nodes,A,,35.23,16.07,NA,16.07,,2.18,53.48,53.48,0,090,0.08,0.83,0.09,2,2,2,1,0,,36.7856,09
51590,,Remove bladder/revise tract,A,,32.66,14.90,NA,14.90,,2.01,49.57,49.57,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51595,,Remove bladder/revise tract,A,,37.14,16.33,NA,16.33,,2.23,55.70,55.70,0,090,0.08,0.83,0.09,2,2,2,1,0,,36.7856,09
51596,,Remove bladder/create pouch,A,,39.52,17.60,NA,17.60,,2.39,59.51,59.51,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51597,,Removal of pelvic structures,A,,38.35,17.28,NA,17.28,,2.49,58.12,58.12,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51600,,Injection for bladder x-ray,A,,0.88,4.76,,0.30,,0.04,5.68,1.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51605,,Preparation for bladder xray,A,,0.64,13.63,,0.22,,0.04,14.31,0.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51610,,Injection for bladder x-ray,A,,1.05,13.41,,0.35,,0.05,14.51,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51700,,Irrigation of bladder,A,,0.88,1.16,,0.29,,0.05,2.09,1.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51701,,Insert bladder catheter,A,,0.50,1.06,,0.20,,0.03,1.59,0.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51702,,Insert temp bladder cath,A,,0.50,1.97,,0.27,,0.03,2.50,0.80,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51703,,"Insert bladder cath, complex",A,,1.47,1.91,,0.59,,0.09,3.47,2.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51705,,Change of bladder tube,A,,1.02,1.40,,0.54,,0.06,2.48,1.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
51710,,Change of bladder tube,A,,1.49,3.90,,1.30,,0.09,5.48,2.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
51715,,Endoscopic injection/implant,A,,3.74,3.64,,1.24,,0.24,7.62,5.22,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51720,,Treatment of bladder lesion,A,,1.96,1.41,,0.73,,0.12,3.49,2.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51725,,Simple cystometrogram,A,,1.51,7.29,,7.29,NA,0.13,8.93,8.93,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51725,TC,Simple cystometrogram,A,,0.00,6.78,,6.78,NA,0.03,6.81,6.81,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51725,26,Simple cystometrogram,A,,1.51,0.51,,0.51,,0.10,2.12,2.12,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51726,,Complex cystometrogram,A,,1.71,6.97,,6.97,NA,0.15,8.83,8.83,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51726,TC,Complex cystometrogram,A,,0.00,6.39,,6.39,NA,0.04,6.43,6.43,1,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,02
51726,26,Complex cystometrogram,A,,1.71,0.58,,0.58,,0.11,2.40,2.40,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51736,,Urine flow measurement,A,,0.61,0.55,,0.55,NA,0.05,1.21,1.21,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51736,TC,Urine flow measurement,A,,0.00,0.34,,0.34,NA,0.01,0.35,0.35,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51736,26,Urine flow measurement,A,,0.61,0.21,,0.21,,0.04,0.86,0.86,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51741,,"Electro-uroflowmetry, first",A,,1.14,0.79,,0.79,NA,0.09,2.02,2.02,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51741,TC,"Electro-uroflowmetry, first",A,,0.00,0.41,,0.41,NA,0.02,0.43,0.43,1,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,02
51741,26,"Electro-uroflowmetry, first",A,,1.14,0.38,,0.38,,0.07,1.59,1.59,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51772,,Urethra pressure profile,A,,1.61,6.32,,6.32,NA,0.16,8.09,8.09,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51772,TC,Urethra pressure profile,A,,0.00,5.75,,5.75,NA,0.04,5.79,5.79,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51772,26,Urethra pressure profile,A,,1.61,0.57,,0.57,,0.12,2.30,2.30,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51784,,Anal/urinary muscle study,A,,1.53,5.25,,5.25,NA,0.13,6.91,6.91,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51784,TC,Anal/urinary muscle study,A,,0.00,4.73,,4.73,NA,0.03,4.76,4.76,1,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,02
51784,26,Anal/urinary muscle study,A,,1.53,0.52,,0.52,,0.10,2.15,2.15,1,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
51785,,Anal/urinary muscle study,A,,1.53,5.27,,5.27,NA,0.12,6.92,6.92,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51785,TC,Anal/urinary muscle study,A,,0.00,4.75,,4.75,NA,0.03,4.78,4.78,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
51785,26,Anal/urinary muscle study,A,,1.53,0.52,,0.52,,0.09,2.14,2.14,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51792,,Urinary reflex study,A,,1.10,5.44,,5.44,NA,0.20,6.74,6.74,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51792,TC,Urinary reflex study,A,,0.00,5.01,,5.01,NA,0.11,5.12,5.12,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51792,26,Urinary reflex study,A,,1.10,0.43,,0.43,,0.09,1.62,1.62,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51795,,Urine voiding pressure study,A,,1.53,6.70,,6.70,NA,0.18,8.41,8.41,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51795,TC,Urine voiding pressure study,A,,0.00,6.18,,6.18,NA,0.08,6.26,6.26,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51795,26,Urine voiding pressure study,A,,1.53,0.52,,0.52,,0.10,2.15,2.15,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51797,,Intraabdominal pressure test,A,,1.60,4.31,,4.31,NA,0.14,6.05,6.05,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51797,TC,Intraabdominal pressure test,A,,0.00,3.77,,3.77,NA,0.04,3.81,3.81,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
51797,26,Intraabdominal pressure test,A,,1.60,0.54,,0.54,,0.10,2.24,2.24,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
51798,,Us urine capacity measure,A,,0.00,0.58,,0.58,NA,0.07,0.65,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
51800,,Revision of bladder/urethra,A,,17.42,8.79,NA,8.79,,1.17,27.38,27.38,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51820,,Revision of urinary tract,A,,17.89,10.56,NA,10.56,,1.45,29.90,29.90,0,090,0.08,0.83,0.09,2,2,2,1,0,,36.7856,09
51840,,Attach bladder/urethra,A,,10.71,6.31,NA,6.31,,0.87,17.89,17.89,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51841,,Attach bladder/urethra,A,,13.03,7.98,NA,7.98,,1.04,22.05,22.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51845,,Repair bladder neck,A,,9.73,6.13,NA,6.13,,0.62,16.48,16.48,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51860,,Repair of bladder wound,A,,12.02,7.34,NA,7.34,,0.89,20.25,20.25,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51865,,Repair of bladder wound,A,,15.04,8.18,NA,8.18,,1.01,24.23,24.23,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51880,,Repair of bladder opening,A,,7.66,5.30,NA,5.30,,0.54,13.50,13.50,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51900,,Repair bladder/vagina lesion,A,,12.97,7.62,NA,7.62,,0.87,21.46,21.46,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51920,,Close bladder-uterus fistula,A,,11.81,6.82,NA,6.82,,0.86,19.49,19.49,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51925,,Hysterectomy/bladder repair,A,,15.58,9.31,NA,9.31,,1.48,26.37,26.37,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51940,,Correction of bladder defect,A,,28.43,15.43,NA,15.43,,1.97,45.83,45.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51960,,Revision of bladder & bowel,A,,23.01,12.19,NA,12.19,,1.41,36.61,36.61,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51980,,Construct bladder opening,A,,11.36,6.56,NA,6.56,,0.74,18.66,18.66,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51990,,Laparo urethral suspension,A,,12.50,6.53,NA,6.53,,1.02,20.05,20.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
51992,,Laparo sling operation,A,,14.01,6.44,NA,6.44,,0.93,21.38,21.38,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
52000,,Cystoscopy,A,,2.01,4.57,,0.78,,0.12,6.70,2.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52001,,"Cystoscopy, removal of clots",A,,5.45,7.89,,2.33,,0.32,13.66,8.10,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52005,,Cystoscopy & ureter catheter,A,,2.37,6.38,,0.92,,0.15,8.90,3.44,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52007,,Cystoscopy and biopsy,A,,3.02,1.17,NA,1.17,,0.18,4.37,4.37,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,36.7856,09
52010,,Cystoscopy & duct catheter,A,,3.02,7.77,,1.15,,0.18,10.97,4.35,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52204,,Cystoscopy,A,,2.37,5.44,,0.93,,0.15,7.96,3.45,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52214,,Cystoscopy and treatment,A,,3.71,7.24,,1.36,,0.22,11.17,5.29,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52224,,Cystoscopy and treatment,A,,3.14,6.12,,1.18,,0.18,9.44,4.50,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52234,,Cystoscopy and treatment,A,,4.63,1.67,NA,1.67,,0.27,6.57,6.57,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52235,,Cystoscopy and treatment,A,,5.45,1.95,NA,1.95,,0.32,7.72,7.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52240,,Cystoscopy and treatment,A,,9.72,3.37,NA,3.37,,0.58,13.67,13.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52250,,Cystoscopy and radiotracer,A,,4.50,1.70,NA,1.70,,0.27,6.47,6.47,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52260,,Cystoscopy and treatment,A,,3.92,1.46,NA,1.46,,0.23,5.61,5.61,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52265,,Cystoscopy and treatment,A,,2.94,5.67,,1.14,,0.18,8.79,4.26,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52270,,Cystoscopy & revise urethra,A,,3.37,6.41,,1.34,,0.20,9.98,4.91,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52275,,Cystoscopy & revise urethra,A,,4.70,7.11,,1.78,,0.28,12.09,6.76,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52276,,Cystoscopy and treatment,A,,5.00,8.01,,1.90,,0.30,13.31,7.20,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52277,,Cystoscopy and treatment,A,,6.17,2.31,NA,2.31,,0.38,8.86,8.86,0,000,0.00,0.00,0.00,3,0,0,0,0,52000,36.7856,09
52281,,Cystoscopy and treatment,A,,2.80,8.05,,1.10,,0.17,11.02,4.07,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52282,,"Cystoscopy, implant stent",A,,6.40,13.08,,2.29,,0.38,19.86,9.07,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52283,,Cystoscopy and treatment,A,,3.74,5.86,,1.41,,0.22,9.82,5.37,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52285,,Cystoscopy and treatment,A,,3.61,6.31,,1.37,,0.22,10.14,5.20,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52290,,Cystoscopy and treatment,A,,4.59,1.69,NA,1.69,,0.27,6.55,6.55,0,000,0.00,0.00,0.00,3,2,1,0,0,52000,36.7856,09
52300,,Cystoscopy and treatment,A,,5.31,1.95,NA,1.95,,0.32,7.58,7.58,0,000,0.00,0.00,0.00,3,2,0,0,0,52000,36.7856,09
52301,,Cystoscopy and treatment,A,,5.51,2.04,NA,2.04,,0.39,7.94,7.94,0,000,0.00,0.00,0.00,3,2,0,0,0,52000,36.7856,09
52305,,Cystoscopy and treatment,A,,5.31,1.90,NA,1.90,,0.31,7.52,7.52,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52310,,Cystoscopy and treatment,A,,2.81,4.73,,1.05,,0.17,7.71,4.03,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52315,,Cystoscopy and treatment,A,,5.21,5.75,,1.88,,0.31,11.27,7.40,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52317,,Remove bladder stone,A,,6.72,7.82,,2.34,,0.40,14.94,9.46,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52318,,Remove bladder stone,A,,9.19,3.17,NA,3.17,,0.54,12.90,12.90,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,36.7856,09
52320,,Cystoscopy and treatment,A,,4.70,1.68,NA,1.68,,0.28,6.66,6.66,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52325,,"Cystoscopy, stone removal",A,,6.16,2.17,NA,2.17,,0.37,8.70,8.70,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52327,,"Cystoscopy, inject material",A,,5.19,1.87,NA,1.87,,0.32,7.38,7.38,0,000,0.00,0.00,0.00,3,0,1,0,0,52005,36.7856,09
52330,,Cystoscopy and treatment,A,,5.04,17.40,,1.80,,0.30,22.74,7.14,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52332,,Cystoscopy and treatment,A,,2.83,16.40,,1.07,,0.17,19.40,4.07,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52334,,Create passage to kidney,A,,4.83,1.80,NA,1.80,,0.28,6.91,6.91,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52341,,Cysto w/ureter stricture tx,A,,6.00,2.26,NA,2.26,,0.37,8.63,8.63,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52342,,Cysto w/up stricture tx,A,,6.50,2.41,NA,2.41,,0.40,9.31,9.31,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52343,,Cysto w/renal stricture tx,A,,7.20,2.69,NA,2.69,,0.44,10.33,10.33,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52344,,"Cysto/uretero, stone remove",A,,7.70,2.87,NA,2.87,,0.47,11.04,11.04,0,000,0.00,0.00,0.00,3,1,1,0,0,52005,36.7856,09
52345,,Cysto/uretero w/up stricture,A,,8.20,3.03,NA,3.03,,0.50,11.73,11.73,0,000,0.00,0.00,0.00,3,0,0,0,0,52351,36.7856,09
52346,,Cystouretero w/renal strict,A,,9.23,3.38,NA,3.38,,0.57,13.18,13.18,0,000,0.00,0.00,0.00,3,0,0,0,0,52351,36.7856,09
52347,,"Cystoscopy, resect ducts",A,,5.28,2.09,NA,2.09,,0.33,7.70,7.70,0,000,0.00,0.00,0.00,3,0,0,0,0,52010,36.7856,09
52351,,Cystouretero & or pyeloscope,A,,5.86,2.19,NA,2.19,,0.36,8.41,8.41,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
52352,,Cystouretero w/stone remove,A,,6.88,2.57,NA,2.57,,0.42,9.87,9.87,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,36.7856,09
52353,,Cystouretero w/lithotripsy,A,,7.97,2.93,NA,2.93,,0.49,11.39,11.39,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,36.7856,09
52354,,Cystouretero w/biopsy,A,,7.34,2.74,NA,2.74,,0.45,10.53,10.53,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,36.7856,09
52355,,Cystouretero w/excise tumor,A,,8.82,3.22,NA,3.22,,0.55,12.59,12.59,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,36.7856,09
52400,,Cystouretero w/congen repr,A,,9.68,4.31,NA,4.31,,0.60,14.59,14.59,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52450,,Incision of prostate,A,,7.64,3.65,NA,3.65,,0.46,11.75,11.75,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52500,,Revision of bladder neck,A,,8.47,3.91,NA,3.91,,0.50,12.88,12.88,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52510,,Dilation prostatic urethra,A,,6.72,3.24,NA,3.24,,0.40,10.36,10.36,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52601,,Prostatectomy (TURP),A,,12.37,5.23,NA,5.23,,0.74,18.34,18.34,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52606,,Control postop bleeding,A,,8.13,3.56,NA,3.56,,0.49,12.18,12.18,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52612,,"Prostatectomy, first stage",A,,7.98,3.83,NA,3.83,,0.48,12.29,12.29,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52614,,"Prostatectomy, second stage",A,,6.84,3.42,NA,3.42,,0.41,10.67,10.67,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52620,,Remove residual prostate,A,,6.61,3.08,NA,3.08,,0.39,10.08,10.08,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52630,,Remove prostate regrowth,A,,7.26,3.20,NA,3.20,,0.43,10.89,10.89,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52640,,Relieve bladder contracture,A,,6.62,3.10,NA,3.10,,0.39,10.11,10.11,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52647,,Laser surgery of prostate,A,,10.36,42.87,,4.57,,0.61,53.84,15.54,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52648,,Laser surgery of prostate,A,,11.21,4.78,NA,4.78,,0.66,16.65,16.65,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
52700,,Drainage of prostate abscess,A,,6.80,3.24,NA,3.24,,0.41,10.45,10.45,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
53000,,Incision of urethra,A,,2.28,7.31,,2.23,,0.13,9.72,4.64,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53010,,Incision of urethra,A,,3.64,4.08,NA,4.08,,0.20,7.92,7.92,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53020,,Incision of urethra,A,,1.77,3.05,,0.66,,0.11,4.93,2.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53025,,Incision of urethra,A,,1.13,3.69,,0.45,,0.07,4.89,1.65,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
53040,,Drainage of urethra abscess,A,,6.40,11.86,,7.17,,0.41,18.67,13.98,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
53060,,Drainage of urethra abscess,A,,2.63,5.91,,2.67,,0.23,8.77,5.53,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53080,,Drainage of urinary leakage,A,,6.29,7.22,NA,7.22,,0.42,13.93,13.93,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53085,,Drainage of urinary leakage,A,,10.27,8.63,NA,8.63,,0.67,19.57,19.57,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53200,,Biopsy of urethra,A,,2.59,4.76,,0.95,,0.17,7.52,3.71,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53210,,Removal of urethra,A,,12.57,7.49,NA,7.49,,0.81,20.87,20.87,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53215,,Removal of urethra,A,,15.58,8.08,NA,8.08,,0.93,24.59,24.59,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53220,,Treatment of urethra lesion,A,,7.00,5.08,NA,5.08,,0.44,12.52,12.52,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
53230,,Removal of urethra lesion,A,,9.58,5.80,NA,5.80,,0.60,15.98,15.98,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53235,,Removal of urethra lesion,A,,10.14,6.00,NA,6.00,,0.60,16.74,16.74,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53240,,Surgery for urethra pouch,A,,6.45,4.85,NA,4.85,,0.42,11.72,11.72,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53250,,Removal of urethra gland,A,,5.89,4.24,NA,4.24,,0.35,10.48,10.48,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53260,,Treatment of urethra lesion,A,,2.98,5.30,,2.24,,0.23,8.51,5.45,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53265,,Treatment of urethra lesion,A,,3.12,5.77,,2.28,,0.20,9.09,5.60,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53270,,Removal of urethra gland,A,,3.09,5.58,,2.52,,0.21,8.88,5.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53275,,Repair of urethra defect,A,,4.53,3.04,NA,3.04,,0.28,7.85,7.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
53400,,"Revise urethra, stage 1",A,,12.77,7.42,NA,7.42,,0.85,21.04,21.04,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53405,,"Revise urethra, stage 2",A,,14.48,7.70,NA,7.70,,0.91,23.09,23.09,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53410,,Reconstruction of urethra,A,,16.44,8.43,NA,8.43,,0.99,25.86,25.86,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53415,,Reconstruction of urethra,A,,19.41,8.99,NA,8.99,,1.16,29.56,29.56,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53420,,"Reconstruct urethra, stage 1",A,,14.08,8.53,NA,8.53,,0.90,23.51,23.51,0,090,0.08,0.83,0.09,2,0,1,1,0,,36.7856,09
53425,,"Reconstruct urethra, stage 2",A,,15.98,8.49,NA,8.49,,0.97,25.44,25.44,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53430,,Reconstruction of urethra,A,,16.34,8.62,NA,8.62,,1.01,25.97,25.97,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53431,,Reconstruct urethra/bladder,A,,19.89,9.04,NA,9.04,,1.30,30.23,30.23,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53440,,Male sling procedure,A,,13.62,6.33,NA,6.33,,0.73,20.68,20.68,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53442,,Remove/revise male sling,A,,11.57,5.93,NA,5.93,,0.55,18.05,18.05,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
53444,,Insert tandem cuff,A,,13.40,6.14,NA,6.14,,0.88,20.42,20.42,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53445,,Insert uro/ves nck sphincter,A,,14.06,7.76,NA,7.76,,0.84,22.66,22.66,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53446,,Remove uro sphincter,A,,10.23,5.82,NA,5.82,,0.67,16.72,16.72,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53447,,Remove/replace ur sphincter,A,,13.49,6.55,NA,6.55,,0.79,20.83,20.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53448,,Remov/replc ur sphinctr comp,A,,21.15,9.85,NA,9.85,,1.39,32.39,32.39,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53449,,Repair uro sphincter,A,,9.70,5.90,NA,5.90,,0.57,16.17,16.17,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53450,,Revision of urethra,A,,6.14,4.53,NA,4.53,,0.37,11.04,11.04,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53460,,Revision of urethra,A,,7.12,4.90,NA,4.90,,0.43,12.45,12.45,0,090,0.08,0.83,0.09,2,0,0,0,0,,36.7856,09
53502,,Repair of urethra injury,A,,7.63,5.32,NA,5.32,,0.50,13.45,13.45,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53505,,Repair of urethra injury,A,,7.63,5.04,NA,5.04,,0.46,13.13,13.13,0,090,0.08,0.83,0.09,2,0,2,0,0,,36.7856,09
53510,,Repair of urethra injury,A,,10.11,6.43,NA,6.43,,0.60,17.14,17.14,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53515,,Repair of urethra injury,A,,13.31,7.05,NA,7.05,,0.83,21.19,21.19,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
53520,,Repair of urethra defect,A,,8.68,5.50,NA,5.50,,0.53,14.71,14.71,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53600,,Dilate urethra stricture,A,,1.21,0.87,,0.45,,0.07,2.15,1.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53601,,Dilate urethra stricture,A,,0.98,0.95,,0.39,,0.06,1.99,1.43,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53605,,Dilate urethra stricture,A,,1.28,0.42,NA,0.42,,0.08,1.78,1.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53620,,Dilate urethra stricture,A,,1.62,1.30,,0.62,,0.10,3.02,2.34,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53621,,Dilate urethra stricture,A,,1.35,1.33,,0.51,,0.08,2.76,1.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53660,,Dilation of urethra,A,,0.71,1.01,,0.33,,0.04,1.76,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53661,,Dilation of urethra,A,,0.72,0.97,,0.31,,0.04,1.73,1.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53665,,Dilation of urethra,A,,0.76,0.26,NA,0.26,,0.05,1.07,1.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53670,,Insert urinary catheter,D,,0.50,1.74,,0.18,,0.03,2.27,0.71,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53675,,Insert urinary catheter,D,,1.47,2.63,,0.58,,0.09,4.19,2.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
53850,,Prostatic microwave thermotx,A,,9.45,63.30,,4.25,,0.56,73.31,14.26,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53852,,Prostatic rf thermotx,A,,9.88,52.42,,4.43,,0.58,62.88,14.89,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53853,,Prostatic water thermother,A,,5.24,38.96,,3.67,,0.27,44.47,9.18,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
53899,,Urology surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
54000,,Slitting of prepuce,A,,1.54,4.77,,1.40,,0.10,6.41,3.04,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54001,,Slitting of prepuce,A,,2.19,5.36,,2.01,,0.14,7.69,4.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54015,,Drain penis lesion,A,,5.32,6.51,,3.05,,0.33,12.16,8.70,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54050,,"Destruction, penis lesion(s)",A,,1.24,2.78,,0.50,,0.07,4.09,1.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54055,,"Destruction, penis lesion(s)",A,,1.22,5.59,,1.39,,0.07,6.88,2.68,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54056,,"Cryosurgery, penis lesion(s)",A,,1.24,3.12,,0.54,,0.06,4.42,1.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54057,,"Laser surg, penis lesion(s)",A,,1.24,3.09,,1.24,,0.08,4.41,2.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54060,,Excision of penis lesion(s),A,,1.93,4.89,,1.56,,0.12,6.94,3.61,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54065,,"Destruction, penis lesion(s)",A,,2.42,5.24,,2.02,,0.13,7.79,4.57,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54100,,Biopsy of penis,A,,1.90,3.32,,0.76,,0.10,5.32,2.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54105,,Biopsy of penis,A,,3.50,5.55,,2.07,,0.21,9.26,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54110,,Treatment of penis lesion,A,,10.13,6.86,NA,6.86,,0.60,17.59,17.59,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54111,,"Treat penis lesion, graft",A,,13.57,8.38,NA,8.38,,0.79,22.74,22.74,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54112,,"Treat penis lesion, graft",A,,15.86,8.86,NA,8.86,,0.94,25.66,25.66,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54115,,Treatment of penis lesion,A,,6.15,9.53,,6.06,,0.39,16.07,12.60,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54120,,Partial removal of penis,A,,9.97,7.23,NA,7.23,,0.60,17.80,17.80,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54125,,Removal of penis,A,,13.53,8.43,NA,8.43,,0.81,22.77,22.77,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54130,,Remove penis & nodes,A,,20.14,10.94,NA,10.94,,1.19,32.27,32.27,0,090,0.10,0.80,0.10,2,2,2,1,0,,36.7856,09
54135,,Remove penis & nodes,A,,26.36,13.00,NA,13.00,,1.58,40.94,40.94,0,090,0.10,0.80,0.10,2,2,2,0,0,,36.7856,09
54150,,Circumcision,A,,1.81,5.45,,1.88,,0.17,7.43,3.86,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54152,,Circumcision,A,,2.31,1.65,NA,1.65,,0.16,4.12,4.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54160,,Circumcision,A,,2.48,4.97,,1.75,,0.16,7.61,4.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54161,,Circumcision,A,,3.27,1.92,NA,1.92,,0.20,5.39,5.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54162,,Lysis penil circumic lesion,A,,3.00,2.30,NA,2.30,,0.20,5.50,5.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54163,,Repair of circumcision,A,,3.00,2.07,NA,2.07,,0.20,5.27,5.27,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54164,,Frenulotomy of penis,A,,2.50,1.90,NA,1.90,,0.16,4.56,4.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54200,,Treatment of penis lesion,A,,1.06,2.40,,0.37,,0.06,3.52,1.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54205,,Treatment of penis lesion,A,,7.93,6.47,NA,6.47,,0.47,14.87,14.87,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54220,,Treatment of penis lesion,A,,2.42,1.89,,1.02,,0.15,4.46,3.59,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54230,,Prepare penis study,A,,1.34,0.44,NA,0.44,,0.08,1.86,1.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54231,,Dynamic cavernosometry,A,,2.04,2.14,,0.81,,0.14,4.32,2.99,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54235,,Penile injection,A,,1.19,1.12,,0.40,,0.07,2.38,1.66,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54240,,Penis study,A,,1.31,1.85,,1.85,NA,0.13,3.29,3.29,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
54240,TC,Penis study,A,,0.00,1.41,,1.41,NA,0.05,1.46,1.46,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
54240,26,Penis study,A,,1.31,0.44,,0.44,,0.08,1.83,1.83,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
54250,,Penis study,A,,2.22,2.85,,2.85,NA,0.16,5.23,5.23,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
54250,TC,Penis study,A,,0.00,2.12,,2.12,NA,0.02,2.14,2.14,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
54250,26,Penis study,A,,2.22,0.73,,0.73,,0.14,3.09,3.09,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
54300,,Revision of penis,A,,10.41,8.04,NA,8.04,,0.64,19.09,19.09,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54304,,Revision of penis,A,,12.49,9.25,NA,9.25,,0.74,22.48,22.48,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54308,,Reconstruction of urethra,A,,11.83,8.82,NA,8.82,,0.70,21.35,21.35,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54312,,Reconstruction of urethra,A,,13.57,9.87,NA,9.87,,0.81,24.25,24.25,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54316,,Reconstruction of urethra,A,,16.82,10.83,NA,10.83,,1.00,28.65,28.65,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54318,,Reconstruction of urethra,A,,11.25,8.64,NA,8.64,,1.15,21.04,21.04,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54322,,Reconstruction of urethra,A,,13.01,8.56,NA,8.56,,0.77,22.34,22.34,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54324,,Reconstruction of urethra,A,,16.31,11.06,NA,11.06,,1.03,28.40,28.40,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54326,,Reconstruction of urethra,A,,15.72,10.15,NA,10.15,,0.93,26.80,26.80,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54328,,Revise penis/urethra,A,,15.65,10.09,NA,10.09,,0.92,26.66,26.66,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54332,,Revise penis/urethra,A,,17.08,10.56,NA,10.56,,1.01,28.65,28.65,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54336,,Revise penis/urethra,A,,20.04,14.12,NA,14.12,,1.90,36.06,36.06,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54340,,Secondary urethral surgery,A,,8.91,7.34,NA,7.34,,0.72,16.97,16.97,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54344,,Secondary urethral surgery,A,,15.94,10.34,NA,10.34,,1.10,27.38,27.38,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54348,,Secondary urethral surgery,A,,17.15,11.25,NA,11.25,,1.02,29.42,29.42,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54352,,Reconstruct urethra/penis,A,,24.74,14.53,NA,14.53,,1.62,40.89,40.89,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54360,,Penis plastic surgery,A,,11.93,7.85,NA,7.85,,0.72,20.50,20.50,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54380,,Repair penis,A,,13.18,9.50,NA,9.50,,1.16,23.84,23.84,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54385,,Repair penis,A,,15.39,12.19,NA,12.19,,0.71,28.29,28.29,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54390,,Repair penis and bladder,A,,21.61,13.02,NA,13.02,,1.28,35.91,35.91,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54400,,Insert semi-rigid prosthesis,A,,8.99,5.68,NA,5.68,,0.53,15.20,15.20,0,090,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
54401,,Insert self-contd prosthesis,A,,10.28,6.46,NA,6.46,,0.61,17.35,17.35,0,090,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
54405,,Insert multi-comp penis pros,A,,13.43,7.53,NA,7.53,,0.80,21.76,21.76,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54406,,Remove muti-comp penis pros,A,,12.10,5.50,NA,5.50,,0.75,18.35,18.35,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54408,,Repair multi-comp penis pros,A,,12.75,5.86,NA,5.86,,0.79,19.40,19.40,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54410,,Remove/replace penis prosth,A,,15.50,6.77,NA,6.77,,0.96,23.23,23.23,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54411,,"Remov/replc penis pros, comp",A,,16.00,8.90,NA,8.90,,0.80,25.70,25.70,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54415,,Remove self-contd penis pros,A,,8.20,4.61,NA,4.61,,0.54,13.35,13.35,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54416,,Remv/repl penis contain pros,A,,10.87,6.91,NA,6.91,,0.55,18.33,18.33,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54417,,"Remv/replc penis pros, compl",A,,14.19,7.81,NA,7.81,,0.55,22.55,22.55,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54420,,Revision of penis,A,,11.42,7.47,NA,7.47,,0.72,19.61,19.61,0,090,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
54430,,Revision of penis,A,,10.15,7.27,NA,7.27,,0.60,18.02,18.02,0,090,0.10,0.80,0.10,2,2,2,0,0,,36.7856,09
54435,,Revision of penis,A,,6.12,5.01,NA,5.01,,0.36,11.49,11.49,0,090,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54440,,Repair of penis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
54450,,Preputial stretching,A,,1.12,1.00,,0.48,,0.07,2.19,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
54500,,Biopsy of testis,A,,1.31,5.46,,0.44,,0.08,6.85,1.83,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
54505,,Biopsy of testis,A,,3.46,2.28,NA,2.28,,0.21,5.95,5.95,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
54512,,Excise lesion testis,A,,8.58,4.50,NA,4.50,,0.56,13.64,13.64,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54520,,Removal of testis,A,,5.23,3.24,NA,3.24,,0.33,8.80,8.80,0,090,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
54522,,"Orchiectomy, partial",A,,9.50,5.12,NA,5.12,,0.62,15.24,15.24,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54530,,Removal of testis,A,,8.58,4.86,NA,4.86,,0.53,13.97,13.97,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54535,,Extensive testis surgery,A,,12.16,6.72,NA,6.72,,0.83,19.71,19.71,0,090,0.10,0.80,0.10,2,1,2,0,0,,36.7856,09
54550,,Exploration for testis,A,,7.78,4.38,NA,4.38,,0.49,12.65,12.65,0,090,0.10,0.80,0.10,2,1,2,0,0,,36.7856,09
54560,,Exploration for testis,A,,11.13,6.34,NA,6.34,,0.79,18.26,18.26,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54600,,Reduce testis torsion,A,,7.01,3.88,NA,3.88,,0.45,11.34,11.34,0,090,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
54620,,Suspension of testis,A,,4.90,2.77,NA,2.77,,0.31,7.98,7.98,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
54640,,Suspension of testis,A,,6.90,3.94,NA,3.94,,0.49,11.33,11.33,0,090,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
54650,,Orchiopexy (Fowler-Stephens),A,,11.45,6.59,NA,6.59,,0.81,18.85,18.85,0,090,0.10,0.80,0.10,2,1,2,0,0,,36.7856,09
54660,,Revision of testis,A,,5.11,3.11,NA,3.11,,0.35,8.57,8.57,0,090,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
54670,,Repair testis injury,A,,6.41,3.83,NA,3.83,,0.41,10.65,10.65,0,090,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
54680,,Relocation of testis(es),A,,12.65,7.06,NA,7.06,,0.94,20.65,20.65,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54690,,"Laparoscopy, orchiectomy",A,,10.96,6.32,NA,6.32,,0.99,18.27,18.27,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
54692,,"Laparoscopy, orchiopexy",A,,12.88,5.47,NA,5.47,,0.87,19.22,19.22,0,090,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
54699,,"Laparoscope proc, testis",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
54700,,Drainage of scrotum,A,,3.43,7.02,,3.06,,0.23,10.68,6.72,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54800,,Biopsy of epididymis,A,,2.33,4.98,,0.79,,0.14,7.45,3.26,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
54820,,Exploration of epididymis,A,,5.14,3.26,NA,3.26,,0.33,8.73,8.73,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54830,,Remove epididymis lesion,A,,5.38,3.33,NA,3.33,,0.34,9.05,9.05,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54840,,Remove epididymis lesion,A,,5.20,3.24,NA,3.24,,0.31,8.75,8.75,0,090,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54860,,Removal of epididymis,A,,6.32,3.80,NA,3.80,,0.38,10.50,10.50,0,090,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
54861,,Removal of epididymis,A,,8.90,4.64,NA,4.64,,0.52,14.06,14.06,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54900,,Fusion of spermatic ducts,A,,13.20,6.22,NA,6.22,,1.34,20.76,20.76,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
54901,,Fusion of spermatic ducts,A,,17.94,8.49,NA,8.49,,1.83,28.26,28.26,0,090,0.10,0.80,0.10,2,2,0,0,0,,36.7856,09
55000,,Drainage of hydrocele,A,,1.43,2.17,,0.48,,0.10,3.70,2.01,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
55040,,Removal of hydrocele,A,,5.36,3.10,NA,3.10,,0.35,8.81,8.81,0,090,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
55041,,Removal of hydroceles,A,,7.74,4.11,NA,4.11,,0.50,12.35,12.35,0,090,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
55060,,Repair of hydrocele,A,,5.52,3.19,NA,3.19,,0.37,9.08,9.08,0,090,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
55100,,Drainage of scrotum abscess,A,,2.13,7.87,,3.22,,0.15,10.15,5.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
55110,,Explore scrotum,A,,5.70,3.22,NA,3.22,,0.36,9.28,9.28,0,090,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
55120,,Removal of scrotum lesion,A,,5.09,3.05,NA,3.05,,0.33,8.47,8.47,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55150,,Removal of scrotum,A,,7.22,4.22,NA,4.22,,0.47,11.91,11.91,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55175,,Revision of scrotum,A,,5.24,3.31,NA,3.31,,0.33,8.88,8.88,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55180,,Revision of scrotum,A,,10.72,5.99,NA,5.99,,0.72,17.43,17.43,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55200,,Incision of sperm duct,A,,4.24,2.79,NA,2.79,,0.25,7.28,7.28,0,090,0.10,0.80,0.10,2,2,0,0,0,,36.7856,09
55250,,Removal of sperm duct(s),A,,3.29,7.70,,2.92,,0.21,11.20,6.42,0,090,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
55300,,"Prepare, sperm duct x-ray",A,,3.51,1.54,NA,1.54,,0.20,5.25,5.25,0,000,0.00,0.00,0.00,2,2,0,0,0,,36.7856,09
55400,,Repair of sperm duct,A,,8.49,4.80,NA,4.80,,0.50,13.79,13.79,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
55450,,Ligation of sperm duct,A,,4.12,5.98,,2.43,,0.24,10.34,6.79,0,010,0.10,0.80,0.10,2,2,0,0,0,,36.7856,09
55500,,Removal of hydrocele,A,,5.59,3.44,NA,3.44,,0.43,9.46,9.46,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55520,,Removal of sperm cord lesion,A,,6.03,3.64,NA,3.64,,0.56,10.23,10.23,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55530,,Revise spermatic cord veins,A,,5.66,3.43,NA,3.43,,0.36,9.45,9.45,0,090,0.10,0.80,0.10,2,1,1,1,0,,36.7856,09
55535,,Revise spermatic cord veins,A,,6.56,3.71,NA,3.71,,0.42,10.69,10.69,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
55540,,Revise hernia & sperm veins,A,,7.67,4.20,NA,4.20,,0.74,12.61,12.61,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
55550,,Laparo ligate spermatic vein,A,,6.57,3.50,NA,3.50,,0.47,10.54,10.54,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
55559,,"Laparo proc, spermatic cord",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
55600,,Incise sperm duct pouch,A,,6.38,3.82,NA,3.82,,0.38,10.58,10.58,0,090,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
55605,,Incise sperm duct pouch,A,,7.96,4.90,NA,4.90,,0.54,13.40,13.40,0,090,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
55650,,Remove sperm duct pouch,A,,11.80,5.81,NA,5.81,,0.72,18.33,18.33,0,090,0.10,0.80,0.10,2,1,2,1,0,,36.7856,09
55680,,Remove sperm pouch lesion,A,,5.19,3.48,NA,3.48,,0.31,8.98,8.98,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55700,,Biopsy of prostate,A,,1.57,3.50,,0.73,,0.10,5.17,2.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
55705,,Biopsy of prostate,A,,4.57,3.30,NA,3.30,,0.26,8.13,8.13,0,010,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
55720,,Drainage of prostate abscess,A,,7.64,5.30,NA,5.30,,0.44,13.38,13.38,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55725,,Drainage of prostate abscess,A,,8.68,5.85,NA,5.85,,0.51,15.04,15.04,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55801,,Removal of prostate,A,,17.80,8.82,NA,8.82,,1.08,27.70,27.70,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55810,,Extensive prostate surgery,A,,22.58,10.79,NA,10.79,,1.35,34.72,34.72,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55812,,Extensive prostate surgery,A,,27.51,12.97,NA,12.97,,1.69,42.17,42.17,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55815,,Extensive prostate surgery,A,,30.46,13.85,NA,13.85,,1.84,46.15,46.15,0,090,0.10,0.80,0.10,2,2,2,1,0,,36.7856,09
55821,,Removal of prostate,A,,14.25,7.33,NA,7.33,,0.85,22.43,22.43,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55831,,Removal of prostate,A,,15.62,7.81,NA,7.81,,0.94,24.37,24.37,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55840,,Extensive prostate surgery,A,,22.69,11.27,NA,11.27,,1.37,35.33,35.33,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55842,,Extensive prostate surgery,A,,24.38,11.85,NA,11.85,,1.48,37.71,37.71,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55845,,Extensive prostate surgery,A,,28.55,13.14,NA,13.14,,1.71,43.40,43.40,0,090,0.10,0.80,0.10,2,2,2,1,0,,36.7856,09
55859,,"Percut/needle insert, pros",A,,12.52,6.86,NA,6.86,,0.74,20.12,20.12,0,090,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
55860,,"Surgical exposure, prostate",A,,14.45,7.58,NA,7.58,,0.82,22.85,22.85,0,090,0.10,0.80,0.10,2,0,1,1,0,,36.7856,09
55862,,Extensive prostate surgery,A,,18.39,9.19,NA,9.19,,1.14,28.72,28.72,0,090,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
55865,,Extensive prostate surgery,A,,22.87,10.50,NA,10.50,,1.37,34.74,34.74,0,090,0.10,0.80,0.10,2,2,2,1,0,,36.7856,09
55866,,Laparo radical prostatectomy,A,,30.74,11.79,NA,11.79,,1.37,43.90,43.90,0,090,0.08,0.83,0.09,2,0,2,1,0,,36.7856,09
55870,,Electroejaculation,A,,2.58,1.94,,1.04,,0.14,4.66,3.76,0,000,0.00,0.00,0.00,2,0,1,1,0,,36.7856,09
55873,,Cryoablate prostate,A,,19.47,9.46,NA,9.46,,1.02,29.95,29.95,0,090,0.08,0.83,0.09,2,0,1,0,0,,36.7856,09
55899,,Genital surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,36.7856,09
55970,,"Sex transformation, M to F",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
55980,,"Sex transformation, F to M",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
56405,,I & D of vulva/perineum,A,,1.44,2.29,,1.23,,0.14,3.87,2.81,0,010,0.10,0.80,0.10,2,0,1,2,0,,36.7856,09
56420,,Drainage of gland abscess,A,,1.39,2.29,,1.24,,0.13,3.81,2.76,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
56440,,Surgery for vulva lesion,A,,2.84,3.45,,2.22,,0.28,6.57,5.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
56441,,Lysis of labial lesion(s),A,,1.97,2.33,,1.81,,0.17,4.47,3.95,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
56501,,"Destroy, vulva lesions, sim",A,,1.53,2.24,,1.29,,0.15,3.92,2.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
56515,,Destroy vulva lesion/s compl,A,,2.76,3.01,,2.24,,0.18,5.95,5.18,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
56605,,Biopsy of vulva/perineum,A,,1.10,1.09,,0.47,,0.11,2.30,1.68,0,000,0.00,0.00,0.00,2,0,1,2,0,,36.7856,09
56606,,Biopsy of vulva/perineum,A,,0.55,0.51,,0.22,,0.06,1.12,0.83,0,ZZZ,0.00,0.00,0.00,0,0,1,2,0,,36.7856,09
56620,,Partial removal of vulva,A,,7.47,4.85,NA,4.85,,0.76,13.08,13.08,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
56625,,Complete removal of vulva,A,,8.40,5.78,NA,5.78,,0.84,15.02,15.02,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
56630,,Extensive vulva surgery,A,,12.36,7.60,NA,7.60,,1.23,21.19,21.19,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
56631,,Extensive vulva surgery,A,,16.20,10.27,NA,10.27,,1.63,28.10,28.10,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
56632,,Extensive vulva surgery,A,,20.29,10.23,NA,10.23,,2.03,32.55,32.55,0,090,0.12,0.74,0.14,2,2,2,2,0,,36.7856,09
56633,,Extensive vulva surgery,A,,16.47,9.27,NA,9.27,,1.66,27.40,27.40,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
56634,,Extensive vulva surgery,A,,17.88,10.95,NA,10.95,,1.78,30.61,30.61,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
56637,,Extensive vulva surgery,A,,21.97,12.64,NA,12.64,,2.18,36.79,36.79,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
56640,,Extensive vulva surgery,A,,22.17,12.24,NA,12.24,,2.26,36.67,36.67,0,090,0.12,0.74,0.14,2,1,2,1,0,,36.7856,09
56700,,Partial removal of hymen,A,,2.52,1.70,NA,1.70,,0.24,4.46,4.46,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
56720,,Incision of hymen,A,,0.68,0.41,NA,0.41,,0.07,1.16,1.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
56740,,Remove vagina gland lesion,A,,4.57,2.58,NA,2.58,,0.37,7.52,7.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
56800,,Repair of vagina,A,,3.89,2.61,NA,2.61,,0.37,6.87,6.87,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
56805,,Repair clitoris,A,,18.86,9.12,NA,9.12,,1.82,29.80,29.80,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
56810,,Repair of perineum,A,,4.13,2.72,NA,2.72,,0.41,7.26,7.26,0,010,0.10,0.80,0.10,2,0,2,2,0,,36.7856,09
56820,,Exam of vulva w/scope,A,,1.50,1.64,,0.65,,0.10,3.24,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
56821,,Exam/biopsy of vulva w/scope,A,,2.05,2.02,,0.92,,0.13,4.20,3.10,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57000,,Exploration of vagina,A,,2.97,2.19,NA,2.19,,0.28,5.44,5.44,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
57010,,Drainage of pelvic abscess,A,,6.03,3.79,NA,3.79,,0.57,10.39,10.39,0,090,0.12,0.74,0.14,2,0,0,0,0,,36.7856,09
57020,,Drainage of pelvic fluid,A,,1.50,1.56,,0.63,,0.15,3.21,2.28,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
57022,,"I & d vaginal hematoma, pp",A,,2.56,2.03,NA,2.03,,0.24,4.83,4.83,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
57023,,"I & d vag hematoma, non-ob",A,,4.75,2.89,NA,2.89,,0.24,7.88,7.88,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
57061,,"Destroy vag lesions, simple",A,,1.25,2.16,,1.16,,0.13,3.54,2.54,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57065,,"Destroy vag lesions, complex",A,,2.61,2.88,,2.23,,0.26,5.75,5.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57100,,Biopsy of vagina,A,,1.20,1.11,,0.50,,0.10,2.41,1.80,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57105,,Biopsy of vagina,A,,1.69,2.00,,1.31,,0.17,3.86,3.17,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57106,,"Remove vagina wall, partial",A,,6.36,3.87,NA,3.87,,0.58,10.81,10.81,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57107,,"Remove vagina tissue, part",A,,23.00,10.28,NA,10.28,,2.17,35.45,35.45,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57109,,Vaginectomy partial w/nodes,A,,27.00,11.53,NA,11.53,,1.97,40.50,40.50,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
57110,,"Remove vagina wall, complete",A,,14.29,7.21,NA,7.21,,1.43,22.93,22.93,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57111,,"Remove vagina tissue, compl",A,,27.00,12.30,NA,12.30,,2.71,42.01,42.01,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
57112,,"Vaginectomy w/nodes, compl",A,,29.00,12.39,NA,12.39,,2.19,43.58,43.58,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
57120,,Closure of vagina,A,,7.41,4.59,NA,4.59,,0.75,12.75,12.75,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57130,,Remove vagina lesion,A,,2.43,2.03,NA,2.03,,0.23,4.69,4.69,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
57135,,Remove vagina lesion,A,,2.67,2.87,,2.13,,0.26,5.80,5.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57150,,Treat vagina infection,A,,0.55,0.99,,0.22,,0.06,1.60,0.83,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57155,,Insert uteri tandems/ovoids,A,,6.27,3.68,NA,3.68,,0.59,10.54,10.54,0,090,0.12,0.74,0.14,2,0,1,0,0,,36.7856,09
57160,,Insert pessary/other device,A,,0.89,1.10,,0.40,,0.09,2.08,1.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57170,,Fitting of diaphragm/cap,A,,0.91,1.38,,0.34,,0.09,2.38,1.34,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
57180,,Treat vaginal bleeding,A,,1.58,2.22,,1.41,,0.16,3.96,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57200,,Repair of vagina,A,,3.94,3.11,NA,3.11,,0.38,7.43,7.43,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57210,,Repair vagina/perineum,A,,5.17,3.67,NA,3.67,,0.50,9.34,9.34,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57220,,Revision of urethra,A,,4.31,3.34,NA,3.34,,0.42,8.07,8.07,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57230,,Repair of urethral lesion,A,,5.64,3.54,NA,3.54,,0.50,9.68,9.68,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57240,,Repair bladder & vagina,A,,6.07,3.90,NA,3.90,,0.53,10.50,10.50,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57250,,Repair rectum & vagina,A,,5.53,3.81,NA,3.81,,0.54,9.88,9.88,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57260,,Repair of vagina,A,,8.27,5.14,NA,5.14,,0.83,14.24,14.24,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57265,,Extensive repair of vagina,A,,11.34,6.38,NA,6.38,,1.14,18.86,18.86,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57268,,Repair of bowel bulge,A,,6.76,4.48,NA,4.48,,0.66,11.90,11.90,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57270,,Repair of bowel pouch,A,,12.11,6.60,NA,6.60,,1.17,19.88,19.88,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57280,,Suspension of vagina,A,,15.04,7.73,NA,7.73,,1.44,24.21,24.21,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57282,,Repair of vaginal prolapse,A,,8.86,5.58,NA,5.58,,0.86,15.30,15.30,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57284,,Repair paravaginal defect,A,,12.70,7.12,NA,7.12,,1.17,20.99,20.99,0,090,0.08,0.83,0.09,2,0,2,2,0,,36.7856,09
57287,,Revise/remove sling repair,A,,10.71,5.60,NA,5.60,,0.74,17.05,17.05,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57288,,Repair bladder defect,A,,13.02,6.05,NA,6.05,,0.86,19.93,19.93,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57289,,Repair bladder & vagina,A,,11.58,6.26,NA,6.26,,0.95,18.79,18.79,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57291,,Construction of vagina,A,,7.95,5.29,NA,5.29,,0.78,14.02,14.02,0,090,0.12,0.74,0.14,2,0,2,0,0,,36.7856,09
57292,,Construct vagina with graft,A,,13.09,7.38,NA,7.38,,1.29,21.76,21.76,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57300,,Repair rectum-vagina fistula,A,,7.61,4.85,NA,4.85,,0.70,13.16,13.16,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57305,,Repair rectum-vagina fistula,A,,13.77,6.49,NA,6.49,,1.33,21.59,21.59,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57307,,Fistula repair & colostomy,A,,15.93,7.55,NA,7.55,,1.59,25.07,25.07,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57308,,"Fistula repair, transperine",A,,9.94,5.89,NA,5.89,,0.91,16.74,16.74,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57310,,Repair urethrovaginal lesion,A,,6.78,4.29,NA,4.29,,0.45,11.52,11.52,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57311,,Repair urethrovaginal lesion,A,,7.98,4.85,NA,4.85,,0.51,13.34,13.34,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57320,,Repair bladder-vagina lesion,A,,8.01,4.95,NA,4.95,,0.60,13.56,13.56,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57330,,Repair bladder-vagina lesion,A,,12.35,6.29,NA,6.29,,0.86,19.50,19.50,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57335,,Repair vagina,A,,18.73,8.97,NA,8.97,,1.66,29.36,29.36,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57400,,Dilation of vagina,A,,2.27,1.14,NA,1.14,,0.22,3.63,3.63,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
57410,,Pelvic examination,A,,1.75,2.55,,1.03,,0.14,4.44,2.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57415,,Remove vaginal foreign body,A,,2.17,3.21,,1.87,,0.19,5.57,4.23,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
57420,,Exam of vagina w/scope,A,,1.60,1.68,,0.69,,0.10,3.38,2.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57421,,Exam/biopsy of vag w/scope,A,,2.20,2.08,,0.98,,0.13,4.41,3.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57452,,Exam of cervix w/scope,A,,1.50,1.70,,0.65,,0.10,3.30,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57454,,Bx/curett of cervix w/scope,A,,2.33,2.05,,1.02,,0.13,4.51,3.48,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,36.7856,09
57455,,Biopsy of cervix w/scope,A,,1.99,1.94,,0.89,,0.13,4.06,3.01,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,36.7856,09
57456,,Endocerv curettage w/scope,A,,1.85,1.86,,0.84,,0.13,3.84,2.82,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,36.7856,09
57460,,"Bx of cervix w/scope, leep",A,,2.83,5.01,,1.25,,0.28,8.12,4.36,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,36.7856,09
57461,,"Conz of cervix w/scope, leep",A,,3.44,5.32,,1.50,,0.28,9.04,5.22,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,36.7856,09
57500,,Biopsy of cervix,A,,0.97,2.02,,0.49,,0.10,3.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57505,,Endocervical curettage,A,,1.14,1.90,,1.21,,0.12,3.16,2.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57510,,Cauterization of cervix,A,,1.90,3.01,,1.51,,0.18,5.09,3.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57511,,Cryocautery of cervix,A,,1.90,2.36,,0.75,,0.18,4.44,2.83,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57513,,Laser surgery of cervix,A,,1.90,2.57,,1.50,,0.19,4.66,3.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
57520,,Conization of cervix,A,,4.04,4.13,,2.76,,0.41,8.58,7.21,0,090,0.12,0.74,0.14,2,0,1,0,0,,36.7856,09
57522,,Conization of cervix,A,,3.36,3.66,,2.49,,0.34,7.36,6.19,0,090,0.12,0.74,0.14,2,0,1,0,0,,36.7856,09
57530,,Removal of cervix,A,,4.79,3.53,NA,3.53,,0.48,8.80,8.80,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57531,,"Removal of cervix, radical",A,,28.00,13.53,NA,13.53,,2.46,43.99,43.99,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
57540,,Removal of residual cervix,A,,12.22,6.14,NA,6.14,,1.21,19.57,19.57,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57545,,Remove cervix/repair pelvis,A,,13.03,6.59,NA,6.59,,1.30,20.92,20.92,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57550,,Removal of residual cervix,A,,5.53,3.78,NA,3.78,,0.55,9.86,9.86,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57555,,Remove cervix/repair vagina,A,,8.95,5.60,NA,5.60,,0.89,15.44,15.44,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57556,,"Remove cervix, repair bowel",A,,8.37,4.83,NA,4.83,,0.80,14.00,14.00,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
57700,,Revision of cervix,A,,3.55,2.44,NA,2.44,,0.33,6.32,6.32,0,090,0.12,0.74,0.14,2,0,0,0,0,,36.7856,09
57720,,Revision of cervix,A,,4.13,3.20,NA,3.20,,0.41,7.74,7.74,0,090,0.12,0.74,0.14,2,0,2,0,0,,36.7856,09
57800,,Dilation of cervical canal,A,,0.77,0.77,,0.48,,0.08,1.62,1.33,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
57820,,D & c of residual cervix,A,,1.67,1.51,,1.11,,0.17,3.35,2.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
58100,,Biopsy of uterus lining,A,,1.53,1.45,,0.75,,0.07,3.05,2.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
58120,,Dilation and curettage,A,,3.27,2.35,,1.97,,0.33,5.95,5.57,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
58140,,Myomectomy abdom method,A,,14.60,7.01,NA,7.01,,1.46,23.07,23.07,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58145,,Myomectomy vag method,A,,8.04,4.84,NA,4.84,,0.80,13.68,13.68,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58146,,Myomectomy abdom complex,A,,19.00,9.15,NA,9.15,,1.46,29.61,29.61,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58150,,Total hysterectomy,A,,15.24,7.89,NA,7.89,,1.57,24.70,24.70,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58152,,Total hysterectomy,A,,20.60,10.28,NA,10.28,,1.52,32.40,32.40,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58180,,Partial hysterectomy,A,,15.29,7.85,NA,7.85,,1.54,24.68,24.68,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58200,,Extensive hysterectomy,A,,21.59,10.60,NA,10.60,,2.15,34.34,34.34,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58210,,Extensive hysterectomy,A,,28.85,13.96,NA,13.96,,2.91,45.72,45.72,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58240,,Removal of pelvis contents,A,,38.39,18.48,NA,18.48,,3.76,60.63,60.63,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58260,,Vaginal hysterectomy,A,,12.98,6.68,NA,6.68,,1.23,20.89,20.89,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58262,,Vag hyst including t/o,A,,14.77,7.43,NA,7.43,,1.42,23.62,23.62,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58263,,Vag hyst w/t/o & vag repair,A,,16.06,7.95,NA,7.95,,1.55,25.56,25.56,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58267,,Vag hyst w/urinary repair,A,,17.04,8.52,NA,8.52,,1.51,27.07,27.07,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58270,,Vag hyst w/enterocele repair,A,,14.26,7.19,NA,7.19,,1.37,22.82,22.82,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58275,,Hysterectomy/revise vagina,A,,15.76,7.72,NA,7.72,,1.51,24.99,24.99,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58280,,Hysterectomy/revise vagina,A,,17.01,8.21,NA,8.21,,1.54,26.76,26.76,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58285,,Extensive hysterectomy,A,,22.26,10.85,NA,10.85,,1.88,34.99,34.99,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58290,,Vag hyst complex,A,,19.00,9.37,NA,9.37,,1.23,29.60,29.60,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58291,,"Vag hyst incl t/o, complex",A,,20.79,10.34,NA,10.34,,1.42,32.55,32.55,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58292,,"Vag hyst t/o & repair, compl",A,,22.08,10.85,NA,10.85,,1.55,34.48,34.48,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58293,,"Vag hyst w/uro repair, compl",A,,23.06,11.25,NA,11.25,,1.51,35.82,35.82,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58294,,"Vag hyst w/enterocele, compl",A,,20.28,10.10,NA,10.10,,1.37,31.75,31.75,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58300,,Insert intrauterine device,N,+,1.01,1.44,,0.39,,0.10,2.55,1.50,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
58301,,Remove intrauterine device,A,,1.27,1.54,,0.50,,0.13,2.94,1.90,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
58321,,Artificial insemination,A,,0.92,0.94,,0.38,,0.10,1.96,1.40,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
58322,,Artificial insemination,A,,1.10,1.00,,0.43,,0.11,2.21,1.64,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
58323,,Sperm washing,A,,0.23,0.54,,0.10,,0.02,0.79,0.35,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
58340,,Catheter for hysterography,A,,0.88,12.74,,0.32,,0.08,13.70,1.28,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
58345,,Reopen fallopian tube,A,,4.66,1.73,NA,1.73,,0.36,6.75,6.75,0,010,0.10,0.80,0.10,2,1,2,2,0,,36.7856,09
58346,,Insert heyman uteri capsule,A,,6.75,3.87,NA,3.87,,0.64,11.26,11.26,0,090,0.12,0.74,0.14,2,0,1,0,0,,36.7856,09
58350,,Reopen fallopian tube,A,,1.01,1.93,,1.05,,0.10,3.04,2.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
58353,,"Endometr ablate, thermal",A,,3.56,2.23,NA,2.23,,0.37,6.16,6.16,0,010,0.10,0.80,0.10,2,1,2,2,0,,36.7856,09
58400,,Suspension of uterus,A,,6.36,3.93,NA,3.93,,0.62,10.91,10.91,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58410,,Suspension of uterus,A,,12.73,6.55,NA,6.55,,1.09,20.37,20.37,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58520,,Repair of ruptured uterus,A,,11.92,5.93,NA,5.93,,1.17,19.02,19.02,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58540,,Revision of uterus,A,,14.64,6.90,NA,6.90,,1.28,22.82,22.82,0,090,0.12,0.74,0.14,2,0,2,0,0,,36.7856,09
58545,,Laparoscopic myomectomy,A,,14.60,7.76,NA,7.76,,1.45,23.81,23.81,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58546,,"Laparo-myomectomy, complex",A,,19.00,9.55,NA,9.55,,1.45,30.00,30.00,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58550,,Laparo-asst vag hysterectomy,A,,14.19,7.21,NA,7.21,,1.44,22.84,22.84,0,090,0.12,0.74,0.14,3,0,2,2,0,49320,36.7856,09
58551,,"Laparoscopy, remove myoma",D,,14.21,7.09,,7.09,,1.45,22.75,22.75,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
58552,,Laparo-vag hyst incl t/o,A,,14.19,7.56,NA,7.56,,1.44,23.19,23.19,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58553,,"Laparo-vag hyst, complex",A,,19.00,9.57,NA,9.57,,1.23,29.80,29.80,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58554,,"Laparo-vag hyst w/t/o, compl",A,,19.00,9.26,NA,9.26,,1.23,29.49,29.49,0,090,0.12,0.74,0.14,2,0,2,2,0,,36.7856,09
58555,,"Hysteroscopy, dx, sep proc",A,,3.33,2.10,,1.49,,0.34,5.77,5.16,0,000,0.00,0.00,0.00,2,0,0,2,0,,36.7856,09
58558,,"Hysteroscopy, biopsy",A,,4.75,2.12,NA,2.12,,0.49,7.36,7.36,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,36.7856,09
58559,,"Hysteroscopy, lysis",A,,6.17,2.69,NA,2.69,,0.62,9.48,9.48,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,36.7856,09
58560,,"Hysteroscopy, resect septum",A,,7.00,3.05,NA,3.05,,0.71,10.76,10.76,0,000,0.00,0.00,0.00,3,0,2,2,0,58555,36.7856,09
58561,,"Hysteroscopy, remove myoma",A,,10.00,4.28,NA,4.28,,1.02,15.30,15.30,0,000,0.00,0.00,0.00,3,0,0,2,0,58555,36.7856,09
58562,,"Hysteroscopy, remove fb",A,,5.21,2.27,NA,2.27,,0.52,8.00,8.00,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,36.7856,09
58563,,"Hysteroscopy, ablation",A,,6.17,2.71,NA,2.71,,0.62,9.50,9.50,0,000,0.00,0.00,0.00,3,0,0,2,0,58555,36.7856,09
58578,,"Laparo proc, uterus",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
58579,,Hysteroscope procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
58600,,Division of fallopian tube,A,,5.60,3.28,NA,3.28,,0.39,9.27,9.27,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58605,,Division of fallopian tube,A,,5.00,3.12,NA,3.12,,0.33,8.45,8.45,0,090,0.12,0.74,0.14,2,2,2,0,0,,36.7856,09
58611,,Ligate oviduct(s) add-on,A,,1.45,0.59,NA,0.59,,0.07,2.11,2.11,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
58615,,Occlude fallopian tube(s),A,,3.90,3.11,NA,3.11,,0.40,7.41,7.41,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
58660,,"Laparoscopy, lysis",A,,11.29,5.60,NA,5.60,,1.14,18.03,18.03,0,090,0.09,0.84,0.07,3,0,2,2,0,49320,36.7856,09
58661,,"Laparoscopy, remove adnexa",A,,11.05,5.27,NA,5.27,,1.12,17.44,17.44,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,36.7856,09
58662,,"Laparoscopy, excise lesions",A,,11.79,5.54,NA,5.54,,1.18,18.51,18.51,0,090,0.09,0.84,0.07,3,0,2,2,0,49320,36.7856,09
58670,,"Laparoscopy, tubal cautery",A,,5.60,3.62,NA,3.62,,0.55,9.77,9.77,0,090,0.10,0.80,0.10,3,0,1,2,0,49320,36.7856,09
58671,,"Laparoscopy, tubal block",A,,5.60,3.63,NA,3.63,,0.56,9.79,9.79,0,090,0.10,0.80,0.10,3,0,1,2,0,49320,36.7856,09
58672,,"Laparoscopy, fimbrioplasty",A,,12.88,6.52,NA,6.52,,1.22,20.62,20.62,0,090,0.10,0.80,0.10,3,1,2,0,0,49320,36.7856,09
58673,,"Laparoscopy, salpingostomy",A,,13.74,6.86,NA,6.86,,1.40,22.00,22.00,0,090,0.10,0.80,0.10,3,1,2,0,0,49320,36.7856,09
58679,,"Laparo proc, oviduct-ovary",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
58700,,Removal of fallopian tube,A,,12.05,5.80,NA,5.80,,0.64,18.49,18.49,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58720,,Removal of ovary/tube(s),A,,11.36,5.75,NA,5.75,,1.14,18.25,18.25,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58740,,Revise fallopian tube(s),A,,14.00,6.99,NA,6.99,,0.59,21.58,21.58,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58750,,Repair oviduct,A,,14.84,7.37,NA,7.37,,1.52,23.73,23.73,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58752,,Revise ovarian tube(s),A,,14.84,7.06,NA,7.06,,1.51,23.41,23.41,0,090,0.12,0.74,0.14,2,0,2,0,0,,36.7856,09
58760,,Remove tubal obstruction,A,,13.13,6.67,NA,6.67,,1.34,21.14,21.14,0,090,0.12,0.74,0.14,2,1,2,1,0,,36.7856,09
58770,,Create new tubal opening,A,,13.97,6.97,NA,6.97,,1.42,22.36,22.36,0,090,0.12,0.74,0.14,2,1,2,0,0,,36.7856,09
58800,,Drainage of ovarian cyst(s),A,,4.14,4.39,,4.36,,0.36,8.89,8.86,0,090,0.12,0.74,0.14,2,2,1,0,0,,36.7856,09
58805,,Drainage of ovarian cyst(s),A,,5.88,3.47,NA,3.47,,0.56,9.91,9.91,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58820,,"Drain ovary abscess, open",A,,4.22,3.34,NA,3.34,,0.29,7.85,7.85,0,090,0.12,0.74,0.14,2,0,2,0,0,,36.7856,09
58822,,"Drain ovary abscess, percut",A,,10.13,5.04,NA,5.04,,0.92,16.09,16.09,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58823,,"Drain pelvic abscess, percut",A,,3.38,2.32,NA,2.32,,0.18,5.88,5.88,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
58825,,"Transposition, ovary(s)",A,,10.98,5.74,NA,5.74,,0.62,17.34,17.34,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58900,,Biopsy of ovary(s),A,,5.99,3.53,NA,3.53,,0.56,10.08,10.08,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58920,,Partial removal of ovary(s),A,,11.36,5.58,NA,5.58,,0.68,17.62,17.62,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58925,,Removal of ovarian cyst(s),A,,11.36,5.54,NA,5.54,,1.14,18.04,18.04,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58940,,Removal of ovary(s),A,,7.29,3.94,NA,3.94,,0.73,11.96,11.96,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58943,,Removal of ovary(s),A,,18.43,9.44,NA,9.44,,1.86,29.73,29.73,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58950,,Resect ovarian malignancy,A,,16.93,9.00,NA,9.00,,1.55,27.48,27.48,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58951,,Resect ovarian malignancy,A,,22.38,11.32,NA,11.32,,2.20,35.90,35.90,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58952,,Resect ovarian malignancy,A,,25.01,12.41,NA,12.41,,2.57,39.99,39.99,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58953,,"Tah, rad dissect for debulk",A,,32.00,15.08,NA,15.08,,3.30,50.38,50.38,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58954,,Tah rad debulk/lymph remove,A,,35.00,16.15,NA,16.15,,3.56,54.71,54.71,0,090,0.12,0.74,0.14,2,2,2,1,0,,36.7856,09
58960,,Exploration of abdomen,A,,14.65,8.12,NA,8.12,,1.47,24.24,24.24,0,090,0.12,0.74,0.14,2,0,2,1,0,,36.7856,09
58970,,Retrieval of oocyte,A,,3.53,8.36,,1.67,,0.36,12.25,5.56,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
58974,,Transfer of embryo,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
58976,,Transfer of embryo,A,,3.83,2.29,,1.59,,0.39,6.51,5.81,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
58999,,Genital surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
59000,,"Amniocentesis, diagnostic",A,,1.30,1.88,,0.71,,0.23,3.41,2.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59001,,"Amniocentesis, therapeutic",A,,3.00,1.35,NA,1.35,,0.23,4.58,4.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59012,,"Fetal cord puncture,prenatal",A,,3.45,1.60,NA,1.60,,0.62,5.67,5.67,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59015,,Chorion biopsy,A,,2.20,1.59,,1.08,,0.40,4.19,3.68,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59020,,Fetal contract stress test,A,,0.66,0.79,,0.79,NA,0.20,1.65,1.65,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59020,TC,Fetal contract stress test,A,,0.00,0.52,,0.52,NA,0.08,0.60,0.60,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
59020,26,Fetal contract stress test,A,,0.66,0.27,,0.27,,0.12,1.05,1.05,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59025,,Fetal non-stress test,A,,0.53,0.45,,0.45,NA,0.12,1.10,1.10,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59025,TC,Fetal non-stress test,A,,0.00,0.23,,0.23,NA,0.02,0.25,0.25,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
59025,26,Fetal non-stress test,A,,0.53,0.22,,0.22,,0.10,0.85,0.85,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59030,,Fetal scalp blood sample,A,,1.99,1.06,NA,1.06,,0.36,3.41,3.41,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59050,,Fetal monitor w/report,A,,0.89,0.36,NA,0.36,,0.16,1.41,1.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
59051,,Fetal monitor/interpret only,A,,0.74,0.30,NA,0.30,,0.14,1.18,1.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
59100,,Remove uterus lesion,A,,12.35,6.29,NA,6.29,,2.21,20.85,20.85,0,090,0.17,0.60,0.23,2,0,2,1,0,,36.7856,09
59120,,Treat ectopic pregnancy,A,,11.49,6.06,NA,6.06,,2.06,19.61,19.61,0,090,0.17,0.60,0.23,2,0,2,1,0,,36.7856,09
59121,,Treat ectopic pregnancy,A,,11.67,6.19,NA,6.19,,2.09,19.95,19.95,0,090,0.17,0.60,0.23,2,0,2,1,0,,36.7856,09
59130,,Treat ectopic pregnancy,A,,14.22,5.81,NA,5.81,,2.54,22.57,22.57,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59135,,Treat ectopic pregnancy,A,,13.88,7.04,NA,7.04,,2.49,23.41,23.41,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59136,,Treat ectopic pregnancy,A,,13.18,6.61,NA,6.61,,2.36,22.15,22.15,0,090,0.17,0.60,0.23,2,0,2,0,0,,36.7856,09
59140,,Treat ectopic pregnancy,A,,5.46,3.36,NA,3.36,,0.98,9.80,9.80,0,090,0.17,0.60,0.23,2,0,2,0,0,,36.7856,09
59150,,Treat ectopic pregnancy,A,,11.67,6.40,NA,6.40,,1.23,19.30,19.30,0,090,0.17,0.60,0.23,2,0,2,0,0,,36.7856,09
59151,,Treat ectopic pregnancy,A,,11.49,5.84,NA,5.84,,1.41,18.74,18.74,0,090,0.17,0.60,0.23,2,0,2,0,0,,36.7856,09
59160,,D & c after delivery,A,,2.71,3.48,,2.15,,0.49,6.68,5.35,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
59200,,Insert cervical dilator,A,,0.79,1.32,,0.31,,0.15,2.26,1.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59300,,Episiotomy or vaginal repair,A,,2.41,2.08,,0.99,,0.43,4.92,3.83,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59320,,Revision of cervix,A,,2.48,1.29,NA,1.29,,0.45,4.22,4.22,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59325,,Revision of cervix,A,,4.07,1.96,NA,1.96,,0.73,6.76,6.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59350,,Repair of uterus,A,,4.95,2.00,NA,2.00,,0.88,7.83,7.83,0,000,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
59400,,Obstetrical care,A,,23.06,16.09,NA,16.09,,4.14,43.29,43.29,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59409,,Obstetrical care,A,,13.50,5.44,NA,5.44,,2.42,21.36,21.36,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59410,,Obstetrical care,A,,14.78,6.48,NA,6.48,,2.65,23.91,23.91,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59412,,Antepartum manipulation,A,,1.71,0.84,NA,0.84,,0.31,2.86,2.86,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
59414,,Deliver placenta,A,,1.61,0.65,NA,0.65,,0.29,2.55,2.55,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59425,,Antepartum care only,A,,4.81,4.46,,1.90,,0.86,10.13,7.57,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
59426,,Antepartum care only,A,,8.28,8.04,,3.30,,1.49,17.81,13.07,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
59430,,Care after delivery,A,,2.13,0.98,NA,0.98,,0.38,3.49,3.49,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59510,,Cesarean delivery,A,,26.22,18.21,NA,18.21,,4.70,49.13,49.13,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59514,,Cesarean delivery only,A,,15.97,6.38,NA,6.38,,2.86,25.21,25.21,0,MMM,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
59515,,Cesarean delivery,A,,17.37,8.05,NA,8.05,,3.12,28.54,28.54,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
59525,,Remove uterus after cesarean,A,,8.54,3.39,NA,3.39,,1.53,13.46,13.46,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
59610,,Vbac delivery,A,,24.62,16.66,NA,16.66,,4.41,45.69,45.69,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59612,,Vbac delivery only,A,,15.06,6.21,NA,6.21,,2.70,23.97,23.97,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59614,,Vbac care after delivery,A,,16.34,7.12,NA,7.12,,2.93,26.39,26.39,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59618,,Attempted vbac delivery,A,,27.78,19.52,NA,19.52,,4.98,52.28,52.28,0,MMM,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
59620,,Attempted vbac delivery only,A,,17.53,6.94,NA,6.94,,3.15,27.62,27.62,0,MMM,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
59622,,Attempted vbac after care,A,,18.93,8.87,NA,8.87,,3.39,31.19,31.19,0,MMM,0.00,0.00,0.00,2,0,2,0,0,,36.7856,09
59812,,Treatment of miscarriage,A,,4.01,3.60,,2.53,,0.58,8.19,7.12,0,090,0.17,0.60,0.23,2,0,1,0,0,,36.7856,09
59820,,Care of miscarriage,A,,4.01,3.62,,2.66,,0.72,8.35,7.39,0,090,0.17,0.60,0.23,2,0,1,0,0,,36.7856,09
59821,,Treatment of miscarriage,A,,4.47,3.79,,2.85,,0.80,9.06,8.12,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59830,,Treat uterus infection,A,,6.11,3.94,NA,3.94,,1.10,11.15,11.15,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59840,,Abortion,R,,3.01,3.98,,2.24,,0.54,7.53,5.79,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
59841,,Abortion,R,,5.24,5.60,,3.55,,0.94,11.78,9.73,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
59850,,Abortion,R,,5.91,2.73,NA,2.73,,1.06,9.70,9.70,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59851,,Abortion,R,,5.93,3.13,NA,3.13,,1.06,10.12,10.12,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59852,,Abortion,R,,8.24,4.57,NA,4.57,,1.48,14.29,14.29,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59855,,Abortion,R,,6.12,3.24,NA,3.24,,1.10,10.46,10.46,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59856,,Abortion,R,,7.48,3.83,NA,3.83,,1.34,12.65,12.65,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59857,,Abortion,R,,9.29,4.39,NA,4.39,,1.66,15.34,15.34,0,090,0.17,0.60,0.23,2,0,0,0,0,,36.7856,09
59866,,Abortion (mpr),R,,4.00,1.55,NA,1.55,,0.72,6.27,6.27,0,000,0.00,0.00,0.00,2,0,2,1,0,,36.7856,09
59870,,Evacuate mole of uterus,A,,6.01,3.78,NA,3.78,,0.77,10.56,10.56,0,090,0.17,0.60,0.23,2,0,2,0,0,,36.7856,09
59871,,Remove cerclage suture,A,,2.13,2.00,,0.90,,0.38,4.51,3.41,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
59898,,"Laparo proc, ob care/deliver",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
59899,,Maternity care procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
60000,,Drain thyroid/tongue cyst,A,,1.76,2.36,,2.15,,0.14,4.26,4.05,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
60001,,Aspirate/inject thyriod cyst,A,,0.97,1.64,,0.35,,0.06,2.67,1.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
60100,,Biopsy of thyroid,A,,1.56,1.86,,0.55,,0.05,3.47,2.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
60200,,Remove thyroid lesion,A,,9.55,6.57,NA,6.57,,0.84,16.96,16.96,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60210,,Partial thyroid excision,A,,10.88,6.45,NA,6.45,,1.01,18.34,18.34,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60212,,Partial thyroid excision,A,,16.03,8.23,NA,8.23,,1.51,25.77,25.77,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60220,,Partial removal of thyroid,A,,11.90,6.99,NA,6.99,,0.97,19.86,19.86,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60225,,Partial removal of thyroid,A,,14.19,7.82,NA,7.82,,1.31,23.32,23.32,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60240,,Removal of thyroid,A,,16.06,9.05,NA,9.05,,1.50,26.61,26.61,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60252,,Removal of thyroid,A,,20.57,11.39,NA,11.39,,1.63,33.59,33.59,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60254,,Extensive thyroid surgery,A,,26.99,15.79,NA,15.79,,1.96,44.74,44.74,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60260,,Repeat thyroid surgery,A,,17.47,10.30,NA,10.30,,1.39,29.16,29.16,0,090,0.09,0.82,0.09,2,2,2,1,0,,36.7856,09
60270,,Removal of thyroid,A,,20.27,11.50,NA,11.50,,1.78,33.55,33.55,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60271,,Removal of thyroid,A,,16.83,9.82,NA,9.82,,1.35,28.00,28.00,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60280,,Remove thyroid duct lesion,A,,5.87,5.16,NA,5.16,,0.45,11.48,11.48,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60281,,Remove thyroid duct lesion,A,,8.53,6.35,NA,6.35,,0.67,15.55,15.55,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60500,,Explore parathyroid glands,A,,16.23,7.75,NA,7.75,,1.61,25.59,25.59,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60502,,Re-explore parathyroids,A,,20.35,9.59,NA,9.59,,2.00,31.94,31.94,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60505,,Explore parathyroid glands,A,,21.49,11.42,NA,11.42,,2.14,35.05,35.05,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60512,,Autotransplant parathyroid,A,,4.45,1.66,NA,1.66,,0.44,6.55,6.55,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
60520,,Removal of thymus gland,A,,16.81,9.84,NA,9.84,,1.84,28.49,28.49,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60521,,Removal of thymus gland,A,,18.87,11.77,NA,11.77,,2.34,32.98,32.98,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60522,,Removal of thymus gland,A,,23.09,13.01,NA,13.01,,2.83,38.93,38.93,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60540,,Explore adrenal gland,A,,17.03,7.64,NA,7.64,,1.42,26.09,26.09,0,090,0.09,0.82,0.09,2,1,2,1,0,,36.7856,09
60545,,Explore adrenal gland,A,,19.88,9.33,NA,9.33,,1.75,30.96,30.96,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60600,,Remove carotid body lesion,A,,17.93,13.24,NA,13.24,,1.87,33.04,33.04,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60605,,Remove carotid body lesion,A,,20.24,18.11,NA,18.11,,2.28,40.63,40.63,0,090,0.09,0.82,0.09,2,0,2,1,0,,36.7856,09
60650,,Laparoscopy adrenalectomy,A,,20.00,8.06,NA,8.06,,1.98,30.04,30.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,36.7856,09
60659,,"Laparo proc, endocrine",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,36.7856,09
60699,,Endocrine surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,36.7856,09
61000,,Remove cranial cavity fluid,A,,1.58,0.98,NA,0.98,,0.13,2.69,2.69,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
61001,,Remove cranial cavity fluid,A,,1.49,1.08,NA,1.08,,0.15,2.72,2.72,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
61020,,Remove brain cavity fluid,A,,1.51,1.38,NA,1.38,,0.26,3.15,3.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61026,,Injection into brain canal,A,,1.69,1.45,NA,1.45,,0.21,3.35,3.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61050,,Remove brain canal fluid,A,,1.51,1.27,NA,1.27,,0.13,2.91,2.91,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
61055,,Injection into brain canal,A,,2.10,1.42,NA,1.42,,0.13,3.65,3.65,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61070,,Brain canal shunt procedure,A,,0.89,1.04,NA,1.04,,0.09,2.02,2.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61105,,Twist drill hole,A,,5.14,4.04,NA,4.04,,1.05,10.23,10.23,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
61107,,Drill skull for implantation,A,,5.00,3.38,NA,3.38,,1.02,9.40,9.40,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61108,,Drill skull for drainage,A,,10.19,7.29,NA,7.29,,2.04,19.52,19.52,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
61120,,Burr hole for puncture,A,,8.76,6.12,NA,6.12,,1.81,16.69,16.69,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
61140,,Pierce skull for biopsy,A,,15.90,10.11,NA,10.11,,3.15,29.16,29.16,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61150,,Pierce skull for drainage,A,,17.57,10.66,NA,10.66,,3.52,31.75,31.75,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61151,,Pierce skull for drainage,A,,12.42,8.01,NA,8.01,,2.45,22.88,22.88,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
61154,,Pierce skull & remove clot,A,,14.99,9.70,NA,9.70,,3.05,27.74,27.74,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61156,,Pierce skull for drainage,A,,16.32,10.07,NA,10.07,,3.42,29.81,29.81,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61210,,"Pierce skull, implant device",A,,5.84,3.78,NA,3.78,,1.16,10.78,10.78,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61215,,Insert brain-fluid device,A,,4.89,4.09,NA,4.09,,0.99,9.97,9.97,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61250,,Pierce skull & explore,A,,10.42,7.01,NA,7.01,,2.02,19.45,19.45,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61253,,Pierce skull & explore,A,,12.36,7.87,NA,7.87,,2.26,22.49,22.49,0,090,0.11,0.76,0.13,2,2,2,0,0,,36.7856,09
61304,,Open skull for exploration,A,,21.96,13.18,NA,13.18,,4.33,39.47,39.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61305,,Open skull for exploration,A,,26.61,15.70,NA,15.70,,5.25,47.56,47.56,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61312,,Open skull for drainage,A,,24.57,15.42,NA,15.42,,4.99,44.98,44.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61313,,Open skull for drainage,A,,24.93,15.20,NA,15.20,,5.07,45.20,45.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61314,,Open skull for drainage,A,,24.23,13.34,NA,13.34,,4.00,41.57,41.57,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61315,,Open skull for drainage,A,,27.68,16.42,NA,16.42,,5.62,49.72,49.72,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61316,,Implt cran bone flap to abdo,A,,1.39,0.57,NA,0.57,,0.43,2.39,2.39,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61320,,Open skull for drainage,A,,25.62,15.16,NA,15.16,,5.20,45.98,45.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61321,,Open skull for drainage,A,,28.50,16.55,NA,16.55,,5.35,50.40,50.40,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61322,,Decompressive craniotomy,A,,29.50,13.88,NA,13.88,,4.99,48.37,48.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61323,,Decompressive lobectomy,A,,31.00,14.08,NA,14.08,,4.99,50.07,50.07,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61330,,Decompress eye socket,A,,23.32,14.10,NA,14.10,,2.58,40.00,40.00,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61332,,Explore/biopsy eye socket,A,,27.28,15.97,NA,15.97,,4.15,47.40,47.40,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61333,,Explore orbit/remove lesion,A,,27.95,16.02,NA,16.02,,2.24,46.21,46.21,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61334,,Explore orbit/remove object,A,,18.27,10.93,NA,10.93,,3.02,32.22,32.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61340,,Subtemporal decompression,A,,18.66,11.41,NA,11.41,,3.66,33.73,33.73,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61343,,Incise skull (press relief),A,,29.77,17.97,NA,17.97,,6.04,53.78,53.78,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61345,,Relieve cranial pressure,A,,27.20,16.51,NA,16.51,,5.23,48.94,48.94,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61440,,Incise skull for surgery,A,,26.63,15.30,NA,15.30,,5.57,47.50,47.50,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61450,,Incise skull for surgery,A,,25.95,15.53,NA,15.53,,5.11,46.59,46.59,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61458,,Incise skull for brain wound,A,,27.29,16.59,NA,16.59,,5.28,49.16,49.16,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61460,,Incise skull for surgery,A,,28.39,17.53,NA,17.53,,5.13,51.05,51.05,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
61470,,Incise skull for surgery,A,,26.06,15.06,NA,15.06,,4.65,45.77,45.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61480,,Incise skull for surgery,A,,26.49,15.99,NA,15.99,,5.54,48.02,48.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61490,,Incise skull for surgery,A,,25.66,15.56,NA,15.56,,5.37,46.59,46.59,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61500,,Removal of skull lesion,A,,17.92,11.76,NA,11.76,,3.26,32.94,32.94,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61501,,Remove infected skull bone,A,,14.84,9.97,NA,9.97,,2.63,27.44,27.44,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61510,,Removal of brain lesion,A,,28.45,17.22,NA,17.22,,5.77,51.44,51.44,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61512,,Remove brain lining lesion,A,,35.09,20.72,NA,20.72,,7.14,62.95,62.95,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61514,,Removal of brain abscess,A,,25.26,15.47,NA,15.47,,5.12,45.85,45.85,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61516,,Removal of brain lesion,A,,24.61,14.92,NA,14.92,,4.94,44.47,44.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61517,,Implt brain chemotx add-on,A,,1.38,0.56,NA,0.56,,0.08,2.02,2.02,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61518,,Removal of brain lesion,A,,37.32,22.22,NA,22.22,,7.53,67.07,67.07,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61519,,Remove brain lining lesion,A,,41.39,24.21,NA,24.21,,8.15,73.75,73.75,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61520,,Removal of brain lesion,A,,54.84,31.73,NA,31.73,,10.10,96.67,96.67,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
61521,,Removal of brain lesion,A,,44.48,25.76,NA,25.76,,8.85,79.09,79.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61522,,Removal of brain abscess,A,,29.45,17.56,NA,17.56,,5.30,52.31,52.31,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61524,,Removal of brain lesion,A,,27.86,16.79,NA,16.79,,5.01,49.66,49.66,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61526,,Removal of brain lesion,A,,52.17,30.71,NA,30.71,,6.72,89.60,89.60,0,090,0.11,0.76,0.13,2,0,1,2,0,,36.7856,09
61530,,Removal of brain lesion,A,,43.86,26.94,NA,26.94,,6.17,76.97,76.97,0,090,0.11,0.76,0.13,2,0,1,2,0,,36.7856,09
61531,,Implant brain electrodes,A,,14.63,9.66,NA,9.66,,2.84,27.13,27.13,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
61533,,Implant brain electrodes,A,,19.71,12.32,NA,12.32,,3.80,35.83,35.83,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61534,,Removal of brain lesion,A,,20.97,13.13,NA,13.13,,4.15,38.25,38.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61535,,Remove brain electrodes,A,,11.63,8.10,NA,8.10,,2.29,22.02,22.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61536,,Removal of brain lesion,A,,35.52,21.02,NA,21.02,,6.68,63.22,63.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61538,,Removal of brain tissue,A,,26.81,16.32,NA,16.32,,5.38,48.51,48.51,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61539,,Removal of brain tissue,A,,32.08,18.97,NA,18.97,,6.62,57.67,57.67,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61541,,Incision of brain tissue,A,,28.85,16.91,NA,16.91,,5.50,51.26,51.26,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61542,,Removal of brain tissue,A,,31.02,19.07,NA,19.07,,6.49,56.58,56.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61543,,Removal of brain tissue,A,,29.22,17.52,NA,17.52,,6.11,52.85,52.85,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61544,,Remove & treat brain lesion,A,,25.50,14.52,NA,14.52,,4.91,44.93,44.93,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61545,,Excision of brain tumor,A,,43.80,25.02,NA,25.02,,8.88,77.70,77.70,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61546,,Removal of pituitary gland,A,,31.30,18.68,NA,18.68,,6.06,56.04,56.04,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61548,,Removal of pituitary gland,A,,21.53,13.64,NA,13.64,,3.63,38.80,38.80,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
61550,,Release of skull seams,A,,14.65,7.34,NA,7.34,,1.14,23.13,23.13,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61552,,Release of skull seams,A,,19.56,9.84,NA,9.84,,0.88,30.28,30.28,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61556,,Incise skull/sutures,A,,22.26,12.01,NA,12.01,,3.57,37.84,37.84,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61557,,Incise skull/sutures,A,,22.38,13.86,NA,13.86,,4.68,40.92,40.92,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61558,,Excision of skull/sutures,A,,25.58,15.13,NA,15.13,,2.61,43.32,43.32,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61559,,Excision of skull/sutures,A,,32.79,19.67,NA,19.67,,6.86,59.32,59.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61563,,Excision of skull tumor,A,,26.83,16.07,NA,16.07,,4.46,47.36,47.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61564,,Excision of skull tumor,A,,33.83,18.72,NA,18.72,,7.08,59.63,59.63,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61570,,"Remove foreign body, brain",A,,24.60,14.37,NA,14.37,,4.60,43.57,43.57,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61571,,Incise skull for brain wound,A,,26.39,15.70,NA,15.70,,5.23,47.32,47.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61575,,Skull base/brainstem surgery,A,,34.36,21.20,NA,21.20,,5.02,60.58,60.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61576,,Skull base/brainstem surgery,A,,52.43,30.80,NA,30.80,,4.68,87.91,87.91,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61580,,"Craniofacial approach, skull",A,,30.35,19.15,NA,19.15,,2.75,52.25,52.25,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61581,,"Craniofacial approach, skull",A,,34.60,15.39,NA,15.39,,3.37,53.36,53.36,0,090,0.11,0.76,0.13,2,1,1,2,2,,36.7856,09
61582,,"Craniofacial approach, skull",A,,31.66,19.26,NA,19.26,,6.30,57.22,57.22,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61583,,"Craniofacial approach, skull",A,,36.21,22.62,NA,22.62,,6.94,65.77,65.77,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61584,,Orbitocranial approach/skull,A,,34.65,20.92,NA,20.92,,6.53,62.10,62.10,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61585,,Orbitocranial approach/skull,A,,38.61,22.58,NA,22.58,,6.19,67.38,67.38,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61586,,"Resect nasopharynx, skull",A,,25.10,16.22,NA,16.22,,3.52,44.84,44.84,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61590,,Infratemporal approach/skull,A,,41.78,25.53,NA,25.53,,4.28,71.59,71.59,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61591,,Infratemporal approach/skull,A,,43.68,26.34,NA,26.34,,5.26,75.28,75.28,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61592,,Orbitocranial approach/skull,A,,39.64,23.61,NA,23.61,,7.55,70.80,70.80,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61595,,Transtemporal approach/skull,A,,29.57,19.32,NA,19.32,,3.05,51.94,51.94,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61596,,Transcochlear approach/skull,A,,35.63,22.01,NA,22.01,,4.25,61.89,61.89,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61597,,Transcondylar approach/skull,A,,37.96,21.20,NA,21.20,,6.65,65.81,65.81,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61598,,Transpetrosal approach/skull,A,,33.41,20.65,NA,20.65,,4.60,58.66,58.66,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61600,,Resect/excise cranial lesion,A,,25.85,15.96,NA,15.96,,3.12,44.93,44.93,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61601,,Resect/excise cranial lesion,A,,27.89,17.32,NA,17.32,,5.29,50.50,50.50,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61605,,Resect/excise cranial lesion,A,,29.33,18.50,NA,18.50,,2.51,50.34,50.34,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61606,,Resect/excise cranial lesion,A,,38.83,23.37,NA,23.37,,6.81,69.01,69.01,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61607,,Resect/excise cranial lesion,A,,36.27,22.05,NA,22.05,,5.69,64.01,64.01,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61608,,Resect/excise cranial lesion,A,,42.10,24.77,NA,24.77,,8.31,75.18,75.18,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61609,,"Transect artery, sinus",A,,9.89,4.91,NA,4.91,,2.07,16.87,16.87,0,ZZZ,0.00,0.00,0.00,0,1,2,1,2,,36.7856,09
61610,,"Transect artery, sinus",A,,29.67,13.48,NA,13.48,,3.52,46.67,46.67,0,ZZZ,0.00,0.00,0.00,0,1,2,1,2,,36.7856,09
61611,,"Transect artery, sinus",A,,7.42,3.40,NA,3.40,,1.55,12.37,12.37,0,ZZZ,0.00,0.00,0.00,0,1,2,1,2,,36.7856,09
61612,,"Transect artery, sinus",A,,27.88,13.67,NA,13.67,,3.55,45.10,45.10,0,ZZZ,0.00,0.00,0.00,0,1,2,1,2,,36.7856,09
61613,,"Remove aneurysm, sinus",A,,40.86,23.95,NA,23.95,,8.32,73.13,73.13,0,090,0.11,0.76,0.13,2,1,2,1,2,,36.7856,09
61615,,"Resect/excise lesion, skull",A,,32.07,20.58,NA,20.58,,4.64,57.29,57.29,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61616,,"Resect/excise lesion, skull",A,,43.33,26.87,NA,26.87,,7.02,77.22,77.22,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61618,,Repair dura,A,,16.99,11.45,NA,11.45,,2.92,31.36,31.36,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61619,,Repair dura,A,,20.71,13.38,NA,13.38,,3.42,37.51,37.51,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
61623,,Endovasc tempory vessel occl,A,,9.96,4.23,NA,4.23,,0.50,14.69,14.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61624,,"Transcath occlusion, cns",A,,20.15,7.13,NA,7.13,,1.15,28.43,28.43,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61626,,"Transcath occlusion, non-cns",A,,16.62,5.70,NA,5.70,,0.84,23.16,23.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
61680,,Intracranial vessel surgery,A,,30.71,18.44,NA,18.44,,6.04,55.19,55.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61682,,Intracranial vessel surgery,A,,61.57,34.01,NA,34.01,,12.69,108.27,108.27,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61684,,Intracranial vessel surgery,A,,39.81,23.12,NA,23.12,,7.87,70.80,70.80,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61686,,Intracranial vessel surgery,A,,64.49,36.02,NA,36.02,,13.20,113.71,113.71,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61690,,Intracranial vessel surgery,A,,29.31,17.76,NA,17.76,,5.51,52.58,52.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61692,,Intracranial vessel surgery,A,,51.87,28.84,NA,28.84,,10.17,90.88,90.88,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61697,,"Brain aneurysm repr, complx",A,,50.52,28.73,NA,28.73,,10.31,89.56,89.56,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61698,,"Brain aneurysm repr, complx",A,,48.41,27.36,NA,27.36,,9.99,85.76,85.76,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61700,,"Brain aneurysm repr, simple",A,,50.52,28.68,NA,28.68,,10.18,89.38,89.38,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61702,,Inner skull vessel surgery,A,,48.41,27.66,NA,27.66,,9.75,85.82,85.82,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61703,,Clamp neck artery,A,,17.47,11.24,NA,11.24,,3.62,32.33,32.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61705,,Revise circulation to head,A,,36.20,20.05,NA,20.05,,6.67,62.92,62.92,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61708,,Revise circulation to head,A,,35.30,15.87,NA,15.87,,2.18,53.35,53.35,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61710,,Revise circulation to head,A,,29.67,14.53,NA,14.53,,2.42,46.62,46.62,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
61711,,Fusion of skull arteries,A,,36.33,20.63,NA,20.63,,7.39,64.35,64.35,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61720,,Incise skull/brain surgery,A,,16.77,10.74,NA,10.74,,3.51,31.02,31.02,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
61735,,Incise skull/brain surgery,A,,20.43,12.76,NA,12.76,,4.16,37.35,37.35,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61750,,Incise skull/brain biopsy,A,,18.20,10.96,NA,10.96,,3.71,32.87,32.87,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61751,,Brain biopsy w/ct/mr guide,A,,17.62,10.77,NA,10.77,,3.57,31.96,31.96,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61760,,Implant brain electrodes,A,,22.27,8.83,NA,8.83,,4.59,35.69,35.69,0,090,0.11,0.76,0.13,2,0,1,2,0,,36.7856,09
61770,,Incise skull for treatment,A,,21.44,13.05,NA,13.05,,4.09,38.58,38.58,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
61790,,Treat trigeminal nerve,A,,10.86,6.02,NA,6.02,,1.82,18.70,18.70,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
61791,,Treat trigeminal tract,A,,14.61,9.26,NA,9.26,,3.03,26.90,26.90,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
61793,,Focus radiation beam,A,,17.24,10.93,NA,10.93,,3.51,31.68,31.68,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
61795,,Brain surgery using computer,A,,4.04,2.09,NA,2.09,,0.81,6.94,6.94,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
61850,,Implant neuroelectrodes,A,,12.39,8.08,NA,8.08,,2.23,22.70,22.70,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61860,,Implant neuroelectrodes,A,,20.87,12.88,NA,12.88,,4.04,37.79,37.79,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61862,,"Implant neurostimul, subcort",A,,19.34,12.08,NA,12.08,,3.97,35.39,35.39,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61870,,Implant neuroelectrodes,A,,14.94,10.85,NA,10.85,,1.70,27.49,27.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
61875,,Implant neuroelectrodes,A,,15.06,9.28,NA,9.28,,2.42,26.76,26.76,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
61880,,Revise/remove neuroelectrode,A,,6.29,5.34,NA,5.34,,1.31,12.94,12.94,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
61885,,Implant neurostim one array,A,,5.85,5.09,NA,5.09,,1.22,12.16,12.16,0,090,0.11,0.76,0.13,2,1,0,0,0,,36.7856,09
61886,,Implant neurostim arrays,A,,8.00,6.15,NA,6.15,,1.64,15.79,15.79,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
61888,,Revise/remove neuroreceiver,A,,5.07,3.90,NA,3.90,,1.04,10.01,10.01,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
62000,,Treat skull fracture,A,,12.53,5.65,NA,5.65,,0.87,19.05,19.05,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
62005,,Treat skull fracture,A,,16.17,9.46,NA,9.46,,2.33,27.96,27.96,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62010,,Treatment of head injury,A,,19.81,12.28,NA,12.28,,4.05,36.14,36.14,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62100,,Repair brain fluid leakage,A,,22.03,13.85,NA,13.85,,4.07,39.95,39.95,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62115,,Reduction of skull defect,A,,21.66,11.69,NA,11.69,,4.53,37.88,37.88,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62116,,Reduction of skull defect,A,,23.59,13.79,NA,13.79,,4.85,42.23,42.23,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
62117,,Reduction of skull defect,A,,26.60,15.87,NA,15.87,,5.56,48.03,48.03,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62120,,Repair skull cavity lesion,A,,23.35,14.38,NA,14.38,,3.07,40.80,40.80,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62121,,Incise skull repair,A,,21.58,13.55,NA,13.55,,2.47,37.60,37.60,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
62140,,Repair of skull defect,A,,13.51,8.61,NA,8.61,,2.60,24.72,24.72,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62141,,Repair of skull defect,A,,14.91,9.78,NA,9.78,,2.85,27.54,27.54,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62142,,Remove skull plate/flap,A,,10.79,7.24,NA,7.24,,2.10,20.13,20.13,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
62143,,Replace skull plate/flap,A,,13.05,8.75,NA,8.75,,2.55,24.35,24.35,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62145,,Repair of skull & brain,A,,18.82,11.69,NA,11.69,,3.81,34.32,34.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62146,,Repair of skull with graft,A,,16.12,10.40,NA,10.40,,2.94,29.46,29.46,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62147,,Repair of skull with graft,A,,19.34,12.14,NA,12.14,,3.64,35.12,35.12,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62148,,Retr bone flap to fix skull,A,,2.00,0.82,NA,0.82,,0.43,3.25,3.25,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
62160,,Neuroendoscopy add-on,A,,3.00,1.16,NA,1.16,,0.52,4.68,4.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
62161,,Dissect brain w/scope,A,,20.00,9.71,NA,9.71,,3.70,33.41,33.41,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62162,,Remove colloid cyst w/scope,A,,25.25,11.89,NA,11.89,,5.77,42.91,42.91,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62163,,Neuroendoscopy w/fb removal,A,,15.50,7.97,NA,7.97,,3.70,27.17,27.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62164,,Remove brain tumor w/scope,A,,27.50,13.12,NA,13.12,,5.77,46.39,46.39,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62165,,Remove pituit tumor w/scope,A,,22.00,10.68,NA,10.68,,3.63,36.31,36.31,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62180,,Establish brain cavity shunt,A,,21.06,12.90,NA,12.90,,4.32,38.28,38.28,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
62190,,Establish brain cavity shunt,A,,11.07,7.73,NA,7.73,,2.18,20.98,20.98,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
62192,,Establish brain cavity shunt,A,,12.25,8.27,NA,8.27,,2.46,22.98,22.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62194,,Replace/irrigate catheter,A,,5.03,2.77,NA,2.77,,0.50,8.30,8.30,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
62200,,Establish brain cavity shunt,A,,18.32,11.59,NA,11.59,,3.70,33.61,33.61,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62201,,Brain cavity shunt w/scope,A,,14.86,9.77,NA,9.77,,2.52,27.15,27.15,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
62220,,Establish brain cavity shunt,A,,13.00,8.65,NA,8.65,,2.53,24.18,24.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62223,,Establish brain cavity shunt,A,,12.87,8.51,NA,8.51,,2.58,23.96,23.96,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62225,,Replace/irrigate catheter,A,,5.41,4.81,NA,4.81,,1.09,11.31,11.31,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
62230,,Replace/revise brain shunt,A,,10.54,7.23,NA,7.23,,2.10,19.87,19.87,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62252,,Csf shunt reprogram,A,,0.74,1.47,,1.47,NA,0.18,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
62252,TC,Csf shunt reprogram,A,,0.00,1.09,,1.09,NA,0.02,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
62252,26,Csf shunt reprogram,A,,0.74,0.38,,0.38,,0.16,1.28,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
62256,,Remove brain cavity shunt,A,,6.60,5.45,NA,5.45,,1.34,13.39,13.39,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
62258,,Replace brain cavity shunt,A,,14.54,9.34,NA,9.34,,2.91,26.79,26.79,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
62263,,Epidural lysis mult sessions,A,,6.14,13.45,,2.43,,0.42,20.01,8.99,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
62264,,Epidural lysis on single day,A,,4.43,11.38,,1.32,,0.30,16.11,6.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
62268,,Drain spinal cord cyst,A,,4.74,2.71,NA,2.71,,0.29,7.74,7.74,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62269,,"Needle biopsy, spinal cord",A,,5.02,2.37,NA,2.37,,0.29,7.68,7.68,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
62270,,"Spinal fluid tap, diagnostic",A,,1.13,3.78,,0.50,,0.06,4.97,1.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62272,,Drain cerebro spinal fluid,A,,1.35,4.85,,0.65,,0.13,6.33,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62273,,Treat epidural spine lesion,A,,2.15,2.79,,0.58,,0.14,5.08,2.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62280,,Treat spinal cord lesion,A,,2.63,9.34,,0.82,,0.17,12.14,3.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
62281,,Treat spinal cord lesion,A,,2.66,7.92,,0.72,,0.16,10.74,3.54,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
62282,,Treat spinal canal lesion,A,,2.33,11.43,,0.73,,0.14,13.90,3.20,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
62284,,Injection for myelogram,A,,1.54,5.07,,0.61,,0.10,6.71,2.25,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
62287,,Percutaneous diskectomy,A,,8.08,5.04,NA,5.04,,0.66,13.78,13.78,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
62290,,Inject for spine disk x-ray,A,,3.00,8.54,,1.29,,0.20,11.74,4.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62291,,Inject for spine disk x-ray,A,,2.91,7.28,,1.15,,0.17,10.36,4.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62292,,Injection into disk lesion,A,,7.86,5.04,NA,5.04,,0.65,13.55,13.55,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
62294,,Injection into spinal artery,A,,11.83,6.68,NA,6.68,,0.85,19.36,19.36,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
62310,,Inject spine c/t,A,,1.91,4.91,,0.51,,0.11,6.93,2.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62311,,Inject spine l/s (cd),A,,1.54,5.02,,0.45,,0.09,6.65,2.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62318,,"Inject spine w/cath, c/t",A,,2.04,5.53,,0.52,,0.12,7.69,2.68,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62319,,Inject spine w/cath l/s (cd),A,,1.87,4.90,,0.48,,0.11,6.88,2.46,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
62350,,Implant spinal canal cath,A,,6.87,3.64,NA,3.64,,0.64,11.15,11.15,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
62351,,Implant spinal canal cath,A,,10.00,6.72,NA,6.72,,1.79,18.51,18.51,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
62355,,Remove spinal canal catheter,A,,5.45,2.82,NA,2.82,,0.47,8.74,8.74,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
62360,,Insert spine infusion device,A,,2.62,2.28,NA,2.28,,0.21,5.11,5.11,0,090,0.11,0.76,0.13,2,0,0,1,0,,36.7856,09
62361,,Implant spine infusion pump,A,,5.42,3.50,NA,3.50,,0.50,9.42,9.42,0,090,0.11,0.76,0.13,2,0,0,1,0,,36.7856,09
62362,,Implant spine infusion pump,A,,7.04,4.06,NA,4.06,,0.86,11.96,11.96,0,090,0.11,0.76,0.13,2,0,0,1,0,,36.7856,09
62365,,Remove spine infusion device,A,,5.42,4.09,NA,4.09,,0.58,10.09,10.09,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
62367,,Analyze spine infusion pump,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
62367,TC,Analyze spine infusion pump,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
62367,26,Analyze spine infusion pump,A,,0.48,0.13,,0.13,,0.03,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
62368,,Analyze spine infusion pump,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
62368,TC,Analyze spine infusion pump,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
62368,26,Analyze spine infusion pump,A,,0.75,0.19,,0.19,,0.05,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
63001,,Removal of spinal lamina,A,,15.82,9.93,NA,9.93,,3.03,28.78,28.78,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63003,,Removal of spinal lamina,A,,15.95,10.28,NA,10.28,,2.98,29.21,29.21,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63005,,Removal of spinal lamina,A,,14.92,10.31,NA,10.31,,2.62,27.85,27.85,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63011,,Removal of spinal lamina,A,,14.52,8.60,NA,8.60,,1.43,24.55,24.55,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63012,,Removal of spinal lamina,A,,15.40,10.45,NA,10.45,,2.71,28.56,28.56,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63015,,Removal of spinal lamina,A,,19.35,12.36,NA,12.36,,3.84,35.55,35.55,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63016,,Removal of spinal lamina,A,,19.20,12.22,NA,12.22,,3.62,35.04,35.04,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63017,,Removal of spinal lamina,A,,15.94,10.77,NA,10.77,,2.91,29.62,29.62,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63020,,Neck spine disk surgery,A,,14.81,10.08,NA,10.08,,2.89,27.78,27.78,0,090,0.11,0.76,0.13,2,1,2,2,0,,36.7856,09
63030,,Low back disk surgery,A,,12.00,8.75,NA,8.75,,2.21,22.96,22.96,0,090,0.11,0.76,0.13,2,1,2,2,0,,36.7856,09
63035,,Spinal disk surgery add-on,A,,3.15,1.63,NA,1.63,,0.57,5.35,5.35,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,36.7856,09
63040,,"Laminotomy, single cervical",A,,18.81,11.91,NA,11.91,,3.36,34.08,34.08,0,090,0.11,0.76,0.13,2,1,2,2,0,,36.7856,09
63042,,"Laminotomy, single lumbar",A,,17.47,11.71,NA,11.71,,3.11,32.29,32.29,0,090,0.11,0.76,0.13,2,1,2,2,0,,36.7856,09
63043,,"Laminotomy, addl cervical",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,36.7856,09
63044,,"Laminotomy, addl lumbar",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,36.7856,09
63045,,Removal of spinal lamina,A,,16.50,10.76,NA,10.76,,3.19,30.45,30.45,0,090,0.11,0.76,0.13,2,2,2,2,0,,36.7856,09
63046,,Removal of spinal lamina,A,,15.80,10.54,NA,10.54,,2.89,29.23,29.23,0,090,0.11,0.76,0.13,2,2,2,2,0,,36.7856,09
63047,,Removal of spinal lamina,A,,14.61,10.23,NA,10.23,,2.61,27.45,27.45,0,090,0.11,0.76,0.13,2,2,2,2,0,,36.7856,09
63048,,Remove spinal lamina add-on,A,,3.26,1.71,NA,1.71,,0.58,5.55,5.55,0,ZZZ,0.00,0.00,0.00,0,2,2,2,0,,36.7856,09
63055,,Decompress spinal cord,A,,21.99,13.60,NA,13.60,,4.09,39.68,39.68,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63056,,Decompress spinal cord,A,,20.36,12.98,NA,12.98,,3.34,36.68,36.68,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63057,,Decompress spine cord add-on,A,,5.26,2.71,NA,2.71,,0.81,8.78,8.78,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
63064,,Decompress spinal cord,A,,24.61,14.93,NA,14.93,,4.72,44.26,44.26,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63066,,Decompress spine cord add-on,A,,3.26,1.71,NA,1.71,,0.63,5.60,5.60,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
63075,,Neck spine disk surgery,A,,19.41,12.53,NA,12.53,,3.73,35.67,35.67,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63076,,Neck spine disk surgery,A,,4.05,2.11,NA,2.11,,0.78,6.94,6.94,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
63077,,"Spine disk surgery, thorax",A,,21.44,13.08,NA,13.08,,3.44,37.96,37.96,0,090,0.11,0.76,0.13,2,0,2,2,0,,36.7856,09
63078,,"Spine disk surgery, thorax",A,,3.28,1.67,NA,1.67,,0.50,5.45,5.45,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,36.7856,09
63081,,Removal of vertebral body,A,,23.73,14.80,NA,14.80,,4.46,42.99,42.99,0,090,0.11,0.76,0.13,2,0,2,1,2,,36.7856,09
63082,,Remove vertebral body add-on,A,,4.37,2.29,NA,2.29,,0.82,7.48,7.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,36.7856,09
63085,,Removal of vertebral body,A,,26.92,15.83,NA,15.83,,4.70,47.45,47.45,0,090,0.11,0.76,0.13,2,0,2,2,2,,36.7856,09
63086,,Remove vertebral body add-on,A,,3.19,1.63,NA,1.63,,0.55,5.37,5.37,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,36.7856,09
63087,,Removal of vertebral body,A,,35.57,19.93,NA,19.93,,5.87,61.37,61.37,0,090,0.11,0.76,0.13,2,0,2,2,2,,36.7856,09
63088,,Remove vertebral body add-on,A,,4.33,2.23,NA,2.23,,0.77,7.33,7.33,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,36.7856,09
63090,,Removal of vertebral body,A,,28.16,16.40,NA,16.40,,4.27,48.83,48.83,0,090,0.11,0.76,0.13,2,0,2,2,2,,36.7856,09
63091,,Remove vertebral body add-on,A,,3.03,1.49,NA,1.49,,0.45,4.97,4.97,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,36.7856,09
63170,,Incise spinal cord tract(s),A,,19.83,13.69,NA,13.69,,3.89,37.41,37.41,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63172,,Drainage of spinal cyst,A,,17.66,13.21,NA,13.21,,3.46,34.33,34.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63173,,Drainage of spinal cyst,A,,21.99,15.22,NA,15.22,,4.14,41.35,41.35,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63180,,Revise spinal cord ligaments,A,,18.27,13.27,NA,13.27,,3.83,35.37,35.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63182,,Revise spinal cord ligaments,A,,20.50,12.93,NA,12.93,,3.48,36.91,36.91,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63185,,Incise spinal column/nerves,A,,15.04,9.82,NA,9.82,,2.08,26.94,26.94,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63190,,Incise spinal column/nerves,A,,17.45,11.92,NA,11.92,,2.88,32.25,32.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63191,,Incise spinal column/nerves,A,,17.54,12.31,NA,12.31,,3.50,33.35,33.35,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
63194,,Incise spinal column & cord,A,,19.19,13.35,NA,13.35,,4.01,36.55,36.55,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63195,,Incise spinal column & cord,A,,18.84,12.97,NA,12.97,,3.44,35.25,35.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63196,,Incise spinal column & cord,A,,22.30,13.65,NA,13.65,,4.66,40.61,40.61,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63197,,Incise spinal column & cord,A,,21.11,13.85,NA,13.85,,4.42,39.38,39.38,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63198,,Incise spinal column & cord,A,,25.38,10.80,NA,10.80,,5.31,41.49,41.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63199,,Incise spinal column & cord,A,,26.89,16.29,NA,16.29,,5.62,48.80,48.80,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63200,,Release of spinal cord,A,,19.18,13.10,NA,13.10,,3.61,35.89,35.89,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
63250,,Revise spinal cord vessels,A,,40.76,20.69,NA,20.69,,7.65,69.10,69.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63251,,Revise spinal cord vessels,A,,41.20,23.26,NA,23.26,,7.98,72.44,72.44,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63252,,Revise spinal cord vessels,A,,41.19,22.90,NA,22.90,,7.75,71.84,71.84,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63265,,Excise intraspinal lesion,A,,21.56,13.30,NA,13.30,,4.29,39.15,39.15,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63266,,Excise intraspinal lesion,A,,22.30,13.73,NA,13.73,,4.47,40.50,40.50,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63267,,Excise intraspinal lesion,A,,17.95,11.53,NA,11.53,,3.50,32.98,32.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63268,,Excise intraspinal lesion,A,,18.52,10.86,NA,10.86,,3.18,32.56,32.56,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63270,,Excise intraspinal lesion,A,,26.80,16.10,NA,16.10,,5.41,48.31,48.31,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63271,,Excise intraspinal lesion,A,,26.92,16.20,NA,16.20,,5.56,48.68,48.68,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63272,,Excise intraspinal lesion,A,,25.32,15.27,NA,15.27,,5.07,45.66,45.66,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63273,,Excise intraspinal lesion,A,,24.29,14.89,NA,14.89,,5.08,44.26,44.26,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
63275,,Biopsy/excise spinal tumor,A,,23.68,14.35,NA,14.35,,4.68,42.71,42.71,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63276,,Biopsy/excise spinal tumor,A,,23.45,14.23,NA,14.23,,4.63,42.31,42.31,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63277,,Biopsy/excise spinal tumor,A,,20.83,13.01,NA,13.01,,4.03,37.87,37.87,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63278,,Biopsy/excise spinal tumor,A,,20.56,12.84,NA,12.84,,4.02,37.42,37.42,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63280,,Biopsy/excise spinal tumor,A,,28.35,16.80,NA,16.80,,5.80,50.95,50.95,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63281,,Biopsy/excise spinal tumor,A,,28.05,16.64,NA,16.64,,5.67,50.36,50.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63282,,Biopsy/excise spinal tumor,A,,26.39,15.77,NA,15.77,,5.33,47.49,47.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63283,,Biopsy/excise spinal tumor,A,,25.00,15.09,NA,15.09,,5.12,45.21,45.21,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63285,,Biopsy/excise spinal tumor,A,,36.00,20.53,NA,20.53,,7.31,63.84,63.84,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63286,,Biopsy/excise spinal tumor,A,,35.63,20.47,NA,20.47,,7.07,63.17,63.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63287,,Biopsy/excise spinal tumor,A,,36.70,21.04,NA,21.04,,7.48,65.22,65.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63290,,Biopsy/excise spinal tumor,A,,37.38,21.18,NA,21.18,,7.65,66.21,66.21,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63300,,Removal of vertebral body,A,,24.43,14.84,NA,14.84,,4.78,44.05,44.05,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63301,,Removal of vertebral body,A,,27.60,15.84,NA,15.84,,5.03,48.47,48.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63302,,Removal of vertebral body,A,,27.81,16.16,NA,16.16,,5.25,49.22,49.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63303,,Removal of vertebral body,A,,30.50,17.39,NA,17.39,,5.21,53.10,53.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63304,,Removal of vertebral body,A,,30.33,17.77,NA,17.77,,4.72,52.82,52.82,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
63305,,Removal of vertebral body,A,,32.03,18.30,NA,18.30,,5.39,55.72,55.72,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63306,,Removal of vertebral body,A,,32.22,18.04,NA,18.04,,2.39,52.65,52.65,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63307,,Removal of vertebral body,A,,31.63,17.33,NA,17.33,,4.23,53.19,53.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63308,,Remove vertebral body add-on,A,,5.25,2.67,NA,2.67,,1.01,8.93,8.93,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
63600,,Remove spinal cord lesion,A,,14.02,6.03,NA,6.03,,1.22,21.27,21.27,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
63610,,Stimulation of spinal cord,A,,8.73,3.79,NA,3.79,,0.43,12.95,12.95,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
63615,,Remove lesion of spinal cord,A,,16.28,9.99,NA,9.99,,2.85,29.12,29.12,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
63650,,Implant neuroelectrodes,A,,6.74,2.96,NA,2.96,,0.48,10.18,10.18,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
63655,,Implant neuroelectrodes,A,,10.29,7.23,NA,7.23,,1.85,19.37,19.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63660,,Revise/remove neuroelectrode,A,,6.16,3.74,NA,3.74,,0.65,10.55,10.55,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
63685,,Implant neuroreceiver,A,,7.04,4.28,NA,4.28,,0.96,12.28,12.28,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63688,,Revise/remove neuroreceiver,A,,5.39,3.68,NA,3.68,,0.70,9.77,9.77,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
63700,,Repair of spinal herniation,A,,16.53,10.45,NA,10.45,,2.69,29.67,29.67,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63702,,Repair of spinal herniation,A,,18.48,10.71,NA,10.71,,1.36,30.55,30.55,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63704,,Repair of spinal herniation,A,,21.18,12.61,NA,12.61,,3.84,37.63,37.63,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63706,,Repair of spinal herniation,A,,24.11,13.52,NA,13.52,,4.73,42.36,42.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63707,,Repair spinal fluid leakage,A,,11.26,8.01,NA,8.01,,1.96,21.23,21.23,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63709,,Repair spinal fluid leakage,A,,14.32,9.70,NA,9.70,,2.49,26.51,26.51,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63710,,Graft repair of spine defect,A,,14.07,9.43,NA,9.43,,2.61,26.11,26.11,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63740,,Install spinal shunt,A,,11.36,7.76,NA,7.76,,2.15,21.27,21.27,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63741,,Install spinal shunt,A,,8.25,4.86,NA,4.86,,1.05,14.16,14.16,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63744,,Revision of spinal shunt,A,,8.10,5.58,NA,5.58,,1.51,15.19,15.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
63746,,Removal of spinal shunt,A,,6.43,4.04,NA,4.04,,1.15,11.62,11.62,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64400,,"N block inj, trigeminal",A,,1.11,1.96,,0.36,,0.06,3.13,1.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64402,,"N block inj, facial",A,,1.25,1.57,,0.54,,0.07,2.89,1.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64405,,"N block inj, occipital",A,,1.32,1.70,,0.40,,0.08,3.10,1.80,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64408,,"N block inj, vagus",A,,1.41,2.60,,0.67,,0.09,4.10,2.17,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
64410,,"N block inj, phrenic",A,,1.43,2.48,,0.40,,0.08,3.99,1.91,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
64412,,"N block inj, spinal accessor",A,,1.18,2.62,,0.37,,0.08,3.88,1.63,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64413,,"N block inj, cervical plexus",A,,1.40,1.99,,0.44,,0.09,3.48,1.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64415,,"N block inj, brachial plexus",A,,1.48,3.05,,0.39,,0.08,4.61,1.95,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64416,,"N block cont infuse, b plex",A,,3.50,0.75,NA,0.75,,0.08,4.33,4.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64417,,"N block inj, axillary",A,,1.44,3.25,,0.43,,0.09,4.78,1.96,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64418,,"N block inj, suprascapular",A,,1.32,2.67,,0.37,,0.07,4.06,1.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64420,,"N block inj, intercost, sng",A,,1.18,3.56,,0.35,,0.07,4.81,1.60,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64421,,"N block inj, intercost, mlt",A,,1.68,5.30,,0.46,,0.10,7.08,2.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64425,,N block inj ilio-ing/hypogi,A,,1.75,1.60,,0.48,,0.11,3.46,2.34,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64430,,"N block inj, pudendal",A,,1.46,2.09,,0.50,,0.11,3.66,2.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64435,,"N block inj, paracervical",A,,1.45,2.24,,0.65,,0.15,3.84,2.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64445,,"N block inj, sciatic, sng",A,,1.48,2.78,,0.38,,0.08,4.34,1.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64446,,"N blk inj, sciatic, cont inf",A,,3.25,1.15,NA,1.15,,0.08,4.48,4.48,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64447,,"N block inj fem, single",A,,1.50,0.52,NA,0.52,,0.08,2.10,2.10,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64448,,"N block inj fem, cont inf",A,,3.00,1.04,NA,1.04,,0.08,4.12,4.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64450,,"N block, other peripheral",A,,1.27,1.30,,0.42,,0.08,2.65,1.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64470,,Inj paravertebral c/t,A,,1.85,4.99,,0.57,,0.12,6.96,2.54,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
64472,,Inj paravertebral c/t add-on,A,,1.29,1.99,,0.32,,0.09,3.37,1.70,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64475,,Inj paravertebral l/s,A,,1.41,4.65,,0.48,,0.09,6.15,1.98,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
64476,,Inj paravertebral l/s add-on,A,,0.98,1.86,,0.25,,0.06,2.90,1.29,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64479,,Inj foramen epidural c/t,A,,2.20,7.32,,0.73,,0.14,9.66,3.07,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
64480,,Inj foramen epidural add-on,A,,1.54,2.36,,0.48,,0.09,3.99,2.11,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64483,,Inj foramen epidural l/s,A,,1.90,7.75,,0.67,,0.12,9.77,2.69,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
64484,,Inj foramen epidural add-on,A,,1.33,2.70,,0.38,,0.08,4.11,1.79,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64505,,"N block, spenopalatine gangl",A,,1.36,1.89,,0.49,,0.08,3.33,1.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64508,,"N block, carotid sinus s/p",A,,1.12,4.79,,0.52,,0.06,5.97,1.70,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
64510,,"N block, stellate ganglion",A,,1.22,3.19,,0.38,,0.07,4.48,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64520,,"N block, lumbar/thoracic",A,,1.35,4.54,,0.42,,0.08,5.97,1.85,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64530,,"N block inj, celiac pelus",A,,1.58,5.83,,0.48,,0.09,7.50,2.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64550,,Apply neurostimulator,A,,0.18,0.56,,0.05,,0.01,0.75,0.24,0,000,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
64553,,Implant neuroelectrodes,A,,2.31,1.89,,1.27,,0.17,4.37,3.75,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
64555,,Implant neuroelectrodes,A,,2.27,2.47,,0.64,,0.11,4.85,3.02,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64560,,Implant neuroelectrodes,A,,2.36,2.43,,0.71,,0.17,4.96,3.24,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
64561,,Implant neuroelectrodes,A,,6.74,15.24,,3.78,,0.11,22.09,10.63,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64565,,Implant neuroelectrodes,A,,1.76,3.26,,0.66,,0.08,5.10,2.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64573,,Implant neuroelectrodes,A,,7.50,5.40,NA,5.40,,1.48,14.38,14.38,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64575,,Implant neuroelectrodes,A,,4.35,3.01,NA,3.01,,0.37,7.73,7.73,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64577,,Implant neuroelectrodes,A,,4.62,3.63,NA,3.63,,0.50,8.75,8.75,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64580,,Implant neuroelectrodes,A,,4.12,4.01,NA,4.01,,0.21,8.34,8.34,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64581,,Implant neuroelectrodes,A,,13.50,6.61,NA,6.61,,0.37,20.48,20.48,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64585,,Revise/remove neuroelectrode,A,,2.06,3.38,,2.09,,0.29,5.73,4.44,0,010,0.10,0.80,0.10,2,0,2,0,0,,36.7856,09
64590,,Implant neuroreceiver,A,,2.40,2.24,NA,2.24,,0.40,5.04,5.04,0,010,0.10,0.80,0.10,2,0,2,1,0,,36.7856,09
64595,,Revise/remove neuroreceiver,A,,1.73,1.91,NA,1.91,,0.22,3.86,3.86,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64600,,Injection treatment of nerve,A,,3.45,9.19,,1.50,,0.28,12.92,5.23,0,010,0.10,0.80,0.10,2,2,1,0,0,,36.7856,09
64605,,Injection treatment of nerve,A,,5.61,10.60,,2.01,,0.53,16.74,8.15,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
64610,,Injection treatment of nerve,A,,7.16,3.58,NA,3.58,,1.12,11.86,11.86,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64612,,"Destroy nerve, face muscle",A,,1.96,2.29,,1.03,,0.09,4.34,3.08,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
64613,,"Destroy nerve, spine muscle",A,,1.96,2.96,,0.96,,0.10,5.02,3.02,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64614,,"Destroy nerve, extrem musc",A,,2.20,4.40,,1.04,,0.09,6.69,3.33,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
64620,,Injection treatment of nerve,A,,2.84,6.13,,1.10,,0.17,9.14,4.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64622,,Destr paravertebrl nerve l/s,A,,3.00,8.53,,1.17,,0.17,11.70,4.34,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
64623,,Destr paravertebral n add-on,A,,0.99,2.49,,0.23,,0.06,3.54,1.28,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64626,,Destr paravertebrl nerve c/t,A,,3.28,8.46,,1.84,,0.22,11.96,5.34,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
64627,,Destr paravertebral n add-on,A,,1.16,2.70,,0.27,,0.08,3.94,1.51,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
64630,,Injection treatment of nerve,A,,3.00,4.46,,1.22,,0.16,7.62,4.38,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
64640,,Injection treatment of nerve,A,,2.76,6.72,,1.70,,0.11,9.59,4.57,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64680,,Injection treatment of nerve,A,,2.62,7.28,,1.21,,0.15,10.05,3.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
64702,,Revise finger/toe nerve,A,,4.23,3.99,NA,3.99,,0.51,8.73,8.73,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64704,,Revise hand/foot nerve,A,,4.57,3.22,NA,3.22,,0.59,8.38,8.38,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64708,,Revise arm/leg nerve,A,,6.12,5.12,NA,5.12,,0.82,12.06,12.06,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64712,,Revision of sciatic nerve,A,,7.75,5.27,NA,5.27,,0.54,13.56,13.56,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64713,,Revision of arm nerve(s),A,,11.00,5.80,NA,5.80,,1.01,17.81,17.81,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64714,,Revise low back nerve(s),A,,10.33,4.22,NA,4.22,,0.64,15.19,15.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64716,,Revision of cranial nerve,A,,6.31,4.97,NA,4.97,,0.59,11.87,11.87,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64718,,Revise ulnar nerve at elbow,A,,5.99,5.30,NA,5.30,,0.87,12.16,12.16,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64719,,Revise ulnar nerve at wrist,A,,4.85,4.77,NA,4.77,,0.63,10.25,10.25,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64721,,Carpal tunnel surgery,A,,4.29,5.97,,5.64,,0.59,10.85,10.52,0,090,0.11,0.76,0.13,2,1,1,0,0,,36.7856,09
64722,,Relieve pressure on nerve(s),A,,4.70,3.33,NA,3.33,,0.32,8.35,8.35,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64726,,Release foot/toe nerve,A,,4.18,3.09,NA,3.09,,0.57,7.84,7.84,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64727,,Internal nerve revision,A,,3.10,1.54,NA,1.54,,0.40,5.04,5.04,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
64732,,Incision of brow nerve,A,,4.41,3.64,NA,3.64,,0.77,8.82,8.82,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64734,,Incision of cheek nerve,A,,4.92,3.65,NA,3.65,,0.83,9.40,9.40,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64736,,Incision of chin nerve,A,,4.60,2.95,NA,2.95,,0.71,8.26,8.26,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64738,,Incision of jaw nerve,A,,5.73,3.65,NA,3.65,,0.84,10.22,10.22,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64740,,Incision of tongue nerve,A,,5.59,3.82,NA,3.82,,0.43,9.84,9.84,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64742,,Incision of facial nerve,A,,6.22,4.71,NA,4.71,,0.69,11.62,11.62,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64744,,"Incise nerve, back of head",A,,5.24,4.00,NA,4.00,,0.98,10.22,10.22,0,090,0.11,0.76,0.13,2,1,0,0,0,,36.7856,09
64746,,Incise diaphragm nerve,A,,5.93,4.49,NA,4.49,,0.75,11.17,11.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64752,,Incision of vagus nerve,A,,7.06,4.70,NA,4.70,,0.83,12.59,12.59,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64755,,Incision of stomach nerves,A,,13.52,6.17,NA,6.17,,1.16,20.85,20.85,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64760,,Incision of vagus nerve,A,,6.96,4.02,NA,4.02,,0.51,11.49,11.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64761,,Incision of pelvis nerve,A,,6.41,3.63,NA,3.63,,0.26,10.30,10.30,0,090,0.11,0.76,0.13,2,1,2,0,0,,36.7856,09
64763,,Incise hip/thigh nerve,A,,6.93,6.07,NA,6.07,,0.77,13.77,13.77,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
64766,,Incise hip/thigh nerve,A,,8.67,5.68,NA,5.68,,0.99,15.34,15.34,0,090,0.11,0.76,0.13,2,1,2,0,0,,36.7856,09
64771,,Sever cranial nerve,A,,7.35,5.62,NA,5.62,,1.32,14.29,14.29,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64772,,Incision of spinal nerve,A,,7.21,4.89,NA,4.89,,1.20,13.30,13.30,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64774,,Remove skin nerve lesion,A,,5.17,3.78,NA,3.78,,0.60,9.55,9.55,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64776,,Remove digit nerve lesion,A,,5.12,3.84,NA,3.84,,0.63,9.59,9.59,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64778,,Digit nerve surgery add-on,A,,3.11,1.54,NA,1.54,,0.38,5.03,5.03,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
64782,,Remove limb nerve lesion,A,,6.23,3.72,NA,3.72,,0.79,10.74,10.74,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
64783,,Limb nerve surgery add-on,A,,3.72,1.89,NA,1.89,,0.48,6.09,6.09,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
64784,,Remove nerve lesion,A,,9.82,6.68,NA,6.68,,1.17,17.67,17.67,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64786,,Remove sciatic nerve lesion,A,,15.46,10.13,NA,10.13,,2.22,27.81,27.81,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64787,,Implant nerve end,A,,4.30,2.18,NA,2.18,,0.56,7.04,7.04,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
64788,,Remove skin nerve lesion,A,,4.61,3.48,NA,3.48,,0.54,8.63,8.63,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64790,,Removal of nerve lesion,A,,11.31,7.29,NA,7.29,,1.68,20.28,20.28,0,090,0.11,0.76,0.13,2,0,0,1,0,,36.7856,09
64792,,Removal of nerve lesion,A,,14.92,8.85,NA,8.85,,1.88,25.65,25.65,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64795,,Biopsy of nerve,A,,3.01,1.80,NA,1.80,,0.40,5.21,5.21,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
64802,,Remove sympathetic nerves,A,,9.15,5.43,NA,5.43,,0.87,15.45,15.45,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
64804,,Remove sympathetic nerves,A,,14.64,7.42,NA,7.42,,1.79,23.85,23.85,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
64809,,Remove sympathetic nerves,A,,13.67,6.31,NA,6.31,,0.96,20.94,20.94,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
64818,,Remove sympathetic nerves,A,,10.30,5.77,NA,5.77,,1.08,17.15,17.15,0,090,0.11,0.76,0.13,2,1,2,1,0,,36.7856,09
64820,,Remove sympathetic nerves,A,,10.37,7.44,NA,7.44,,1.17,18.98,18.98,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64821,,Remove sympathestic nerves,A,,8.75,9.23,NA,9.23,,0.99,18.97,18.97,0,090,0.11,0.76,0.13,2,1,1,0,0,,36.7856,09
64822,,Remove sympathetic nerves,A,,8.75,9.23,NA,9.23,,0.99,18.97,18.97,0,090,0.11,0.76,0.13,2,1,1,0,0,,36.7856,09
64823,,Remove sympathetic nerves,A,,10.37,10.03,NA,10.03,,1.17,21.57,21.57,0,090,0.11,0.76,0.13,2,1,1,0,0,,36.7856,09
64831,,Repair of digit nerve,A,,9.44,7.24,NA,7.24,,1.14,17.82,17.82,0,090,0.11,0.76,0.13,2,0,1,0,0,,36.7856,09
64832,,Repair nerve add-on,A,,5.66,3.02,NA,3.02,,0.68,9.36,9.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
64834,,Repair of hand or foot nerve,A,,10.19,7.18,NA,7.18,,1.23,18.60,18.60,0,090,0.11,0.76,0.13,2,0,0,0,0,,36.7856,09
64835,,Repair of hand or foot nerve,A,,10.94,7.86,NA,7.86,,1.36,20.16,20.16,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64836,,Repair of hand or foot nerve,A,,10.94,7.83,NA,7.83,,1.32,20.09,20.09,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64837,,Repair nerve add-on,A,,6.26,3.31,NA,3.31,,0.80,10.37,10.37,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
64840,,Repair of leg nerve,A,,13.02,8.34,NA,8.34,,0.86,22.22,22.22,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64856,,Repair/transpose nerve,A,,13.80,9.40,NA,9.40,,1.71,24.91,24.91,0,090,0.11,0.76,0.13,2,0,1,1,0,,36.7856,09
64857,,Repair arm/leg nerve,A,,14.49,9.87,NA,9.87,,1.76,26.12,26.12,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64858,,Repair sciatic nerve,A,,16.49,10.82,NA,10.82,,2.78,30.09,30.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64859,,Nerve surgery,A,,4.26,2.25,NA,2.25,,0.50,7.01,7.01,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
64861,,Repair of arm nerves,A,,19.24,12.64,NA,12.64,,2.45,34.33,34.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64862,,Repair of low back nerves,A,,19.44,12.26,NA,12.26,,2.47,34.17,34.17,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64864,,Repair of facial nerve,A,,12.55,8.52,NA,8.52,,1.13,22.20,22.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64865,,Repair of facial nerve,A,,15.24,10.09,NA,10.09,,1.37,26.70,26.70,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64866,,Fusion of facial/other nerve,A,,15.74,9.99,NA,9.99,,1.06,26.79,26.79,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64868,,Fusion of facial/other nerve,A,,14.04,9.32,NA,9.32,,1.40,24.76,24.76,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64870,,Fusion of facial/other nerve,A,,15.99,9.09,NA,9.09,,1.08,26.16,26.16,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64872,,Subsequent repair of nerve,A,,1.99,1.08,NA,1.08,,0.24,3.31,3.31,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
64874,,Repair & revise nerve add-on,A,,2.98,1.54,NA,1.54,,0.34,4.86,4.86,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
64876,,Repair nerve/shorten bone,A,,3.38,1.31,NA,1.31,,0.39,5.08,5.08,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
64885,,"Nerve graft, head or neck",A,,17.53,11.16,NA,11.16,,1.51,30.20,30.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64886,,"Nerve graft, head or neck",A,,20.75,13.07,NA,13.07,,1.73,35.55,35.55,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64890,,"Nerve graft, hand or foot",A,,15.15,10.25,NA,10.25,,1.74,27.14,27.14,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64891,,"Nerve graft, hand or foot",A,,16.14,7.75,NA,7.75,,1.38,25.27,25.27,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64892,,"Nerve graft, arm or leg",A,,14.65,9.10,NA,9.10,,1.65,25.40,25.40,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64893,,"Nerve graft, arm or leg",A,,15.60,10.05,NA,10.05,,1.77,27.42,27.42,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64895,,"Nerve graft, hand or foot",A,,19.25,9.82,NA,9.82,,2.04,31.11,31.11,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64896,,"Nerve graft, hand or foot",A,,20.49,11.11,NA,11.11,,1.85,33.45,33.45,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64897,,"Nerve graft, arm or leg",A,,18.24,10.91,NA,10.91,,2.64,31.79,31.79,0,090,0.11,0.76,0.13,2,0,2,0,0,,36.7856,09
64898,,"Nerve graft, arm or leg",A,,19.50,11.88,NA,11.88,,2.71,34.09,34.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64901,,Nerve graft add-on,A,,10.22,5.41,NA,5.41,,0.99,16.62,16.62,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,36.7856,09
64902,,Nerve graft add-on,A,,11.83,6.13,NA,6.13,,1.10,19.06,19.06,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
64905,,Nerve pedicle transfer,A,,14.02,8.94,NA,8.94,,1.52,24.48,24.48,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64907,,Nerve pedicle transfer,A,,18.83,12.38,NA,12.38,,1.79,33.00,33.00,0,090,0.11,0.76,0.13,2,0,2,1,0,,36.7856,09
64999,,Nervous system surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
65091,,Revise eye,A,,6.46,11.28,NA,11.28,,0.26,18.00,18.00,0,090,0.10,0.70,0.20,2,1,0,1,0,,36.7856,09
65093,,Revise eye with implant,A,,6.87,11.50,NA,11.50,,0.28,18.65,18.65,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65101,,Removal of eye,A,,7.03,11.59,NA,11.59,,0.28,18.90,18.90,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65103,,Remove eye/insert implant,A,,7.57,11.74,NA,11.74,,0.30,19.61,19.61,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65105,,Remove eye/attach implant,A,,8.49,12.24,NA,12.24,,0.34,21.07,21.07,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65110,,Removal of eye,A,,13.95,15.29,NA,15.29,,0.68,29.92,29.92,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65112,,Remove eye/revise socket,A,,16.38,17.54,NA,17.54,,0.96,34.88,34.88,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65114,,Remove eye/revise socket,A,,17.53,17.50,NA,17.50,,0.94,35.97,35.97,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65125,,Revise ocular implant,A,,3.12,5.96,,1.45,,0.15,9.23,4.72,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65130,,Insert ocular implant,A,,7.15,11.22,NA,11.22,,0.28,18.65,18.65,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65135,,Insert ocular implant,A,,7.33,11.43,NA,11.43,,0.29,19.05,19.05,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65140,,Attach ocular implant,A,,8.02,11.71,NA,11.71,,0.31,20.04,20.04,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65150,,Revise ocular implant,A,,6.26,10.75,NA,10.75,,0.25,17.26,17.26,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65155,,Reinsert ocular implant,A,,8.66,12.54,NA,12.54,,0.40,21.60,21.60,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65175,,Removal of ocular implant,A,,6.28,10.82,NA,10.82,,0.26,17.36,17.36,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65205,,Remove foreign body from eye,A,,0.71,0.62,,0.19,,0.03,1.36,0.93,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65210,,Remove foreign body from eye,A,,0.84,0.77,,0.30,,0.03,1.64,1.17,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65220,,Remove foreign body from eye,A,,0.71,3.50,,0.18,,0.05,4.26,0.94,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65222,,Remove foreign body from eye,A,,0.93,0.78,,0.28,,0.04,1.75,1.25,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65235,,Remove foreign body from eye,A,,7.57,6.84,NA,6.84,,0.30,14.71,14.71,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65260,,Remove foreign body from eye,A,,10.96,12.38,NA,12.38,,0.43,23.77,23.77,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
65265,,Remove foreign body from eye,A,,12.59,13.88,NA,13.88,,0.50,26.97,26.97,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65270,,Repair of eye wound,A,,1.90,3.97,,2.31,,0.08,5.95,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
65272,,Repair of eye wound,A,,3.82,5.59,,4.64,,0.16,9.57,8.62,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65273,,Repair of eye wound,A,,4.36,4.98,NA,4.98,,0.17,9.51,9.51,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65275,,Repair of eye wound,A,,5.34,5.56,,5.08,,0.27,11.17,10.69,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65280,,Repair of eye wound,A,,7.66,7.64,NA,7.64,,0.30,15.60,15.60,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65285,,Repair of eye wound,A,,12.90,13.46,NA,13.46,,0.51,26.87,26.87,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
65286,,Repair of eye wound,A,,5.51,8.82,,7.61,,0.21,14.54,13.33,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65290,,Repair of eye socket wound,A,,5.41,6.27,NA,6.27,,0.26,11.94,11.94,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65400,,Removal of eye lesion,A,,6.06,8.38,,6.91,,0.24,14.68,13.21,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65410,,Biopsy of cornea,A,,1.47,1.71,,0.67,,0.06,3.24,2.20,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
65420,,Removal of eye lesion,A,,4.17,8.08,,6.97,,0.17,12.42,11.31,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65426,,Removal of eye lesion,A,,5.25,7.80,,6.54,,0.20,13.25,11.99,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65430,,Corneal smear,A,,1.47,8.34,,0.68,,0.06,9.87,2.21,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65435,,Curette/treat cornea,A,,0.92,1.33,,0.40,,0.04,2.29,1.36,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65436,,Curette/treat cornea,A,,4.19,5.81,,4.86,,0.17,10.17,9.22,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65450,,Treatment of corneal lesion,A,,3.27,7.76,,6.57,,0.13,11.16,9.97,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65600,,Revision of cornea,A,,3.40,5.39,,1.43,,0.14,8.93,4.97,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65710,,Corneal transplant,A,,12.35,12.72,NA,12.72,,0.49,25.56,25.56,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65730,,Corneal transplant,A,,14.25,11.77,NA,11.77,,0.56,26.58,26.58,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65750,,Corneal transplant,A,,15.00,14.13,NA,14.13,,0.59,29.72,29.72,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65755,,Corneal transplant,A,,14.89,14.04,NA,14.04,,0.58,29.51,29.51,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
65760,,Revision of cornea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
65765,,Revision of cornea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
65767,,Corneal tissue transplant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
65770,,Revise cornea with implant,A,,17.56,15.06,NA,15.06,,0.69,33.31,33.31,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
65771,,Radial keratotomy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
65772,,Correction of astigmatism,A,,4.29,7.24,,6.24,,0.17,11.70,10.70,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65775,,Correction of astigmatism,A,,5.79,8.38,NA,8.38,,0.22,14.39,14.39,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65800,,Drainage of eye,A,,1.91,2.26,,1.40,,0.08,4.25,3.39,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65805,,Drainage of eye,A,,1.91,2.26,,1.41,,0.08,4.25,3.40,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
65810,,Drainage of eye,A,,4.87,8.65,NA,8.65,,0.19,13.71,13.71,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65815,,Drainage of eye,A,,5.05,9.08,,7.88,,0.20,14.33,13.13,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65820,,Relieve inner eye pressure,A,,8.13,10.64,NA,10.64,,0.32,19.09,19.09,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65850,,Incision of eye,A,,10.52,9.99,NA,9.99,,0.41,20.92,20.92,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65855,,Laser surgery of eye,A,,3.85,5.01,,3.56,,0.17,9.03,7.58,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
65860,,Incise inner eye adhesions,A,,3.55,4.01,,3.07,,0.14,7.70,6.76,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
65865,,Incise inner eye adhesions,A,,5.60,6.69,NA,6.69,,0.22,12.51,12.51,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65870,,Incise inner eye adhesions,A,,6.27,7.02,NA,7.02,,0.24,13.53,13.53,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65875,,Incise inner eye adhesions,A,,6.54,7.12,NA,7.12,,0.25,13.91,13.91,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65880,,Incise inner eye adhesions,A,,7.09,7.38,NA,7.38,,0.28,14.75,14.75,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
65900,,Remove eye lesion,A,,10.93,12.48,NA,12.48,,0.46,23.87,23.87,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
65920,,Remove implant of eye,A,,8.40,7.99,NA,7.99,,0.33,16.72,16.72,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
65930,,Remove blood clot from eye,A,,7.44,8.56,NA,8.56,,0.29,16.29,16.29,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66020,,Injection treatment of eye,A,,1.59,2.36,,1.52,,0.07,4.02,3.18,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
66030,,Injection treatment of eye,A,,1.25,2.20,,1.35,,0.05,3.50,2.65,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
66130,,Remove eye lesion,A,,7.69,7.39,,6.48,,0.31,15.39,14.48,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
66150,,Glaucoma surgery,A,,8.30,10.61,NA,10.61,,0.33,19.24,19.24,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66155,,Glaucoma surgery,A,,8.29,10.58,NA,10.58,,0.32,19.19,19.19,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66160,,Glaucoma surgery,A,,10.17,11.44,NA,11.44,,0.41,22.02,22.02,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66165,,Glaucoma surgery,A,,8.01,10.44,NA,10.44,,0.31,18.76,18.76,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
66170,,Glaucoma surgery,A,,12.16,16.52,NA,16.52,,0.48,29.16,29.16,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
66172,,Incision of eye,A,,15.04,15.12,NA,15.12,,0.59,30.75,30.75,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
66180,,Implant eye shunt,A,,14.55,12.04,NA,12.04,,0.57,27.16,27.16,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
66185,,Revise eye shunt,A,,8.14,8.23,NA,8.23,,0.32,16.69,16.69,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
66220,,Repair eye lesion,A,,7.77,9.93,NA,9.93,,0.32,18.02,18.02,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
66225,,Repair/graft eye lesion,A,,11.05,9.31,NA,9.31,,0.44,20.80,20.80,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
66250,,Follow-up surgery of eye,A,,5.98,7.79,,6.33,,0.23,14.00,12.54,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66500,,Incision of iris,A,,3.71,4.65,NA,4.65,,0.15,8.51,8.51,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66505,,Incision of iris,A,,4.08,4.80,NA,4.80,,0.17,9.05,9.05,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66600,,Remove iris and lesion,A,,8.68,8.62,NA,8.62,,0.34,17.64,17.64,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66605,,Removal of iris,A,,12.79,12.14,NA,12.14,,0.61,25.54,25.54,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66625,,Removal of iris,A,,5.13,7.62,,6.59,,0.20,12.95,11.92,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66630,,Removal of iris,A,,6.16,7.50,NA,7.50,,0.24,13.90,13.90,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66635,,Removal of iris,A,,6.25,6.46,NA,6.46,,0.24,12.95,12.95,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66680,,Repair iris & ciliary body,A,,5.44,6.06,NA,6.06,,0.21,11.71,11.71,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66682,,Repair iris & ciliary body,A,,6.21,7.51,NA,7.51,,0.24,13.96,13.96,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66700,,"Destruction, ciliary body",A,,4.78,5.44,,4.27,,0.19,10.41,9.24,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
66710,,"Destruction, ciliary body",A,,4.78,5.14,,3.81,,0.18,10.10,8.77,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66720,,"Destruction, ciliary body",A,,4.78,5.45,,4.49,,0.19,10.42,9.46,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66740,,"Destruction, ciliary body",A,,4.78,4.84,NA,4.84,,0.18,9.80,9.80,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66761,,Revision of iris,A,,4.07,5.25,,3.98,,0.16,9.48,8.21,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66762,,Revision of iris,A,,4.58,5.33,,3.97,,0.18,10.09,8.73,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66770,,Removal of inner eye lesion,A,,5.18,5.76,,4.48,,0.20,11.14,9.86,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66820,,"Incision, secondary cataract",A,,3.89,8.19,NA,8.19,,0.16,12.24,12.24,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66821,,After cataract laser surgery,A,,2.35,3.83,,3.39,,0.10,6.28,5.84,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66825,,Reposition intraocular lens,A,,8.23,10.19,NA,10.19,,0.32,18.74,18.74,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
66830,,Removal of lens lesion,A,,8.20,6.83,NA,6.83,,0.32,15.35,15.35,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66840,,Removal of lens material,A,,7.91,6.74,NA,6.74,,0.31,14.96,14.96,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66850,,Removal of lens material,A,,9.11,7.26,NA,7.26,,0.36,16.73,16.73,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66852,,Removal of lens material,A,,9.97,7.72,NA,7.72,,0.39,18.08,18.08,0,090,0.10,0.70,0.20,2,1,0,1,0,,36.7856,09
66920,,Extraction of lens,A,,8.86,7.19,NA,7.19,,0.35,16.40,16.40,0,090,0.10,0.70,0.20,2,1,0,1,0,,36.7856,09
66930,,Extraction of lens,A,,10.18,8.68,NA,8.68,,0.41,19.27,19.27,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
66940,,Extraction of lens,A,,8.93,8.12,NA,8.12,,0.35,17.40,17.40,0,090,0.10,0.70,0.20,2,1,0,1,0,,36.7856,09
66982,,"Cataract surgery, complex",A,,13.50,9.09,NA,9.09,,0.56,23.15,23.15,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66983,,"Cataract surg w/iol, 1 stage",A,,8.99,5.88,NA,5.88,,0.37,15.24,15.24,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66984,,"Cataract surg w/iol, 1 stage",A,,10.23,7.65,NA,7.65,,0.41,18.29,18.29,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
66985,,Insert lens prosthesis,A,,8.39,6.82,NA,6.82,,0.33,15.54,15.54,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66986,,Exchange lens prosthesis,A,,12.28,8.57,NA,8.57,,0.49,21.34,21.34,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
66990,,Ophthalmic endoscope add-on,A,,1.51,0.70,NA,0.70,,0.06,2.27,2.27,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
66999,,Eye surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
67005,,Partial removal of eye fluid,A,,5.70,2.65,NA,2.65,,0.22,8.57,8.57,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67010,,Partial removal of eye fluid,A,,6.87,3.20,NA,3.20,,0.27,10.34,10.34,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67015,,Release of eye fluid,A,,6.92,8.12,NA,8.12,,0.27,15.31,15.31,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67025,,Replace eye fluid,A,,6.84,16.76,,7.51,,0.27,23.87,14.62,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67027,,Implant eye drug system,A,,10.85,14.10,,8.71,,0.46,25.41,20.02,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67028,,Injection eye drug,A,,2.52,10.43,,1.16,,0.11,13.06,3.79,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
67030,,Incise inner eye strands,A,,4.84,6.72,NA,6.72,,0.19,11.75,11.75,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67031,,"Laser surgery, eye strands",A,,3.67,4.08,,3.13,,0.15,7.90,6.95,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67036,,Removal of inner eye fluid,A,,11.89,8.99,NA,8.99,,0.47,21.35,21.35,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67038,,Strip retinal membrane,A,,21.24,15.45,NA,15.45,,0.84,37.53,37.53,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67039,,Laser treatment of retina,A,,14.52,12.33,NA,12.33,,0.57,27.42,27.42,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67040,,Laser treatment of retina,A,,17.23,13.59,NA,13.59,,0.68,31.50,31.50,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67101,,Repair detached retina,A,,7.53,10.94,,8.87,,0.29,18.76,16.69,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67105,,Repair detached retina,A,,7.41,7.56,,5.54,,0.29,15.26,13.24,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67107,,Repair detached retina,A,,14.84,13.18,NA,13.18,,0.58,28.60,28.60,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67108,,Repair detached retina,A,,20.82,17.69,NA,17.69,,0.82,39.33,39.33,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67110,,Repair detached retina,A,,8.81,20.18,,10.29,,0.35,29.34,19.45,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67112,,Rerepair detached retina,A,,16.86,15.69,NA,15.69,,0.66,33.21,33.21,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67115,,Release encircling material,A,,4.99,6.81,NA,6.81,,0.19,11.99,11.99,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67120,,Remove eye implant material,A,,5.98,16.07,,7.12,,0.23,22.28,13.33,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67121,,Remove eye implant material,A,,10.67,12.10,NA,12.10,,0.42,23.19,23.19,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67141,,Treatment of retina,A,,5.20,8.03,,6.95,,0.20,13.43,12.35,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67145,,Treatment of retina,A,,5.37,5.27,,4.16,,0.21,10.85,9.74,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67208,,Treatment of retinal lesion,A,,6.70,8.36,,7.13,,0.26,15.32,14.09,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67210,,Treatment of retinal lesion,A,,8.82,7.26,,5.74,,0.35,16.43,14.91,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67218,,Treatment of retinal lesion,A,,18.53,15.79,NA,15.79,,0.53,34.85,34.85,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67220,,Treatment of choroid lesion,A,,13.13,10.81,,9.62,,0.51,24.45,23.26,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67221,,Ocular photodynamic ther,R,,4.01,4.63,,1.88,,0.16,8.80,6.05,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
67225,,Eye photodynamic ther add-on,A,,0.47,0.28,,0.21,,0.01,0.76,0.69,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
67227,,Treatment of retinal lesion,A,,6.58,9.10,,7.15,,0.26,15.94,13.99,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67228,,Treatment of retinal lesion,A,,12.74,9.84,,7.21,,0.50,23.08,20.45,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67250,,Reinforce eye wall,A,,8.66,11.67,NA,11.67,,0.36,20.69,20.69,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67255,,Reinforce/graft eye wall,A,,8.90,11.84,NA,11.84,,0.35,21.09,21.09,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67299,,Eye surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,36.7856,09
67311,,Revise eye muscle,A,,6.65,6.15,NA,6.15,,0.27,13.07,13.07,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67312,,Revise two eye muscles,A,,8.54,7.20,NA,7.20,,0.35,16.09,16.09,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67314,,Revise eye muscle,A,,7.52,6.72,NA,6.72,,0.30,14.54,14.54,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67316,,Revise two eye muscles,A,,9.66,7.70,NA,7.70,,0.40,17.76,17.76,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
67318,,Revise eye muscle(s),A,,7.85,7.11,NA,7.11,,0.31,15.27,15.27,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67320,,Revise eye muscle(s) add-on,A,,4.33,2.01,NA,2.01,,0.17,6.51,6.51,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,36.7856,09
67331,,Eye surgery follow-up add-on,A,,4.06,1.94,NA,1.94,,0.17,6.17,6.17,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,,36.7856,09
67332,,Rerevise eye muscles add-on,A,,4.49,2.08,NA,2.08,,0.18,6.75,6.75,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,36.7856,09
67334,,Revise eye muscle w/suture,A,,3.98,1.84,NA,1.84,,0.16,5.98,5.98,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,,36.7856,09
67335,,Eye suture during surgery,A,,2.49,1.15,NA,1.15,,0.10,3.74,3.74,0,ZZZ,0.00,0.00,0.00,0,1,1,1,0,,36.7856,09
67340,,Revise eye muscle add-on,A,,4.93,2.28,NA,2.28,,0.19,7.40,7.40,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,36.7856,09
67343,,Release eye tissue,A,,7.35,7.00,NA,7.00,,0.30,14.65,14.65,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67345,,Destroy nerve of eye muscle,A,,2.96,4.33,,1.34,,0.13,7.42,4.43,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
67350,,Biopsy eye muscle,A,,2.87,1.93,NA,1.93,,0.13,4.93,4.93,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
67399,,Eye muscle surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,36.7856,09
67400,,Explore/biopsy eye socket,A,,9.76,13.39,NA,13.39,,0.43,23.58,23.58,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67405,,Explore/drain eye socket,A,,7.93,12.30,NA,12.30,,0.36,20.59,20.59,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
67412,,Explore/treat eye socket,A,,9.50,15.45,NA,15.45,,0.41,25.36,25.36,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67413,,Explore/treat eye socket,A,,10.00,13.35,NA,13.35,,0.43,23.78,23.78,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
67414,,Explr/decompress eye socket,A,,11.13,16.37,NA,16.37,,0.48,27.98,27.98,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67415,,"Aspiration, orbital contents",A,,1.76,0.79,NA,0.79,,0.09,2.64,2.64,0,000,0.00,0.00,0.00,2,1,0,0,0,,36.7856,09
67420,,Explore/treat eye socket,A,,20.06,20.10,NA,20.10,,0.84,41.00,41.00,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67430,,Explore/treat eye socket,A,,13.39,17.12,NA,17.12,,0.97,31.48,31.48,0,090,0.10,0.70,0.20,2,1,2,0,0,,36.7856,09
67440,,Explore/drain eye socket,A,,13.09,16.53,NA,16.53,,0.58,30.20,30.20,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67445,,Explr/decompress eye socket,A,,14.42,17.65,NA,17.65,,0.63,32.70,32.70,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67450,,Explore/biopsy eye socket,A,,13.51,16.68,NA,16.68,,0.56,30.75,30.75,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67500,,Inject/treat eye socket,A,,0.79,0.84,,0.19,,0.04,1.67,1.02,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
67505,,Inject/treat eye socket,A,,0.82,0.93,,0.21,,0.04,1.79,1.07,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
67515,,Inject/treat eye socket,A,,0.61,0.84,,0.28,,0.02,1.47,0.91,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
67550,,Insert eye socket implant,A,,10.19,13.19,NA,13.19,,0.50,23.88,23.88,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67560,,Revise eye socket implant,A,,10.60,13.05,NA,13.05,,0.47,24.12,24.12,0,090,0.10,0.70,0.20,2,1,0,0,0,,36.7856,09
67570,,Decompress optic nerve,A,,13.58,17.13,NA,17.13,,0.69,31.40,31.40,0,090,0.10,0.70,0.20,2,1,2,1,0,,36.7856,09
67599,,Orbit surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,36.7856,09
67700,,Drainage of eyelid abscess,A,,1.35,7.46,,0.58,,0.06,8.87,1.99,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
67710,,Incision of eyelid,A,,1.02,7.61,,0.48,,0.04,8.67,1.54,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
67715,,Incision of eyelid fold,A,,1.22,0.57,NA,0.57,,0.05,1.84,1.84,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
67800,,Remove eyelid lesion,A,,1.38,2.58,,0.64,,0.06,4.02,2.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67801,,Remove eyelid lesions,A,,1.88,7.91,,0.88,,0.08,9.87,2.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67805,,Remove eyelid lesions,A,,2.22,8.08,,1.03,,0.09,10.39,3.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67808,,Remove eyelid lesion(s),A,,3.80,4.16,NA,4.16,,0.17,8.13,8.13,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67810,,Biopsy of eyelid,A,,1.48,5.52,,0.70,,0.06,7.06,2.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
67820,,Revise eyelashes,A,,0.89,1.14,,0.38,,0.04,2.07,1.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
67825,,Revise eyelashes,A,,1.38,1.62,,1.03,,0.06,3.06,2.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67830,,Revise eyelashes,A,,1.70,11.06,,2.11,,0.07,12.83,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67835,,Revise eyelashes,A,,5.56,4.65,NA,4.65,,0.22,10.43,10.43,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
67840,,Remove eyelid lesion,A,,2.04,7.87,,0.96,,0.08,9.99,3.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67850,,Treat eyelid lesion,A,,1.69,9.04,,2.06,,0.07,10.80,3.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67875,,Closure of eyelid by suture,A,,1.35,11.20,,2.08,,0.06,12.61,3.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
67880,,Revision of eyelid,A,,3.80,12.26,,3.13,,0.16,16.22,7.09,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67882,,Revision of eyelid,A,,5.07,14.08,,4.62,,0.21,19.36,9.90,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67900,,Repair brow defect,A,,6.14,10.96,,6.46,,0.30,17.40,12.90,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67901,,Repair eyelid defect,A,,6.97,6.80,NA,6.80,,0.32,14.09,14.09,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67902,,Repair eyelid defect,A,,7.03,6.88,NA,6.88,,0.34,14.25,14.25,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67903,,Repair eyelid defect,A,,6.37,12.11,,7.18,,0.39,18.87,13.94,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67904,,Repair eyelid defect,A,,6.26,14.38,,8.10,,0.26,20.90,14.62,0,090,0.10,0.70,0.20,2,1,1,1,0,,36.7856,09
67906,,Repair eyelid defect,A,,6.79,9.57,,6.37,,0.42,16.78,13.58,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67908,,Repair eyelid defect,A,,5.13,9.32,,6.10,,0.20,14.65,11.43,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67909,,Revise eyelid defect,A,,5.40,9.94,,6.58,,0.25,15.59,12.23,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67911,,Revise eyelid defect,A,,5.27,6.68,NA,6.68,,0.23,12.18,12.18,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67914,,Repair eyelid defect,A,,3.68,12.71,,3.56,,0.16,16.55,7.40,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67915,,Repair eyelid defect,A,,3.18,11.26,,1.48,,0.13,14.57,4.79,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67916,,Repair eyelid defect,A,,5.31,15.80,,5.33,,0.22,21.33,10.86,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67917,,Repair eyelid defect,A,,6.02,10.26,,6.60,,0.25,16.53,12.87,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67921,,Repair eyelid defect,A,,3.40,12.44,,3.35,,0.14,15.98,6.89,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67922,,Repair eyelid defect,A,,3.06,11.23,,3.16,,0.13,14.42,6.35,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67923,,Repair eyelid defect,A,,5.88,14.92,,5.42,,0.24,21.04,11.54,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67924,,Repair eyelid defect,A,,5.79,9.60,,5.96,,0.23,15.62,11.98,0,090,0.10,0.70,0.20,2,1,1,0,0,,36.7856,09
67930,,Repair eyelid wound,A,,3.61,12.28,,3.05,,0.17,16.06,6.83,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67935,,Repair eyelid wound,A,,6.22,15.02,,5.40,,0.29,21.53,11.91,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67938,,Remove eyelid foreign body,A,,1.33,9.40,,0.51,,0.06,10.79,1.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
67950,,Revision of eyelid,A,,5.82,8.75,,7.27,,0.30,14.87,13.39,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
67961,,Revision of eyelid,A,,5.69,9.12,,5.75,,0.26,15.07,11.70,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
67966,,Revision of eyelid,A,,6.57,8.80,,5.89,,0.33,15.70,12.79,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67971,,Reconstruction of eyelid,A,,9.79,7.53,NA,7.53,,0.42,17.74,17.74,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
67973,,Reconstruction of eyelid,A,,12.87,9.54,NA,9.54,,0.59,23.00,23.00,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
67974,,Reconstruction of eyelid,A,,12.84,9.45,NA,9.45,,0.54,22.83,22.83,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
67975,,Reconstruction of eyelid,A,,9.13,7.20,NA,7.20,,0.38,16.71,16.71,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
67999,,Revision of eyelid,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
68020,,Incise/drain eyelid lining,A,,1.37,7.52,,0.63,,0.06,8.95,2.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68040,,Treatment of eyelid lesions,A,,0.85,7.38,,0.39,,0.03,8.26,1.27,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
68100,,Biopsy of eyelid lining,A,,1.35,7.59,,0.62,,0.06,9.00,2.03,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
68110,,Remove eyelid lining lesion,A,,1.77,8.64,,1.35,,0.07,10.48,3.19,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68115,,Remove eyelid lining lesion,A,,2.36,8.14,,1.09,,0.10,10.60,3.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68130,,Remove eyelid lining lesion,A,,4.93,2.30,NA,2.30,,0.19,7.42,7.42,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68135,,Remove eyelid lining lesion,A,,1.84,7.89,,0.86,,0.07,9.80,2.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68200,,Treat eyelid by injection,A,,0.49,0.74,,0.23,,0.02,1.25,0.74,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
68320,,Revise/graft eyelid lining,A,,5.37,5.56,,5.14,,0.21,11.14,10.72,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
68325,,Revise/graft eyelid lining,A,,7.36,6.16,NA,6.16,,0.30,13.82,13.82,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
68326,,Revise/graft eyelid lining,A,,7.15,6.03,NA,6.03,,0.30,13.48,13.48,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68328,,Revise/graft eyelid lining,A,,8.18,6.79,NA,6.79,,0.40,15.37,15.37,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
68330,,Revise eyelid lining,A,,4.83,7.04,,5.53,,0.19,12.06,10.55,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
68335,,Revise/graft eyelid lining,A,,7.19,5.48,NA,5.48,,0.29,12.96,12.96,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
68340,,Separate eyelid adhesions,A,,4.17,14.49,,4.17,,0.17,18.83,8.51,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
68360,,Revise eyelid lining,A,,4.37,6.58,,5.23,,0.17,11.12,9.77,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68362,,Revise eyelid lining,A,,7.34,7.82,NA,7.82,,0.29,15.45,15.45,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
68399,,Eyelid lining surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
68400,,Incise/drain tear gland,A,,1.69,11.17,,2.13,,0.07,12.93,3.89,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68420,,Incise/drain tear sac,A,,2.30,11.50,,2.44,,0.10,13.90,4.84,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68440,,Incise tear duct opening,A,,0.94,7.52,,0.44,,0.04,8.50,1.42,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68500,,Removal of tear gland,A,,11.02,9.59,NA,9.59,,0.60,21.21,21.21,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68505,,"Partial removal, tear gland",A,,10.94,10.69,NA,10.69,,0.57,22.20,22.20,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68510,,Biopsy of tear gland,A,,4.61,12.31,,2.15,,0.19,17.11,6.95,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
68520,,Removal of tear sac,A,,7.51,7.17,NA,7.17,,0.33,15.01,15.01,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
68525,,Biopsy of tear sac,A,,4.43,2.07,NA,2.07,,0.18,6.68,6.68,0,000,0.00,0.00,0.00,2,0,1,1,0,,36.7856,09
68530,,Clearance of tear duct,A,,3.66,13.81,,3.00,,0.16,17.63,6.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68540,,Remove tear gland lesion,A,,10.60,9.17,NA,9.17,,0.46,20.23,20.23,0,090,0.10,0.70,0.20,2,0,1,1,0,,36.7856,09
68550,,Remove tear gland lesion,A,,13.26,11.19,NA,11.19,,0.66,25.11,25.11,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68700,,Repair tear ducts,A,,6.60,6.64,NA,6.64,,0.27,13.51,13.51,0,090,0.10,0.70,0.20,2,0,1,0,0,,36.7856,09
68705,,Revise tear duct opening,A,,2.06,8.07,,0.97,,0.08,10.21,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68720,,Create tear sac drain,A,,8.96,7.78,NA,7.78,,0.38,17.12,17.12,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
68745,,Create tear duct drain,A,,8.63,7.66,NA,7.66,,0.38,16.67,16.67,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
68750,,Create tear duct drain,A,,8.66,8.17,NA,8.17,,0.37,17.20,17.20,0,090,0.10,0.70,0.20,2,0,2,1,0,,36.7856,09
68760,,Close tear duct opening,A,,1.73,6.49,,1.19,,0.07,8.29,2.99,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
68761,,Close tear duct opening,A,,1.36,3.00,,0.95,,0.06,4.42,2.37,0,010,0.10,0.80,0.10,2,1,0,0,0,,36.7856,09
68770,,Close tear system fistula,A,,7.02,16.24,,5.98,,0.28,23.54,13.28,0,090,0.10,0.70,0.20,2,0,0,0,0,,36.7856,09
68801,,Dilate tear duct opening,A,,0.94,0.85,,0.56,,0.04,1.83,1.54,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
68810,,Probe nasolacrimal duct,A,,1.90,2.40,,0.88,,0.08,4.38,2.86,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
68811,,Probe nasolacrimal duct,A,,2.35,2.39,NA,2.39,,0.10,4.84,4.84,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
68815,,Probe nasolacrimal duct,A,,3.20,12.25,,2.83,,0.14,15.59,6.17,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
68840,,Explore/irrigate tear ducts,A,,1.25,1.56,,0.93,,0.05,2.86,2.23,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
68850,,Injection for tear sac x-ray,A,,0.80,14.94,,0.31,,0.03,15.77,1.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
68899,,Tear duct system surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
69000,,Drain external ear lesion,A,,1.45,2.10,,0.55,,0.10,3.65,2.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69005,,Drain external ear lesion,A,,2.11,2.53,,2.01,,0.16,4.80,4.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69020,,Drain outer ear canal lesion,A,,1.48,2.22,,0.71,,0.11,3.81,2.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69090,,Pierce earlobes,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
69100,,Biopsy of external ear,A,,0.81,1.59,,0.41,,0.04,2.44,1.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
69105,,Biopsy of external ear canal,A,,0.85,1.51,,1.02,,0.06,2.42,1.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
69110,,"Remove external ear, partial",A,,3.44,3.53,,2.78,,0.24,7.21,6.46,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69120,,Removal of external ear,A,,4.05,4.45,NA,4.45,,0.31,8.81,8.81,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69140,,Remove ear canal lesion(s),A,,7.97,8.07,NA,8.07,,0.56,16.60,16.60,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69145,,Remove ear canal lesion(s),A,,2.62,3.37,,2.52,,0.18,6.17,5.32,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69150,,Extensive ear canal surgery,A,,13.43,11.17,NA,11.17,,1.07,25.67,25.67,0,090,0.07,0.79,0.14,2,0,1,1,0,,36.7856,09
69155,,Extensive ear/neck surgery,A,,20.80,15.26,NA,15.26,,1.51,37.57,37.57,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69200,,Clear outer ear canal,A,,0.77,1.44,,0.76,,0.05,2.26,1.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
69205,,Clear outer ear canal,A,,1.20,1.56,NA,1.56,,0.09,2.85,2.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69210,,Remove impacted ear wax,A,,0.61,0.58,,0.24,,0.04,1.23,0.89,0,000,0.00,0.00,0.00,2,2,1,0,0,,36.7856,09
69220,,Clean out mastoid cavity,A,,0.83,1.52,,0.43,,0.06,2.41,1.32,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
69222,,Clean out mastoid cavity,A,,1.40,2.23,,1.70,,0.10,3.73,3.20,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
69300,,Revise external ear,R,,6.36,4.37,NA,4.37,,0.43,11.16,11.16,0,YYY,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
69310,,Rebuild outer ear canal,A,,10.79,9.71,NA,9.71,,0.77,21.27,21.27,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69320,,Rebuild outer ear canal,A,,16.96,13.79,NA,13.79,,1.17,31.92,31.92,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69399,,Outer ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
69400,,Inflate middle ear canal,A,,0.83,1.51,,0.40,,0.06,2.40,1.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
69401,,Inflate middle ear canal,A,,0.63,1.41,,0.35,,0.04,2.08,1.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
69405,,Catheterize middle ear canal,A,,2.63,3.09,,1.46,,0.18,5.90,4.27,0,010,0.10,0.80,0.10,2,0,0,0,0,,36.7856,09
69410,,Inset middle ear (baffle),A,,0.33,1.42,,0.16,,0.02,1.77,0.51,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
69420,,Incision of eardrum,A,,1.33,2.36,,0.71,,0.10,3.79,2.14,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
69421,,Incision of eardrum,A,,1.73,2.58,,1.90,,0.13,4.44,3.76,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
69424,,Remove ventilating tube,A,,0.85,1.69,,0.90,,0.06,2.60,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,,36.7856,09
69433,,Create eardrum opening,A,,1.52,2.31,,0.85,,0.11,3.94,2.48,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
69436,,Create eardrum opening,A,,1.96,2.04,NA,2.04,,0.14,4.14,4.14,0,010,0.10,0.80,0.10,2,1,1,0,0,,36.7856,09
69440,,Exploration of middle ear,A,,7.57,7.30,NA,7.30,,0.53,15.40,15.40,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69450,,Eardrum revision,A,,5.57,6.11,NA,6.11,,0.39,12.07,12.07,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69501,,Mastoidectomy,A,,9.07,8.07,NA,8.07,,0.65,17.79,17.79,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69502,,Mastoidectomy,A,,12.38,10.64,NA,10.64,,0.86,23.88,23.88,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69505,,Remove mastoid structures,A,,12.99,10.89,NA,10.89,,0.92,24.80,24.80,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69511,,Extensive mastoid surgery,A,,13.52,11.23,NA,11.23,,0.96,25.71,25.71,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69530,,Extensive mastoid surgery,A,,19.19,14.75,NA,14.75,,1.32,35.26,35.26,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69535,,Remove part of temporal bone,A,,36.14,24.17,NA,24.17,,2.59,62.90,62.90,0,090,0.07,0.79,0.14,2,0,1,1,0,,36.7856,09
69540,,Remove ear lesion,A,,1.20,2.27,,1.59,,0.09,3.56,2.88,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69550,,Remove ear lesion,A,,10.99,9.75,NA,9.75,,0.80,21.54,21.54,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69552,,Remove ear lesion,A,,19.46,14.32,NA,14.32,,1.36,35.14,35.14,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69554,,Remove ear lesion,A,,33.16,21.82,NA,21.82,,2.32,57.30,57.30,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69601,,Mastoid surgery revision,A,,13.24,11.82,NA,11.82,,0.92,25.98,25.98,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69602,,Mastoid surgery revision,A,,13.58,11.36,NA,11.36,,0.94,25.88,25.88,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69603,,Mastoid surgery revision,A,,14.02,11.55,NA,11.55,,1.00,26.57,26.57,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69604,,Mastoid surgery revision,A,,14.02,11.48,NA,11.48,,0.98,26.48,26.48,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69605,,Mastoid surgery revision,A,,18.49,14.48,NA,14.48,,1.29,34.26,34.26,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69610,,Repair of eardrum,A,,4.43,4.22,,3.40,,0.31,8.96,8.14,0,010,0.10,0.80,0.10,2,0,1,0,0,,36.7856,09
69620,,Repair of eardrum,A,,5.89,6.87,,3.19,,0.40,13.16,9.48,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69631,,Repair eardrum structures,A,,9.86,9.19,NA,9.19,,0.69,19.74,19.74,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69632,,Rebuild eardrum structures,A,,12.75,11.54,NA,11.54,,0.89,25.18,25.18,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69633,,Rebuild eardrum structures,A,,12.10,11.19,NA,11.19,,0.84,24.13,24.13,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69635,,Repair eardrum structures,A,,13.33,10.74,NA,10.74,,0.87,24.94,24.94,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69636,,Rebuild eardrum structures,A,,15.22,13.01,NA,13.01,,1.07,29.30,29.30,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69637,,Rebuild eardrum structures,A,,15.11,12.92,NA,12.92,,1.06,29.09,29.09,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69641,,Revise middle ear & mastoid,A,,12.71,10.87,NA,10.87,,0.89,24.47,24.47,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69642,,Revise middle ear & mastoid,A,,16.84,13.86,NA,13.86,,1.18,31.88,31.88,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69643,,Revise middle ear & mastoid,A,,15.32,13.01,NA,13.01,,1.08,29.41,29.41,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69644,,Revise middle ear & mastoid,A,,16.97,13.94,NA,13.94,,1.19,32.10,32.10,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69645,,Revise middle ear & mastoid,A,,16.38,13.57,NA,13.57,,1.16,31.11,31.11,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69646,,Revise middle ear & mastoid,A,,17.99,14.53,NA,14.53,,1.26,33.78,33.78,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69650,,Release middle ear bone,A,,9.66,8.43,NA,8.43,,0.68,18.77,18.77,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69660,,Revise middle ear bone,A,,11.90,9.65,NA,9.65,,0.84,22.39,22.39,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69661,,Revise middle ear bone,A,,15.74,12.44,NA,12.44,,1.10,29.28,29.28,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69662,,Revise middle ear bone,A,,15.44,12.31,NA,12.31,,1.08,28.83,28.83,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69666,,Repair middle ear structures,A,,9.75,8.51,NA,8.51,,0.68,18.94,18.94,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69667,,Repair middle ear structures,A,,9.76,8.49,NA,8.49,,0.72,18.97,18.97,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69670,,Remove mastoid air cells,A,,11.51,10.11,NA,10.11,,0.78,22.40,22.40,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69676,,Remove middle ear nerve,A,,9.52,9.03,NA,9.03,,0.69,19.24,19.24,0,090,0.07,0.79,0.14,2,1,1,0,0,,36.7856,09
69700,,Close mastoid fistula,A,,8.23,5.53,NA,5.53,,0.55,14.31,14.31,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
69711,,Remove/repair hearing aid,A,,10.44,9.35,NA,9.35,,0.62,20.41,20.41,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69714,,Implant temple bone w/stimul,A,,14.00,11.17,NA,11.17,,1.01,26.18,26.18,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69715,,Temple bne implnt w/stimulat,A,,18.25,13.73,NA,13.73,,1.32,33.30,33.30,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69717,,Temple bone implant revision,A,,14.98,10.55,NA,10.55,,1.08,26.61,26.61,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69718,,Revise temple bone implant,A,,18.50,13.61,NA,13.61,,1.34,33.45,33.45,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69720,,Release facial nerve,A,,14.38,12.47,NA,12.47,,1.03,27.88,27.88,0,090,0.07,0.79,0.14,2,0,0,1,0,,36.7856,09
69725,,Release facial nerve,A,,25.38,18.04,NA,18.04,,1.78,45.20,45.20,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69740,,Repair facial nerve,A,,15.96,11.27,NA,11.27,,1.13,28.36,28.36,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69745,,Repair facial nerve,A,,16.69,12.77,NA,12.77,,1.00,30.46,30.46,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69799,,Middle ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
69801,,Incise inner ear,A,,8.56,7.84,NA,7.84,,0.60,17.00,17.00,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69802,,Incise inner ear,A,,13.10,11.13,NA,11.13,,0.91,25.14,25.14,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69805,,Explore inner ear,A,,13.82,10.80,NA,10.80,,0.97,25.59,25.59,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69806,,Explore inner ear,A,,12.35,10.68,NA,10.68,,0.86,23.89,23.89,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69820,,Establish inner ear window,A,,10.34,8.97,NA,8.97,,0.66,19.97,19.97,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69840,,Revise inner ear window,A,,10.26,7.64,NA,7.64,,0.64,18.54,18.54,0,090,0.07,0.79,0.14,2,0,2,0,0,,36.7856,09
69905,,Remove inner ear,A,,11.10,9.73,NA,9.73,,0.77,21.60,21.60,0,090,0.07,0.79,0.14,2,0,1,0,0,,36.7856,09
69910,,Remove inner ear & mastoid,A,,13.63,11.19,NA,11.19,,0.94,25.76,25.76,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69915,,Incise inner ear nerve,A,,21.23,15.65,NA,15.65,,1.54,38.42,38.42,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69930,,Implant cochlear device,A,,16.81,12.70,NA,12.70,,1.19,30.70,30.70,0,090,0.07,0.79,0.14,2,0,0,0,0,,36.7856,09
69949,,Inner ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
69950,,Incise inner ear nerve,A,,25.64,16.46,NA,16.46,,2.90,45.00,45.00,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69955,,Release facial nerve,A,,27.04,18.64,NA,18.64,,1.89,47.57,47.57,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69960,,Release inner ear canal,A,,27.04,18.13,NA,18.13,,2.43,47.60,47.60,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69970,,Remove inner ear lesion,A,,30.04,18.91,NA,18.91,,2.34,51.29,51.29,0,090,0.07,0.79,0.14,2,0,2,1,0,,36.7856,09
69979,,Temporal bone surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,36.7856,09
69990,,Microsurgery add-on,R,,3.47,1.84,NA,1.84,,0.56,5.87,5.87,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,36.7856,09
70010,,Contrast x-ray of brain,A,,1.19,4.72,,4.72,NA,0.24,6.15,6.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70010,TC,Contrast x-ray of brain,A,,0.00,4.31,,4.31,NA,0.18,4.49,4.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70010,26,Contrast x-ray of brain,A,,1.19,0.41,,0.41,,0.06,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70015,,Contrast x-ray of brain,A,,1.19,1.75,,1.75,NA,0.12,3.06,3.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70015,TC,Contrast x-ray of brain,A,,0.00,1.34,,1.34,NA,0.07,1.41,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70015,26,Contrast x-ray of brain,A,,1.19,0.41,,0.41,,0.05,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70030,,X-ray eye for foreign body,A,,0.17,0.48,,0.48,NA,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70030,TC,X-ray eye for foreign body,A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
70030,26,X-ray eye for foreign body,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70100,,X-ray exam of jaw,A,,0.18,0.58,,0.58,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70100,TC,X-ray exam of jaw,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70100,26,X-ray exam of jaw,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70110,,X-ray exam of jaw,A,,0.25,0.70,,0.70,NA,0.04,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70110,TC,X-ray exam of jaw,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70110,26,X-ray exam of jaw,A,,0.25,0.08,,0.08,,0.01,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70120,,X-ray exam of mastoids,A,,0.18,0.68,,0.68,NA,0.04,0.90,0.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70120,TC,X-ray exam of mastoids,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
70120,26,X-ray exam of mastoids,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70130,,X-ray exam of mastoids,A,,0.34,0.90,,0.90,NA,0.05,1.29,1.29,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70130,TC,X-ray exam of mastoids,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
70130,26,X-ray exam of mastoids,A,,0.34,0.12,,0.12,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70134,,X-ray exam of middle ear,A,,0.34,0.86,,0.86,NA,0.05,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70134,TC,X-ray exam of middle ear,A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70134,26,X-ray exam of middle ear,A,,0.34,0.12,,0.12,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70140,,X-ray exam of facial bones,A,,0.19,0.68,,0.68,NA,0.04,0.91,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70140,TC,X-ray exam of facial bones,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70140,26,X-ray exam of facial bones,A,,0.19,0.06,,0.06,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70150,,X-ray exam of facial bones,A,,0.26,0.87,,0.87,NA,0.05,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70150,TC,X-ray exam of facial bones,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70150,26,X-ray exam of facial bones,A,,0.26,0.09,,0.09,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70160,,X-ray exam of nasal bones,A,,0.17,0.58,,0.58,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70160,TC,X-ray exam of nasal bones,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70160,26,X-ray exam of nasal bones,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70170,,X-ray exam of tear duct,A,,0.30,1.05,,1.05,NA,0.06,1.41,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70170,TC,X-ray exam of tear duct,A,,0.00,0.95,,0.95,NA,0.05,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70170,26,X-ray exam of tear duct,A,,0.30,0.10,,0.10,,0.01,0.41,0.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70190,,X-ray exam of eye sockets,A,,0.21,0.69,,0.69,NA,0.04,0.94,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70190,TC,X-ray exam of eye sockets,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
70190,26,X-ray exam of eye sockets,A,,0.21,0.07,,0.07,,0.01,0.29,0.29,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70200,,X-ray exam of eye sockets,A,,0.28,0.88,,0.88,NA,0.05,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70200,TC,X-ray exam of eye sockets,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70200,26,X-ray exam of eye sockets,A,,0.28,0.10,,0.10,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70210,,X-ray exam of sinuses,A,,0.17,0.68,,0.68,NA,0.04,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70210,TC,X-ray exam of sinuses,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70210,26,X-ray exam of sinuses,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70220,,X-ray exam of sinuses,A,,0.25,0.87,,0.87,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70220,TC,X-ray exam of sinuses,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70220,26,X-ray exam of sinuses,A,,0.25,0.09,,0.09,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70240,,"X-ray exam, pituitary saddle",A,,0.19,0.48,,0.48,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70240,TC,"X-ray exam, pituitary saddle",A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70240,26,"X-ray exam, pituitary saddle",A,,0.19,0.06,,0.06,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70250,,X-ray exam of skull,A,,0.24,0.70,,0.70,NA,0.04,0.98,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70250,TC,X-ray exam of skull,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70250,26,X-ray exam of skull,A,,0.24,0.08,,0.08,,0.01,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70260,,X-ray exam of skull,A,,0.34,1.01,,1.01,NA,0.06,1.41,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70260,TC,X-ray exam of skull,A,,0.00,0.89,,0.89,NA,0.05,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70260,26,X-ray exam of skull,A,,0.34,0.12,,0.12,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70300,,X-ray exam of teeth,A,,0.10,0.30,,0.30,NA,0.03,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70300,TC,X-ray exam of teeth,A,,0.00,0.26,,0.26,NA,0.02,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70300,26,X-ray exam of teeth,A,,0.10,0.04,,0.04,,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70310,,X-ray exam of teeth,A,,0.16,0.48,,0.48,NA,0.03,0.67,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70310,TC,X-ray exam of teeth,A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70310,26,X-ray exam of teeth,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70320,,Full mouth x-ray of teeth,A,,0.22,0.86,,0.86,NA,0.05,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70320,TC,Full mouth x-ray of teeth,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70320,26,Full mouth x-ray of teeth,A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70328,,X-ray exam of jaw joint,A,,0.18,0.55,,0.55,NA,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70328,TC,X-ray exam of jaw joint,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70328,26,X-ray exam of jaw joint,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70330,,X-ray exam of jaw joints,A,,0.24,0.92,,0.92,NA,0.05,1.21,1.21,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
70330,TC,X-ray exam of jaw joints,A,,0.00,0.84,,0.84,NA,0.04,0.88,0.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
70330,26,X-ray exam of jaw joints,A,,0.24,0.08,,0.08,,0.01,0.33,0.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
70332,,X-ray exam of jaw joint,A,,0.54,2.28,,2.28,NA,0.12,2.94,2.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70332,TC,X-ray exam of jaw joint,A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
70332,26,X-ray exam of jaw joint,A,,0.54,0.19,,0.19,,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70336,,"Magnetic image, jaw joint",A,,1.48,11.67,,11.67,NA,0.56,13.71,13.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70336,TC,"Magnetic image, jaw joint",A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
70336,26,"Magnetic image, jaw joint",A,,1.48,0.51,,0.51,,0.07,2.06,2.06,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
70350,,X-ray head for orthodontia,A,,0.17,0.44,,0.44,NA,0.03,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70350,TC,X-ray head for orthodontia,A,,0.00,0.38,,0.38,NA,0.02,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70350,26,X-ray head for orthodontia,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70355,,Panoramic x-ray of jaws,A,,0.20,0.64,,0.64,NA,0.04,0.88,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70355,TC,Panoramic x-ray of jaws,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70355,26,Panoramic x-ray of jaws,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70360,,X-ray exam of neck,A,,0.17,0.48,,0.48,NA,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70360,TC,X-ray exam of neck,A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70360,26,X-ray exam of neck,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70370,,Throat x-ray & fluoroscopy,A,,0.32,1.41,,1.41,NA,0.07,1.80,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70370,TC,Throat x-ray & fluoroscopy,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70370,26,Throat x-ray & fluoroscopy,A,,0.32,0.11,,0.11,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70371,,"Speech evaluation, complex",A,,0.84,2.38,,2.38,NA,0.14,3.36,3.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70371,TC,"Speech evaluation, complex",A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70371,26,"Speech evaluation, complex",A,,0.84,0.29,,0.29,,0.04,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70373,,Contrast x-ray of larynx,A,,0.44,1.92,,1.92,NA,0.11,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70373,TC,Contrast x-ray of larynx,A,,0.00,1.77,,1.77,NA,0.09,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70373,26,Contrast x-ray of larynx,A,,0.44,0.15,,0.15,,0.02,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70380,,X-ray exam of salivary gland,A,,0.17,0.73,,0.73,NA,0.04,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70380,TC,X-ray exam of salivary gland,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70380,26,X-ray exam of salivary gland,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70390,,X-ray exam of salivary duct,A,,0.38,1.90,,1.90,NA,0.11,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70390,TC,X-ray exam of salivary duct,A,,0.00,1.77,,1.77,NA,0.09,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
70390,26,X-ray exam of salivary duct,A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70450,,Ct head/brain w/o dye,A,,0.85,4.99,,4.99,NA,0.25,6.09,6.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70450,TC,Ct head/brain w/o dye,A,,0.00,4.70,,4.70,NA,0.21,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70450,26,Ct head/brain w/o dye,A,,0.85,0.29,,0.29,,0.04,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70460,,Ct head/brain w/dye,A,,1.13,6.02,,6.02,NA,0.30,7.45,7.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70460,TC,Ct head/brain w/dye,A,,0.00,5.63,,5.63,NA,0.25,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70460,26,Ct head/brain w/dye,A,,1.13,0.39,,0.39,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70470,,Ct head/brain w/o&w dye,A,,1.27,7.47,,7.47,NA,0.37,9.11,9.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70470,TC,Ct head/brain w/o&w dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70470,26,Ct head/brain w/o&w dye,A,,1.27,0.43,,0.43,,0.06,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70480,,Ct orbit/ear/fossa w/o dye,A,,1.28,5.14,,5.14,NA,0.27,6.69,6.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70480,TC,Ct orbit/ear/fossa w/o dye,A,,0.00,4.70,,4.70,NA,0.21,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70480,26,Ct orbit/ear/fossa w/o dye,A,,1.28,0.44,,0.44,,0.06,1.78,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70481,,Ct orbit/ear/fossa w/dye,A,,1.38,6.10,,6.10,NA,0.31,7.79,7.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70481,TC,Ct orbit/ear/fossa w/dye,A,,0.00,5.63,,5.63,NA,0.25,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70481,26,Ct orbit/ear/fossa w/dye,A,,1.38,0.47,,0.47,,0.06,1.91,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70482,,Ct orbit/ear/fossa w/o&w dye,A,,1.45,7.53,,7.53,NA,0.37,9.35,9.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70482,TC,Ct orbit/ear/fossa w/o&w dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70482,26,Ct orbit/ear/fossa w/o&w dye,A,,1.45,0.49,,0.49,,0.06,2.00,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70486,,Ct maxillofacial w/o dye,A,,1.14,5.09,,5.09,NA,0.26,6.49,6.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70486,TC,Ct maxillofacial w/o dye,A,,0.00,4.70,,4.70,NA,0.21,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70486,26,Ct maxillofacial w/o dye,A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70487,,Ct maxillofacial w/dye,A,,1.30,6.07,,6.07,NA,0.31,7.68,7.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70487,TC,Ct maxillofacial w/dye,A,,0.00,5.63,,5.63,NA,0.25,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70487,26,Ct maxillofacial w/dye,A,,1.30,0.44,,0.44,,0.06,1.80,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70488,,Ct maxillofacial w/o&w dye,A,,1.42,7.52,,7.52,NA,0.37,9.31,9.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70488,TC,Ct maxillofacial w/o&w dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70488,26,Ct maxillofacial w/o&w dye,A,,1.42,0.48,,0.48,,0.06,1.96,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70490,,Ct soft tissue neck w/o dye,A,,1.28,5.13,,5.13,NA,0.27,6.68,6.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70490,TC,Ct soft tissue neck w/o dye,A,,0.00,4.70,,4.70,NA,0.21,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70490,26,Ct soft tissue neck w/o dye,A,,1.28,0.43,,0.43,,0.06,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70491,,Ct soft tissue neck w/dye,A,,1.38,6.10,,6.10,NA,0.31,7.79,7.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70491,TC,Ct soft tissue neck w/dye,A,,0.00,5.63,,5.63,NA,0.25,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70491,26,Ct soft tissue neck w/dye,A,,1.38,0.47,,0.47,,0.06,1.91,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70492,,Ct sft tsue nck w/o & w/dye,A,,1.45,7.53,,7.53,NA,0.37,9.35,9.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70492,TC,Ct sft tsue nck w/o & w/dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70492,26,Ct sft tsue nck w/o & w/dye,A,,1.45,0.49,,0.49,,0.06,2.00,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70496,,"Ct angiography, head",A,,1.75,11.15,,11.15,NA,0.56,13.46,13.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70496,TC,"Ct angiography, head",A,,0.00,10.56,,10.56,NA,0.48,11.04,11.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70496,26,"Ct angiography, head",A,,1.75,0.59,,0.59,,0.08,2.42,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70498,,"Ct angiography, neck",A,,1.75,11.16,,11.16,NA,0.56,13.47,13.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70498,TC,"Ct angiography, neck",A,,0.00,10.56,,10.56,NA,0.48,11.04,11.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70498,26,"Ct angiography, neck",A,,1.75,0.60,,0.60,,0.08,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70540,,Mri orbit/face/neck w/o dye,A,,1.35,11.62,,11.62,NA,0.36,13.33,13.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70540,TC,Mri orbit/face/neck w/o dye,A,,0.00,11.16,,11.16,NA,0.32,11.48,11.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70540,26,Mri orbit/face/neck w/o dye,A,,1.35,0.46,,0.46,,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70542,,Mri orbit/face/neck w/dye,A,,1.62,13.94,,13.94,NA,0.44,16.00,16.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70542,TC,Mri orbit/face/neck w/dye,A,,0.00,13.38,,13.38,NA,0.39,13.77,13.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70542,26,Mri orbit/face/neck w/dye,A,,1.62,0.56,,0.56,,0.05,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70543,,Mri orbt/fac/nck w/o&w dye,A,,2.15,25.51,,25.51,NA,0.77,28.43,28.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70543,TC,Mri orbt/fac/nck w/o&w dye,A,,0.00,24.78,,24.78,NA,0.70,25.48,25.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70543,26,Mri orbt/fac/nck w/o&w dye,A,,2.15,0.73,,0.73,,0.07,2.95,2.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70544,,Mr angiography head w/o dye,A,,1.20,11.57,,11.57,NA,0.54,13.31,13.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70544,TC,Mr angiography head w/o dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70544,26,Mr angiography head w/o dye,A,,1.20,0.41,,0.41,,0.05,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70545,,Mr angiography head w/dye,A,,1.20,11.57,,11.57,NA,0.54,13.31,13.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70545,TC,Mr angiography head w/dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70545,26,Mr angiography head w/dye,A,,1.20,0.41,,0.41,,0.05,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70546,,Mr angiograph head w/o&w dye,A,,1.80,22.93,,22.93,NA,0.57,25.30,25.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70546,TC,Mr angiograph head w/o&w dye,A,,0.00,22.31,,22.31,NA,0.49,22.80,22.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70546,26,Mr angiograph head w/o&w dye,A,,1.80,0.62,,0.62,,0.08,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70547,,Mr angiography neck w/o dye,A,,1.20,11.57,,11.57,NA,0.54,13.31,13.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70547,TC,Mr angiography neck w/o dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70547,26,Mr angiography neck w/o dye,A,,1.20,0.41,,0.41,,0.05,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70548,,Mr angiography neck w/dye,A,,1.20,11.57,,11.57,NA,0.54,13.31,13.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70548,TC,Mr angiography neck w/dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70548,26,Mr angiography neck w/dye,A,,1.20,0.41,,0.41,,0.05,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70549,,Mr angiograph neck w/o&w dye,A,,1.80,22.93,,22.93,NA,0.57,25.30,25.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70549,TC,Mr angiograph neck w/o&w dye,A,,0.00,22.31,,22.31,NA,0.49,22.80,22.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70549,26,Mr angiograph neck w/o&w dye,A,,1.80,0.62,,0.62,,0.08,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70551,,Mri brain w/o dye,A,,1.48,11.67,,11.67,NA,0.56,13.71,13.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70551,TC,Mri brain w/o dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
70551,26,Mri brain w/o dye,A,,1.48,0.51,,0.51,,0.07,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70552,,Mri brain w/dye,A,,1.78,14.00,,14.00,NA,0.66,16.44,16.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70552,TC,Mri brain w/dye,A,,0.00,13.38,,13.38,NA,0.58,13.96,13.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70552,26,Mri brain w/dye,A,,1.78,0.62,,0.62,,0.08,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70553,,Mri brain w/o&w dye,A,,2.36,25.59,,25.59,NA,1.19,29.14,29.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
70553,TC,Mri brain w/o&w dye,A,,0.00,24.78,,24.78,NA,1.09,25.87,25.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
70553,26,Mri brain w/o&w dye,A,,2.36,0.81,,0.81,,0.10,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71010,,Chest x-ray,A,,0.18,0.53,,0.53,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71010,TC,Chest x-ray,A,,0.00,0.47,,0.47,NA,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71010,26,Chest x-ray,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71015,,Chest x-ray,A,,0.21,0.59,,0.59,NA,0.03,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71015,TC,Chest x-ray,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71015,26,Chest x-ray,A,,0.21,0.07,,0.07,,0.01,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71020,,Chest x-ray,A,,0.22,0.69,,0.69,NA,0.04,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71020,TC,Chest x-ray,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71020,26,Chest x-ray,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71021,,Chest x-ray,A,,0.27,0.83,,0.83,NA,0.05,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71021,TC,Chest x-ray,A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71021,26,Chest x-ray,A,,0.27,0.09,,0.09,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71022,,Chest x-ray,A,,0.31,0.85,,0.85,NA,0.06,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71022,TC,Chest x-ray,A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71022,26,Chest x-ray,A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71023,,Chest x-ray and fluoroscopy,A,,0.38,0.92,,0.92,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71023,TC,Chest x-ray and fluoroscopy,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
71023,26,Chest x-ray and fluoroscopy,A,,0.38,0.14,,0.14,,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71030,,Chest x-ray,A,,0.31,0.88,,0.88,NA,0.05,1.24,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71030,TC,Chest x-ray,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71030,26,Chest x-ray,A,,0.31,0.10,,0.10,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71034,,Chest x-ray and fluoroscopy,A,,0.46,1.60,,1.60,NA,0.09,2.15,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71034,TC,Chest x-ray and fluoroscopy,A,,0.00,1.43,,1.43,NA,0.07,1.50,1.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
71034,26,Chest x-ray and fluoroscopy,A,,0.46,0.17,,0.17,,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71035,,Chest x-ray,A,,0.18,0.58,,0.58,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71035,TC,Chest x-ray,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71035,26,Chest x-ray,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71040,,Contrast x-ray of bronchi,A,,0.58,1.65,,1.65,NA,0.10,2.33,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71040,TC,Contrast x-ray of bronchi,A,,0.00,1.45,,1.45,NA,0.07,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
71040,26,Contrast x-ray of bronchi,A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71060,,Contrast x-ray of bronchi,A,,0.74,2.45,,2.45,NA,0.14,3.33,3.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71060,TC,Contrast x-ray of bronchi,A,,0.00,2.20,,2.20,NA,0.11,2.31,2.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
71060,26,Contrast x-ray of bronchi,A,,0.74,0.25,,0.25,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71090,,X-ray & pacemaker insertion,A,,0.54,1.88,,1.88,NA,0.11,2.53,2.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71090,TC,X-ray & pacemaker insertion,A,,0.00,1.67,,1.67,NA,0.09,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
71090,26,X-ray & pacemaker insertion,A,,0.54,0.21,,0.21,,0.02,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71100,,X-ray exam of ribs,A,,0.22,0.64,,0.64,NA,0.04,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71100,TC,X-ray exam of ribs,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71100,26,X-ray exam of ribs,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71101,,X-ray exam of ribs/chest,A,,0.27,0.76,,0.76,NA,0.04,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71101,TC,X-ray exam of ribs/chest,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71101,26,X-ray exam of ribs/chest,A,,0.27,0.09,,0.09,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71110,,X-ray exam of ribs,A,,0.27,0.87,,0.87,NA,0.05,1.19,1.19,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71110,TC,X-ray exam of ribs,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
71110,26,X-ray exam of ribs,A,,0.27,0.09,,0.09,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71111,,X-ray exam of ribs/ chest,A,,0.32,1.00,,1.00,NA,0.06,1.38,1.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71111,TC,X-ray exam of ribs/ chest,A,,0.00,0.89,,0.89,NA,0.05,0.94,0.94,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
71111,26,X-ray exam of ribs/ chest,A,,0.32,0.11,,0.11,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
71120,,X-ray exam of breastbone,A,,0.20,0.72,,0.72,NA,0.04,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71120,TC,X-ray exam of breastbone,A,,0.00,0.65,,0.65,NA,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71120,26,X-ray exam of breastbone,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71130,,X-ray exam of breastbone,A,,0.22,0.78,,0.78,NA,0.04,1.04,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71130,TC,X-ray exam of breastbone,A,,0.00,0.71,,0.71,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71130,26,X-ray exam of breastbone,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71250,,Ct thorax w/o dye,A,,1.16,6.27,,6.27,NA,0.31,7.74,7.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71250,TC,Ct thorax w/o dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71250,26,Ct thorax w/o dye,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71260,,Ct thorax w/dye,A,,1.24,7.46,,7.46,NA,0.36,9.06,9.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71260,TC,Ct thorax w/dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71260,26,Ct thorax w/dye,A,,1.24,0.42,,0.42,,0.05,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71270,,Ct thorax w/o&w dye,A,,1.38,9.28,,9.28,NA,0.44,11.10,11.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71270,TC,Ct thorax w/o&w dye,A,,0.00,8.81,,8.81,NA,0.38,9.19,9.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71270,26,Ct thorax w/o&w dye,A,,1.38,0.47,,0.47,,0.06,1.91,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71275,,"Ct angiography, chest",A,,1.92,12.98,,12.98,NA,0.38,15.28,15.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71275,TC,"Ct angiography, chest",A,,0.00,12.33,,12.33,NA,0.32,12.65,12.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71275,26,"Ct angiography, chest",A,,1.92,0.65,,0.65,,0.06,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71550,,Mri chest w/o dye,A,,1.46,11.66,,11.66,NA,0.41,13.53,13.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71550,TC,Mri chest w/o dye,A,,0.00,11.16,,11.16,NA,0.37,11.53,11.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
71550,26,Mri chest w/o dye,A,,1.46,0.50,,0.50,,0.04,2.00,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71551,,Mri chest w/dye,A,,1.73,13.97,,13.97,NA,0.49,16.19,16.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71551,TC,Mri chest w/dye,A,,0.00,13.38,,13.38,NA,0.43,13.81,13.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71551,26,Mri chest w/dye,A,,1.73,0.59,,0.59,,0.06,2.38,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71552,,Mri chest w/o&w/dye,A,,2.26,25.55,,25.55,NA,0.64,28.45,28.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71552,TC,Mri chest w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.56,25.34,25.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71552,26,Mri chest w/o&w/dye,A,,2.26,0.77,,0.77,,0.08,3.11,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71555,,Mri angio chest w or w/o dye,R,,1.81,11.78,,11.78,NA,0.57,14.16,14.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
71555,TC,Mri angio chest w or w/o dye,R,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
71555,26,Mri angio chest w or w/o dye,R,,1.81,0.62,,0.62,,0.08,2.51,2.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72010,,X-ray exam of spine,A,,0.45,1.17,,1.17,NA,0.08,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72010,TC,X-ray exam of spine,A,,0.00,1.02,,1.02,NA,0.05,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72010,26,X-ray exam of spine,A,,0.45,0.15,,0.15,,0.03,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72020,,X-ray exam of spine,A,,0.15,0.47,,0.47,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72020,TC,X-ray exam of spine,A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72020,26,X-ray exam of spine,A,,0.15,0.05,,0.05,,0.01,0.21,0.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72040,,X-ray exam of neck spine,A,,0.22,0.67,,0.67,NA,0.04,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72040,TC,X-ray exam of neck spine,A,,0.00,0.60,,0.60,NA,0.03,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72040,26,X-ray exam of neck spine,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72050,,X-ray exam of neck spine,A,,0.31,1.00,,1.00,NA,0.07,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72050,TC,X-ray exam of neck spine,A,,0.00,0.89,,0.89,NA,0.05,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72050,26,X-ray exam of neck spine,A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72052,,X-ray exam of neck spine,A,,0.36,1.24,,1.24,NA,0.07,1.67,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72052,TC,X-ray exam of neck spine,A,,0.00,1.12,,1.12,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72052,26,X-ray exam of neck spine,A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72069,,X-ray exam of trunk spine,A,,0.22,0.57,,0.57,NA,0.04,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72069,TC,X-ray exam of trunk spine,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72069,26,X-ray exam of trunk spine,A,,0.22,0.08,,0.08,,0.02,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72070,,X-ray exam of thoracic spine,A,,0.22,0.72,,0.72,NA,0.04,0.98,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72070,TC,X-ray exam of thoracic spine,A,,0.00,0.65,,0.65,NA,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72070,26,X-ray exam of thoracic spine,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72072,,X-ray exam of thoracic spine,A,,0.22,0.81,,0.81,NA,0.05,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72072,TC,X-ray exam of thoracic spine,A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72072,26,X-ray exam of thoracic spine,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72074,,X-ray exam of thoracic spine,A,,0.22,0.98,,0.98,NA,0.06,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72074,TC,X-ray exam of thoracic spine,A,,0.00,0.91,,0.91,NA,0.05,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72074,26,X-ray exam of thoracic spine,A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72080,,X-ray exam of trunk spine,A,,0.22,0.75,,0.75,NA,0.05,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72080,TC,X-ray exam of trunk spine,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72080,26,X-ray exam of trunk spine,A,,0.22,0.08,,0.08,,0.02,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72090,,X-ray exam of trunk spine,A,,0.28,0.77,,0.77,NA,0.05,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72090,TC,X-ray exam of trunk spine,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72090,26,X-ray exam of trunk spine,A,,0.28,0.10,,0.10,,0.02,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72100,,X-ray exam of lower spine,A,,0.22,0.75,,0.75,NA,0.05,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72100,TC,X-ray exam of lower spine,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72100,26,X-ray exam of lower spine,A,,0.22,0.08,,0.08,,0.02,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72110,,X-ray exam of lower spine,A,,0.31,1.02,,1.02,NA,0.07,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72110,TC,X-ray exam of lower spine,A,,0.00,0.91,,0.91,NA,0.05,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72110,26,X-ray exam of lower spine,A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72114,,X-ray exam of lower spine,A,,0.36,1.30,,1.30,NA,0.08,1.74,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72114,TC,X-ray exam of lower spine,A,,0.00,1.18,,1.18,NA,0.05,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72114,26,X-ray exam of lower spine,A,,0.36,0.12,,0.12,,0.03,0.51,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72120,,X-ray exam of lower spine,A,,0.22,0.97,,0.97,NA,0.07,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72120,TC,X-ray exam of lower spine,A,,0.00,0.89,,0.89,NA,0.05,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72120,26,X-ray exam of lower spine,A,,0.22,0.08,,0.08,,0.02,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72125,,Ct neck spine w/o dye,A,,1.16,6.27,,6.27,NA,0.31,7.74,7.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72125,TC,Ct neck spine w/o dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72125,26,Ct neck spine w/o dye,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72126,,Ct neck spine w/dye,A,,1.22,7.45,,7.45,NA,0.36,9.03,9.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72126,TC,Ct neck spine w/dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72126,26,Ct neck spine w/dye,A,,1.22,0.41,,0.41,,0.05,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72127,,Ct neck spine w/o&w/dye,A,,1.27,9.24,,9.24,NA,0.44,10.95,10.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72127,TC,Ct neck spine w/o&w/dye,A,,0.00,8.81,,8.81,NA,0.38,9.19,9.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72127,26,Ct neck spine w/o&w/dye,A,,1.27,0.43,,0.43,,0.06,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72128,,Ct chest spine w/o dye,A,,1.16,6.27,,6.27,NA,0.31,7.74,7.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72128,TC,Ct chest spine w/o dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72128,26,Ct chest spine w/o dye,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72129,,Ct chest spine w/dye,A,,1.22,7.45,,7.45,NA,0.36,9.03,9.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72129,TC,Ct chest spine w/dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72129,26,Ct chest spine w/dye,A,,1.22,0.41,,0.41,,0.05,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72130,,Ct chest spine w/o&w/dye,A,,1.27,9.24,,9.24,NA,0.44,10.95,10.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72130,TC,Ct chest spine w/o&w/dye,A,,0.00,8.81,,8.81,NA,0.38,9.19,9.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72130,26,Ct chest spine w/o&w/dye,A,,1.27,0.43,,0.43,,0.06,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72131,,Ct lumbar spine w/o dye,A,,1.16,6.28,,6.28,NA,0.31,7.75,7.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72131,TC,Ct lumbar spine w/o dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72131,26,Ct lumbar spine w/o dye,A,,1.16,0.40,,0.40,,0.05,1.61,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72132,,Ct lumbar spine w/dye,A,,1.22,7.45,,7.45,NA,0.37,9.04,9.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72132,TC,Ct lumbar spine w/dye,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72132,26,Ct lumbar spine w/dye,A,,1.22,0.41,,0.41,,0.06,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72133,,Ct lumbar spine w/o&w/dye,A,,1.27,9.25,,9.25,NA,0.44,10.96,10.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72133,TC,Ct lumbar spine w/o&w/dye,A,,0.00,8.81,,8.81,NA,0.38,9.19,9.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72133,26,Ct lumbar spine w/o&w/dye,A,,1.27,0.44,,0.44,,0.06,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72141,,Mri neck spine w/o dye,A,,1.60,11.71,,11.71,NA,0.56,13.87,13.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72141,TC,Mri neck spine w/o dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72141,26,Mri neck spine w/o dye,A,,1.60,0.55,,0.55,,0.07,2.22,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72142,,Mri neck spine w/dye,A,,1.92,14.05,,14.05,NA,0.67,16.64,16.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72142,TC,Mri neck spine w/dye,A,,0.00,13.38,,13.38,NA,0.58,13.96,13.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72142,26,Mri neck spine w/dye,A,,1.92,0.67,,0.67,,0.09,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72146,,Mri chest spine w/o dye,A,,1.60,12.94,,12.94,NA,0.60,15.14,15.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72146,TC,Mri chest spine w/o dye,A,,0.00,12.39,,12.39,NA,0.53,12.92,12.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72146,26,Mri chest spine w/o dye,A,,1.60,0.55,,0.55,,0.07,2.22,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72147,,Mri chest spine w/dye,A,,1.92,14.04,,14.04,NA,0.67,16.63,16.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72147,TC,Mri chest spine w/dye,A,,0.00,13.38,,13.38,NA,0.58,13.96,13.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72147,26,Mri chest spine w/dye,A,,1.92,0.66,,0.66,,0.09,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72148,,Mri lumbar spine w/o dye,A,,1.48,12.90,,12.90,NA,0.60,14.98,14.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72148,TC,Mri lumbar spine w/o dye,A,,0.00,12.39,,12.39,NA,0.53,12.92,12.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72148,26,Mri lumbar spine w/o dye,A,,1.48,0.51,,0.51,,0.07,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72149,,Mri lumbar spine w/dye,A,,1.78,14.00,,14.00,NA,0.67,16.45,16.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72149,TC,Mri lumbar spine w/dye,A,,0.00,13.38,,13.38,NA,0.58,13.96,13.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72149,26,Mri lumbar spine w/dye,A,,1.78,0.62,,0.62,,0.09,2.49,2.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72156,,Mri neck spine w/o&w/dye,A,,2.57,25.66,,25.66,NA,1.20,29.43,29.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72156,TC,Mri neck spine w/o&w/dye,A,,0.00,24.78,,24.78,NA,1.09,25.87,25.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72156,26,Mri neck spine w/o&w/dye,A,,2.57,0.88,,0.88,,0.11,3.56,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72157,,Mri chest spine w/o&w/dye,A,,2.57,25.66,,25.66,NA,1.20,29.43,29.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72157,TC,Mri chest spine w/o&w/dye,A,,0.00,24.78,,24.78,NA,1.09,25.87,25.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72157,26,Mri chest spine w/o&w/dye,A,,2.57,0.88,,0.88,,0.11,3.56,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72158,,Mri lumbar spine w/o&w/dye,A,,2.36,25.59,,25.59,NA,1.20,29.15,29.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72158,TC,Mri lumbar spine w/o&w/dye,A,,0.00,24.78,,24.78,NA,1.09,25.87,25.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72158,26,Mri lumbar spine w/o&w/dye,A,,2.36,0.81,,0.81,,0.11,3.28,3.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72159,,Mr angio spine w/o&w/dye,N,+,1.80,13.09,,13.09,NA,0.61,15.50,15.50,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
72159,TC,Mr angio spine w/o&w/dye,N,+,0.00,12.39,,12.39,NA,0.53,12.92,12.92,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
72159,26,Mr angio spine w/o&w/dye,N,+,1.80,0.70,,0.70,,0.08,2.58,2.58,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
72170,,X-ray exam of pelvis,A,,0.17,0.58,,0.58,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72170,TC,X-ray exam of pelvis,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72170,26,X-ray exam of pelvis,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72190,,X-ray exam of pelvis,A,,0.21,0.74,,0.74,NA,0.04,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72190,TC,X-ray exam of pelvis,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72190,26,X-ray exam of pelvis,A,,0.21,0.07,,0.07,,0.01,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72191,,Ct angiograph pelv w/o&w/dye,A,,1.81,12.59,,12.59,NA,0.38,14.78,14.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72191,TC,Ct angiograph pelv w/o&w/dye,A,,0.00,11.97,,11.97,NA,0.32,12.29,12.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72191,26,Ct angiograph pelv w/o&w/dye,A,,1.81,0.62,,0.62,,0.06,2.49,2.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72192,,Ct pelvis w/o dye,A,,1.09,6.25,,6.25,NA,0.31,7.65,7.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72192,TC,Ct pelvis w/o dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72192,26,Ct pelvis w/o dye,A,,1.09,0.37,,0.37,,0.05,1.51,1.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72193,,Ct pelvis w/dye,A,,1.16,7.21,,7.21,NA,0.35,8.72,8.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72193,TC,Ct pelvis w/dye,A,,0.00,6.82,,6.82,NA,0.30,7.12,7.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72193,26,Ct pelvis w/dye,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72194,,Ct pelvis w/o&w/dye,A,,1.22,8.86,,8.86,NA,0.41,10.49,10.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72194,TC,Ct pelvis w/o&w/dye,A,,0.00,8.45,,8.45,NA,0.36,8.81,8.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72194,26,Ct pelvis w/o&w/dye,A,,1.22,0.41,,0.41,,0.05,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72195,,Mri pelvis w/o dye,A,,1.46,11.66,,11.66,NA,0.42,13.54,13.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72195,TC,Mri pelvis w/o dye,A,,0.00,11.16,,11.16,NA,0.37,11.53,11.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72195,26,Mri pelvis w/o dye,A,,1.46,0.50,,0.50,,0.05,2.01,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72196,,Mri pelvis w/dye,A,,1.73,13.97,,13.97,NA,0.48,16.18,16.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72196,TC,Mri pelvis w/dye,A,,0.00,13.38,,13.38,NA,0.43,13.81,13.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72196,26,Mri pelvis w/dye,A,,1.73,0.59,,0.59,,0.05,2.37,2.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72197,,Mri pelvis w/o & w/dye,A,,2.26,25.55,,25.55,NA,0.84,28.65,28.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72197,TC,Mri pelvis w/o & w/dye,A,,0.00,24.78,,24.78,NA,0.76,25.54,25.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72197,26,Mri pelvis w/o & w/dye,A,,2.26,0.77,,0.77,,0.08,3.11,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72198,,Mr angio pelvis w/o&w/dye,A,+,1.80,11.86,,11.86,NA,0.57,14.23,14.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72198,TC,Mr angio pelvis w/o&w/dye,A,+,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
72198,26,Mr angio pelvis w/o&w/dye,A,+,1.80,0.70,,0.70,,0.08,2.58,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72200,,X-ray exam sacroiliac joints,A,,0.17,0.58,,0.58,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72200,TC,X-ray exam sacroiliac joints,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72200,26,X-ray exam sacroiliac joints,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72202,,X-ray exam sacroiliac joints,A,,0.19,0.68,,0.68,NA,0.04,0.91,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72202,TC,X-ray exam sacroiliac joints,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72202,26,X-ray exam sacroiliac joints,A,,0.19,0.06,,0.06,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72220,,X-ray exam of tailbone,A,,0.17,0.63,,0.63,NA,0.04,0.84,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72220,TC,X-ray exam of tailbone,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
72220,26,X-ray exam of tailbone,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72240,,Contrast x-ray of neck spine,A,,0.91,5.03,,5.03,NA,0.25,6.19,6.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72240,TC,Contrast x-ray of neck spine,A,,0.00,4.73,,4.73,NA,0.21,4.94,4.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72240,26,Contrast x-ray of neck spine,A,,0.91,0.30,,0.30,,0.04,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72255,,"Contrast x-ray, thorax spine",A,,0.91,4.59,,4.59,NA,0.22,5.72,5.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72255,TC,"Contrast x-ray, thorax spine",A,,0.00,4.31,,4.31,NA,0.18,4.49,4.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72255,26,"Contrast x-ray, thorax spine",A,,0.91,0.28,,0.28,,0.04,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72265,,"Contrast x-ray, lower spine",A,,0.83,4.31,,4.31,NA,0.22,5.36,5.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72265,TC,"Contrast x-ray, lower spine",A,,0.00,4.05,,4.05,NA,0.18,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72265,26,"Contrast x-ray, lower spine",A,,0.83,0.26,,0.26,,0.04,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72270,,Contrast x-ray of spine,A,,1.33,6.50,,6.50,NA,0.34,8.17,8.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72270,TC,Contrast x-ray of spine,A,,0.00,6.07,,6.07,NA,0.27,6.34,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72270,26,Contrast x-ray of spine,A,,1.33,0.43,,0.43,,0.07,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72275,,Epidurography,A,,0.76,2.29,,2.29,NA,0.21,3.26,3.26,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
72275,TC,Epidurography,A,,0.00,2.09,,2.09,NA,0.18,2.27,2.27,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,03
72275,26,Epidurography,A,,0.76,0.20,,0.20,,0.03,0.99,0.99,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
72285,,X-ray c/t spine disk,A,,1.16,8.72,,8.72,NA,0.42,10.30,10.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72285,TC,X-ray c/t spine disk,A,,0.00,8.35,,8.35,NA,0.36,8.71,8.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72285,26,X-ray c/t spine disk,A,,1.16,0.37,,0.37,,0.06,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72295,,X-ray of lower spine disk,A,,0.83,8.10,,8.10,NA,0.37,9.30,9.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
72295,TC,X-ray of lower spine disk,A,,0.00,7.82,,7.82,NA,0.33,8.15,8.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
72295,26,X-ray of lower spine disk,A,,0.83,0.28,,0.28,,0.04,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73000,,X-ray exam of collar bone,A,,0.16,0.57,,0.57,NA,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73000,TC,X-ray exam of collar bone,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73000,26,X-ray exam of collar bone,A,,0.16,0.05,,0.05,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73010,,X-ray exam of shoulder blade,A,,0.17,0.58,,0.58,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73010,TC,X-ray exam of shoulder blade,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73010,26,X-ray exam of shoulder blade,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73020,,X-ray exam of shoulder,A,,0.15,0.52,,0.52,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73020,TC,X-ray exam of shoulder,A,,0.00,0.47,,0.47,NA,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73020,26,X-ray exam of shoulder,A,,0.15,0.05,,0.05,,0.01,0.21,0.21,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73030,,X-ray exam of shoulder,A,,0.18,0.63,,0.63,NA,0.04,0.85,0.85,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73030,TC,X-ray exam of shoulder,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73030,26,X-ray exam of shoulder,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73040,,Contrast x-ray of shoulder,A,,0.54,2.27,,2.27,NA,0.13,2.94,2.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73040,TC,Contrast x-ray of shoulder,A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73040,26,Contrast x-ray of shoulder,A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73050,,X-ray exam of shoulders,A,,0.20,0.74,,0.74,NA,0.05,0.99,0.99,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73050,TC,X-ray exam of shoulders,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
73050,26,X-ray exam of shoulders,A,,0.20,0.07,,0.07,,0.02,0.29,0.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73060,,X-ray exam of humerus,A,,0.17,0.63,,0.63,NA,0.04,0.84,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73060,TC,X-ray exam of humerus,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73060,26,X-ray exam of humerus,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73070,,X-ray exam of elbow,A,,0.15,0.57,,0.57,NA,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73070,TC,X-ray exam of elbow,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73070,26,X-ray exam of elbow,A,,0.15,0.05,,0.05,,0.01,0.21,0.21,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73080,,X-ray exam of elbow,A,,0.17,0.63,,0.63,NA,0.04,0.84,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73080,TC,X-ray exam of elbow,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73080,26,X-ray exam of elbow,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73085,,Contrast x-ray of elbow,A,,0.54,2.28,,2.28,NA,0.13,2.95,2.95,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73085,TC,Contrast x-ray of elbow,A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73085,26,Contrast x-ray of elbow,A,,0.54,0.19,,0.19,,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73090,,X-ray exam of forearm,A,,0.16,0.57,,0.57,NA,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73090,TC,X-ray exam of forearm,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73090,26,X-ray exam of forearm,A,,0.16,0.05,,0.05,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73092,,"X-ray exam of arm, infant",A,,0.16,0.54,,0.54,NA,0.03,0.73,0.73,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73092,TC,"X-ray exam of arm, infant",A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73092,26,"X-ray exam of arm, infant",A,,0.16,0.05,,0.05,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73100,,X-ray exam of wrist,A,,0.16,0.55,,0.55,NA,0.04,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73100,TC,X-ray exam of wrist,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73100,26,X-ray exam of wrist,A,,0.16,0.06,,0.06,,0.02,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73110,,X-ray exam of wrist,A,,0.17,0.59,,0.59,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73110,TC,X-ray exam of wrist,A,,0.00,0.53,,0.53,NA,0.02,0.55,0.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73110,26,X-ray exam of wrist,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73115,,Contrast x-ray of wrist,A,,0.54,1.76,,1.76,NA,0.11,2.41,2.41,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73115,TC,Contrast x-ray of wrist,A,,0.00,1.57,,1.57,NA,0.08,1.65,1.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73115,26,Contrast x-ray of wrist,A,,0.54,0.19,,0.19,,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73120,,X-ray exam of hand,A,,0.16,0.55,,0.55,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73120,TC,X-ray exam of hand,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73120,26,X-ray exam of hand,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73130,,X-ray exam of hand,A,,0.17,0.59,,0.59,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73130,TC,X-ray exam of hand,A,,0.00,0.53,,0.53,NA,0.02,0.55,0.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73130,26,X-ray exam of hand,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73140,,X-ray exam of finger(s),A,,0.13,0.46,,0.46,NA,0.03,0.62,0.62,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73140,TC,X-ray exam of finger(s),A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73140,26,X-ray exam of finger(s),A,,0.13,0.04,,0.04,,0.01,0.18,0.18,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73200,,Ct upper extremity w/o dye,A,,1.09,5.31,,5.31,NA,0.26,6.66,6.66,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73200,TC,Ct upper extremity w/o dye,A,,0.00,4.94,,4.94,NA,0.21,5.15,5.15,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73200,26,Ct upper extremity w/o dye,A,,1.09,0.37,,0.37,,0.05,1.51,1.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73201,,Ct upper extremity w/dye,A,,1.16,6.28,,6.28,NA,0.31,7.75,7.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73201,TC,Ct upper extremity w/dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
73201,26,Ct upper extremity w/dye,A,,1.16,0.40,,0.40,,0.05,1.61,1.61,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73202,,Ct uppr extremity w/o&w/dye,A,,1.22,7.81,,7.81,NA,0.38,9.41,9.41,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73202,TC,Ct uppr extremity w/o&w/dye,A,,0.00,7.39,,7.39,NA,0.32,7.71,7.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
73202,26,Ct uppr extremity w/o&w/dye,A,,1.22,0.42,,0.42,,0.06,1.70,1.70,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73206,,Ct angio upr extrm w/o&w/dye,A,,1.81,11.54,,11.54,NA,0.38,13.73,13.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73206,TC,Ct angio upr extrm w/o&w/dye,A,,0.00,10.92,,10.92,NA,0.32,11.24,11.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73206,26,Ct angio upr extrm w/o&w/dye,A,,1.81,0.62,,0.62,,0.06,2.49,2.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73218,,Mri upper extremity w/o dye,A,,1.35,11.62,,11.62,NA,0.36,13.33,13.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73218,TC,Mri upper extremity w/o dye,A,,0.00,11.16,,11.16,NA,0.32,11.48,11.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
73218,26,Mri upper extremity w/o dye,A,,1.35,0.46,,0.46,,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73219,,Mri upper extremity w/dye,A,,1.62,13.94,,13.94,NA,0.44,16.00,16.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73219,TC,Mri upper extremity w/dye,A,,0.00,13.38,,13.38,NA,0.39,13.77,13.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73219,26,Mri upper extremity w/dye,A,,1.62,0.56,,0.56,,0.05,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73220,,Mri uppr extremity w/o&w/dye,A,,2.15,25.52,,25.52,NA,0.78,28.45,28.45,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73220,TC,Mri uppr extremity w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.70,25.48,25.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
73220,26,Mri uppr extremity w/o&w/dye,A,,2.15,0.74,,0.74,,0.08,2.97,2.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73221,,Mri joint upr extrem w/o dye,A,,1.35,11.62,,11.62,NA,0.36,13.33,13.33,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73221,TC,Mri joint upr extrem w/o dye,A,,0.00,11.16,,11.16,NA,0.32,11.48,11.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73221,26,Mri joint upr extrem w/o dye,A,,1.35,0.46,,0.46,,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73222,,Mri joint upr extrem w/dye,A,,1.62,13.93,,13.93,NA,0.44,15.99,15.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73222,TC,Mri joint upr extrem w/dye,A,,0.00,13.38,,13.38,NA,0.39,13.77,13.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73222,26,Mri joint upr extrem w/dye,A,,1.62,0.55,,0.55,,0.05,2.22,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73223,,Mri joint upr extr w/o&w/dye,A,,2.15,25.52,,25.52,NA,0.77,28.44,28.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73223,TC,Mri joint upr extr w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.70,25.48,25.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73223,26,Mri joint upr extr w/o&w/dye,A,,2.15,0.74,,0.74,,0.07,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73225,,Mr angio upr extr w/o&w/dye,N,+,1.73,11.84,,11.84,NA,0.57,14.14,14.14,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
73225,TC,Mr angio upr extr w/o&w/dye,N,+,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
73225,26,Mr angio upr extr w/o&w/dye,N,+,1.73,0.68,,0.68,,0.08,2.49,2.49,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
73500,,X-ray exam of hip,A,,0.17,0.53,,0.53,NA,0.03,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73500,TC,X-ray exam of hip,A,,0.00,0.47,,0.47,NA,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
73500,26,X-ray exam of hip,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73510,,X-ray exam of hip,A,,0.21,0.64,,0.64,NA,0.05,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73510,TC,X-ray exam of hip,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
73510,26,X-ray exam of hip,A,,0.21,0.07,,0.07,,0.02,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73520,,X-ray exam of hips,A,,0.26,0.76,,0.76,NA,0.05,1.07,1.07,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73520,TC,X-ray exam of hips,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
73520,26,X-ray exam of hips,A,,0.26,0.09,,0.09,,0.02,0.37,0.37,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73525,,Contrast x-ray of hip,A,,0.54,2.27,,2.27,NA,0.13,2.94,2.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73525,TC,Contrast x-ray of hip,A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73525,26,Contrast x-ray of hip,A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73530,,X-ray exam of hip,A,,0.29,0.62,,0.62,NA,0.03,0.94,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73530,TC,X-ray exam of hip,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73530,26,X-ray exam of hip,A,,0.29,0.10,,0.10,,0.01,0.40,0.40,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73540,,X-ray exam of pelvis & hips,A,,0.20,0.64,,0.64,NA,0.05,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73540,TC,X-ray exam of pelvis & hips,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
73540,26,X-ray exam of pelvis & hips,A,,0.20,0.07,,0.07,,0.02,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73542,,"X-ray exam, sacroiliac joint",A,,0.59,2.26,,2.26,NA,0.13,2.98,2.98,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
73542,TC,"X-ray exam, sacroiliac joint",A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,03
73542,26,"X-ray exam, sacroiliac joint",A,,0.59,0.17,,0.17,,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
73550,,X-ray exam of thigh,A,,0.17,0.63,,0.63,NA,0.04,0.84,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73550,TC,X-ray exam of thigh,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73550,26,X-ray exam of thigh,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73560,,"X-ray exam of knee, 1 or 2",A,,0.17,0.58,,0.58,NA,0.04,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73560,TC,"X-ray exam of knee, 1 or 2",A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73560,26,"X-ray exam of knee, 1 or 2",A,,0.17,0.06,,0.06,,0.02,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73562,,"X-ray exam of knee, 3",A,,0.18,0.63,,0.63,NA,0.05,0.86,0.86,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73562,TC,"X-ray exam of knee, 3",A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73562,26,"X-ray exam of knee, 3",A,,0.18,0.06,,0.06,,0.02,0.26,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73564,,"X-ray exam, knee, 4 or more",A,,0.22,0.70,,0.70,NA,0.05,0.97,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73564,TC,"X-ray exam, knee, 4 or more",A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73564,26,"X-ray exam, knee, 4 or more",A,,0.22,0.08,,0.08,,0.02,0.32,0.32,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73565,,X-ray exam of knees,A,,0.17,0.55,,0.55,NA,0.04,0.76,0.76,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73565,TC,X-ray exam of knees,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
73565,26,X-ray exam of knees,A,,0.17,0.06,,0.06,,0.02,0.25,0.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73580,,Contrast x-ray of knee joint,A,,0.54,2.79,,2.79,NA,0.15,3.48,3.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73580,TC,Contrast x-ray of knee joint,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73580,26,Contrast x-ray of knee joint,A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73590,,X-ray exam of lower leg,A,,0.17,0.58,,0.58,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73590,TC,X-ray exam of lower leg,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73590,26,X-ray exam of lower leg,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73592,,"X-ray exam of leg, infant",A,,0.16,0.55,,0.55,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73592,TC,"X-ray exam of leg, infant",A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73592,26,"X-ray exam of leg, infant",A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73600,,X-ray exam of ankle,A,,0.16,0.55,,0.55,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73600,TC,X-ray exam of ankle,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73600,26,X-ray exam of ankle,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73610,,X-ray exam of ankle,A,,0.17,0.59,,0.59,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73610,TC,X-ray exam of ankle,A,,0.00,0.53,,0.53,NA,0.02,0.55,0.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73610,26,X-ray exam of ankle,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73615,,Contrast x-ray of ankle,A,,0.54,2.28,,2.28,NA,0.13,2.95,2.95,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73615,TC,Contrast x-ray of ankle,A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
73615,26,Contrast x-ray of ankle,A,,0.54,0.19,,0.19,,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73620,,X-ray exam of foot,A,,0.16,0.55,,0.55,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73620,TC,X-ray exam of foot,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73620,26,X-ray exam of foot,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73630,,X-ray exam of foot,A,,0.17,0.59,,0.59,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73630,TC,X-ray exam of foot,A,,0.00,0.53,,0.53,NA,0.02,0.55,0.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73630,26,X-ray exam of foot,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73650,,X-ray exam of heel,A,,0.16,0.53,,0.53,NA,0.03,0.72,0.72,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73650,TC,X-ray exam of heel,A,,0.00,0.47,,0.47,NA,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73650,26,X-ray exam of heel,A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73660,,X-ray exam of toe(s),A,,0.13,0.46,,0.46,NA,0.03,0.62,0.62,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73660,TC,X-ray exam of toe(s),A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73660,26,X-ray exam of toe(s),A,,0.13,0.04,,0.04,,0.01,0.18,0.18,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73700,,Ct lower extremity w/o dye,A,,1.09,5.31,,5.31,NA,0.26,6.66,6.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73700,TC,Ct lower extremity w/o dye,A,,0.00,4.94,,4.94,NA,0.21,5.15,5.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
73700,26,Ct lower extremity w/o dye,A,,1.09,0.37,,0.37,,0.05,1.51,1.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73701,,Ct lower extremity w/dye,A,,1.16,6.27,,6.27,NA,0.31,7.74,7.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73701,TC,Ct lower extremity w/dye,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
73701,26,Ct lower extremity w/dye,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73702,,Ct lwr extremity w/o&w/dye,A,,1.22,7.80,,7.80,NA,0.37,9.39,9.39,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73702,TC,Ct lwr extremity w/o&w/dye,A,,0.00,7.39,,7.39,NA,0.32,7.71,7.71,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
73702,26,Ct lwr extremity w/o&w/dye,A,,1.22,0.41,,0.41,,0.05,1.68,1.68,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73706,,Ct angio lwr extr w/o&w/dye,A,,1.90,11.57,,11.57,NA,0.38,13.85,13.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73706,TC,Ct angio lwr extr w/o&w/dye,A,,0.00,10.92,,10.92,NA,0.32,11.24,11.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73706,26,Ct angio lwr extr w/o&w/dye,A,,1.90,0.65,,0.65,,0.06,2.61,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73718,,Mri lower extremity w/o dye,A,,1.35,11.62,,11.62,NA,0.36,13.33,13.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73718,TC,Mri lower extremity w/o dye,A,,0.00,11.16,,11.16,NA,0.32,11.48,11.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
73718,26,Mri lower extremity w/o dye,A,,1.35,0.46,,0.46,,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73719,,Mri lower extremity w/dye,A,,1.62,13.93,,13.93,NA,0.44,15.99,15.99,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73719,TC,Mri lower extremity w/dye,A,,0.00,13.38,,13.38,NA,0.39,13.77,13.77,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
73719,26,Mri lower extremity w/dye,A,,1.62,0.55,,0.55,,0.05,2.22,2.22,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73720,,Mri lwr extremity w/o&w/dye,A,,2.15,25.51,,25.51,NA,0.78,28.44,28.44,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73720,TC,Mri lwr extremity w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.70,25.48,25.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
73720,26,Mri lwr extremity w/o&w/dye,A,,2.15,0.73,,0.73,,0.08,2.96,2.96,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73721,,Mri jnt of lwr extre w/o dye,A,,1.35,11.62,,11.62,NA,0.36,13.33,13.33,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73721,TC,Mri jnt of lwr extre w/o dye,A,,0.00,11.16,,11.16,NA,0.32,11.48,11.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
73721,26,Mri jnt of lwr extre w/o dye,A,,1.35,0.46,,0.46,,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
73722,,Mri joint of lwr extr w/dye,A,,1.62,13.94,,13.94,NA,0.45,16.01,16.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73722,TC,Mri joint of lwr extr w/dye,A,,0.00,13.38,,13.38,NA,0.39,13.77,13.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73722,26,Mri joint of lwr extr w/dye,A,,1.62,0.56,,0.56,,0.06,2.24,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73723,,Mri joint lwr extr w/o&w/dye,A,,2.15,25.52,,25.52,NA,0.77,28.44,28.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73723,TC,Mri joint lwr extr w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.70,25.48,25.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
73723,26,Mri joint lwr extr w/o&w/dye,A,,2.15,0.74,,0.74,,0.07,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
73725,,Mr ang lwr ext w or w/o dye,R,,1.82,11.78,,11.78,NA,0.57,14.17,14.17,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
73725,TC,Mr ang lwr ext w or w/o dye,R,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
73725,26,Mr ang lwr ext w or w/o dye,R,,1.82,0.62,,0.62,,0.08,2.52,2.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
74000,,X-ray exam of abdomen,A,,0.18,0.58,,0.58,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74000,TC,X-ray exam of abdomen,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74000,26,X-ray exam of abdomen,A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74010,,X-ray exam of abdomen,A,,0.23,0.65,,0.65,NA,0.04,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74010,TC,X-ray exam of abdomen,A,,0.00,0.57,,0.57,NA,0.03,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74010,26,X-ray exam of abdomen,A,,0.23,0.08,,0.08,,0.01,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74020,,X-ray exam of abdomen,A,,0.27,0.71,,0.71,NA,0.04,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74020,TC,X-ray exam of abdomen,A,,0.00,0.62,,0.62,NA,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74020,26,X-ray exam of abdomen,A,,0.27,0.09,,0.09,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74022,,"X-ray exam series, abdomen",A,,0.32,0.85,,0.85,NA,0.05,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74022,TC,"X-ray exam series, abdomen",A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74022,26,"X-ray exam series, abdomen",A,,0.32,0.11,,0.11,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74150,,Ct abdomen w/o dye,A,,1.19,6.03,,6.03,NA,0.30,7.52,7.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74150,TC,Ct abdomen w/o dye,A,,0.00,5.63,,5.63,NA,0.25,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74150,26,Ct abdomen w/o dye,A,,1.19,0.40,,0.40,,0.05,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74160,,Ct abdomen w/dye,A,,1.27,7.25,,7.25,NA,0.36,8.88,8.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74160,TC,Ct abdomen w/dye,A,,0.00,6.82,,6.82,NA,0.30,7.12,7.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74160,26,Ct abdomen w/dye,A,,1.27,0.43,,0.43,,0.06,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74170,,Ct abdomen w/o&w/dye,A,,1.40,8.93,,8.93,NA,0.42,10.75,10.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74170,TC,Ct abdomen w/o&w/dye,A,,0.00,8.45,,8.45,NA,0.36,8.81,8.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74170,26,Ct abdomen w/o&w/dye,A,,1.40,0.48,,0.48,,0.06,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74175,,Ct angio abdom w/o&w/dye,A,,1.90,12.62,,12.62,NA,0.38,14.90,14.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74175,TC,Ct angio abdom w/o&w/dye,A,,0.00,11.97,,11.97,NA,0.32,12.29,12.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74175,26,Ct angio abdom w/o&w/dye,A,,1.90,0.65,,0.65,,0.06,2.61,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74181,,Mri abdomen w/o dye,A,,1.46,11.66,,11.66,NA,0.43,13.55,13.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74181,TC,Mri abdomen w/o dye,A,,0.00,11.16,,11.16,NA,0.37,11.53,11.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74181,26,Mri abdomen w/o dye,A,,1.46,0.50,,0.50,,0.06,2.02,2.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74182,,Mri abdomen w/dye,A,,1.73,13.97,,13.97,NA,0.49,16.19,16.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74182,TC,Mri abdomen w/dye,A,,0.00,13.38,,13.38,NA,0.43,13.81,13.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74182,26,Mri abdomen w/dye,A,,1.73,0.59,,0.59,,0.06,2.38,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74183,,Mri abdomen w/o&w/dye,A,,2.26,25.55,,25.55,NA,0.84,28.65,28.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74183,TC,Mri abdomen w/o&w/dye,A,,0.00,24.78,,24.78,NA,0.76,25.54,25.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74183,26,Mri abdomen w/o&w/dye,A,,2.26,0.77,,0.77,,0.08,3.11,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74185,,"Mri angio, abdom w or w/o dy",R,,1.80,11.77,,11.77,NA,0.57,14.14,14.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74185,TC,"Mri angio, abdom w or w/o dy",R,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74185,26,"Mri angio, abdom w or w/o dy",R,,1.80,0.61,,0.61,,0.08,2.49,2.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74190,,X-ray exam of peritoneum,A,,0.48,1.46,,1.46,NA,0.08,2.02,2.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74190,TC,X-ray exam of peritoneum,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74190,26,X-ray exam of peritoneum,A,,0.48,0.16,,0.16,,0.02,0.66,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74210,,Contrst x-ray exam of throat,A,,0.36,1.30,,1.30,NA,0.07,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74210,TC,Contrst x-ray exam of throat,A,,0.00,1.18,,1.18,NA,0.05,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74210,26,Contrst x-ray exam of throat,A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74220,,"Contrast x-ray, esophagus",A,,0.46,1.34,,1.34,NA,0.07,1.87,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74220,TC,"Contrast x-ray, esophagus",A,,0.00,1.18,,1.18,NA,0.05,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74220,26,"Contrast x-ray, esophagus",A,,0.46,0.16,,0.16,,0.02,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74230,,"Cine/vid x-ray, throat/esoph",A,,0.53,1.48,,1.48,NA,0.08,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74230,TC,"Cine/vid x-ray, throat/esoph",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74230,26,"Cine/vid x-ray, throat/esoph",A,,0.53,0.18,,0.18,,0.02,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74235,,Remove esophagus obstruction,A,,1.19,3.02,,3.02,NA,0.17,4.38,4.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74235,TC,Remove esophagus obstruction,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74235,26,Remove esophagus obstruction,A,,1.19,0.41,,0.41,,0.05,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74240,,"X-ray exam, upper gi tract",A,,0.69,1.68,,1.68,NA,0.10,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74240,TC,"X-ray exam, upper gi tract",A,,0.00,1.45,,1.45,NA,0.07,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74240,26,"X-ray exam, upper gi tract",A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74241,,"X-ray exam, upper gi tract",A,,0.69,1.71,,1.71,NA,0.10,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74241,TC,"X-ray exam, upper gi tract",A,,0.00,1.48,,1.48,NA,0.07,1.55,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74241,26,"X-ray exam, upper gi tract",A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74245,,"X-ray exam, upper gi tract",A,,0.91,2.68,,2.68,NA,0.15,3.74,3.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74245,TC,"X-ray exam, upper gi tract",A,,0.00,2.37,,2.37,NA,0.11,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74245,26,"X-ray exam, upper gi tract",A,,0.91,0.31,,0.31,,0.04,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74246,,Contrst x-ray uppr gi tract,A,,0.69,1.86,,1.86,NA,0.11,2.66,2.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74246,TC,Contrst x-ray uppr gi tract,A,,0.00,1.63,,1.63,NA,0.08,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74246,26,Contrst x-ray uppr gi tract,A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74247,,Contrst x-ray uppr gi tract,A,,0.69,1.90,,1.90,NA,0.12,2.71,2.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74247,TC,Contrst x-ray uppr gi tract,A,,0.00,1.67,,1.67,NA,0.09,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74247,26,Contrst x-ray uppr gi tract,A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74249,,Contrst x-ray uppr gi tract,A,,0.91,2.87,,2.87,NA,0.16,3.94,3.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74249,TC,Contrst x-ray uppr gi tract,A,,0.00,2.56,,2.56,NA,0.12,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74249,26,Contrst x-ray uppr gi tract,A,,0.91,0.31,,0.31,,0.04,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74250,,X-ray exam of small bowel,A,,0.47,1.46,,1.46,NA,0.08,2.01,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74250,TC,X-ray exam of small bowel,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74250,26,X-ray exam of small bowel,A,,0.47,0.16,,0.16,,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74251,,X-ray exam of small bowel,A,,0.69,1.53,,1.53,NA,0.09,2.31,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74251,TC,X-ray exam of small bowel,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74251,26,X-ray exam of small bowel,A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74260,,X-ray exam of small bowel,A,,0.50,1.65,,1.65,NA,0.09,2.24,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74260,TC,X-ray exam of small bowel,A,,0.00,1.48,,1.48,NA,0.07,1.55,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74260,26,X-ray exam of small bowel,A,,0.50,0.17,,0.17,,0.02,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74270,,Contrast x-ray exam of colon,A,,0.69,1.92,,1.92,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74270,TC,Contrast x-ray exam of colon,A,,0.00,1.69,,1.69,NA,0.09,1.78,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74270,26,Contrast x-ray exam of colon,A,,0.69,0.23,,0.23,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74280,,Contrast x-ray exam of colon,A,,0.99,2.56,,2.56,NA,0.15,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74280,TC,Contrast x-ray exam of colon,A,,0.00,2.22,,2.22,NA,0.11,2.33,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74280,26,Contrast x-ray exam of colon,A,,0.99,0.34,,0.34,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74283,,Contrast x-ray exam of colon,A,,2.02,3.24,,3.24,NA,0.21,5.47,5.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74283,TC,Contrast x-ray exam of colon,A,,0.00,2.55,,2.55,NA,0.12,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74283,26,Contrast x-ray exam of colon,A,,2.02,0.69,,0.69,,0.09,2.80,2.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74290,,"Contrast x-ray, gallbladder",A,,0.32,0.85,,0.85,NA,0.05,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74290,TC,"Contrast x-ray, gallbladder",A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74290,26,"Contrast x-ray, gallbladder",A,,0.32,0.11,,0.11,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74291,,"Contrast x-rays, gallbladder",A,,0.20,0.49,,0.49,NA,0.03,0.72,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74291,TC,"Contrast x-rays, gallbladder",A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74291,26,"Contrast x-rays, gallbladder",A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74300,,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74300,TC,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74300,26,X-ray bile ducts/pancreas,A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74301,,X-rays at surgery add-on,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74301,TC,X-rays at surgery add-on,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74301,26,X-rays at surgery add-on,A,,0.21,0.07,,0.07,,0.01,0.29,0.29,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74305,,X-ray bile ducts/pancreas,A,,0.42,0.92,,0.92,NA,0.06,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74305,TC,X-ray bile ducts/pancreas,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74305,26,X-ray bile ducts/pancreas,A,,0.42,0.14,,0.14,,0.02,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74320,,Contrast x-ray of bile ducts,A,,0.54,3.31,,3.31,NA,0.16,4.01,4.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74320,TC,Contrast x-ray of bile ducts,A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74320,26,Contrast x-ray of bile ducts,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74327,,X-ray bile stone removal,A,,0.70,1.99,,1.99,NA,0.12,2.81,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74327,TC,X-ray bile stone removal,A,,0.00,1.75,,1.75,NA,0.09,1.84,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74327,26,X-ray bile stone removal,A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74328,,X-ray bile duct endoscopy,A,,0.70,3.37,,3.37,NA,0.17,4.24,4.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74328,TC,X-ray bile duct endoscopy,A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74328,26,X-ray bile duct endoscopy,A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74329,,X-ray for pancreas endoscopy,A,,0.70,3.37,,3.37,NA,0.17,4.24,4.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74329,TC,X-ray for pancreas endoscopy,A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74329,26,X-ray for pancreas endoscopy,A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74330,,X-ray bile/panc endoscopy,A,,0.90,3.44,,3.44,NA,0.18,4.52,4.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74330,TC,X-ray bile/panc endoscopy,A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74330,26,X-ray bile/panc endoscopy,A,,0.90,0.31,,0.31,,0.04,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74340,,X-ray guide for GI tube,A,,0.54,2.79,,2.79,NA,0.14,3.47,3.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74340,TC,X-ray guide for GI tube,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74340,26,X-ray guide for GI tube,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74350,,"X-ray guide, stomach tube",A,,0.76,3.39,,3.39,NA,0.17,4.32,4.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74350,TC,"X-ray guide, stomach tube",A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74350,26,"X-ray guide, stomach tube",A,,0.76,0.26,,0.26,,0.03,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74355,,"X-ray guide, intestinal tube",A,,0.76,2.87,,2.87,NA,0.15,3.78,3.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74355,TC,"X-ray guide, intestinal tube",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74355,26,"X-ray guide, intestinal tube",A,,0.76,0.26,,0.26,,0.03,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74360,,"X-ray guide, GI dilation",A,,0.54,3.32,,3.32,NA,0.16,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74360,TC,"X-ray guide, GI dilation",A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74360,26,"X-ray guide, GI dilation",A,,0.54,0.19,,0.19,,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74363,,"X-ray, bile duct dilation",A,,0.88,6.37,,6.37,NA,0.31,7.56,7.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74363,TC,"X-ray, bile duct dilation",A,,0.00,6.07,,6.07,NA,0.27,6.34,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74363,26,"X-ray, bile duct dilation",A,,0.88,0.30,,0.30,,0.04,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74400,,"Contrst x-ray, urinary tract",A,,0.49,1.84,,1.84,NA,0.11,2.44,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74400,TC,"Contrst x-ray, urinary tract",A,,0.00,1.67,,1.67,NA,0.09,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74400,26,"Contrst x-ray, urinary tract",A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74410,,"Contrst x-ray, urinary tract",A,,0.49,2.11,,2.11,NA,0.11,2.71,2.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74410,TC,"Contrst x-ray, urinary tract",A,,0.00,1.94,,1.94,NA,0.09,2.03,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74410,26,"Contrst x-ray, urinary tract",A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74415,,"Contrst x-ray, urinary tract",A,,0.49,2.28,,2.28,NA,0.12,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74415,TC,"Contrst x-ray, urinary tract",A,,0.00,2.11,,2.11,NA,0.10,2.21,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
74415,26,"Contrst x-ray, urinary tract",A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74420,,"Contrst x-ray, urinary tract",A,,0.36,2.73,,2.73,NA,0.14,3.23,3.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74420,TC,"Contrst x-ray, urinary tract",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74420,26,"Contrst x-ray, urinary tract",A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74425,,"Contrst x-ray, urinary tract",A,,0.36,1.42,,1.42,NA,0.08,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74425,TC,"Contrst x-ray, urinary tract",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74425,26,"Contrst x-ray, urinary tract",A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74430,,"Contrast x-ray, bladder",A,,0.32,1.15,,1.15,NA,0.07,1.54,1.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74430,TC,"Contrast x-ray, bladder",A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74430,26,"Contrast x-ray, bladder",A,,0.32,0.11,,0.11,,0.02,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74440,,"X-ray, male genital tract",A,,0.38,1.25,,1.25,NA,0.07,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74440,TC,"X-ray, male genital tract",A,,0.00,1.12,,1.12,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74440,26,"X-ray, male genital tract",A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74445,,X-ray exam of penis,A,,1.14,1.50,,1.50,NA,0.10,2.74,2.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74445,TC,X-ray exam of penis,A,,0.00,1.12,,1.12,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74445,26,X-ray exam of penis,A,,1.14,0.38,,0.38,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74450,,"X-ray, urethra/bladder",A,,0.33,1.56,,1.56,NA,0.09,1.98,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74450,TC,"X-ray, urethra/bladder",A,,0.00,1.45,,1.45,NA,0.07,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74450,26,"X-ray, urethra/bladder",A,,0.33,0.11,,0.11,,0.02,0.46,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74455,,"X-ray, urethra/bladder",A,,0.33,1.68,,1.68,NA,0.10,2.11,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74455,TC,"X-ray, urethra/bladder",A,,0.00,1.57,,1.57,NA,0.08,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74455,26,"X-ray, urethra/bladder",A,,0.33,0.11,,0.11,,0.02,0.46,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74470,,X-ray exam of kidney lesion,A,,0.54,1.42,,1.42,NA,0.08,2.04,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74470,TC,X-ray exam of kidney lesion,A,,0.00,1.24,,1.24,NA,0.06,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74470,26,X-ray exam of kidney lesion,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74475,,"X-ray control, cath insert",A,,0.54,4.23,,4.23,NA,0.20,4.97,4.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74475,TC,"X-ray control, cath insert",A,,0.00,4.05,,4.05,NA,0.18,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74475,26,"X-ray control, cath insert",A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74480,,"X-ray control, cath insert",A,,0.54,4.23,,4.23,NA,0.20,4.97,4.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74480,TC,"X-ray control, cath insert",A,,0.00,4.05,,4.05,NA,0.18,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74480,26,"X-ray control, cath insert",A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74485,,"X-ray guide, GU dilation",A,,0.54,3.31,,3.31,NA,0.17,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74485,TC,"X-ray guide, GU dilation",A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74485,26,"X-ray guide, GU dilation",A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74710,,X-ray measurement of pelvis,A,,0.34,1.16,,1.16,NA,0.07,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74710,TC,X-ray measurement of pelvis,A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
74710,26,X-ray measurement of pelvis,A,,0.34,0.12,,0.12,,0.02,0.48,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74740,,"X-ray, female genital tract",A,,0.38,1.43,,1.43,NA,0.08,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74740,TC,"X-ray, female genital tract",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74740,26,"X-ray, female genital tract",A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74742,,"X-ray, fallopian tube",A,,0.61,3.34,,3.34,NA,0.16,4.11,4.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74742,TC,"X-ray, fallopian tube",A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74742,26,"X-ray, fallopian tube",A,,0.61,0.21,,0.21,,0.02,0.84,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74775,,X-ray exam of perineum,A,,0.62,1.67,,1.67,NA,0.10,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
74775,TC,X-ray exam of perineum,A,,0.00,1.45,,1.45,NA,0.07,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
74775,26,X-ray exam of perineum,A,,0.62,0.22,,0.22,,0.03,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75552,,Heart mri for morph w/o dye,A,,1.60,11.71,,11.71,NA,0.56,13.87,13.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75552,TC,Heart mri for morph w/o dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
75552,26,Heart mri for morph w/o dye,A,,1.60,0.55,,0.55,,0.07,2.22,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75553,,Heart mri for morph w/dye,A,,2.00,11.84,,11.84,NA,0.58,14.42,14.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75553,TC,Heart mri for morph w/dye,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
75553,26,Heart mri for morph w/dye,A,,2.00,0.68,,0.68,,0.09,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75554,,Cardiac MRI/function,A,,1.83,11.83,,11.83,NA,0.56,14.22,14.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75554,TC,Cardiac MRI/function,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
75554,26,Cardiac MRI/function,A,,1.83,0.67,,0.67,,0.07,2.57,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75555,,Cardiac MRI/limited study,A,,1.74,11.82,,11.82,NA,0.56,14.12,14.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75555,TC,Cardiac MRI/limited study,A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
75555,26,Cardiac MRI/limited study,A,,1.74,0.66,,0.66,,0.07,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75556,,Cardiac MRI/flow mapping,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
75600,,Contrast x-ray exam of aorta,A,,0.49,12.74,,12.74,NA,0.56,13.79,13.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75600,TC,Contrast x-ray exam of aorta,A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75600,26,Contrast x-ray exam of aorta,A,,0.49,0.19,,0.19,,0.02,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75605,,Contrast x-ray exam of aorta,A,,1.14,12.96,,12.96,NA,0.59,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75605,TC,Contrast x-ray exam of aorta,A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75605,26,Contrast x-ray exam of aorta,A,,1.14,0.41,,0.41,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75625,,Contrast x-ray exam of aorta,A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75625,TC,Contrast x-ray exam of aorta,A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75625,26,Contrast x-ray exam of aorta,A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75630,,"X-ray aorta, leg arteries",A,,1.79,13.72,,13.72,NA,0.65,16.16,16.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75630,TC,"X-ray aorta, leg arteries",A,,0.00,13.08,,13.08,NA,0.57,13.65,13.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75630,26,"X-ray aorta, leg arteries",A,,1.79,0.64,,0.64,,0.08,2.51,2.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75635,,Ct angio abdominal arteries,A,,2.40,16.66,,16.66,NA,0.41,19.47,19.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75635,TC,Ct angio abdominal arteries,A,,0.00,15.84,,15.84,NA,0.32,16.16,16.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75635,26,Ct angio abdominal arteries,A,,2.40,0.82,,0.82,,0.09,3.31,3.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75650,,"Artery x-rays, head & neck",A,,1.49,13.06,,13.06,NA,0.61,15.16,15.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75650,TC,"Artery x-rays, head & neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75650,26,"Artery x-rays, head & neck",A,,1.49,0.51,,0.51,,0.07,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75658,,"Artery x-rays, arm",A,,1.31,13.04,,13.04,NA,0.60,14.95,14.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75658,TC,"Artery x-rays, arm",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75658,26,"Artery x-rays, arm",A,,1.31,0.49,,0.49,,0.06,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75660,,"Artery x-rays, head & neck",A,,1.31,13.01,,13.01,NA,0.60,14.92,14.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75660,TC,"Artery x-rays, head & neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75660,26,"Artery x-rays, head & neck",A,,1.31,0.46,,0.46,,0.06,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75662,,"Artery x-rays, head & neck",A,,1.66,13.16,,13.16,NA,0.62,15.44,15.44,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75662,TC,"Artery x-rays, head & neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75662,26,"Artery x-rays, head & neck",A,,1.66,0.61,,0.61,,0.08,2.35,2.35,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75665,,"Artery x-rays, head & neck",A,,1.31,13.00,,13.00,NA,0.61,14.92,14.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75665,TC,"Artery x-rays, head & neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75665,26,"Artery x-rays, head & neck",A,,1.31,0.45,,0.45,,0.07,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75671,,"Artery x-rays, head & neck",A,,1.66,13.12,,13.12,NA,0.62,15.40,15.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75671,TC,"Artery x-rays, head & neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75671,26,"Artery x-rays, head & neck",A,,1.66,0.57,,0.57,,0.08,2.31,2.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75676,,"Artery x-rays, neck",A,,1.31,13.01,,13.01,NA,0.61,14.93,14.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75676,TC,"Artery x-rays, neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75676,26,"Artery x-rays, neck",A,,1.31,0.46,,0.46,,0.07,1.84,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75680,,"Artery x-rays, neck",A,,1.66,13.12,,13.12,NA,0.62,15.40,15.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75680,TC,"Artery x-rays, neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75680,26,"Artery x-rays, neck",A,,1.66,0.57,,0.57,,0.08,2.31,2.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75685,,"Artery x-rays, spine",A,,1.31,13.00,,13.00,NA,0.60,14.91,14.91,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
75685,TC,"Artery x-rays, spine",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
75685,26,"Artery x-rays, spine",A,,1.31,0.45,,0.45,,0.06,1.82,1.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
75705,,"Artery x-rays, spine",A,,2.18,13.31,,13.31,NA,0.65,16.14,16.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75705,TC,"Artery x-rays, spine",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75705,26,"Artery x-rays, spine",A,,2.18,0.76,,0.76,,0.11,3.05,3.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75710,,"Artery x-rays, arm/leg",A,,1.14,12.95,,12.95,NA,0.60,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75710,TC,"Artery x-rays, arm/leg",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75710,26,"Artery x-rays, arm/leg",A,,1.14,0.40,,0.40,,0.06,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75716,,"Artery x-rays, arms/legs",A,,1.31,13.00,,13.00,NA,0.60,14.91,14.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75716,TC,"Artery x-rays, arms/legs",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75716,26,"Artery x-rays, arms/legs",A,,1.31,0.45,,0.45,,0.06,1.82,1.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75722,,"Artery x-rays, kidney",A,,1.14,12.96,,12.96,NA,0.59,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75722,TC,"Artery x-rays, kidney",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75722,26,"Artery x-rays, kidney",A,,1.14,0.41,,0.41,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75724,,"Artery x-rays, kidneys",A,,1.49,13.13,,13.13,NA,0.59,15.21,15.21,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75724,TC,"Artery x-rays, kidneys",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75724,26,"Artery x-rays, kidneys",A,,1.49,0.58,,0.58,,0.05,2.12,2.12,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75726,,"Artery x-rays, abdomen",A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75726,TC,"Artery x-rays, abdomen",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75726,26,"Artery x-rays, abdomen",A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75731,,"Artery x-rays, adrenal gland",A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75731,TC,"Artery x-rays, adrenal gland",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75731,26,"Artery x-rays, adrenal gland",A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75733,,"Artery x-rays, adrenals",A,,1.31,13.00,,13.00,NA,0.60,14.91,14.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75733,TC,"Artery x-rays, adrenals",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75733,26,"Artery x-rays, adrenals",A,,1.31,0.45,,0.45,,0.06,1.82,1.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75736,,"Artery x-rays, pelvis",A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75736,TC,"Artery x-rays, pelvis",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75736,26,"Artery x-rays, pelvis",A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75741,,"Artery x-rays, lung",A,,1.31,13.00,,13.00,NA,0.60,14.91,14.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75741,TC,"Artery x-rays, lung",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75741,26,"Artery x-rays, lung",A,,1.31,0.45,,0.45,,0.06,1.82,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75743,,"Artery x-rays, lungs",A,,1.66,13.11,,13.11,NA,0.61,15.38,15.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75743,TC,"Artery x-rays, lungs",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75743,26,"Artery x-rays, lungs",A,,1.66,0.56,,0.56,,0.07,2.29,2.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75746,,"Artery x-rays, lung",A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75746,TC,"Artery x-rays, lung",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75746,26,"Artery x-rays, lung",A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75756,,"Artery x-rays, chest",A,,1.14,13.01,,13.01,NA,0.58,14.73,14.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75756,TC,"Artery x-rays, chest",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75756,26,"Artery x-rays, chest",A,,1.14,0.46,,0.46,,0.04,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75774,,"Artery x-ray, each vessel",A,,0.36,12.68,,12.68,NA,0.56,13.60,13.60,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75774,TC,"Artery x-ray, each vessel",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75774,26,"Artery x-ray, each vessel",A,,0.36,0.13,,0.13,,0.02,0.51,0.51,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75790,,Visualize A-V shunt,A,,1.84,1.96,,1.96,NA,0.16,3.96,3.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75790,TC,Visualize A-V shunt,A,,0.00,1.34,,1.34,NA,0.07,1.41,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75790,26,Visualize A-V shunt,A,,1.84,0.62,,0.62,,0.09,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75801,,"Lymph vessel x-ray, arm/leg",A,,0.81,5.67,,5.67,NA,0.29,6.77,6.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75801,TC,"Lymph vessel x-ray, arm/leg",A,,0.00,5.39,,5.39,NA,0.24,5.63,5.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75801,26,"Lymph vessel x-ray, arm/leg",A,,0.81,0.28,,0.28,,0.05,1.14,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75803,,"Lymph vessel x-ray,arms/legs",A,,1.17,5.79,,5.79,NA,0.29,7.25,7.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75803,TC,"Lymph vessel x-ray,arms/legs",A,,0.00,5.39,,5.39,NA,0.24,5.63,5.63,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75803,26,"Lymph vessel x-ray,arms/legs",A,,1.17,0.40,,0.40,,0.05,1.62,1.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75805,,"Lymph vessel x-ray, trunk",A,,0.81,6.35,,6.35,NA,0.31,7.47,7.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75805,TC,"Lymph vessel x-ray, trunk",A,,0.00,6.07,,6.07,NA,0.27,6.34,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75805,26,"Lymph vessel x-ray, trunk",A,,0.81,0.28,,0.28,,0.04,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75807,,"Lymph vessel x-ray, trunk",A,,1.17,6.47,,6.47,NA,0.32,7.96,7.96,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75807,TC,"Lymph vessel x-ray, trunk",A,,0.00,6.07,,6.07,NA,0.27,6.34,6.34,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75807,26,"Lymph vessel x-ray, trunk",A,,1.17,0.40,,0.40,,0.05,1.62,1.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75809,,"Nonvascular shunt, x-ray",A,,0.47,0.94,,0.94,NA,0.06,1.47,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75809,TC,"Nonvascular shunt, x-ray",A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75809,26,"Nonvascular shunt, x-ray",A,,0.47,0.16,,0.16,,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75810,,"Vein x-ray, spleen/liver",A,,1.14,12.94,,12.94,NA,0.60,14.68,14.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75810,TC,"Vein x-ray, spleen/liver",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75810,26,"Vein x-ray, spleen/liver",A,,1.14,0.39,,0.39,,0.06,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75820,,"Vein x-ray, arm/leg",A,,0.70,1.19,,1.19,NA,0.08,1.97,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75820,TC,"Vein x-ray, arm/leg",A,,0.00,0.95,,0.95,NA,0.05,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75820,26,"Vein x-ray, arm/leg",A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75822,,"Vein x-ray, arms/legs",A,,1.06,1.83,,1.83,NA,0.12,3.01,3.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75822,TC,"Vein x-ray, arms/legs",A,,0.00,1.47,,1.47,NA,0.07,1.54,1.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75822,26,"Vein x-ray, arms/legs",A,,1.06,0.36,,0.36,,0.05,1.47,1.47,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75825,,"Vein x-ray, trunk",A,,1.14,12.94,,12.94,NA,0.60,14.68,14.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75825,TC,"Vein x-ray, trunk",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75825,26,"Vein x-ray, trunk",A,,1.14,0.39,,0.39,,0.06,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75827,,"Vein x-ray, chest",A,,1.14,12.93,,12.93,NA,0.59,14.66,14.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75827,TC,"Vein x-ray, chest",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75827,26,"Vein x-ray, chest",A,,1.14,0.38,,0.38,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75831,,"Vein x-ray, kidney",A,,1.14,12.93,,12.93,NA,0.59,14.66,14.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75831,TC,"Vein x-ray, kidney",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75831,26,"Vein x-ray, kidney",A,,1.14,0.38,,0.38,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75833,,"Vein x-ray, kidneys",A,,1.49,13.06,,13.06,NA,0.61,15.16,15.16,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75833,TC,"Vein x-ray, kidneys",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75833,26,"Vein x-ray, kidneys",A,,1.49,0.51,,0.51,,0.07,2.07,2.07,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75840,,"Vein x-ray, adrenal gland",A,,1.14,12.94,,12.94,NA,0.61,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75840,TC,"Vein x-ray, adrenal gland",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75840,26,"Vein x-ray, adrenal gland",A,,1.14,0.39,,0.39,,0.07,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75842,,"Vein x-ray, adrenal glands",A,,1.49,13.05,,13.05,NA,0.61,15.15,15.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75842,TC,"Vein x-ray, adrenal glands",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
75842,26,"Vein x-ray, adrenal glands",A,,1.49,0.50,,0.50,,0.07,2.06,2.06,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
75860,,"Vein x-ray, neck",A,,1.14,12.95,,12.95,NA,0.60,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75860,TC,"Vein x-ray, neck",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75860,26,"Vein x-ray, neck",A,,1.14,0.40,,0.40,,0.06,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75870,,"Vein x-ray, skull",A,,1.14,12.95,,12.95,NA,0.60,14.69,14.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75870,TC,"Vein x-ray, skull",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75870,26,"Vein x-ray, skull",A,,1.14,0.40,,0.40,,0.06,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75872,,"Vein x-ray, skull",A,,1.14,12.94,,12.94,NA,0.59,14.67,14.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75872,TC,"Vein x-ray, skull",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75872,26,"Vein x-ray, skull",A,,1.14,0.39,,0.39,,0.05,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75880,,"Vein x-ray, eye socket",A,,0.70,1.19,,1.19,NA,0.08,1.97,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75880,TC,"Vein x-ray, eye socket",A,,0.00,0.95,,0.95,NA,0.05,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75880,26,"Vein x-ray, eye socket",A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75885,,"Vein x-ray, liver",A,,1.44,13.04,,13.04,NA,0.60,15.08,15.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75885,TC,"Vein x-ray, liver",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75885,26,"Vein x-ray, liver",A,,1.44,0.49,,0.49,,0.06,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75887,,"Vein x-ray, liver",A,,1.44,13.04,,13.04,NA,0.60,15.08,15.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75887,TC,"Vein x-ray, liver",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75887,26,"Vein x-ray, liver",A,,1.44,0.49,,0.49,,0.06,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75889,,"Vein x-ray, liver",A,,1.14,12.93,,12.93,NA,0.59,14.66,14.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75889,TC,"Vein x-ray, liver",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75889,26,"Vein x-ray, liver",A,,1.14,0.38,,0.38,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75891,,"Vein x-ray, liver",A,,1.14,12.93,,12.93,NA,0.59,14.66,14.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75891,TC,"Vein x-ray, liver",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75891,26,"Vein x-ray, liver",A,,1.14,0.38,,0.38,,0.05,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75893,,Venous sampling by catheter,A,,0.54,12.74,,12.74,NA,0.56,13.84,13.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75893,TC,Venous sampling by catheter,A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75893,26,Venous sampling by catheter,A,,0.54,0.19,,0.19,,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75894,,"X-rays, transcath therapy",A,,1.31,24.48,,24.48,NA,1.12,26.91,26.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75894,TC,"X-rays, transcath therapy",A,,0.00,24.03,,24.03,NA,1.05,25.08,25.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75894,26,"X-rays, transcath therapy",A,,1.31,0.45,,0.45,,0.07,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75896,,"X-rays, transcath therapy",A,,1.31,21.37,,21.37,NA,0.97,23.65,23.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75896,TC,"X-rays, transcath therapy",A,,0.00,20.90,,20.90,NA,0.91,21.81,21.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75896,26,"X-rays, transcath therapy",A,,1.31,0.47,,0.47,,0.06,1.84,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75898,,Follow-up angiography,A,,1.65,1.61,,1.61,NA,0.12,3.38,3.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75898,TC,Follow-up angiography,A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75898,26,Follow-up angiography,A,,1.65,0.57,,0.57,,0.07,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75900,,Arterial catheter exchange,A,,0.49,21.05,,21.05,NA,0.94,22.48,22.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75900,TC,Arterial catheter exchange,A,,0.00,20.88,,20.88,NA,0.92,21.80,21.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75900,26,Arterial catheter exchange,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75901,,Remove cva device obstruct,A,,0.49,1.47,,1.47,NA,0.71,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75901,TC,Remove cva device obstruct,A,,0.00,1.30,,1.30,NA,0.69,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75901,26,Remove cva device obstruct,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75902,,Remove cva lumen obstruct,A,,0.39,1.43,,1.43,NA,0.71,2.53,2.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75902,TC,Remove cva lumen obstruct,A,,0.00,1.30,,1.30,NA,0.69,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75902,26,Remove cva lumen obstruct,A,,0.39,0.13,,0.13,,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75940,,"X-ray placement, vein filter",A,,0.54,12.73,,12.73,NA,0.57,13.84,13.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75940,TC,"X-ray placement, vein filter",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75940,26,"X-ray placement, vein filter",A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75945,,Intravascular us,A,,0.40,4.70,,4.70,NA,0.23,5.33,5.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75945,TC,Intravascular us,A,,0.00,4.55,,4.55,NA,0.20,4.75,4.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75945,26,Intravascular us,A,,0.40,0.15,,0.15,,0.03,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75946,,Intravascular us add-on,A,,0.40,2.42,,2.42,NA,0.14,2.96,2.96,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75946,TC,Intravascular us add-on,A,,0.00,2.28,,2.28,NA,0.11,2.39,2.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75946,26,Intravascular us add-on,A,,0.40,0.14,,0.14,,0.03,0.57,0.57,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75952,,Endovasc repair abdom aorta,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75952,TC,Endovasc repair abdom aorta,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75952,26,Endovasc repair abdom aorta,A,,4.50,1.75,,1.75,,0.68,6.93,6.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75953,,Abdom aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75953,TC,Abdom aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75953,26,Abdom aneurysm endovas rpr,A,,1.36,0.53,,0.53,,0.68,2.57,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75954,,Iliac aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75954,TC,Iliac aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75954,26,Iliac aneurysm endovas rpr,A,,1.36,0.48,,0.48,,0.68,2.52,2.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75960,,"Transcatheter intro, stent",A,,0.82,15.13,,15.13,NA,0.68,16.63,16.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75960,TC,"Transcatheter intro, stent",A,,0.00,14.84,,14.84,NA,0.64,15.48,15.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75960,26,"Transcatheter intro, stent",A,,0.82,0.29,,0.29,,0.04,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75961,,"Retrieval, broken catheter",A,,4.25,11.90,,11.90,NA,0.64,16.79,16.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75961,TC,"Retrieval, broken catheter",A,,0.00,10.46,,10.46,NA,0.46,10.92,10.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75961,26,"Retrieval, broken catheter",A,,4.25,1.44,,1.44,,0.18,5.87,5.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75962,,Repair arterial blockage,A,,0.54,15.86,,15.86,NA,0.72,17.12,17.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75962,TC,Repair arterial blockage,A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75962,26,Repair arterial blockage,A,,0.54,0.19,,0.19,,0.03,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75964,,"Repair artery blockage, each",A,,0.36,8.49,,8.49,NA,0.38,9.23,9.23,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75964,TC,"Repair artery blockage, each",A,,0.00,8.36,,8.36,NA,0.36,8.72,8.72,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75964,26,"Repair artery blockage, each",A,,0.36,0.13,,0.13,,0.02,0.51,0.51,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75966,,Repair arterial blockage,A,,1.31,16.15,,16.15,NA,0.75,18.21,18.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75966,TC,Repair arterial blockage,A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75966,26,Repair arterial blockage,A,,1.31,0.48,,0.48,,0.06,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75968,,"Repair artery blockage, each",A,,0.36,8.49,,8.49,NA,0.37,9.22,9.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75968,TC,"Repair artery blockage, each",A,,0.00,8.36,,8.36,NA,0.36,8.72,8.72,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75968,26,"Repair artery blockage, each",A,,0.36,0.13,,0.13,,0.01,0.50,0.50,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75970,,Vascular biopsy,A,,0.83,11.78,,11.78,NA,0.54,13.15,13.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75970,TC,Vascular biopsy,A,,0.00,11.49,,11.49,NA,0.50,11.99,11.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75970,26,Vascular biopsy,A,,0.83,0.29,,0.29,,0.04,1.16,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75978,,Repair venous blockage,A,,0.54,15.85,,15.85,NA,0.71,17.10,17.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75978,TC,Repair venous blockage,A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75978,26,Repair venous blockage,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75980,,Contrast xray exam bile duct,A,,1.44,5.88,,5.88,NA,0.30,7.62,7.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75980,TC,Contrast xray exam bile duct,A,,0.00,5.39,,5.39,NA,0.24,5.63,5.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75980,26,Contrast xray exam bile duct,A,,1.44,0.49,,0.49,,0.06,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75982,,Contrast xray exam bile duct,A,,1.44,6.55,,6.55,NA,0.33,8.32,8.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75982,TC,Contrast xray exam bile duct,A,,0.00,6.07,,6.07,NA,0.27,6.34,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75982,26,Contrast xray exam bile duct,A,,1.44,0.48,,0.48,,0.06,1.98,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75984,,Xray control catheter change,A,,0.72,2.18,,2.18,NA,0.12,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75984,TC,Xray control catheter change,A,,0.00,1.94,,1.94,NA,0.09,2.03,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75984,26,Xray control catheter change,A,,0.72,0.24,,0.24,,0.03,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75989,,Abscess drainage under x-ray,A,,1.19,3.53,,3.53,NA,0.19,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75989,TC,Abscess drainage under x-ray,A,,0.00,3.13,,3.13,NA,0.14,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75989,26,Abscess drainage under x-ray,A,,1.19,0.40,,0.40,,0.05,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75992,,"Atherectomy, x-ray exam",A,,0.54,15.87,,15.87,NA,0.71,17.12,17.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75992,TC,"Atherectomy, x-ray exam",A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75992,26,"Atherectomy, x-ray exam",A,,0.54,0.20,,0.20,,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75993,,"Atherectomy, x-ray exam",A,,0.36,8.50,,8.50,NA,0.37,9.23,9.23,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75993,TC,"Atherectomy, x-ray exam",A,,0.00,8.36,,8.36,NA,0.36,8.72,8.72,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75993,26,"Atherectomy, x-ray exam",A,,0.36,0.14,,0.14,,0.01,0.51,0.51,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75994,,"Atherectomy, x-ray exam",A,,1.31,16.15,,16.15,NA,0.75,18.21,18.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75994,TC,"Atherectomy, x-ray exam",A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75994,26,"Atherectomy, x-ray exam",A,,1.31,0.48,,0.48,,0.06,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75995,,"Atherectomy, x-ray exam",A,,1.31,16.16,,16.16,NA,0.75,18.22,18.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75995,TC,"Atherectomy, x-ray exam",A,,0.00,15.67,,15.67,NA,0.69,16.36,16.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75995,26,"Atherectomy, x-ray exam",A,,1.31,0.49,,0.49,,0.06,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75996,,"Atherectomy, x-ray exam",A,,0.36,8.48,,8.48,NA,0.37,9.21,9.21,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
75996,TC,"Atherectomy, x-ray exam",A,,0.00,8.36,,8.36,NA,0.36,8.72,8.72,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
75996,26,"Atherectomy, x-ray exam",A,,0.36,0.12,,0.12,,0.01,0.49,0.49,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76000,,Fluoroscope examination,A,,0.17,1.35,,1.35,NA,0.07,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76000,TC,Fluoroscope examination,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76000,26,Fluoroscope examination,A,,0.17,0.05,,0.05,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76001,,"Fluoroscope exam, extensive",A,,0.67,2.84,,2.84,NA,0.15,3.66,3.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76001,TC,"Fluoroscope exam, extensive",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76001,26,"Fluoroscope exam, extensive",A,,0.67,0.23,,0.23,,0.03,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76003,,Needle localization by x-ray,A,,0.54,1.48,,1.48,NA,0.09,2.11,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76003,TC,Needle localization by x-ray,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76003,26,Needle localization by x-ray,A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76005,,Fluoroguide for spine inject,A,,0.60,1.46,,1.46,NA,0.09,2.15,2.15,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76005,TC,Fluoroguide for spine inject,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,03
76005,26,Fluoroguide for spine inject,A,,0.60,0.16,,0.16,,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76006,,X-ray stress view,A,,0.41,0.19,,0.19,,0.04,0.64,0.64,2,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,03
76010,,"X-ray, nose to rectum",A,,0.18,0.58,,0.58,NA,0.03,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76010,TC,"X-ray, nose to rectum",A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76010,26,"X-ray, nose to rectum",A,,0.18,0.06,,0.06,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76012,,Percut vertebroplasty fluor,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76012,TC,Percut vertebroplasty fluor,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76012,26,Percut vertebroplasty fluor,A,,1.31,0.51,,0.51,,0.23,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76013,,"Percut vertebroplasty, ct",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76013,TC,"Percut vertebroplasty, ct",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76013,26,"Percut vertebroplasty, ct",A,,1.38,0.54,,0.54,,0.48,2.40,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76020,,X-rays for bone age,A,,0.19,0.58,,0.58,NA,0.03,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76020,TC,X-rays for bone age,A,,0.00,0.52,,0.52,NA,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76020,26,X-rays for bone age,A,,0.19,0.06,,0.06,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76040,,"X-rays, bone evaluation",A,,0.27,0.87,,0.87,NA,0.07,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76040,TC,"X-rays, bone evaluation",A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76040,26,"X-rays, bone evaluation",A,,0.27,0.09,,0.09,,0.03,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76061,,"X-rays, bone survey",A,,0.45,1.15,,1.15,NA,0.07,1.67,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76061,TC,"X-rays, bone survey",A,,0.00,1.00,,1.00,NA,0.05,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76061,26,"X-rays, bone survey",A,,0.45,0.15,,0.15,,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76062,,"X-rays, bone survey",A,,0.54,1.61,,1.61,NA,0.09,2.24,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76062,TC,"X-rays, bone survey",A,,0.00,1.43,,1.43,NA,0.07,1.50,1.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76062,26,"X-rays, bone survey",A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76065,,"X-rays, bone evaluation",A,,0.70,0.98,,0.98,NA,0.05,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76065,TC,"X-rays, bone evaluation",A,,0.00,0.74,,0.74,NA,0.04,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76065,26,"X-rays, bone evaluation",A,,0.70,0.24,,0.24,,0.01,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76066,,"Joint survey, single view",A,,0.31,1.21,,1.21,NA,0.07,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76066,TC,"Joint survey, single view",A,,0.00,1.10,,1.10,NA,0.05,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76066,26,"Joint survey, single view",A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76070,,"Ct bone density, axial",A,,0.25,3.02,,3.02,NA,0.14,3.41,3.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76070,TC,"Ct bone density, axial",A,,0.00,2.94,,2.94,NA,0.13,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76070,26,"Ct bone density, axial",A,,0.25,0.08,,0.08,,0.01,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76071,,"Ct bone density, peripheral",A,,0.22,3.01,,3.01,NA,0.05,3.28,3.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76071,TC,"Ct bone density, peripheral",A,,0.00,2.94,,2.94,NA,0.04,2.98,2.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76071,26,"Ct bone density, peripheral",A,,0.22,0.07,,0.07,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76075,,"Dexa, axial skeleton study",A,,0.30,3.19,,3.19,NA,0.15,3.64,3.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76075,TC,"Dexa, axial skeleton study",A,,0.00,3.08,,3.08,NA,0.14,3.22,3.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76075,26,"Dexa, axial skeleton study",A,,0.30,0.11,,0.11,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76076,,"Dexa, peripheral study",A,,0.22,0.83,,0.83,NA,0.05,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76076,TC,"Dexa, peripheral study",A,,0.00,0.75,,0.75,NA,0.04,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76076,26,"Dexa, peripheral study",A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76078,,Radiographic absorptiometry,A,,0.20,0.82,,0.82,NA,0.05,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76078,TC,Radiographic absorptiometry,A,,0.00,0.75,,0.75,NA,0.04,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76078,26,Radiographic absorptiometry,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76080,,X-ray exam of fistula,A,,0.54,1.22,,1.22,NA,0.07,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76080,TC,X-ray exam of fistula,A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76080,26,X-ray exam of fistula,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76085,,Computer mammogram add-on,A,,0.06,0.44,,0.44,NA,0.02,0.52,0.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76085,TC,Computer mammogram add-on,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76085,26,Computer mammogram add-on,A,,0.06,0.02,,0.02,,0.01,0.09,0.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76086,,X-ray of mammary duct,A,,0.36,2.73,,2.73,NA,0.14,3.23,3.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76086,TC,X-ray of mammary duct,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76086,26,X-ray of mammary duct,A,,0.36,0.12,,0.12,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76088,,X-ray of mammary ducts,A,,0.45,3.80,,3.80,NA,0.18,4.43,4.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76088,TC,X-ray of mammary ducts,A,,0.00,3.65,,3.65,NA,0.16,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76088,26,X-ray of mammary ducts,A,,0.45,0.15,,0.15,,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76090,,"Mammogram, one breast",A,,0.70,1.28,,1.28,NA,0.08,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76090,TC,"Mammogram, one breast",A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76090,26,"Mammogram, one breast",A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76091,,"Mammogram, both breasts",A,,0.87,1.60,,1.60,NA,0.09,2.56,2.56,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76091,TC,"Mammogram, both breasts",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76091,26,"Mammogram, both breasts",A,,0.87,0.30,,0.30,,0.03,1.20,1.20,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76092,,"Mammogram, screening",A,,0.70,1.46,,1.46,NA,0.09,2.25,2.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76092,TC,"Mammogram, screening",A,,0.00,1.21,,1.21,NA,0.06,1.27,1.27,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76092,26,"Mammogram, screening",A,,0.70,0.25,,0.25,,0.03,0.98,0.98,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76093,,"Magnetic image, breast",A,,1.63,18.11,,18.11,NA,0.83,20.57,20.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76093,TC,"Magnetic image, breast",A,,0.00,17.55,,17.55,NA,0.76,18.31,18.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76093,26,"Magnetic image, breast",A,,1.63,0.56,,0.56,,0.07,2.26,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76094,,"Magnetic image, both breasts",A,,1.63,24.35,,24.35,NA,1.10,27.08,27.08,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76094,TC,"Magnetic image, both breasts",A,,0.00,23.80,,23.80,NA,1.03,24.83,24.83,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
76094,26,"Magnetic image, both breasts",A,,1.63,0.55,,0.55,,0.07,2.25,2.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76095,,Stereotactic breast biopsy,A,,1.59,7.67,,7.67,NA,0.40,9.66,9.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76095,TC,Stereotactic breast biopsy,A,,0.00,7.13,,7.13,NA,0.31,7.44,7.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76095,26,Stereotactic breast biopsy,A,,1.59,0.54,,0.54,,0.09,2.22,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76096,,"X-ray of needle wire, breast",A,,0.56,1.49,,1.49,NA,0.09,2.14,2.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76096,TC,"X-ray of needle wire, breast",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76096,26,"X-ray of needle wire, breast",A,,0.56,0.19,,0.19,,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76098,,"X-ray exam, breast specimen",A,,0.16,0.48,,0.48,NA,0.03,0.67,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76098,TC,"X-ray exam, breast specimen",A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76098,26,"X-ray exam, breast specimen",A,,0.16,0.06,,0.06,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76100,,X-ray exam of body section,A,,0.58,1.44,,1.44,NA,0.09,2.11,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76100,TC,X-ray exam of body section,A,,0.00,1.24,,1.24,NA,0.06,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76100,26,X-ray exam of body section,A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76101,,Complex body section x-ray,A,,0.58,1.61,,1.61,NA,0.10,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76101,TC,Complex body section x-ray,A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76101,26,Complex body section x-ray,A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76102,,Complex body section x-rays,A,,0.58,1.92,,1.92,NA,0.12,2.62,2.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76102,TC,Complex body section x-rays,A,,0.00,1.72,,1.72,NA,0.09,1.81,1.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,02
76102,26,Complex body section x-rays,A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76120,,Cine/video x-rays,A,,0.38,1.17,,1.17,NA,0.07,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76120,TC,Cine/video x-rays,A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76120,26,Cine/video x-rays,A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76125,,Cine/video x-rays add-on,A,,0.27,0.88,,0.88,NA,0.05,1.20,1.20,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76125,TC,Cine/video x-rays add-on,A,,0.00,0.78,,0.78,NA,0.04,0.82,0.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76125,26,Cine/video x-rays add-on,A,,0.27,0.10,,0.10,,0.01,0.38,0.38,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76140,,X-ray consultation,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76150,,"X-ray exam, dry process",A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76350,,Special x-ray contrast study,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76355,,CAT scan for localization,A,,1.21,8.64,,8.64,NA,0.41,10.26,10.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76355,TC,CAT scan for localization,A,,0.00,8.22,,8.22,NA,0.35,8.57,8.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76355,26,CAT scan for localization,A,,1.21,0.42,,0.42,,0.06,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76360,,CAT scan for needle biopsy,A,,1.16,8.61,,8.61,NA,0.40,10.17,10.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76360,TC,CAT scan for needle biopsy,A,,0.00,8.22,,8.22,NA,0.35,8.57,8.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76360,26,CAT scan for needle biopsy,A,,1.16,0.39,,0.39,,0.05,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76362,,Cat scan for tissue ablation,A,,4.00,9.57,,9.57,NA,1.39,14.96,14.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76362,TC,Cat scan for tissue ablation,A,,0.00,8.22,,8.22,NA,1.21,9.43,9.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76362,26,Cat scan for tissue ablation,A,,4.00,1.35,,1.35,,0.18,5.53,5.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76370,,CAT scan for therapy guide,A,,0.85,3.23,,3.23,NA,0.17,4.25,4.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76370,TC,CAT scan for therapy guide,A,,0.00,2.94,,2.94,NA,0.13,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76370,26,CAT scan for therapy guide,A,,0.85,0.29,,0.29,,0.04,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76375,,3d/holograph reconstr add-on,A,,0.16,3.57,,3.57,NA,0.16,3.89,3.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76375,TC,3d/holograph reconstr add-on,A,,0.00,3.52,,3.52,NA,0.15,3.67,3.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76375,26,3d/holograph reconstr add-on,A,,0.16,0.05,,0.05,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76380,,CAT scan follow-up study,A,,0.98,3.81,,3.81,NA,0.19,4.98,4.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76380,TC,CAT scan follow-up study,A,,0.00,3.48,,3.48,NA,0.15,3.63,3.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76380,26,CAT scan follow-up study,A,,0.98,0.33,,0.33,,0.04,1.35,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76390,,Mr spectroscopy,N,+,1.40,11.64,,11.64,NA,0.55,13.59,13.59,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76390,TC,Mr spectroscopy,N,+,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
76390,26,Mr spectroscopy,N,+,1.40,0.48,,0.48,,0.06,1.94,1.94,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76393,,Mr guidance for needle place,A,,1.50,11.68,,11.68,NA,0.53,13.71,13.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76393,TC,Mr guidance for needle place,A,,0.00,11.16,,11.16,NA,0.46,11.62,11.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76393,26,Mr guidance for needle place,A,,1.50,0.52,,0.52,,0.07,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76394,,Mri for tissue ablation,A,,4.25,12.60,,12.60,NA,1.48,18.33,18.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76394,TC,Mri for tissue ablation,A,,0.00,11.16,,11.16,NA,1.29,12.45,12.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76394,26,Mri for tissue ablation,A,,4.25,1.44,,1.44,,0.19,5.88,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76400,,"Magnetic image, bone marrow",A,,1.60,11.70,,11.70,NA,0.56,13.86,13.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76400,TC,"Magnetic image, bone marrow",A,,0.00,11.16,,11.16,NA,0.49,11.65,11.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76400,26,"Magnetic image, bone marrow",A,,1.60,0.54,,0.54,,0.07,2.21,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76490,,Us for tissue ablation,A,,4.00,2.85,,2.85,NA,0.35,7.20,7.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76490,TC,Us for tissue ablation,A,,0.00,1.51,,1.51,NA,0.24,1.75,1.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76490,26,Us for tissue ablation,A,,4.00,1.34,,1.34,,0.11,5.45,5.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76496,,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76496,TC,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76496,26,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76497,,Ct procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76497,TC,Ct procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76497,26,Ct procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76498,,Mri procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76498,TC,Mri procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
76498,26,Mri procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76499,,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76499,TC,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76499,26,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76506,,Echo exam of head,A,,0.63,1.66,,1.66,NA,0.10,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76506,TC,Echo exam of head,A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76506,26,Echo exam of head,A,,0.63,0.25,,0.25,,0.03,0.91,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76511,,Echo exam of eye,A,,0.94,2.59,,2.59,NA,0.08,3.61,3.61,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76511,TC,Echo exam of eye,A,,0.00,2.18,,2.18,NA,0.06,2.24,2.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
76511,26,Echo exam of eye,A,,0.94,0.41,,0.41,,0.02,1.37,1.37,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76512,,Echo exam of eye,A,,0.66,2.54,,2.54,NA,0.09,3.29,3.29,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76512,TC,Echo exam of eye,A,,0.00,2.24,,2.24,NA,0.08,2.32,2.32,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
76512,26,Echo exam of eye,A,,0.66,0.30,,0.30,,0.01,0.97,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76513,,"Echo exam of eye, water bath",A,,0.66,2.80,,2.80,NA,0.09,3.55,3.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76513,TC,"Echo exam of eye, water bath",A,,0.00,2.50,,2.50,NA,0.08,2.58,2.58,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
76513,26,"Echo exam of eye, water bath",A,,0.66,0.30,,0.30,,0.01,0.97,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76516,,Echo exam of eye,A,,0.54,2.13,,2.13,NA,0.07,2.74,2.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76516,TC,Echo exam of eye,A,,0.00,1.88,,1.88,NA,0.06,1.94,1.94,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
76516,26,Echo exam of eye,A,,0.54,0.25,,0.25,,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76519,,Echo exam of eye,A,,0.54,1.93,,1.93,NA,0.07,2.54,2.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76519,TC,Echo exam of eye,A,,0.00,1.68,,1.68,NA,0.06,1.74,1.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
76519,26,Echo exam of eye,A,,0.54,0.25,,0.25,,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76529,,Echo exam of eye,A,,0.57,2.42,,2.42,NA,0.08,3.07,3.07,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76529,TC,Echo exam of eye,A,,0.00,2.17,,2.17,NA,0.07,2.24,2.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,01
76529,26,Echo exam of eye,A,,0.57,0.25,,0.25,,0.01,0.83,0.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
76536,,Us exam of head and neck,A,,0.56,1.60,,1.60,NA,0.09,2.25,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76536,TC,Us exam of head and neck,A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76536,26,Us exam of head and neck,A,,0.56,0.19,,0.19,,0.02,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76604,,"Us exam, chest, b-scan",A,,0.55,1.49,,1.49,NA,0.08,2.12,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76604,TC,"Us exam, chest, b-scan",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76604,26,"Us exam, chest, b-scan",A,,0.55,0.19,,0.19,,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76645,,"Us exam, breast(s)",A,,0.54,1.22,,1.22,NA,0.08,1.84,1.84,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76645,TC,"Us exam, breast(s)",A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
76645,26,"Us exam, breast(s)",A,,0.54,0.18,,0.18,,0.03,0.75,0.75,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
76700,,"Us exam, abdom, complete",A,,0.81,2.24,,2.24,NA,0.13,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76700,TC,"Us exam, abdom, complete",A,,0.00,1.96,,1.96,NA,0.09,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76700,26,"Us exam, abdom, complete",A,,0.81,0.28,,0.28,,0.04,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76705,,Echo exam of abdomen,A,,0.59,1.61,,1.61,NA,0.10,2.30,2.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76705,TC,Echo exam of abdomen,A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76705,26,Echo exam of abdomen,A,,0.59,0.20,,0.20,,0.03,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76770,,"Us exam abdo back wall, comp",A,,0.74,2.21,,2.21,NA,0.12,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76770,TC,"Us exam abdo back wall, comp",A,,0.00,1.96,,1.96,NA,0.09,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76770,26,"Us exam abdo back wall, comp",A,,0.74,0.25,,0.25,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76775,,"Us eam abdo back wall, lim",A,,0.58,1.61,,1.61,NA,0.10,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76775,TC,"Us eam abdo back wall, lim",A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76775,26,"Us eam abdo back wall, lim",A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76778,,Us exam kidney transplant,A,,0.74,2.21,,2.21,NA,0.12,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76778,TC,Us exam kidney transplant,A,,0.00,1.96,,1.96,NA,0.09,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76778,26,Us exam kidney transplant,A,,0.74,0.25,,0.25,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76800,,"Us exam, spinal canal",A,,1.13,1.76,,1.76,NA,0.11,3.00,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76800,TC,"Us exam, spinal canal",A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76800,26,"Us exam, spinal canal",A,,1.13,0.35,,0.35,,0.04,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76801,,"Ob us < 14 wks, single fetus",A,,0.99,1.40,,1.40,NA,0.14,2.53,2.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76801,TC,"Ob us < 14 wks, single fetus",A,,0.00,1.04,,1.04,NA,0.10,1.14,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76801,26,"Ob us < 14 wks, single fetus",A,,0.99,0.36,,0.36,,0.04,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76802,,"Ob us < 14 wks, addl fetus",A,,0.83,1.01,,1.01,NA,0.14,1.98,1.98,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76802,TC,"Ob us < 14 wks, addl fetus",A,,0.00,0.71,,0.71,NA,0.10,0.81,0.81,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76802,26,"Ob us < 14 wks, addl fetus",A,,0.83,0.30,,0.30,,0.04,1.17,1.17,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76805,,"Ob us >/= 14 wks, sngl fetus",A,,0.99,2.44,,2.44,NA,0.14,3.57,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76805,TC,"Ob us >/= 14 wks, sngl fetus",A,,0.00,2.09,,2.09,NA,0.10,2.19,2.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76805,26,"Ob us >/= 14 wks, sngl fetus",A,,0.99,0.35,,0.35,,0.04,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76810,,"Ob us >/= 14 wks, addl fetus",A,,0.98,1.40,,1.40,NA,0.25,2.63,2.63,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76810,TC,"Ob us >/= 14 wks, addl fetus",A,,0.00,1.04,,1.04,NA,0.18,1.22,1.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76810,26,"Ob us >/= 14 wks, addl fetus",A,,0.98,0.36,,0.36,,0.07,1.41,1.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76811,,"Ob us, detailed, sngl fetus",A,,1.90,4.19,,4.19,NA,0.51,6.60,6.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76811,TC,"Ob us, detailed, sngl fetus",A,,0.00,3.51,,3.51,NA,0.36,3.87,3.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76811,26,"Ob us, detailed, sngl fetus",A,,1.90,0.68,,0.68,,0.15,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76812,,"Ob us, detailed, addl fetus",A,,1.78,1.69,,1.69,NA,0.46,3.93,3.93,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76812,TC,"Ob us, detailed, addl fetus",A,,0.00,1.04,,1.04,NA,0.34,1.38,1.38,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76812,26,"Ob us, detailed, addl fetus",A,,1.78,0.65,,0.65,,0.12,2.55,2.55,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76815,,"Ob us, limited, fetus(s)",A,,0.65,1.65,,1.65,NA,0.09,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76815,TC,"Ob us, limited, fetus(s)",A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76815,26,"Ob us, limited, fetus(s)",A,,0.65,0.24,,0.24,,0.02,0.91,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76816,,"Ob us, follow-up, per fetus",A,,0.85,1.43,,1.43,NA,0.07,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76816,TC,"Ob us, follow-up, per fetus",A,,0.00,1.10,,1.10,NA,0.05,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76816,26,"Ob us, follow-up, per fetus",A,,0.85,0.33,,0.33,,0.02,1.20,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76817,,"Transvaginal us, obstetric",A,,0.75,1.79,,1.79,NA,0.07,2.61,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76817,TC,"Transvaginal us, obstetric",A,,0.00,1.51,,1.51,NA,0.05,1.56,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76817,26,"Transvaginal us, obstetric",A,,0.75,0.28,,0.28,,0.02,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76818,,Fetal biophys profile w/nst,A,,1.05,2.01,,2.01,NA,0.12,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76818,TC,Fetal biophys profile w/nst,A,,0.00,1.61,,1.61,NA,0.08,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76818,26,Fetal biophys profile w/nst,A,,1.05,0.40,,0.40,,0.04,1.49,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76819,,Fetal biophys profil w/o nst,A,,0.77,1.90,,1.90,NA,0.10,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76819,TC,Fetal biophys profil w/o nst,A,,0.00,1.61,,1.61,NA,0.08,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76819,26,Fetal biophys profil w/o nst,A,,0.77,0.29,,0.29,,0.02,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76825,,Echo exam of fetal heart,A,,1.67,2.58,,2.58,NA,0.15,4.40,4.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76825,TC,Echo exam of fetal heart,A,,0.00,1.96,,1.96,NA,0.09,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76825,26,Echo exam of fetal heart,A,,1.67,0.62,,0.62,,0.06,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76826,,Echo exam of fetal heart,A,,0.83,1.01,,1.01,NA,0.07,1.91,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76826,TC,Echo exam of fetal heart,A,,0.00,0.71,,0.71,NA,0.04,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76826,26,Echo exam of fetal heart,A,,0.83,0.30,,0.30,,0.03,1.16,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76827,,Echo exam of fetal heart,A,,0.58,1.93,,1.93,NA,0.12,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76827,TC,Echo exam of fetal heart,A,,0.00,1.71,,1.71,NA,0.10,1.81,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76827,26,Echo exam of fetal heart,A,,0.58,0.22,,0.22,,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76828,,Echo exam of fetal heart,A,,0.56,1.32,,1.32,NA,0.09,1.97,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76828,TC,Echo exam of fetal heart,A,,0.00,1.10,,1.10,NA,0.07,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76828,26,Echo exam of fetal heart,A,,0.56,0.22,,0.22,,0.02,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76830,,"Transvaginal us, non-ob",A,,0.69,1.75,,1.75,NA,0.11,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76830,TC,"Transvaginal us, non-ob",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76830,26,"Transvaginal us, non-ob",A,,0.69,0.24,,0.24,,0.03,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76831,,"Echo exam, uterus",A,,0.72,1.77,,1.77,NA,0.10,2.59,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76831,TC,"Echo exam, uterus",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76831,26,"Echo exam, uterus",A,,0.72,0.26,,0.26,,0.02,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76856,,"Us exam, pelvic, complete",A,,0.69,1.75,,1.75,NA,0.11,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76856,TC,"Us exam, pelvic, complete",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76856,26,"Us exam, pelvic, complete",A,,0.69,0.24,,0.24,,0.03,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76857,,"Us exam, pelvic, limited",A,,0.38,2.09,,2.09,NA,0.07,2.54,2.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76857,TC,"Us exam, pelvic, limited",A,,0.00,1.96,,1.96,NA,0.05,2.01,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76857,26,"Us exam, pelvic, limited",A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76870,,"Us exam, scrotum",A,,0.64,1.73,,1.73,NA,0.11,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76870,TC,"Us exam, scrotum",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76870,26,"Us exam, scrotum",A,,0.64,0.22,,0.22,,0.03,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76872,,"Echo exam, transrectal",A,,0.69,1.81,,1.81,NA,0.12,2.62,2.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76872,TC,"Echo exam, transrectal",A,,0.00,1.58,,1.58,NA,0.08,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76872,26,"Echo exam, transrectal",A,,0.69,0.23,,0.23,,0.04,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76873,,"Echograp trans r, pros study",A,,1.55,2.61,,2.61,NA,0.21,4.37,4.37,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76873,TC,"Echograp trans r, pros study",A,,0.00,2.09,,2.09,NA,0.13,2.22,2.22,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
76873,26,"Echograp trans r, pros study",A,,1.55,0.52,,0.52,,0.08,2.15,2.15,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
76880,,"Us exam, extremity",A,,0.59,1.61,,1.61,NA,0.10,2.30,2.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76880,TC,"Us exam, extremity",A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76880,26,"Us exam, extremity",A,,0.59,0.20,,0.20,,0.03,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76885,,"Us exam infant hips, dynamic",A,,0.74,1.76,,1.76,NA,0.11,2.61,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76885,TC,"Us exam infant hips, dynamic",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76885,26,"Us exam infant hips, dynamic",A,,0.74,0.25,,0.25,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76886,,"Us exam infant hips, static",A,,0.62,1.62,,1.62,NA,0.10,2.34,2.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76886,TC,"Us exam infant hips, static",A,,0.00,1.41,,1.41,NA,0.07,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76886,26,"Us exam infant hips, static",A,,0.62,0.21,,0.21,,0.03,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76930,,"Echo guide, cardiocentesis",A,,0.67,1.77,,1.77,NA,0.10,2.54,2.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76930,TC,"Echo guide, cardiocentesis",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76930,26,"Echo guide, cardiocentesis",A,,0.67,0.26,,0.26,,0.02,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76932,,Echo guide for heart biopsy,A,,0.67,1.77,,1.77,NA,0.10,2.54,2.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76932,TC,Echo guide for heart biopsy,A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76932,26,Echo guide for heart biopsy,A,,0.67,0.26,,0.26,,0.02,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76936,,Echo guide for artery repair,A,,1.99,6.95,,6.95,NA,0.39,9.33,9.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76936,TC,Echo guide for artery repair,A,,0.00,6.27,,6.27,NA,0.28,6.55,6.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76936,26,Echo guide for artery repair,A,,1.99,0.68,,0.68,,0.11,2.78,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76941,,Echo guide for transfusion,A,,1.34,2.01,,2.01,NA,0.13,3.48,3.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76941,TC,Echo guide for transfusion,A,,0.00,1.52,,1.52,NA,0.07,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76941,26,Echo guide for transfusion,A,,1.34,0.49,,0.49,,0.06,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76942,,Echo guide for biopsy,A,,0.67,3.18,,3.18,NA,0.12,3.97,3.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76942,TC,Echo guide for biopsy,A,,0.00,2.95,,2.95,NA,0.08,3.03,3.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76942,26,Echo guide for biopsy,A,,0.67,0.23,,0.23,,0.04,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76945,,"Echo guide, villus sampling",A,,0.67,1.75,,1.75,NA,0.10,2.52,2.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76945,TC,"Echo guide, villus sampling",A,,0.00,1.52,,1.52,NA,0.07,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76945,26,"Echo guide, villus sampling",A,,0.67,0.23,,0.23,,0.03,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76946,,Echo guide for amniocentesis,A,,0.38,1.65,,1.65,NA,0.09,2.12,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76946,TC,Echo guide for amniocentesis,A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76946,26,Echo guide for amniocentesis,A,,0.38,0.14,,0.14,,0.01,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76948,,"Echo guide, ova aspiration",A,,0.38,1.64,,1.64,NA,0.10,2.12,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76948,TC,"Echo guide, ova aspiration",A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76948,26,"Echo guide, ova aspiration",A,,0.38,0.13,,0.13,,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76950,,Echo guidance radiotherapy,A,,0.58,1.50,,1.50,NA,0.09,2.17,2.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76950,TC,Echo guidance radiotherapy,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76950,26,Echo guidance radiotherapy,A,,0.58,0.20,,0.20,,0.03,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76965,,Echo guidance radiotherapy,A,,1.34,5.99,,5.99,NA,0.31,7.64,7.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76965,TC,Echo guidance radiotherapy,A,,0.00,5.54,,5.54,NA,0.24,5.78,5.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76965,26,Echo guidance radiotherapy,A,,1.34,0.45,,0.45,,0.07,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76970,,Ultrasound exam follow-up,A,,0.40,1.18,,1.18,NA,0.07,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76970,TC,Ultrasound exam follow-up,A,,0.00,1.04,,1.04,NA,0.05,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76970,26,Ultrasound exam follow-up,A,,0.40,0.14,,0.14,,0.02,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76975,,GI endoscopic ultrasound,A,,0.81,1.80,,1.80,NA,0.11,2.72,2.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76975,TC,GI endoscopic ultrasound,A,,0.00,1.51,,1.51,NA,0.08,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76975,26,GI endoscopic ultrasound,A,,0.81,0.29,,0.29,,0.03,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76977,,Us bone density measure,A,,0.05,0.84,,0.84,NA,0.05,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76977,TC,Us bone density measure,A,,0.00,0.82,,0.82,NA,0.04,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
76977,26,Us bone density measure,A,,0.05,0.02,,0.02,,0.01,0.08,0.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76986,,Ultrasound guide intraoper,A,,1.20,3.02,,3.02,NA,0.19,4.41,4.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76986,TC,Ultrasound guide intraoper,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
76986,26,Ultrasound guide intraoper,A,,1.20,0.41,,0.41,,0.07,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76999,,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76999,TC,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
76999,26,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77261,,Radiation therapy planning,A,,1.39,0.54,,0.54,,0.06,1.99,1.99,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77262,,Radiation therapy planning,A,,2.11,0.80,,0.80,,0.09,3.00,3.00,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77263,,Radiation therapy planning,A,,3.14,1.17,,1.17,,0.13,4.44,4.44,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77280,,Set radiation therapy field,A,,0.70,3.69,,3.69,NA,0.18,4.57,4.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77280,TC,Set radiation therapy field,A,,0.00,3.45,,3.45,NA,0.15,3.60,3.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77280,26,Set radiation therapy field,A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77285,,Set radiation therapy field,A,,1.05,5.90,,5.90,NA,0.29,7.24,7.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77285,TC,Set radiation therapy field,A,,0.00,5.54,,5.54,NA,0.25,5.79,5.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77285,26,Set radiation therapy field,A,,1.05,0.36,,0.36,,0.04,1.45,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77290,,Set radiation therapy field,A,,1.56,7.01,,7.01,NA,0.35,8.92,8.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77290,TC,Set radiation therapy field,A,,0.00,6.48,,6.48,NA,0.29,6.77,6.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77290,26,Set radiation therapy field,A,,1.56,0.53,,0.53,,0.06,2.15,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77295,,Set radiation therapy field,A,,4.57,29.35,,29.35,NA,1.41,35.33,35.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77295,TC,Set radiation therapy field,A,,0.00,27.81,,27.81,NA,1.23,29.04,29.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77295,26,Set radiation therapy field,A,,4.57,1.54,,1.54,,0.18,6.29,6.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77299,,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77299,TC,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77299,26,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77300,,Radiation therapy dose plan,A,,0.62,1.54,,1.54,NA,0.09,2.25,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77300,TC,Radiation therapy dose plan,A,,0.00,1.33,,1.33,NA,0.06,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77300,26,Radiation therapy dose plan,A,,0.62,0.21,,0.21,,0.03,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77301,,"Radiotherapy dose plan, imrt",A,,8.00,30.92,,30.92,NA,1.41,40.33,40.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77301,TC,"Radiotherapy dose plan, imrt",A,,0.00,27.81,,27.81,NA,1.23,29.04,29.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77301,26,"Radiotherapy dose plan, imrt",A,,8.00,3.11,,3.11,,0.18,11.29,11.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77305,,Teletx isodose plan simple,A,,0.70,2.09,,2.09,NA,0.12,2.91,2.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77305,TC,Teletx isodose plan simple,A,,0.00,1.85,,1.85,NA,0.09,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77305,26,Teletx isodose plan simple,A,,0.70,0.24,,0.24,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77310,,Teletx isodose plan intermed,A,,1.05,2.68,,2.68,NA,0.15,3.88,3.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77310,TC,Teletx isodose plan intermed,A,,0.00,2.32,,2.32,NA,0.11,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77310,26,Teletx isodose plan intermed,A,,1.05,0.36,,0.36,,0.04,1.45,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77315,,Teletx isodose plan complex,A,,1.56,3.18,,3.18,NA,0.18,4.92,4.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77315,TC,Teletx isodose plan complex,A,,0.00,2.65,,2.65,NA,0.12,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77315,26,Teletx isodose plan complex,A,,1.56,0.53,,0.53,,0.06,2.15,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77321,,Special teletx port plan,A,,0.95,4.34,,4.34,NA,0.21,5.50,5.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77321,TC,Special teletx port plan,A,,0.00,4.02,,4.02,NA,0.17,4.19,4.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77321,26,Special teletx port plan,A,,0.95,0.32,,0.32,,0.04,1.31,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77326,,Brachytx isodose calc simp,A,,0.93,2.66,,2.66,NA,0.15,3.74,3.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77326,TC,Brachytx isodose calc simp,A,,0.00,2.35,,2.35,NA,0.11,2.46,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77326,26,Brachytx isodose calc simp,A,,0.93,0.31,,0.31,,0.04,1.28,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77327,,Brachytx isodose calc interm,A,,1.39,3.92,,3.92,NA,0.21,5.52,5.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77327,TC,Brachytx isodose calc interm,A,,0.00,3.45,,3.45,NA,0.15,3.60,3.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77327,26,Brachytx isodose calc interm,A,,1.39,0.47,,0.47,,0.06,1.92,1.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77328,,Brachytx isodose plan compl,A,,2.09,5.65,,5.65,NA,0.30,8.04,8.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77328,TC,Brachytx isodose plan compl,A,,0.00,4.94,,4.94,NA,0.21,5.15,5.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77328,26,Brachytx isodose plan compl,A,,2.09,0.71,,0.71,,0.09,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77331,,Special radiation dosimetry,A,,0.87,0.80,,0.80,NA,0.06,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77331,TC,Special radiation dosimetry,A,,0.00,0.50,,0.50,NA,0.02,0.52,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77331,26,Special radiation dosimetry,A,,0.87,0.30,,0.30,,0.04,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77332,,Radiation treatment aid(s),A,,0.54,1.51,,1.51,NA,0.08,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77332,TC,Radiation treatment aid(s),A,,0.00,1.33,,1.33,NA,0.06,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77332,26,Radiation treatment aid(s),A,,0.54,0.18,,0.18,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77333,,Radiation treatment aid(s),A,,0.84,2.18,,2.18,NA,0.13,3.15,3.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77333,TC,Radiation treatment aid(s),A,,0.00,1.89,,1.89,NA,0.09,1.98,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77333,26,Radiation treatment aid(s),A,,0.84,0.29,,0.29,,0.04,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77334,,Radiation treatment aid(s),A,,1.24,3.65,,3.65,NA,0.19,5.08,5.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77334,TC,Radiation treatment aid(s),A,,0.00,3.23,,3.23,NA,0.14,3.37,3.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77334,26,Radiation treatment aid(s),A,,1.24,0.42,,0.42,,0.05,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77336,,Radiation physics consult,A,,0.00,2.97,,2.97,NA,0.13,3.10,3.10,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77370,,Radiation physics consult,A,,0.00,3.47,,3.47,NA,0.15,3.62,3.62,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77399,,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77399,TC,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77399,26,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77401,,Radiation treatment delivery,A,,0.00,1.76,,1.76,NA,0.09,1.85,1.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77402,,Radiation treatment delivery,A,,0.00,1.76,,1.76,NA,0.09,1.85,1.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77403,,Radiation treatment delivery,A,,0.00,1.76,,1.76,NA,0.09,1.85,1.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77404,,Radiation treatment delivery,A,,0.00,1.76,,1.76,NA,0.09,1.85,1.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77406,,Radiation treatment delivery,A,,0.00,1.76,,1.76,NA,0.09,1.85,1.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77407,,Radiation treatment delivery,A,,0.00,2.08,,2.08,NA,0.10,2.18,2.18,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77408,,Radiation treatment delivery,A,,0.00,2.08,,2.08,NA,0.10,2.18,2.18,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77409,,Radiation treatment delivery,A,,0.00,2.08,,2.08,NA,0.10,2.18,2.18,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77411,,Radiation treatment delivery,A,,0.00,2.08,,2.08,NA,0.10,2.18,2.18,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77412,,Radiation treatment delivery,A,,0.00,2.32,,2.32,NA,0.11,2.43,2.43,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77413,,Radiation treatment delivery,A,,0.00,2.32,,2.32,NA,0.11,2.43,2.43,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77414,,Radiation treatment delivery,A,,0.00,2.32,,2.32,NA,0.11,2.43,2.43,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77416,,Radiation treatment delivery,A,,0.00,2.32,,2.32,NA,0.11,2.43,2.43,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77417,,Radiology port film(s),A,,0.00,0.59,,0.59,NA,0.03,0.62,0.62,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
77418,,"Radiation tx delivery, imrt",A,,0.00,17.97,,17.97,NA,0.11,18.08,18.08,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77427,,"Radiation tx management, x5",A,,3.31,1.12,,1.12,,0.14,4.57,4.57,2,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
77431,,Radiation therapy management,A,,1.81,0.71,,0.71,,0.07,2.59,2.59,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77432,,Stereotactic radiation trmt,A,,7.93,3.06,,3.06,,0.33,11.32,11.32,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77470,,Special radiation treatment,A,,2.09,11.81,,11.81,NA,0.58,14.48,14.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77470,TC,Special radiation treatment,A,,0.00,11.10,,11.10,NA,0.49,11.59,11.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77470,26,Special radiation treatment,A,,2.09,0.71,,0.71,,0.09,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77499,,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77499,TC,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77499,26,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77520,,"Proton trmt, simple w/o comp",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
77522,,"Proton trmt, simple w/comp",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
77523,,"Proton trmt, intermediate",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
77525,,"Proton treatment, complex",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
77600,,Hyperthermia treatment,R,,1.56,3.57,,3.57,NA,0.21,5.34,5.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77600,TC,Hyperthermia treatment,R,,0.00,3.04,,3.04,NA,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77600,26,Hyperthermia treatment,R,,1.56,0.53,,0.53,,0.08,2.17,2.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77605,,Hyperthermia treatment,R,,2.09,4.75,,4.75,NA,0.31,7.15,7.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77605,TC,Hyperthermia treatment,R,,0.00,4.04,,4.04,NA,0.18,4.22,4.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77605,26,Hyperthermia treatment,R,,2.09,0.71,,0.71,,0.13,2.93,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77610,,Hyperthermia treatment,R,,1.56,3.57,,3.57,NA,0.20,5.33,5.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77610,TC,Hyperthermia treatment,R,,0.00,3.04,,3.04,NA,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77610,26,Hyperthermia treatment,R,,1.56,0.53,,0.53,,0.07,2.16,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77615,,Hyperthermia treatment,R,,2.09,4.75,,4.75,NA,0.27,7.11,7.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77615,TC,Hyperthermia treatment,R,,0.00,4.04,,4.04,NA,0.18,4.22,4.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77615,26,Hyperthermia treatment,R,,2.09,0.71,,0.71,,0.09,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77620,,Hyperthermia treatment,R,,1.56,3.58,,3.58,NA,0.19,5.33,5.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77620,TC,Hyperthermia treatment,R,,0.00,3.04,,3.04,NA,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77620,26,Hyperthermia treatment,R,,1.56,0.54,,0.54,,0.06,2.16,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77750,,Infuse radioactive materials,A,,4.91,3.00,,3.00,NA,0.23,8.14,8.14,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77750,TC,Infuse radioactive materials,A,,0.00,1.33,,1.33,NA,0.06,1.39,1.39,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77750,26,Infuse radioactive materials,A,,4.91,1.67,,1.67,,0.17,6.75,6.75,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77761,,Apply intrcav radiat simple,A,,3.81,3.64,,3.64,NA,0.28,7.73,7.73,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77761,TC,Apply intrcav radiat simple,A,,0.00,2.50,,2.50,NA,0.12,2.62,2.62,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77761,26,Apply intrcav radiat simple,A,,3.81,1.14,,1.14,,0.16,5.11,5.11,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77762,,Apply intrcav radiat interm,A,,5.72,5.51,,5.51,NA,0.38,11.61,11.61,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77762,TC,Apply intrcav radiat interm,A,,0.00,3.59,,3.59,NA,0.16,3.75,3.75,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77762,26,Apply intrcav radiat interm,A,,5.72,1.92,,1.92,,0.22,7.86,7.86,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77763,,Apply intrcav radiat compl,A,,8.57,7.35,,7.35,NA,0.53,16.45,16.45,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77763,TC,Apply intrcav radiat compl,A,,0.00,4.47,,4.47,NA,0.19,4.66,4.66,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77763,26,Apply intrcav radiat compl,A,,8.57,2.88,,2.88,,0.34,11.79,11.79,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77776,,Apply interstit radiat simpl,A,,4.66,3.15,,3.15,NA,0.35,8.16,8.16,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77776,TC,Apply interstit radiat simpl,A,,0.00,2.17,,2.17,NA,0.11,2.28,2.28,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77776,26,Apply interstit radiat simpl,A,,4.66,0.98,,0.98,,0.24,5.88,5.88,1,090,0.00,0.00,0.00,0,0,0,2,0,,36.7856,09
77777,,Apply interstit radiat inter,A,,7.48,6.70,,6.70,NA,0.50,14.68,14.68,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77777,TC,Apply interstit radiat inter,A,,0.00,4.22,,4.22,NA,0.18,4.40,4.40,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77777,26,Apply interstit radiat inter,A,,7.48,2.48,,2.48,,0.32,10.28,10.28,1,090,0.00,0.00,0.00,0,0,0,2,0,,36.7856,09
77778,,Apply interstit radiat compl,A,,11.19,8.88,,8.88,NA,0.69,20.76,20.76,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77778,TC,Apply interstit radiat compl,A,,0.00,5.11,,5.11,NA,0.22,5.33,5.33,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77778,26,Apply interstit radiat compl,A,,11.19,3.77,,3.77,,0.47,15.43,15.43,1,090,0.00,0.00,0.00,0,0,0,2,0,,36.7856,09
77781,,High intensity brachytherapy,A,,1.66,20.79,,20.79,NA,0.95,23.40,23.40,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77781,TC,High intensity brachytherapy,A,,0.00,20.22,,20.22,NA,0.88,21.10,21.10,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77781,26,High intensity brachytherapy,A,,1.66,0.57,,0.57,,0.07,2.30,2.30,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77782,,High intensity brachytherapy,A,,2.49,21.07,,21.07,NA,0.98,24.54,24.54,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77782,TC,High intensity brachytherapy,A,,0.00,20.22,,20.22,NA,0.88,21.10,21.10,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77782,26,High intensity brachytherapy,A,,2.49,0.85,,0.85,,0.10,3.44,3.44,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77783,,High intensity brachytherapy,A,,3.73,21.48,,21.48,NA,1.03,26.24,26.24,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77783,TC,High intensity brachytherapy,A,,0.00,20.22,,20.22,NA,0.88,21.10,21.10,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77783,26,High intensity brachytherapy,A,,3.73,1.26,,1.26,,0.15,5.14,5.14,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77784,,High intensity brachytherapy,A,,5.61,22.11,,22.11,NA,1.10,28.82,28.82,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77784,TC,High intensity brachytherapy,A,,0.00,20.22,,20.22,NA,0.88,21.10,21.10,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77784,26,High intensity brachytherapy,A,,5.61,1.89,,1.89,,0.22,7.72,7.72,1,090,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77789,,Apply surface radiation,A,,1.12,0.84,,0.84,NA,0.05,2.01,2.01,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77789,TC,Apply surface radiation,A,,0.00,0.45,,0.45,NA,0.02,0.47,0.47,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77789,26,Apply surface radiation,A,,1.12,0.39,,0.39,,0.03,1.54,1.54,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77790,,Radiation handling,A,,1.05,0.86,,0.86,NA,0.06,1.97,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77790,TC,Radiation handling,A,,0.00,0.50,,0.50,NA,0.02,0.52,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77790,26,Radiation handling,A,,1.05,0.36,,0.36,,0.04,1.45,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77799,,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77799,TC,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
77799,26,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78000,,"Thyroid, single uptake",A,,0.19,1.04,,1.04,NA,0.06,1.29,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78000,TC,"Thyroid, single uptake",A,,0.00,0.97,,0.97,NA,0.05,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78000,26,"Thyroid, single uptake",A,,0.19,0.07,,0.07,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78001,,"Thyroid, multiple uptakes",A,,0.26,1.39,,1.39,NA,0.07,1.72,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78001,TC,"Thyroid, multiple uptakes",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78001,26,"Thyroid, multiple uptakes",A,,0.26,0.09,,0.09,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78003,,Thyroid suppress/stimul,A,,0.33,1.08,,1.08,NA,0.06,1.47,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78003,TC,Thyroid suppress/stimul,A,,0.00,0.97,,0.97,NA,0.05,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78003,26,Thyroid suppress/stimul,A,,0.33,0.11,,0.11,,0.01,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78006,,Thyroid imaging with uptake,A,,0.49,2.54,,2.54,NA,0.13,3.16,3.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78006,TC,Thyroid imaging with uptake,A,,0.00,2.37,,2.37,NA,0.11,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78006,26,Thyroid imaging with uptake,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78007,,"Thyroid image, mult uptakes",A,,0.50,2.73,,2.73,NA,0.14,3.37,3.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78007,TC,"Thyroid image, mult uptakes",A,,0.00,2.56,,2.56,NA,0.12,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78007,26,"Thyroid image, mult uptakes",A,,0.50,0.17,,0.17,,0.02,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78010,,Thyroid imaging,A,,0.39,1.95,,1.95,NA,0.11,2.45,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78010,TC,Thyroid imaging,A,,0.00,1.81,,1.81,NA,0.09,1.90,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78010,26,Thyroid imaging,A,,0.39,0.14,,0.14,,0.02,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78011,,Thyroid imaging with flow,A,,0.45,2.56,,2.56,NA,0.13,3.14,3.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78011,TC,Thyroid imaging with flow,A,,0.00,2.40,,2.40,NA,0.11,2.51,2.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78011,26,Thyroid imaging with flow,A,,0.45,0.16,,0.16,,0.02,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78015,,Thyroid met imaging,A,,0.67,2.79,,2.79,NA,0.15,3.61,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78015,TC,Thyroid met imaging,A,,0.00,2.56,,2.56,NA,0.12,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78015,26,Thyroid met imaging,A,,0.67,0.23,,0.23,,0.03,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78016,,Thyroid met imaging/studies,A,,0.82,3.76,,3.76,NA,0.18,4.76,4.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78016,TC,Thyroid met imaging/studies,A,,0.00,3.46,,3.46,NA,0.15,3.61,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78016,26,Thyroid met imaging/studies,A,,0.82,0.30,,0.30,,0.03,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78018,,"Thyroid met imaging, body",A,,0.86,5.71,,5.71,NA,0.27,6.84,6.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78018,TC,"Thyroid met imaging, body",A,,0.00,5.40,,5.40,NA,0.24,5.64,5.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78018,26,"Thyroid met imaging, body",A,,0.86,0.31,,0.31,,0.03,1.20,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78020,,Thyroid met uptake,A,,0.60,1.52,,1.52,NA,0.14,2.26,2.26,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78020,TC,Thyroid met uptake,A,,0.00,1.30,,1.30,NA,0.12,1.42,1.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78020,26,Thyroid met uptake,A,,0.60,0.22,,0.22,,0.02,0.84,0.84,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78070,,Parathyroid nuclear imaging,A,,0.82,2.10,,2.10,NA,0.12,3.04,3.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78070,TC,Parathyroid nuclear imaging,A,,0.00,1.81,,1.81,NA,0.09,1.90,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78070,26,Parathyroid nuclear imaging,A,,0.82,0.29,,0.29,,0.03,1.14,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78075,,Adrenal nuclear imaging,A,,0.74,5.67,,5.67,NA,0.27,6.68,6.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78075,TC,Adrenal nuclear imaging,A,,0.00,5.40,,5.40,NA,0.24,5.64,5.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78075,26,Adrenal nuclear imaging,A,,0.74,0.27,,0.27,,0.03,1.04,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78099,,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78099,TC,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78099,26,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78102,,"Bone marrow imaging, ltd",A,,0.55,2.23,,2.23,NA,0.12,2.90,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78102,TC,"Bone marrow imaging, ltd",A,,0.00,2.03,,2.03,NA,0.10,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78102,26,"Bone marrow imaging, ltd",A,,0.55,0.20,,0.20,,0.02,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78103,,"Bone marrow imaging, mult",A,,0.75,3.42,,3.42,NA,0.17,4.34,4.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78103,TC,"Bone marrow imaging, mult",A,,0.00,3.15,,3.15,NA,0.14,3.29,3.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78103,26,"Bone marrow imaging, mult",A,,0.75,0.27,,0.27,,0.03,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78104,,"Bone marrow imaging, body",A,,0.80,4.33,,4.33,NA,0.21,5.34,5.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78104,TC,"Bone marrow imaging, body",A,,0.00,4.05,,4.05,NA,0.18,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78104,26,"Bone marrow imaging, body",A,,0.80,0.28,,0.28,,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78110,,"Plasma volume, single",A,,0.19,1.02,,1.02,NA,0.06,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78110,TC,"Plasma volume, single",A,,0.00,0.95,,0.95,NA,0.05,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78110,26,"Plasma volume, single",A,,0.19,0.07,,0.07,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78111,,"Plasma volume, multiple",A,,0.22,2.64,,2.64,NA,0.13,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78111,TC,"Plasma volume, multiple",A,,0.00,2.56,,2.56,NA,0.12,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78111,26,"Plasma volume, multiple",A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78120,,"Red cell mass, single",A,,0.23,1.80,,1.80,NA,0.10,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78120,TC,"Red cell mass, single",A,,0.00,1.72,,1.72,NA,0.09,1.81,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78120,26,"Red cell mass, single",A,,0.23,0.08,,0.08,,0.01,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78121,,"Red cell mass, multiple",A,,0.32,3.02,,3.02,NA,0.13,3.47,3.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78121,TC,"Red cell mass, multiple",A,,0.00,2.90,,2.90,NA,0.12,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78121,26,"Red cell mass, multiple",A,,0.32,0.12,,0.12,,0.01,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78122,,Blood volume,A,,0.45,4.74,,4.74,NA,0.22,5.41,5.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78122,TC,Blood volume,A,,0.00,4.58,,4.58,NA,0.20,4.78,4.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78122,26,Blood volume,A,,0.45,0.16,,0.16,,0.02,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78130,,Red cell survival study,A,,0.61,3.06,,3.06,NA,0.15,3.82,3.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78130,TC,Red cell survival study,A,,0.00,2.84,,2.84,NA,0.12,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78130,26,Red cell survival study,A,,0.61,0.22,,0.22,,0.03,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78135,,Red cell survival kinetics,A,,0.64,5.09,,5.09,NA,0.24,5.97,5.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78135,TC,Red cell survival kinetics,A,,0.00,4.86,,4.86,NA,0.21,5.07,5.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78135,26,Red cell survival kinetics,A,,0.64,0.23,,0.23,,0.03,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78140,,Red cell sequestration,A,,0.61,4.13,,4.13,NA,0.20,4.94,4.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78140,TC,Red cell sequestration,A,,0.00,3.92,,3.92,NA,0.17,4.09,4.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78140,26,Red cell sequestration,A,,0.61,0.21,,0.21,,0.03,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78160,,Plasma iron turnover,A,,0.33,3.77,,3.77,NA,0.19,4.29,4.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78160,TC,Plasma iron turnover,A,,0.00,3.65,,3.65,NA,0.16,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78160,26,Plasma iron turnover,A,,0.33,0.12,,0.12,,0.03,0.48,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78162,,Radioiron absorption exam,A,,0.45,3.37,,3.37,NA,0.15,3.97,3.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78162,TC,Radioiron absorption exam,A,,0.00,3.18,,3.18,NA,0.14,3.32,3.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78162,26,Radioiron absorption exam,A,,0.45,0.19,,0.19,,0.01,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78170,,Red cell iron utilization,A,,0.41,5.42,,5.42,NA,0.27,6.10,6.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78170,TC,Red cell iron utilization,A,,0.00,5.28,,5.28,NA,0.23,5.51,5.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78170,26,Red cell iron utilization,A,,0.41,0.14,,0.14,,0.04,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78172,,Total body iron estimation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78172,TC,Total body iron estimation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78172,26,Total body iron estimation,A,,0.53,0.18,,0.18,,0.02,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78185,,Spleen imaging,A,,0.40,2.49,,2.49,NA,0.13,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78185,TC,Spleen imaging,A,,0.00,2.35,,2.35,NA,0.11,2.46,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78185,26,Spleen imaging,A,,0.40,0.14,,0.14,,0.02,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78190,,"Platelet survival, kinetics",A,,1.09,6.09,,6.09,NA,0.31,7.49,7.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78190,TC,"Platelet survival, kinetics",A,,0.00,5.69,,5.69,NA,0.25,5.94,5.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78190,26,"Platelet survival, kinetics",A,,1.09,0.40,,0.40,,0.06,1.55,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78191,,Platelet survival,A,,0.61,7.51,,7.51,NA,0.34,8.46,8.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78191,TC,Platelet survival,A,,0.00,7.30,,7.30,NA,0.31,7.61,7.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78191,26,Platelet survival,A,,0.61,0.21,,0.21,,0.03,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78195,,Lymph system imaging,A,,1.20,4.48,,4.48,NA,0.23,5.91,5.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78195,TC,Lymph system imaging,A,,0.00,4.05,,4.05,NA,0.18,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78195,26,Lymph system imaging,A,,1.20,0.43,,0.43,,0.05,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78199,,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78199,TC,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78199,26,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78201,,Liver imaging,A,,0.44,2.50,,2.50,NA,0.13,3.07,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78201,TC,Liver imaging,A,,0.00,2.35,,2.35,NA,0.11,2.46,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78201,26,Liver imaging,A,,0.44,0.15,,0.15,,0.02,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78202,,Liver imaging with flow,A,,0.51,3.05,,3.05,NA,0.14,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78202,TC,Liver imaging with flow,A,,0.00,2.87,,2.87,NA,0.12,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78202,26,Liver imaging with flow,A,,0.51,0.18,,0.18,,0.02,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78205,,Liver imaging (3D),A,,0.71,6.13,,6.13,NA,0.29,7.13,7.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78205,TC,Liver imaging (3D),A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78205,26,Liver imaging (3D),A,,0.71,0.25,,0.25,,0.03,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78206,,Liver image (3d) with flow,A,,0.96,6.22,,6.22,NA,0.13,7.31,7.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78206,TC,Liver image (3d) with flow,A,,0.00,5.88,,5.88,NA,0.09,5.97,5.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78206,26,Liver image (3d) with flow,A,,0.96,0.34,,0.34,,0.04,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78215,,Liver and spleen imaging,A,,0.49,3.10,,3.10,NA,0.14,3.73,3.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78215,TC,Liver and spleen imaging,A,,0.00,2.93,,2.93,NA,0.12,3.05,3.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78215,26,Liver and spleen imaging,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78216,,Liver & spleen image/flow,A,,0.57,3.66,,3.66,NA,0.17,4.40,4.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78216,TC,Liver & spleen image/flow,A,,0.00,3.46,,3.46,NA,0.15,3.61,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78216,26,Liver & spleen image/flow,A,,0.57,0.20,,0.20,,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78220,,Liver function study,A,,0.49,3.87,,3.87,NA,0.18,4.54,4.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78220,TC,Liver function study,A,,0.00,3.70,,3.70,NA,0.16,3.86,3.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78220,26,Liver function study,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78223,,Hepatobiliary imaging,A,,0.84,3.94,,3.94,NA,0.20,4.98,4.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78223,TC,Hepatobiliary imaging,A,,0.00,3.65,,3.65,NA,0.16,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78223,26,Hepatobiliary imaging,A,,0.84,0.29,,0.29,,0.04,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78230,,Salivary gland imaging,A,,0.45,2.32,,2.32,NA,0.13,2.90,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78230,TC,Salivary gland imaging,A,,0.00,2.17,,2.17,NA,0.11,2.28,2.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78230,26,Salivary gland imaging,A,,0.45,0.15,,0.15,,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78231,,Serial salivary imaging,A,,0.52,3.34,,3.34,NA,0.16,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78231,TC,Serial salivary imaging,A,,0.00,3.15,,3.15,NA,0.14,3.29,3.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78231,26,Serial salivary imaging,A,,0.52,0.19,,0.19,,0.02,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78232,,Salivary gland function exam,A,,0.47,3.69,,3.69,NA,0.16,4.32,4.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78232,TC,Salivary gland function exam,A,,0.00,3.52,,3.52,NA,0.15,3.67,3.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78232,26,Salivary gland function exam,A,,0.47,0.17,,0.17,,0.01,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78258,,Esophageal motility study,A,,0.74,3.13,,3.13,NA,0.15,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78258,TC,Esophageal motility study,A,,0.00,2.87,,2.87,NA,0.12,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78258,26,Esophageal motility study,A,,0.74,0.26,,0.26,,0.03,1.03,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78261,,Gastric mucosa imaging,A,,0.69,4.33,,4.33,NA,0.21,5.23,5.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78261,TC,Gastric mucosa imaging,A,,0.00,4.08,,4.08,NA,0.18,4.26,4.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78261,26,Gastric mucosa imaging,A,,0.69,0.25,,0.25,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78262,,Gastroesophageal reflux exam,A,,0.68,4.48,,4.48,NA,0.21,5.37,5.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78262,TC,Gastroesophageal reflux exam,A,,0.00,4.24,,4.24,NA,0.18,4.42,4.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78262,26,Gastroesophageal reflux exam,A,,0.68,0.24,,0.24,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78264,,Gastric emptying study,A,,0.78,4.38,,4.38,NA,0.21,5.37,5.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78264,TC,Gastric emptying study,A,,0.00,4.11,,4.11,NA,0.18,4.29,4.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78264,26,Gastric emptying study,A,,0.78,0.27,,0.27,,0.03,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78267,,Breath tst attain/anal c-14,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78268,,"Breath test analysis, c-14",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78270,,Vit B-12 absorption exam,A,,0.20,1.61,,1.61,NA,0.09,1.90,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78270,TC,Vit B-12 absorption exam,A,,0.00,1.54,,1.54,NA,0.08,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78270,26,Vit B-12 absorption exam,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78271,,"Vit b-12 absrp exam, int fac",A,,0.20,1.70,,1.70,NA,0.09,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78271,TC,"Vit b-12 absrp exam, int fac",A,,0.00,1.63,,1.63,NA,0.08,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78271,26,"Vit b-12 absrp exam, int fac",A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78272,,"Vit B-12 absorp, combined",A,,0.27,2.41,,2.41,NA,0.12,2.80,2.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78272,TC,"Vit B-12 absorp, combined",A,,0.00,2.31,,2.31,NA,0.11,2.42,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78272,26,"Vit B-12 absorp, combined",A,,0.27,0.10,,0.10,,0.01,0.38,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78278,,Acute GI blood loss imaging,A,,0.99,5.20,,5.20,NA,0.25,6.44,6.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78278,TC,Acute GI blood loss imaging,A,,0.00,4.86,,4.86,NA,0.21,5.07,5.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78278,26,Acute GI blood loss imaging,A,,0.99,0.34,,0.34,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78282,,GI protein loss exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78282,TC,GI protein loss exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78282,26,GI protein loss exam,A,,0.38,0.14,,0.14,,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78290,,Meckel’s divert exam,A,,0.68,3.28,,3.28,NA,0.16,4.12,4.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78290,TC,Meckel’s divert exam,A,,0.00,3.04,,3.04,NA,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78290,26,Meckel’s divert exam,A,,0.68,0.24,,0.24,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78291,,Leveen/shunt patency exam,A,,0.88,3.36,,3.36,NA,0.17,4.41,4.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78291,TC,Leveen/shunt patency exam,A,,0.00,3.05,,3.05,NA,0.13,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78291,26,Leveen/shunt patency exam,A,,0.88,0.31,,0.31,,0.04,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78299,,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78299,TC,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78299,26,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78300,,"Bone imaging, limited area",A,,0.62,2.69,,2.69,NA,0.15,3.46,3.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78300,TC,"Bone imaging, limited area",A,,0.00,2.48,,2.48,NA,0.12,2.60,2.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78300,26,"Bone imaging, limited area",A,,0.62,0.21,,0.21,,0.03,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78305,,"Bone imaging, multiple areas",A,,0.83,3.94,,3.94,NA,0.19,4.96,4.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78305,TC,"Bone imaging, multiple areas",A,,0.00,3.65,,3.65,NA,0.16,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78305,26,"Bone imaging, multiple areas",A,,0.83,0.29,,0.29,,0.03,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78306,,"Bone imaging, whole body",A,,0.86,4.56,,4.56,NA,0.22,5.64,5.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78306,TC,"Bone imaging, whole body",A,,0.00,4.26,,4.26,NA,0.18,4.44,4.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78306,26,"Bone imaging, whole body",A,,0.86,0.30,,0.30,,0.04,1.20,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78315,,"Bone imaging, 3 phase",A,,1.02,5.12,,5.12,NA,0.25,6.39,6.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78315,TC,"Bone imaging, 3 phase",A,,0.00,4.76,,4.76,NA,0.21,4.97,4.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78315,26,"Bone imaging, 3 phase",A,,1.02,0.36,,0.36,,0.04,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78320,,Bone imaging (3D),A,,1.04,6.25,,6.25,NA,0.30,7.59,7.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78320,TC,Bone imaging (3D),A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78320,26,Bone imaging (3D),A,,1.04,0.37,,0.37,,0.04,1.45,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78350,,"Bone mineral, single photon",A,,0.22,0.83,,0.83,NA,0.05,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78350,TC,"Bone mineral, single photon",A,,0.00,0.75,,0.75,NA,0.04,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78350,26,"Bone mineral, single photon",A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78351,,"Bone mineral, dual photon",N,+,0.30,1.74,,0.12,,0.01,2.05,0.43,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78399,,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78399,TC,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78399,26,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78414,,Non-imaging heart function,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78414,TC,Non-imaging heart function,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78414,26,Non-imaging heart function,A,,0.45,0.16,,0.16,,0.02,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78428,,Cardiac shunt imaging,A,,0.78,2.54,,2.54,NA,0.14,3.46,3.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78428,TC,Cardiac shunt imaging,A,,0.00,2.24,,2.24,NA,0.11,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78428,26,Cardiac shunt imaging,A,,0.78,0.30,,0.30,,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78445,,Vascular flow imaging,A,,0.49,2.03,,2.03,NA,0.11,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78445,TC,Vascular flow imaging,A,,0.00,1.85,,1.85,NA,0.09,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78445,26,Vascular flow imaging,A,,0.49,0.18,,0.18,,0.02,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78455,,Venous thrombosis study,A,,0.73,4.23,,4.23,NA,0.20,5.16,5.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78455,TC,Venous thrombosis study,A,,0.00,3.97,,3.97,NA,0.17,4.14,4.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78455,26,Venous thrombosis study,A,,0.73,0.26,,0.26,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78456,,Acute venous thrombus image,A,,1.00,4.33,,4.33,NA,0.28,5.61,5.61,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78456,TC,Acute venous thrombus image,A,,0.00,3.97,,3.97,NA,0.24,4.21,4.21,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78456,26,Acute venous thrombus image,A,,1.00,0.36,,0.36,,0.04,1.40,1.40,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78457,,Venous thrombosis imaging,A,,0.77,2.92,,2.92,NA,0.15,3.84,3.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78457,TC,Venous thrombosis imaging,A,,0.00,2.65,,2.65,NA,0.12,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78457,26,Venous thrombosis imaging,A,,0.77,0.27,,0.27,,0.03,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78458,,"Ven thrombosis images, bilat",A,,0.90,4.33,,4.33,NA,0.20,5.43,5.43,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
78458,TC,"Ven thrombosis images, bilat",A,,0.00,4.00,,4.00,NA,0.17,4.17,4.17,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
78458,26,"Ven thrombosis images, bilat",A,,0.90,0.33,,0.33,,0.03,1.26,1.26,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
78459,,Heart muscle imaging (PET),C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78459,TC,Heart muscle imaging (PET),C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78459,26,Heart muscle imaging (PET),R,,1.50,0.59,,0.59,,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78460,,"Heart muscle blood, single",A,,0.86,2.65,,2.65,NA,0.14,3.65,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78460,TC,"Heart muscle blood, single",A,,0.00,2.35,,2.35,NA,0.11,2.46,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78460,26,"Heart muscle blood, single",A,,0.86,0.30,,0.30,,0.03,1.19,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78461,,"Heart muscle blood, multiple",A,,1.23,5.15,,5.15,NA,0.26,6.64,6.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78461,TC,"Heart muscle blood, multiple",A,,0.00,4.70,,4.70,NA,0.21,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78461,26,"Heart muscle blood, multiple",A,,1.23,0.45,,0.45,,0.05,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78464,,"Heart image (3d), single",A,,1.09,7.43,,7.43,NA,0.35,8.87,8.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78464,TC,"Heart image (3d), single",A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78464,26,"Heart image (3d), single",A,,1.09,0.39,,0.39,,0.04,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78465,,"Heart image (3d), multiple",A,,1.46,12.28,,12.28,NA,0.56,14.30,14.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78465,TC,"Heart image (3d), multiple",A,,0.00,11.74,,11.74,NA,0.51,12.25,12.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78465,26,"Heart image (3d), multiple",A,,1.46,0.54,,0.54,,0.05,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78466,,Heart infarct image,A,,0.69,2.86,,2.86,NA,0.15,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78466,TC,Heart infarct image,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78466,26,Heart infarct image,A,,0.69,0.25,,0.25,,0.03,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78468,,Heart infarct image (ef),A,,0.80,3.93,,3.93,NA,0.19,4.92,4.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78468,TC,Heart infarct image (ef),A,,0.00,3.65,,3.65,NA,0.16,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78468,26,Heart infarct image (ef),A,,0.80,0.28,,0.28,,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78469,,Heart infarct image (3D),A,,0.92,5.51,,5.51,NA,0.26,6.69,6.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78469,TC,Heart infarct image (3D),A,,0.00,5.19,,5.19,NA,0.23,5.42,5.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78469,26,Heart infarct image (3D),A,,0.92,0.32,,0.32,,0.03,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78472,,"Gated heart, planar, single",A,,0.98,5.83,,5.83,NA,0.29,7.10,7.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78472,TC,"Gated heart, planar, single",A,,0.00,5.48,,5.48,NA,0.25,5.73,5.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78472,26,"Gated heart, planar, single",A,,0.98,0.35,,0.35,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78473,,"Gated heart, multiple",A,,1.47,8.75,,8.75,NA,0.40,10.62,10.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78473,TC,"Gated heart, multiple",A,,0.00,8.22,,8.22,NA,0.35,8.57,8.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78473,26,"Gated heart, multiple",A,,1.47,0.53,,0.53,,0.05,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78478,,Heart wall motion add-on,A,,0.62,1.78,,1.78,NA,0.10,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78478,TC,Heart wall motion add-on,A,,0.00,1.55,,1.55,NA,0.08,1.63,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78478,26,Heart wall motion add-on,A,,0.62,0.23,,0.23,,0.02,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78480,,Heart function add-on,A,,0.62,1.78,,1.78,NA,0.10,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78480,TC,Heart function add-on,A,,0.00,1.55,,1.55,NA,0.08,1.63,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78480,26,Heart function add-on,A,,0.62,0.23,,0.23,,0.02,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78481,,"Heart first pass, single",A,,0.98,5.56,,5.56,NA,0.26,6.80,6.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78481,TC,"Heart first pass, single",A,,0.00,5.19,,5.19,NA,0.23,5.42,5.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78481,26,"Heart first pass, single",A,,0.98,0.37,,0.37,,0.03,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78483,,"Heart first pass, multiple",A,,1.47,8.39,,8.39,NA,0.39,10.25,10.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78483,TC,"Heart first pass, multiple",A,,0.00,7.83,,7.83,NA,0.34,8.17,8.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78483,26,"Heart first pass, multiple",A,,1.47,0.56,,0.56,,0.05,2.08,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78491,,"Heart image (pet), single",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78491,TC,"Heart image (pet), single",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78491,26,"Heart image (pet), single",I,+,1.50,0.60,,0.60,,0.05,2.15,2.15,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78492,,"Heart image (pet), multiple",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78492,TC,"Heart image (pet), multiple",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78492,26,"Heart image (pet), multiple",I,+,1.87,0.75,,0.75,,0.06,2.68,2.68,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78494,,"Heart image, spect",A,,1.19,7.47,,7.47,NA,0.29,8.95,8.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78494,TC,"Heart image, spect",A,,0.00,7.04,,7.04,NA,0.25,7.29,7.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78494,26,"Heart image, spect",A,,1.19,0.43,,0.43,,0.04,1.66,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78496,,Heart first pass add-on,A,,0.50,7.23,,7.23,NA,0.27,8.00,8.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78496,TC,Heart first pass add-on,A,,0.00,7.04,,7.04,NA,0.25,7.29,7.29,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78496,26,Heart first pass add-on,A,,0.50,0.19,,0.19,,0.02,0.71,0.71,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78499,,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78499,TC,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78499,26,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78580,,Lung perfusion imaging,A,,0.74,3.67,,3.67,NA,0.18,4.59,4.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78580,TC,Lung perfusion imaging,A,,0.00,3.41,,3.41,NA,0.15,3.56,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78580,26,Lung perfusion imaging,A,,0.74,0.26,,0.26,,0.03,1.03,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78584,,Lung V/Q image single breath,A,,0.99,3.52,,3.52,NA,0.18,4.69,4.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78584,TC,Lung V/Q image single breath,A,,0.00,3.18,,3.18,NA,0.14,3.32,3.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78584,26,Lung V/Q image single breath,A,,0.99,0.34,,0.34,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78585,,Lung V/Q imaging,A,,1.09,5.99,,5.99,NA,0.30,7.38,7.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78585,TC,Lung V/Q imaging,A,,0.00,5.61,,5.61,NA,0.25,5.86,5.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78585,26,Lung V/Q imaging,A,,1.09,0.38,,0.38,,0.05,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78586,,"Aerosol lung image, single",A,,0.40,2.72,,2.72,NA,0.14,3.26,3.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78586,TC,"Aerosol lung image, single",A,,0.00,2.58,,2.58,NA,0.12,2.70,2.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78586,26,"Aerosol lung image, single",A,,0.40,0.14,,0.14,,0.02,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78587,,"Aerosol lung image, multiple",A,,0.49,2.97,,2.97,NA,0.14,3.60,3.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78587,TC,"Aerosol lung image, multiple",A,,0.00,2.80,,2.80,NA,0.12,2.92,2.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78587,26,"Aerosol lung image, multiple",A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78588,,Perfusion lung image,A,,1.09,3.56,,3.56,NA,0.20,4.85,4.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78588,TC,Perfusion lung image,A,,0.00,3.18,,3.18,NA,0.15,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78588,26,Perfusion lung image,A,,1.09,0.38,,0.38,,0.05,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78591,,"Vent image, 1 breath, 1 proj",A,,0.40,2.98,,2.98,NA,0.14,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78591,TC,"Vent image, 1 breath, 1 proj",A,,0.00,2.84,,2.84,NA,0.12,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78591,26,"Vent image, 1 breath, 1 proj",A,,0.40,0.14,,0.14,,0.02,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78593,,"Vent image, 1 proj, gas",A,,0.49,3.60,,3.60,NA,0.17,4.26,4.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78593,TC,"Vent image, 1 proj, gas",A,,0.00,3.43,,3.43,NA,0.15,3.58,3.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78593,26,"Vent image, 1 proj, gas",A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78594,,"Vent image, mult proj, gas",A,,0.53,5.15,,5.15,NA,0.23,5.91,5.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78594,TC,"Vent image, mult proj, gas",A,,0.00,4.96,,4.96,NA,0.21,5.17,5.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78594,26,"Vent image, mult proj, gas",A,,0.53,0.19,,0.19,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78596,,Lung differential function,A,,1.27,7.48,,7.48,NA,0.36,9.11,9.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78596,TC,Lung differential function,A,,0.00,7.04,,7.04,NA,0.31,7.35,7.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78596,26,Lung differential function,A,,1.27,0.44,,0.44,,0.05,1.76,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78599,,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78599,TC,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78599,26,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78600,,"Brain imaging, ltd static",A,,0.44,3.03,,3.03,NA,0.14,3.61,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78600,TC,"Brain imaging, ltd static",A,,0.00,2.87,,2.87,NA,0.12,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78600,26,"Brain imaging, ltd static",A,,0.44,0.16,,0.16,,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78601,,"Brain imaging, ltd w/ flow",A,,0.51,3.57,,3.57,NA,0.17,4.25,4.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78601,TC,"Brain imaging, ltd w/ flow",A,,0.00,3.39,,3.39,NA,0.15,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78601,26,"Brain imaging, ltd w/ flow",A,,0.51,0.18,,0.18,,0.02,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78605,,"Brain imaging, complete",A,,0.53,3.58,,3.58,NA,0.17,4.28,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78605,TC,"Brain imaging, complete",A,,0.00,3.39,,3.39,NA,0.15,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78605,26,"Brain imaging, complete",A,,0.53,0.19,,0.19,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78606,,"Brain imaging, compl w/flow",A,,0.64,4.07,,4.07,NA,0.20,4.91,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78606,TC,"Brain imaging, compl w/flow",A,,0.00,3.85,,3.85,NA,0.17,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78606,26,"Brain imaging, compl w/flow",A,,0.64,0.22,,0.22,,0.03,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78607,,Brain imaging (3D),A,,1.23,6.98,,6.98,NA,0.34,8.55,8.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78607,TC,Brain imaging (3D),A,,0.00,6.53,,6.53,NA,0.29,6.82,6.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78607,26,Brain imaging (3D),A,,1.23,0.45,,0.45,,0.05,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78608,,Brain imaging (PET),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78609,,Brain imaging (PET),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78610,,Brain flow imaging only,A,,0.30,1.68,,1.68,NA,0.09,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78610,TC,Brain flow imaging only,A,,0.00,1.57,,1.57,NA,0.08,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78610,26,Brain flow imaging only,A,,0.30,0.11,,0.11,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78615,,Cerebral vascular flow image,A,,0.42,3.99,,3.99,NA,0.19,4.60,4.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78615,TC,Cerebral vascular flow image,A,,0.00,3.83,,3.83,NA,0.17,4.00,4.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78615,26,Cerebral vascular flow image,A,,0.42,0.16,,0.16,,0.02,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78630,,Cerebrospinal fluid scan,A,,0.68,5.26,,5.26,NA,0.25,6.19,6.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78630,TC,Cerebrospinal fluid scan,A,,0.00,5.02,,5.02,NA,0.22,5.24,5.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78630,26,Cerebrospinal fluid scan,A,,0.68,0.24,,0.24,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78635,,CSF ventriculography,A,,0.61,2.77,,2.77,NA,0.14,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78635,TC,CSF ventriculography,A,,0.00,2.53,,2.53,NA,0.12,2.65,2.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78635,26,CSF ventriculography,A,,0.61,0.24,,0.24,,0.02,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78645,,CSF shunt evaluation,A,,0.57,3.61,,3.61,NA,0.17,4.35,4.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78645,TC,CSF shunt evaluation,A,,0.00,3.41,,3.41,NA,0.15,3.56,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78645,26,CSF shunt evaluation,A,,0.57,0.20,,0.20,,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78647,,Cerebrospinal fluid scan,A,,0.90,6.21,,6.21,NA,0.29,7.40,7.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78647,TC,Cerebrospinal fluid scan,A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78647,26,Cerebrospinal fluid scan,A,,0.90,0.33,,0.33,,0.03,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78650,,CSF leakage imaging,A,,0.61,4.84,,4.84,NA,0.22,5.67,5.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78650,TC,CSF leakage imaging,A,,0.00,4.62,,4.62,NA,0.20,4.82,4.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78650,26,CSF leakage imaging,A,,0.61,0.22,,0.22,,0.02,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78660,,Nuclear exam of tear flow,A,,0.53,2.30,,2.30,NA,0.12,2.95,2.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78660,TC,Nuclear exam of tear flow,A,,0.00,2.11,,2.11,NA,0.10,2.21,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78660,26,Nuclear exam of tear flow,A,,0.53,0.19,,0.19,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78699,,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78699,TC,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78699,26,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78700,,"Kidney imaging, static",A,,0.45,3.20,,3.20,NA,0.15,3.80,3.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78700,TC,"Kidney imaging, static",A,,0.00,3.04,,3.04,NA,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78700,26,"Kidney imaging, static",A,,0.45,0.16,,0.16,,0.02,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78701,,Kidney imaging with flow,A,,0.49,3.71,,3.71,NA,0.17,4.37,4.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78701,TC,Kidney imaging with flow,A,,0.00,3.54,,3.54,NA,0.15,3.69,3.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78701,26,Kidney imaging with flow,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78704,,Imaging renogram,A,,0.74,4.20,,4.20,NA,0.20,5.14,5.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78704,TC,Imaging renogram,A,,0.00,3.94,,3.94,NA,0.17,4.11,4.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78704,26,Imaging renogram,A,,0.74,0.26,,0.26,,0.03,1.03,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78707,,Kidney flow/function image,A,,0.96,4.79,,4.79,NA,0.23,5.98,5.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78707,TC,Kidney flow/function image,A,,0.00,4.45,,4.45,NA,0.19,4.64,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78707,26,Kidney flow/function image,A,,0.96,0.34,,0.34,,0.04,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78708,,Kidney flow/function image,A,,1.21,4.88,,4.88,NA,0.24,6.33,6.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78708,TC,Kidney flow/function image,A,,0.00,4.45,,4.45,NA,0.19,4.64,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78708,26,Kidney flow/function image,A,,1.21,0.43,,0.43,,0.05,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78709,,Kidney flow/function image,A,,1.41,4.94,,4.94,NA,0.25,6.60,6.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78709,TC,Kidney flow/function image,A,,0.00,4.45,,4.45,NA,0.19,4.64,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78709,26,Kidney flow/function image,A,,1.41,0.49,,0.49,,0.06,1.96,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78710,,Kidney imaging (3D),A,,0.66,6.11,,6.11,NA,0.29,7.06,7.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78710,TC,Kidney imaging (3D),A,,0.00,5.88,,5.88,NA,0.26,6.14,6.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78710,26,Kidney imaging (3D),A,,0.66,0.23,,0.23,,0.03,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78715,,Renal vascular flow exam,A,,0.30,1.68,,1.68,NA,0.09,2.07,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78715,TC,Renal vascular flow exam,A,,0.00,1.57,,1.57,NA,0.08,1.65,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78715,26,Renal vascular flow exam,A,,0.30,0.11,,0.11,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78725,,Kidney function study,A,,0.38,1.90,,1.90,NA,0.10,2.38,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78725,TC,Kidney function study,A,,0.00,1.77,,1.77,NA,0.09,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78725,26,Kidney function study,A,,0.38,0.13,,0.13,,0.01,0.52,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78730,,Urinary bladder retention,A,,0.36,1.58,,1.58,NA,0.09,2.03,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78730,TC,Urinary bladder retention,A,,0.00,1.45,,1.45,NA,0.07,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78730,26,Urinary bladder retention,A,,0.36,0.13,,0.13,,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78740,,Ureteral reflux study,A,,0.57,2.30,,2.30,NA,0.12,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78740,TC,Ureteral reflux study,A,,0.00,2.11,,2.11,NA,0.10,2.21,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78740,26,Ureteral reflux study,A,,0.57,0.19,,0.19,,0.02,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78760,,Testicular imaging,A,,0.66,2.90,,2.90,NA,0.15,3.71,3.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78760,TC,Testicular imaging,A,,0.00,2.67,,2.67,NA,0.12,2.79,2.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78760,26,Testicular imaging,A,,0.66,0.23,,0.23,,0.03,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78761,,Testicular imaging/flow,A,,0.71,3.43,,3.43,NA,0.17,4.31,4.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78761,TC,Testicular imaging/flow,A,,0.00,3.18,,3.18,NA,0.14,3.32,3.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78761,26,Testicular imaging/flow,A,,0.71,0.25,,0.25,,0.03,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78799,,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78799,TC,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78799,26,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78800,,"Tumor imaging, limited area",A,,0.66,3.62,,3.62,NA,0.18,4.46,4.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78800,TC,"Tumor imaging, limited area",A,,0.00,3.39,,3.39,NA,0.15,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78800,26,"Tumor imaging, limited area",A,,0.66,0.23,,0.23,,0.03,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78801,,"Tumor imaging, mult areas",A,,0.79,4.49,,4.49,NA,0.21,5.49,5.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78801,TC,"Tumor imaging, mult areas",A,,0.00,4.21,,4.21,NA,0.18,4.39,4.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78801,26,"Tumor imaging, mult areas",A,,0.79,0.28,,0.28,,0.03,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78802,,"Tumor imaging, whole body",A,,0.86,5.81,,5.81,NA,0.28,6.95,6.95,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78802,TC,"Tumor imaging, whole body",A,,0.00,5.50,,5.50,NA,0.25,5.75,5.75,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
78802,26,"Tumor imaging, whole body",A,,0.86,0.31,,0.31,,0.03,1.20,1.20,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78803,,Tumor imaging (3D),A,,1.09,6.93,,6.93,NA,0.33,8.35,8.35,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78803,TC,Tumor imaging (3D),A,,0.00,6.53,,6.53,NA,0.29,6.82,6.82,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
78803,26,Tumor imaging (3D),A,,1.09,0.40,,0.40,,0.04,1.53,1.53,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78805,,"Abscess imaging, ltd area",A,,0.73,3.65,,3.65,NA,0.18,4.56,4.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78805,TC,"Abscess imaging, ltd area",A,,0.00,3.39,,3.39,NA,0.15,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
78805,26,"Abscess imaging, ltd area",A,,0.73,0.26,,0.26,,0.03,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78806,,"Abscess imaging, whole body",A,,0.86,6.71,,6.71,NA,0.32,7.89,7.89,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78806,TC,"Abscess imaging, whole body",A,,0.00,6.40,,6.40,NA,0.29,6.69,6.69,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
78806,26,"Abscess imaging, whole body",A,,0.86,0.31,,0.31,,0.03,1.20,1.20,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78807,,Nuclear localization/abscess,A,,1.09,6.94,,6.94,NA,0.33,8.36,8.36,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78807,TC,Nuclear localization/abscess,A,,0.00,6.53,,6.53,NA,0.29,6.82,6.82,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,01
78807,26,Nuclear localization/abscess,A,,1.09,0.41,,0.41,,0.04,1.54,1.54,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
78810,,Tumor imaging (PET),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78810,TC,Tumor imaging (PET),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
78810,26,Tumor imaging (PET),N,+,1.93,0.75,,0.75,,0.09,2.77,2.77,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78890,,Nuclear medicine data proc,B,+,0.05,1.32,,1.32,NA,0.06,1.43,1.43,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78890,TC,Nuclear medicine data proc,B,+,0.00,1.30,,1.30,NA,0.05,1.35,1.35,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78890,26,Nuclear medicine data proc,B,+,0.05,0.02,,0.02,,0.01,0.08,0.08,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78891,,Nuclear med data proc,B,+,0.10,2.65,,2.65,NA,0.12,2.87,2.87,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78891,TC,Nuclear med data proc,B,+,0.00,2.61,,2.61,NA,0.11,2.72,2.72,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78891,26,Nuclear med data proc,B,+,0.10,0.04,,0.04,,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
78990,,Provide diag radionuclide(s),I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
78999,,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78999,TC,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
78999,26,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79000,,Init hyperthyroid therapy,A,,1.80,3.24,,3.24,NA,0.19,5.23,5.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79000,TC,Init hyperthyroid therapy,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79000,26,Init hyperthyroid therapy,A,,1.80,0.63,,0.63,,0.07,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79001,,Repeat hyperthyroid therapy,A,,1.05,1.67,,1.67,NA,0.10,2.82,2.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79001,TC,Repeat hyperthyroid therapy,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79001,26,Repeat hyperthyroid therapy,A,,1.05,0.37,,0.37,,0.04,1.46,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79020,,Thyroid ablation,A,,1.81,3.23,,3.23,NA,0.19,5.23,5.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79020,TC,Thyroid ablation,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79020,26,Thyroid ablation,A,,1.81,0.62,,0.62,,0.07,2.50,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79030,,"Thyroid ablation, carcinoma",A,,2.10,3.35,,3.35,NA,0.20,5.65,5.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79030,TC,"Thyroid ablation, carcinoma",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79030,26,"Thyroid ablation, carcinoma",A,,2.10,0.74,,0.74,,0.08,2.92,2.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79035,,Thyroid metastatic therapy,A,,2.52,3.52,,3.52,NA,0.21,6.25,6.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79035,TC,Thyroid metastatic therapy,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79035,26,Thyroid metastatic therapy,A,,2.52,0.91,,0.91,,0.09,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79100,,Hematopoetic nuclear therapy,A,,1.32,3.09,,3.09,NA,0.17,4.58,4.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79100,TC,Hematopoetic nuclear therapy,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79100,26,Hematopoetic nuclear therapy,A,,1.32,0.48,,0.48,,0.05,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79200,,Intracavitary nuclear trmt,A,,1.99,3.33,,3.33,NA,0.19,5.51,5.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79200,TC,Intracavitary nuclear trmt,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79200,26,Intracavitary nuclear trmt,A,,1.99,0.72,,0.72,,0.07,2.78,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79300,,Interstitial nuclear therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79300,TC,Interstitial nuclear therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79300,26,Interstitial nuclear therapy,A,,1.60,0.59,,0.59,,0.07,2.26,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79400,,Nonhemato nuclear therapy,A,,1.96,3.31,,3.31,NA,0.20,5.47,5.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79400,TC,Nonhemato nuclear therapy,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79400,26,Nonhemato nuclear therapy,A,,1.96,0.70,,0.70,,0.08,2.74,2.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79420,,Intravascular nuclear ther,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79420,TC,Intravascular nuclear ther,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79420,26,Intravascular nuclear ther,A,,1.51,0.52,,0.52,,0.06,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79440,,Nuclear joint therapy,A,,1.99,3.36,,3.36,NA,0.20,5.55,5.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79440,TC,Nuclear joint therapy,A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79440,26,Nuclear joint therapy,A,,1.99,0.75,,0.75,,0.08,2.82,2.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79900,,Provide ther radiopharm(s),C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79999,,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79999,TC,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
79999,26,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
80048,,Basic metabolic panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80050,,General health panel,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80051,,Electrolyte panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80053,,Comprehen metabolic panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80055,,Obstetric panel,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80061,,Lipid panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80069,,Renal function panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80074,,Acute hepatitis panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80076,,Hepatic function panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80090,,Torch antibody panel,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80100,,"Drug screen, qualitate/multi",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80101,,"Drug screen, single",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80102,,Drug confirmation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80103,,"Drug analysis, tissue prep",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80150,,Assay of amikacin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80152,,Assay of amitriptyline,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80154,,Assay of benzodiazepines,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80156,,"Assay, carbamazepine, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80157,,"Assay, carbamazepine, free",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80158,,Assay of cyclosporine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80160,,Assay of desipramine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80162,,Assay of digoxin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80164,,"Assay, dipropylacetic acid",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80166,,Assay of doxepin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80168,,Assay of ethosuximide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80170,,Assay of gentamicin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80172,,Assay of gold,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80173,,Assay of haloperidol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80174,,Assay of imipramine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80176,,Assay of lidocaine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80178,,Assay of lithium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80182,,Assay of nortriptyline,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80184,,Assay of phenobarbital,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80185,,"Assay of phenytoin, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80186,,"Assay of phenytoin, free",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80188,,Assay of primidone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80190,,Assay of procainamide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80192,,Assay of procainamide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80194,,Assay of quinidine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80196,,Assay of salicylate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80197,,Assay of tacrolimus,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80198,,Assay of theophylline,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80200,,Assay of tobramycin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80201,,Assay of topiramate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80202,,Assay of vancomycin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80299,,"Quantitative assay, drug",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80400,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80402,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80406,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80408,,Aldosterone suppression eval,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80410,,Calcitonin stimul panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80412,,CRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80414,,Testosterone response,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80415,,Estradiol response panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80416,,Renin stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80417,,Renin stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80418,,Pituitary evaluation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80420,,Dexamethasone panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80422,,Glucagon tolerance panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80424,,Glucagon tolerance panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80426,,Gonadotropin hormone panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80428,,Growth hormone panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80430,,Growth hormone panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80432,,Insulin suppression panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80434,,Insulin tolerance panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80435,,Insulin tolerance panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80436,,Metyrapone panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80438,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80439,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80440,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
80500,,Lab pathology consultation,A,,0.37,0.22,,0.17,,0.01,0.60,0.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
80502,,Lab pathology consultation,A,,1.33,0.65,,0.60,,0.05,2.03,1.98,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
81000,,"Urinalysis, nonauto w/scope",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81001,,"Urinalysis, auto w/scope",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81002,,Urinalysis nonauto w/o scope,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81003,,"Urinalysis, auto, w/o scope",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81005,,Urinalysis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81007,,Urine screen for bacteria,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81015,,Microscopic exam of urine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81020,,"Urinalysis, glass test",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81025,,Urine pregnancy test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81050,,"Urinalysis, volume measure",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
81099,,Urinalysis test procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82000,,Assay of blood acetaldehyde,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82003,,Assay of acetaminophen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82009,,Test for acetone/ketones,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82010,,Acetone assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82013,,Acetylcholinesterase assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82016,,"Acylcarnitines, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82017,,"Acylcarnitines, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82024,,Assay of acth,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82030,,Assay of adp & amp,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82040,,Assay of serum albumin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82042,,Assay of urine albumin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82043,,"Microalbumin, quantitative",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82044,,"Microalbumin, semiquant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82055,,Assay of ethanol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82075,,Assay of breath ethanol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82085,,Assay of aldolase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82088,,Assay of aldosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82101,,Assay of urine alkaloids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82103,,"Alpha-1-antitrypsin, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82104,,"Alpha-1-antitrypsin, pheno",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82105,,"Alpha-fetoprotein, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82106,,"Alpha-fetoprotein, amniotic",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82108,,Assay of aluminum,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82120,,"Amines, vaginal fluid qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82127,,"Amino acid, single qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82128,,"Amino acids, mult qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82131,,"Amino acids, single quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82135,,"Assay, aminolevulinic acid",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82136,,"Amino acids, quant, 2-5",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82139,,"Amino acids, quan, 6 or more",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82140,,Assay of ammonia,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82143,,Amniotic fluid scan,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82145,,Assay of amphetamines,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82150,,Assay of amylase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82154,,Androstanediol glucuronide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82157,,Assay of androstenedione,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82160,,Assay of androsterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82163,,Assay of angiotensin II,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82164,,Angiotensin I enzyme test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82172,,Assay of apolipoprotein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82175,,Assay of arsenic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82180,,Assay of ascorbic acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82190,,Atomic absorption,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82205,,Assay of barbiturates,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82232,,Assay of beta-2 protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82239,,"Bile acids, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82240,,"Bile acids, cholylglycine",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82247,,"Bilirubin, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82248,,"Bilirubin, direct",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82252,,Fecal bilirubin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82261,,Assay of biotinidase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82270,,"Test for blood, feces",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82273,,"Test for blood, other source",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82274,,"Assay test for blood, fecal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82286,,Assay of bradykinin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82300,,Assay of cadmium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82306,,Assay of vitamin D,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82307,,Assay of vitamin D,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82308,,Assay of calcitonin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82310,,Assay of calcium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82330,,Assay of calcium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82331,,Calcium infusion test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82340,,Assay of calcium in urine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82355,,"Calculus analysis, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82360,,"Calculus assay, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82365,,Calculus spectroscopy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82370,,"X-ray assay, calculus",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82373,,"Assay, c-d transfer measure",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82374,,"Assay, blood carbon dioxide",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82375,,"Assay, blood carbon monoxide",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82376,,Test for carbon monoxide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82378,,Carcinoembryonic antigen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82379,,Assay of carnitine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82380,,Assay of carotene,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82382,,"Assay, urine catecholamines",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82383,,"Assay, blood catecholamines",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82384,,"Assay, three catecholamines",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82387,,Assay of cathepsin-d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82390,,Assay of ceruloplasmin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82397,,Chemiluminescent assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82415,,Assay of chloramphenicol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82435,,Assay of blood chloride,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82436,,Assay of urine chloride,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82438,,"Assay, other fluid chlorides",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82441,,Test for chlorohydrocarbons,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82465,,"Assay, bld/serum cholesterol",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82480,,"Assay, serum cholinesterase",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82482,,"Assay, rbc cholinesterase",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82485,,"Assay, chondroitin sulfate",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82486,,Gas/liquid chromatography,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82487,,Paper chromatography,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82488,,Paper chromatography,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82489,,Thin layer chromatography,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82491,,"Chromotography, quant, sing",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82492,,"Chromotography, quant, mult",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82495,,Assay of chromium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82507,,Assay of citrate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82520,,Assay of cocaine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82523,,Collagen crosslinks,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82525,,Assay of copper,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82528,,Assay of corticosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82530,,"Cortisol, free",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82533,,Total cortisol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82540,,Assay of creatine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82541,,"Column chromotography, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82542,,"Column chromotography, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82543,,Column chromotograph/isotope,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82544,,Column chromotograph/isotope,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82550,,Assay of ck (cpk),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82552,,Assay of cpk in blood,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82553,,"Creatine, MB fraction",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82554,,"Creatine, isoforms",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82565,,Assay of creatinine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82570,,Assay of urine creatinine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82575,,Creatinine clearance test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82585,,Assay of cryofibrinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82595,,Assay of cryoglobulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82600,,Assay of cyanide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82607,,Vitamin B-12,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82608,,B-12 binding capacity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82615,,Test for urine cystines,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82626,,Dehydroepiandrosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82627,,Dehydroepiandrosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82633,,Desoxycorticosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82634,,Deoxycortisol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82638,,Assay of dibucaine number,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82646,,Assay of dihydrocodeinone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82649,,Assay of dihydromorphinone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82651,,Assay of dihydrotestosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82652,,Assay of dihydroxyvitamin d,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82654,,Assay of dimethadione,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82657,,Enzyme cell activity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82658,,"Enzyme cell activity, ra",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82664,,Electrophoretic test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82666,,Assay of epiandrosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82668,,Assay of erythropoietin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82670,,Assay of estradiol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82671,,Assay of estrogens,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82672,,Assay of estrogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82677,,Assay of estriol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82679,,Assay of estrone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82690,,Assay of ethchlorvynol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82693,,Assay of ethylene glycol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82696,,Assay of etiocholanolone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82705,,"Fats/lipids, feces, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82710,,"Fats/lipids, feces, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82715,,Assay of fecal fat,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82725,,Assay of blood fatty acids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82726,,Long chain fatty acids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82728,,Assay of ferritin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82731,,Assay of fetal fibronectin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82735,,Assay of fluoride,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82742,,Assay of flurazepam,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82746,,Blood folic acid serum,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82747,,"Assay of folic acid, rbc",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82757,,Assay of semen fructose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82759,,Assay of rbc galactokinase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82760,,Assay of galactose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82775,,Assay galactose transferase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82776,,Galactose transferase test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82784,,Assay of gammaglobulin igm,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82785,,Assay of gammaglobulin ige,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82787,,"Igg 1, 2, 3 or 4, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82800,,Blood pH,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82803,,"Blood gases: pH, pO2 & pCO2",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82805,,Blood gases W/02 saturation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82810,,"Blood gases, O2 sat only",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82820,,Hemoglobin-oxygen affinity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82926,,Assay of gastric acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82928,,Assay of gastric acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82938,,Gastrin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82941,,Assay of gastrin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82943,,Assay of glucagon,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82945,,Glucose other fluid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82946,,Glucagon tolerance test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82947,,"Assay, glucose, blood quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82948,,Reagent strip/blood glucose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82950,,Glucose test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82951,,Glucose tolerance test (GTT),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82952,,GTT-added samples,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82953,,Glucose-tolbutamide test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82955,,Assay of g6pd enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82960,,Test for G6PD enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82962,,Glucose blood test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82963,,Assay of glucosidase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82965,,Assay of gdh enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82975,,Assay of glutamine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82977,,Assay of GGT,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82978,,Assay of glutathione,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82979,,"Assay, rbc glutathione",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82980,,Assay of glutethimide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
82985,,Glycated protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83001,,Gonadotropin (FSH),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83002,,Gonadotropin (LH),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83003,,"Assay, growth hormone (hgh)",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83008,,Assay of guanosine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83010,,"Assay of haptoglobin, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83012,,Assay of haptoglobins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83013,,H pylori analysis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83014,,H pylori drug admin/collect,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83015,,Heavy metal screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83018,,"Quantitative screen, metals",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83020,,Hemoglobin electrophoresis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83020,26,Hemoglobin electrophoresis,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
83021,,Hemoglobin chromotography,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83026,,"Hemoglobin, copper sulfate",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83030,,"Fetal hemoglobin, chemical",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83033,,"Fetal hemoglobin assay, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83036,,Glycated hemoglobin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83045,,Blood methemoglobin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83050,,Blood methemoglobin assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83051,,Assay of plasma hemoglobin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83055,,Blood sulfhemoglobin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83060,,Blood sulfhemoglobin assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83065,,Assay of hemoglobin heat,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83068,,Hemoglobin stability screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83069,,Assay of urine hemoglobin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83070,,"Assay of hemosiderin, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83071,,"Assay of hemosiderin, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83080,,Assay of b hexosaminidase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83088,,Assay of histamine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83090,,Assay of homocystine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83150,,Assay of for hva,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83491,,Assay of corticosteroids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83497,,Assay of 5-hiaa,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83498,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83499,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83500,,"Assay, free hydroxyproline",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83505,,"Assay, total hydroxyproline",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83516,,"Immunoassay, nonantibody",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83518,,"Immunoassay, dipstick",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83519,,"Immunoassay, nonantibody",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83520,,"Immunoassay, RIA",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83525,,Assay of insulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83527,,Assay of insulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83528,,Assay of intrinsic factor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83540,,Assay of iron,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83550,,Iron binding test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83570,,Assay of idh enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83582,,Assay of ketogenic steroids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83586,,Assay 17- ketosteroids,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83593,,"Fractionation, ketosteroids",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83605,,Assay of lactic acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83615,,Lactate (LD) (LDH) enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83625,,Assay of ldh enzymes,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83632,,Placental lactogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83633,,Test urine for lactose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83634,,Assay of urine for lactose,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83655,,Assay of lead,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83661,,"L/s ratio, fetal lung",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83662,,"Foam stability, fetal lung",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83663,,"Fluoro polarize, fetal lung",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83664,,"Lamellar bdy, fetal lung",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83670,,Assay of lap enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83690,,Assay of lipase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83715,,Assay of blood lipoproteins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83716,,Assay of blood lipoproteins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83718,,Assay of lipoprotein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83719,,Assay of blood lipoprotein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83721,,Assay of blood lipoprotein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83727,,Assay of lrh hormone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83735,,Assay of magnesium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83775,,Assay of md enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83785,,Assay of manganese,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83788,,Mass spectrometry qual,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83789,,Mass spectrometry quant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83805,,Assay of meprobamate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83825,,Assay of mercury,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83835,,Assay of metanephrines,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83840,,Assay of methadone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83857,,Assay of methemalbumin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83858,,Assay of methsuximide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83864,,Mucopolysaccharides,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83866,,Mucopolysaccharides screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83872,,Assay synovial fluid mucin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83873,,Assay of csf protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83874,,Assay of myoglobin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83880,,Natriuretic peptide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83883,,"Assay, nephelometry not spec",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83885,,Assay of nickel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83887,,Assay of nicotine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83890,,Molecule isolate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83891,,Molecule isolate nucleic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83892,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83893,,Molecule dot/slot/blot,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83894,,Molecule gel electrophor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83896,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83897,,Molecule nucleic transfer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83898,,Molecule nucleic ampli,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83901,,Molecule nucleic ampli,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83902,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83903,,Molecule mutation scan,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83904,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83905,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83906,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83912,,Genetic examination,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83912,26,Genetic examination,A,,0.37,0.15,,0.15,,0.01,0.53,0.53,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
83915,,Assay of nucleotidase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83916,,Oligoclonal bands,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83918,,"Organic acids, total, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83919,,"Organic acids, qual, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83921,,"Organic acid,  single, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83925,,Assay of opiates,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83930,,Assay of blood osmolality,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83935,,Assay of urine osmolality,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83937,,Assay of osteocalcin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83945,,Assay of oxalate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83950,,"Oncoprotein, her-2/neu",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83970,,Assay of parathormone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83986,,Assay of body fluid acidity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
83992,,Assay for phencyclidine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84022,,Assay of phenothiazine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84030,,Assay of blood pku,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84035,,Assay of phenylketones,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84060,,Assay acid phosphatase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84061,,"Phosphatase, forensic exam",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84066,,Assay prostate phosphatase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84075,,Assay alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84078,,Assay alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84080,,Assay alkaline phosphatases,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84081,,Amniotic fluid enzyme test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84085,,Assay of rbc pg6d enzyme,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84087,,Assay phosphohexose enzymes,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84100,,Assay of phosphorus,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84105,,Assay of urine phosphorus,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84106,,Test for porphobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84110,,Assay of porphobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84119,,Test urine for porphyrins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84120,,Assay of urine porphyrins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84126,,Assay of feces porphyrins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84127,,Assay of feces porphyrins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84132,,Assay of serum potassium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84133,,Assay of urine potassium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84134,,Assay of prealbumin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84135,,Assay of pregnanediol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84138,,Assay of pregnanetriol,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84140,,Assay of pregnenolone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84143,,Assay of 17-hydroxypregneno,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84144,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84146,,Assay of prolactin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84150,,Assay of prostaglandin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84152,,"Assay of psa, complexed",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84153,,"Assay of psa, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84154,,"Assay of psa, free",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84155,,Assay of protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84160,,Assay of serum protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84165,,Assay of serum proteins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84165,26,Assay of serum proteins,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
84181,,Western blot test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84181,26,Western blot test,A,,0.37,0.14,,0.14,,0.01,0.52,0.52,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
84182,,"Protein, western blot test",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84182,26,"Protein, western blot test",A,,0.37,0.17,,0.17,,0.01,0.55,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
84202,,Assay RBC protoporphyrin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84203,,Test RBC protoporphyrin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84206,,Assay of proinsulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84207,,Assay of vitamin b-6,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84210,,Assay of pyruvate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84220,,Assay of pyruvate kinase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84228,,Assay of quinine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84233,,Assay of estrogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84234,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84235,,Assay of endocrine hormone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84238,,"Assay, nonendocrine receptor",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84244,,Assay of renin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84252,,Assay of vitamin b-2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84255,,Assay of selenium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84260,,Assay of serotonin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84270,,Assay of sex hormone globul,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84275,,Assay of sialic acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84285,,Assay of silica,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84295,,Assay of serum sodium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84300,,Assay of urine sodium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84302,,Assay of sweat sodium,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84305,,Assay of somatomedin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84307,,Assay of somatostatin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84311,,Spectrophotometry,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84315,,Body fluid specific gravity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84375,,"Chromatogram assay, sugars",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84376,,"Sugars, single, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84377,,"Sugars, multiple, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84378,,Sugars single quant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84379,,Sugars multiple quant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84392,,Assay of urine sulfate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84402,,Assay of testosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84403,,Assay of total testosterone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84425,,Assay of vitamin b-1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84430,,Assay of thiocyanate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84432,,Assay of thyroglobulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84436,,Assay of total thyroxine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84437,,Assay of neonatal thyroxine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84439,,Assay of free thyroxine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84442,,Assay of thyroid activity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84443,,Assay thyroid stim hormone,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84445,,Assay of tsi,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84446,,Assay of vitamin e,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84449,,Assay of transcortin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84450,,Transferase (AST) (SGOT),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84460,,Alanine amino (ALT) (SGPT),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84466,,Assay of transferrin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84478,,Assay of triglycerides,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84479,,Assay of thyroid (t3 or t4),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84480,,"Assay, triiodothyronine (t3)",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84481,,Free assay (FT-3),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84482,,T3 reverse,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84484,,"Assay of troponin, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84485,,Assay duodenal fluid trypsin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84488,,Test feces for trypsin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84490,,Assay of feces for trypsin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84510,,Assay of tyrosine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84512,,"Assay of troponin, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84520,,Assay of urea nitrogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84525,,Urea nitrogen semi-quant,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84540,,Assay of urine/urea-n,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84545,,Urea-N clearance test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84550,,Assay of blood/uric acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84560,,Assay of urine/uric acid,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84577,,Assay of feces/urobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84578,,Test urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84580,,Assay of urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84583,,Assay of urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84585,,Assay of urine vma,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84586,,Assay of vip,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84588,,Assay of vasopressin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84590,,Assay of vitamin a,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84591,,Assay of nos vitamin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84597,,Assay of vitamin k,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84600,,Assay of volatiles,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84620,,Xylose tolerance test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84630,,Assay of zinc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84681,,Assay of c-peptide,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84702,,Chorionic gonadotropin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84703,,Chorionic gonadotropin assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84830,,Ovulation tests,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
84999,,Clinical chemistry test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85002,,Bleeding time test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85004,,Automated diff wbc count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85007,,Bl smear w/diff wbc count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85008,,Bl smear w/o diff wbc count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85009,,Manual diff wbc count b-coat,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85013,,Spun microhematocrit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85014,,Hematocrit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85018,,Hemoglobin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85021,,Automated hemogram,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85022,,Automated hemogram,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85023,,Automated hemogram,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85024,,Automated hemogram,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85025,,Complete cbc w/auto diff wbc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85027,,"Complete cbc, automated",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85031,,"Manual hemogram, cbc",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85032,,"Manual cell count, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85041,,Automated rbc count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85044,,Manual reticulocyte count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85045,,Automated reticulocyte count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85046,,Reticyte/hgb concentrate,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85048,,Automated leukocyte count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85049,,Automated platelet count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85060,,Blood smear interpretation,A,,0.45,0.19,,0.19,,0.02,0.66,0.66,8,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
85097,,Bone marrow interpretation,A,,0.94,1.81,,0.41,,0.03,2.78,1.38,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
85130,,Chromogenic substrate assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85170,,Blood clot retraction,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85175,,Blood clot lysis time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85210,,Blood clot factor II test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85220,,Blood clot factor V test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85230,,Blood clot factor VII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85240,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85244,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85245,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85246,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85247,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85250,,Blood clot factor IX test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85260,,Blood clot factor X test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85270,,Blood clot factor XI test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85280,,Blood clot factor XII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85290,,Blood clot factor XIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85291,,Blood clot factor XIII test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85292,,Blood clot factor assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85293,,Blood clot factor assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85300,,Antithrombin III test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85301,,Antithrombin III test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85302,,Blood clot inhibitor antigen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85303,,Blood clot inhibitor test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85305,,Blood clot inhibitor assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85306,,Blood clot inhibitor test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85307,,Assay activated protein c,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85335,,Factor inhibitor test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85337,,Thrombomodulin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85345,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85347,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85348,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85360,,Euglobulin lysis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85362,,Fibrin degradation products,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85366,,Fibrinogen test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85370,,Fibrinogen test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85378,,"Fibrin degrade, semiquant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85379,,"Fibrin degradation, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85380,,"Fibrin degradation, vte",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85384,,Fibrinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85385,,Fibrinogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85390,,Fibrinolysins screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85390,26,Fibrinolysins screen,A,,0.37,0.13,,0.13,,0.01,0.51,0.51,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
85400,,Fibrinolytic plasmin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85410,,Fibrinolytic antiplasmin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85415,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85420,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85421,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85441,,"Heinz bodies, direct",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85445,,"Heinz bodies, induced",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85460,,"Hemoglobin, fetal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85461,,"Hemoglobin, fetal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85475,,Hemolysin,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85520,,Heparin assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85525,,Heparin neutralization,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85530,,Heparin-protamine tolerance,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85536,,Iron stain peripheral blood,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85540,,Wbc alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85547,,RBC mechanical fragility,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85549,,Muramidase,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85555,,RBC osmotic fragility,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85557,,RBC osmotic fragility,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85576,,Blood platelet aggregation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85576,26,Blood platelet aggregation,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
85585,,Blood platelet estimation,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85590,,"Platelet count, manual",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85595,,"Platelet count, automated",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85597,,Platelet neutralization,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85610,,Prothrombin time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85611,,Prothrombin test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85612,,Viper venom prothrombin time,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85613,,"Russell viper venom, diluted",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85635,,Reptilase test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85651,,"Rbc sed rate, nonautomated",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85652,,"Rbc sed rate, automated",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85660,,RBC sickle cell test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85670,,"Thrombin time, plasma",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85675,,"Thrombin time, titer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85705,,Thromboplastin inhibition,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85730,,"Thromboplastin time, partial",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85732,,"Thromboplastin time, partial",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85810,,Blood viscosity examination,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
85999,,Hematology procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86000,,"Agglutinins, febrile",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86001,,Allergen specific igg,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86003,,Allergen specific IgE,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86005,,Allergen specific IgE,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86021,,WBC antibody identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86022,,Platelet antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86023,,Immunoglobulin assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86038,,Antinuclear antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86039,,Antinuclear antibodies (ANA),X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86060,,"Antistreptolysin o, titer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86063,,"Antistreptolysin o, screen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86077,,Physician blood bank service,A,,0.94,0.47,,0.42,,0.03,1.44,1.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86078,,Physician blood bank service,A,,0.94,0.51,,0.42,,0.03,1.48,1.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86079,,Physician blood bank service,A,,0.94,0.50,,0.42,,0.03,1.47,1.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86140,,C-reactive protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86141,,"C-reactive protein, hs",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86146,,Glycoprotein antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86147,,Cardiolipin antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86148,,Phospholipid antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86155,,Chemotaxis assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86156,,"Cold agglutinin, screen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86157,,"Cold agglutinin, titer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86160,,"Complement, antigen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86161,,Complement/function activity,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86162,,"Complement, total (CH50)",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86171,,"Complement fixation, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86185,,Counterimmunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86215,,"Deoxyribonuclease, antibody",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86225,,DNA antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86226,,"DNA antibody, single strand",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86235,,Nuclear antigen antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86243,,Fc receptor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86255,,"Fluorescent antibody, screen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86255,26,"Fluorescent antibody, screen",A,,0.37,0.17,,0.17,,0.01,0.55,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86256,,"Fluorescent antibody, titer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86256,26,"Fluorescent antibody, titer",A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86277,,Growth hormone antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86280,,Hemagglutination inhibition,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86294,,"Immunoassay, tumor qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86300,,"Immunoassay, tumor ca 15-3",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86301,,"Immunoassay, tumor ca 19-9",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86304,,"Immunoassay, tumor, ca 125",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86308,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86309,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86310,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86316,,"Immunoassay, tumor other",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86317,,"Immunoassay,infectious agent",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86318,,"Immunoassay,infectious agent",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86320,,Serum immunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86320,26,Serum immunoelectrophoresis,A,,0.37,0.17,,0.16,,0.01,0.55,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86325,,Other immunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86325,26,Other immunoelectrophoresis,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86327,,Immunoelectrophoresis assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86327,26,Immunoelectrophoresis assay,A,,0.42,0.19,,0.19,,0.01,0.62,0.62,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86329,,Immunodiffusion,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86331,,Immunodiffusion ouchterlony,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86332,,Immune complex assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86334,,Immunofixation procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86334,26,Immunofixation procedure,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86336,,Inhibin A,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86337,,Insulin antibodies,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86340,,Intrinsic factor antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86341,,Islet cell antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86343,,Leukocyte histamine release,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86344,,Leukocyte phagocytosis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86353,,Lymphocyte transformation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86359,,"T cells, total count",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86360,,"T cell, absolute count/ratio",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86361,,"T cell, absolute count",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86376,,Microsomal antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86378,,Migration inhibitory factor,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86382,,"Neutralization test, viral",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86384,,Nitroblue tetrazolium dye,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86403,,Particle agglutination test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86406,,Particle agglutination test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86430,,Rheumatoid factor test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86431,,"Rheumatoid factor, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86485,,"Skin test, candida",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86490,,Coccidioidomycosis skin test,A,,0.00,0.29,,0.29,NA,0.02,0.31,0.31,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86510,,Histoplasmosis skin test,A,,0.00,0.32,,0.32,NA,0.02,0.34,0.34,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86580,,TB intradermal test,A,,0.00,0.25,,0.25,NA,0.02,0.27,0.27,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86585,,TB tine test,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86586,,"Skin test, unlisted",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
86590,,"Streptokinase, antibody",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86592,,"Blood serology, qualitative",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86593,,"Blood serology, quantitative",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86602,,Antinomyces antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86603,,Adenovirus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86606,,Aspergillus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86609,,Bacterium antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86611,,Bartonella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86612,,Blastomyces antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86615,,Bordetella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86617,,Lyme disease antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86618,,Lyme disease antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86619,,Borrelia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86622,,Brucella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86625,,Campylobacter antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86628,,Candida antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86631,,Chlamydia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86632,,Chlamydia igm antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86635,,Coccidioides antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86638,,Q fever antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86641,,Cryptococcus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86644,,CMV antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86645,,"CMV antibody, IgM",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86648,,Diphtheria antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86651,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86652,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86653,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86654,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86658,,Enterovirus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86663,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86664,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86665,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86666,,Ehrlichia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86668,,Francisella tularensis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86671,,Fungus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86674,,Giardia lamblia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86677,,Helicobacter pylori,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86682,,Helminth antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86684,,Hemophilus influenza,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86687,,Htlv-i antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86688,,Htlv-ii antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86689,,HTLV/HIV confirmatory test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86692,,"Hepatitis, delta agent",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86694,,Herpes simplex test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86695,,Herpes simplex test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86696,,Herpes simplex type 2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86698,,Histoplasma,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86701,,HIV-1,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86702,,HIV-2,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86703,,"HIV-1/HIV-2, single assay",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86704,,"Hep b core antibody, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86705,,"Hep b core antibody, igm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86706,,Hep b surface antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86707,,Hep be antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86708,,"Hep a antibody, total",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86709,,"Hep a antibody, igm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86710,,Influenza virus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86713,,Legionella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86717,,Leishmania antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86720,,Leptospira antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86723,,Listeria monocytogenes ab,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86727,,Lymph choriomeningitis ab,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86729,,Lympho venereum antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86732,,Mucormycosis antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86735,,Mumps antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86738,,Mycoplasma antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86741,,Neisseria meningitidis,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86744,,Nocardia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86747,,Parvovirus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86750,,Malaria antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86753,,Protozoa antibody nos,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86756,,Respiratory virus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86757,,Rickettsia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86759,,Rotavirus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86762,,Rubella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86765,,Rubeola antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86768,,Salmonella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86771,,Shigella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86774,,Tetanus antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86777,,Toxoplasma antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86778,,"Toxoplasma antibody, igm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86781,,"Treponema pallidum, confirm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86784,,Trichinella antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86787,,Varicella-zoster antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86790,,Virus antibody nos,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86793,,Yersinia antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86800,,Thyroglobulin antibody,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86803,,Hepatitis c ab test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86804,,"Hep c ab test, confirm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86805,,Lymphocytotoxicity assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86806,,Lymphocytotoxicity assay,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86807,,Cytotoxic antibody screening,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86808,,Cytotoxic antibody screening,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86812,,"HLA typing, A, B, or C",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86813,,"HLA typing, A, B, or C",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86816,,"HLA typing, DR/DQ",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86817,,"HLA typing, DR/DQ",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86821,,"Lymphocyte culture, mixed",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86822,,"Lymphocyte culture, primed",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86849,,Immunology procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86850,,RBC antibody screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86860,,RBC antibody elution,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86870,,RBC antibody identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86880,,"Coombs test, direct",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86885,,"Coombs test, indirect, qual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86886,,"Coombs test, indirect, titer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86890,,Autologous blood process,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86891,,"Autologous blood, op salvage",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86900,,"Blood typing, ABO",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86901,,"Blood typing, Rh (D)",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86903,,"Blood typing, antigen screen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86904,,"Blood typing, patient serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86905,,"Blood typing, RBC antigens",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86906,,"Blood typing, Rh phenotype",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86910,,"Blood typing, paternity test",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86911,,"Blood typing, antigen system",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86915,,Bone marrow/stem cell prep,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86920,,Compatibility test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86921,,Compatibility test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86922,,Compatibility test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86927,,"Plasma, fresh frozen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86930,,Frozen blood prep,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86931,,Frozen blood thaw,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86932,,Frozen blood freeze/thaw,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86940,,"Hemolysins/agglutinins, auto",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86941,,Hemolysins/agglutinins,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86945,,Blood product/irradiation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86950,,Leukacyte transfusion,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86965,,Pooling blood platelets,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86970,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86971,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86972,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86975,,"RBC pretreatment, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86976,,"RBC pretreatment, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86977,,"RBC pretreatment, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86978,,"RBC pretreatment, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86985,,Split blood or products,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
86999,,Transfusion procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87001,,Small animal inoculation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87003,,Small animal inoculation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87015,,Specimen concentration,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87040,,Blood culture for bacteria,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87045,,"Feces culture, bacteria",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87046,,"Stool cultr, bacteria, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87070,,"Culture, bacteria, other",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87071,,Culture bacteri aerobic othr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87073,,Culture bacteria anaerobic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87075,,Culture bacteria anaerobic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87076,,"Culture anaerobe ident, each",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87077,,Culture aerobic identify,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87081,,Culture screen only,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87084,,Culture of specimen by kit,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87086,,Urine culture/colony count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87088,,Urine bacteria culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87101,,Skin fungi culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87102,,Fungus isolation culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87103,,Blood fungus culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87106,,"Fungi identification, yeast",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87107,,"Fungi identification, mold",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87109,,Mycoplasma,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87110,,Chlamydia culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87116,,Mycobacteria culture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87118,,Mycobacteric identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87140,,Culture type immunofluoresc,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87143,,"Culture typing, glc/hplc",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87147,,"Culture type, immunologic",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87149,,"Culture type, nucleic acid",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87152,,Culture type pulse field gel,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87158,,"Culture typing, added method",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87164,,Dark field examination,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87164,26,Dark field examination,A,,0.37,0.12,,0.12,,0.01,0.50,0.50,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
87166,,Dark field examination,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87168,,Macroscopic exam arthropod,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87169,,Macroscopic exam parasite,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87172,,Pinworm exam,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87176,,"Tissue homogenization, cultr",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87177,,Ova and parasites smears,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87181,,"Microbe susceptible, diffuse",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87184,,"Microbe susceptible, disk",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87185,,"Microbe susceptible, enzyme",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87186,,"Microbe susceptible, mic",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87187,,"Microbe susceptible, mlc",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87188,,"Microbe suscept, macrobroth",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87190,,"Microbe suscept, mycobacteri",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87197,,"Bactericidal level, serum",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87198,,Cytomegalovirus antibody dfa,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87199,,"Enterovirus antibody, dfa",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87205,,"Smear, gram stain",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87206,,"Smear, fluorescent/acid stai",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87207,,"Smear, special stain",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87207,26,"Smear, special stain",A,,0.37,0.17,,0.17,,0.01,0.55,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
87210,,"Smear, wet mount, saline/ink",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87220,,Tissue exam for fungi,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87230,,"Assay, toxin or antitoxin",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87250,,"Virus inoculate, eggs/animal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87252,,"Virus inoculation, tissue",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87253,,"Virus inoculate tissue, addl",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87254,,"Virus inoculation, shell via",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87255,,"Genet virus isolate, hsv",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87260,,"Adenovirus ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87265,,"Pertussis ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87267,,"Enterovirus antibody, dfa",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87270,,"Chlamydia trachomatis ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87271,,Cytomegalovirus,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87272,,"Cryptosporidum/gardia ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87273,,"Herpes simplex 2, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87274,,"Herpes simplex 1, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87275,,"Influenza b, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87276,,"Influenza a, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87277,,"Legionella micdadei, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87278,,"Legion pneumophilia ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87279,,"Parainfluenza, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87280,,"Respiratory syncytial ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87281,,"Pneumocystis carinii, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87283,,"Rubeola, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87285,,"Treponema pallidum, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87290,,"Varicella zoster, ag, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87299,,"Antibody detection, nos, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87300,,"Ag detection, polyval, if",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87301,,"Adenovirus ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87320,,"Chylmd trach ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87324,,"Clostridium ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87327,,"Cryptococcus neoform ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87328,,"Cryptospor ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87332,,"Cytomegalovirus ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87335,,"E coli 0157 ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87336,,"Entamoeb hist dispr, ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87337,,"Entamoeb hist group, ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87338,,"Hpylori, stool, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87339,,"H pylori ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87340,,"Hepatitis b surface ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87341,,"Hepatitis b surface, ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87350,,"Hepatitis be ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87380,,"Hepatitis delta ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87385,,"Histoplasma capsul ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87390,,"Hiv-1 ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87391,,"Hiv-2 ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87400,,"Influenza a/b, ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87420,,"Resp syncytial ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87425,,"Rotavirus ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87427,,"Shiga-like toxin ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87430,,"Strep a ag, eia",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87449,,"Ag detect nos, eia, mult",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87450,,"Ag detect nos, eia, single",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87451,,"Ag detect polyval, eia, mult",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87470,,"Bartonella, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87471,,"Bartonella, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87472,,"Bartonella, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87475,,"Lyme dis, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87476,,"Lyme dis, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87477,,"Lyme dis, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87480,,"Candida, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87481,,"Candida, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87482,,"Candida, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87485,,"Chylmd pneum, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87486,,"Chylmd pneum, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87487,,"Chylmd pneum, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87490,,"Chylmd trach, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87491,,"Chylmd trach, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87492,,"Chylmd trach, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87495,,"Cytomeg, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87496,,"Cytomeg, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87497,,"Cytomeg, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87510,,"Gardner vag, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87511,,"Gardner vag, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87512,,"Gardner vag, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87515,,"Hepatitis b, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87516,,"Hepatitis b, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87517,,"Hepatitis b, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87520,,"Hepatitis c, rna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87521,,"Hepatitis c, rna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87522,,"Hepatitis c, rna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87525,,"Hepatitis g, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87526,,"Hepatitis g, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87527,,"Hepatitis g, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87528,,"Hsv, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87529,,"Hsv, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87530,,"Hsv, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87531,,"Hhv-6, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87532,,"Hhv-6, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87533,,"Hhv-6, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87534,,"Hiv-1, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87535,,"Hiv-1, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87536,,"Hiv-1, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87537,,"Hiv-2, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87538,,"Hiv-2, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87539,,"Hiv-2, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87540,,"Legion pneumo, dna, dir prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87541,,"Legion pneumo, dna, amp prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87542,,"Legion pneumo, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87550,,"Mycobacteria, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87551,,"Mycobacteria, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87552,,"Mycobacteria, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87555,,"M.tuberculo, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87556,,"M.tuberculo, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87557,,"M.tuberculo, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87560,,"M.avium-intra, dna, dir prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87561,,"M.avium-intra, dna, amp prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87562,,"M.avium-intra, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87580,,"M.pneumon, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87581,,"M.pneumon, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87582,,"M.pneumon, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87590,,"N.gonorrhoeae, dna, dir prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87591,,"N.gonorrhoeae, dna, amp prob",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87592,,"N.gonorrhoeae, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87620,,"Hpv, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87621,,"Hpv, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87622,,"Hpv, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87650,,"Strep a, dna, dir probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87651,,"Strep a, dna, amp probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87652,,"Strep a, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87797,,"Detect agent nos, dna, dir",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87798,,"Detect agent nos, dna, amp",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87799,,"Detect agent nos, dna, quant",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87800,,"Detect agnt mult, dna, direc",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87801,,"Detect agnt mult, dna, ampli",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87802,,Strep b assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87803,,Clostridium toxin a w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87804,,Influenza assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87810,,Chylmd trach assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87850,,N. gonorrhoeae assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87880,,Strep a assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87899,,Agent nos assay w/optic,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87901,,"Genotype, dna, hiv reverse t",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87902,,"Genotype, dna, hepatitis C",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87903,,"Phenotype, dna hiv w/culture",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87904,,"Phenotype, dna hiv w/clt add",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
87999,,Microbiology procedure,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88000,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88005,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88007,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88012,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88014,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88016,,"Autopsy (necropsy), gross",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88020,,"Autopsy (necropsy), complete",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88025,,"Autopsy (necropsy), complete",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88027,,"Autopsy (necropsy), complete",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88028,,"Autopsy (necropsy), complete",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88029,,"Autopsy (necropsy), complete",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88036,,Limited autopsy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88037,,Limited autopsy,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88040,,Forensic autopsy (necropsy),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88045,,Coroner’s autopsy (necropsy),N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88099,,Necropsy (autopsy) procedure,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88104,,"Cytopathology, fluids",A,,0.56,0.79,,0.79,NA,0.04,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88104,TC,"Cytopathology, fluids",A,,0.00,0.54,,0.54,NA,0.02,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88104,26,"Cytopathology, fluids",A,,0.56,0.25,,0.25,,0.02,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88106,,"Cytopathology, fluids",A,,0.56,0.62,,0.62,NA,0.04,1.22,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88106,TC,"Cytopathology, fluids",A,,0.00,0.37,,0.37,NA,0.02,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88106,26,"Cytopathology, fluids",A,,0.56,0.25,,0.25,,0.02,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88107,,"Cytopathology, fluids",A,,0.76,1.00,,1.00,NA,0.05,1.81,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88107,TC,"Cytopathology, fluids",A,,0.00,0.66,,0.66,NA,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88107,26,"Cytopathology, fluids",A,,0.76,0.34,,0.34,,0.03,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88108,,"Cytopath, concentrate tech",A,,0.56,0.83,,0.83,NA,0.04,1.43,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88108,TC,"Cytopath, concentrate tech",A,,0.00,0.58,,0.58,NA,0.02,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88108,26,"Cytopath, concentrate tech",A,,0.56,0.25,,0.25,,0.02,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88125,,Forensic cytopathology,A,,0.26,0.30,,0.30,NA,0.02,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88125,TC,Forensic cytopathology,A,,0.00,0.18,,0.18,NA,0.01,0.19,0.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88125,26,Forensic cytopathology,A,,0.26,0.12,,0.12,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88130,,Sex chromatin identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88140,,Sex chromatin identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88141,,"Cytopath, c/v, interpret",A,,0.42,0.19,,0.19,,0.01,0.62,0.62,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88142,,"Cytopath, c/v, thin layer",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88143,,Cytopath c/v thin layer redo,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88144,,"Cytopath, c/v, thin lyr redo",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88145,,"Cytopath, c/v, thin lyr sel",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88147,,"Cytopath, c/v, automated",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88148,,"Cytopath, c/v, auto rescreen",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88150,,"Cytopath, c/v, manual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88152,,"Cytopath, c/v, auto redo",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88153,,"Cytopath, c/v, redo",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88154,,"Cytopath, c/v, select",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88155,,"Cytopath, c/v, index add-on",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88160,,"Cytopath smear, other source",A,,0.50,0.98,,0.98,NA,0.04,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88160,TC,"Cytopath smear, other source",A,,0.00,0.76,,0.76,NA,0.02,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88160,26,"Cytopath smear, other source",A,,0.50,0.22,,0.22,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88161,,"Cytopath smear, other source",A,,0.50,0.93,,0.93,NA,0.04,1.47,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88161,TC,"Cytopath smear, other source",A,,0.00,0.71,,0.71,NA,0.02,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88161,26,"Cytopath smear, other source",A,,0.50,0.22,,0.22,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88162,,"Cytopath smear, other source",A,,0.76,0.71,,0.71,NA,0.05,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88162,TC,"Cytopath smear, other source",A,,0.00,0.37,,0.37,NA,0.02,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88162,26,"Cytopath smear, other source",A,,0.76,0.34,,0.34,,0.03,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88164,,"Cytopath tbs, c/v, manual",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88165,,"Cytopath tbs, c/v, redo",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88166,,"Cytopath tbs, c/v, auto redo",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88167,,"Cytopath tbs, c/v, select",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88172,,Cytopathology eval of fna,A,,0.60,0.69,,0.69,NA,0.04,1.33,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88172,TC,Cytopathology eval of fna,A,,0.00,0.42,,0.42,NA,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88172,26,Cytopathology eval of fna,A,,0.60,0.27,,0.27,,0.02,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88173,,"Cytopath eval, fna, report",A,,1.39,1.83,,1.83,NA,0.07,3.29,3.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88173,TC,"Cytopath eval, fna, report",A,,0.00,1.21,,1.21,NA,0.02,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88173,26,"Cytopath eval, fna, report",A,,1.39,0.62,,0.62,,0.05,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88174,,"Cytopath, c/v auto, in fluid",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88175,,Cytopath c/v auto fluid redo,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88180,,Cell marker study,A,,0.36,1.20,,1.20,NA,0.03,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88180,TC,Cell marker study,A,,0.00,1.04,,1.04,NA,0.02,1.06,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88180,26,Cell marker study,A,,0.36,0.16,,0.16,,0.01,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88182,,Cell marker study,A,,0.77,1.56,,1.56,NA,0.06,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88182,TC,Cell marker study,A,,0.00,1.21,,1.21,NA,0.03,1.24,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88182,26,Cell marker study,A,,0.77,0.35,,0.35,,0.03,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88199,,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88199,TC,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88199,26,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88230,,"Tissue culture, lymphocyte",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88233,,"Tissue culture, skin/biopsy",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88235,,"Tissue culture, placenta",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88237,,"Tissue culture, bone marrow",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88239,,"Tissue culture, tumor",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88240,,Cell cryopreserve/storage,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88241,,Frozen cell preparation,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88245,,"Chromosome analysis, 20-25",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88248,,"Chromosome analysis, 50-100",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88249,,"Chromosome analysis, 100",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88261,,"Chromosome analysis, 5",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88262,,"Chromosome analysis, 15-20",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88263,,"Chromosome analysis, 45",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88264,,"Chromosome analysis, 20-25",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88267,,"Chromosome analys, placenta",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88269,,"Chromosome analys, amniotic",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88271,,"Cytogenetics, dna probe",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88272,,"Cytogenetics, 3-5",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88273,,"Cytogenetics, 10-30",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88274,,"Cytogenetics, 25-99",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88275,,"Cytogenetics, 100-300",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88280,,Chromosome karyotype study,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88283,,Chromosome banding study,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88285,,"Chromosome count, additional",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88289,,"Chromosome study, additional",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88291,,Cyto/molecular report,A,,0.52,0.30,,0.30,,0.02,0.84,0.84,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88299,,Cytogenetic study,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88300,,"Surgical path, gross",A,,0.08,0.30,,0.30,NA,0.02,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88300,TC,"Surgical path, gross",A,,0.00,0.26,,0.26,NA,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88300,26,"Surgical path, gross",A,,0.08,0.04,,0.04,,0.01,0.13,0.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88302,,Tissue exam by pathologist,A,,0.13,0.73,,0.73,NA,0.03,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88302,TC,Tissue exam by pathologist,A,,0.00,0.67,,0.67,NA,0.02,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88302,26,Tissue exam by pathologist,A,,0.13,0.06,,0.06,,0.01,0.20,0.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88304,,Tissue exam by pathologist,A,,0.22,0.90,,0.90,NA,0.03,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88304,TC,Tissue exam by pathologist,A,,0.00,0.80,,0.80,NA,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88304,26,Tissue exam by pathologist,A,,0.22,0.10,,0.10,,0.01,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88305,,Tissue exam by pathologist,A,,0.75,1.77,,1.77,NA,0.05,2.57,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88305,TC,Tissue exam by pathologist,A,,0.00,1.43,,1.43,NA,0.03,1.46,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88305,26,Tissue exam by pathologist,A,,0.75,0.34,,0.34,,0.02,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88307,,Tissue exam by pathologist,A,,1.59,2.72,,2.72,NA,0.11,4.42,4.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88307,TC,Tissue exam by pathologist,A,,0.00,2.01,,2.01,NA,0.05,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88307,26,Tissue exam by pathologist,A,,1.59,0.71,,0.71,,0.06,2.36,2.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88309,,Tissue exam by pathologist,A,,2.28,3.33,,3.33,NA,0.13,5.74,5.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88309,TC,Tissue exam by pathologist,A,,0.00,2.31,,2.31,NA,0.05,2.36,2.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88309,26,Tissue exam by pathologist,A,,2.28,1.02,,1.02,,0.08,3.38,3.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88311,,Decalcify tissue,A,,0.24,0.20,,0.20,NA,0.02,0.46,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88311,TC,Decalcify tissue,A,,0.00,0.09,,0.09,NA,0.01,0.10,0.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88311,26,Decalcify tissue,A,,0.24,0.11,,0.11,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88312,,Special stains,A,,0.54,1.61,,1.61,NA,0.03,2.18,2.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88312,TC,Special stains,A,,0.00,1.37,,1.37,NA,0.01,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88312,26,Special stains,A,,0.54,0.24,,0.24,,0.02,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88313,,Special stains,A,,0.24,1.19,,1.19,NA,0.02,1.45,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88313,TC,Special stains,A,,0.00,1.08,,1.08,NA,0.01,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88313,26,Special stains,A,,0.24,0.11,,0.11,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88314,,Histochemical stain,A,,0.45,0.84,,0.84,NA,0.04,1.33,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88314,TC,Histochemical stain,A,,0.00,0.64,,0.64,NA,0.02,0.66,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88314,26,Histochemical stain,A,,0.45,0.20,,0.20,,0.02,0.67,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88318,,Chemical histochemistry,A,,0.42,0.74,,0.74,NA,0.02,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88318,TC,Chemical histochemistry,A,,0.00,0.55,,0.55,NA,0.01,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88318,26,Chemical histochemistry,A,,0.42,0.19,,0.19,,0.01,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88319,,Enzyme histochemistry,A,,0.53,2.18,,2.18,NA,0.04,2.75,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88319,TC,Enzyme histochemistry,A,,0.00,1.94,,1.94,NA,0.02,1.96,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88319,26,Enzyme histochemistry,A,,0.53,0.24,,0.24,,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88321,,Microslide consultation,A,,1.30,0.83,,0.58,,0.04,2.17,1.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88323,,Microslide consultation,A,,1.35,1.42,,1.42,NA,0.07,2.84,2.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88323,TC,Microslide consultation,A,,0.00,0.81,,0.81,NA,0.02,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88323,26,Microslide consultation,A,,1.35,0.61,,0.61,,0.05,2.01,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88325,,Comprehensive review of data,A,,2.22,2.93,,0.99,,0.08,5.23,3.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88329,,Path consult introp,A,,0.67,0.66,,0.30,,0.02,1.35,0.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88331,,"Path consult intraop, 1 bloc",A,,1.19,1.03,,1.03,NA,0.07,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88331,TC,"Path consult intraop, 1 bloc",A,,0.00,0.49,,0.49,NA,0.03,0.52,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88331,26,"Path consult intraop, 1 bloc",A,,1.19,0.54,,0.54,,0.04,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88332,,"Path consult intraop, addl",A,,0.59,0.52,,0.52,NA,0.04,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88332,TC,"Path consult intraop, addl",A,,0.00,0.25,,0.25,NA,0.02,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88332,26,"Path consult intraop, addl",A,,0.59,0.27,,0.27,,0.02,0.88,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88342,,Immunocytochemistry,A,,0.85,1.31,,1.31,NA,0.05,2.21,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88342,TC,Immunocytochemistry,A,,0.00,0.93,,0.93,NA,0.02,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88342,26,Immunocytochemistry,A,,0.85,0.38,,0.38,,0.03,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88346,,Immunofluorescent study,A,,0.86,1.46,,1.46,NA,0.05,2.37,2.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88346,TC,Immunofluorescent study,A,,0.00,1.08,,1.08,NA,0.02,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88346,26,Immunofluorescent study,A,,0.86,0.38,,0.38,,0.03,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88347,,Immunofluorescent study,A,,0.86,1.86,,1.86,NA,0.05,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88347,TC,Immunofluorescent study,A,,0.00,1.50,,1.50,NA,0.02,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88347,26,Immunofluorescent study,A,,0.86,0.36,,0.36,,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88348,,Electron microscopy,A,,1.51,8.09,,8.09,NA,0.11,9.71,9.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88348,TC,Electron microscopy,A,,0.00,7.42,,7.42,NA,0.06,7.48,7.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88348,26,Electron microscopy,A,,1.51,0.67,,0.67,,0.05,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88349,,Scanning electron microscopy,A,,0.76,9.38,,9.38,NA,0.08,10.22,10.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88349,TC,Scanning electron microscopy,A,,0.00,9.04,,9.04,NA,0.05,9.09,9.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88349,26,Scanning electron microscopy,A,,0.76,0.34,,0.34,,0.03,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88355,,"Analysis, skeletal muscle",A,,1.85,2.55,,2.55,NA,0.12,4.52,4.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88355,TC,"Analysis, skeletal muscle",A,,0.00,1.72,,1.72,NA,0.05,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88355,26,"Analysis, skeletal muscle",A,,1.85,0.83,,0.83,,0.07,2.75,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88356,,"Analysis, nerve",A,,3.02,2.83,,2.83,NA,0.16,6.01,6.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88356,TC,"Analysis, nerve",A,,0.00,1.53,,1.53,NA,0.06,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88356,26,"Analysis, nerve",A,,3.02,1.30,,1.30,,0.10,4.42,4.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88358,,"Analysis, tumor",A,,2.82,1.72,,1.72,NA,0.16,4.70,4.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88358,TC,"Analysis, tumor",A,,0.00,0.47,,0.47,NA,0.06,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88358,26,"Analysis, tumor",A,,2.82,1.25,,1.25,,0.10,4.17,4.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88362,,Nerve teasing preparations,A,,2.17,4.54,,4.54,NA,0.12,6.83,6.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88362,TC,Nerve teasing preparations,A,,0.00,3.59,,3.59,NA,0.05,3.64,3.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88362,26,Nerve teasing preparations,A,,2.17,0.95,,0.95,,0.07,3.19,3.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88365,,Tissue hybridization,A,,0.93,2.03,,2.03,NA,0.05,3.01,3.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88365,TC,Tissue hybridization,A,,0.00,1.62,,1.62,NA,0.02,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88365,26,Tissue hybridization,A,,0.93,0.41,,0.41,,0.03,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88371,,"Protein, western blot tissue",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88371,26,"Protein, western blot tissue",A,,0.37,0.13,,0.13,,0.01,0.51,0.51,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88372,,Protein analysis w/probe,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
88372,26,Protein analysis w/probe,A,,0.37,0.17,,0.17,,0.01,0.55,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88380,,Microdissection,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88380,TC,Microdissection,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88380,26,Microdissection,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88399,,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88399,TC,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88399,26,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
88400,,Bilirubin total transcut,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89050,,Body fluid cell count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89051,,Body fluid cell count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89055,,"Leukocyte count, fecal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89060,,"Exam,synovial fluid crystals",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89060,26,"Exam,synovial fluid crystals",A,,0.37,0.17,,0.17,,0.01,0.55,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89100,,Sample intestinal contents,A,,0.60,1.72,,0.22,,0.02,2.34,0.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89105,,Sample intestinal contents,A,,0.50,2.28,,0.18,,0.02,2.80,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89125,,Specimen fat stain,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89130,,Sample stomach contents,A,,0.45,1.97,,0.13,,0.02,2.44,0.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89132,,Sample stomach contents,A,,0.19,1.76,,0.07,,0.01,1.96,0.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89135,,Sample stomach contents,A,,0.79,1.75,,0.26,,0.03,2.57,1.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89136,,Sample stomach contents,A,,0.21,1.77,,0.08,,0.01,1.99,0.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89140,,Sample stomach contents,A,,0.94,2.22,,0.28,,0.03,3.19,1.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89141,,Sample stomach contents,A,,0.85,2.80,,0.35,,0.03,3.68,1.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89160,,Exam feces for meat fibers,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89190,,Nasal smear for eosinophils,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89250,,Fertilization of oocyte,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89251,,Culture oocyte w/embryos,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89252,,Assist oocyte fertilization,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89253,,Embryo hatching,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89254,,Oocyte identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89255,,Prepare embryo for transfer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89256,,Prepare cryopreserved embryo,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89257,,Sperm identification,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89258,,"Cryopreservation, embryo",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89259,,"Cryopreservation, sperm",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89260,,"Sperm isolation, simple",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89261,,"Sperm isolation, complex",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89264,,Identify sperm tissue,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89300,,Semen analysis w/huhner,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89310,,Semen analysis w/count,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89320,,"Semen analysis, complete",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89321,,Semen analysis & motility,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89325,,Sperm antibody test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89329,,Sperm evaluation test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89330,,"Evaluation, cervical mucus",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89350,,Sputum specimen collection,A,,0.00,0.41,,0.41,NA,0.02,0.43,0.43,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89355,,Exam feces for starch,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89360,,Collect sweat for test,A,,0.00,0.45,,0.45,NA,0.02,0.47,0.47,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89365,,Water load test,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
89399,,Pathology lab procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89399,TC,Pathology lab procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
89399,26,Pathology lab procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90281,,"Human ig, im",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90283,,"Human ig, iv",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90287,,Botulinum antitoxin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90288,,"Botulism ig, iv",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90291,,"Cmv ig, iv",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90296,,Diphtheria antitoxin,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90371,,"Hep b ig, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90375,,"Rabies ig, im/sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90376,,"Rabies ig, heat treated",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90378,,"Rsv ig, im, 50mg",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90379,,"Rsv ig, iv",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90384,,"Rh ig, full-dose, im",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90385,,"Rh ig, minidose, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90386,,"Rh ig, iv",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90389,,"Tetanus ig, im",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90393,,"Vaccina ig, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90396,,"Varicella-zoster ig, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90399,,Immune globulin,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90471,,Immunization admin,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90472,,"Immunization admin, each add",A,,0.00,0.14,,0.14,NA,0.01,0.15,0.15,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90473,,Immune admin oral/nasal,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90474,,Immune admin oral/nasal addl,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90476,,"Adenovirus vaccine, type 4",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90477,,"Adenovirus vaccine, type 7",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90581,,"Anthrax vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90585,,"Bcg vaccine, percut",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90586,,"Bcg vaccine, intravesical",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90632,,"Hep a vaccine, adult im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90633,,"Hep a vacc, ped/adol, 2 dose",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90634,,"Hep a vacc, ped/adol, 3 dose",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90636,,"Hep a/hep b vacc, adult im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90645,,"Hib vaccine, hboc, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90646,,"Hib vaccine, prp-d, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90647,,"Hib vaccine, prp-omp, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90648,,"Hib vaccine, prp-t, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90657,,"Flu vaccine, 6-35 mo, im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90658,,"Flu vaccine, 3 yrs, im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90659,,"Flu vaccine, whole, im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90660,,"Flu vaccine, nasal",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90665,,"Lyme disease vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90669,,"Pneumococcal vacc, ped <5",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90675,,"Rabies vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90676,,"Rabies vaccine, id",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90680,,"Rotovirus vaccine, oral",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90690,,"Typhoid vaccine, oral",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90691,,"Typhoid vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90692,,"Typhoid vaccine, h-p, sc/id",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90693,,"Typhoid vaccine, akd, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90700,,"Dtap vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90701,,"Dtp vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90702,,"Dt vaccine < 7, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90703,,"Tetanus vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90704,,"Mumps vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90705,,"Measles vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90706,,"Rubella vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90707,,"Mmr vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90708,,"Measles-rubella vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90709,,"Rubella & mumps vaccine, sc",D,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90710,,"Mmrv vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90712,,Oral poliovirus vaccine,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90713,,"Poliovirus, ipv, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90716,,"Chicken pox vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90717,,"Yellow fever vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90718,,"Td vaccine > 7, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90719,,"Diphtheria vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90720,,"Dtp/hib vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90721,,"Dtap/hib vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90723,,"Dtap-hep b-ipv vaccine, im",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90725,,"Cholera vaccine, injectable",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90727,,"Plague vaccine, im",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90732,,Pneumococcal vaccine,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90733,,"Meningococcal vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90735,,"Encephalitis vaccine, sc",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90740,,"Hepb vacc, ill pat 3 dose im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90743,,"Hep b vacc, adol, 2 dose, im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90744,,Hepb vacc ped/adol 3 dose im,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90746,,"Hep b vaccine, adult, im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90747,,"Hepb vacc, ill pat 4 dose im",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90748,,"Hep b/hib vaccine, im",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90749,,Vaccine toxoid,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90780,,"IV infusion therapy, 1 hour",A,,0.00,1.10,,1.10,NA,0.06,1.16,1.16,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90781,,"IV infusion, additional hour",A,,0.00,0.56,,0.56,NA,0.03,0.59,0.59,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90782,,"Injection, sc/im",T,,0.00,0.11,,0.11,NA,0.01,0.12,0.12,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90783,,"Injection, ia",T,,0.00,0.41,,0.41,NA,0.02,0.43,0.43,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90784,,"Injection, iv",T,,0.00,0.47,,0.47,NA,0.03,0.50,0.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90788,,Injection of antibiotic,T,,0.00,0.12,,0.12,NA,0.01,0.13,0.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90799,,Ther/prophylactic/dx inject,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90801,,Psy dx interview,A,,2.80,1.19,,0.96,,0.06,4.05,3.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90802,,Intac psy dx interview,A,,3.01,1.23,,1.01,,0.07,4.31,4.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90804,,"Psytx, office, 20-30 min",A,,1.21,0.51,,0.39,,0.03,1.75,1.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90805,,"Psytx, off, 20-30 min w/e&m",A,,1.37,0.52,,0.44,,0.03,1.92,1.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90806,,"Psytx, off, 45-50 min",A,,1.86,0.72,,0.62,,0.04,2.62,2.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90807,,"Psytx, off, 45-50 min w/e&m",A,,2.02,0.72,,0.65,,0.05,2.79,2.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90808,,"Psytx, office, 75-80 min",A,,2.79,1.05,,0.93,,0.07,3.91,3.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90809,,"Psytx, off, 75-80, w/e&m",A,,2.95,1.02,,0.95,,0.07,4.04,3.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90810,,"Intac psytx, off, 20-30 min",A,,1.32,0.53,,0.43,,0.03,1.88,1.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90811,,"Intac psytx, 20-30, w/e&m",A,,1.48,0.59,,0.48,,0.03,2.10,1.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90812,,"Intac psytx, off, 45-50 min",A,,1.97,0.82,,0.66,,0.05,2.84,2.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90813,,"Intac psytx, 45-50 min w/e&m",A,,2.13,0.79,,0.69,,0.05,2.97,2.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90814,,"Intac psytx, off, 75-80 min",A,,2.90,1.13,,1.01,,0.07,4.10,3.98,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90815,,"Intac psytx, 75-80 w/e&m",A,,3.06,1.08,,0.98,,0.07,4.21,4.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90816,,"Psytx, hosp, 20-30 min",A,,1.25,0.48,NA,0.48,,0.03,1.76,1.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90817,,"Psytx, hosp, 20-30 min w/e&m",A,,1.41,0.47,NA,0.47,,0.03,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90818,,"Psytx, hosp, 45-50 min",A,,1.89,0.71,NA,0.71,,0.04,2.64,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90819,,"Psytx, hosp, 45-50 min w/e&m",A,,2.05,0.67,NA,0.67,,0.05,2.77,2.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90821,,"Psytx, hosp, 75-80 min",A,,2.83,1.03,NA,1.03,,0.06,3.92,3.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90822,,"Psytx, hosp, 75-80 min w/e&m",A,,2.99,0.97,NA,0.97,,0.07,4.03,4.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90823,,"Intac psytx, hosp, 20-30 min",A,,1.36,0.49,NA,0.49,,0.03,1.88,1.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90824,,"Intac psytx, hsp 20-30 w/e&m",A,,1.52,0.51,NA,0.51,,0.03,2.06,2.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90826,,"Intac psytx, hosp, 45-50 min",A,,2.01,0.75,NA,0.75,,0.04,2.80,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90827,,"Intac psytx, hsp 45-50 w/e&m",A,,2.16,0.71,NA,0.71,,0.05,2.92,2.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90828,,"Intac psytx, hosp, 75-80 min",A,,2.94,1.09,NA,1.09,,0.07,4.10,4.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90829,,"Intac psytx, hsp 75-80 w/e&m",A,,3.10,1.01,NA,1.01,,0.07,4.18,4.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90845,,Psychoanalysis,A,,1.79,0.60,,0.57,,0.04,2.43,2.40,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90846,,Family psytx w/o patient,R,,1.83,0.67,,0.66,,0.04,2.54,2.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90847,,Family psytx w/patient,R,,2.21,0.84,,0.78,,0.05,3.10,3.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90849,,Multiple family group psytx,R,,0.59,0.28,,0.25,,0.01,0.88,0.85,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90853,,Group psychotherapy,A,,0.59,0.26,,0.24,,0.01,0.86,0.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90857,,Intac group psytx,A,,0.63,0.31,,0.26,,0.02,0.96,0.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90862,,Medication management,A,,0.95,0.41,,0.33,,0.02,1.38,1.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90865,,Narcosynthesis,A,,2.84,1.62,,0.91,,0.07,4.53,3.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90870,,Electroconvulsive therapy,A,,1.88,0.81,,0.81,,0.04,2.73,2.73,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90871,,Electroconvulsive therapy,N,+,2.72,1.08,NA,1.08,,0.06,3.86,3.86,9,000,0.00,0.00,0.00,9,9,9,9,9,,0.0000,09
90875,,Psychophysiological therapy,N,+,1.20,0.91,,0.47,,0.03,2.14,1.70,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90876,,Psychophysiological therapy,N,+,1.90,1.18,,0.74,,0.04,3.12,2.68,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90880,,Hypnotherapy,A,,2.19,1.06,,0.71,,0.05,3.30,2.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90882,,Environmental manipulation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90885,,Psy evaluation of records,B,+,0.97,0.38,,0.38,,0.02,1.37,1.37,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90887,,Consultation with family,B,+,1.48,0.83,,0.58,,0.03,2.34,2.09,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90889,,Preparation of report,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90899,,Psychiatric service/therapy,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90901,,"Biofeedback train, any meth",A,,0.41,0.86,,0.19,,0.02,1.29,0.62,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90911,,Biofeedback peri/uro/rectal,A,,0.89,0.88,,0.36,,0.04,1.81,1.29,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90918,,"ESRD related services, month",A,,11.18,7.56,,7.56,,0.30,19.04,19.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90919,,"ESRD related services, month",A,,8.54,4.18,,4.18,,0.24,12.96,12.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90920,,"ESRD related services, month",A,,7.27,3.92,,3.92,,0.19,11.38,11.38,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90921,,"ESRD related services, month",A,,4.47,2.54,,2.54,,0.12,7.13,7.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90922,,"ESRD related services, day",A,,0.37,0.22,,0.22,,0.01,0.60,0.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90923,,"Esrd related services, day",A,,0.28,0.13,,0.13,,0.01,0.42,0.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90924,,"Esrd related services, day",A,,0.24,0.12,,0.12,,0.01,0.37,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90925,,"Esrd related services, day",A,,0.15,0.08,,0.08,,0.01,0.24,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90935,,"Hemodialysis, one evaluation",A,,1.22,0.69,NA,0.69,,0.03,1.94,1.94,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90937,,"Hemodialysis, repeated eval",A,,2.11,1.00,NA,1.00,,0.06,3.17,3.17,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90939,,"Hemodialysis study, transcut",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90940,,Hemodialysis access study,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90945,,"Dialysis, one evaluation",A,,1.28,0.72,NA,0.72,,0.04,2.04,2.04,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90947,,"Dialysis, repeated eval",A,,2.16,1.02,NA,1.02,,0.06,3.24,3.24,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90989,,"Dialysis training, complete",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90993,,"Dialysis training, incompl",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
90997,,Hemoperfusion,A,,1.84,1.43,NA,1.43,,0.05,3.32,3.32,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
90999,,Dialysis procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91000,,Esophageal intubation,A,,0.73,0.33,,0.33,NA,0.04,1.10,1.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91000,TC,Esophageal intubation,A,,0.00,0.08,,0.08,NA,0.01,0.09,0.09,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91000,26,Esophageal intubation,A,,0.73,0.25,,0.25,,0.03,1.01,1.01,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91010,,Esophagus motility study,A,,1.25,2.75,,2.75,NA,0.10,4.10,4.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91010,TC,Esophagus motility study,A,,0.00,2.30,,2.30,NA,0.05,2.35,2.35,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91010,26,Esophagus motility study,A,,1.25,0.45,,0.45,,0.05,1.75,1.75,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91011,,Esophagus motility study,A,,1.50,3.18,,3.18,NA,0.10,4.78,4.78,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91011,TC,Esophagus motility study,A,,0.00,2.64,,2.64,NA,0.05,2.69,2.69,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91011,26,Esophagus motility study,A,,1.50,0.54,,0.54,,0.05,2.09,2.09,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91012,,Esophagus motility study,A,,1.46,3.31,,3.31,NA,0.12,4.89,4.89,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91012,TC,Esophagus motility study,A,,0.00,2.78,,2.78,NA,0.06,2.84,2.84,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91012,26,Esophagus motility study,A,,1.46,0.53,,0.53,,0.06,2.05,2.05,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91020,,Gastric motility,A,,1.44,3.05,,3.05,NA,0.11,4.60,4.60,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91020,TC,Gastric motility,A,,0.00,2.55,,2.55,NA,0.05,2.60,2.60,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91020,26,Gastric motility,A,,1.44,0.50,,0.50,,0.06,2.00,2.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91030,,Acid perfusion of esophagus,A,,0.91,2.57,,2.57,NA,0.05,3.53,3.53,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91030,TC,Acid perfusion of esophagus,A,,0.00,2.24,,2.24,NA,0.02,2.26,2.26,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91030,26,Acid perfusion of esophagus,A,,0.91,0.33,,0.33,,0.03,1.27,1.27,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91032,,"Esophagus, acid reflux test",A,,1.21,2.43,,2.43,NA,0.10,3.74,3.74,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91032,TC,"Esophagus, acid reflux test",A,,0.00,2.00,,2.00,NA,0.05,2.05,2.05,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91032,26,"Esophagus, acid reflux test",A,,1.21,0.43,,0.43,,0.05,1.69,1.69,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91033,,Prolonged acid reflux test,A,,1.30,2.64,,2.64,NA,0.14,4.08,4.08,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91033,TC,Prolonged acid reflux test,A,,0.00,2.17,,2.17,NA,0.09,2.26,2.26,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91033,26,Prolonged acid reflux test,A,,1.30,0.47,,0.47,,0.05,1.82,1.82,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91052,,Gastric analysis test,A,,0.79,2.38,,2.38,NA,0.05,3.22,3.22,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91052,TC,Gastric analysis test,A,,0.00,2.10,,2.10,NA,0.02,2.12,2.12,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91052,26,Gastric analysis test,A,,0.79,0.28,,0.28,,0.03,1.10,1.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91055,,Gastric intubation for smear,A,,0.94,2.17,,2.17,NA,0.06,3.17,3.17,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91055,TC,Gastric intubation for smear,A,,0.00,1.90,,1.90,NA,0.02,1.92,1.92,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91055,26,Gastric intubation for smear,A,,0.94,0.27,,0.27,,0.04,1.25,1.25,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91060,,Gastric saline load test,A,,0.45,0.30,,0.30,NA,0.04,0.79,0.79,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91060,TC,Gastric saline load test,A,,0.00,0.16,,0.16,NA,0.02,0.18,0.18,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91060,26,Gastric saline load test,A,,0.45,0.14,,0.14,,0.02,0.61,0.61,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91065,,Breath hydrogen test,A,,0.20,3.88,,3.88,NA,0.03,4.11,4.11,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91065,TC,Breath hydrogen test,A,,0.00,3.81,,3.81,NA,0.02,3.83,3.83,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91065,26,Breath hydrogen test,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91100,,Pass intestine bleeding tube,A,,1.08,0.29,NA,0.29,,0.06,1.43,1.43,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91105,,Gastric intubation treatment,A,,0.37,0.10,NA,0.10,,0.02,0.49,0.49,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91122,,Anal pressure record,A,,1.77,4.55,,4.55,NA,0.17,6.49,6.49,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91122,TC,Anal pressure record,A,,0.00,3.93,,3.93,NA,0.07,4.00,4.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
91122,26,Anal pressure record,A,,1.77,0.62,,0.62,,0.10,2.49,2.49,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91123,,Irrigate fecal impaction,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
91132,,Electrogastrography,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91132,TC,Electrogastrography,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
91132,26,Electrogastrography,A,,0.52,0.19,,0.19,NA,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91133,,Electrogastrography w/test,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91133,TC,Electrogastrography w/test,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
91133,26,Electrogastrography w/test,A,,0.66,0.24,,0.24,NA,0.03,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91299,,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91299,TC,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
91299,26,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92002,,"Eye exam, new patient",A,,0.88,0.94,,0.35,,0.02,1.84,1.25,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92004,,"Eye exam, new patient",A,,1.67,1.66,,0.70,,0.03,3.36,2.40,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92012,,Eye exam established pat,A,,0.67,0.99,,0.30,,0.01,1.67,0.98,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92014,,Eye exam & treatment,A,,1.10,1.37,,0.48,,0.02,2.49,1.60,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92015,,Refraction,N,+,0.38,1.51,,0.15,,0.01,1.90,0.54,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92018,,New eye exam & treatment,A,,2.50,1.10,NA,1.10,,0.03,3.63,3.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92019,,Eye exam & treatment,A,,1.31,0.58,NA,0.58,,0.03,1.92,1.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92020,,Special eye evaluation,A,,0.37,0.92,,0.16,,0.01,1.30,0.54,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92060,,Special eye evaluation,A,,0.69,0.74,,0.74,NA,0.02,1.45,1.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92060,TC,Special eye evaluation,A,,0.00,0.44,,0.44,NA,0.01,0.45,0.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92060,26,Special eye evaluation,A,,0.69,0.30,,0.30,,0.01,1.00,1.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92065,,Orthoptic/pleoptic training,A,,0.37,0.56,,0.56,NA,0.02,0.95,0.95,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92065,TC,Orthoptic/pleoptic training,A,,0.00,0.40,,0.40,NA,0.01,0.41,0.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92065,26,Orthoptic/pleoptic training,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92070,,Fitting of contact lens,A,,0.70,1.04,,0.33,,0.01,1.75,1.04,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92081,,Visual field examination(s),A,,0.36,0.89,,0.89,NA,0.02,1.27,1.27,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92081,TC,Visual field examination(s),A,,0.00,0.73,,0.73,NA,0.01,0.74,0.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92081,26,Visual field examination(s),A,,0.36,0.16,,0.16,,0.01,0.53,0.53,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92082,,Visual field examination(s),A,,0.44,1.06,,1.06,NA,0.02,1.52,1.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92082,TC,Visual field examination(s),A,,0.00,0.87,,0.87,NA,0.01,0.88,0.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92082,26,Visual field examination(s),A,,0.44,0.19,,0.19,,0.01,0.64,0.64,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92083,,Visual field examination(s),A,,0.50,1.37,,1.37,NA,0.02,1.89,1.89,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92083,TC,Visual field examination(s),A,,0.00,1.14,,1.14,NA,0.01,1.15,1.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92083,26,Visual field examination(s),A,,0.50,0.23,,0.23,,0.01,0.74,0.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92100,,Serial tonometry exam(s),A,,0.92,0.73,,0.38,,0.02,1.67,1.32,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92120,,Tonography & eye evaluation,A,,0.81,0.80,,0.33,,0.02,1.63,1.16,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92130,,Water provocation tonography,A,,0.81,0.91,,0.38,,0.02,1.74,1.21,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92135,,Opthalmic dx imaging,A,,0.35,1.32,,1.32,NA,0.02,1.69,1.69,1,XXX,0.00,0.00,0.00,0,3,1,0,0,,36.7856,09
92135,TC,Opthalmic dx imaging,A,,0.00,1.16,,1.16,NA,0.01,1.17,1.17,1,XXX,0.00,0.00,0.00,0,3,1,0,0,,36.7856,01
92135,26,Opthalmic dx imaging,A,,0.35,0.16,,0.16,,0.01,0.52,0.52,1,XXX,0.00,0.00,0.00,0,3,1,0,0,,36.7856,09
92136,,Ophthalmic biometry,A,,0.54,1.88,,1.88,NA,0.07,2.49,2.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92136,TC,Ophthalmic biometry,A,,0.00,1.63,,1.63,NA,0.06,1.69,1.69,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92136,26,Ophthalmic biometry,A,,0.54,0.25,,0.25,,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92140,,Glaucoma provocative tests,A,,0.50,0.99,,0.22,,0.01,1.50,0.73,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92225,,"Special eye exam, initial",A,,0.38,0.22,,0.16,,0.01,0.61,0.55,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92226,,"Special eye exam, subsequent",A,,0.33,0.21,,0.15,,0.01,0.55,0.49,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92230,,Eye exam with photos,A,,0.60,1.69,,0.20,,0.02,2.31,0.82,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92235,,Eye exam with photos,A,,0.81,2.69,,2.69,NA,0.07,3.57,3.57,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92235,TC,Eye exam with photos,A,,0.00,2.31,,2.31,NA,0.05,2.36,2.36,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
92235,26,Eye exam with photos,A,,0.81,0.38,,0.38,,0.02,1.21,1.21,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92240,,Icg angiography,A,,1.10,5.09,,5.09,NA,0.07,6.26,6.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92240,TC,Icg angiography,A,,0.00,4.58,,4.58,NA,0.05,4.63,4.63,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,02
92240,26,Icg angiography,A,,1.10,0.51,,0.51,,0.02,1.63,1.63,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,36.7856,09
92250,,Eye exam with photos,A,,0.44,1.55,,1.55,NA,0.02,2.01,2.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92250,TC,Eye exam with photos,A,,0.00,1.35,,1.35,NA,0.01,1.36,1.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92250,26,Eye exam with photos,A,,0.44,0.20,,0.20,,0.01,0.65,0.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92260,,Ophthalmoscopy/dynamometry,A,,0.20,0.24,,0.09,,0.01,0.45,0.30,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92265,,Eye muscle evaluation,A,,0.81,1.89,,1.89,NA,0.04,2.74,2.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92265,TC,Eye muscle evaluation,A,,0.00,1.60,,1.60,NA,0.02,1.62,1.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,03
92265,26,Eye muscle evaluation,A,,0.81,0.29,,0.29,,0.02,1.12,1.12,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92270,,Electro-oculography,A,,0.81,1.76,,1.76,NA,0.05,2.62,2.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92270,TC,Electro-oculography,A,,0.00,1.41,,1.41,NA,0.02,1.43,1.43,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92270,26,Electro-oculography,A,,0.81,0.35,,0.35,,0.03,1.19,1.19,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92275,,Electroretinography,A,,1.01,1.98,,1.98,NA,0.04,3.03,3.03,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92275,TC,Electroretinography,A,,0.00,1.54,,1.54,NA,0.02,1.56,1.56,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92275,26,Electroretinography,A,,1.01,0.44,,0.44,,0.02,1.47,1.47,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92283,,Color vision examination,A,,0.17,0.86,,0.86,NA,0.02,1.05,1.05,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92283,TC,Color vision examination,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92283,26,Color vision examination,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92284,,Dark adaptation eye exam,A,,0.24,2.28,,2.28,NA,0.02,2.54,2.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92284,TC,Dark adaptation eye exam,A,,0.00,2.19,,2.19,NA,0.01,2.20,2.20,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92284,26,Dark adaptation eye exam,A,,0.24,0.09,,0.09,,0.01,0.34,0.34,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92285,,Eye photography,A,,0.20,0.85,,0.85,NA,0.02,1.07,1.07,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92285,TC,Eye photography,A,,0.00,0.76,,0.76,NA,0.01,0.77,0.77,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92285,26,Eye photography,A,,0.20,0.09,,0.09,,0.01,0.30,0.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92286,,Internal eye photography,A,,0.66,2.86,,2.86,NA,0.03,3.55,3.55,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92286,TC,Internal eye photography,A,,0.00,2.56,,2.56,NA,0.02,2.58,2.58,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
92286,26,Internal eye photography,A,,0.66,0.30,,0.30,,0.01,0.97,0.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92287,,Internal eye photography,A,,0.81,2.70,,0.32,,0.02,3.53,1.15,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92310,,Contact lens fitting,N,+,1.17,1.13,,0.46,,0.03,2.33,1.66,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92311,,Contact lens fitting,A,,1.08,1.14,,0.36,,0.03,2.25,1.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92312,,Contact lens fitting,A,,1.26,1.13,,0.51,,0.03,2.42,1.80,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92313,,Contact lens fitting,A,,0.92,1.11,,0.29,,0.02,2.05,1.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92314,,Prescription of contact lens,N,+,0.69,0.95,,0.27,,0.01,1.65,0.97,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92315,,Prescription of contact lens,A,,0.45,0.90,,0.17,,0.01,1.36,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92316,,Prescription of contact lens,A,,0.68,0.96,,0.30,,0.01,1.65,0.99,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92317,,Prescription of contact lens,A,,0.45,0.99,,0.14,,0.01,1.45,0.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92325,,Modification of contact lens,A,,0.00,0.40,,0.40,NA,0.01,0.41,0.41,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92326,,Replacement of contact lens,A,,0.00,1.62,,1.62,NA,0.05,1.67,1.67,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92330,,Fitting of artificial eye,A,,1.08,1.03,,0.33,,0.04,2.15,1.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92335,,Fitting of artificial eye,A,,0.45,0.96,,0.17,,0.01,1.42,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92340,,Fitting of spectacles,N,+,0.37,0.71,,0.14,,0.01,1.09,0.52,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92341,,Fitting of spectacles,N,+,0.47,0.75,,0.18,,0.01,1.23,0.66,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92342,,Fitting of spectacles,N,+,0.53,0.77,,0.21,,0.01,1.31,0.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92352,,Special spectacles fitting,B,+,0.37,0.71,,0.14,,0.01,1.09,0.52,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92353,,Special spectacles fitting,B,+,0.50,0.76,,0.20,,0.02,1.28,0.72,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92354,,Special spectacles fitting,B,+,0.00,8.82,,8.82,NA,0.08,8.90,8.90,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92355,,Special spectacles fitting,B,+,0.00,4.31,,4.31,NA,0.01,4.32,4.32,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92358,,Eye prosthesis service,B,+,0.00,0.97,,0.97,NA,0.04,1.01,1.01,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92370,,Repair & adjust spectacles,N,+,0.32,0.56,,0.13,,0.02,0.90,0.47,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92371,,Repair & adjust spectacles,B,+,0.00,0.62,,0.62,NA,0.02,0.64,0.64,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92390,,Supply of spectacles,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92391,,Supply of contact lenses,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92392,,Supply of low vision aids,I,+,0.00,3.84,,3.84,,0.02,3.86,3.86,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92393,,Supply of artificial eye,I,+,0.00,11.92,,11.92,,0.47,12.39,12.39,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92395,,Supply of spectacles,I,+,0.00,1.30,,1.30,,0.08,1.38,1.38,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92396,,Supply of contact lenses,I,+,0.00,2.19,,2.19,,0.06,2.25,2.25,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92499,,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92499,TC,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92499,26,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92502,,Ear and throat examination,A,,1.51,1.24,NA,1.24,,0.06,2.81,2.81,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92504,,Ear microscopy examination,A,,0.18,0.51,,0.09,,0.01,0.70,0.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92506,,Speech/hearing evaluation,A,,0.86,1.63,,0.41,,0.04,2.53,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92507,,Speech/hearing therapy,A,,0.52,1.56,,0.24,,0.02,2.10,0.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92508,,Speech/hearing therapy,A,,0.26,1.45,,0.12,,0.01,1.72,0.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92510,,Rehab for ear implant,I,+,1.50,2.11,,0.83,,0.06,3.67,2.39,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92511,,Nasopharyngoscopy,A,,0.84,1.38,,0.42,,0.03,2.25,1.29,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92512,,Nasal function studies,A,,0.55,1.10,,0.18,,0.02,1.67,0.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92516,,Facial nerve function test,A,,0.43,0.97,,0.22,,0.02,1.42,0.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92520,,Laryngeal function studies,A,,0.76,0.55,,0.40,,0.03,1.34,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92525,,Oral function evaluation,F,+,1.50,1.69,,0.60,,0.07,3.26,2.17,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92526,,Oral function therapy,A,,0.55,1.62,,0.21,,0.02,2.19,0.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92531,,Spontaneous nystagmus study,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92532,,Positional nystagmus test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92533,,Caloric vestibular test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92534,,Optokinetic nystagmus test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92541,,Spontaneous nystagmus test,A,,0.40,1.11,,1.11,NA,0.04,1.55,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92541,TC,Spontaneous nystagmus test,A,,0.00,0.91,,0.91,NA,0.02,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92541,26,Spontaneous nystagmus test,A,,0.40,0.20,,0.20,,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92542,,Positional nystagmus test,A,,0.33,1.20,,1.20,NA,0.03,1.56,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92542,TC,Positional nystagmus test,A,,0.00,1.04,,1.04,NA,0.02,1.06,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92542,26,Positional nystagmus test,A,,0.33,0.16,,0.16,,0.01,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92543,,Caloric vestibular test,A,,0.10,0.63,,0.63,NA,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92543,TC,Caloric vestibular test,A,,0.00,0.58,,0.58,NA,0.01,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92543,26,Caloric vestibular test,A,,0.10,0.05,,0.05,,0.01,0.16,0.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92544,,Optokinetic nystagmus test,A,,0.26,0.97,,0.97,NA,0.03,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92544,TC,Optokinetic nystagmus test,A,,0.00,0.84,,0.84,NA,0.02,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92544,26,Optokinetic nystagmus test,A,,0.26,0.13,,0.13,,0.01,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92545,,Oscillating tracking test,A,,0.23,0.90,,0.90,NA,0.03,1.16,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92545,TC,Oscillating tracking test,A,,0.00,0.79,,0.79,NA,0.02,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92545,26,Oscillating tracking test,A,,0.23,0.11,,0.11,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92546,,Sinusoidal rotational test,A,,0.29,2.25,,2.25,NA,0.03,2.57,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92546,TC,Sinusoidal rotational test,A,,0.00,2.11,,2.11,NA,0.02,2.13,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92546,26,Sinusoidal rotational test,A,,0.29,0.14,,0.14,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92547,,Supplemental electrical test,A,,0.00,1.34,,1.34,NA,0.05,1.39,1.39,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92548,,Posturography,A,,0.50,3.98,,3.98,NA,0.13,4.61,4.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92548,TC,Posturography,A,,0.00,3.71,,3.71,NA,0.11,3.82,3.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92548,26,Posturography,A,,0.50,0.27,,0.27,,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92551,,"Pure tone hearing test, air",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92552,,"Pure tone audiometry, air",A,,0.00,0.45,,0.45,NA,0.03,0.48,0.48,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92553,,"Audiometry, air & bone",A,,0.00,0.66,,0.66,NA,0.05,0.71,0.71,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92555,,Speech threshold audiometry,A,,0.00,0.38,,0.38,NA,0.03,0.41,0.41,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92556,,"Speech audiometry, complete",A,,0.00,0.57,,0.57,NA,0.05,0.62,0.62,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92557,,Comprehensive hearing test,A,,0.00,1.18,,1.18,NA,0.10,1.28,1.28,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92559,,Group audiometric testing,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92560,,"Bekesy audiometry, screen",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92561,,"Bekesy audiometry, diagnosis",A,,0.00,0.72,,0.72,NA,0.05,0.77,0.77,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92562,,Loudness balance test,A,,0.00,0.41,,0.41,NA,0.03,0.44,0.44,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92563,,Tone decay hearing test,A,,0.00,0.38,,0.38,NA,0.03,0.41,0.41,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92564,,Sisi hearing test,A,,0.00,0.47,,0.47,NA,0.04,0.51,0.51,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92565,,"Stenger test, pure tone",A,,0.00,0.40,,0.40,NA,0.03,0.43,0.43,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92567,,Tympanometry,A,,0.00,0.52,,0.52,NA,0.05,0.57,0.57,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92568,,Acoustic reflex testing,A,,0.00,0.38,,0.38,NA,0.03,0.41,0.41,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92569,,Acoustic reflex decay test,A,,0.00,0.41,,0.41,NA,0.03,0.44,0.44,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92571,,Filtered speech hearing test,A,,0.00,0.39,,0.39,NA,0.03,0.42,0.42,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92572,,Staggered spondaic word test,A,,0.00,0.09,,0.09,NA,0.01,0.10,0.10,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92573,,Lombard test,A,,0.00,0.35,,0.35,NA,0.03,0.38,0.38,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92575,,Sensorineural acuity test,A,,0.00,0.30,,0.30,NA,0.02,0.32,0.32,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92576,,Synthetic sentence test,A,,0.00,0.45,,0.45,NA,0.04,0.49,0.49,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92577,,"Stenger test, speech",A,,0.00,0.72,,0.72,NA,0.06,0.78,0.78,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92579,,Visual audiometry (vra),A,,0.00,0.73,,0.73,NA,0.05,0.78,0.78,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92582,,Conditioning play audiometry,A,,0.00,0.73,,0.73,NA,0.05,0.78,0.78,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92583,,Select picture audiometry,A,,0.00,0.89,,0.89,NA,0.07,0.96,0.96,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92584,,Electrocochleography,A,,0.00,2.47,,2.47,NA,0.17,2.64,2.64,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92585,,"Auditor evoke potent, compre",A,,0.50,2.06,,2.06,NA,0.14,2.70,2.70,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92585,TC,"Auditor evoke potent, compre",A,,0.00,1.84,,1.84,NA,0.12,1.96,1.96,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92585,26,"Auditor evoke potent, compre",A,,0.50,0.22,,0.22,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92586,,"Auditor evoke potent, limit",A,,0.00,1.84,,1.84,NA,0.12,1.96,1.96,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92587,,Evoked auditory test,A,,0.13,1.37,,1.37,NA,0.10,1.60,1.60,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92587,TC,Evoked auditory test,A,,0.00,1.30,,1.30,NA,0.09,1.39,1.39,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92587,26,Evoked auditory test,A,,0.13,0.07,,0.07,,0.01,0.21,0.21,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92588,,Evoked auditory test,A,,0.36,1.63,,1.63,NA,0.12,2.11,2.11,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92588,TC,Evoked auditory test,A,,0.00,1.46,,1.46,NA,0.11,1.57,1.57,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92588,26,Evoked auditory test,A,,0.36,0.17,,0.17,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
92589,,Auditory function test(s),A,,0.00,0.53,,0.53,NA,0.05,0.58,0.58,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92590,,"Hearing aid exam, one ear",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92591,,"Hearing aid exam, both ears",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92592,,"Hearing aid check, one ear",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92593,,"Hearing aid check, both ears",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92594,,"Electro hearng aid test, one",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92595,,"Electro hearng aid tst, both",N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92596,,Ear protector evaluation,A,,0.00,0.59,,0.59,NA,0.05,0.64,0.64,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,05
92597,,Oral speech device eval,A,+,0.86,1.63,,0.41,,0.04,2.53,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92598,,Modify oral speech device,F,+,0.99,0.76,,0.40,,0.04,1.79,1.43,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92599,,ENT procedure/service,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92599,TC,ENT procedure/service,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92599,26,ENT procedure/service,D,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92601,,Cochlear implt f/up exam < 7,A,,0.00,3.50,,3.50,NA,0.06,3.56,3.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92602,,Reprogram cochlear implt < 7,A,,0.00,2.44,,2.44,NA,0.06,2.50,2.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92603,,Cochlear implt f/up exam 7 >,A,,0.00,2.34,,2.34,NA,0.06,2.40,2.40,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92604,,Reprogram cochlear implt 7 >,A,,0.00,1.58,,1.58,NA,0.06,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,05
92605,,Eval for nonspeech device rx,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92606,,Non-speech device service,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92607,,"Ex for speech device rx, 1hr",A,,0.00,2.93,,2.93,NA,0.04,2.97,2.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92608,,Ex for speech device rx addl,A,,0.00,0.55,,0.55,NA,0.04,0.59,0.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92609,,Use of speech device service,A,,0.00,1.58,,1.58,NA,0.03,1.61,1.61,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92610,,Evaluate swallowing function,A,,0.00,1.08,,1.08,NA,0.07,1.15,1.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92611,,Motion fluoroscopy/swallow,A,,0.00,1.18,,1.18,NA,0.07,1.25,1.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92612,,Endoscopy swallow tst (fees),A,,1.27,3.36,,0.50,,0.07,4.70,1.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92613,,Endoscopy swallow tst (fees),B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92614,,Laryngoscopic sensory test,A,,1.27,2.29,,0.50,,0.07,3.63,1.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92615,,Eval laryngoscopy sense tst,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92616,,Fees w/laryngeal sense test,A,,1.88,3.02,,0.73,,0.07,4.97,2.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92617,,Interprt fees/laryngeal test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92700,,Ent procedure/service,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92950,,Heart/lung resuscitation cpr,A,,3.80,1.01,NA,1.01,,0.21,5.02,5.02,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92953,,Temporary external pacing,A,,0.23,0.23,NA,0.23,,0.01,0.47,0.47,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92960,,"Cardioversion electric, ext",A,,2.25,2.28,,0.86,,0.08,4.61,3.19,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92961,,"Cardioversion, electric, int",A,,4.60,1.77,NA,1.77,,0.17,6.54,6.54,0,000,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
92970,,"Cardioassist, internal",A,,3.52,1.08,NA,1.08,,0.17,4.77,4.77,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92971,,"Cardioassist, external",A,,1.77,0.88,NA,0.88,,0.06,2.71,2.71,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92973,,Percut coronary thrombectomy,A,,3.28,1.32,NA,1.32,,0.12,4.72,4.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92974,,"Cath place, cardio brachytx",A,,3.00,1.20,NA,1.20,,0.14,4.34,4.34,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92975,,"Dissolve clot, heart vessel",A,,7.25,2.88,NA,2.88,,0.22,10.35,10.35,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
92977,,"Dissolve clot, heart vessel",A,,0.00,8.02,,8.02,NA,0.38,8.40,8.40,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92978,,"Intravasc us, heart add-on",A,,1.80,5.28,,5.28,NA,0.26,7.34,7.34,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92978,TC,"Intravasc us, heart add-on",A,,0.00,4.55,,4.55,NA,0.20,4.75,4.75,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
92978,26,"Intravasc us, heart add-on",A,,1.80,0.73,,0.73,,0.06,2.59,2.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92979,,"Intravasc us, heart add-on",A,,1.44,2.86,,2.86,NA,0.15,4.45,4.45,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92979,TC,"Intravasc us, heart add-on",A,,0.00,2.28,,2.28,NA,0.11,2.39,2.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
92979,26,"Intravasc us, heart add-on",A,,1.44,0.58,,0.58,,0.04,2.06,2.06,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92980,,Insert intracoronary stent,A,,14.84,6.21,NA,6.21,,0.71,21.76,21.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
92981,,Insert intracoronary stent,A,,4.17,1.68,NA,1.68,,0.20,6.05,6.05,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92982,,Coronary artery dilation,A,,10.98,4.66,NA,4.66,,0.52,16.16,16.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
92984,,Coronary artery dilation,A,,2.97,1.19,NA,1.19,,0.14,4.30,4.30,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92986,,Revision of aortic valve,A,,21.80,10.27,NA,10.27,,1.14,33.21,33.21,0,090,0.09,0.84,0.07,2,0,0,0,0,,36.7856,09
92987,,Revision of mitral valve,A,,22.70,10.66,NA,10.66,,1.18,34.54,34.54,0,090,0.09,0.84,0.07,2,0,0,0,0,,36.7856,09
92990,,Revision of pulmonary valve,A,,17.34,8.24,NA,8.24,,0.90,26.48,26.48,0,090,0.09,0.84,0.07,2,0,0,0,0,,36.7856,09
92992,,Revision of heart chamber,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
92993,,Revision of heart chamber,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.84,0.07,2,0,2,0,0,,36.7856,09
92995,,Coronary atherectomy,A,,12.09,5.10,NA,5.10,,0.58,17.77,17.77,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
92996,,Coronary atherectomy add-on,A,,3.26,1.30,NA,1.30,,0.16,4.72,4.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
92997,,"Pul art balloon repr, percut",A,,12.00,4.96,NA,4.96,,0.63,17.59,17.59,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
92998,,"Pul art balloon repr, percut",A,,6.00,2.26,NA,2.26,,0.31,8.57,8.57,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93000,,"Electrocardiogram, complete",A,,0.17,0.51,,0.51,NA,0.03,0.71,0.71,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93005,,"Electrocardiogram, tracing",A,,0.00,0.45,,0.45,NA,0.02,0.47,0.47,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93010,,Electrocardiogram report,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93012,,Transmission of ecg,A,,0.00,5.99,,5.99,NA,0.15,6.14,6.14,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93014,,Report on transmitted ecg,A,,0.52,0.19,,0.19,,0.02,0.73,0.73,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93015,,Cardiovascular stress test,A,,0.75,1.97,,1.97,NA,0.11,2.83,2.83,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93016,,Cardiovascular stress test,A,,0.45,0.18,,0.18,,0.01,0.64,0.64,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93017,,Cardiovascular stress test,A,,0.00,1.67,,1.67,NA,0.09,1.76,1.76,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93018,,Cardiovascular stress test,A,,0.30,0.12,,0.12,,0.01,0.43,0.43,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93024,,Cardiac drug stress test,A,,1.17,1.57,,1.57,NA,0.11,2.85,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93024,TC,Cardiac drug stress test,A,,0.00,1.11,,1.11,NA,0.07,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93024,26,Cardiac drug stress test,A,,1.17,0.46,,0.46,,0.04,1.67,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93025,,Microvolt t-wave assess,A,,0.75,10.73,,10.73,NA,0.11,11.59,11.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93025,TC,Microvolt t-wave assess,A,,0.00,10.42,,10.42,NA,0.09,10.51,10.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93025,26,Microvolt t-wave assess,A,,0.75,0.31,,0.31,,0.02,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93040,,Rhythm ECG with report,A,,0.16,0.20,,0.20,NA,0.02,0.38,0.38,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93041,,"Rhythm ECG, tracing",A,,0.00,0.15,,0.15,NA,0.01,0.16,0.16,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93042,,"Rhythm ECG, report",A,,0.16,0.05,,0.05,,0.01,0.22,0.22,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93224,,"ECG monitor/report, 24 hrs",A,,0.52,3.61,,3.61,NA,0.21,4.34,4.34,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93225,,"ECG monitor/record, 24 hrs",A,,0.00,1.23,,1.23,NA,0.07,1.30,1.30,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93226,,"ECG monitor/report, 24 hrs",A,,0.00,2.18,,2.18,NA,0.12,2.30,2.30,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93227,,"ECG monitor/review, 24 hrs",A,,0.52,0.20,,0.20,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93230,,"ECG monitor/report, 24 hrs",A,,0.52,3.88,,3.88,NA,0.22,4.62,4.62,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93231,,"Ecg monitor/record, 24 hrs",A,,0.00,1.51,,1.51,NA,0.09,1.60,1.60,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93232,,"ECG monitor/report, 24 hrs",A,,0.00,2.17,,2.17,NA,0.11,2.28,2.28,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93233,,"ECG monitor/review, 24 hrs",A,,0.52,0.20,,0.20,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93235,,"ECG monitor/report, 24 hrs",A,,0.45,2.78,,2.78,NA,0.13,3.36,3.36,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93236,,"ECG monitor/report, 24 hrs",A,,0.00,2.61,,2.61,NA,0.12,2.73,2.73,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93237,,"ECG monitor/review, 24 hrs",A,,0.45,0.17,,0.17,,0.01,0.63,0.63,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93268,,ECG record/review,A,,0.52,7.41,,7.41,NA,0.24,8.17,8.17,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93270,,ECG recording,A,,0.00,1.23,,1.23,NA,0.07,1.30,1.30,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93271,,Ecg/monitoring and analysis,A,,0.00,5.99,,5.99,NA,0.15,6.14,6.14,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93272,,"Ecg/review, interpret only",A,,0.52,0.19,,0.19,,0.02,0.73,0.73,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93278,,ECG/signal-averaged,A,,0.25,1.24,,1.24,NA,0.10,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93278,TC,ECG/signal-averaged,A,,0.00,1.14,,1.14,NA,0.09,1.23,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93278,26,ECG/signal-averaged,A,,0.25,0.10,,0.10,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93303,,Echo transthoracic,A,,1.30,4.33,,4.33,NA,0.23,5.86,5.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93303,TC,Echo transthoracic,A,,0.00,3.84,,3.84,NA,0.19,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93303,26,Echo transthoracic,A,,1.30,0.49,,0.49,,0.04,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93304,,Echo transthoracic,A,,0.75,2.22,,2.22,NA,0.13,3.10,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93304,TC,Echo transthoracic,A,,0.00,1.93,,1.93,NA,0.11,2.04,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93304,26,Echo transthoracic,A,,0.75,0.29,,0.29,,0.02,1.06,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93307,,Echo exam of heart,A,,0.92,4.20,,4.20,NA,0.22,5.34,5.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93307,TC,Echo exam of heart,A,,0.00,3.84,,3.84,NA,0.19,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93307,26,Echo exam of heart,A,,0.92,0.36,,0.36,,0.03,1.31,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93308,,Echo exam of heart,A,,0.53,2.14,,2.14,NA,0.13,2.80,2.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93308,TC,Echo exam of heart,A,,0.00,1.93,,1.93,NA,0.11,2.04,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93308,26,Echo exam of heart,A,,0.53,0.21,,0.21,,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93312,,Echo transesophageal,A,,2.20,4.57,,4.57,NA,0.32,7.09,7.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93312,TC,Echo transesophageal,A,,0.00,3.76,,3.76,NA,0.24,4.00,4.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93312,26,Echo transesophageal,A,,2.20,0.81,,0.81,,0.08,3.09,3.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93313,,Echo transesophageal,A,,0.95,0.22,,0.21,,0.05,1.22,1.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93314,,Echo transesophageal,A,,1.25,4.24,,4.24,NA,0.28,5.77,5.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93314,TC,Echo transesophageal,A,,0.00,3.76,,3.76,NA,0.24,4.00,4.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93314,26,Echo transesophageal,A,,1.25,0.48,,0.48,,0.04,1.77,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93315,,Echo transesophageal,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93315,TC,Echo transesophageal,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93315,26,Echo transesophageal,A,,2.78,1.03,,1.03,,0.10,3.91,3.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93316,,Echo transesophageal,A,,0.95,0.24,NA,0.24,,0.05,1.24,1.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93317,,Echo transesophageal,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93317,TC,Echo transesophageal,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93317,26,Echo transesophageal,A,,1.83,0.69,,0.69,,0.06,2.58,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93318,,Echo transesophageal intraop,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93318,TC,Echo transesophageal intraop,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93318,26,Echo transesophageal intraop,A,,2.20,0.49,,0.49,NA,0.06,2.75,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93320,,"Doppler echo exam, heart",A,,0.38,1.85,,1.85,NA,0.11,2.34,2.34,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93320,TC,"Doppler echo exam, heart",A,,0.00,1.70,,1.70,NA,0.10,1.80,1.80,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93320,26,"Doppler echo exam, heart",A,,0.38,0.15,,0.15,,0.01,0.54,0.54,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93321,,"Doppler echo exam, heart",A,,0.15,1.16,,1.16,NA,0.08,1.39,1.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93321,TC,"Doppler echo exam, heart",A,,0.00,1.10,,1.10,NA,0.07,1.17,1.17,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93321,26,"Doppler echo exam, heart",A,,0.15,0.06,,0.06,,0.01,0.22,0.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93325,,Doppler color flow add-on,A,,0.07,2.92,,2.92,NA,0.18,3.17,3.17,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93325,TC,Doppler color flow add-on,A,,0.00,2.89,,2.89,NA,0.17,3.06,3.06,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93325,26,Doppler color flow add-on,A,,0.07,0.03,,0.03,,0.01,0.11,0.11,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93350,,Echo transthoracic,A,,1.48,2.33,,2.33,NA,0.13,3.94,3.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93350,TC,Echo transthoracic,A,,0.00,1.75,,1.75,NA,0.11,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93350,26,Echo transthoracic,A,,1.48,0.58,,0.58,,0.02,2.08,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93501,,Right heart catheterization,A,,3.02,18.01,,18.01,NA,1.03,22.06,22.06,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93501,TC,Right heart catheterization,A,,0.00,16.83,,16.83,NA,0.87,17.70,17.70,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93501,26,Right heart catheterization,A,,3.02,1.18,,1.18,,0.16,4.36,4.36,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93503,,Insert/place heart catheter,A,,2.91,0.69,NA,0.69,,0.16,3.76,3.76,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93505,,Biopsy of heart lining,A,,4.38,3.69,,3.69,NA,0.36,8.43,8.43,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93505,TC,Biopsy of heart lining,A,,0.00,1.97,,1.97,NA,0.13,2.10,2.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93505,26,Biopsy of heart lining,A,,4.38,1.72,,1.72,,0.23,6.33,6.33,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93508,,"Cath placement, angiography",A,,4.10,14.19,,14.19,NA,0.75,19.04,19.04,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93508,TC,"Cath placement, angiography",A,,0.00,12.55,,12.55,NA,0.54,13.09,13.09,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93508,26,"Cath placement, angiography",A,,4.10,1.64,,1.64,,0.21,5.95,5.95,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93510,,Left heart catheterization,A,,4.33,38.53,,38.53,NA,2.13,44.99,44.99,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93510,TC,Left heart catheterization,A,,0.00,36.79,,36.79,NA,1.91,38.70,38.70,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93510,26,Left heart catheterization,A,,4.33,1.74,,1.74,,0.22,6.29,6.29,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93511,,Left heart catheterization,A,,5.03,37.84,,37.84,NA,2.11,44.98,44.98,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93511,TC,Left heart catheterization,A,,0.00,35.82,,35.82,NA,1.85,37.67,37.67,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93511,26,Left heart catheterization,A,,5.03,2.02,,2.02,,0.26,7.31,7.31,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93514,,Left heart catheterization,A,,7.05,38.58,,38.58,NA,2.22,47.85,47.85,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93514,TC,Left heart catheterization,A,,0.00,35.82,,35.82,NA,1.85,37.67,37.67,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93514,26,Left heart catheterization,A,,7.05,2.76,,2.76,,0.37,10.18,10.18,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93524,,Left heart catheterization,A,,6.95,49.57,,49.57,NA,2.79,59.31,59.31,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93524,TC,Left heart catheterization,A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93524,26,Left heart catheterization,A,,6.95,2.77,,2.77,,0.36,10.08,10.08,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93526,,Rt & Lt heart catheters,A,,5.99,50.48,,50.48,NA,2.81,59.28,59.28,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93526,TC,Rt & Lt heart catheters,A,,0.00,48.08,,48.08,NA,2.50,50.58,50.58,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93526,26,Rt & Lt heart catheters,A,,5.99,2.40,,2.40,,0.31,8.70,8.70,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93527,,Rt & Lt heart catheters,A,,7.28,49.72,,49.72,NA,2.81,59.81,59.81,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93527,TC,Rt & Lt heart catheters,A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93527,26,Rt & Lt heart catheters,A,,7.28,2.92,,2.92,,0.38,10.58,10.58,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93528,,Rt & Lt heart catheters,A,,9.00,50.44,,50.44,NA,2.90,62.34,62.34,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93528,TC,Rt & Lt heart catheters,A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93528,26,Rt & Lt heart catheters,A,,9.00,3.64,,3.64,,0.47,13.11,13.11,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93529,,"Rt, lt heart catheterization",A,,4.80,48.67,,48.67,NA,2.68,56.15,56.15,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93529,TC,"Rt, lt heart catheterization",A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93529,26,"Rt, lt heart catheterization",A,,4.80,1.87,,1.87,,0.25,6.92,6.92,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93530,,"Rt heart cath, congenital",A,,4.23,18.37,,18.37,NA,1.11,23.71,23.71,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93530,TC,"Rt heart cath, congenital",A,,0.00,16.83,,16.83,NA,0.87,17.70,17.70,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93530,26,"Rt heart cath, congenital",A,,4.23,1.54,,1.54,,0.24,6.01,6.01,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93531,,"R & l heart cath, congenital",A,,8.35,51.30,,51.30,NA,2.96,62.61,62.61,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93531,TC,"R & l heart cath, congenital",A,,0.00,48.08,,48.08,NA,2.50,50.58,50.58,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93531,26,"R & l heart cath, congenital",A,,8.35,3.22,,3.22,,0.46,12.03,12.03,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93532,,"R & l heart cath, congenital",A,,10.00,50.70,,50.70,NA,2.95,63.65,63.65,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93532,TC,"R & l heart cath, congenital",A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93532,26,"R & l heart cath, congenital",A,,10.00,3.90,,3.90,,0.52,14.42,14.42,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93533,,"R & l heart cath, congenital",A,,6.70,49.24,,49.24,NA,2.86,58.80,58.80,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93533,TC,"R & l heart cath, congenital",A,,0.00,46.80,,46.80,NA,2.43,49.23,49.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93533,26,"R & l heart cath, congenital",A,,6.70,2.44,,2.44,,0.43,9.57,9.57,1,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93539,,"Injection, cardiac cath",A,,0.40,0.16,,0.16,,0.01,0.57,0.57,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93540,,"Injection, cardiac cath",A,,0.43,0.17,,0.17,,0.01,0.61,0.61,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93541,,Injection for lung angiogram,A,,0.29,0.12,NA,0.12,,0.01,0.42,0.42,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93542,,Injection for heart x-rays,A,,0.29,0.12,NA,0.12,,0.01,0.42,0.42,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93543,,Injection for heart x-rays,A,,0.29,0.12,,0.12,,0.01,0.42,0.42,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93544,,Injection for aortography,A,,0.25,0.10,,0.10,,0.01,0.36,0.36,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93545,,Inject for coronary x-rays,A,,0.40,0.16,,0.16,,0.01,0.57,0.57,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93555,,"Imaging, cardiac cath",A,,0.81,6.58,,6.58,NA,0.31,7.70,7.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93555,TC,"Imaging, cardiac cath",A,,0.00,6.25,,6.25,NA,0.28,6.53,6.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93555,26,"Imaging, cardiac cath",A,,0.81,0.33,,0.33,,0.03,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93556,,"Imaging, cardiac cath",A,,0.83,10.18,,10.18,NA,0.45,11.46,11.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93556,TC,"Imaging, cardiac cath",A,,0.00,9.85,,9.85,NA,0.42,10.27,10.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93556,26,"Imaging, cardiac cath",A,,0.83,0.33,,0.33,,0.03,1.19,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93561,,Cardiac output measurement,A,,0.50,0.68,,0.68,NA,0.07,1.25,1.25,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93561,TC,Cardiac output measurement,A,,0.00,0.52,,0.52,NA,0.05,0.57,0.57,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93561,26,Cardiac output measurement,A,,0.50,0.16,,0.16,,0.02,0.68,0.68,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93562,,Cardiac output measurement,A,,0.16,0.37,,0.37,NA,0.04,0.57,0.57,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93562,TC,Cardiac output measurement,A,,0.00,0.32,,0.32,NA,0.03,0.35,0.35,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93562,26,Cardiac output measurement,A,,0.16,0.05,,0.05,,0.01,0.22,0.22,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93571,,Heart flow reserve measure,A,,1.80,5.25,,5.25,NA,0.31,7.36,7.36,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93571,TC,Heart flow reserve measure,A,,0.00,4.55,,4.55,NA,0.20,4.75,4.75,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93571,26,Heart flow reserve measure,A,,1.80,0.70,,0.70,,0.11,2.61,2.61,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93572,,Heart flow reserve measure,A,,1.44,2.78,,2.78,NA,0.28,4.50,4.50,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93572,TC,Heart flow reserve measure,A,,0.00,2.28,,2.28,NA,0.11,2.39,2.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93572,26,Heart flow reserve measure,A,,1.44,0.50,,0.50,,0.17,2.11,2.11,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93580,,Transcath closure of asd,A,,18.00,7.34,NA,7.34,,1.14,26.48,26.48,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93581,,Transcath closure of vsd,A,,24.43,9.84,NA,9.84,,1.14,35.41,35.41,0,000,0.00,0.00,0.00,2,0,0,0,0,,36.7856,09
93600,,Bundle of His recording,A,,2.12,2.79,,2.79,NA,0.22,5.13,5.13,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93600,TC,Bundle of His recording,A,,0.00,1.94,,1.94,NA,0.11,2.05,2.05,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93600,26,Bundle of His recording,A,,2.12,0.85,,0.85,,0.11,3.08,3.08,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93602,,Intra-atrial recording,A,,2.12,1.94,,1.94,NA,0.18,4.24,4.24,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93602,TC,Intra-atrial recording,A,,0.00,1.10,,1.10,NA,0.06,1.16,1.16,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93602,26,Intra-atrial recording,A,,2.12,0.84,,0.84,,0.12,3.08,3.08,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93603,,Right ventricular recording,A,,2.12,2.51,,2.51,NA,0.20,4.83,4.83,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93603,TC,Right ventricular recording,A,,0.00,1.67,,1.67,NA,0.09,1.76,1.76,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93603,26,Right ventricular recording,A,,2.12,0.84,,0.84,,0.11,3.07,3.07,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93609,,"Map tachycardia, add-on",A,,5.00,4.71,,4.71,NA,0.66,10.37,10.37,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93609,TC,"Map tachycardia, add-on",A,,0.00,2.71,,2.71,NA,0.14,2.85,2.85,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93609,26,"Map tachycardia, add-on",A,,5.00,2.00,,2.00,,0.52,7.52,7.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93610,,Intra-atrial pacing,A,,3.02,2.52,,2.52,NA,0.25,5.79,5.79,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93610,TC,Intra-atrial pacing,A,,0.00,1.34,,1.34,NA,0.08,1.42,1.42,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93610,26,Intra-atrial pacing,A,,3.02,1.18,,1.18,,0.17,4.37,4.37,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93612,,Intraventricular pacing,A,,3.02,2.79,,2.79,NA,0.26,6.07,6.07,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93612,TC,Intraventricular pacing,A,,0.00,1.61,,1.61,NA,0.09,1.70,1.70,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93612,26,Intraventricular pacing,A,,3.02,1.18,,1.18,,0.17,4.37,4.37,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93613,,"Electrophys map 3d, add-on",A,,7.00,2.72,,2.72,,0.52,10.24,10.24,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93615,,Esophageal recording,A,,0.99,0.59,,0.59,NA,0.05,1.63,1.63,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93615,TC,Esophageal recording,A,,0.00,0.32,,0.32,NA,0.02,0.34,0.34,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93615,26,Esophageal recording,A,,0.99,0.27,,0.27,,0.03,1.29,1.29,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93616,,Esophageal recording,A,,1.49,0.76,,0.76,NA,0.08,2.33,2.33,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93616,TC,Esophageal recording,A,,0.00,0.32,,0.32,NA,0.02,0.34,0.34,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93616,26,Esophageal recording,A,,1.49,0.44,,0.44,,0.06,1.99,1.99,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93618,,Heart rhythm pacing,A,,4.26,5.66,,5.66,NA,0.42,10.34,10.34,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93618,TC,Heart rhythm pacing,A,,0.00,3.95,,3.95,NA,0.20,4.15,4.15,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93618,26,Heart rhythm pacing,A,,4.26,1.71,,1.71,,0.22,6.19,6.19,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93619,,Electrophysiology evaluation,A,,7.32,10.59,,10.59,NA,0.77,18.68,18.68,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93619,TC,Electrophysiology evaluation,A,,0.00,7.67,,7.67,NA,0.39,8.06,8.06,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93619,26,Electrophysiology evaluation,A,,7.32,2.92,,2.92,,0.38,10.62,10.62,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93620,,Electrophysiology evaluation,C,+,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93620,TC,Electrophysiology evaluation,C,+,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93620,26,Electrophysiology evaluation,A,,11.59,4.62,,4.62,,0.60,16.81,16.81,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93621,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93621,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93621,26,Electrophysiology evaluation,A,,2.10,0.84,,0.84,,0.15,3.09,3.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93622,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93622,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93622,26,Electrophysiology evaluation,A,,3.10,1.23,,1.23,,0.67,5.00,5.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93623,,"Stimulation, pacing heart",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93623,TC,"Stimulation, pacing heart",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93623,26,"Stimulation, pacing heart",A,,2.85,1.13,,1.13,,0.15,4.13,4.13,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93624,,Electrophysiologic study,A,,4.81,3.88,,3.88,NA,0.36,9.05,9.05,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93624,TC,Electrophysiologic study,A,,0.00,1.97,,1.97,NA,0.11,2.08,2.08,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93624,26,Electrophysiologic study,A,,4.81,1.91,,1.91,,0.25,6.97,6.97,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93631,,"Heart pacing, mapping",A,,7.60,8.93,,8.93,NA,1.17,17.70,17.70,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93631,TC,"Heart pacing, mapping",A,,0.00,6.12,,6.12,NA,0.51,6.63,6.63,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93631,26,"Heart pacing, mapping",A,,7.60,2.81,,2.81,,0.66,11.07,11.07,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93640,,Evaluation heart device,A,,3.52,8.53,,8.53,NA,0.53,12.58,12.58,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93640,TC,Evaluation heart device,A,,0.00,7.14,,7.14,NA,0.35,7.49,7.49,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93640,26,Evaluation heart device,A,,3.52,1.39,,1.39,,0.18,5.09,5.09,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93641,,Electrophysiology evaluation,A,,5.93,9.51,,9.51,NA,0.66,16.10,16.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93641,TC,Electrophysiology evaluation,A,,0.00,7.14,,7.14,NA,0.35,7.49,7.49,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93641,26,Electrophysiology evaluation,A,,5.93,2.37,,2.37,,0.31,8.61,8.61,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93642,,Electrophysiology evaluation,A,,4.89,9.07,,9.07,NA,0.51,14.47,14.47,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93642,TC,Electrophysiology evaluation,A,,0.00,7.14,,7.14,NA,0.35,7.49,7.49,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93642,26,Electrophysiology evaluation,A,,4.89,1.93,,1.93,,0.16,6.98,6.98,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93650,,Ablate heart dysrhythm focus,A,,10.51,4.19,NA,4.19,,0.55,15.25,15.25,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93651,,Ablate heart dysrhythm focus,A,,16.25,6.49,NA,6.49,,0.85,23.59,23.59,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93652,,Ablate heart dysrhythm focus,A,,17.68,7.07,NA,7.07,,0.92,25.67,25.67,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93660,,Tilt table evaluation,A,,1.89,2.43,,2.43,NA,0.08,4.40,4.40,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93660,TC,Tilt table evaluation,A,,0.00,1.67,,1.67,NA,0.02,1.69,1.69,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93660,26,Tilt table evaluation,A,,1.89,0.76,,0.76,,0.06,2.71,2.71,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93662,,Intracardiac ecg (ice),C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93662,TC,Intracardiac ecg (ice),C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93662,26,Intracardiac ecg (ice),A,,2.80,1.08,,1.08,,0.41,4.29,4.29,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93668,,Peripheral vascular rehab,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93701,,"Bioimpedance, thoracic",A,,0.17,1.14,,1.14,NA,0.02,1.33,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93701,TC,"Bioimpedance, thoracic",A,,0.00,1.07,,1.07,NA,0.01,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93701,26,"Bioimpedance, thoracic",A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93720,,Total body plethysmography,A,,0.17,0.76,,0.76,NA,0.06,0.99,0.99,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93721,,Plethysmography tracing,A,,0.00,0.71,,0.71,NA,0.05,0.76,0.76,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93722,,Plethysmography report,A,,0.17,0.05,,0.05,,0.01,0.23,0.23,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93724,,Analyze pacemaker system,A,,4.89,5.91,,5.91,NA,0.38,11.18,11.18,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93724,TC,Analyze pacemaker system,A,,0.00,3.95,,3.95,NA,0.20,4.15,4.15,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
93724,26,Analyze pacemaker system,A,,4.89,1.96,,1.96,,0.18,7.03,7.03,1,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93727,,Analyze ilr system,A,,0.52,0.20,,0.20,,0.05,0.77,0.77,2,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,03
93731,,Analyze pacemaker system,A,,0.45,0.67,,0.67,NA,0.05,1.17,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93731,TC,Analyze pacemaker system,A,,0.00,0.49,,0.49,NA,0.03,0.52,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93731,26,Analyze pacemaker system,A,,0.45,0.18,,0.18,,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93732,,Analyze pacemaker system,A,,0.92,0.87,,0.87,NA,0.06,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93732,TC,Analyze pacemaker system,A,,0.00,0.51,,0.51,NA,0.03,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93732,26,Analyze pacemaker system,A,,0.92,0.36,,0.36,,0.03,1.31,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93733,,"Telephone analy, pacemaker",A,,0.17,0.80,,0.80,NA,0.06,1.03,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93733,TC,"Telephone analy, pacemaker",A,,0.00,0.73,,0.73,NA,0.05,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93733,26,"Telephone analy, pacemaker",A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93734,,Analyze pacemaker system,A,,0.38,0.50,,0.50,NA,0.03,0.91,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93734,TC,Analyze pacemaker system,A,,0.00,0.35,,0.35,NA,0.02,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93734,26,Analyze pacemaker system,A,,0.38,0.15,,0.15,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93735,,Analyze pacemaker system,A,,0.74,0.74,,0.74,NA,0.06,1.54,1.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93735,TC,Analyze pacemaker system,A,,0.00,0.45,,0.45,NA,0.03,0.48,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
93735,26,Analyze pacemaker system,A,,0.74,0.29,,0.29,,0.03,1.06,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93736,,"Telephone analy, pacemaker",A,,0.15,0.69,,0.69,NA,0.06,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93736,TC,"Telephone analy, pacemaker",A,,0.00,0.63,,0.63,NA,0.05,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93736,26,"Telephone analy, pacemaker",A,,0.15,0.06,,0.06,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93740,,Temperature gradient studies,B,+,0.16,0.19,,0.19,NA,0.02,0.37,0.37,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93740,TC,Temperature gradient studies,B,+,0.00,0.15,,0.15,NA,0.01,0.16,0.16,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
93740,26,Temperature gradient studies,B,+,0.16,0.04,,0.04,,0.01,0.21,0.21,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93741,,Analyze ht pace device sngl,A,,0.80,0.99,,0.99,NA,0.05,1.84,1.84,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93741,TC,Analyze ht pace device sngl,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
93741,26,Analyze ht pace device sngl,A,,0.80,0.32,,0.32,,0.02,1.14,1.14,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93742,,Analyze ht pace device sngl,A,,0.91,1.04,,1.04,NA,0.05,2.00,2.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93742,TC,Analyze ht pace device sngl,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
93742,26,Analyze ht pace device sngl,A,,0.91,0.37,,0.37,,0.02,1.30,1.30,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93743,,Analyze ht pace device dual,A,,1.03,1.15,,1.15,NA,0.06,2.24,2.24,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93743,TC,Analyze ht pace device dual,A,,0.00,0.74,,0.74,NA,0.03,0.77,0.77,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
93743,26,Analyze ht pace device dual,A,,1.03,0.41,,0.41,,0.03,1.47,1.47,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93744,,Analyze ht pace device dual,A,,1.18,1.14,,1.14,NA,0.06,2.38,2.38,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93744,TC,Analyze ht pace device dual,A,,0.00,0.67,,0.67,NA,0.03,0.70,0.70,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,02
93744,26,Analyze ht pace device dual,A,,1.18,0.47,,0.47,,0.03,1.68,1.68,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93760,,Cephalic thermogram,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93762,,Peripheral thermogram,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93770,,Measure venous pressure,B,+,0.16,0.08,,0.08,NA,0.02,0.26,0.26,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93770,TC,Measure venous pressure,B,+,0.00,0.03,,0.03,NA,0.01,0.04,0.04,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
93770,26,Measure venous pressure,B,+,0.16,0.05,,0.05,,0.01,0.22,0.22,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93784,,Ambulatory BP monitoring,A,,0.17,0.98,,0.98,NA,0.02,1.17,1.17,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93786,,Ambulatory BP recording,A,,0.00,0.91,,0.91,NA,0.01,0.92,0.92,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93788,,Ambulatory BP analysis,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
93790,,Review/report BP recording,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93797,,Cardiac rehab,A,,0.18,0.39,,0.07,,0.01,0.58,0.26,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93798,,Cardiac rehab/monitor,A,,0.28,0.50,,0.11,,0.01,0.79,0.40,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93799,,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93799,TC,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93799,26,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93875,,Extracranial study,A,,0.22,1.65,,1.65,NA,0.10,1.97,1.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93875,TC,Extracranial study,A,,0.00,1.57,,1.57,NA,0.09,1.66,1.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93875,26,Extracranial study,A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93880,,Extracranial study,A,,0.60,4.30,,4.30,NA,0.33,5.23,5.23,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93880,TC,Extracranial study,A,,0.00,4.09,,4.09,NA,0.29,4.38,4.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93880,26,Extracranial study,A,,0.60,0.21,,0.21,,0.04,0.85,0.85,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93882,,Extracranial study,A,,0.40,2.95,,2.95,NA,0.22,3.57,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93882,TC,Extracranial study,A,,0.00,2.81,,2.81,NA,0.18,2.99,2.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93882,26,Extracranial study,A,,0.40,0.14,,0.14,,0.04,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93886,,Intracranial study,A,,0.94,4.73,,4.73,NA,0.37,6.04,6.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93886,TC,Intracranial study,A,,0.00,4.35,,4.35,NA,0.32,4.67,4.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93886,26,Intracranial study,A,,0.94,0.38,,0.38,,0.05,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93888,,Intracranial study,A,,0.62,3.14,,3.14,NA,0.26,4.02,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93888,TC,Intracranial study,A,,0.00,2.91,,2.91,NA,0.22,3.13,3.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93888,26,Intracranial study,A,,0.62,0.23,,0.23,,0.04,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93922,,Extremity study,A,,0.25,1.88,,1.88,NA,0.13,2.26,2.26,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93922,TC,Extremity study,A,,0.00,1.79,,1.79,NA,0.11,1.90,1.90,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93922,26,Extremity study,A,,0.25,0.09,,0.09,,0.02,0.36,0.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93923,,Extremity study,A,,0.45,2.95,,2.95,NA,0.22,3.62,3.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93923,TC,Extremity study,A,,0.00,2.79,,2.79,NA,0.18,2.97,2.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93923,26,Extremity study,A,,0.45,0.16,,0.16,,0.04,0.65,0.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93924,,Extremity study,A,,0.50,3.67,,3.67,NA,0.26,4.43,4.43,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93924,TC,Extremity study,A,,0.00,3.50,,3.50,NA,0.21,3.71,3.71,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93924,26,Extremity study,A,,0.50,0.17,,0.17,,0.05,0.72,0.72,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93925,,Lower extremity study,A,,0.58,4.95,,4.95,NA,0.33,5.86,5.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93925,TC,Lower extremity study,A,,0.00,4.75,,4.75,NA,0.29,5.04,5.04,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93925,26,Lower extremity study,A,,0.58,0.20,,0.20,,0.04,0.82,0.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93926,,Lower extremity study,A,,0.39,3.39,,3.39,NA,0.22,4.00,4.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93926,TC,Lower extremity study,A,,0.00,3.26,,3.26,NA,0.19,3.45,3.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93926,26,Lower extremity study,A,,0.39,0.13,,0.13,,0.03,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93930,,Upper extremity study,A,,0.46,3.94,,3.94,NA,0.34,4.74,4.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93930,TC,Upper extremity study,A,,0.00,3.78,,3.78,NA,0.31,4.09,4.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93930,26,Upper extremity study,A,,0.46,0.16,,0.16,,0.03,0.65,0.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93931,,Upper extremity study,A,,0.31,2.83,,2.83,NA,0.22,3.36,3.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93931,TC,Upper extremity study,A,,0.00,2.72,,2.72,NA,0.20,2.92,2.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93931,26,Upper extremity study,A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93965,,Extremity study,A,,0.35,1.85,,1.85,NA,0.12,2.32,2.32,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93965,TC,Extremity study,A,,0.00,1.73,,1.73,NA,0.10,1.83,1.83,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93965,26,Extremity study,A,,0.35,0.12,,0.12,,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93970,,Extremity study,A,,0.68,4.05,,4.05,NA,0.38,5.11,5.11,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93970,TC,Extremity study,A,,0.00,3.81,,3.81,NA,0.33,4.14,4.14,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,01
93970,26,Extremity study,A,,0.68,0.24,,0.24,,0.05,0.97,0.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
93971,,Extremity study,A,,0.45,2.87,,2.87,NA,0.25,3.57,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93971,TC,Extremity study,A,,0.00,2.72,,2.72,NA,0.22,2.94,2.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93971,26,Extremity study,A,,0.45,0.15,,0.15,,0.03,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93975,,Vascular study,A,,1.80,5.92,,5.92,NA,0.47,8.19,8.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93975,TC,Vascular study,A,,0.00,5.30,,5.30,NA,0.36,5.66,5.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93975,26,Vascular study,A,,1.80,0.62,,0.62,,0.11,2.53,2.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93976,,Vascular study,A,,1.21,3.49,,3.49,NA,0.31,5.01,5.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93976,TC,Vascular study,A,,0.00,3.08,,3.08,NA,0.25,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93976,26,Vascular study,A,,1.21,0.41,,0.41,,0.06,1.68,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93978,,Vascular study,A,,0.65,3.63,,3.63,NA,0.36,4.64,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93978,TC,Vascular study,A,,0.00,3.40,,3.40,NA,0.31,3.71,3.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93978,26,Vascular study,A,,0.65,0.23,,0.23,,0.05,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93979,,Vascular study,A,,0.44,2.63,,2.63,NA,0.24,3.31,3.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93979,TC,Vascular study,A,,0.00,2.47,,2.47,NA,0.20,2.67,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93979,26,Vascular study,A,,0.44,0.16,,0.16,,0.04,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93980,,Penile vascular study,A,,1.25,4.50,,4.50,NA,0.35,6.10,6.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93980,TC,Penile vascular study,A,,0.00,4.08,,4.08,NA,0.28,4.36,4.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93980,26,Penile vascular study,A,,1.25,0.42,,0.42,,0.07,1.74,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93981,,Penile vascular study,A,,0.44,4.82,,4.82,NA,0.28,5.54,5.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93981,TC,Penile vascular study,A,,0.00,4.67,,4.67,NA,0.26,4.93,4.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93981,26,Penile vascular study,A,,0.44,0.15,,0.15,,0.02,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93990,,Doppler flow testing,A,,0.25,3.35,,3.35,NA,0.21,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
93990,TC,Doppler flow testing,A,,0.00,3.26,,3.26,NA,0.19,3.45,3.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
93990,26,Doppler flow testing,A,,0.25,0.09,,0.09,,0.02,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94010,,Breathing capacity test,A,,0.17,0.88,,0.88,NA,0.03,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94010,TC,Breathing capacity test,A,,0.00,0.83,,0.83,NA,0.02,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94010,26,Breathing capacity test,A,,0.17,0.05,,0.05,,0.01,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94014,,Patient recorded spirometry,A,,0.52,0.98,,0.98,NA,0.03,1.53,1.53,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94015,,Patient recorded spirometry,A,,0.00,0.81,,0.81,NA,0.01,0.82,0.82,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94016,,Review patient spirometry,A,,0.52,0.17,,0.17,,0.02,0.71,0.71,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94060,,Evaluation of wheezing,A,,0.31,1.52,,1.52,NA,0.06,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94060,TC,Evaluation of wheezing,A,,0.00,1.42,,1.42,NA,0.05,1.47,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94060,26,Evaluation of wheezing,A,,0.31,0.10,,0.10,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94070,,Evaluation of wheezing,A,,0.60,4.34,,4.34,NA,0.10,5.04,5.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94070,TC,Evaluation of wheezing,A,,0.00,4.15,,4.15,NA,0.08,4.23,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94070,26,Evaluation of wheezing,A,,0.60,0.19,,0.19,,0.02,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94150,,Vital capacity test,B,+,0.07,0.66,,0.66,NA,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
94150,TC,Vital capacity test,B,+,0.00,0.63,,0.63,NA,0.01,0.64,0.64,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,01
94150,26,Vital capacity test,B,+,0.07,0.03,,0.03,,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
94200,,Lung function test (MBC/MVV),A,,0.11,0.63,,0.63,NA,0.03,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94200,TC,Lung function test (MBC/MVV),A,,0.00,0.60,,0.60,NA,0.02,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94200,26,Lung function test (MBC/MVV),A,,0.11,0.03,,0.03,,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94240,,Residual lung capacity,A,,0.26,1.89,,1.89,NA,0.05,2.20,2.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94240,TC,Residual lung capacity,A,,0.00,1.81,,1.81,NA,0.04,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94240,26,Residual lung capacity,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94250,,Expired gas collection,A,,0.11,0.70,,0.70,NA,0.02,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94250,TC,Expired gas collection,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94250,26,Expired gas collection,A,,0.11,0.03,,0.03,,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94260,,Thoracic gas volume,A,,0.13,0.55,,0.55,NA,0.04,0.72,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94260,TC,Thoracic gas volume,A,,0.00,0.51,,0.51,NA,0.03,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94260,26,Thoracic gas volume,A,,0.13,0.04,,0.04,,0.01,0.18,0.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94350,,Lung nitrogen washout curve,A,,0.26,1.96,,1.96,NA,0.04,2.26,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94350,TC,Lung nitrogen washout curve,A,,0.00,1.88,,1.88,NA,0.03,1.91,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94350,26,Lung nitrogen washout curve,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94360,,Measure airflow resistance,A,,0.26,0.57,,0.57,NA,0.06,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94360,TC,Measure airflow resistance,A,,0.00,0.49,,0.49,NA,0.05,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94360,26,Measure airflow resistance,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94370,,Breath airway closing volume,A,,0.26,1.96,,1.96,NA,0.03,2.25,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94370,TC,Breath airway closing volume,A,,0.00,1.88,,1.88,NA,0.02,1.90,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94370,26,Breath airway closing volume,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94375,,Respiratory flow volume loop,A,,0.31,0.67,,0.67,NA,0.03,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94375,TC,Respiratory flow volume loop,A,,0.00,0.57,,0.57,NA,0.02,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94375,26,Respiratory flow volume loop,A,,0.31,0.10,,0.10,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94400,,CO2 breathing response curve,A,,0.40,0.89,,0.89,NA,0.06,1.35,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94400,TC,CO2 breathing response curve,A,,0.00,0.76,,0.76,NA,0.05,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94400,26,CO2 breathing response curve,A,,0.40,0.13,,0.13,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94450,,Hypoxia response curve,A,,0.40,0.68,,0.68,NA,0.04,1.12,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94450,TC,Hypoxia response curve,A,,0.00,0.56,,0.56,NA,0.02,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94450,26,Hypoxia response curve,A,,0.40,0.12,,0.12,,0.02,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94620,,Pulmonary stress test/simple,A,,0.64,2.47,,2.47,NA,0.10,3.21,3.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94620,TC,Pulmonary stress test/simple,A,,0.00,2.27,,2.27,NA,0.08,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94620,26,Pulmonary stress test/simple,A,,0.64,0.20,,0.20,,0.02,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94621,,Pulm stress test/complex,A,,1.42,2.12,,2.12,NA,0.13,3.67,3.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94621,TC,Pulm stress test/complex,A,,0.00,1.67,,1.67,NA,0.08,1.75,1.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94621,26,Pulm stress test/complex,A,,1.42,0.45,,0.45,,0.05,1.92,1.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94640,,Airway inhalation treatment,A,,0.00,0.70,,0.70,NA,0.02,0.72,0.72,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94642,,Aerosol inhalation treatment,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94650,,Pressure breathing (IPPB),D,,0.00,0.67,,0.67,,0.02,0.69,0.69,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94651,,Pressure breathing (IPPB),D,,0.00,0.62,,0.62,,0.02,0.64,0.64,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94652,,Pressure breathing (IPPB),D,,0.00,0.77,,0.77,,0.06,0.83,0.83,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94656,,Initial ventilator mgmt,A,,1.22,0.32,NA,0.32,,0.06,1.60,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94657,,Continued ventilator mgmt,A,,0.83,0.26,NA,0.26,,0.03,1.12,1.12,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94660,,"Pos airway pressure, CPAP",A,,0.76,0.68,,0.24,,0.03,1.47,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94662,,"Neg press ventilation, cnp",A,,0.76,0.24,NA,0.24,,0.02,1.02,1.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94664,,Evaluate pt use of inhaler,A,,0.00,0.52,,0.52,NA,0.03,0.55,0.55,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94665,,Aerosol or vapor inhalations,D,,0.00,0.53,,0.53,,0.04,0.57,0.57,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94667,,Chest wall manipulation,A,,0.00,0.81,,0.81,NA,0.04,0.85,0.85,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94668,,Chest wall manipulation,A,,0.00,0.71,,0.71,NA,0.02,0.73,0.73,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94680,,"Exhaled air analysis, o2",A,,0.26,1.91,,1.91,NA,0.06,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94680,TC,"Exhaled air analysis, o2",A,,0.00,1.82,,1.82,NA,0.05,1.87,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94680,26,"Exhaled air analysis, o2",A,,0.26,0.09,,0.09,,0.01,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94681,,"Exhaled air analysis, o2/co2",A,,0.20,2.80,,2.80,NA,0.11,3.11,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94681,TC,"Exhaled air analysis, o2/co2",A,,0.00,2.73,,2.73,NA,0.10,2.83,2.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
94681,26,"Exhaled air analysis, o2/co2",A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94690,,Exhaled air analysis,A,,0.07,2.13,,2.13,NA,0.04,2.24,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94690,TC,Exhaled air analysis,A,,0.00,2.11,,2.11,NA,0.03,2.14,2.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94690,26,Exhaled air analysis,A,,0.07,0.02,,0.02,,0.01,0.10,0.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94720,,Monoxide diffusing capacity,A,,0.26,1.55,,1.55,NA,0.06,1.87,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94720,TC,Monoxide diffusing capacity,A,,0.00,1.47,,1.47,NA,0.05,1.52,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94720,26,Monoxide diffusing capacity,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94725,,Membrane diffusion capacity,A,,0.26,2.56,,2.56,NA,0.11,2.93,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94725,TC,Membrane diffusion capacity,A,,0.00,2.48,,2.48,NA,0.10,2.58,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94725,26,Membrane diffusion capacity,A,,0.26,0.08,,0.08,,0.01,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94750,,Pulmonary compliance study,A,,0.23,2.07,,2.07,NA,0.04,2.34,2.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94750,TC,Pulmonary compliance study,A,,0.00,2.00,,2.00,NA,0.03,2.03,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94750,26,Pulmonary compliance study,A,,0.23,0.07,,0.07,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94760,,Measure blood oxygen level,T,,0.00,0.09,,0.09,NA,0.02,0.11,0.11,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94761,,Measure blood oxygen level,T,,0.00,0.17,,0.17,NA,0.05,0.22,0.22,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94762,,Measure blood oxygen level,A,,0.00,0.74,,0.74,NA,0.08,0.82,0.82,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94770,,Exhaled carbon dioxide test,A,,0.15,1.68,,1.68,NA,0.07,1.90,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94770,TC,Exhaled carbon dioxide test,A,,0.00,1.64,,1.64,NA,0.06,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94770,26,Exhaled carbon dioxide test,A,,0.15,0.04,,0.04,,0.01,0.20,0.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94772,,"Breath recording, infant",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94772,TC,"Breath recording, infant",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
94772,26,"Breath recording, infant",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94799,,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94799,TC,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
94799,26,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95004,,Percut allergy skin tests,A,,0.00,0.10,,0.10,NA,0.01,0.11,0.11,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95010,,Percut allergy titrate test,A,,0.15,0.44,,0.06,,0.01,0.60,0.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95015,,Id allergy titrate-drug/bug,A,,0.15,0.38,,0.06,,0.01,0.54,0.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95024,,"Id allergy test, drug/bug",A,,0.00,0.15,,0.15,NA,0.01,0.16,0.16,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95027,,Id allergy titrate-airborne,A,,0.00,0.15,,0.15,NA,0.01,0.16,0.16,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95028,,Id allergy test-delayed type,A,,0.00,0.23,,0.23,NA,0.01,0.24,0.24,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95044,,Allergy patch tests,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95052,,Photo patch test,A,,0.00,0.25,,0.25,NA,0.01,0.26,0.26,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95056,,Photosensitivity tests,A,,0.00,0.17,,0.17,NA,0.01,0.18,0.18,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95060,,Eye allergy tests,A,,0.00,0.35,,0.35,NA,0.02,0.37,0.37,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95065,,Nose allergy test,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95070,,Bronchial allergy tests,A,,0.00,2.27,,2.27,NA,0.02,2.29,2.29,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95071,,Bronchial allergy tests,A,,0.00,2.91,,2.91,NA,0.02,2.93,2.93,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95075,,Ingestion challenge test,A,,0.95,0.84,,0.40,,0.03,1.82,1.38,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95078,,Provocative testing,A,,0.00,0.25,,0.25,NA,0.02,0.27,0.27,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95115,,"Immunotherapy, one injection",A,,0.00,0.39,,0.39,NA,0.02,0.41,0.41,5,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95117,,Immunotherapy injections,A,,0.00,0.50,,0.50,NA,0.02,0.52,0.52,5,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95120,,"Immunotherapy, one injection",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95125,,"Immunotherapy, many antigens",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95130,,"Immunotherapy, insect venom",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95131,,"Immunotherapy, insect venoms",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95132,,"Immunotherapy, insect venoms",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95133,,"Immunotherapy, insect venoms",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95134,,"Immunotherapy, insect venoms",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
95144,,Antigen therapy services,A,,0.06,0.25,,0.02,,0.01,0.32,0.09,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95145,,Antigen therapy services,A,,0.06,0.49,,0.02,,0.01,0.56,0.09,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95146,,Antigen therapy services,A,,0.06,0.61,,0.03,,0.01,0.68,0.10,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95147,,Antigen therapy services,A,,0.06,0.83,,0.02,,0.01,0.90,0.09,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95148,,Antigen therapy services,A,,0.06,0.81,,0.03,,0.01,0.88,0.10,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95149,,Antigen therapy services,A,,0.06,1.02,,0.03,,0.01,1.09,0.10,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95165,,Antigen therapy services,A,,0.06,0.20,,0.02,,0.01,0.27,0.09,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95170,,Antigen therapy services,A,,0.06,0.26,,0.02,,0.01,0.33,0.09,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95180,,Rapid desensitization,A,,2.01,1.60,,0.84,,0.04,3.65,2.89,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95199,,Allergy immunology services,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95250,,"Glucose monitoring, cont",A,,0.00,3.22,,3.22,NA,0.01,3.23,3.23,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95805,,Multiple sleep latency test,A,,1.88,17.11,,17.11,NA,0.34,19.33,19.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95805,TC,Multiple sleep latency test,A,,0.00,16.43,,16.43,NA,0.28,16.71,16.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95805,26,Multiple sleep latency test,A,,1.88,0.68,,0.68,,0.06,2.62,2.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95806,,"Sleep study, unattended",A,,1.66,4.10,,4.10,NA,0.32,6.08,6.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95806,TC,"Sleep study, unattended",A,,0.00,3.55,,3.55,NA,0.26,3.81,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95806,26,"Sleep study, unattended",A,,1.66,0.55,,0.55,,0.06,2.27,2.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95807,,"Sleep study, attended",A,,1.66,12.00,,12.00,NA,0.40,14.06,14.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95807,TC,"Sleep study, attended",A,,0.00,11.46,,11.46,NA,0.35,11.81,11.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95807,26,"Sleep study, attended",A,,1.66,0.54,,0.54,,0.05,2.25,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95808,,"Polysomnography, 1-3",A,,2.65,13.10,,13.10,NA,0.44,16.19,16.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95808,TC,"Polysomnography, 1-3",A,,0.00,12.15,,12.15,NA,0.35,12.50,12.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95808,26,"Polysomnography, 1-3",A,,2.65,0.95,,0.95,,0.09,3.69,3.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95810,,"Polysomnography, 4 or more",A,,3.53,17.29,,17.29,NA,0.47,21.29,21.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95810,TC,"Polysomnography, 4 or more",A,,0.00,16.08,,16.08,NA,0.35,16.43,16.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95810,26,"Polysomnography, 4 or more",A,,3.53,1.21,,1.21,,0.12,4.86,4.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95811,,Polysomnography w/cpap,A,,3.80,17.67,,17.67,NA,0.49,21.96,21.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95811,TC,Polysomnography w/cpap,A,,0.00,16.37,,16.37,NA,0.36,16.73,16.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95811,26,Polysomnography w/cpap,A,,3.80,1.30,,1.30,,0.13,5.23,5.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95812,,"Eeg, 41-60 minutes",A,,1.08,4.72,,4.72,NA,0.13,5.93,5.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95812,TC,"Eeg, 41-60 minutes",A,,0.00,4.26,,4.26,NA,0.09,4.35,4.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95812,26,"Eeg, 41-60 minutes",A,,1.08,0.46,,0.46,,0.04,1.58,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95813,,"Eeg, over 1 hour",A,,1.73,5.80,,5.80,NA,0.15,7.68,7.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95813,TC,"Eeg, over 1 hour",A,,0.00,5.08,,5.08,NA,0.09,5.17,5.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95813,26,"Eeg, over 1 hour",A,,1.73,0.72,,0.72,,0.06,2.51,2.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95816,,"Eeg, awake and drowsy",A,,1.08,3.67,,3.67,NA,0.12,4.87,4.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95816,TC,"Eeg, awake and drowsy",A,,0.00,3.20,,3.20,NA,0.08,3.28,3.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95816,26,"Eeg, awake and drowsy",A,,1.08,0.47,,0.47,,0.04,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95819,,"Eeg, awake and asleep",A,,1.08,4.31,,4.31,NA,0.12,5.51,5.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95819,TC,"Eeg, awake and asleep",A,,0.00,3.84,,3.84,NA,0.08,3.92,3.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95819,26,"Eeg, awake and asleep",A,,1.08,0.47,,0.47,,0.04,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95822,,"Eeg, coma or sleep only",A,,1.08,5.11,,5.11,NA,0.15,6.34,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95822,TC,"Eeg, coma or sleep only",A,,0.00,4.64,,4.64,NA,0.11,4.75,4.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95822,26,"Eeg, coma or sleep only",A,,1.08,0.47,,0.47,,0.04,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95824,,"Eeg, cerebral death only",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95824,TC,"Eeg, cerebral death only",C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95824,26,"Eeg, cerebral death only",A,,0.74,0.32,,0.32,,0.05,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95827,,"Eeg, all night recording",A,,1.08,2.70,,2.70,NA,0.15,3.93,3.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95827,TC,"Eeg, all night recording",A,,0.00,2.28,,2.28,NA,0.12,2.40,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95827,26,"Eeg, all night recording",A,,1.08,0.42,,0.42,,0.03,1.53,1.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95829,,Surgery electrocorticogram,A,,6.21,40.12,,40.12,NA,0.33,46.66,46.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95829,TC,Surgery electrocorticogram,A,,0.00,37.74,,37.74,NA,0.02,37.76,37.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95829,26,Surgery electrocorticogram,A,,6.21,2.38,,2.38,,0.31,8.90,8.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95830,,Insert electrodes for EEG,A,,1.70,3.55,,0.75,,0.07,5.32,2.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95831,,"Limb muscle testing, manual",A,,0.28,0.53,,0.13,,0.01,0.82,0.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95832,,"Hand muscle testing, manual",A,,0.29,0.45,,0.12,,0.01,0.75,0.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95833,,"Body muscle testing, manual",A,,0.47,0.61,,0.23,,0.01,1.09,0.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95834,,"Body muscle testing, manual",A,,0.60,0.58,,0.28,,0.02,1.20,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95851,,Range of motion measurements,A,,0.16,0.57,,0.08,,0.01,0.74,0.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95852,,Range of motion measurements,A,,0.11,0.47,,0.05,,0.01,0.59,0.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95857,,Tensilon test,A,,0.53,0.65,,0.23,,0.02,1.20,0.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95858,,Tensilon test & myogram,A,,1.56,1.09,,1.09,NA,0.07,2.72,2.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95858,TC,Tensilon test & myogram,A,,0.00,0.40,,0.40,NA,0.03,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95858,26,Tensilon test & myogram,A,,1.56,0.69,,0.69,,0.04,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95860,,"Muscle test, one limb",A,,0.96,1.62,,1.62,NA,0.05,2.63,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95860,TC,"Muscle test, one limb",A,,0.00,1.19,,1.19,NA,0.02,1.21,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95860,26,"Muscle test, one limb",A,,0.96,0.43,,0.43,,0.03,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95861,,"Muscle test, 2 limbs",A,,1.54,1.44,,1.44,NA,0.10,3.08,3.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95861,TC,"Muscle test, 2 limbs",A,,0.00,0.74,,0.74,NA,0.05,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95861,26,"Muscle test, 2 limbs",A,,1.54,0.70,,0.70,,0.05,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95863,,"Muscle test, 3 limbs",A,,1.87,1.77,,1.77,NA,0.11,3.75,3.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95863,TC,"Muscle test, 3 limbs",A,,0.00,0.94,,0.94,NA,0.05,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95863,26,"Muscle test, 3 limbs",A,,1.87,0.83,,0.83,,0.06,2.76,2.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95864,,"Muscle test, 4 limbs",A,,1.99,2.66,,2.66,NA,0.16,4.81,4.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95864,TC,"Muscle test, 4 limbs",A,,0.00,1.77,,1.77,NA,0.10,1.87,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95864,26,"Muscle test, 4 limbs",A,,1.99,0.89,,0.89,,0.06,2.94,2.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95867,,Muscle test cran nerv unilat,A,,0.79,0.94,,0.94,NA,0.06,1.79,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95867,TC,Muscle test cran nerv unilat,A,,0.00,0.58,,0.58,NA,0.03,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95867,26,Muscle test cran nerv unilat,A,,0.79,0.36,,0.36,,0.03,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95868,,Muscle test cran nerve bilat,A,,1.18,1.23,,1.23,NA,0.08,2.49,2.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95868,TC,Muscle test cran nerve bilat,A,,0.00,0.70,,0.70,NA,0.04,0.74,0.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,6A
95868,26,Muscle test cran nerve bilat,A,,1.18,0.53,,0.53,,0.04,1.75,1.75,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95869,,"Muscle test, thor paraspinal",A,,0.37,0.38,,0.38,NA,0.03,0.78,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95869,TC,"Muscle test, thor paraspinal",A,,0.00,0.21,,0.21,NA,0.02,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95869,26,"Muscle test, thor paraspinal",A,,0.37,0.17,,0.17,,0.01,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95870,,"Muscle test, nonparaspinal",A,,0.37,0.37,,0.37,NA,0.03,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95870,TC,"Muscle test, nonparaspinal",A,,0.00,0.21,,0.21,NA,0.02,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,6A
95870,26,"Muscle test, nonparaspinal",A,,0.37,0.16,,0.16,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95872,,"Muscle test, one fiber",A,,1.50,1.25,,1.25,NA,0.08,2.83,2.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95872,TC,"Muscle test, one fiber",A,,0.00,0.60,,0.60,NA,0.04,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,66
95872,26,"Muscle test, one fiber",A,,1.50,0.65,,0.65,,0.04,2.19,2.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95875,,Limb exercise test,A,,1.10,1.72,,1.72,NA,0.09,2.91,2.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95875,TC,Limb exercise test,A,,0.00,1.24,,1.24,NA,0.05,1.29,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95875,26,Limb exercise test,A,,1.10,0.48,,0.48,,0.04,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95900,,Motor nerve conduction test,A,,0.42,1.12,,1.12,NA,0.03,1.57,1.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95900,TC,Motor nerve conduction test,A,,0.00,0.93,,0.93,NA,0.02,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,7A
95900,26,Motor nerve conduction test,A,,0.42,0.19,,0.19,,0.01,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95903,,Motor nerve conduction test,A,,0.60,1.07,,1.07,NA,0.04,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95903,TC,Motor nerve conduction test,A,,0.00,0.80,,0.80,NA,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,7A
95903,26,Motor nerve conduction test,A,,0.60,0.27,,0.27,,0.02,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95904,,Sense nerve conduction test,A,,0.34,0.95,,0.95,NA,0.03,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95904,TC,Sense nerve conduction test,A,,0.00,0.80,,0.80,NA,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,7A
95904,26,Sense nerve conduction test,A,,0.34,0.15,,0.15,,0.01,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95920,,Intraop nerve test add-on,A,,2.11,2.26,,2.26,NA,0.20,4.57,4.57,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95920,TC,Intraop nerve test add-on,A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,22
95920,26,Intraop nerve test add-on,A,,2.11,0.96,,0.96,,0.14,3.21,3.21,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95921,,Autonomic nerv function test,A,,0.90,0.72,,0.72,NA,0.05,1.67,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95921,TC,Autonomic nerv function test,A,,0.00,0.38,,0.38,NA,0.02,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95921,26,Autonomic nerv function test,A,,0.90,0.34,,0.34,,0.03,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95922,,Autonomic nerv function test,A,,0.96,0.79,,0.79,NA,0.05,1.80,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95922,TC,Autonomic nerv function test,A,,0.00,0.38,,0.38,NA,0.02,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95922,26,Autonomic nerv function test,A,,0.96,0.41,,0.41,,0.03,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95923,,Autonomic nerv function test,A,,0.90,2.92,,2.92,NA,0.05,3.87,3.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95923,TC,Autonomic nerv function test,A,,0.00,2.53,,2.53,NA,0.02,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95923,26,Autonomic nerv function test,A,,0.90,0.39,,0.39,,0.03,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95925,,Somatosensory testing,A,,0.54,1.14,,1.14,NA,0.07,1.75,1.75,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95925,TC,Somatosensory testing,A,,0.00,0.91,,0.91,NA,0.05,0.96,0.96,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,21
95925,26,Somatosensory testing,A,,0.54,0.23,,0.23,,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95926,,Somatosensory testing,A,,0.54,1.15,,1.15,NA,0.07,1.76,1.76,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95926,TC,Somatosensory testing,A,,0.00,0.91,,0.91,NA,0.05,0.96,0.96,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,21
95926,26,Somatosensory testing,A,,0.54,0.24,,0.24,,0.02,0.80,0.80,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95927,,Somatosensory testing,A,,0.54,1.17,,1.17,NA,0.08,1.79,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95927,TC,Somatosensory testing,A,,0.00,0.91,,0.91,NA,0.05,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,21
95927,26,Somatosensory testing,A,,0.54,0.26,,0.26,,0.03,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95930,,Visual evoked potential test,A,,0.35,1.18,,1.18,NA,0.02,1.55,1.55,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95930,TC,Visual evoked potential test,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,21
95930,26,Visual evoked potential test,A,,0.35,0.15,,0.15,,0.01,0.51,0.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
95933,,Blink reflex test,A,,0.59,1.03,,1.03,NA,0.07,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95933,TC,Blink reflex test,A,,0.00,0.78,,0.78,NA,0.05,0.83,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,7A
95933,26,Blink reflex test,A,,0.59,0.25,,0.25,,0.02,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95934,,H-reflex test,A,,0.51,0.44,,0.44,NA,0.04,0.99,0.99,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
95934,TC,H-reflex test,A,,0.00,0.21,,0.21,NA,0.02,0.23,0.23,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,7A
95934,26,H-reflex test,A,,0.51,0.23,,0.23,,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
95936,,H-reflex test,A,,0.55,0.46,,0.46,NA,0.04,1.05,1.05,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
95936,TC,H-reflex test,A,,0.00,0.21,,0.21,NA,0.02,0.23,0.23,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,7A
95936,26,H-reflex test,A,,0.55,0.25,,0.25,,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,36.7856,09
95937,,Neuromuscular junction test,A,,0.65,0.61,,0.61,NA,0.04,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95937,TC,Neuromuscular junction test,A,,0.00,0.34,,0.34,NA,0.02,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,7A
95937,26,Neuromuscular junction test,A,,0.65,0.27,,0.27,,0.02,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95950,,Ambulatory eeg monitoring,A,,1.51,6.79,,6.79,NA,0.44,8.74,8.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95950,TC,Ambulatory eeg monitoring,A,,0.00,6.14,,6.14,NA,0.36,6.50,6.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95950,26,Ambulatory eeg monitoring,A,,1.51,0.65,,0.65,,0.08,2.24,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95951,,EEG monitoring/videorecord,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95951,TC,EEG monitoring/videorecord,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95951,26,EEG monitoring/videorecord,A,,6.00,2.62,,2.62,,0.20,8.82,8.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95953,,EEG monitoring/computer,A,,3.08,7.63,,7.63,NA,0.46,11.17,11.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95953,TC,EEG monitoring/computer,A,,0.00,6.31,,6.31,NA,0.36,6.67,6.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95953,26,EEG monitoring/computer,A,,3.08,1.32,,1.32,,0.10,4.50,4.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95954,,EEG monitoring/giving drugs,A,,2.45,5.04,,5.04,NA,0.15,7.64,7.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95954,TC,EEG monitoring/giving drugs,A,,0.00,3.98,,3.98,NA,0.05,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95954,26,EEG monitoring/giving drugs,A,,2.45,1.06,,1.06,,0.10,3.61,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95955,,EEG during surgery,A,,1.01,2.32,,2.32,NA,0.19,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95955,TC,EEG during surgery,A,,0.00,1.95,,1.95,NA,0.14,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,02
95955,26,EEG during surgery,A,,1.01,0.37,,0.37,,0.05,1.43,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95956,,"Eeg monitoring, cable/radio",A,,3.08,15.69,,15.69,NA,0.47,19.24,19.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95956,TC,"Eeg monitoring, cable/radio",A,,0.00,14.36,,14.36,NA,0.36,14.72,14.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95956,26,"Eeg monitoring, cable/radio",A,,3.08,1.33,,1.33,,0.11,4.52,4.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95957,,EEG digital analysis,A,,1.98,2.56,,2.56,NA,0.17,4.71,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95957,TC,EEG digital analysis,A,,0.00,1.69,,1.69,NA,0.10,1.79,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,01
95957,26,EEG digital analysis,A,,1.98,0.87,,0.87,,0.07,2.92,2.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95958,,EEG monitoring/function test,A,,4.25,3.51,,3.51,NA,0.29,8.05,8.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95958,TC,EEG monitoring/function test,A,,0.00,1.73,,1.73,NA,0.11,1.84,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95958,26,EEG monitoring/function test,A,,4.25,1.78,,1.78,,0.18,6.21,6.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95961,,"Electrode stimulation, brain",A,,2.97,2.65,,2.65,NA,0.24,5.86,5.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95961,TC,"Electrode stimulation, brain",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95961,26,"Electrode stimulation, brain",A,,2.97,1.35,,1.35,,0.18,4.50,4.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95962,,"Electrode stim, brain add-on",A,,3.21,2.72,,2.72,NA,0.23,6.16,6.16,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95962,TC,"Electrode stim, brain add-on",A,,0.00,1.30,,1.30,NA,0.06,1.36,1.36,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,03
95962,26,"Electrode stim, brain add-on",A,,3.21,1.42,,1.42,,0.17,4.80,4.80,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95965,,"Meg, spontaneous",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95965,TC,"Meg, spontaneous",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95965,26,"Meg, spontaneous",A,,8.00,3.11,,3.11,,0.31,11.42,11.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95966,,"Meg, evoked, single",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95966,TC,"Meg, evoked, single",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95966,26,"Meg, evoked, single",A,,4.00,1.55,,1.55,,0.15,5.70,5.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95967,,"Meg, evoked, each addl",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95967,TC,"Meg, evoked, each addl",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95967,26,"Meg, evoked, each addl",A,,3.50,1.36,,1.36,,0.13,4.99,4.99,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95970,,"Analyze neurostim, no prog",A,,0.45,0.17,,0.15,,0.03,0.65,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95971,,"Analyze neurostim, simple",A,,0.78,0.28,,0.23,,0.06,1.12,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95972,,"Analyze neurostim, complex",A,,1.50,0.61,,0.51,,0.17,2.28,2.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95973,,"Analyze neurostim, complex",A,,0.92,0.41,,0.35,,0.07,1.40,1.34,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95974,,"Cranial neurostim, complex",A,,3.00,1.32,,1.32,,0.15,4.47,4.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95975,,"Cranial neurostim, complex",A,,1.70,0.75,,0.75,,0.07,2.52,2.52,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95990,,Spin/brain pump refil & main,A,,0.00,1.49,,1.49,NA,0.05,1.54,1.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
95999,,Neurological procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96000,,"Motion analysis, video/3d",A,,1.80,0.70,NA,0.70,,0.02,2.52,2.52,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
96001,,Motion test w/ft press meas,A,,2.15,0.84,NA,0.84,,0.02,3.01,3.01,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
96002,,Dynamic surface emg,A,,0.41,0.16,NA,0.16,,0.02,0.59,0.59,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
96003,,Dynamic fine wire emg,A,,0.37,0.14,NA,0.14,,0.03,0.54,0.54,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
96004,,Phys review of motion tests,A,,2.14,0.84,,0.84,,0.08,3.06,3.06,2,XXX,0.00,0.00,0.00,0,2,0,0,0,,36.7856,09
96100,,Psychological testing,A,,0.00,1.75,,1.75,NA,0.15,1.90,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96105,,Assessment of aphasia,A,,0.00,1.75,,1.75,NA,0.15,1.90,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96110,,"Developmental test, lim",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96111,,"Developmental test, extend",A,,0.00,1.75,,1.75,NA,0.15,1.90,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96115,,Neurobehavior status exam,A,,0.00,1.75,,1.75,NA,0.15,1.90,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96117,,Neuropsych test battery,A,,0.00,1.75,,1.75,NA,0.15,1.90,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,04
96150,,"Assess lth/behave, init",A,,0.50,0.21,,0.20,,0.02,0.73,0.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96151,,"Assess hlth/behave, subseq",A,,0.48,0.20,,0.19,,0.02,0.70,0.69,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96152,,"Intervene hlth/behave, indiv",A,,0.46,0.19,,0.18,,0.02,0.67,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96153,,"Intervene hlth/behave, group",A,,0.10,0.04,,0.04,,0.01,0.15,0.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96154,,"Interv hlth/behav, fam w/pt",A,,0.45,0.19,,0.18,,0.02,0.66,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96155,,Interv hlth/behav fam no pt,A,,0.44,0.18,,0.17,,0.02,0.64,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96400,,"Chemotherapy, sc/im",A,,0.00,1.01,,1.01,NA,0.01,1.02,1.02,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96405,,Intralesional chemo admin,A,,0.52,1.68,,0.23,,0.02,2.22,0.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
96406,,Intralesional chemo admin,A,,0.80,2.54,,0.30,,0.02,3.36,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
96408,,"Chemotherapy, push technique",A,,0.00,0.97,,0.97,NA,0.05,1.02,1.02,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96410,,"Chemotherapy,infusion method",A,,0.00,1.54,,1.54,NA,0.07,1.61,1.61,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96412,,"Chemo, infuse method add-on",A,,0.00,1.14,,1.14,NA,0.06,1.20,1.20,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96414,,"Chemo, infuse method add-on",A,,0.00,1.33,,1.33,NA,0.07,1.40,1.40,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96420,,"Chemotherapy, push technique",A,,0.00,1.24,,1.24,NA,0.07,1.31,1.31,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96422,,"Chemotherapy,infusion method",A,,0.00,1.22,,1.22,NA,0.07,1.29,1.29,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96423,,"Chemo, infuse method add-on",A,,0.00,0.48,,0.48,NA,0.02,0.50,0.50,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96425,,"Chemotherapy,infusion method",A,,0.00,1.42,,1.42,NA,0.07,1.49,1.49,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96440,,"Chemotherapy, intracavitary",A,,2.37,7.92,,1.04,,0.12,10.41,3.53,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96445,,"Chemotherapy, intracavitary",A,,2.20,7.97,,1.02,,0.07,10.24,3.29,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96450,,"Chemotherapy, into CNS",A,,1.89,6.30,,0.93,,0.06,8.25,2.88,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96520,,Port pump refill & main,A,,0.00,0.89,,0.89,NA,0.05,0.94,0.94,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96530,,Syst pump refill & main,A,,0.00,1.05,,1.05,NA,0.05,1.10,1.10,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96542,,Chemotherapy injection,A,,1.42,3.99,,0.55,,0.05,5.46,2.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96545,,Provide chemotherapy agent,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
96549,,"Chemotherapy, unspecified",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96567,,"Photodynamic tx, skin",A,,0.00,5.10,,5.10,NA,0.03,5.13,5.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96570,,"Photodynamic tx, 30 min",A,,1.10,0.38,,0.37,,0.04,1.52,1.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
96571,,"Photodynamic tx, addl 15 min",A,,0.55,0.21,,0.20,,0.02,0.78,0.77,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,36.7856,09
96900,,Ultraviolet light therapy,A,,0.00,0.49,,0.49,NA,0.02,0.51,0.51,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96902,,Trichogram,B,+,0.41,0.25,,0.16,,0.01,0.67,0.58,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
96910,,Photochemotherapy with UV-B,A,,0.00,1.57,,1.57,NA,0.03,1.60,1.60,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96912,,Photochemotherapy with UV-A,A,,0.00,1.80,,1.80,NA,0.04,1.84,1.84,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96913,,"Photochemotherapy, UV-A or B",A,,0.00,2.71,,2.71,NA,0.08,2.79,2.79,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
96920,,"Laser tx, skin < 250 sq cm",A,,1.15,2.88,,0.45,,0.09,4.12,1.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
96921,,"Laser tx, skin 250-500 sq cm",A,,1.17,2.96,,0.46,,0.09,4.22,1.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
96922,,"Laser tx, skin > 500 sq cm",A,,2.10,3.56,,0.82,,0.16,5.82,3.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
96999,,Dermatological procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97001,,Pt evaluation,A,,1.20,0.74,,0.46,,0.05,1.99,1.71,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97002,,Pt re-evaluation,A,,0.60,0.45,,0.24,,0.02,1.07,0.86,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97003,,Ot evaluation,A,,1.20,0.87,,0.41,,0.05,2.12,1.66,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97004,,Ot re-evaluation,A,,0.60,0.68,,0.20,,0.02,1.30,0.82,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97005,,Athletic train eval,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97006,,Athletic train reeval,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97010,,Hot or cold packs therapy,B,+,0.06,0.05,,0.05,NA,0.01,0.12,0.12,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97012,,Mechanical traction therapy,A,,0.25,0.14,,0.14,NA,0.01,0.40,0.40,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97014,,Electric stimulation therapy,I,+,0.18,0.19,,0.19,,0.01,0.38,0.38,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97016,,Vasopneumatic device therapy,A,,0.18,0.19,,0.19,NA,0.01,0.38,0.38,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97018,,Paraffin bath therapy,A,,0.06,0.11,,0.11,NA,0.01,0.18,0.18,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97020,,Microwave therapy,A,,0.06,0.06,,0.06,NA,0.01,0.13,0.13,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97022,,Whirlpool therapy,A,,0.17,0.22,,0.22,NA,0.01,0.40,0.40,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97024,,Diathermy treatment,A,,0.06,0.06,,0.06,NA,0.01,0.13,0.13,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97026,,Infrared therapy,A,,0.06,0.06,,0.06,NA,0.01,0.13,0.13,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97028,,Ultraviolet therapy,A,,0.08,0.07,,0.07,NA,0.01,0.16,0.16,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97032,,Electrical stimulation,A,,0.25,0.18,,0.18,NA,0.01,0.44,0.44,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97033,,Electric current therapy,A,,0.26,0.27,,0.27,NA,0.02,0.55,0.55,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97034,,Contrast bath therapy,A,,0.21,0.16,,0.16,NA,0.01,0.38,0.38,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97035,,Ultrasound therapy,A,,0.21,0.11,,0.11,NA,0.01,0.33,0.33,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97036,,Hydrotherapy,A,,0.28,0.33,,0.33,NA,0.01,0.62,0.62,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97039,,Physical therapy treatment,A,,0.20,0.11,,0.11,NA,0.01,0.32,0.32,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97110,,Therapeutic exercises,A,,0.45,0.28,,0.28,NA,0.03,0.76,0.76,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97112,,Neuromuscular reeducation,A,,0.45,0.31,,0.31,NA,0.02,0.78,0.78,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97113,,Aquatic therapy/exercises,A,,0.44,0.34,,0.34,NA,0.03,0.81,0.81,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97116,,Gait training therapy,A,,0.40,0.25,,0.25,NA,0.02,0.67,0.67,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97124,,Massage therapy,A,,0.35,0.24,,0.24,NA,0.01,0.60,0.60,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97139,,Physical medicine procedure,A,,0.21,0.21,,0.21,NA,0.01,0.43,0.43,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97140,,Manual therapy,A,,0.43,0.27,,0.27,NA,0.02,0.72,0.72,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97150,,Group therapeutic procedures,A,,0.27,0.21,,0.21,NA,0.02,0.50,0.50,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97504,,Orthotic training,A,,0.45,0.29,,0.29,NA,0.03,0.77,0.77,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97520,,Prosthetic training,A,,0.45,0.28,,0.28,NA,0.02,0.75,0.75,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97530,,Therapeutic activities,A,,0.44,0.31,,0.31,NA,0.02,0.77,0.77,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97532,,Cognitive skills development,A,,0.44,0.20,,0.20,NA,0.01,0.65,0.65,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97533,,Sensory integration,A,,0.44,0.24,,0.24,NA,0.01,0.69,0.69,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97535,,Self care mngment training,A,,0.45,0.36,,0.36,NA,0.02,0.83,0.83,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97537,,Community/work reintegration,A,,0.45,0.27,,0.27,NA,0.01,0.73,0.73,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97542,,Wheelchair mngment training,A,,0.45,0.29,,0.29,NA,0.01,0.75,0.75,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97545,,Work hardening,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97546,,Work hardening add-on,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97601,,"Wound(s) care, selective",A,,0.50,0.53,,0.53,NA,0.04,1.07,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97602,,Wound(s) care non-selective,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97703,,Prosthetic checkout,A,,0.25,0.33,,0.33,NA,0.02,0.60,0.60,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97750,,Physical performance test,A,,0.45,0.31,,0.31,NA,0.02,0.78,0.78,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97780,,Acupuncture w/o stimul,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97781,,Acupuncture w/stimul,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
97799,,Physical medicine procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97802,,"Medical nutrition, indiv, in",A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97803,,"Med nutrition, indiv, subseq",A,,0.00,0.47,,0.47,NA,0.01,0.48,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
97804,,"Medical nutrition, group",A,,0.00,0.18,,0.18,NA,0.01,0.19,0.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98925,,Osteopathic manipulation,A,,0.45,0.37,,0.15,,0.01,0.83,0.61,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98926,,Osteopathic manipulation,A,,0.65,0.44,,0.26,,0.02,1.11,0.93,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98927,,Osteopathic manipulation,A,,0.87,0.51,,0.30,,0.03,1.41,1.20,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98928,,Osteopathic manipulation,A,,1.03,0.59,,0.35,,0.03,1.65,1.41,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98929,,Osteopathic manipulation,A,,1.19,0.65,,0.38,,0.04,1.88,1.61,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98940,,Chiropractic manipulation,A,,0.45,0.24,,0.13,,0.01,0.70,0.59,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98941,,Chiropractic manipulation,A,,0.65,0.30,,0.18,,0.02,0.97,0.85,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98942,,Chiropractic manipulation,A,,0.87,0.37,,0.24,,0.03,1.27,1.14,0,000,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
98943,,Chiropractic manipulation,N,+,0.40,0.24,,0.16,,0.01,0.65,0.57,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99000,,Specimen handling,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99001,,Specimen handling,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99002,,Device handling,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99024,,Postop follow-up visit,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99025,,Initial surgical evaluation,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99026,,In-hospital on call service,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99027,,Out-of-hosp on call service,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99050,,Medical services after hrs,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99052,,Medical services at night,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99054,,"Medical servcs, unusual hrs",B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99056,,Non-office medical services,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99058,,Office emergency care,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99070,,Special supplies,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99071,,Patient education materials,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99075,,Medical testimony,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99078,,Group health education,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99080,,Special reports or forms,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99082,,Unusual physician travel,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99090,,Computer data analysis,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99091,,Collect/review data from pt,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99100,,Special anesthesia service,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99116,,Anesthesia with hypothermia,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99135,,Special anesthesia procedure,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99140,,Emergency anesthesia,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99141,,"Sedation, iv/im or inhalant",B,+,0.80,2.15,,0.39,,0.04,2.99,1.23,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99142,,"Sedation, oral/rectal/nasal",B,+,0.60,1.25,,0.31,,0.03,1.88,0.94,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99170,,"Anogenital exam, child",A,,1.75,2.07,,0.53,,0.07,3.89,2.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,36.7856,09
99172,,Ocular function screen,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99173,,Visual acuity screen,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99175,,Induction of vomiting,A,,0.00,1.38,,1.38,NA,0.08,1.46,1.46,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99183,,Hyperbaric oxygen therapy,A,,2.34,0.75,NA,0.75,,0.12,3.21,3.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99185,,Regional hypothermia,A,,0.00,0.64,,0.64,NA,0.03,0.67,0.67,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99186,,Total body hypothermia,A,,0.00,1.77,,1.77,NA,0.37,2.14,2.14,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99190,,Special pump services,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99191,,Special pump services,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99192,,Special pump services,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99195,,Phlebotomy,A,,0.00,0.45,,0.45,NA,0.02,0.47,0.47,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99199,,Special service/proc/report,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99201,,"Office/outpatient visit, new",A,,0.45,0.48,,0.16,,0.02,0.95,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99202,,"Office/outpatient visit, new",A,,0.88,0.77,,0.32,,0.05,1.70,1.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99203,,"Office/outpatient visit, new",A,,1.34,1.10,,0.49,,0.08,2.52,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99204,,"Office/outpatient visit, new",A,,2.00,1.49,,0.72,,0.10,3.59,2.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99205,,"Office/outpatient visit, new",A,,2.67,1.79,,0.95,,0.12,4.58,3.74,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99211,,"Office/outpatient visit, est",A,,0.17,0.38,,0.06,,0.01,0.56,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99212,,"Office/outpatient visit, est",A,,0.45,0.52,,0.16,,0.02,0.99,0.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99213,,"Office/outpatient visit, est",A,,0.67,0.69,,0.24,,0.03,1.39,0.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99214,,"Office/outpatient visit, est",A,,1.10,1.03,,0.40,,0.04,2.17,1.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99215,,"Office/outpatient visit, est",A,,1.77,1.34,,0.64,,0.07,3.18,2.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99217,,Observation care discharge,A,,1.28,0.44,NA,0.44,,0.05,1.77,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99218,,Observation care,A,,1.28,0.44,NA,0.44,,0.05,1.77,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99219,,Observation care,A,,2.14,0.73,NA,0.73,,0.08,2.95,2.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99220,,Observation care,A,,2.99,1.03,NA,1.03,,0.11,4.13,4.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99221,,Initial hospital care,A,,1.28,0.46,NA,0.46,,0.05,1.79,1.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99222,,Initial hospital care,A,,2.14,0.75,NA,0.75,,0.08,2.97,2.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99223,,Initial hospital care,A,,2.99,1.04,NA,1.04,,0.10,4.13,4.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99231,,Subsequent hospital care,A,,0.64,0.23,NA,0.23,,0.02,0.89,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99232,,Subsequent hospital care,A,,1.06,0.38,NA,0.38,,0.03,1.47,1.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99233,,Subsequent hospital care,A,,1.51,0.53,NA,0.53,,0.05,2.09,2.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99234,,Observ/hosp same date,A,,2.56,0.89,NA,0.89,,0.11,3.56,3.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99235,,Observ/hosp same date,A,,3.42,1.16,NA,1.16,,0.13,4.71,4.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99236,,Observ/hosp same date,A,,4.27,1.45,NA,1.45,,0.17,5.89,5.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99238,,Hospital discharge day,A,,1.28,0.56,NA,0.56,,0.04,1.88,1.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99239,,Hospital discharge day,A,,1.75,0.75,NA,0.75,,0.05,2.55,2.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99241,,Office consultation,A,,0.64,0.61,,0.22,,0.04,1.29,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99242,,Office consultation,A,,1.29,1.02,,0.47,,0.09,2.40,1.85,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99243,,Office consultation,A,,1.72,1.35,,0.64,,0.10,3.17,2.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99244,,Office consultation,A,,2.58,1.80,,0.94,,0.13,4.51,3.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99245,,Office consultation,A,,3.43,2.26,,1.24,,0.16,5.85,4.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99251,,Initial inpatient consult,A,,0.66,0.25,NA,0.25,,0.04,0.95,0.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99252,,Initial inpatient consult,A,,1.32,0.51,NA,0.51,,0.08,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99253,,Initial inpatient consult,A,,1.82,0.70,NA,0.70,,0.09,2.61,2.61,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99254,,Initial inpatient consult,A,,2.64,1.00,NA,1.00,,0.11,3.75,3.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99255,,Initial inpatient consult,A,,3.65,1.36,NA,1.36,,0.15,5.16,5.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99261,,Follow-up inpatient consult,A,,0.42,0.16,NA,0.16,,0.02,0.60,0.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99262,,Follow-up inpatient consult,A,,0.85,0.31,NA,0.31,,0.03,1.19,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99263,,Follow-up inpatient consult,A,,1.27,0.46,NA,0.46,,0.04,1.77,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99271,,Confirmatory consultation,A,,0.45,0.66,,0.16,,0.03,1.14,0.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99272,,Confirmatory consultation,A,,0.84,0.89,,0.32,,0.06,1.79,1.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99273,,Confirmatory consultation,A,,1.19,1.09,,0.45,,0.07,2.35,1.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99274,,Confirmatory consultation,A,,1.73,1.39,,0.65,,0.09,3.21,2.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99275,,Confirmatory consultation,A,,2.31,1.64,,0.84,,0.10,4.05,3.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99281,,Emergency dept visit,A,,0.33,0.09,NA,0.09,,0.02,0.44,0.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99282,,Emergency dept visit,A,,0.55,0.15,NA,0.15,,0.03,0.73,0.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99283,,Emergency dept visit,A,,1.24,0.32,NA,0.32,,0.08,1.64,1.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99284,,Emergency dept visit,A,,1.95,0.49,NA,0.49,,0.12,2.56,2.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99285,,Emergency dept visit,A,,3.06,0.74,NA,0.74,,0.19,3.99,3.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99288,,Direct advanced life support,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99289,,Ped crit care transport,A,,4.80,1.87,NA,1.87,,0.14,6.81,6.81,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99290,,Ped crit care transport addl,A,,2.40,0.94,NA,0.94,,0.07,3.41,3.41,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99291,,"Critical care, first hour",A,,4.00,1.57,,1.30,,0.14,5.71,5.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99292,,"Critical care, addl 30 min",A,,2.00,0.86,,0.65,,0.07,2.93,2.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99293,,"Ped critical care, initial",A,,16.00,5.13,NA,5.13,,0.70,21.83,21.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99294,,"Ped critical care, subseq",A,,8.00,2.57,NA,2.57,,0.23,10.80,10.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99295,,"Neonate crit care, initial",A,,18.49,5.48,NA,5.48,,0.70,24.67,24.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99296,,Neonate critical care subseq,A,,8.00,2.61,NA,2.61,,0.23,10.84,10.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99297,,Neonatal critical care,D,,4.00,1.32,,1.32,,0.12,5.44,5.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99298,,Ic for lbw infant < 1500 gm,A,,2.75,0.96,NA,0.96,,0.10,3.81,3.81,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99299,,"Ic, lbw infant 1500-2500 gm",A,,2.50,0.98,NA,0.98,,0.10,3.58,3.58,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99301,,Nursing facility care,A,,1.20,0.69,,0.42,,0.04,1.93,1.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99302,,Nursing facility care,A,,1.61,0.97,,0.55,,0.05,2.63,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99303,,Nursing facility care,A,,2.01,1.19,,0.68,,0.06,3.26,2.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99311,,"Nursing fac care, subseq",A,,0.60,0.49,,0.21,,0.02,1.11,0.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99312,,"Nursing fac care, subseq",A,,1.00,0.67,,0.34,,0.03,1.70,1.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99313,,"Nursing fac care, subseq",A,,1.42,0.87,,0.49,,0.04,2.33,1.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99315,,Nursing fac discharge day,A,,1.13,0.73,,0.38,,0.04,1.90,1.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99316,,Nursing fac discharge day,A,,1.50,0.93,,0.52,,0.05,2.48,2.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99321,,"Rest home visit, new patient",A,,0.71,0.45,,0.45,NA,0.02,1.18,1.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99322,,"Rest home visit, new patient",A,,1.01,0.70,,0.70,NA,0.03,1.74,1.74,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99323,,"Rest home visit, new patient",A,,1.28,0.92,,0.92,NA,0.04,2.24,2.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99331,,"Rest home visit, est pat",A,,0.60,0.47,,0.47,NA,0.02,1.09,1.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99332,,"Rest home visit, est pat",A,,0.80,0.58,,0.58,NA,0.03,1.41,1.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99333,,"Rest home visit, est pat",A,,1.00,0.71,,0.71,NA,0.03,1.74,1.74,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99341,,"Home visit, new patient",A,,1.01,0.55,,0.55,NA,0.05,1.61,1.61,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99342,,"Home visit, new patient",A,,1.52,0.85,,0.85,NA,0.05,2.42,2.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99343,,"Home visit, new patient",A,,2.27,1.26,,1.26,NA,0.07,3.60,3.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99344,,"Home visit, new patient",A,,3.03,1.55,,1.55,NA,0.10,4.68,4.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99345,,"Home visit, new patient",A,,3.79,1.81,,1.81,NA,0.12,5.72,5.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99347,,"Home visit, est patient",A,,0.76,0.48,,0.48,NA,0.03,1.27,1.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99348,,"Home visit, est patient",A,,1.26,0.72,,0.72,NA,0.04,2.02,2.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99349,,"Home visit, est patient",A,,2.02,1.05,,1.05,NA,0.06,3.13,3.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99350,,"Home visit, est patient",A,,3.03,1.43,,1.43,NA,0.10,4.56,4.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99354,,"Prolonged service, office",A,,1.77,1.46,,0.61,,0.06,3.29,2.44,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99355,,"Prolonged service, office",A,,1.77,1.24,,0.59,,0.06,3.07,2.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99356,,"Prolonged service, inpatient",A,,1.71,0.60,NA,0.60,,0.06,2.37,2.37,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99357,,"Prolonged service, inpatient",A,,1.71,0.61,NA,0.61,,0.06,2.38,2.38,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99358,,"Prolonged serv, w/o contact",B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99359,,"Prolonged serv, w/o contact",B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99360,,Physician standby services,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99361,,Physician/team conference,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99362,,Physician/team conference,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99371,,Physician phone consultation,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99372,,Physician phone consultation,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99373,,Physician phone consultation,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99374,,Home health care supervision,B,+,1.10,1.49,,0.43,,0.04,2.63,1.57,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99375,,Home health care supervision,I,+,1.73,1.57,,1.57,,0.06,3.36,3.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99377,,Hospice care supervision,B,+,1.10,1.49,,0.43,,0.04,2.63,1.57,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99378,,Hospice care supervision,I,+,1.73,1.97,,1.97,,0.06,3.76,3.76,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99379,,Nursing fac care supervision,B,+,1.10,1.49,,0.43,,0.03,2.62,1.56,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99380,,Nursing fac care supervision,B,+,1.73,1.74,,0.68,,0.05,3.52,2.46,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99381,,"Prev visit, new, infant",N,+,1.19,1.52,,0.46,,0.04,2.75,1.69,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99382,,"Prev visit, new, age 1-4",N,+,1.36,1.56,,0.53,,0.04,2.96,1.93,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99383,,"Prev visit, new, age 5-11",N,+,1.36,1.50,,0.53,,0.04,2.90,1.93,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99384,,"Prev visit, new, age 12-17",N,+,1.53,1.57,,0.60,,0.05,3.15,2.18,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99385,,"Prev visit, new, age 18-39",N,+,1.53,1.57,,0.60,,0.05,3.15,2.18,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99386,,"Prev visit, new, age 40-64",N,+,1.88,1.76,,0.73,,0.06,3.70,2.67,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99387,,"Prev visit, new, 65 & over",N,+,2.06,1.89,,0.80,,0.06,4.01,2.92,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99391,,"Prev visit, est, infant",N,+,1.02,1.03,,0.40,,0.03,2.08,1.45,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99392,,"Prev visit, est, age 1-4",N,+,1.19,1.10,,0.46,,0.04,2.33,1.69,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99393,,"Prev visit, est, age 5-11",N,+,1.19,1.07,,0.46,,0.04,2.30,1.69,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99394,,"Prev visit, est, age 12-17",N,+,1.36,1.15,,0.53,,0.04,2.55,1.93,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99395,,"Prev visit, est, age 18-39",N,+,1.36,1.18,,0.53,,0.04,2.58,1.93,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99396,,"Prev visit, est, age 40-64",N,+,1.53,1.27,,0.60,,0.05,2.85,2.18,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99397,,"Prev visit, est, 65 & over",N,+,1.71,1.38,,0.67,,0.05,3.14,2.43,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99401,,"Preventive counseling, indiv",N,+,0.48,0.63,,0.19,,0.01,1.12,0.68,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99402,,"Preventive counseling, indiv",N,+,0.98,0.88,,0.38,,0.02,1.88,1.38,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99403,,"Preventive counseling, indiv",N,+,1.46,1.10,,0.57,,0.03,2.59,2.06,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99404,,"Preventive counseling, indiv",N,+,1.95,1.34,,0.76,,0.04,3.33,2.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99411,,"Preventive counseling, group",N,+,0.15,0.18,,0.06,,0.01,0.34,0.22,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99412,,"Preventive counseling, group",N,+,0.25,0.25,,0.10,,0.01,0.51,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99420,,Health risk assessment test,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99429,,Unlisted preventive service,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99431,,"Initial care, normal newborn",A,,1.17,0.39,NA,0.39,,0.04,1.60,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99432,,"Newborn care, not in hosp",A,,1.26,0.84,,0.41,,0.06,2.16,1.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99433,,Normal newborn care/hospital,A,,0.62,0.20,NA,0.20,,0.02,0.84,0.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99435,,Newborn discharge day hosp,A,,1.50,0.51,NA,0.51,,0.05,2.06,2.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99436,,"Attendance, birth",A,,1.50,0.49,,0.48,,0.05,2.04,2.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99440,,Newborn resuscitation,A,,2.93,0.95,NA,0.95,,0.11,3.99,3.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99450,,Life/disability evaluation,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99455,,Disability examination,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99456,,Disability examination,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99499,,Unlisted e&m service,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,36.7856,09
99500,,"Home visit, prenatal",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99501,,"Home visit, postnatal",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99502,,"Home visit, nb care",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99503,,"Home visit, resp therapy",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99504,,Home visit mech ventilator,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99505,,"Home visit, stoma care",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99506,,"Home visit, im injection",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99507,,"Home visit, cath maintain",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99508,,"Home visit, sleep studies",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99509,,Home visit day life activity,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99510,,"Home visit, sing/m/fam couns",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99511,,"Home visit, fecal/enema mgmt",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99512,,"Home visit, hemodialysis",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99539,,"Home visit, nos",F,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99551,,"Home infus, pain mgmt, iv/sc",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99552,,"Hm infus pain mgmt, epid/ith",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99553,,"Home infuse, tocolytic tx",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99554,,"Home infus, hormone/platelet",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99555,,"Home infuse, chemotheraphy",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99556,,"Home infus, antibio/fung/vir",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99557,,"Home infuse, anticoagulant",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99558,,"Home infuse, immunotherapy",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99559,,"Home infus, periton dialysis",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99560,,"Home infus, entero nutrition",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99561,,"Home infuse, hydration tx",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99562,,"Home infus, parent nutrition",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99563,,"Home admin, pentamidine",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99564,,"Hme infus, antihemophil agnt",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99565,,"Home infus, proteinase inhib",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99566,,"Home infuse, iv therapy",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99567,,"Home infuse, sympath agent",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99568,,"Home infus, misc drug, daily",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99569,,"Home infuse, each addl tx",I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
99600,,Home visit nos,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,36.7856,09
,,,,,,,,,,,,,,,,,,,,,,,,,
